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Telephone (CATI) Survey
Section B
Household and Household Member Selection
BINTRO. Your household was chosen to answer some questions about its transportation use.
The information you provide will let those responsible for national transportation
decisions know what improvements are needed.
Your participation is voluntary, and your answers will be completely confidential.
[IF NEEDED: There is no penalty for refusing to answer any questions.]
[IF NEEDED: Depending on your responses, the survey should take from 5 to
15 minutes.]
[IF NEEDED: The survey has been authorized by Title 49, Section 111c2 of the United
States Code.]
[PRESS ENTER TO CONTINUE.]
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PROGRAMMER NOTE:
HARD RANGE FOR B1 IS 1 TO 99. SOFT RANGE IS 1 TO 15.
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B1. The first questions are about the persons in your household.
Including yourself, how many people currently live in your household? Please count
everyone, including yourself, babies, small children, and any non-relatives who live
there most of the time.
(HHNUMBER)
NUMBER OF HHMS - |__|__|
REFUSED - -7
DON'T KNOW - -8
[HOUSEHOLD (HH) MEMBERS INCLUDE PEOPLE WHO THINK OF THIS HH AS THEIR PRIMARY PLACE OF
RESIDENCE. IT INCLUDES PERSONS WHO USUALLY STAY IN THE HH BUT ARE TEMPORARILY AWAY
ON BUSINESS, VACATION, OR IN A HOSPITAL. IT DOES NOT INCLUDE SOMEONE JUST VISITING,
SUCH AS A COLLEGE STUDENT WHO NORMALLY HAS BEEN LIVING AWAY AT SCHOOL.]
B2. Thinking about the transportation system, including roads, public transportation,
bikeways and sidewalks, how satisfied are you with READ CATEGORIES A THROUGH C ONE AT
A TIME? Would you say you are very dissatisfied, dissatisfied, neither satisfied nor
dissatisfied, satisfied, or very satisfied?
a. The ease of driving or riding as a passenger in your community
(DRIVING)
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1 |
2 |
3 |
4 |
5 |
-7 |
-8 |
b. The availability of public transportation in your community
(PUBTRAN) |
1 |
2 |
3 |
4 |
5 |
-7 |
-8 |
c. The availability of bikeways, pedestrian paths and sidewalks in your community
(RECPATHS) |
1 |
2 |
3 |
4 |
5 |
-7 |
-8 |
B2a. A focus of this survey is on transportation needs of persons with disabilities.
The Americans with Disabilities Act defines a disability as a physical or mental
impairment, and these next few questions use that specific language.
{Do you/Does anyone in your household} have a physical or mental impairment that
causes {you/him or her} to be unable to perform a major life activity? Examples of
major life activities include seeing, hearing, speaking, caring for one's self,
performing manual tasks, walking, breathing, learning or working.
(HAVDISB)
YES - 1 (IF B1=1, GO TO B2c)
NO - 2
REFUSED - -7
DON'T KNOW - -8
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PROGRAMMER NOTE
IF B1 IS 1, AND B2a IS 2, USE 1st DISPLAY IN B2b.
IF B1 IS GREATER THAN 1, AND B2a IS 1, USE SECOND DISPLAY.
IF B1 IS GREATER THAN 1, AND B2a IS 2, USE THIRD DISPLAY IN B2b.
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B2b. {Do you/Other than anyone you said was unable to perform these activities,does
anyone in your household} have a physical or mental impairment that significantly
restricts the conditions, manner, or duration under which {you/ he or she} can perform
a particular major life activity?
(SIGDISB)
YES - 1
NO - 2
REFUSED - -7
DON'T KNOW - -8
B2c. More specifically, {do you/ does anyone in your household} have any of the
following long lasting conditions:
[INTERVIEWER NOTE: EXCLUDES HEALTHY INFANTS AND CHILDREN]
a. Blindness, deafness, or a severe vision or hearing
impairment?
(SEEHEAR) |
1 |
2 |
-7 |
-8 |
b. A condition that substantially limits one or more basic
physical activities
such as walking, climbing stairs, reaching, lifting, or carrying?
(BASICACT) |
1 |
2 |
-7 |
-8 |
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PROGRAMMER NOTE
IF B1=1, USE 1st DISPLAY IN B2d (c) AND (d). IF B1 IS GREATER THAN 1, USE SECOND DISPLAY.
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B2d. Because of a physical, mental or emotional condition lasting six months or more,
{do you / does anyone in your household} have any difficulty in doing any of the
following activities:
a. Learning, remembering or concentrating?
(MEMORY) |
1 |
2 |
-7 |
-8 |
b. Dressing, bathing, or getting around inside the home?
(MOBILE) |
1 |
2 |
-7 |
-8 |
c. {Going/Does anyone 16 or older have difficultygoing} outside the home alone to shop or visit a doctor's
office?
(GOOUT) |
1 |
2 |
-7 |
-8 |
d.{Working/Does anyone 16 or older have difficulty working} at a job or business?
(DIFFJOB) |
1 |
2 |
-7 |
-8 |
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PROGRAMMER NOTE
IF B1=1, SKIP B2e.
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B2e. Is there a child in your household who is receiving special education services?
(SPECEDU)
YES - 1
NO - 2
REFUSED - -7
DON'T KNOW - -8
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PROGRAMMER NOTE:
IF B1 IS 1, AND IF AT LEAST ONE CATEGORY IN B2A THROUGH B2E IS 1 (DISABILITY CRITERIA
IS MET), THE HH IS SELECTED. SELECT SCREENER RESPONDENT FOR EXTENDED INTERVIEW AND
GO TO PROGRAMMER NOTE BEFORE B6.
IF B1 IS 1, AND DISABILITY CRITERIA IS NOT MET, USE SUBSAMPLING RATE TO DETERMINE IF
HH SHOULD BE SELECTED. IF YES, SELECT SCREENER RESPONDENT FOR EXTENDED INTERVIEW AND
GO TO PROGRAMMER NOTE BEFORE B6. IF NO, GO TO THANK 02.
IF B1 IS GREATER THAN 1, AND DISABILITY CRITERIA IS NOT MET, USE SUBSAMPLING RATE TO
DETERMINE IF HH IS SELECTED. IF YES, GO TO LAST PARAGRAPH IN PROGRAMMER NOTE BEFORE
B5 TO IMPLEMENT BIRTHDAY RULE AND SELECT ONE HHM FOR EXTENDED INTERVIEW. IF NO, GO
TO THANK 02.
IF B1 IS GREATER THAN 1, AND DISABILITY CRITERIA IS MET, THE HH IS ELIGIBLE. CONTINUE
BELOW.
HARD RANGE FOR B3 IS 1 TO 15. SOFT RANGE IS 1 TO 3. AS A REFERENCE POINT FOR THE
INTERVIEWER, DISPLAY ABOVE B3, THE CATEGORIES IN B2A THROUGH B2E THAT HAD A RESPONSE
OF 1.
IF THERE ARE ANY YES RESPONSES TO THE DISABILITY SERIES OF QUESTIONS (ANY ONE OR MORE
OF THE FOLLOWING = 1):
SCRN.HAVDISB SCRN.MEMORY
SCRN.SIGDISB SCRN.MOBILE
SCRN.SEEHEAR SCRN.GOOUT
SCRN.BASICACT SCRN.HAVEJOB
SCRN.SPECEDU
THEN THIS IS A HH WITH DISABILITIES. SET BASE.DISABFLG = 1, THEN
IF THIS IS A ONE PERSON HH (SCRN.HHNUMBER = 1), FILL
SCRN.NUMDISB = 1 AND GO TO SC12_1.
ELSE IF NOT A ONE PERSON HH (SCRN.HHNUMBER > 1, -7, OR -8),
GO TO SC11.
ELSE IF NO YES RESPONSES TO THE DISABILITY SERIES OF QUESTIONS, THIS IS A HH WITHOUT
DISABILITIES. BASE.DISABFLG REMAINS -1.
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B3. You indicated that some of the persons in your household have certain conditions or
difficulties. How many people have any of the conditions or difficulties we just
described?
(NUMDISB)
[IF NEEDED: READ DISABILITIES.]
NUMBER OF DISABLED PERSONS |__|__|
REFUSED -7
DON'T KNOW -8
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PROGRAMMER NOTE:
IF B3 IS 1, ASK B4 AND THEN SELECT THE PERSON FOR AN EXTENDED INTERVIEW.
SET ENUM.DISABLED TO 1. THEN, GO TO PROGRAMMER NOTE BEFORE B4A IF APPROPRIATE.
IF B4A IS NOT APPLICABLE, SKIP TO THE 2ND PARAGRAPH IN THE PROGRAMMER NOTE BEFORE B5.
ELSE (IF B3 IS GREATER THAN 1), GO TO THE PROGRAMMER NOTE BEFORE B5.
HARD RANGE FOR AGE IS 1 TO 110.
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B4. Based on the information that you have given me, we would like to ask some questions
about the transportation use of the person in your household with disabilities ..
What is the first name and age of this person?
[IF NEEDED: We just need some way to ask for this person in case we need to call back.]
[IF AGE IS LESS THAN ONE YEAR, ENTER 0 IN AGE]
| FIRST NAME |
AGE |
SEX |
IS THIS THE SCREENER RESPONDENT? |
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M/F |
X |
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PROGRAMMER NOTE:
CHECK TO SEE IF THE PERSON IN B4 IS UNDER AGE 16. IF YES, GO TO B4A. ELSE, GO TO NEXT
PROGRAMMER NOTE.
IN B4A, DISPLAY NAME/AGE/SEX OF HHM FROM B4.
ONCE INFORMATION FOR THE 1ST PROXY HAS BEEN RECORDED, DISPLAY THAT INFORMATION FOR ANY
SUBSEQUENT HHMS THAT NEED A PROXY. ALLOW INTERVIEWERS TO ACCEPT ORIGINAL PROXY OR ADD
A NEW ONE. FOR EACH PROXY, GET NAME, RELATIONSHIP TO SELECTED SUBJECT, WHETHER SCREENER
RESPONDENT IS THE PROXY, AND WHETHER THE PROXY IS A HHM. IF PROXY IS NOT A HHM, GET
CONTACT PHONE NUMBER.
IF WE ARE NOT ABLE TO GET THE NAME OF A PROXY OR RELATIONSHIP AND A PHONE NUMBER WHEN
THE PROXY IS NOT A HHM, THE EXTENDED INTERVIEW FOR THE SELECTED HHM SHOULD BE CODED AN
INITIAL REFUSAL.
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B4a. Since {INSERT NAME/AGE/SEX OF HHM FROM B4} is under age 16, I cannot speak
directly to {him/her}. Who would be the best person to provide information about
{ NAME/AGE/SEX OF HHM} }?
(PROXNAM1, PROXREL1, HHM1, PROXTEL1)
PROXY FIRST NAME _________________
RELATIONSHIP TO SUBJECT_______________
CAN THIS PERSON BE REACHED AT THIS SAME TELEPHONE NUMBER? [ } {1=YES 2=NO]
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PROGRAMMER NOTE:
IF 2 (NO): ASK SC13OV. ELSE CONTINUE WITH SC13.
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SC13OV. What is his/her telephone number?
AREA CODE_______ EXCHANGE________ LOCAL___________
[SC13 CONTINUED IS THIS PERSON ON THE PHONE? [ ]] [1=YES 2=NO]
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PROGRAMMER NOTE:
- IF B3 IS MORE THAN 1, SHOW 1ST DISPLAY IN B5. COLLECT NAME, AGE AND SEX AND THIS
INDIVIDUAL. SET ENUM.DISABLED TO 1 AND SELECT INDIVIDUAL FOR THE EXTENDED INTERVIEW.
IF THE RESPONDENT IS UNABLE TO RECALL WHO HAS THE NEXT BIRTHDAY, SAY, "Please give
me just the name and age of one person in your household with a disability."
- NEXT, COMPARE THE NUMBER IN B1 WITH THE NUMBER IN B3. IF THE HH HAS BOTH PERSONS
WITH AND WITHOUT DISABILITIES (I.E., B1 IS GREATER THAN B3), USE SUBSAMPLING RATE TO
DETERMINE IF A PERSON WITHOUT A DISABILITY SHOULD BE SELECTED FROM THE HH. IF THE HH
IS SELECTED AND THE DIFFERENCE BETWEEN B3 AND B1 IS 1, SHOW 2ND DISPLAY IN B5. COLLECT
NAME, AGE AND SEX AND SELECT THIS PERSON FOR THE EXTENDED INTERVIEW. IF THE HH IS
SELECTED AND THE DIFFERENCE BETWEEN B3 AND B1 IS GREATER THAN 1, SHOW 3RD DISPLAY IN B5.
IF THE RESPONDENT IS UNABLE TO RECALL WHO HAS THE NEXT BIRTHDAY, SAY, "Please give me
just the name and age of one person in your household without a disability." IF THE HH
IS NOT SELECTED (A PERSON WITHOUT A DISABILITY IS NOT SELECTED FROM THE HOUSEHOLD), YOU
WILL ASK B5 ONLY FOR THE PERSON WITH A DISABILITY.
- IF YOU ARE COMING TO THIS NOTE FROM THE PROGRAMMER NOTE BEFORE B3 (I.E., THE HH DOES
NOT HAVE ANYONE WITH DISABILITIES), SHOW 4TH DISPLAY IN B5 AND COLLECT NAME, AGE AND SEX
AND SELECT THIS PERSON FOR THE EXTENDED INTERVIEW. IF THE RESPONDENT IS UNABLE TO RECALL
WHO HAS THE NEXT BIRTHDAY, SAY, "Please give me just the name and age of one person in
your household without a disability."
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B5. {Based on the information that you have given me, we would also like to some
questions about the transportation use of persons in your household with disabilities.
Please think about the {INSERT NUMBER FROM B3} persons you just mentioned with difficulty
conducting certain activities. What is the first name and age of the person who will
have a birthday next?}
{ We would also like to ask some questions about the transportation use of the person
in your household without disabilities. What is the first name and age of this
person?}
{ We would also like to ask some questions about transportation use of one of the
persons in your household without disabilities. Please think about the {INSERT
NUMBER OBTAINED BY SUBTRACTING B3 FROM B1} persons in your household without
disabilities. What is the first name and age of the who will have a birthday
next?}
{Based on the information that you have given me, we would like to some questions
about the transportation use of one of the persons in your household. Please think
about the {INSERT NUMBER FROM B1} persons in your household including yourself,
babies and small children. What is the first name and age of the person who will
have the next birthday?}
[ IF NEEDED: We just need some way to ask for this person in case we call back. ]
[IF AGE IS LESS THAN ONE YEAR, ENTER 0 IN AGE]
| FIRST NAME |
AGE |
SEX |
IS THIS THE SCREENER RESPONDENT? |
|
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M/F |
X |
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PROGRAMMER NOTE:
IF B1 IS GREATER THAN 1 AND ENUM.DISABLED IS NOT 1 OR B3 IS GREATER THAN ONE, ALSO
DISPLAY [IF R DOESN'T KNOW BIRTHDAYS, ENTER SHIFT/8 IN NAME] AFTER [IF NEEDED: We just
need some way to ask for this person in case we call back. ]
IF INTERVIEWER ENTERS SHIFT/8, GO TO S 2_2A.
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SC12_2a: What is the first name and age of any of the {INSERT NUMBER OBTAINED BY
SUBTRACTING B3 FROM B1} persons in your household?
[IF NEEDED: Please think about the {INSERT NUMBER OBTAINED BY SUBTRACTING B3 FROM B1}
persons in your household including yourself, babies and small children.]
[ IF NEEDED: We just need some way to ask for this person in case we call
back. ]
[IF AGE IS LESS THAN ONE YEAR, ENTER 0 IN AGE]
| FIRST NAME |
AGE |
SEX |
IS THIS THE SCREENER RESPONDENT? |
|
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M/F |
X |
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PROGRAMMER NOTE:
IF RESPONDENT REFUSES (-7) OR SAYS DON'T KNOW (-8) TO REQUEST FOR NAME AND AGE OF ANY
PERSON WITH/WITHOUT DISABILITIES (i.e SC12_1_2, SC12_1A, SC12_2a], GO TO CLOSE1 SCREEN,
AND CODE AS REFUSAL, SO INTERVIEWER CAN COMPLETE NIRF.
CHECK TO SEE IF THE PERSON(S) IN B5 ARE UNDER AGE 16. IF YES, GO TO B5A. ELSE, GO TO
NEXT PROGRAMMER NOTE.
ASK B5A FOR EACH HHM SELECTED IN B5. IN B5A, DISPLAY NAME/AGE/SEX OF HHMS FROM B5.
IF AVAILABLE, DISPLAY PROXY INFORMATION COLLECTED FOR PREVIOUS HHMS. ALLOW INTERVIEWERS
TO ACCEPT ORIGINAL PROXY OR ADD A NEW ONE. FOR EACH PROXY, GET NAME, RELATIONSHIP TO
SELECTED SUBJECT, WHETHER SCREENER RESPONDENT IS THE PROXY, AND WHETHER THE PROXY IS A
HHM. IF PROXY IS NOT A HHM, GET CONTACT PHONE NUMBER.
IF WE ARE NOT ABLE TO GET THE NAME OF A PROXY OR THE RELATIONSHIP AND A PHONE NUMBER WHEN
THE PROXY IS NOT A HHM, THE EXTENDED INTERVIEW FOR THE SELECTED HHM SHOULD BE CODED AN
INITIAL REFUSAL.
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B5a. Since {INSERT NAME/AGE/SEX OF HHM FROM B5 OR SC12_2a} is under age 16, I cannot
speak directly to {him/her}. Who would be the best person to provide information about
{ NAME/AGE/SEX OF HHM} }?
(PROXNAM1, PROXREL1, HHM1, PROXTEL1)
PROXY FIRST NAME _________________
RELATIONSHIP TO SUBJECT_______________
CAN THIS PERSON BE REACHED AT THIS SAME TELEPHONE NUMBER? [ } {1=YES
2=NO]
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PROGRAMMER NOTE:
IF 2 (NO): ASK SC13OV. ELSE CONTINUE WITH SC13.
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SC13OV. What is his/her telephone number?
AREA CODE_______ EXCHANGE________ LOCAL___________
[SC13 CONTINUED IS THIS PERSON ON THE PHONE? [ ]] [1=YES 2=NO]
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PROGRAMMER NOTE:
IF THE SCREENER RESPONDENT HAS BEEN SELECTED FOR AN EXTENDED INTERVIEW AND
IF YOU HAVE NOT ALREADY COLLECTED THE NAME, AGE, SEX, CONTINUE BELOW. ELSE, GO TO
B7.
IF COMING FROM THE 1ST 2 PARAGRAPHS IN THE PROGRAMMER NOTE BEFORE B3, AUTOCODE SCRNREP.
IF AT LEAST ONE RESPONSE IN B2C OR B2D IS 1, SET ENUM.DISABLED TO 1 TO INDICATE THAT
THE PERSON HAS BEEN SELECTED BECAUSE OF A DISABILITY. ELSE, LEAVE AS -1.
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B6. Based on the information that you have given me, we would like to ask you some
questions about your transportation use. What is your first name and age?
| FIRST NAME |
AGE |
SEX |
IS THIS THE SCREENER RESPONDENT? |
|
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M/F |
X |
B7. (SC20) Since we are conducting this survey by phone, I would like to ask about the
telephones in your household.
Besides [PHONE NUMBER], how many other telephone numbers are there in your household
that are for regular telephone usage? Please exclude telephone numbers that are
dedicated for business use, faxes, or modems, and all cell phones."
(PHONADD)
NUMBER OF OTHER HOME TALK TELEPHONE NUMBERS - |__|__|
REFUSED -7
DON'T KNOW -8
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PROGRAMMER NOTE:
GO TO HHSELECT (EXTENDED) TO SELECT SUBJECTS ELIGIBLE FOR THE EXTENDED INTERVIEW.
IN HHSELECT, DISPLAY PROXY INFORMATION FOR HHMS THAT NEED A PROXY INTERVIEW.
HHMS 16 AND ABOVE THAT DO NOT HAVE A PROXY IN HHSELECT MAY REQUIRE ONE IF THE RESPONDENT
INFORMS US THEY ARE NOT ABLE TO RESPOND FOR THEMSELVES ONCE WE ASK FOR THE 16 AND ABOVE
SUBJECT.
RESPONDENTS THAT REFUSE TO PARTICIPATE IN THE SURVEY WILL BE OFFERED THE INTERNET AS AN
OPTION DURING REFUSAL CONVERSION. THESE RESPONDENTS WILL BE GIVEN THE INTERNET WEB
SITE ADDRESS AND AN INTERNET ID NUMBER. THE ID NUMBER WILL BE IDENTICAL TO THE CATI
NUMBER.
HHS THAT HAVE BEEN CODED COMMUNICATION PROBLEMS, QUESTIONABLE RING (TTY/TTD) WILL BE
CONTACTED BY THE PROJECT AND OFFERED THE INTERNET/MAIL OPTIONS.
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TERMINATIONS
READMSG [PLEASE READ THE FOLLOWING MESSAGE INTO THE ANSWERING MACHINE]
This is {INTERVIEWER'S NAME} calling for the U.S. Department of Transportation.
We would like to talk to you about your transportation use. Your participation is
extremely important to the success of this survey. We will try to reach you again in
the next few days.
[PRESS ENTER TO CONTINUE.]
THANK 01 Thank you but we are only interviewing in private residences.
THANK 02 Thank you very much. Those are all of the questions that I have at this time.
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