Closing (CL) Section

BOX_00 (CL1001)

Route Details: 01 Box = BOX_00, BOX_10, BOX_20, BOX_30, BOX_40, BOX_50, BOX_60, BOX_70, BOX_80, BOX_90, BOX_100, BOX_110, BOX_120, BOX_130, BOX_140

02 Loop = LOOP_10

03 End Loop = END_LP10

04 Single Select = CL30, CL60, CL80_01, CL80_06, CL90, CL100, CL120, CL140, CL150, CL160, CL180, CL210, CL220, CL240, CL250, CL270, CL300, CL320

06 Single Select with fill in answer text = CL80_03, CL190

10 Multiple select with fill in answer text = CL280, CL310

11 Multiple Select with Add/Edit/Delete = CL50

12 Address - Newly Collected = CL40_01, CL40_02, CL40_03, CL40_04, CL40_05, CL40_06, CL290_01, CL290_02, CL290_03, CL290_04, CL290_05, CL290_06

13 Address-Preloaded = CL170_03, CL170_04, CL170_05, CL170_06, CL170_07, CL170_08, CL170_09, CL200_03, CL200_04, CL200_05, CL200_06, CL200_07, CL200_08, CL200_09, CL230_01, CL230_02, CL230_03, CL230_04, CL230_05, CL260_01, CL260_02, CL260_03, CL260_04, CL260_05, CL260_06

19 Numeric Field = CL70, CL130, CL330

20 OS Text Field = CL80_02, CL120OS

23 Text Field = CL20, CL80_04, CL80_05, CL80_07, CL110, CL170_01, CL170_02, CL200_01, CL200_02

24 Information Screen = CL10

BOX_10 (CL1005)

Route Details: Place holder for any section description/Context header description? Not sure we really have anything.

CL10 (CL1505)

BLAISE NAME: ContactIntro

Question Text: {In the coming months, we will be contacting you again to collect information on health care use and expenses./We are nearing the end of this study. I'd like to verify a few pieces of information in case my supervisor needs to reach you to confirm that I was here and collected this information correctly.}

{Just to make sure I can reach you for the next interview, I'd like to ask a few questions to help locate you in case you move./Let me quickly review and update the information we have for locating you that was collected during the last interview.}

PRESS 1 AND ENTER TO CONTINUE.

Responses: CONTINUE 1

Programmer Instructions: If Rounds 1-4, continue with CL20.

Otherwise (i.e., if round 5), go to BOX_20.

Display Instructions: Display 'In the coming months, ... use and expenses.' if rounds 1, 2, 3, or 4. Otherwise, display 'We are nearing ... correctly.' Display 'Just ... move.' if round 1. Otherwise, display 'Let ... interview.'

CL20 (CL1510)

BLAISE NAME: BestTimeDay

Question Text: What is the best time of day and day of the week to get in touch with you?

ENTER BEST TIME TO CONTACT {RESPONDENT/PROXY}.

RECORD VERBATIM.

Responses: 1 BOX_20 (CL1525)

Programmer Instructions: Display the entry field as 45 characters across and 4 lines high. For the 45 characters across, be sure that the custom width allows you to see all 45 characters.

Link the best time recorded with the current respondent PID or proxy ID (selected/added at ST50 or ST60 or confirmed at ST20) for this interviewing session.

Display Instructions: For '{RESPONDENT/PROXY}', display the name of the current round RU member respondent PID or proxy ID (selected/added at ST50 or ST60 or confirmed at ST20) for this interviewing session.

BOX_20 (CL1525)

Route Details: If respondent for this interviewing session is a proxy, continue with BOX_30.

Otherwise, go to BOX_40.

BOX_30 (CL1531)

Route Details: If there is a preloaded address linked to the proxy ID for this interviewing session, continue with CL30. (Use Preload.ProxyStrt1, Preload. ProxyStrt2, Preload.ProxyCity, Preload.ProxyState, Preload.ProxyZip)

Otherwise, go to CL40_01.

CL30 (CL1536)

BLAISE NAME: SameProxyAddr

Context Header: PROXY: {PROXY FIRST MIDDLE LAST NAME}

Question Text: Is {LINKED PROXY ADDRESS}, with telephone number {LINKED PROXY PHONE} still your address and telephone number?

Responses: YES 1 BOX_40 (CL1567)

NO, EDIT PROXY ADDRESS 2 CL40_01 (CL1541)

REFUSED RF BOX_40 (CL1567)

DON'T KNOW DK BOX_40 (CL1567)

Programmer Instructions: If coded '1' (YES), 'RF' (REFUSED), or 'DK' (DON'T KNOW), set the current round proxy address and phone for the proxy ID for this interviewing session to the preloaded proxy address and phone.

Display Instructions: For "PROXY FIRST MIDDLE LAST NAME", display the first, middle, and last name of the proxy for this interviewing session.

For "LINKED PROXY ADDRESS", display the preloaded address linked to the proxy ID for this interviewing session. Display as "Street 1 Street 2, City, State Zip". (Use Preload.ProxyStrt1, Preload.ProxyStrt2, Preload.ProxyCity, Preload.ProxyState, Preload.ProxyZip)

For "LINKED PROXY PHONE", display the preloaded phone linked to the proxy ID for this interviewing session. Display as "(xxx)xxx-xxxx". (Use Preload.ProxyPhone)

CL40_01 (CL1541)

BLAISE NAME: ProxyStrt1

Context Header: PROXY: {PROXY FIRST MIDDLE LAST NAME}

Question Text: {EDIT PROXY ADDRESS AND TELEPHONE, AS NEEDED./May I please have your address and telephone number?}

{Is your street address:/What is your street address?}

{STREET ADDRESS1}

{STREET ADDRESS2}

{CITY}, {STATE} {ZIP CODE}

{TELEPHONE NUMBER}

Responses: 1 CL40_02 (CL1546)

REFUSED RF CL40_02 (CL1546)

DON'T KNOW DK CL40_02 (CL1546)

Programmer Instructions: General programming instructions for CL40_01 to CL40_06: If CL30 is coded '2' (NO, EDIT PROXY ADDRESS), prefill each address field in the response pane entry fields with the proxy address information linked to the proxy ID for this interviewing session and displayed at CL30. Use Preload.ProxyStrt1, Preload.ProxyStrt2, Preload.ProxyCity, Preload.ProxyState, Preload.ProxyZip, and Preload.ProxyPhone.

General programming instructions for CL40_01 to CL40_06: If CL30 was not asked (no address information is linked to the current round proxy ID), leave the response pane entry fields empty for completion.

Display Instructions: Display CL40_01 through CL40_06 vertically on the same form pane.

For "PROXY FIRST MIDDLE LAST NAME", display the first, middle, and last name of the proxy for this interviewing session.

Display "EDIT PROXY ADDRESS AND TELEPHONE, AS NEEDED." if CL30 is coded '2' (NO, EDIT PROXY ADDRESS). Otherwise, display "May I please have your address and telephone number?"

Display "Is your street address:" if CL30 is coded is coded '2' (NO, EDIT PROXY ADDRESS) and Preload.ProxyStrt1 <> emtpy, RF or DK. Otherwise, display, "What is your street address?"

Display address fields in the info pane with most recent proxy address information. Use a null display if response entry fields are empty. As entries are updated in the current round, the display in the info pane should also be updated.

Display {STREET ADDRESS1} in the info pane in bold, black, but all other address display fields in lighter "grayed-out" text.

CL40_02 (CL1546)

BLAISE NAME: ProxyStrt2

Context Header: PROXY: {PROXY FIRST MIDDLE LAST NAME}

Question Text: {EDIT PROXY ADDRESS AND TELEPHONE, AS NEEDED./May I please have your address and telephone number?}

{EDIT/ENTER} APARTMENT OR UNIT NUMBER, IF AVAILABLE. IF NONE, PRESS ENTER TO CONTINUE.

{STREET ADDRESS1}

{STREET ADDRESS2}

{CITY}, {STATE} {ZIP CODE}

{TELEPHONE NUMBER}

Responses: 1 CL40_03 (CL1551)

EMPTY Empty CL40_03 (CL1551)

REFUSED RF CL40_03 (CL1551)

DON'T KNOW DK CL40_03 (CL1551)

Programmer Instructions: See general programming instructions at CL40_01.

Display Instructions: Display CL40_01 through CL40_06 vertically on the same form pane.

For "PROXY FIRST MIDDLE LAST NAME", display the first, middle, and last name of the proxy for this interviewing session.

Display "EDIT PROXY ADDRESS AND TELEPHONE, AS NEEDED." if CL30 is coded '2' (NO, EDIT PROXY ADDRESS). Otherwise, display "May I please have your address and telephone number?"

Display "EDIT PROXY ADDRESS…" or "May I please…" in brackets and lighter "grayed- out" text when on CL40_02 through CL40_06.

Display "EDIT" if CL30 is coded is coded '2' (NO, EDIT PROXY ADDRESS) and Preload.ProxyStrt2 <> emtpy, RF or DK. Otherwise, display, "ENTER".

Display {STREET ADDRESS2} in the info pane in bold, black, but all other address display fields in lighter "grayed-out" text.

CL40_03 (CL1551)

BLAISE NAME: ProxyCity

Context Header: PROXY: {PROXY FIRST MIDDLE LAST NAME}

Question Text: {EDIT PROXY ADDRESS AND TELEPHONE, AS NEEDED./May I please have your address and telephone number?}

{Is your city:/What is your city?}

{STREET ADDRESS1}

{STREET ADDRESS2}

{CITY}, {STATE} {ZIP CODE}

{TELEPHONE NUMBER}

Responses: 1 CL40_04 (CL1556)

REFUSED RF CL40_04 (CL1556)

DON'T KNOW DK CL40_04 (CL1556)

Programmer Instructions: See general programming instructions at CL40_01.

Display Instructions: Display CL40_01 through CL40_06 vertically on the same form pane.

For "PROXY FIRST MIDDLE LAST NAME", display the first, middle, and last name of the proxy for this interviewing session.

Display "EDIT PROXY ADDRESS AND TELEPHONE, AS NEEDED." if CL30 is coded '2' (NO, EDIT PROXY ADDRESS). Otherwise, display "May I please have your address and telephone number?"

Display "EDIT PROXY ADDRESS…" or "May I please…" in brackets and lighter "grayed- out" text when on CL40_02 through CL40_06.

Display "Is your city:" if CL30 is coded is coded '2' (NO, EDIT PROXY ADDRESS) and Preload.ProxyCity <> emtpy, RF or DK. Otherwise, display, "What is your city?"

Display {CITY} in the info pane in bold, black, but all other address display fields in lighter "grayed- out" text.

CL40_04 (CL1556)

BLAISE NAME: ProxyState

Context Header: PROXY: {PROXY FIRST MIDDLE LAST NAME}

Question Text: {EDIT PROXY ADDRESS AND TELEPHONE, AS NEEDED./May I please have your address and telephone number?}

{Is your state:/What is your state?}

TYPE THE FIRST LETTER OF THE STATE, THEN USE ARROW KEYS IF NEEDED TO LOCATE STATE, AND

PRESS ENTER TO SELECT.

{STREET ADDRESS1}

{STREET ADDRESS2}

{CITY}, {STATE} {ZIP CODE}

{TELEPHONE NUMBER}

Responses: 1 CL40_05 (CL1561)

REFUSED RF CL40_05 (CL1561)

DON'T KNOW DK CL40_05 (CL1561)

Programmer Instructions: See general programming instructions at CL40_01.

Use the state lookup file.

Note: The entry Foreign Country (FC) is allowed.

Display Instructions: Display CL40_01 through CL40_06 vertically on the same form pane.

For "PROXY FIRST MIDDLE LAST NAME", display the first, middle, and last name of the proxy for this interviewing session.

Display "EDIT PROXY ADDRESS AND TELEPHONE, AS NEEDED." if CL30 is coded '2' (NO, EDIT PROXY ADDRESS). Otherwise, display "May I please have your address and telephone number?"

Display "EDIT PROXY ADDRESS…" or "May I please…" in brackets and lighter "grayed- out" text when on CL40_02 through CL40_06.

Display "Is your state:" if CL30 is coded is coded '2' (NO, EDIT PROXY ADDRESS) and Preload.ProxyState <> emtpy, RF or DK. Otherwise, display, "What is your state?"

Display {STATE} in the info pane in bold, black, but all other address display fields in lighter "grayed-out" text.

CL40_05 (CL1561)

BLAISE NAME: ProxyZip

Context Header: PROXY: {PROXY FIRST MIDDLE LAST NAME}

Question Text: {EDIT PROXY ADDRESS AND TELEPHONE, AS NEEDED./May I please have your address and telephone number?}

{Is your zip code:/What is your zip code?}

{STREET ADDRESS1}

{STREET ADDRESS2}

{CITY}, {STATE} {ZIP CODE}

{TELEPHONE NUMBER}

Responses: 1 CL40_06 (CL1566)

REFUSED RF CL40_06 (CL1566)

DON'T KNOW DK CL40_06 (CL1566)

Programmer Instructions: See general programming instructions at CL40_01.

Hard check: Exactly 5 digit numeric entry required. If less than 5 numeric digits entered or any characters entered that are not numeric, display the following message: "ZIP CODE ENTRY REQUIRES EXACTLY 5 NUMBERS. PROBE AND RE-ENTER OR ENTER F5 (DON'T KNOW) IF FULL ZIP CODE IS NOT KNOWN."

Display Instructions: Display CL40_01 through CL40_06 vertically on the same form pane.

For "PROXY FIRST MIDDLE LAST NAME", display the first, middle, and last name of the proxy for this interviewing session.

Display "EDIT PROXY ADDRESS AND TELEPHONE, AS NEEDED." if CL30 is coded '2' (NO, EDIT PROXY ADDRESS). Otherwise, display "May I please have your address and telephone number?"

Display "EDIT PROXY ADDRESS…" or "May I please…" in brackets and lighter "grayed- out" text when on CL40_02 through CL40_06.

Display "Is your zip code:" if CL30 is coded is coded '2' (NO, EDIT PROXY ADDRESS) and Preload.ProxyZip <> emtpy, RF or DK. Otherwise, display, "What is your zip code?"

Display {ZIP CODE} in the info pane in bold, black, but all other address display fields in lighter "grayed-out" text.

CL40_06 (CL1566)

BLAISE NAME: ProxyPhone

Context Header: PROXY: {PROXY FIRST MIDDLE LAST NAME}

Question Text: {EDIT PROXY ADDRESS AND TELEPHONE, AS NEEDED./May I please have your address and telephone number?}

{Is your telephone number:/What is your telephone number?}

IF NO TELEPHONE, ENTER DON'T KNOW.

{STREET ADDRESS1}

{STREET ADDRESS2}

{CITY}, {STATE} {ZIP CODE}

{TELEPHONE NUMBER}

Responses: 1 BOX_40 (CL1567)

REFUSED RF BOX_40 (CL1567)

DON'T KNOW DK BOX_40 (CL1567)

Programmer Instructions: See general programming instructions at CL40_01.

10-digit entry required; use number input mask (xxx-xxx-xxxx) in response field.

Hard check: Exactly 10 digit numeric entry required. If less than 10 numeric digits entered or any characters entered that are not numeric, display the following message:

"PHONE ENTRY REQUIRES EXACTLY 10 NUMBERS. PROBE AND RE-ENTER OR ENTER F5 (DON'T KNOW) IF FULL PHONE NUMBER IS NOT KNOWN."

Display Instructions: Display CL40_01 through CL40_06 vertically on the same form pane.

For "PROXY FIRST MIDDLE LAST NAME", display the first, middle, and last name of the proxy for this interviewing session.

Display "EDIT PROXY ADDRESS AND TELEPHONE, AS NEEDED." if CL30 is coded '2' (NO, EDIT PROXY ADDRESS). Otherwise, display "May I please have your address and telephone number?"

Display "EDIT PROXY ADDRESS…" or "May I please…" in brackets and lighter "grayed- out" text when on CL40_02 through CL40_06.

Display "Is your telephone number:" if CL30 is coded is coded '2' (NO, EDIT PROXY ADDRESS) and Preload.ProxyPhone <> emtpy, RF or DK. Otherwise, display, "What is your telephone number?"

Display {TELEPHONE NUMBER} in the info pane in bold, black, but all other address display fields in lighter "grayed-out" text.

BOX_40 (CL1567)

Route Details: If no RU member is part of the RU on the current interview date (i.e., all eligible RU members have a PersRndStatus = Deceased, Institutionalized, Living Outside U.S., or Living Military Base), go to CL320.

Otherwise, continue with BOX_50.

BOX_50 (CL1568)

Route Details: If there is at least one preloaded alternate phone linked to this RU in the previous round, continue with CL50.

(Use Preload.AltPhoneNum)

Otherwise, go to CL60.

CL50 (CL1569)

BLAISE NAME: AltPhoneVerif

{Other than {RE40_07 PHONE} (this household's number), let's/Let's} verify the alternate number{s} I have where {{you/your household}/{REFERENCE PERSON}'s household} can be reached.

PROBE: Is there another alternate phone number where {{you/your household}/{REFERENCE PERSON}'s household} can be reached?

REVIEW THE ALTERNATE PHONES LISTED BELOW. USE CTRL-A TO ADD ANY NEW ALTERNATE PHONE NUMBERS. USE CTRL-E TO EDIT INFORMATION ABOUT AN EXISTING PHONE NUMBER.

ENTER '99-ALTERNATE NUMBERS VERIFIED' WHEN FINISHED WITH VERIFICATION.

CTRL-A: ADD

CTRL-E: EDIT

CTRL-D: DELETE

Responses: {TYPE-{SPECIFY TEXT} {WHO-SPECIFY TEXT} {NUMBER} {TEXTING OK } {RULES}1 1

{TYPE-{SPECIFY TEXT} {WHO-SPECIFY TEXT} {NUMBER} {TEXTING OK } {RULES}2 2

{TYPE-{SPECIFY TEXT} {WHO-SPECIFY TEXT} {NUMBER} {TEXTING OK } {RULES}3 3

{TYPE-{SPECIFY TEXT} {WHO-SPECIFY TEXT} {NUMBER} {TEXTING OK } {RULES}4 4

{TYPE-{SPECIFY TEXT} {WHO-SPECIFY TEXT} {NUMBER} {TEXTING OK } {RULES}N 5

ALTERNATE NUMBERS VERIFIED 99 BOX_60 (CL1615)

Programmer Instructions: Refused and Don't Know not allowed.

Hard check:

Only coded '99' (ALTERNATE NUMBERS VERIFIED) is allowed as a final entry. If a phone number is selected, display the following message: "ENTER '99' (ALTERNATE NUMBERS VERIFIED) WHEN VERIFICATION IS COMPLETE. USE CTRL-A, CTRL-E, AND CTRL-D TO UPDATE ALTERNATE PHONE INFORMATION."
No more than 10 active alternate phone numbers allowed. If CTRL-A is pressed when there are already 10 active alternate phone numbers, display the following message:
"ONLY 10 ALTERNATE PHONE NUMBERS ALLOWED. A NEW NUMBER CANNOT BE ADDED UNLESS ANOTHER NUMBER IS FIRST DELETED."

If CTRL-A is selected, CAPI should go to CL80_01 for the FI to enter 1 new alternate phone number. CAPI will return to CL50 for the FI to finish the verification after the CL80 grid is completed. CTRL-A can be activated to add new numbers until there are 10 active alternate phone numbers.

If CTRL-E is selected, CAPI presents a Manipula pop-up to select the phone number to be edited. Every alternate phone is available for editing. After the phone number is selected for editing, CAPI displays a second Manipula pop-up where all 5 fields of alternate phone information can be edited for the row where CTRL-E was called (Type, Specify Type, Number, Texting, and Rules). See the fields listed at the CL80 grid for the rules of number of characters and entry values for the various fields that can be edited.

If CTRL-D is selected, CAPI presents the standard Manipula pop-ups to delete a phone number. All alternate phone numbers are available for deletion.

Display Instructions: Display the roster in non-proportional text.

Roster 1 - Report Roster Definition:

This item displays all alternate phone numbers linked to this RU. Use preloaded data or current round data as available or as updated.

Roster Filter:

None. Display all.

Display underlined column headers as part of the info pane.

Display 's' if more than one alternate number linked to this RU. If exactly one alternate number linked to this household, use a null display.

Display "{you/your household}" if respondent for this interviewing session is an RU member.

Otherwise (respondent is a proxy), display "{REFERENCE PERSON}'s household" (substituting the full name (Person.FullName) of the current round reference person).

Display "you" if single-person RU. Otherwise, display "your household".

Display "Other than {RE40_07 PHONE} (this household's number), let's" if CurrPhone< > Empty, RF or DK. Otherwise, display, "Let's".

For "RE40_07 PHONE" display the entry at RE40_07 (CurrPhone) as (xxx)xxx-xxxx.

Upon return to CL50, after CTRL-A has been launched at least once, display the question text "{Other than {RE40_07 PHONE} (this household's number), let's/Let's} verify the alternate number{s} I have where {{you/your household}/{REFERENCE PERSON}'s household} can be reached." in brackets and "grayed out" text. The instruction "PROBE: Is there another alternate phone number where {{you/your household}/{REFERENCE PERSON}'s household} can be reached?" and the two lines of interviewer instructions remain in bold black text.

Display eligible alternate phone numbers formatted into the following roster columns: Column Header

#1: Type (Allow up to 15 characters)

Display "Cell" if 80_01=1. Display "Work/Office" if CL80_01=2. Display "Relative" if CL80_01=3.

Display "Friend" if CL80_01=4. Display "Oth-{SPECIFY}" if CL80_01=91. For "SPECIFY", display the first 11 characters of the entry at CL80_02. Display "Refused" if CL80_01=RF. Display "Don't Know" if CL80_01=DK.

Column Header #2: Who (Allow up to 25 characters)

Display the full name (Person.FullName) from CL80_03 if an RU member was selected. If CL80_03 was coded '98' (SOMEONE OUTSIDE THE RU), display "Out RU-{SPECIFY WHO}".

For "SPECIFY WHO", display the first 18 characters of the entry at CL80_04.

Column Header #3: Number (Allow up to 12 characters)

Display the number entered at CL80_05 as "xxx-xxx-xxxx". Display "Refused" if CL80_05=RF.

Display "Don't Know" if CL80_05=DK.

Column Header #4: Texting (Allow up to 10 characters)

Display "Texting OK" if CL80_06=1. Display "No Texting" if CL80_06=2, RF, DK. Leave empty if CL80_06=empty.

Column Header #5: Rules (Allow up to 40 characters)

Display the first 40 characters of CL80_07 if CL80_07< >empty, RF, or DK. Display "Rules Refused" if CL80_07=RF. Display "Don't Know Rules" if CL80_07=DK. Display "No Rules Entered" if CL80_07=empty.

CL60 (CL1570)

BLAISE NAME: HaveAltPhone

Question Text: {I have recorded {RE40_07 PHONE} as the phone number for the household.} {Do you have/Is there} an alternate phone number where {you {or someone in your household}/{REFERENCE PERSON}'s household} can be reached such as a cell phone, a work number, or the number of a relative or friend {other than yourself}?

Responses: YES 1 CL70 (CL1575)

NO 2 BOX_60 (CL1615)

REFUSED RF BOX_60 (CL1615)

DON'T KNOW DK BOX_60 (CL1615)

Display Instructions: Display CL60 and CL70 on the same form pane.

Display "I have recorded {RE40_07 PHONE} as the phone number for the household." if CurrPhone< >Empty, RF or DK. Otherwise, use a null display.

For "RE40_07 PHONE" display the entry at RE40_07 (CurrPhone) as (xxx)xxx-xxxx.

Display "Do you have" if respondent for this interviewing session is an RU member. Otherwise (respondent is a proxy), display "Is there".

Display "you {or someone in your household}" if respondent for this interviewing session is an RU member. Otherwise (respondent is a proxy), display "{REFERENCE PERSON}'s household" (substituting the full name (Person.FullName) of the current round reference person).

Display "or someone in your household" if a multi-person RU. Otherwise, use a null display.

Display "other than yourself" if respondent for this interviewing session is a proxy. Otherwise, use a null display.

CL70 (CL1575)

BLAISE NAME: NumAltPhone

Question Text: SPECIFY HOW MANY ALTERNATE PHONE NUMBER(S) DO YOU WISH TO ENTER FOR THIS HOUSEHOLD (LIMIT 10).

Responses: 1 CL80_01 (CL1580)

Programmer Instructions: Refused and Don't Know disallowed.

Display Instructions: Display CL60 and CL70 on the same form pane.

CL80_01 (CL1580)

BLAISE NAME: AltPhoneType

Question Text: Is this a cell or work number or the number of a friend or relative?

NAVIGATION: Complete the grid in order of respondent's answers.

Responses: CELL PHONE 1

WORK/OFFICE/PLACE OF BUSINESS 2

RELATIVE 3

FRIEND 4

OTHER 91

REFUSED RF

DON'T KNOW DK

Programmer Instructions: Preloaded Grid Type 2 (Flexible Navigation) including questions CL80_01, CL80_02, CL80_03, CL80_04, CL80_ 05, CL80_06, and CL80_07.

Display Instructions: Roster 1 - Report

Roster Definition:

This grid displays one row for each alternate phone number linked to this RU.

Roster Filter:

Display rows on the grid based on one of the following conditions:

If CL60 was coded '1' (YES), the grid will be preloaded with the number of rows based on the entry at CL70. There can be no more than 10 rows. All cells within those rows will be empty and ready for completion.
If CL50 was coded CTRL-A, the grid will be preloaded with all active alternate phone numbers and one blank row for the new number to be added. All cells within the new row will be empty and ready for completion. The rows with the active alternate phone numbers will be prefilled with the most current information available for those active numbers. These rows will all be grayed out and uneditable. Use the current/updated value of AltPhoneType, AltPhoneTypeOS, AltPhoneWho, AltPhoneName, AltPhoneNum, AltPhoneText, AltPhoneInstr for the prefilled display.

Format the form pane in columns with headers:

CL80_01: Type

CL80_02: Specify Type

CL80_03: Who

CL80_04: Specify Who

CL80_05: Number

CL80_06: Texting

CL80_07: Rules

Display the interviewer instruction 'NAVIGATION: Complete the grid in order of respondent's answers.' In red text.

CL80_02 (CL1585)

BLAISE NAME: AltPhoneTypeOS

Question Text: SPECIFY OTHER LOCATION OF ALTERNATE PHONE NUMBER:

NAVIGATION: Complete the grid in order of respondent's answers.

Responses: 1

Programmer Instructions: Display CL80_02 as an active cell if CL80_01 is coded '91' (OTHER). Otherwise, CL80_02 is an inactive cell.

Refused and Don't Know disallowed.

Display Instructions: Display the interviewer instruction 'NAVIGATION: Complete the grid in order of respondent's answers.' In red text.

CL80_03 (CL1590)

BLAISE NAME: AltPhoneWho

Question Text: Whose phone is this?

NAVIGATION: Complete the grid in order of respondent's answers.

Responses: {FIRST NAME,[MIDDLE NAME], LAST NAME}1 1

{FIRST NAME,[MIDDLE NAME], LAST NAME}2 2

{FIRST NAME,[MIDDLE NAME], LAST NAME}3 3

{FIRST NAME,[MIDDLE NAME], LAST NAME}4 4

{FIRST NAME,[MIDDLE NAME], LAST NAME}N 5

SOMEONE OUTSIDE THE RU 98

Programmer Instructions: Roster Behavior:

1. Single select allowed.

Roster 2- No Add/Edit/Delete

Roster Definition:

This item displays RU-members-roster for selection. Display person's first, middle and last name (Person.FullName).

Roster Filter:

No filter. Display all RU members. Display "SOMEONE OUTSIDE THE RU" as the last entry on the roster.

Refused and Don't Know disallowed.

Display Instructions: Display the interviewer instruction 'NAVIGATION: Complete the grid in order of respondent's answers.' In red text.

CL80_04 (CL1595)

BLAISE NAME: AltPhoneName

Question Text: [Whose phone is this?]

ENTER NAME AND VERIFY SPELLING.

NAVIGATION: Complete the grid in order of respondent's answers.

Responses: 1

Programmer Instructions: Display CL80_04 as an active cell if CL80_03 is coded '98' (SOMEONE OUTSIDE THE RU). Otherwise, CL80_04 is an inactive cell.

Refused and Don't Know disallowed.

Display Instructions: Display the interviewer instruction 'NAVIGATION: Complete the grid in order of respondent's answers.' In red text.

CL80_05 (CL1600)

BLAISE NAME: AltPhoneNum

Question Text: What is {{NAME FROM CL80_03 OR CL80_04}'s/that} {cell/work} phone number?

NAVIGATION: Complete the grid in order of respondent's answers.

Responses: 1

REFUSED RF

DON'T KNOW DK

Programmer Instructions: 10-digit entry required; use number input mask (xxx-xxx-xxxx) in response field.

Hard check: Exactly 10 digit numeric entry required. If less than 10 numeric digits entered or any characters entered that are not numeric, display the following message:

"PHONE ENTRY REQUIRES EXACTLY 10 NUMBERS. PROBE AND RE-ENTER OR ENTER F5 (DON'T KNOW) IF FULL PHONE NUMBER IS NOT KNOWN."

Display Instructions: Display "{NAME FROM CL80_03 OR CL80_04}'s" if [the selection at CL80_03 is an RU member] or [(if the selection at CL80_03 is '98' (SOMEONE OUTSIDE THE RU)) and (CL80_04 < > empty)]. Otherwise, display "that".

For "NAME FROM CL80_03 OR CL80_04" display the full name (Person.FullName) from CL80_03 if an RU member was selected. If CL80_03 is coded '98' (SOMEONE OUTSIDE THE RU), display the text entry at CL80_04.

Display "cell" if CL80_01 is coded '1' (CELL PHONE). Display "work" if CL80_01 is coded '2' (WORK/OFFICE/PLACE OF BUSINESS). Otherwise, use a null display.

Display the interviewer instruction 'NAVIGATION: Complete the grid in order of respondent's answers.' In red text.

CL80_06 (CL1605)

BLAISE NAME: AltPhoneText

Question Text:Is it okay to send text messages to {{NAME FROM CL80_03 OR CL80_04}'s/that} cell phone?

NAVIGATION: Complete the grid in order of respondent's answers.

Responses: YES 1

NO 2

REFUSED RF

DON'T KNOW DK

Programmer Instructions: Display CL80_06 as an active cell if CL80_01 is coded '1' (CELL PHONE). Otherwise, CL80_06 is an inactive cell.

Display the interviewer instruction 'NAVIGATION: Complete the grid in order of respondent's answers.' In red text.

CL80_07 (CL1610)

BLAISE NAME: AltPhoneInstr

Question Text: Are there any {other} special rules for using this number, such as best times to call?"

RECORD ANY SPECIAL INSTRUCTIONS OR RESTRICTIONS FOR CALLING AT THE ALTERNATE TELEPHONE NUMBER.

FOR EXAMPLE, CALL ONLY IN EMERGENCY; DO NOT CALL DURING BUSINESS HOURS; CALL BEFORE 9 PM;

ALWAYS LEAVE MESSAGE/VOICE MAIL, ETC.

NAVIGATION: Complete the grid in order of respondent's answers.

Responses: 1

REFUSED RF

DON'T KNOW DK

Programmer Instructions: When grid is complete, return to CL50 if CL50 was asked. Otherwise, continue with BOX_60 when grid is complete.

Before leaving the grid, CAPI should verify that all eligible fields per row of the grid have a valid answer entered. If not, display error message "ONE OR MORE QUESTIONS HAVE NOT BEEN ANSWERED. PRESS <OK> TO GO TO THE FIRST UNANSWERED QUESTION: {Question Tag} FOR {ROWn}". CAPI will move to the first unanswered item/field, starting from the top left of the grid and moving to the next unanswered item, left to right by row, until all are complete.

Display Instructions: Display "other" if CL80_06< > empty. If CL80_06=empty, use a null display.

Display the interviewer instruction 'NAVIGATION: Complete the grid in order of respondent's answers.' In red text.

BOX_60 (CL1615)

Route Details: If there is an email address linked to this respondent PID or proxy ID for this interviewing session, continue with CL90. (Use Preload.EmailAddr)

Otherwise, go to CL100.

CL90 (CL1620)

BLAISE NAME: StillEmail

Question Text:Is {LINKED EMAIL} still the best email address to contact you to schedule appointments and send MEPS interview reminders?

Responses: YES 1 BOX_70 (CL1655)

NO, EDIT EMAIL ADDRESS 2 CL110 (CL1630)

NO, DELETE EMAIL ADDRESS 3 BOX_70 (CL1655)

REFUSED RF BOX_70 (CL1655)

DON'T KNOW DK BOX_70 (CL1655)

Programmer Instructions: If coded '1' (YES), 'RF' (REFUSED), or 'DK' (DON'T KNOW), set the current round email address for the PID of the current RU member or proxy respondent for this interviewing session to the preloaded email address for the same PID.

If coded '2' (NO, EDIT EMAIL ADDRESS), the email address for the current RU member or proxy respondent for this interviewing session will be updated/set at CL110.

If coded '3' (NO, DELETE EMAIL ADDRESS), delete the email address linked to the current RU member or proxy respondent for this interviewing session. There will be no email address linked to this RU member or proxy for the next round.

Display Instructions: For "LINKED EMAIL", display the email address linked to this respondent PID or proxy ID for this interviewing session. (Use Preload.EmailAddr)

CL100 (CL1625)

BLAISE NAME: UseEmail

Question Text: Do you send or receive emails?

Responses: YES 1 CL110 (CL1630)

NO 2 BOX_70 (CL1655)

REFUSED RF BOX_70 (CL1655)

DON'T KNOW DK BOX_70 (CL1655)

Display Instructions:

CL110 (CL1630)

BLAISE NAME: EmailAddr

Question Text: {What is your new email address? /We'd like to contact you by email to help schedule the next interview and send an interview reminder. May I have your email address?}

ENTER COMPLETE EMAIL ADDRESS. CONFIRM SPELLING.

Responses: 1 CL120 (CL1635)

REFUSED RF BOX_70 (CL1655)

DON'T KNOW DK BOX_70 (CL1655)

Programmer Instructions: Link the email address recorded with the current respondent PID or proxy ID (selected/added at ST50 or ST60 or confirmed at ST20) for this interviewing session.

Hard Checks:

Email address must contain an '@' symbol. If entry does not include this symbol, display the following message: "EMAIL ADDRESS MUST CONTAIN AN '@' SYMBOL. VERIFY AND RE-ENTER."
Email address must not contain spaces. If entry includes a space, display the following message: "EMAIL ADDRESS CANNOT CONTAIN BLANK SPACES. VERIFY AND RE- ENTER."

Display Instructions: Display 'What is your new email address?' if CL90 is coded '2' (NO, EDIT EMAIL ADDRESS).

Otherwise, display 'We'd like to ... your email address?'

CL120 (CL1635)

BLAISE NAME: EmailType

Question Text:Is that your personal e-mail, work e-mail, a family or shared e-mail address, or some other type of email account?

Responses: PERSONAL 1 CL130 (CL1645)

WORK 2 CL130 (CL1645)

FAMILY/SHARED 3 CL130 (CL1645)

OTHER TYPE 91 CL120OS (CL1640)

REFUSED RF CL130 (CL1645)

DON'T KNOW DK CL130 (CL1645)

Display Instructions: Display CL120 and CL120OS on the same form pane.

CL120OS (CL1640)

BLAISE NAME: EmailTypeOS

Question Text: SPECIFY TYPE OF EMAIL ACCOUNT:

Responses: 1 CL130 (CL1645)

Programmer Instructions: Refused and Don't Know disallowed.

Display Instructions: Display CL120 and CL120OS on the same form pane.

CL130 (CL1645)

BLAISE NAME: OftChkEmail

Question Text: How often do you check this email account?

PROBE: How many times per day, per week, per month, per year do you check this email account?

NUMBER:

Responses: 1 CL140 (CL1650)

REFUSED RF BOX_70 (CL1655)

DON'T KNOW DK BOX_70 (CL1655)

Display Instructions: Display CL130 and CL140 on the same form pane.

CL140 (CL1650)

BLAISE NAME: ChkEmailPeriod

Question Text: [How often do you check this email account?]

Is that per day, per week, per month, or per year?

PER PERIOD:

Responses: PER DAY 1 BOX_70 (CL1655)

PER WEEK 2 BOX_70 (CL1655)

PER MONTH 3 BOX_70 (CL1655)

PER YEAR 4 BOX_70 (CL1655)

REFUSED RF BOX_70 (CL1655)

DON'T KNOW DK BOX_70 (CL1655)

Display Instructions: Display CL130 and CL140 on the same form pane.

Display "[How often do you check this email account?]" in grayed-out text.

BOX_70 (CL1655)

Route Details: If rounds 1 through 4, continue with BOX_80.

If round 5, go to BOX_110.

BOX_80 (CL1660)

Route Details: If there is a preloaded contact person linked to this RU in the previous round, continue with CL150. (Use Preload.ContPersPID, Preload.ContPersFName and Preload.ContPersLName).

Otherwise, go to CL160.

CL150 (CL1665)

BLAISE NAME: StillContact

Question Text: Is {CONTACT PERSON} still the person, who does not live here, who will always know how to get in touch with {your household/{REFERENCE PERSON}'s household}?

Responses: YES 1 CL170_03 (CL1685)

NO 2 CL160 (CL1670)

REFUSED RF BOX_90 (CL1720)

DON'T KNOW DK BOX_90 (CL1720)

Programmer Instructions: If coded '1' (YES), 'RF' (REFUSED), or 'DK' (DON'T KNOW), set the current round contact person first and last name to the preloaded contact person first and last name.

If coded 'RF' (REFUSED), or 'DK' (DON'T KNOW), set the current round contact person address, telephone, and relationship to the preloaded contact person address, telephone, and relationship.

Display Instructions: For "CONTACT PERSON", display the preloaded first and last name of the contact person for this RU from the previous round. Use Preload.ContPersFName and Preload.ContPersLName.

Display "your household" if respondent for this interviewing session is an RU member. Otherwise (respondent is a proxy), display "{REFERENCE PERSON}'s household" substituting the full name (Person.FullName) of the current round reference person.

CL160 (CL1670)

BLAISE NAME: HaveContact

Question Text: {Do you have/Other than you, is there} a friend or relative who does not live here who will always know how to get in touch with {your household/{REFERENCE PERSON}'s household}?

Responses: YES 1 CL170_01 (CL1675)

NO 2 BOX_90 (CL1720)

REFUSED RF BOX_90 (CL1720)

DON'T KNOW DK BOX_90 (CL1720)

Display Instructions: Display "Do you have" if respondent for this interviewing session is an RU member. Otherwise (respondent is a proxy), display "Other than you, is there".

CL170_01 (CL1675)

BLAISE NAME: ContPersFName

Question Text: What is that person's first name?

Responses: 1 CL170_02 (CL1680)

Programmer Instructions: Refused and Don't Know disallowed.

If CL150 was coded '1' (YES), CL170_01 is not on path, but the response entry field for CL170_01 should be prefilled with ContPersFName. CL170_01 will be display only and the field should be uneditable.

If CL150 was coded '2' (NO) and CL160 was coded '1' (YES), CL170_01 will be on path, but should display as empty, ready for completion.

Display Instructions: Display CL170_01 through CL170_09 vertically on the same form pane.

CL170_02 (CL1680)

BLAISE NAME: ContPersLName

Question Text: What is that person's last name?

Responses: 1 CL170_03 (CL1685)

Programmer Instructions: Refused and Don't Know disallowed.

If CL150 was coded '1' (YES), CL170_02 is not on path, but the response entry field for CL170_02 should be prefilled with ContPersLName. CL170_02 will be display only and the field should be uneditable.

If CL150 was coded '2' (NO) and CL160 was coded '1' (YES), CL170_02 will be on path, but should display as empty, ready for completion.

When CL160 is coded '1' (YES), set a three-byte contact person identifier (C01, C02, etc.) for the contact person entered at CL170_01 and CL170_02. There can be a maximum of 5 contact persons per RU. (ContPersPID)

Display Instructions: Display CL170_01 through CL170_09 vertically on the same form pane.

CL170_03 (CL1685)

BLAISE NAME: ContPersStrt1

Question Text: {VERIFY {CONTACT PERSON}'s ADDRESS AND TELEPHONE./What is {CONTACT PERSON}'s address and telephone number?}

{Is the street address:/What is the street address?}

{STREET ADDRESS1}

{STREET ADDRESS2}

{CITY}, {STATE} {ZIP CODE}

{TELEPHONE NUMBER}

Responses: 1 CL170_04 (CL1690)

REFUSED RF CL170_04 (CL1690)

DON'T KNOW DK CL170_04 (CL1690)

Programmer Instructions: General programming instructions for CL170_03 to CL170_08: If CL150 is coded '1' (YES), prefill each available address field in the response pane entry fields with information from the previous round linked to the contact person verified at CL150. Use Preload.ContPersStrt1, Preload.ContPersStrt2, Preload.ContPersCity, Preload.ContPersState, Preload.ContPersZip, and Preload.ContPersPhone.

General programming instructions for CL170_03 to CL170_08: If CL160 is coded '1' (YES), leave the response pane entry fields empty for completion. NOTE: The response pane entry fields should also display empty in instances when CL150 is coded '2' (NO) and CL160 is coded '1' (YES).

Display Instructions: Display CL170_01 through CL170_09 vertically on the same form pane.

Display "VERIFY {CONTACT PERSON}'s ADDRESS AND TELEPHONE." if CL150 is coded '1' (YES). Otherwise, display "What is {CONTACT PERSON}'s address and telephone number?"

For "CONTACT PERSON", display the first and last name of the current round contact person (ContPersFName, ContPersLName).

Display "Is the street address:" if CL150 is coded '1' (YES) and Preload.ContPersStrt1 <> emtpy, RF or DK. Otherwise, display, "What is the street address?"

Display address fields in the info pane with most recent contact person address information. Use a null display if response entry fields are empty. As entries are updated in the current round, the display in the info pane should also be updated.

Display {STREET ADDRESS1} in the info pane in bold, black, but all other address display fields in lighter "grayed-out" text.

CL170_04 (CL1690)

BLAISE NAME: ContPersStrt2

Question Text: {VERIFY {CONTACT PERSON}'s ADDRESS AND TELEPHONE./What is {CONTACT PERSON}'s address and telephone number?}

{VERIFY/ENTER} APARTMENT OR UNIT NUMBER, IF AVAILABLE. IF NONE, PRESS ENTER TO CONTINUE.

{STREET ADDRESS1}

{STREET ADDRESS2}

{CITY}, {STATE} {ZIP CODE}

{TELEPHONE NUMBER}

Responses: 1 CL170_05 (CL1695)

EMPTY Empty CL170_05 (CL1695)

REFUSED RF CL170_05 (CL1695)

DON'T KNOW DK CL170_05 (CL1695)

Programmer Instructions: See general programming instructions at CL170_03.

Display Instructions: Display CL170_01 through CL170_09 vertically on the same form pane.

Display "VERIFY {CONTACT PERSON}'s ADDRESS AND TELEPHONE." if CL150 is coded '1' (YES). Otherwise, display "What is {CONTACT PERSON}'s address and telephone number?".

For "CONTACT PERSON", display the first and last name of the current round contact person (ContPersFName, ContPersLName).

Display "VERIFY {CONTACT PERSON}'s…" or "What is {CONTACT PERSON}'s…" in brackets and lighter "grayed-out" text when on CL170_04 through CL170_08.

Display "VERIFY" if CL150 is coded '1' (YES) and Preload.ContPersStrt2 <> emtpy, RF or DK.

Otherwise, display, "ENTER"

Display {STREET ADDRESS2} in the info pane in bold, black, but all other address display fields in lighter "grayed-out" text.

CL170_05 (CL1695)

BLAISE NAME: ContPersCity

Question Text: {VERIFY {CONTACT PERSON}'s ADDRESS AND TELEPHONE./What is {CONTACT PERSON}'s address and telephone number?}

{Is the city:/What is the city?}

{STREET ADDRESS1}

{STREET ADDRESS2}

{CITY}, {STATE} {ZIP CODE}

{TELEPHONE NUMBER}

Responses: 1 CL170_06 (CL1700)

REFUSED RF CL170_06 (CL1700)

DON'T KNOW DK CL170_06 (CL1700)

Programmer Instructions: See general programming instructions at CL170_03.

Display Instructions: Display CL170_01 through CL170_09 vertically on the same form pane.

Display "VERIFY {CONTACT PERSON}'s ADDRESS AND TELEPHONE." if CL150 is coded '1' (YES). Otherwise, display "What is {CONTACT PERSON}'s address and telephone number?"

For "CONTACT PERSON", display the first and last name of the current round contact person (ContPersFName, ContPersLName).

Display "VERIFY {CONTACT PERSON}'s…" or "What is {CONTACT PERSON}'s…" in brackets and lighter "grayed-out" text when on CL170_04 through CL170_08.

Display "Is the city:" if CL150 is coded '1' (YES) and Preload.ContPersCity <> emtpy, RF or DK.

Otherwise, display, "What is the city?"

Display {CITY} in the info pane in bold, black, but all other address display fields in lighter "grayed- out" text.

CL170_06 (CL1700)

BLAISE NAME: ContPersState

Question Text: {VERIFY {CONTACT PERSON}'s ADDRESS AND TELEPHONE./What is {CONTACT PERSON}'s address and telephone number?}

{Is the state:/What is the state?}

TYPE THE FIRST LETTER OF THE STATE, THEN USE ARROW KEYS IF NEEDED TO LOCATE STATE, AND

PRESS ENTER TO SELECT.

{STREET ADDRESS1}

{STREET ADDRESS2}

{CITY}, {STATE} {ZIP CODE}

{TELEPHONE NUMBER}

Responses: 1 CL170_07 (CL1705)

REFUSED RF CL170_07 (CL1705)

DON'T KNOW DK CL170_07 (CL1705)

Programmer Instructions: See general programming instructions at CL170_03.

Use the state lookup file.

Note: The entry Foreign Country (FC) is allowed.

Display Instructions: Display CL170_01 through CL170_09 vertically on the same form pane.

Display "VERIFY {CONTACT PERSON}'s ADDRESS AND TELEPHONE." state:" if CL150 is coded '1' (YES). Otherwise, display "What is {CONTACT PERSON}'s address and telephone number?"

For "CONTACT PERSON", display the first and last name of the current round contact person (ContPersFName, ContPersLName).

Display "VERIFY {CONTACT PERSON}'s…" or "What is {CONTACT PERSON}'s…" in brackets and lighter "grayed-out" text when on CL170_04 through CL170_08.

Display "Is the state:" if CL150 is coded '1' (YES) and Preload.ContPersState <> emtpy, RF or DK.

Otherwise, display, "What is the state?"

Display {STATE} in the info pane in bold, black, but all other address display fields in lighter "grayed-out" text.

CL170_07 (CL1705)

BLAISE NAME: ContPersZip

Question Text: {VERIFY {CONTACT PERSON}'s ADDRESS AND TELEPHONE./What is {CONTACT PERSON}'s address and telephone number?}

{Is the zip code:/What is the zip code?}

{STREET ADDRESS1}

{STREET ADDRESS2}

{CITY}, {STATE} {ZIP CODE}

{TELEPHONE NUMBER}

Responses: 1 CL170_08 (CL1710)

REFUSED RF CL170_08 (CL1710)

DON'T KNOW DK CL170_08 (CL1710)

Programmer Instructions: See general programming instructions at CL170_03.

Display Instructions: Display CL170_01 through CL170_09 vertically on the same form pane.

Display "VERIFY {CONTACT PERSON}'s ADDRESS AND TELEPHONE." if CL150 is coded '1' (YES). Otherwise, display "What is {CONTACT PERSON}'s address and telephone number?"

For "CONTACT PERSON", display the first and last name of the current round contact person (ContPersFName, ContPersLName).

Display "VERIFY {CONTACT PERSON}'s…" or "What is {CONTACT PERSON}'s…" in brackets and lighter "grayed-out" text when on CL170_04 through CL170_08.

Display "Is the zip code:" if CL150 is coded '1' (YES) and Preload.ContPersZip <> emtpy, RF or DK. Otherwise, display, "What is the zip code?"

Display {ZIP CODE} in the info pane in bold, black, but all other address display fields in lighter "grayed-out" text.

CL170_08 (CL1710)

BLAISE NAME: ContPersPhone

Question Text: {VERIFY {CONTACT PERSON}'s ADDRESS AND TELEPHONE./What is {CONTACT PERSON}'s address and telephone number?}

{Is the telephone number:/What is the telephone number?}

IF NO TELEPHONE, ENTER DON'T KNOW.

{STREET ADDRESS1}

{STREET ADDRESS2}

{CITY}, {STATE} {ZIP CODE}

{TELEPHONE NUMBER}

Responses: 1 CL170_09 (CL1715)

REFUSED RF CL170_09 (CL1715)

DON'T KNOW DK CL170_09 (CL1715)