Information Screen (RS) SectionNovember 14, 2017 MEPS P21R5/P22R3/P23R1 NOTE: The MEPS instrument design changed beginning in Spring of 2018, affecting Panel 23 Round 1, Panel 22 Round 3, and Panel 21 Round 5, and affected the 2017 MEPS data files. The MEPS website releases the consolidated CAPI survey instruments each year for the Rounds 1 through 3 for the first year panel and Rounds 3 through 5 for the second year panel to accompany data releases. For the Full-Year 2017 PUFs, the Panel 22 Round 3 and Panel 21 Round 5 data were transformed to the degree possible to conform to the previous year (2016) design. For this reason, we are releasing 2016 CAPI survey instruments, updated to reflect 2017 dates, and users should note that not all changes to the instrument administered in the Spring of 2018 will be reflected in these documents.
NOTE: ALL INFORMATION IS SAVED BY ROUND. THE INFORMATION USED FOR THE FACE SHEET WILL BE THE ENTIRE HISTORY. RS01
DID YOU COMPLETE THIS INTERVIEW IN-PERSON OR BY
TELEPHONE? RS01A
WAS THIS INTERVIEW COMPLETED WHILE ON TRAVEL? RS02
WHAT LANGUAGE WAS THIS INTERVIEW COMPLETED IN? RS02OV
ENTER OTHER LANGUAGE: RS03
WAS ANYONE OTHER THAN THE {RESPONDENT/PROXY} PRESENT
FOR ALL OR
DISPLAY ‘RESPONDENT’ IF CURRENT RESPONDENT IS AN RU MEMBER. DISPLAY ‘PROXY’ IF CURRENT RESPONDENT IS A PROXY. RS04
SELECT ALL OTHER PERSONS PRESENT DURING INTERVIEW.
DISPLAY ‘SOMEONE OUTSIDE DU’ AS AN OPTION ON THIS SCREEN.
CONTINUE WITH BOX_01
ROSTER DETAILS: TITLE: DU_MEMBERS_1 COL # 1 HEADER: NAME INSTRUCTIONS: DISPLAY RU MEMBER’S FIRST, MIDDLE, AND LAST NAMES (PERS.FULLNAME)
ROSTER DEFINITION: DISPLAY PERSONS ON THE DU-MEMBERS-ROSTER FOR SELECTION.
ROSTER BEHAVIOR: 1. MULTIPLE SELECT ALLOWED. 2. ADD, EDIT, DELETE DISALLOWED.
ROSTER FILTER: DISPLAY PERSONS ON THE DU-MEMBERS-ROSTER WHO MEET THE FOLLOWING CONDITION(S): - PERSON IS ON THE DU ROSTER, BUT NOT THE RU ROSTER OR - PERSON ON THE RU ROSTER AND WAS ELIGIBLE AT THE END OF RE-ENUMERATION AND IS PHYSICALLY IN THE RU ON THE INTERVIEW DATE AND - PERSON IS NOT IDENTIFIED AS CURRENT RESPONDENT RS04AA
HOW CONFIDENT ARE YOU THAT THE RESPONDENT GAVE YOU ALL
HEALTH RS04BB
ENTER COMMENTS OR DESCRIBE THE SITUATION THAT LED YOU
TO BELIEVE
ALLOW THE MAXIMUM NUMBER OF LINES AND CHARACTERS PER LINE THAT THE SCREEN WILL PERMIT. BOX_01
IF NOT ROUND 5, CONTINUE WITH RS04A
OTHERWISE (I.E., IF ROUND 5), GO TO RS09
RS04A
DO YOU HAVE ANY TIPS ABOUT THE RU OR THE RESPONDENT
THAT CAN HELP RS04B
ENTER RECORD KEEPING AND OTHER DATA QUALITY TIPS:
ALLOW THE MAXIMUM NUMBER OF LINES AND CHARACTERS PER LINE THAT THE SCREEN WILL PERMIT. RS05
ARE THERE ANY {ADDITIONAL} SPECIAL INSTRUCTIONS THAT
SHOULD BE
IF ROUND > 1, DISPLAY THE WORD “ADDITIONAL”. IF ROUND 1, USE A NULL DISPLAY. RS06
ENTER SPECIAL INSTRUCTIONS:
ALLOW 270 CHARACTERS.
RS07
ARE THERE ANY {ADDITIONAL OR DIFFERENT} LOCATING
DIRECTIONS THAT
IF ROUND > 1, DISPLAY “ADDITIONAL OR DIFFERENT”. IF ROUND 1, USE A NULL DISPLAY. RS08
ENTER DIRECTIONS THAT WILL HELP TO LOCATE THE
RU IN THE NEXT ROUND.
ALLOW THE MAXIMUM NUMBER OF LINES AND CHARACTERS PER LINE THAT THE SCREEN WILL PERMIT. RS09
OTHER THAN AUTHORIZATION FORM PROBLEMS REPORTED IN THE
CLOSING RS10
ENTER COMMENTS OR QUESTIONS OR DESCRIBE THE SITUATION:
ALLOW THE MAXIMUM NUMBER OF LINES AND CHARACTERS PER LINE THAT THE SCREEN WILL PERMIT.
NOTE THAT INFORMATION COLLECTED AT THIS ITEM WILL NOT APPEAR ON THE FACE SHEET. RS11
WAS THE INTERVIEW FOR THIS RU OBSERVED THIS ROUND?
IF MESSAGE FROM DATA PREP, CONTINUE WITH RS12
OTHERWISE, GO TO RS14
RS12
MESSAGE FROM DATA PREP:
THE MESSAGE TEXT WILL DISPLAY THE SPECIAL INSTRUCTIONS (FROM DATA PREP).
ALLOW 225 CHARACTERS.
CONTINUE WITH RS13
RS13
PLEASE PROVIDE ENOUGH INFORMATION TO CLARIFY THE
SITUATION AND/OR
ALLOW 210 CHARACTERS.
RS14
HAS THIS RU MOVED TO A NEW CITY OR STATE SINCE THE
START OF THIS RS15
PLEASE INDICATE THE NEW CITY AND STATE FOR THIS RU: RS16
WAS THIS RU CONVERTED FROM A REFUSAL? RS17
WHICH OF THE FOLLOWING STRATEGIES, IF ANY, HELPED YOU
CONVERT
IF CODE ‘91’ (USED ANOTHER STRATEGY) ENTERED ALONE OR IN COMBINATION WITH ANY OTHER CODE, CONTINUE WITH RS17OV
OTHERWISE, GO TO BOX_02
RS17OV
PLEASE DESCRIBE THE STRATEGY YOU USED TO CONVERT THIS
REFUSAL:
ALLOW 180 CHARACTERS.
BOX_02
END OF RU INFORMATION SCREEN (RS) SECTION. |