In 1972, the GSS was administered as part of an NORC omnibus survey. This omnibus survey included various questions that are not part of the GSS and are not included in the cumulative GSS file. The non-GSS questions are #51-81. For information at the non-GSS item, please contact NORC.
NATIONAL OPINION RESEARCH CENTER Survey 4139 University of Chicago Feb. ,. 1972
INTRODUCTION TO PERSON WHO ANSWERS DOOR: Ii t ~:
Hello. I'm (YOUR NAME) from the National Opinion Research Center of the University of Chicago. We're conducting a national survey and I am here to interview a (PERSON NEEDED TO FILL QUOTA).
Is there someone here who fits that description?
IF YES, PROCEED WITH INTERVIEW.
IF NO, RECORD CALL ON SURS AND GO ON TO NEXT DU.
BEGIN DECK 01
TIME INTERVIEW AM BEGAN: PM
07-08/ 09/
I .r- 'C.
-2- DECK 01
First, I have a few factual questions about yourself. .J 1. Which of the categories on this card comes closest to the ~Y6e of place you were living in when you were 16 years old? In open country but not on a farm •• 1 10/9 On a farm ... • 2 In a small city or town (under 50,000) .•...•. 3 In a medium-size city (50,000-250,000) • • • 4 In a suburb near a large city 5 In a large city (over 250,000) 6 Don't know 8
2. In what state or foreign country were you living when you were 16 years old?
REFER TO STATE CODES BELOW AND 11-12/ ENTER CODE NUMBER IN BOX .••• ·1 IF STATE NAMED IS SAME STATE R. LIVES IN NOW, ASK A: A. When you were 16 years old, were you living in this same (city/town/county)? Yes • 1 13/9 No • 2
STATE CODES Alabama 01 Maine . . . 19 Oregon 37 Alaska ·· 02 Maryland 20 Pennsylvania 38 Arizona · 03 Massachusetts · 21 Rhode Island 39 Arkansas · 04 Michigan · 22 South Carolina 40 California · 05 Minnesota · 23 South Dakota · • 41 Colorado 06 Mississippi . ·· 24 Tennessee · 42 Co.nnecticut . · · 07 Missouri 25 Texas 43 Delaware · 08 Montana 26 Utah .. · . • 44 Florida · 09 Nebraska 27 Vermont • 45 Georgia · · · 10 Nevada .. · · 28 Virginia 46 Hawaii 11 New Hampshire 29 Washington 47 Idaho • · ... ·· 12 New Jersey · 30 West Virginia · · 48 Illinois 13 New Mexico · · 31 Wisconsin • 49 Indiana 14 New York 32 Wyoming • 50 r ··· · ! Iowa . · . . · 15 North .Carolina 33 Foreign country • 51 Kansas · 16 North Dakota · 34 Don't know 98 1 Kentucky 17 Ohio 35 1 Louisiana 18 Oklahoma · 36 o.../~'-'--'_.- r ".", . -3- DECK 01
3. Were you living with both your own mother and father around the time you were 161 (IF NO: With whom were you living around that time?) Both own mother and father . 1 14/9
Father and stepmother 2
Mother and stepfather 3
Father only 4
Mother only 5
Some other male relative (SPECIFY) 6
Some other female relative (SPECIFY) •• 7
Other arrangement (SPECIFY) ...... 8
IF NOT LIVING WITH OWN FATHER--ASK SAME APPLIES TO ''MOTHER'' LATER QUESTIONS ABOUT "FATHER" (FOR THIRD COLUMN OF (Q. 4 AND SECOND COLUMN OF Q. 91) Q. 91). IN TERMS OF STEPFATHER OR OTHER MALE RESPONDENT WAS LIVING WITH--AS CODED ABOVE.
IF NO STEPFATHER OR OTHER MALE, SKIP Q. 4, AND SECOND COLUMN OF Q. 91. --- ._--_.._------_._.------~------I i -4- DECK 01 4. A. What kind of work did your father (FATHER SUBSTITUTE) normally do? That is, what was his job called?
OCCUPATION:
B. IF NOT ALREADY ANSWERED, ASK:
What did he actually do in that job? Tell me, what were Some of his main duties?
C. What ~ind of place did he work for?
INDUSTRY:
D. IF NOT ALREADY ANSWERED. ASK:
What did they (make/do)?
E. ·wa~ he s~lf-employed, or did he work for sqmeone else?
Self-employed 1 S.~eo~~ et.. • . . . . 2 pon t ~ k~ow •.. 8 15-17/ 18~19/
5. Thin.ki~g about the time when you w,re 16 ye.rl old, compared with American f~milies in ge~~tal ~hen, would yo~ say yo~r fa~ily i~pom, wa.--far below average, be~gw avetag(':!, average, above average, or fa~ ~\)ove ~vetls'? (~ROBE: Just your b,eH g~es~.) .- ....
F.~ be19W .vera.e • • 1 ~~/9
~,lo.w ~ve,••• •• I • 2 Ave" •• • • • • • •• I
~bove. avens, I • I • 4 Far above averase 5 Don't know . . · · 8 r -5- DECK 01 6. From what countries or part of the world did your ancestors come? I IF SINGLE COUNTRY IS NAMED ~ REFER TO NATIONAL CODES BELOW, AND ENTER CODE NUMBER IN BOXES: 21-22/ IF MORE THAN ONE COUNTRY IS NAMED, ENTER CODE 88 AND ASK A. co
A. IF MORE THAN ONE COUNTRY NAMED: Which one of these countries do you feel closer to?
IF ONE COUNTRY NAMED, REFER TO CODES BELOW, ANP ENTER NUMBER HERE: 23-24/ IF CAN'T DECIDE ON ONE COUNTRY, ENTER CODE 88.}···co
NATIONAL CODES Africa 01 Mexico 17 Austria • 02 Netherlands (Dutch/Holland) 18 Canada (French) • 03 Norway .. 19 Canada (Other) 04 Philippines 20 China · 05 Poland 21 Czechoslovakia 06 Puerto Rico 22 Denmark .. 07 Russia (USSR) 23 England and Wales 08 Scotland . 24 Finland 09 Spain 25 France 10 Sweden 26 Germany 11 Switzerland 27 Greece • 12 West Indies 28 Hungary 13 Other (SPECIFY) 29 Ireland 14 Italy • 15 More than one country/can't Japan 16 decide on one 88 Don't know 98
7. How many brothers and sisters did you have? (Count those born alive,but no longer living, as well as those alive now. Also include stepbrothers and stepsisters, and children adopted by your parents.) None o 25/9 One • 1 Two . 2 Three 3 Four .• 4 Five 5 Six . 6 Seven or more 7 Don't know 8 -6- DECK 01 8. Are you current1y--married, widowed, divorced. ~eparated; or have you never bee~ marrieQ? .
Currently married (ASK A & B) • • 1 26/9
Widowed . (ASK A & B) . • • 2
Divorced . (ASK A)
Separated (ASK A) . 4
Never married •• (GO TO Q. 9) .. 5
IF EVER MARRIED:
A. How old were you when you first married? ENTER EXACT AGE: o-=J 27-28/
B. IF CURRENTLY MARRIED OR WIDOWED: Have you ever been divorced or legally separated? Yes 1 29/9 No 2
9. Last week were you working full time, part time, going to school, keeping house, or what? IF MORE THAN ONE RESPONSE, GIVE PREFERENCE TO CODES IN NQMERICAL ORDER--FROM LEAST TO HIGHEST NUMBERS. CIRCLE ONE CODE ONLY.
Working full time (35 hours or more) 1 30/9 Working part ti!l1e (1 to 34 hours) 2 With a job, but not at work because of temporary l' 1'l~nes s , vacation, strike 3 Unemployed, laid off, looking for work 4 Retired (~SK A) 5 '\ In school (ASK A) 6 Keeping house (~SK A) 7 Other (SPECIFY AND ASK A) 8
A. IF RETIRED z IN SCHOOL. KEEPING HOUSE. OR OTHER; Did you ever work; for as li?:tig'ason~·'yeai?:" Yes (ASK Q. 10) 1 No • (SKIP TO Q. 13) 2 -7- DECK 01
10. A. What kind of work do you (did you normally) do? That is, what (is/was) your job called? OCCUPATION: , B. IF NOT ALREADY ANSWERED, ASK: What (do/did) you actually do in that job? Tell me, what (are/were) some of your main duties?
C. What kind of place (do/did) you work for?
INDUSTRY:
D. IF NOT ALREADY ANSWERED, ASK: What (do/did) they (make/do)?
E. (Are/Were) you self-employed or (do/did) you work for someone else? Self-employed 1 Someone else 2 32-34/ 35-36/
IF CURRENTLY WORKING FULL TIME, ASK Q IS. 11 AND 12. 11. What days of the week do you normally work? CODE ALL THAT APPLY. Monday 1 37/9 Tuesday 2 38/9 Wednesday 3 39/9 Thursday 4 40/9 Friday 5 41/9 Saturday 6 42/9 Sunday 7 43/9 No set schedule, varies 8 44/9
12. What hours do you usually work--days, evenings, or nights? CIRCLE ONE CODE.
Days (Between 8 A.M. and 6 P.M.) 1 45/9
Evenings (Between 6 P.M. and midnight) 2
Nights (Between midnight and 8 A.M.) 3
No set schedule, varies .. 4
Other (SPECIFY) 5 -8- DECK 01 IF R. IS MARRIED, ASK Q. 13.- QTHERS SKIP TO INSTRUCTIONS BEFORE Q. 17.
13. Last week was your (wife/husband) working full time, part time, going to school, keeping house, or what? IF MORE THAN ONE RESPONSE, GIVE PREFERENCE TO CODES IN NUMERICAL ORDER--~ROM LEAST TO HIGHEST NUMBERS. CIRCLE ONE CODE ONLY.
Working full time (35 hours or more) 1 46/9 Working part time (1 to 34 hours) 2 With a job, but not at work because of temporary illness, vacation, strike 3 j Unemployed, laid off, looking for work 4 i ~ Retired (ASK A) 5 In school (ASK A) 6 Keeping house (ASK A) 7 Other (SPECIFY AND ASK A) 8
A. IF RETIRED, IN SCHOOL, KEEPING HOUSE. OR OTHER: Did (he/she) ever work for as long as one year? Yes (ASK Q. 14) 1 47/9 No (SKIP TOQ. 17) . 2
14. A. What kind of work (does [SPOUSE] ) (did [SPOUSE] normally) do? That is, what (is/was) (his/her) job called?
OCCUPATION:
]3. IF NOT ALREADY ANSWERED. ASK: What (does/did) (SPOUSE) actually do in that job? Te11 me, what (are/were) some of (his/her) main duties?
C. What kind of place (does/did) (SPOUSE) work for?
INDUSTRY:
D. IF NOT ALREADY ANSWERED, ASK: What (do/did) they (make/do)?
E. (Is/Was) (he/she) self-employed or (does/did) (he/she) work for someone else? Self-employed •• 1 Someone else 2 Don't know 8 48-50/ 51-52/ -9- DECK 01 IF SPOUSE CURRENTLY WORKING FULL TIME. ASK g'S. 15 AND 16.
15. What days of the w~ek does (SPOUSE) normally work? CODE ALL THAT APPLY. Monday 1 53/9 Tuesday 2 54/9 Wednesday 3 55/9 Thursday 4 56/9 Friday 5 57/9 Saturday 6 58/9 Sunday 7 59/9 No set schedule, varies. 8 60/9
16. What hours does (he/she) usually work--days, evenings, or nights? CIRCLE ONE CODE. Days (Between 8 A.M. and 6 P.M.) 1 61/9 Evenings (Between 6 P.M. and midnight) 2 Nights (Between midnight and 8 A.M ) 3 No set schedule, varies .•.. •.. 4 Other (SPECIFY) 5
IF R. IS CURRENTLY WORKING (FULL OR PART TIME)--ASK g'S. 17 AND 18 ABOUT R.
IF R. IS MARRIED PERSON WHO IS NOT WORKING--ASK ABOUT SPOUSE IF SPOUSE IS WORKING.
ALL OTHERS, SKIP TO Q. 19.
17. Do you (does your [SPOUSE]) have a supervisor on your (his/her) job to whom you are (he/she is) directly responsible? Yes (ASK A) 1 62/9 No 2
A. IF YES: Does that person have a supervisor on the job to whom ~ is directly responsible? Yes . 3 63/9 No 4
18. In your (your [SPOUSE'S]) job, do you (does he/she) supervise anyone who is directly responsible to you (him/her)? Yes (ASK A) 1 64/9 No 2
A. IF YES: Do any of ~ ~ersons supervise anyone else?
Yes . 3 65/9 No . 4 -10- BEGIN DECK 02 ASK EVERYONE: 19. Now a few questions about this household. A. First, how many persons altogether live here, related to you or not. Please include any persons who usually live here but are away temporarily--on business, on vacation, or in a general hospital--and all babies and small children. Do not include--college students who are living away at college, persons stationed away from here in the Armed Forces, or persons away in institutions. (Don't forget to include yourself in the total.)
IF TOTAL IS ONE PERSON, ENTER 01 AND SKIP TO • 21. . .•• TOTAL PERSONS: IT] 07-081
B. How many of these persons are babies or 09-10/ children under 6 years old? UNDER 6 YEARS: IT] c. How many are children age 6 thru l2? 6-12 YEARS: ITl 11-12/ D. How many are teenagers 13 thru l7? 13-17 YEARS: IT] 13-14/ E. And how many are persons 18 and over? 18+ YEARS: IT] 15-16/ B-E SHOULD TOTAL TO A; IF NOT, CHECK ANSWERS WITH RESPONDENT.
20. Is everyone in the household related Yes 1 17/9 to you in some way? No . (ASK A) 2 A. IF NO: How many persons in the household are not related to you in any way? IT] 18-191
21. (Just thinking about your family now--those people in the household who are related to you ••.) How many persons in IT] the family (including yourself) earned any money last 20-21/ year--1971--from any job or employment?
22. In which of these groups did your total A. Under $2,000 01 22-23/99 .family income, from all sources, fall last year--197l--before taxes, that is? B. $2,000 to 3,999 02 C. $4,000 to 5,999 03 ~C~RD • D. $6,000 to 7,999 . 04 E. $8,000 to 9,999 . 05 F. $10,000 to 12,499 06 G. $12,500 to 14,999 07 H. $15,000 to 17 ,499 . 08 I. $17,500 to 19,999 09 J. $20,000 to 24,999 10 K. $25,000 to 29,999 11 L. $30,000 or over 12
Refused . . . . 13 Don't know 98 -11- DECK 02
23. If you were asked to use one of four names for your social class, which would you say you belong in: . the lower class, the workIng class, the middle class, or the upper class? Lower class . . 1 24/9 Working class 2 Middle class 3 Upper class . 4
24. How many children have you ever had? None 0 25/9 Please count all that were born alive 1 at any time (including any you had One from a previous marriage). Two 2 Three 3 Four 4 Five 5 Six 6 Seven 7 Eight or more 8
25. ASK EVERYONE, UNLESS TOTALLY INAPPROPRIATE. IF INAPPROPRIATE, CIRCLE CODE 4. Do you expect to have any (more) children? Yes (ASK A & B) 1 26/9 No 2 Uncertain 3 Not asked, inappropriate 4 IF YES: A. How many (more)? 27/ 28/
B. How many (more) in the next five years? 29/ 30/
26. What do you think is the ideal number None 00 31-32/99 of children for a family to have? One . 01 Two 02 Three . 03- Four 04 Five 05 Six 06 Seven or more 07 As many as you want 08 Don't know . 98 -12- DECK 02
27. Do you approve or disapprove of a m~rried woman earning money in business or industry if she has a husband capable of supporting her? Approve 1 33/9 Disapprove 2 Don't know 8
28. If your party nominated a woman for President, would you vote for her if she were qualified for the job? Yes . 1 34/9 No 2 Don't know 8
29. Now, a different question. Please tell me whether. or not you think it should be possible for a pregnant woman to obtain a legal abortion if READ EACH STATEMENT, AND CIRCLE ONE CODE FOR EACH.
Yes No I~~~~ tl A. If there is a strong chance of serious 1 2 8 35/9 defect in the baby?
B. If she is married and does not want any 6 8 more children? 5 36/9
C. If the woman's own health is seriously 1 2 8 endangered by the pregnancy? 37/9
D. If the family has a very low income and 5 6 8 38/9 cannot afford any more children?
E. If she became pregnant as a result of 1 2 8 39/9 rape?
p.. If she is not married and does not want 5 6 8 40/9 to m'1rry the man? so. Now another kind of question. Would you say that most of the time people try to be helpful, or that they are mostly just looking out for themselves? Try to be helpful . . . 1 41/9
Just look out for themselves . 2
Depends 3
Don't know 8 • -13- DECK 02 31. Are you in favor of the death penalty for persons convicted of murder?
Yes 1 42/9
No 2
Don't know 8
32. Would you favor or oppose a law which would require a person to obtain a police permit before he or she could buy a gun? Favor 1 43/9
Oppose 2
Don't know. 8
33. In general, do you think the courts in this area deal too harshly or not harshly enough with criminals? Too harshly 1 44/9
Not harshly enough 2
About right 3
Don't know 8
34. There's been a lot of discussion about the way morals and attitudes about sex are changing in this country. If a man and a woman have sex relations before .marriage, do you think it is always wrong, almost always wrong, wrong only sometimes, or not wrong a t a II? Always wrong 1 45/9
Almost always wrong 2
Wrong only sometimes 3
Not wrong at all 4
Don't know 8 ~:'''''--'--~ c -14- DECK 02
35. There are always some people whose ideas are considered bad or dangerous by other ~,c people. For instp.nce, somebody who is against all churches and religion A. If such a person wanted to make a speech Yes, allowed to speak 1 46/9 in your city (town, community) against Not allowed 2 churches and religion, should he ·be Don't know 8 allowed to speak, or not?
B. Should such a person be allowed to teach Yes, allowed to teach 4 47/9 in a, college or university, or not? Not allowed 5 Don't know 8
C. If some people in your community sug- Favor . 1 gested that a book he wrote against . · 48/9 churches and religion should be taken out Not favor ·· 2 of your public library, would you favor Don't know . . 8 removing this book, or not?
36. Or consider a person who favored government ownership of all the railroads and all big industries. A. If such a person wanted to make a speech Yes, allowed to speak 1 49/9 in your community favoring government Not allowed 2 ownership of all the railroads and big Don't know 8 industries, should he be allowed to speak, or not?
B. Should such a person be allowed to Yes, allowed to teach 4 50/9 teach in a college or university, or not? Not allowed 5 Don't know · 8
C. If some people in your community sug Favor 1 51/9 gested a book he wrote favoring government Not favor 2 ownership should be taken out of your Don't know 8 public library, would you favor removing this book, or not?
37. Now, I should like to ask you some questions about a man who admits he is a Communist.
A. Suppose this admitted Communist wanted Yes, allowed to speak 1 52/9 to make a speech in your community. Not allowed 2 Should he be a llowed to speak, or not? Don' e know 8
B. Suppose he is teaching in a college. Yes, fired 4 53/9 Should he be fired, or not? Not fired · 5 Don't know 8
C. Suppose he wrote a book which is in Favor 1 your public library. Somebody in your . . · 54/9 community suggests that the book shouId Not favor · · 2 be removed from the library. Would you Don't know 8 favor removing it, or not? • -15- DECK 02 38. Do you think most people would try to take advantage of you if they got a chance, or would they try to be fair? Would take advantage of you. 1 55/9 Would try to be fair 2 Depends • 3 Don't know 8
Here are a few questions regarding race relat~ons in our country. We'd like your opinion.
39. Do you think white students and Negro students should go to the same schools or to separate schools? Same schools 1 56/9 Separate schools 2 Don't know ... 8
IF R. IS BLACK. SKIP TO Q. 48. Q'S. 40 THROUGH 47 ARE FOR NON-BLACKS ONLY.
40. Do you think Negroes should have as good a chance as white people to get any kind of job, or do you think white people should have the first chance at any kind of job? As good a chance .• 1 57/9 White people first 2 Don't know . 8
41. Do you think there should be laws against marriages between Negroes and whites?
Yes r 58/8 No . 2 Don't know 8
42. How strongly would you object if a member of your family wanted to bring a Negro friend home to dinner? Would you object strongly, mildly, or not at all?
Strongly 1 '919 Mildly 2 Not at all 3 Don't know. . • . 8 ~I
-16- DECK 02
43. Here are some op~n~ons other people have expressed in connection with Negro-white relations. Which statement on the card COmes closest to how you yourself feel? The first one is ... READ EACH STATEMENT. CIRCLE ONE CODE FOR EACH.
Negroes shouldn't push themselves where they're 1 2 3 4 5 60/9 not wanted.
B. White people have a right to keep Negroes out of their neighborhoods if I 2 3 4 5 61/9 they want to, and Negroes should respect that right.
44. A. Would you yourself have any objection to sending your children to a school where a few of the children are Negroes? Yes (GO TO Q. 45). I 62/9 No (ASK B) 2 Don't know (ASK B) 8
B. IF NO OR DK TO A: Where half of the children are Negroes? Yes (GO TO Q. 45). I 63/9 No (ASK C). 2 Don't know (ASK C) • 8
c. IF NO OR DK TO B: Where more than half of the children are Negroes? Yes 1 64/9 No 2
Don I t know 8
45°. 1f your party nominated a Negro for President, would you vote for him if he were qualified for the job? Yes I 65/9 No 2
Don I t know 8
46. If a Negro with the .same income and education as you have, moved into your block, would it make any difference to you? Yes, would Like it .. I 66/9 Yes, woul~ not like it 2 ~ko dif~er~h~e • 3 Don't 'know •• 8 -17- DECK 02
47. Are there any Negroes living in this neighborhood now? Yes. (ASK A-C) 1 67/9 No (GO TO Q. 48). 2 Don't know (GO TO Q. 48). 8 IF YES: A. Are there any Negro families living close to you? Yes . 1 68/9 No 2
B. How many blocks (or miles) away do they (the Negro families who live closest to you) live? On this block (few doors away) 1 69/9 1-3 blocks away (under 1/4 mile) . 2 4-8 blocks away (1/4 to 1 mile) . 3 Over 8 blocks (over 1 mile) .. 4
C. Do you think that this neighborhood will become all Negro in the next few years, or will it remain integrated? All Negro 1 70/9 Remain integrated 2 Don't know. . .. 8
ASK EVERYONE:
48. In general, do you favor or oppose the busing of Negro and white school children from one school district to another? Favor 1 71/9 Oppose 2 Don't know 8
49. Generally speaking, would you say that most people cart be trusted or that you can't be too careful in dealing with people? Most people can be trusted 1 72/9 Can't be too careful 2 Other, depends • 3 Don't know •. 8
50. Would you say your own health, in general, is excellent, good, fair, or poor? Excellent 1 73/9 Good . 2 Fair . . 3 Poor .•• 4 Don't know ••• 8 o -18- BEGIN DECK 04
Office of Management & Budget No. 68- S71109 A'Pprbva 1 Expires: ' 6/30/17 CPp: 18-28)
51. Have you heard or read about fluoridating public water supplies?
Yes (ASK A & B) .•. 1 07/9 No (SKIP TO Q. 55) 2 iF YEs: A. As you understand it, what is the purpose of water fluoridation'! FIELD CODE ; RECORD VERBATIM, THEN CODE AS MANY AS APPLY. HeIps prevents tooth decay, it is good for teeth 1 08/9 Purifies water 2 09/9 Other 3 10/9
Don I t know, vague answer . 4 11/9 12/ 13/ 14/
B. What is your op~n~on on fluoridating public water supplies? Do you feel it is very desirable, desirable, undesirab1e,or very undesirable? Very desirable . . 1 i~/9 · ~~ .•_-C::,...• Desirable . 2 Undesirable . . · 3 Very undesirable 4 Doesn't make any difference to me 5 Don't know . . . .. · 6 52. Do ~ou think the decision about whether or not to fluoridate the water supply shoul~ be made at the feder~l level, at the state level, or do you think it snbUld be left to each local community? Federal 1 16/9 State 2 Local 3 Don't know • • 4
53. Who should decide to' fluoridate--elected officials, a health authority such as the health department, or do you think the people themselves should decide by a special vote?
Elected officials ••...• · 1 17/9 Health authority/department 2 SpecLa 1 vote 3 Don't know 4 • -19- DECK 04 54. Have you heard any reasons against fluoridating the water supply? Yes . (ASK A & B) . 1 18/9 No •• . 2 IF YES: A. What are they? (PROBE: Any others?)
B. Do you agree with any of them? (Which ones?)
ASK EVERYONE: 55. How many permanent teeth have you had pulled or lost--not counting wisdom teeth- (none, a few, several, about half; most, or all)? None ... · 1 19/9 Few (1-3) 2 Several (4-9) . 3 About half (10-20) . 4 Most (21-28) 5 All (SKIP TO Q. 58). 6
56. Did you brush your teeth yesterday? Yes (ASK A) • . 1 20/9 No . . 2
A. IF YES: When did you brush your teeth yesterday? READ CATEGORIES ONLY AS A PROBE. RECORD VERBATIM, THEN CODE AS MANY AS APPLY.
Before going to bed ...... 1 21/9 After waking (bef6re breakfast) 2 22/9 After breakfast 3 23/9 After lunch . 4 24/9 After supper 5 25/9 Before "going out" 6 26/9 After snacks . . . . · 7 27/9 Other .... · 8 28/9 29/ 30/ 31/ o -20- DECK 04 57. Do you ever do anything besides toothbrushing to clean your teeth? Yes (ASK A & B) •• 1 32/9 No • (GO TO Q. 58) . 2 IF YES: A. What do you use (or do)? RECORD VERBATIM, THEN CODE AS MANY AS APPLY. Floss • · · · 1 33/9 Toothpick · ·· · 2 34/9 Waterpick • ·· 3 35/9 Disclosing wafer (tablet) • 4 36/9 Mouth wash ·· · · 5 37/9 Rinse after eating 6 38/9 Gum massager · 7 39/9 Other . · ·· · · 8 40/9 41/ 42/ 43/ B. ASK FOR EACH MENTIONED IN A: I Yes No Did you (use) (ITEM) yesterday? Floss 1 2 44/9 Toothpick 1 2 45/9
Waterpick 1 2 46/9
Disclosing wafer 1 2 47/9
Mouth wash 1 2 48/9
Rinse after eating 1 2 49/9
Gum massager 1 2 50/9
Other (ITEM) 1 2 51/9
ASK EVERYONE: 58. When was the last time you went to a dentist? If your last visit was part of a series, when was the ~ visit which started this series? READ CATEGORIES ONLY AS A PROBE. CIRCLE ONE CODE ONLY. Sometime from January, 1971 to now (within the last year) . . · 1 52/9 Sometime from January', 1970 to December, 1970 (between 1 and 2 years ago) ···· 2 Sometime from January, 1969 to December, 1969 (oetween 2 and 3 years ago) · · · · · . .. . · 3 Longer than 3 years ago (before January, 1969) . 4 Have never been to a dentist (SKIP TO Q. 65.) 5 -21- DECK 04 59. How did you happen to see the dentist at that time? We w&nt to know the main reason why you went to the dentist, ~ what the dentist did when you were in his office. CIRCLE ONE CODE ONLY, FOR MAIN REASON.
ND A. I went to get my teeth cleaned . . 1 53/9 CARD ~D . B. My teeth or gums bothered me (ached, hurt) ££ I thought something was wrong 2
C. It was time to see the dentist for a check-up (went either on my own, or because of a phone call or card from the dentist) . . . 3
D. I wanted to get some specific work done 4
E. If you went for some other reason, why did you go? (RECORD BELOW) ...• . . 5
60. Has a dentist ever had someone else in his office do any of these things for you? ASK AND CODE EACH ITEM.
Yes No Don't l know A. Take X-rays? 1 2. 3 54/9
B. Clean your teeth? 1 2 3 55/9
C. Explain how to take care of your teeth 1 2 3 (or dentures)? 56/9
D. Explain how to take care of your gumsi. 1 2 3 57/9
E. Apply medicines on the surface of your 1 2 3 teeth or gums? 58/9
F. Fill your teeth, after the dentist did the drilling? 1 2 3 59/9 e -22- DECK 04 61. Would you be satisfied or not if a dentist had someone else do each of these tasks? ASK AND CODE EACH ITEM.
No teeth, Not Makes no Don't Satisfied Doesn't satisfied difference know apply
A~ Take X-rays? 1 2 3 4 60/9
B. Clean your teeth? 1 2 3 4 5 61/9
C. Explain how to take care of your 1 2 3 4 62/9 teeth (or dentures)?
D. Explain care of your gums? 1 2 3 4 63/9
E. Apply medicines on the surface 1 2 3 4 64/9 of your teeth or gums?
F. Fill your teeth, after the den- I 2 3 4 tist does the drilling? 5 65/9
62. Has anyone' in a dentist's office--either the dentist or someone e1se--ever shown you how to find out whether or not you get your teeth completely clean after you brush?
Yes, they have .• (ASK A) . • 1 66/9 No, they have not (GO TO Q.63) 2
A. IF YES: How often do you check whether your teeth are completely clean? Daily. . . .. (ASK [ 1]) · 1 67/9 Several times a week (ASK [ 1]) · 2 Once a" week • (ASK [ 1]) · 3 Several times a month • (ASK [ 1]) 4 Once a month .... (ASK [1]) 5 Less than once a month (ASK [1]) 6 Never • . . (GO TO Q. 63) .. . . · 7 [ 1] IF EVER CHECKS: How do you check? RECORD VERBATIM AND CIRCLE ONE CODE.
Disclosing tablet or wafer 1 68/9 Probing or scraping (floss or pick) •• 2 Other . 3 -23- BEGIN DECK 05
63. Do you have a regular dentist now? Yes . 1 07/9 No •• • • 2
64. How many persons who are not dentists does (your regular dentist/the dentist you last saw) have helping him?
None · • 1 0.8/9 One 2 Two • • 3 Three ••••••• 4 Four or more ••• 5
Don I t know • 6
ASK EVERYONE. 65. Some people say that one way to give people more dental care at reasonable costs is to have specially-trained assistants do some of the work dentists usually do. After your dentist has decided what treatment you need, would you be willing to have a specially-trained assistant give you the necessary treatment and follow-up care, or would you want the dentist to do it himself? Willing for assistant . 1 09/9 Wants dentist himself 2 Don't know · • 3
66. Suppose dental care were available to you by dentists who practice together. Group practice can be of several types. Would you go or would you not go for your dental care under the following conditions? CIRCLE ONE CODE FOR EACH STATEMENT.
Would not go A. First, suppose all the dentists in a group practice are general practitioners, 1 2 3 and you can choose one dentist from the 10/9 group to do all your dental work.
B. What if all the dentists are general practitioners, and you are treated by 1 2 3 11/9 . whichever dentist is available when you come in?
C. Suppose that most work is done by one general practitioner you choose from 1 2 3 12/9 the group, but some work is done by dental specialists in the group. -24- DECK 05 o
67. A. Have you ever gone to a dentist in a public clinic? Yes · 1 13/9 No • • 2 Don't know · 3 B. Have you ever gone to a dentist in a private group practice? Yes 1 14/9· No • • 2 Don't know • • 3
68. Do you think dentists will provide better dental care for everyone if they are paid a flat monthly salary, paid according to the amount of treatment they give their patients, or do you think how a dentist is paid doesn't affect the kind of care he provides? Flat monthly salary 1 15/9 According to treatment 2
How paid doesn't affect care I. 3 DonIt know • ...... · 4
69. Is there any way you can know whether or not a dentist is giving you good care? Yes (ASK A) 1 16/9 No •• 2
A. IF YES: How can you know? (PROBE: What other way?) RECORD VERBATIM AND CODE ALL THAT APPLY • . 1r donit have any pcoblems (no toqth aches, no decay? have own teeth). • 1 17/9 By how carefully he checks . 2 18/9 Don't have to have same work done over 3 19/9 Other . .. "" • . • . • • 4 20/9 21/ 22/ 23/
70. Do you (or your [husband/wife]) have some plan that covers.at least some of the costs of dental care for you (or any of your family)? If so, is it individual insurance, a prepaid group plan, a government program, or what? CIRCLE ONE CODE. Yes, individual insurance 01 24-25/99 Yes, prepaid group plan 02 Yes, government (public) program 03 Yes, other (SPECIFY) •.•. 04
No 05 Don't know 06 -25- DECK 05
71. If a national health program supported by the federal government is adopted, in your opinion, should dentistry be included or not be included? Included .. 1 26/9 Not included 2 Don't know .• • • 3
72. If a national health plan were adopted, should it cover everybody or just certain groups? Everybody 1 27/9 Certain groups (ASK A) · . 2 Don't know. . · . 3 A. IF CERTAIN GROUPS: Which groups should be covered? CODE ALL THAT APPLY. Low income persons 1 28/9 All children .• 2 29/9 All old people .. 3 30/9 Children in low-income families .• 4 31/9 Old people with low-income 5 32/9 Other (SPECIFY) • . • • . . .• 6 33/9
Don't know • • • ...... 7 34/9 35/ 36/ 37/
73. Who should pay for a national hea Lch plan? CIRCLE ONE CODE. Employee and employer 01 38-39/99 Government pay all 02 Employee and government 03 Employee, government, and employer 04 Other combinations (SPECIFY) 05
All equally good 06 Don't know 07
74. If dental care were included under a national health program, would you use the services or not use them, if the care was provided by .. READ EACH CATEGORY, CODE ONE FOR EACH. Would Would not Don't use use know A. Dentists in public clinics 1 2 3 40/9
B. Private dentists in their own offices 1 2 3 41/9
C. Private dentists practicing in a group 1 2 3 42/9 -26- DECK o? r 75. Do you agree or disagree with each of the following statements about including dental care in any government health plan? READ STATEMENTS, CODE ONE FOR EACH. Strongly I I~:I a ree A. It will allow people of low or moderate income to get 1 2 3 4 5 43/9 better dental care.
B. It will result in too much government regulation of 1 2 3 4 5 44/9 dental care.
C. It will encourage private insurance to cover more people 1 2 3 4 5 45/9 if the government helps pay some insurance costs.
D. It will keep dental costs 1 2 3 4 5 46/9 from rising too fast.
E. It will provide all people with access to high-quality 1 2 3 4 5 47/9 denta1 care.
F. It will mean a longer wait 1 2 3 4 5 48/9 to see the dentist.
G. It will increase taxes too 1 2 3 4 5 49/9 much.
76. Have you heard or read about dental plaque? Yes (ASK A) • 1 50/9 No .. . 2
A. IF YES: Can you tell me what it is? RECORD VERBATIM, AND CODE ONE. Tartar, film, bUild-up, coating on teeth 1 51/9
Other .; .. • • 2 Don't know . 3 -27- BEGIN DECK 06
77. Have you ever heard or read about gum diseases (gum trouble)? Yes • (ASK A-C) 1 07/9 No (GO TO Q. 78) 2 IF YES: A. What are some of the symptoms? (PROBE: How would you know that you had it?) RECORD VERBATIM AND CODE AS MANY AS APPLY. Gums red in color 1 08/9 Swollen gums/tenderness, soreness of gums • • 2 09/9 Bleeding gums 3 10/9 Receeding gums . 4 11/9 Loose teeth 5 12/9 Plaque or tartar • 6 13/9 Other .0. • 7 14/9 Don't know. 8 15/9 16/ 17/ 18/ 19/ 20/ 21/ B. Have you ever had gum trouble? Yes (ASK [1-3]) 1 22/9 No • • (GO TO C) 2 IF YES TO B: [1] What was it called? DO NOT READ CATEGORIES. CIRCLE ONE CODE ONLY. Trench mouth 01 23-24/99 Pyorrhea . • 02 Gingivitis 03 Perio or periodontal disease • 04 Other (SPECIFY) • • • • • 05
Don't know •• • . • 06 [2 ] How did you know you had it--did a dentist tell you, someone else in the dental office, or did you recognize it yourself? CODE AS MANY AS APPLY. Dentist 1 25/9 Someone else in dental office 2 26/9 Myself .•.•• 3 27/9 28/ 29/ 30/ [3] Have you ever been treated Yes 1 31/9 for gum trouble? No • 2 Don't know 3
[part C. on next pagel -28-
77. (Continued) C. Can you tell me any of the things that can be done to prevent gum trouble? (What else?) RECORD VERBATIM, CODE AS MANY AS APPLY. Check-ups . . . · 1 32/9 Medicine or drugs .. . 2 33/9 Teeth cleaning (se1£) 3 34/9 Teeth cleaning (professiona1) 4 35/9 Diet (Nutrition) · . .. 5 36/9 Other ..... · 6 37/9
Don't know ...... 7 38/9 39/ 40/ 41/
78. Thinking over the dental care you (and your family) have received over the past few years, how satisfied have you been with each of the following? READ STATEMENTS, CODE ONE FOR EACH. Very Very Does Satis- Unsatis- satis- unsatis- not fied fied I~:I fied fied auulv A. Overall quality of dental 1 2 3 4 5 42/9 care received
B. Waiting time in dental 1 2 3 4 5 43/9 clinic
C. Waiting time in dental 1 2 3 4 5 office 44/9
D. Ease and convenience of get ting to dentist from where 1 2 3 4 5 45/9 you live
E. Out-of-pocket costs of 1 2 3 4 5 46/9 dental care received
F. Follow-up reminders about 1 2 3 4 5 next dental appointment 47/9
G. Concern of dentists for your overall health, not just for 1 2 3 4 5 48/9 your dental health
H. Information you have been able to obtain to help you 1 2 3 4 5 49/9 choose a dentist o -29- BEGIN DECK 07
Now I have a few questions on a completely different subject.
79. A. If you were helping a child choose an activity for his or her lifetime ~njoyment, which one of these would be your first choice? CODE FIRST CHOICE IN COL. A, BELOW.
B. And which one would be your second choice? CODE IN COL. B, BELOW.
A. B. First Second ~C~RD choice choice (a) A collecting hobby--like stamps or coins ... 1 07/9 1 08/9
(b) Painting or drawing 2 2
(c) Playing a musical instrument 3 3
(d) Crafts--like weaving or ceramics 4 4 (e) Photography .. ·· 5 5 (f) Sports or athletics--like swimming or tennis . . . · · 6 6
80. Many schools offer programs or activities which students may choose to participate in.
A. Which one of these would you consider most important to a child's development? CODE IN COL. A, BELOW.
B. And which one would you consider second most important? CODE IN COL. B, BELOW. A. B. Most Second important most
(a) Arts and crafts 1 09/9 1 10/9
(b) Language clubs 2 2
(c) Drama club . 3 3
(d) Band or orchestra 4 4
(e) School paper or yearbook 5 5 (f) Sports program . · · 6 6 -30- DECK 070
81. Do you (or does anyone in the household) play Yes (ASK A-D) 1 11/9 a mus ica1 instrument? No 2 IF YES: A. Who in the household plays a musical instrument? (Anyone else?) RECORD UNDER "A" ON LIN~(S) BELOW, IN TERMS OF ''RESPONDENT'' OR RELATIONSHIP TO RESPONDENT. B. What is the sex and age of each of these persons? 'CODE SEX, AND ENTER AGE FOR EACH PERSON UNDER "B" BELOW. C. ASK FOR EACH PERSON: What instrument (do you/does [PERSON]) play? (Do you/Does [he/she]) p~ay any other instruments? REFER TO INSTRUMENT CODE BELOW AND WRITE IN APPROPRIATE CODE(S) ON EACH PERSON'S LINE UNDER "c" BELOW. ENTER NO MORE THAN THREE INSTRUMENTS FOR EACH PERSON, IN ORDER NAMED. D. ASK FOR EACH PERSON. AND FOR EACH INSTRUMENT PERSON PLAYS: Did (you/[PERSON]) play (INSTRUMENT) six or more times in the past year, 1971? CODE FOR EACH INSTRUMENT ON PERSON'S LINE , IN COL D BELOW. . ~.- ~ . . .. A. B. C. D. Instrumeritls) Six or more times in Sex 2nd 3rd 1971 ? Who plays? Age 1st Named Named Named 1st 2nd 3rd M F Code If Code If Code If Yes No Yes No Yes No
01 1 2 . 1 2 1 2 1 2
12/ 13/9 14-15/ 16-17/ 18-19/ 20-21/ 22/9 23/9 24/9
02 1 2 1 2 1 2 1 2
251 26/9 27-281 2t)-301 31-321 33-34/ ''''/9 36/9 37/t)
03 1 2 1 2 1 2 1 2
38/ 39/9 40:41/ 42-43/ 44-45/ 46-47/ 48/9 49/9 50/9
04 1 2 1 2 1 2 1 2
51/ 52/9 53-54/ 55-56/ 57-58/ 59-60/ 61/9 .62/9 63/9 . 05 1 2 1 2 1 2 1 2
64/' 65/9 66-67/ 68-69/ 70-71/ 72-73/ 74/9 75/9 76/9
INSTRUMENT CODES Accordion. . 01 Cornet · . 13 Harmonica 25 Tambourine 39 Autoharp(Zither)· 02 Double bass· · Hunting horn. 26 Trombone • 40 Banjo. . 03 (Contrabass) 11 Lute 27 Trumpet · 41 Baritone · Drums · 14 Lyre 28 Tuba . 42 (Euphonium) 04 English horn · 15 Mandolin 29 Ukulele · ·• 43 Bassoon . 05 Euphonium · · Marimba 30 Viola . 44 Bongo drums 06 (Baritone) . 04 Me10dica· · 31 Violin 45 Bugle • . · . 07 Fife . · · 16 Oboe · 32 Violoncello · · Cello · Flageolet· · · 17 Organ • · 33 (Cello) . 08 (Violoncello) 08 Flute .. · 18 Piano . · 34 Xylophone . ·· 46 Clarinet 09 French horn . · · 19 PJ.ccolo · · · 35 Zither ·· · 02 Clavichord '. 10 Guitar(Acoustic) 20 Recorder · 36 (Autoharp) . · Contrabass Guitar(E1ectric) 21 Saxoph.one · 37 OTHER (SPECIFY) · · 47 .(Stringed bass, Glockenspiel · 22 Sousaphone 38 double bass) 11 Harp • ·· 23 Stringed bass Contrabassoon • 12 Harpsicord · · 24 (Double bass)11 -31- BEGIN DECK 03
Now a few more questions about yourself .
ASK Q. 82 ONLY IF RESPONDENT· IS CURRENTLY EMPLOYED.
82. On the whole, how satisfied are you with the work you do--would you say you are . very satisfied, moderately satisfied, a little dissatisfied, or very dissatisfied? Very satisfied .... 1 Moderately satisfied . 2 A little dissatisfied 3 Very dissatisfied 4 Don't know . 8
- ASK EVERYONE: 83. A. We are interested in how people are getting along financially tbese days. So far as you and your fam·ily· are concerned, would you say that you are pretty well satisfied with your present financial situation, more or less satisfied, or not satisfied at all? Pretty well satisfied 1 08/.9 More or less satisfied 2 Not satisfied at all 3 Don't know ... 8
B. During the last few years, has your financial situation been getting better, getting worse, or has it stayed the same? Getting better 1 09/9 Getting worse 2 Stayed the same 3 Don't know 8
84. Compared with American families in genera1, would you say your fami.ly income is--far below average, below average, average, above average, or far above average? (PROBE: Just your best guess.) Far below average 1 10/9 Below average 2 Average·. . . 3 Above average 4 Far above average. 5 Don't know .. .• 8
85. Taken. a 11 together, how would you say things are these days--would you say that you. are very happy, pretty happy, or not too-happy?
Very happy 1 11/9
Pretty happy 2
Not too happy 3 -32- DECK 03 o 86. Now in 1968, you remember that Humphrey ran, for President on the De~ocratic ticket against Nixon for the Republicans, and Wallace as an Independent. Do you remember for sure whether or not you voted in that election?
Voted ..... (ASK A) 1 12/9 Did not vote . (ASK B) 2 Ineligible (ASK B) 3 Refused . • . . • • 4 Don't know/don't remember. 8
A. IF VOTED: Did you vote for Humphrey, Nixon, or Wallace?
Humphrey 1 13/9 Nixon. .. 2 Wallace. 3 Other. • 4 Don't know/don't remember 8
B. IF DID NOT VOTE:
14/9
87. How often do you read the newspaper--every day, a few times a week, once a week, less than once a week, or never? Every day . . . . 1 15/9 A few times a week 2 Once a week 3 Less than once a week 4 Never ...... 5 ) \ -33- DECK 03 88. Generally speaking, do you usually Republican (ASK A)· 1 16/9 think of yourself as a Republican, Democrat. (ASK A) 2 Democrat, Independent, or what? Independent (ASK B) 3 Other (GO TO Q.89) 4
A. IF REPUBLICAN OR DEMOCRAT: Would you call yourself a strong (Republicanl Democrat) or not a very strong (Republican/ Democrat)? Strong •• ." . 1 17/9 Not very strong 2
B. IF INDEPENDENT.: Do you think of yourself as closer to the Republican or Democratic Party? Republican 3 18/9 Democratic 4 Neither .. 5
89. What is your religious Protestant (ASK A) 1 19/9 preference? Is it Protestant, Catholic 2 Catholic, Jewish, some other religion, or no religion? Jewish 3 None 4 Other (SPECIFY RELIGION AND OR CHURCH AND DENOMINATION) 5
A. IF PROTESTANT: What spe~ific denomina Baptist • 1 20/9 tion is that, if any? Methodist 2 Lutheran 3 Presbyterian 4 Episcopa lian 5 Other (SPECIFY) 6
No denomination given or non-denominational church 7
90. How often do you attend religious services? USE CATEGORIES AS PROBES, IF NECESSARY. Several times a week 01 21-22/99 Every week 02 Nearly every week . 03 2-3 times a month . 04 About once a month 05 Several times aye~r 06 About once or twice a year 07 Less than once a year 08 Never ...... 09 C> -34- DECK 03 "' Now just a few more background questions.
91. ASK ALL PARTS OF QUESTION ABOUT RESPONDENT BEFORE GOING ON TO AS~ ABOUT R' S FATHER: AND mEN R' S WTHER; THEN R' S SPOUSE, IF R IS CURRENTLY MARRIED.
A. What is the highest grade in elementary school or highschool that (you/ R'·S FATHER R'S MOTHER, your fa~er/your mother/ RESPONDENT (FATHER (MOmER R'S SPOUSE your [husband/wife] ) SUBSTITUTE ) SUBSTITUTE) finished and got credit for? CODE EXACT GRADE. - - - No fot'llijll schooling. • 00 23-24/99 · 00 28~29/99 • 00 34-35/99 .00 40.,;,41/99 1st grade ···· · • 01 · 01 • 01 • 01 2nd grade. · · · · · • 02 · 02 • 02 • 02 3rd grade. · · · · · .03 GO • 03 GO • 03 GO .03 TO 4th grade '. .04 04 TO • 04 TO .04 GO · · · · · Q'S · Q'S Q'S )- 5th grade. > > > TO · · · · · .05 FOR · 05 FOR ·05 FOR • 05 Q. 92 6th grade FAmER WTHER SPOUSE ··· · · · • 06 · 06 • 06 . .06 7th grade. · · · ·· .07 · 07 • 07 • 67 8th grade. · · · · · .08 08 ·08 .08 9th grade ·· · · · .09 · 09 .09 • 09 10th grade. · ·· · .1Q. .. ~ .lQ. .lQ. 11th grade · · · · · · . 12th grade • .• 12 oj . ··· · · oj• 12 GO TO B oj• 12 GO·TO B oj GO TO B • 12 GO TO B Don't know. ···· lDK.98 pK 10K B. Did (you/he/she) ever get Yes • 1 25/9 Yes 1 30/9 Yes • • 1 36/9 Yes • • 1 42/9 a high school diploma? No •• 2 No 2 No • • 2 No •• 2 DK 8 DK .•• 8 DK •• 8 -~ ~GO C. Did (you/he/she) complete No •• 0 No • 00 NEXTGO TO No • 00 . NEXTTO No • OOlGO TO one or more years of col~ (GO TO NEXT DK • 88 PERSON DK • 88 ERSON DK • ID!f Q. 92 lege for credit? PERSON) 12. TI.::E ~ 43-44 9 99 99 99 (IF YES: How many years 1 yr •.• l 1 yr•••01 1 yr.•.01 1 yr•••01 did [you/he/she] com- plete?) . 2 yrs •• 2. 2 yrs •• 02 2 yrs •. 02 2 yrs •• 02 3 yrs •• 3 3 yrs .•03 3 yrs •• 03 3 yrs •• 03 4 yrs •• 4 4 yrs .•04 4 yrs .•04 4 yrs ••04 5 yrs ••5 5 yrs •• 05 5 yrs •• 05 5 yrs •• 05 6 yrs •• 6 6 yrs ••06 6 yrs •• 06 6 yrs •• 06 7 yrs ••7 7 yrs ••07 7 yrs •• 07 7 yrs ••07 8+ yrs.8 8+ yrs.08 8+ yrs.08 8+ yrs.08 DK •••••98 DK •••••98 DK•.•••98
D. Do you (Does [he/she]) No 1 27 No • 1 33 No. •• 1 39 No •.•• 1 45 have any college '9 9 Jr. Col Jr. Col 9 Jr. Col 9" Jr. Col- degrees? (IF YES: ege . 2 ege ege •• 2 ege •• What degree?) • 2 2 Bache Bache Bache Bache- lor's. 3 lor's • j lor's 3 lor's •• 3 Gradu Gradu- Gradu Gradu ate . 4 ate ••• 4 ate • 4· ate . 4 inK •• 8 DK ••• 8 DK •• • 8 \ ~ -35- DECK 03 92. In what year were you born? ITIIJ 46-47/60
93. CODE RESPONDENT'S SEX: Male 1 48/ Female 2
94. CODE WITHOUT ASKING ONLY IF THERE IS NO DOUBT IN YOUR MIND. What race do you consider yourself? White . • 1 49/ RECORD VERBATIM AND CODE. Black 2 Other (SPECIFY) . 3
NOTE: IF YOU ASKED R' S RACE, CHECK BOX. ..0 50/
95. Thank you very much for your time and help.
May I have your name and telephone number just in case my office wants to verify this interview? TELEPHONE RESPONDENT'S NAME NUMBER: No phone .. .• • 1 51/9 Refused phone number 2
IF TELEPHONE NUMBER IS GIVEN, ASK A: A. Is this phone located in your own home? Yes ... (ASK [11 • 3 No (SPECIFY WHERE PHONE IS LOCATED) . 4
[1] IF PHONE IN HOME: Is the number for this phone listed in the phone book? Yes 5 No . 6
Thank you.
TIME INTERVIEW AM ENDED: PM 52-53/ 54/ -36- DECK 03
FILL IN THE FOLLOWING ITEMS IMMEDIATELY AFTER LEAVING RESPONDENT
A. Total length of interview: ----- minutes 55-57/999
B. Date of interview: / (Month) (Day) 58-59/ 60-61/
C. Code day of week of interview: Monday 1 62/9 Tuesday. 2 Wednesday. 3 Thursday 4 Friday 5 Saturday 6 Sunday 7 D. In genera1, what was the respondent's attitude toward the interview? U
Friendly and eager . 1 63/9
Cooperative but not particularly eager 2
Indifferent and bored 3
Hostile 4
E. Was respondent's understanding of the questions. . (CODE ONE.)
Good 1 64/9 Fair 2 Poor • 3
F. RECORD FROM SURS: PSU 4F 65-67/
SU 4F 68-71/
SURS LINE 4F:
SURS PAGE 4h
G. Interviewer's I.D. 4F: •••••• 72-76/
H. Interviewer's- signature: