New Immigrant Survey Section N - Appendum

Section N: Appendum

SPOUSE IS NOT ASKED THIS MODULE.

N1 Now I'd like to ask you about your travel plans. {IM, OS, CP-A9a not United States: Do you plan to travel back {CP-A9a not United States: with {namefill sampled child from preload firstnam} to your home country} {CP-A9a = United States: Does {namefill sampled child from preload firstnam} plan to travel back to (his/her/his or her) home country} during the next 12 months, for example to observe a national, religious, or family holiday, or any other time?

YES...... 1 [N2] NO ...... 2 [N2] DON’T KNOW...... -2 [N2] REFUSED...... -1 [N2]

N2 Do you have any other plans to travel {CP: with {namefill sampled chid from preload firstnam) }outside the United States during the next 12 months?

YES...... 1 [N3] NO ...... 2 [N4; unless N1=1: N3] DON’T KNOW...... -2 [N4; unless M1=1: N3] REFUSED...... -1 [N4; unless M1=1: N3]

N3_X [X=MONTH] What months do you think {CP: {namefill sampled child from preload firstnam}} {IM, OS: you} might be out of the country during the next 12 months? MARK ALL THAT APPLY JANUARY...... 1 [N4] FEBRUARY ...... 2 [N4] MARCH...... 3 [N4] APRIL ...... 4 [N4] MAY...... 5 [N4] JUNE ...... 6 [N4] JULY...... 7 [N4] AUGUST...... 8 [N4] SEPTEMBER...... 9 [N4] OCTOBER...... 10 [N4] NOVEMBER ...... 11 [N4] DECEMBER ...... 12 [N4] DON’T KNOW...... -2 [N4] REFUSED...... -1 [N4]

NIS-2003-1 1 November 10, 2005 New Immigrant Survey Section N - Appendum

N4. One of the main objectives of this study is to see how often new residents to the United States move and to see how easy or difficult it is to stay in touch with them over time.

The study requires that we talk to {namefill sampled child from preload firstnam} {you} again in 12 months to ask (him/her/him or her) (you) a few more questions. Because of the length of time in between each interview, we need to collect some information that will make it easier for an interviewer to reach (him/her/him or her) (you) when it is time to do the next interview. It is very important that we know where we may contact (him/her/him or her) (you) the next time. I'd like to start by asking you about your child’s current plans.

(INTERVIEWER: IF NECESSARY, REASSURE THE R OF THE CONFIDENTIALITY OF THE INFORMATION HE/SHE PROVIDES.)

{CP: Do you think that {namefill sampled child from preload firstnam} will be moving} {IM, OS: Do you have any plans to move} to another residence during the next 12 months?”

YES ...... 1 [N4a]

NO ...... 2 [N6; unless R lives alone A10=1: N8]

DON’T KNOW ...... -2 [N6; R lives alone A10=1: N8]

REFUSED -1 [N6; R lives alone A10=1: N8]

N4a When do you {CP: think {namefill sampled chid from preload firstnam} will be moving} {OS, IM: plan to move}?

1. JAN [N4b] 2. FEB [N4b] 3. MAR [N4b] 4. APR [N4b] 5. MAY [N4b] 6. JUN [N4b] 7. JUL [N4b] 8. AUG [N4b] 9. SEP [N4b] 10. OCT [N4b] 11. NOV [N4b] 12. DEC [N4b] -2. DK [N4b] -1. RF [N4b]

N4b ______(year) [N5] {4 digits; check: DOB – present + 1}

-2. DK [N5] -1. RF [N5]

N5 Do you know the address where {CP: {namefill sampled child from preload firstnam}} {IM, OS: you} will be moving?

{40 characters max} STREET ADDRESS (line 1) [N5a] -2. Don’t Know [N5a] -1 Refused [N5a]

N5a {40 characters max} STREET ADDRESS (line 2) [N5b] -2. Don’t Know [N5b]

NIS-2003-1 2 November 10, 2005 New Immigrant Survey Section N - Appendum

-1 Refused [N5b]

N5b {30 characters max} CITY [N5c] -2. Don’t Know [N5c] -1 Refused [N5c]

N5c {2 characters max} STATE [IWER: TYPE “NA” IF NON-US ADDRESS] -2. Don’t Know -1 Refused

N5C1 {30 characters max} NON-US STATE/CANTON -2 Don’t Know -1 Refused

N5d {10 characters max} ZIP/POSTAL CODE [IWER: TYPE “NA” IF NO POSTAL CODE] -2. Don’t Know [OS: N5e; IM,CP: N6; unless R lives alone A10=1: N8] -1 Refused [OS: N5e; IM,CP: N6; unless R lives alone A10=1: N8]

N5e {country picklist} 97. other [N5f] COUNTRY N6; unless R lives alone A10=1: N8] -2. Don’t Know [N6; unless R lives alone A10=1: N8] -1 Refused [N6; unless R lives alone A10=1: N8] N5f (SPECIFY: ______) {30 character limit} [N6; unless R lives alone A10=1: N8] -2. Don’t Know [N6; unless R lives alone A10=1: N8] -1 Refused [N6; unless R lives alone A10=1: N8]

N6 In order to contact you for the follow-up interviews we need the names of a few people who will always be able to put us in touch with {CP: {namefill sampled child from preload firstnam} } {IM, OS: you} in case we can't reach {CP: {namefill sampled child from preload firstnam} } {IM, OS: you} at {IM, OS: your} home.

I'd like to get the name of someone currently living {IM, OS: with you but who is likely to stay there if you move} {CP: here who will likely be here even if {namefill sampled child from preload firstnam} moves}?

Could you please give me the name of someone currently living with you likely to stay there if you move?

1. PERSON ON HOUSEHOLD ROSTER {Household Roster} [N8] 95. PERSON NOT ON ROSTER [N7a] 96. N/A, ENTIRE HOUSEHOLD WOULD MOVE [N8] -2. DON'T KNOW [N8] -1. REFUSED [N8]

N7a Could I please get the first and last name of someone who is likely to stay at the {IM, OS: same address} {CP: here} even if {CP: (namefill sampled child from preload firstnam)} {IM, OS: you} move {CP: s}?

ADD NAME [N7a1]

-2. DON’T KNOW {N8] -1. REFUSED [N8]

NIS-2003-1 3 November 10, 2005 New Immigrant Survey Section N - Appendum

N7a1 FIRST NAME [N7a2] {40 characters max}

N7a2 LAST NAME [N7bc] {40 characters max2}

N7c What is this person's relationship to you? (For example, parent, grandparent, aunt, sister, friend, employer, etc.) {Automatically filled in by program without asking if person on household roster}

1. RELATIONSHIP {Relationship Pick List} {A15_XX on HH Roster} [N8] 97. OTHER (SPECIFY) [N7d] N7d (SPECIFY: ______) {30 character limit} [N8] -2. DON'T KNOW [IM,OS:N8; CP:N7e] -1. REFUSED [IM,OS:N8; CP:N7e]

N7e {IM}{OS} What is this person's relationship to {namefill sampled child from preload firstnam}? (For example, parent, grandparent, aunt, sister, friend, employer, etc.) 1. RELATIONSHIP {Relationship Pick List} [N8] 97. OTHER (SPECIFY) [N7f] N7f (SPECIFY: ______) {30 character limit} [N8] -2. DON'T KNOW [N8] -1. REFUSED [N8]

NIS-2003-1 4 November 10, 2005 New Immigrant Survey Section N - Appendum

N8_X Now I'd like to get the name of a friend or relative who does not live {IM, OS: with you} at this address but who resides in the United States and who will know how to get in touch with {CP: {namefill sampled child from preload firstnam} } {IM, OS: you} in case {CP: {namefill sampled child from preload firstnam} } {IM, OS: you} move {CP: s}.

{40 characters max} FIRST NAME [N8a_X] -2. Don’t Know [N8a_X] -1 Refused [N8a_X]

N8a_X {40 characters max} FAMILY NAME/SURNAME [N8b_X] -2. Don’t Know [N8b_X] -1 Refused [N8b_X]

N8b_X {40 characters max} STREET ADDRESS (line 1) [N8c_X] -2. Don’t Know [N8c_X] -1 Refused [N8c_X]

N8c_X {40 characters max} STREET ADDRESS (line 2) [N8d_X] -2. Don’t Know [N8d_X] -1 Refused [N8d_X]

N8d_X {30 characters max} CITY [N8e_X] -2. Don’t Know [N8e_X] -1 Refused [N8e_X]

N8e_X {2 characters max} STATE [N8f_X] -2. Don’t Know [N8f_X] -1 Refused [N8f_X]

N8f_X {5 characters max} ZIP CODE [N8g_X] -2. Don’t Know [N8g_X] -1 Refused [N8g_X]

N8g_X {3 characters max} AREA CODE [N8h_X] -2. Don’t Know [N8h_X] -1 Refused [N8h_X]

N8h_X {10 characters max} TELEPHONE NUMBER -2. Don’t Know [N8i_X] -1 Refused [N8i_X]

N8i_X {80 characters max} E-MAIL ADDRESS [if N6 does not = 1, -2, or –1 and R does not live alone (A10 does not equal 1), or in the second loop: N9; if in first loop and R lives alone (A10=1) or N6=1, -2, or -1: N8_2] -2. Don’t Know [if N6 does not = 1, -2, or –1 and R does not live alone (A10 does not equal 1), or in the second loop: N9; if in first loop and R lives alone (A10=1) or N6=1, -2, or -1: N8_2]

NIS-2003-1 5 November 10, 2005 New Immigrant Survey Section N - Appendum

-1. Refused [if N6 does not = 1, -2, or –1 and R does not live alone (A10 does not equal 1), or in the second loop: N9; if in first loop and R lives alone (A10=1)or N6=1, -2, or -1: N8_2]

N9 What is this person's relationship to you (for example, parent, grandparent, aunt, sister, friend, employer, etc.)?

RELATIONSHIP {Relationship Picklist} [N10] OTHER...... 97 [N9b] DON’T KNOW ...... -2 [IM, OS: N10; CP: N9c] REFUSED ...... -1 [IM, OS: N10; CP: N9c]

N9b (SPECIFY: ______) {30 character limit} [IM,OS:N10; CP:N9c] -2. DON'T KNOW [IM,OS:N10; CP:N9c] -1. REFUSED [IM,OS:N10; CP:N9c]

N9c {OS}{IM} What is this person's relationship to {namefill sampled child from preload firstnam} (for example, parent, grandparent, aunt, sister, friend, employer, etc.)? RELATIONSHIP {Relationship Picklist} [N10] OTHER 97 [N9d] DON’T KNOW ...... -2 [N10] REFUSED ...... -1 [N10]

N9d (SPECIFY: ______) {30 character limit} [N10] -2. DON'T KNOW [N10] -1. REFUSED [N10]

N10 I would also like to get the name, address and phone number of a friend or relative in {IM, OS: your} {CP: {namefill sampled child from preload firstnam}’s} home country (or in another country), who will know how to get in touch with {CP: {namefill sampled child from preload firstnam} {IM, OS: you in case you move}.

{40 characters max} FIRST NAME [N10a] -2. Don’t Know [N10a] -1 Refused [N10a]

N10a {40 characters max} FAMILY NAME/SURNAME [N10b] -2. Don’t Know [N10b] -1 Refused [N10b]

N10b {40 characters max} STREET ADDRESS (line 1) [N10c] -2. Don’t Know [N10c] -1 Refused [N10c]

N10c {40 characters max} STREET ADDRESS (line 2) [N10d] -2. Don’t Know [N10d] -1 Refused [N10d]

N10d {30 characters max} CITY [N10e]

NIS-2003-1 6 November 10, 2005 New Immigrant Survey Section N - Appendum

-2. Don’t Know [N10e] -1 Refused [N10e]

N10e {2 characters max} STATE [N10e1] [IWER: TYPE “NA” IF NON-US ADDRESS] -2. Don’t Know [N10e1] -1 Refused [N10e1]

N10e1 {30 characters max} NON-US STATE/CANTON N10f {country picklist} 97. other [N10f1] COUNTRY [N10g] -2. Don’t Know [N10g] -1 Refused [N10g] N10f1 (SPECIFY: ______) {30 character limit}[N10h] -2. Don’t Know [N10h] -1 Refused [N10h]

N10g {10 characters max} ZIP CODE [N10h] [IWER: TYPE “NA” IF NO POSTAL CODE] -2. Don’t Know [N10h] -1 Refused [N10h]

NIS-2003-1 7 November 10, 2005 New Immigrant Survey Section N - Appendum

N10h {3 characters max} AREA CODE [N10i] -2. Don’t Know [N10i] -1 Refused [N10i]

N10i {7 characters max} TELEPHONE NUMBER [N10j] -2. Don’t Know [N10j] -1 Refused [N10j]

N10j {80 characters max} E-MAIL ADDRESS [N11] -2. Don’t Know [N11] -1 Refused [N11]

N11 What is this person's relationship to you (for example, parent, grandparent, aunt, sister, friend, employer, etc.)?

RELATIONSHIP {Relationship Roster} [IM,OS: N12; CP:N11b] OTHER SPECIFY 97 [N11a] DON’T KNOW ...... -2 [IM,OS: N12; CP:N11b; IM,OS: unless R unemployed C1=2, 5, or 6: N15] REFUSED ...... -1 [IM,OS: N12; CP:N11b; IM,OS:unless R unemployed C1=2, 5, or 6: N15]

N11a (SPECIFY: ______) {30 character limit} [N11b] -2. DON'T KNOW [N11b] -1. REFUSED [N11b]

N11b {OS}{IM} What is this person's relationship to {namefill sampled child from preload firstnam} (for example, parent, grandparent, aunt, sister, friend, employer, etc.)?

RELATIONSHIP {Relationship Picklist} 1 [N12:unless R unemployed C1=2, 5, or 6: N15] OTHER 97 [N11c] DON’T KNOW ...... -2 [N12:unless R unemployed C1=2, 5, or 6: N15] REFUSED ...... -1 [N12:unless R unemployed C1=2, 5, or 6: N15] N11c (SPECIFY: ______) {30 character limit} [N12:unless R unemployed C1=2, 5, or 6: N15] -2. DON'T KNOW [N12:unless R unemployed C1=2, 5, or 6: N15] -1. REFUSED [N12:unless R unemployed C1=2, 5, or 6: N15]

N12 May we have your permission for an interviewer to contact you at your place of employment in order to schedule an appointment for the next interview. (We will not conduct the interview at work, however).

YES...... 1 [N14] NO ...... 2 [N15] Don’t Know ...... -2 [N15] Refused ...... -1 [N15]

NIS-2003-1 8 November 10, 2005 New Immigrant Survey Section N - Appendum

N14 May I have the name, address and telephone number of your current employer?

{40 characters max} EMPLOYER NAME [N14a] -2. Don’t Know [N14a] -1 Refused [N14a]

N14a {40 characters max} STREET ADDRESS (line 1) [N14b] -2. Don’t Know [N14b] -1 Refused [N14b]

N14b {40 characters max} STREET ADDRESS (line 2) [N14c] -2. Don’t Know [N14c] -1 Refused [N14c]

N14c {30 characters max} CITY [N14d] -2. Don’t Know [N14d] -1 Refused [N14d]

NIS-2003-1 9 November 10, 2005 New Immigrant Survey Section N - Appendum

N14d {2 characters max} STATE [N14e] -2. Don’t Know [N14e] -1 Refused [N14e]

N14e {picklist} COUNTRY [N14f] -2. Don’t Know [N14f] -1 Refused [N14f] 97. Other Specify [N14e1]

N14e1 OTHER SPECIFY ______-2. Don’t Know [N14f] -1 Refused [N14f]

N14f {5 characters max} ZIP CODE [N14f1] -2. Don’t Know [N14f1] -1 Refused [N14f1]

N14f1 {3 characters max} AREA CODE [N14f2_X] -2. Don’t Know [N14f2_X] -1 Refused [N14f2_X]

N14f2 {7 characters max} TELEPHONE NUMBER [N14g] -2. Don’t Know [N14g] -1 Refused [N14g]

N14g {80 characters max} E-MAIL ADDRESS [N15] -2. Don’t Know [N15] -1 Refused [N15]

N15 I need to verify your current address. I have your address as: {display current address: street, city, state,zipcode and country}.

Is that correct?

1. Yes [N15g] 2. No [N15a] -2. Don’t Know [N15a] -1. Refused [N15a]

N15a Could I please have your current address? {Program will re-display street address, city, state and zipcode and country and allow updating of all fields, while leaving untouched fields intact. Interviewer should not be allowed to leave the screen unless all fields are completed, except for second line of street address}

{40 characters max} STREET ADDRESS (line 1) [N15b] -2. Don’t Know [N15b] -1 Refused [N15b]

NIS-2003-1 10 November 10, 2005 New Immigrant Survey Section N - Appendum

N15b {40 characters max} STREET ADDRESS (line 2) [N15c] -2. Don’t Know [N15c] -1 Refused [N15c]

N15c {30 characters max} CITY [N15d] -2. Don’t Know [N15d] -1 Refused [N15d]

N15d {2 characters max} STATE [N15e] -2. Don’t Know [N15e] -1 Refused [N15e]

N15e {picklist} COUNTRY [N15f] -2. Don’t Know [N15f] -1 Refused [N15f] 97. OTHER SPECIFY [N15e1]

N15e1 OTHER SPECIFY ______-2. Don’t Know [N15f] -1 Refused [N15f]

N15f {5 characters max} ZIP CODE [N15g] -2. Don’t Know [N15g] -1 Refused [N15g]

N15g Could I please have your current telephone number?

{3 characters max} AREA CODE [N15h] -2. Don’t Know [N15h] -1 Refused [N15h]

N15h {10 characters max} TELEPHONE NUMBER [N15i] -2. Don’t Know [N15i] -1 Refused [N15i]

N15i Do you have an e-mail address where I can reach you?

{80 characters max} E-MAIL ADDRESS [N16]

N16. Surveys of American citizens typically ask questions on ethnicity and race. How would you answer these questions? Do you consider yourself to be Hispanic or Latino? [INTERVIEWER: A person of Cuban, Mexican, Puerto Rican, South or Central American, or other Spanish culture or origin, regardless of race.]

1. YES [N17] 2. NO [N17] -2. DON'T KNOW [N17] -1. REFUSED [N17]

NIS-2003-1 11 November 10, 2005 New Immigrant Survey Section N - Appendum

N17_X. What race do you consider yourself to be? Select one or more of the following. [INTERVIEWER: CODE ALL THAT APPLY.]

1. American Indian or Alaska Native [INTERVIEWER: A person having origins in any of the original peoples of North, Central, or South America, and who maintains tribal affiliation or community attachment.] [N18] 2. Asian [INTERVIEWER: A person having origins in any of the original peoples of the Far East, Southeast Asia, or the Indian subcontinent including, for example, Cambodia, China, India, Japan, Korea, Malaysia, Pakistan, the Philippine Islands, Thailand, and Vietnam.] [N18] 3. Black, Negro or African American [INTERVIEWER: A person having origins in any of the black racial groups of Africa.] [N18] 4. Native Hawaiian or Other Pacific Islander [INTERVIEWER: A person having origins in any of the original peoples of Hawaii, Guam, Samoa, or other Pacific Islands.] [N18] 5. White [INTERVIEWER: A person having origins in any of the original peoples of Europe, the Middle East, or North Africa.] [N18] -2. DON'T KNOW [N18] -1. REFUSED [N18]

[INTERVIEWER: PRESS {ENTER} TO CONTINUE]

THANK YOU

END OF INTERVIEW

NIS-2003-1 12 November 10, 2005