NATIONAL LONGITUDINAL SURVEY 2003 WOMEN

VERIFY THAT YOU HAVE THE CORRECT CASE AND SYSTEM DATE.

CHECK ITEM: TO DETERMINE NEXT ACTION IF CASE HAS BEEN OPENED AND THEN CLOSED

INTERVIEWER: CHOOSE ONE CATEGORY.

INTERVIEWER: DO NOT READ TO THE RESPONDENT

RESPONDENT MUST BE PRESENT, IF PROXY IS USED. IF THE R IS INSTITUTIONALIZE AND INCAPABLE OF CONDUCTING AN INTERVIEW, DO NOT USE A PROXY.

Introduce yourself, show ID

Ask to speak with [FILL I-NAME]

INTERVIEWER: DO NOT READ TO RESPONDENT

IF THE R IS NOT IN A GROUP HOME AND THERE IS A PROXY PRESENT, INTERVIEW THE PROXY. IF THE R IS IN A GROUP HOME AND YOU ARE CONCERNED ABOUT HER ABILITY TO DO THE INTERVIEW, DO NOT DO A PROXY INTERVIEW.

Do you want to continue with the proxy interview?

INTERVIEWER: ENTER REASON FOR PROXY.

INTERVIEWER: DO NOT USE PROXY FOR ANY OTHER REASON THAN SAMPLE PERSON IS MENTALLY OR PHYSICALLY INCAPABLE. IF NEITHER OF THOSE REASONS ARE APPLICABLE, CASE IS NONINTERVIEW. CHOOSE "3" TO GO TO NONINTERVIEW REASONS.

What is your name?

What is your relationship to [FILL I_NAME]?

What is your telephone number?

CHECK ITEM: CHECK INPUT, IS R PART OF THE INCENTIVE EXPERIMENT? IF SO WHAT DOLLAR AMOUNT THAT WILL BE GIVEN?

INTERVIEWER: DO NOT READ TO RESPONDENT

THIS RESPONDENT IS ELIGILBE FOR A [FILL TEMP2] DEBIT CARD

INTERVIEWER: EXPLAIN THAT YOU ARE HERE TO CONDUCT AN INTERVIEW FOR THE 2003 SURVEY OF WOMEN

Have you received the advance letter?

IF R IS A MATURE WOMEN (I_TYPE = 1) FILL TEMP1 "family life, health insurance, pension coverage, retirement funding and other topics." ELSE FILL "labor force participation, family life, health insurance, pensions and other topics."

IF R IS IN THE INCENTIVE PROGRAM FILL "In appreciation for your participation in the study, and for the important role you play in shaping your country's future, you will receive a debit card worth [TEMP2 $20 or $40] at the end of the interview." Fill "also"

HAND RESPONDENT A COPY OF THE ADVANCE LETTER. ALLOW ENOUGH TIME FOR HER TO READ IT IF SHE SO DESIRES.

IF INTERVIEW IS BEING CONDUCTED BY TELEPHONE READ THE FOLLOWING TO THE RESPONDENT.

The Census Bureau is conducting the National Longitudinal Survey of Women for the Department of Labor to obtain information about [fill temptext1] and other topics. The Department of Labor, the Social Security Administration, and others will use the information to see how policy decisions influence the lives of women in your age group. The survey is authorized by Title 29, Section 2, of the United States Code. The Census Bureau is able to conduct the survey under the authority of Title 13, United States Code, Section 8. Section 9 of this law requires us to keep all information about you and your household strictly confidential. We may use this information only for statistical purposes. The interview averages 70 minutes, is voluntary, and you can choose not to respond to individual questions that you prefer not to answer. We hope that you will answer all the questions because missing responses make it more difficult for researchers and policy makers to understand the lives of women of your generation. The Office of Management and Budget also approved this survey and assigned it control number 1220-0110, which expires at the end of this year. [if I_INCTV eq <1> or I_INCTV eq <2>] In appreciation for your participation in the study, and for the important role you play in shaping your country's future, you will receive debit card worth [fill temp3] at the end of the interview. At the end of the interview I can also give you an address to send any questions or comments you may have about the survey.[else]At the end of the interview I can give you an address to send any questions or comments you may have about the survey..

INPUT NOTES FROM LAST INTERVIEWER

(Fill option 3 if outcome code is 201, 202, 204 or 205. Else, leave blank)
(Fill option 4 if outcome code is 201, 204, 205 or 210. Else, leave blank)

CENSUS CATI/CAPI SYSTEM
2003 SURVEY OF WOMEN (03SW)

TODAY'S DATE:[FILL DATE]CURRENT TIME: [FILL TIME]

Case Status Is:[FILL CASE STATUS from previous attempt]

Previous Interviewer Notes About This Case Are: [FILL PREVIOUS NOTES]

INTERVIEWER: DO NOT READ TO RESPONDENT

IS THE R READY TO COMPLETE THE INTERVIEW?

INTERVIEWER: DO NOT READ TO RESPONDENT, DETERMINE BY OBSERVATION ONLY.

INTERVIEWER: DO NOT READ TO RESPONDENT, DETERMINE BY OBSERVATION ONLY.

INTERVIEWER: ASK IF NOT OBVIOUS.

Are you living in your own home, own apartment or another type of housing?

CHECK ITEM: CHECK GROUP HOME STATUS

CHECK ITEM: WAS INTERVIEWER ABLE TO OBTAIN NEW ADDRESS INFORMATION?

INTERVIEWER: WHAT IS THE REASON YOU CAN'T CONDUCT AN INTERVIEW?

INTERVIEWER: WHAT IS THE REASON YOU CAN'T CONDUCT AN INTERVIEW?

Specify the kind of "Other TYPE A" Noninterview

What is [I_NAME]'s overseas address and telephone number?

Do you know someone else who can provide overseas information?

Is the contact person for the overseas Respondent ALSO overseas?

What is their name, address and telephone number?

What is [I_NAME]'s new address and telephone number?

INTERVIEWER: WHAT IS THE MOVER STATUS?

INTERVIEWER: WAS NONINTERVIEW STATUS DETERMINED BY OBSERVATION ONLY OR DID SOMEONE PROVIDE YOU WITH INFORMATION ABOUT RESPONDENT?

ENTER THE NAME, ADDRESS, TELEPHONE NUMBER AND RELATIONSHIP OF THE PERSON OR ORGANIZATION THAT HELPED YOU DETERMINE THE CASE STATUS.

DEAD-CK: CHECK ITEM TO DETERMINE PATH IF R IS DECEASED

INTERVIEWER: DO NOT READ TO PROXY

IF THE PROXY IS NOT A HUSBAND, ANOTHER RELATIVE, OR A FAMILY FRIEND OR A PERSON WHO IS ON THE R'S CONTACT LIST, DO NOT CONDUCT THE DECEASED PROXY INTERVIEW

INTERVIEWER: IF PERSONAL VISIT AND TALKING TO AN ELIGIBLE PROXY, OR IF INTERVIEW IS BEING CONDUCTED BY TELEPHONE READ THE FOLLOWING PARAGRAPH TO THE PROXY. OTHERWISE, HAND THE PROXY THE HANDOUT AND ALLOW THE PROXY TIME TO READ IT BEFORE RESPONDING.

I'd like to ask you a few questions about [fill INAME] a participant in a study sponsored by the Department of Labor. The questions are about [fill INAME] life just before she died and about her death and will help lawmakers and researchers at places like the Social Security Administration
evaluate America's current systems of support for elderly women. This survey is authorized by Title 29, Section 2, of the United States Code. The Census Bureau is able to conduct the survey under the authority of Title 12, United States Code, Section 8. Section 9 of this law requires us to keep all information about you and your household strictly confidential. We may use this information only for statistical purposes. The interview averages 3 minutes, and you can choose not to respond to individual questions that you prefer not to answer. We hope that you will answer all the questions because missing responses make it more difficult for researchers and policy makers to interpret the results. The Office of Management and Budget also approved this survey and assigned it control number 1220-0110, which expires at the end of this year. At the end of the interview I can give you an address to send any questions or comments you may have about the survey.

When did [I-NAME] die? MONTH

When did [I-NAME] die? DAY

When did [I-NAME] die? YEAR

In which of the U.S. States did [I_NAME] die?

Respondent died in Country outside of the U.S.

What was the main cause of her death?

Was she ill long before the time of death in [fill whendie@y].?

How long was she ill? YEARS

How long was she ill? MONTHS

How long was she ill? DAYS

Was she working when she died?

How long before her death did she stop working? YEARS

How long before her death did she stop working? MONTHS

How long before her death did she stop working? DAYS

Had she ever retired - that is, had she ever left a job to receive a pension or social security benefits?

In what year did she retire?

Now I have some questions about the medical care she received before she died. Did she require medical care during the 12 months just prior to her death?

Was she hospitalized during this time period?

How long was she hospitalized? YEARS

How long was she hospitalized? MONTHS

How long was she hospitalized? DAYS

Was she in the hospital more than once?

Was she in a nursing home during that 12 month period?

Altogether, how long was she in a nursing home? YEARS

How long was she in a nursing home? MONTHS

How long was she in a nursing home? DAYS

Did she make any legal arrangements for her care or medical treatment if she became unable to make those decisions herself? (This is sometimes called a Durable Power of Attorney for Health Care.)

Did she have any written instructions about the type of medical treatment she would want to receive if she became unconscious or unable to communicate?

INTERVIEWER: PROVIDE INFORMATION ABOUT NONINTERVIEW STATUS.

IF YOU WERE UNABLE TO OBTAIN ANY INFORMATION ABOUT RESPONDENT, EXPLAIN YOUR ATTEMPTS TO LOCATE HER.

IF YOU OBTAINED INFORMATION ABOUT R, PROVIDE DETAILS HERE. FOR EXAMPLE, IF R IS DECEASED, PROVIDE DATE OF DEATH; IF SHE IS INSTITUTIONALIZED, PROVIDE NAME AND ADDRESS OF INSTITUTION; IF SHE IS TEMPORARILY ABSENT, PROVIDE EXPECTED DATE OF RETURN. (SEE FIELD REPRESENTATIVE'S MANUAL FOR INSTRUCTIONS)

INTERVIEWER: ASK IF NOT OBVIOUS.

Is the respondent living in her own home, own apartment or another type of housing?

CHECK ITEM: TO DETERMINE PATH IF R HAS MOVED

INTERVIEWER: WHAT METHODS DID YOU USE TO TRY TO LOCATE THE R WHO WAS NOT AT EXPECTED ADDRESS?

LEAVE BLANK IF METHOD NOT ATTEMPTED.

ASKED NEW OCCUPANTS?

INTERVIEWER: WHAT METHODS DID YOU USE TO TRY TO LOCATE THE RESPONDENT WHO WAS NOT AT EXPECTED ADDRESS?

LEAVE BLANK IF METHOD NOT ATTEMPTED.

ASKED NEIGHBORS?

INTERVIEWER: WHAT METHODS DID YOU USE TO TRY TO LOCATE THE RESPONDENT WHO WAS NOT AT EXPECTED ADDRESS?

LEAVE BLANK IF METHOD NOT ATTEMPTED.

ASKED LANDLORD OR APARTMENT MANAGER?

INTERVIEWER: WHAT METHODS DID YOU USE TO TRY TO LOCATE THE RESPONDENT WHO WAS NOT AT EXPECTED ADDRESS?

LEAVE BLANK IF METHOD NOT ATTEMPTED.

ASKED POST OFFICE?

INTERVIEWER: WHAT METHODS DID YOU USE TO TRY TO LOCATE THE RESPONDENT WHO WAS NOT AT EXPECTED ADDRESS?

LEAVE BLANK IF METHOD NOT ATTEMPTED.

ASKED AT TELEPHONE COMPANY? (INCLUDE DIRECTORY ASSISTANCE)

INTERVIEWER: WHAT METHODS DID YOU USE TO TRY TO LOCATE THE RESPONDENT WHO WAS NOT AT EXPECTED ADDRESS?

LEAVE BLANK IF METHOD NOT ATTEMPTED.

ASKING CONTACT PERSONS PREVIOUSLY LISTED?

INTERVIEWER: WHAT METHODS DID YOU USE TO TRY TO LOCATE THE RESPONDENT WHO WAS NOT AT EXPECTED ADDRESS?

LEAVE BLANK IF METHOD NOT ATTEMPTED.

USING OTHER METHOD?

CHECK ITEM: WERE ANY OF THE LOCATOR ITEMS CHECKED?

1 IF REASON = 1 - SET OUTCOME = 216, GO TO SUP_OKED
2 IF REASON = 2 - SET OUTCOME = 217, GOTO SUP_OKED
3 IF REASON = 3 - SET OUTCOME = 218, GOTO SUP_OKED
4 IF REASON = 4 - SET OUTCOME = 214, GOTO SUP_OKED
5 IF REASON = 5 - SET OUTCOME = 213, GOTO SUP_OKED
6 IF REASON = 6 - SET OUTCOME = 219, GOTO SUP_OKED
7 IF REASON = 7 - SET OUTCOME = 223, GOTO SUP_OKED
8 IF REASON = 8 and INST_1 = 1 or 2 - SET OUTCOME = 234, GOTO SUP_OKED
9 IF REASON = 9 and DEC_1 ne <S> and DEC_1 NE TO BLANK - SET OUTCOME = 301, GOTO INCENT_CK
10 IF REASON = 9 - SET OUTCOME = 318, GOTO SUP_OKED
11 IF REASON = 10 - SET OUTCOME = 333, GOTO SUP_OKED
12 IF REASON = 12 or 13, GOTO MOVER_RSN

1 IF MOVER1 = 1 - SET OUTCOME = 251, GOTO INOTES_PRE
2 IF MOVER1 = 2 - SET OUTCOME = 260, GOTO INOTES_PRE
3 IF MOVER1 = 3 - SET OUTCOME = 263, GOTO INOTES_PRE
4 IF MOVER1 = 4 - SET OUTCOME = 271, GOTO INOTES_PRE
5 IF MOVER1 = 5 - SET OUTCOME = 270, GOTO INOTES_PRE
6 IF MOVER1 = 6 - SET OUTCOME = 261, GOTO INOTES_PRE

START OF INSTITUTIONALIZED SUB-SECTION

(If CK-GRP-HOME ne 1 GOTO HRC-1A1)

We would like to ask you about this place you are staying at. PRESS ENTER TO CONTINUE

When were you admitted? MONTH

When were you admitted? DAY

When were you admitted? YEAR

I'm going to read you a list of descriptions for all types of facilities and I would to know which of these applies to [I_INSTIT]. MARK ALL THAT APPLY

Nursing Home

I'm going to read you a list of descriptions for all types of facilities and I would to know which of these applies to [I_INSTIT]. MARK ALL THAT APPLY

Rest Home

I'm going to read you a list of descriptions for all types of facilities and I would to know which of these applies to [I_INSTIT]. MARK ALL THAT APPLY

Home for the aged

I'm going to read you a list of descriptions for all types of facilities and I would to know which of these applies to [I_INSTIT]. MARK ALL THAT APPLY

Hospice

I'm going to read you a list of descriptions for all types of facilities and I would to know which of these applies to [I_INSTIT]. MARK ALL THAT APPLY

Mental Hospital

I'm going to read you a list of descriptions for all types of facilities and I would to know which of these applies to [I_INSTIT]. MARK ALL THAT APPLY

Rehabilitation Center

I'm going to read you a list of descriptions for all types of facilities and I would to know which of these applies to [I_INSTIT]. MARK ALL THAT APPLY

Hospital

I'm going to read you a list of descriptions for all types of facilities and I would to know which of these applies to [I_INSTIT]. MARK ALL THAT APPLY

Correctional Facility (prison)

I'm going to read you a list of descriptions for all types of facilities and I would to know which of these applies to [I_INSTIT]. MARK ALL THAT APPLY

Assisted Living Community

I'm going to read you a list of descriptions for all types of facilities and I would to know which of these applies to [I_INSTIT]. MARK ALL THAT APPLY

Boarding House

I'm going to read you a list of descriptions for all types of facilities and I would to know which of these applies to [I_INSTIT]. MARK ALL THAT APPLY

Other - Specify

Types of facilities that apply to [I_INSTIT].

None, Don't Know, or Refused

Do they provide? MARK ALL THAT APPLY

Meal Preparation

Do they provide? MARK ALL THAT APPLY

Housekeeping

Do they provide? MARK ALL THAT APPLY

Help with eating

Do they provide? MARK ALL THAT APPLY

Help with moving around

Do they provide? MARK ALL THAT APPLY

Substantial nursing care

Do they provide? MARK ALL THAT APPLY

Regular medical examinations

Do they provide? MARK ALL THAT APPLY

None, Don't Know, or Refused

Are there three ot more unrelated persons living at [I_INSTIT]?

INTERVIEWER: IF ANSWER IS OBVIOUS FILL WITHOUT ASKING

Are any of the following on duty everyday at this institution? MARK ALL THAT APPLY

Registered Nurse

Are any of the following on duty everyday at this institution? MARK ALL THAT APPLY

Licensed Practical Nurse