Re-interview Questionnaire for the U.S. Virgin Islands, D-RQ-VI, May 7, 2019
FORM D-RQ-VI (05-07-2019) U.S. DEPARTMENT OF COMMERCE Economics and Statistics Administration U.S. CENSUS BUREAU Enumerator Reinterview Questionnaire Census Office County BCU Map Spot No – If original respondent is a household member and unable to interview, then interview an available knowledgeable household member starting with S2. If a knowledgeable household member is not available, schedule a call back time and END INTERVIEW. Yes – Continue with question S2. S1. Hello, I’m (name) from the U.S. Census Bureau (show ID). May I speak to (original respondent name)? Yes S2. I’m contacting you to check on the quality of our 2020 Census interview. It should take less than 5 minutes. Were you or someone in your household recently interviewed by a representative of the 2020 Census of U.S. Virgin Islands about (address)? 1. Did anyone live or stay at (address) on April 1, 2020? Number of people = Within Map Spot ID FOR NPC USE ONLY §,/!4¤ 11140019 OMB No. 0607-1006: Approval Expires 11/30/2021 Case ID Address – – Last Name(s) MI First Name ORIGINAL RESPONDENT INFORMATION OR1. …
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FORM D-RQ-VI (05-07-2019) U.S. DEPARTMENT OF COMMERCE Economics and Statistics Administration U.S. CENSUS BUREAU Enumerator Reinterview Questionnaire Census Office County BCU Map Spot No – If original respondent is a household member and unable to interview, then interview an available knowledgeable household member starting with S2. If a knowledgeable household member is not available, schedule a call back time and END INTERVIEW. Yes – Continue with question S2. S1. Hello, I’m (name) from the U.S. Census Bureau (show ID). May I speak to (original respondent name)? Yes S2. I’m contacting you to check on the quality of our 2020 Census interview. It should take less than 5 minutes. Were you or someone in your household recently interviewed by a representative of the 2020 Census of U.S. Virgin Islands about (address)? 1. Did anyone live or stay at (address) on April 1, 2020? Number of people = Within Map Spot ID FOR NPC USE ONLY §,/!4¤ 11140019 OMB No. 0607-1006: Approval Expires 11/30/2021 Case ID Address – – Last Name(s) MI First Name ORIGINAL RESPONDENT INFORMATION OR1. Use original questionnaire to complete OR1 - OR6, and questions on reverse. Original Respondent’s Name OR2. Original Respondent Telephone Number OR3. Original Respondent Type Household member – Moved in after April 1, 2020 Household member – Lived here on April 1, 2020 Neighbor or other proxy OR4. Original Interview Outcome Code CO (Count Only) CI (Completed Interview) PI (Partial Interview) MOV (Moved in After April 1) LB (Language Barrier) NC (No Contact) RA (Restricted Access) REF (Refusal) UN (Unsafe) VAC/VDC (Vacant Delete Check) UHE (Usual Home Elsewhere) OR5. Original Interview Language (if not English) OR6. Original Number of people on questionnaire(s) = REINTERVIEW Ask questions S1, S2, and 1 - 4 during reinterview. No – If original respondent is a proxy and unavailable to interview, schedule a call back time and END INTERVIEW. No – Answer question 1 then SKIP to R1 Don’t know Yes No 2. We need to count people where they live and sleep most of the time. How many people were living or staying in this [house/apartment/mobile home] on April 1, 2020? U.S. Virgin Islands ® Month Day CLD Number R1. What is your name? Print name below and verify the spelling. Address of proxy CERTIFICATION CL Initials a.m. p.m. : HH MM Outcome Type In-Person / MM DD Telephone a.m. p.m. : HH MM Outcome In-Person / MM DD Telephone a.m. p.m. : HH MM Outcome In-Person / MM DD Telephone Last Name(s) MI First Name §,/!<¤ 11140027 ORIGINAL RESPONSES REINTERVIEW PERSON 1 If Original Respondent was not Person 1, copy Person 1’s first name in notes for reference. 5. Age on April 1, 2020 years 11. Yes No HOUSING 12. How many automobiles, vans, and trucks of one-ton capacity or less are kept at home for use by members of this household? None 1 2 3 4 5 6 PERSON 1 3. Were you or someone in your household asked to answer questions about each person such as: age, education, marital status and/or income? Yes No ➜ Read questions 5 and 11 (at left). If the responses do not match, record a FAIL result in R2. HOUSING 4. Were you or someone in your household asked to answer questions about this house, apartment, or mobile home such as: number of rooms, cost of utilities, and/or number of vehicles? Yes No ➜ Read question 12 (at left). If the responses do not match, record FAIL result in R2. REINTERVIEW RESULT REINTERVIEW RESPONDENT INFORMATION RECORD OF CONTACT I J Mark K this box if the respondent is the same as OR1 on page 1. Notes: R2. What is the reinterview result? PASS – Interview likely occurred (S2=Yes or Don’t Know), count matches (question 2 = OR6) AND there are no concerns (questions 3 and 4 = Yes, or responses match). SOFT FAIL – Interview occurred (S2=Yes), but count does not match (2 ≠ OR6) OR there are concerns (questions 3 or 4 = No, and responses do not match). HARD FAIL – Interview did not occur (S2 = No) OR Interview may have occurred, (S2 = Don’t Know), but count does not match (2 ≠ OR6) OR there are concerns (questions 3 or 4 = No, and responses do not match). If the result is a HARD FAIL, schedule a date and time to interview the household. a.m. p.m. : HH MM / MM DD If the result is a SOFT FAIL, or another issue (example: unable to locate), contact your Field Operations Supervisor. What was (Person 1’s) age on April 1, 2020? a. At any time since February 1, 2020 has (Person 1) attended school or college? Include only nursery or preschool, prekindergarten, kindergarten, elementary school, home school, and schooling which leads to a high school diploma or a college degree.