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PDF, 3.8 MB - Substance Abuse and Mental Health Services ...

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B2<<br />

According to our interviewer, the following people age 12 or older (will live/lived) at<br />

(address) for most of the time during the months of (3 month quarter field period):<br />

(Roster Data)<br />

Is this information correct?<br />

TI NOTE: ROSTER AGES DO NOT NEED TO BE EXACT. A DIFFERENCE IN<br />

AGE OF BETWEEN 1 &2 YEARS IS ACCEPTABLE AS CORRECT.<br />

CORRECT ADDRESS, CORRECT INFORMATION [NEWTB]<br />

CORRECT ADDRESS, WRONG INFORMATION [NEWTB]<br />

WRONG ADDRESS, CORRECT INFORMATION [NEWTB]<br />

WRONG ADDRESS, WRONG INFORMATION [NEWTB]<br />

DON’T KNOW [NEWTB]<br />

REFUSE [NEWTB]<br />

>NEWTB<<br />

[IF B1B =2 OR B1B2 = 2, SKIP TO IPRFB]<br />

When the interviewer asked you about the people that lived in your household, did the<br />

interviewer enter the information into a small h<strong>and</strong> held computer, or did they write it<br />

down on paper?<br />

ENTERED IN COMPUTER [IPRFB]<br />

WRITTEN ON PAPER [IPRFB]<br />

DON’T KNOW [IPRFB]<br />

>IPRFB<<br />

Was the interviewer courteous <strong>and</strong> did the interviewer treat you professionally?<br />

YES [DONEB]<br />

NO [ELB1B]<br />

>ELB1B<<br />

Would you please tell me more about that?<br />

ENTER ADDITIONAL COMMENTS UP TO 150 CHARACTERS.<br />

ENTER RESPONDENT S ANSWER VERBATIM.<br />

IF NO COMMENTS, ENTER NONE [DONEB]<br />

>DONEB<<br />

Those are all of the questions I have. Thank you very much for your time.<br />

Have a good (evening/day).<br />

ENTER (1) TO CONTINUE.<br />

E-17

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