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

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C1D<<br />

Were there any occupants age 12 - 16, living at (address) during recent weeks?<br />

YES [C1E]<br />

NO [C2A]<br />

DON’T KNOW [C2A]<br />

REFUSE [C2A]<br />

>C1E<<br />

Thinking of the occupants age 12 - 16, (will/did) they live at (address) for most of the<br />

time during the months of (3 month quarter field period)?<br />

YES [C2A]<br />

NO [C2A]<br />

DON’T KNOW [C2A]<br />

REFUSE [C2A]<br />

>C2A<<br />

>C2B<<br />

How were you contacted? Did the interviewer visit you at your home, use a front desk<br />

phone or intercom, contact you by telephone from some other location, or get in touch<br />

with you some other way?<br />

VISIT AT HOME [IPRFC]<br />

FRONT DESK TELEPHONE/INTERCOM] [IPRFC]<br />

TELEPHONE [C2B]<br />

BOTH VISIT AT HOME AND TELEPHONE CONTACT] [C2B]<br />

SOME OTHER WAY [C2ELB1]<br />

DON’T KNOW, FI MADE CONTACT WITH ANOTHER HH ME<strong>MB</strong>ER<br />

[DONEC]<br />

NO KNOWN CONTACT BY HOUSEHOLD WITH THE INTERVIEWER<br />

[C2C]<br />

DON’T KNOW [C2C]<br />

REFUSE [C2C]<br />

When the interviewer called you by telephone, did (FI pronoun) make an appointment to<br />

see you or did (FI Pronoun) complete our survey by telephone asking questions such as<br />

how many people live in this household <strong>and</strong> what are their ages <strong>and</strong> race?<br />

MADE APPOINTMENT ONLY [IPRFC]<br />

COMPLETED SURVEY QUESTIONS [IPRFC]<br />

DON’T KNOW [IPRFC]<br />

REFUSE [IPRFC]<br />

E-24

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