Thank you for agreeing to participate in our ongoing survey which focuses on the impact of the novel coronavirus (COVID-19). Most of the questions in this survey were asked in previous surveys. Thank you for answering them accurately again, to ensure we always have the most up-to-date information.
First we’d like to ask you about any symptoms you may have experienced recently. Please pay attention to the list since it is different from the list you may have seen before.
Group of questions presented on the same screen
cr001_intro
Have you experienced any of the following symptoms in the past 7 days?
Subgroup of questions
Loop from 1 to 20
if cr001_order[cnt] = response then
Value of question 'cr001_questions[cr001_order[cnt]]' asked as question
End of if
End of loop
cr001v (experienced Other health problems)
Other health problems
1 Yes 2 No 3 Unsure
End of subgroup of questions
End of group of questions
cr002 (tested for the coronavirus)
Have you been tested for coronavirus[ since ^FLDateEarlierSurvey (when you last took our coronavirus survey)]? If so, what was the result?
1 I have been tested and I tested positive (I had coronavirus) 2 I have been tested and I tested negative (I did not have coronavirus) 3 I have been tested and I do not know the result 4 I have not been tested
if cr002 in [1,2,3] then
cr079 (how many times tested)
How many times have you been tested since [^FLDateEarlierSurvey/March 2020]?
if cr080a_month = response and cr080a_year = response and cr080a_day = response then
if (strtotime(FLLastEndtime) > strtotime(cr080a_year . "-" . cr080a_month . "-" . cr080a_day)) then
cr080a_warning
The date you entered is BEFORE the date on which you answered our previous survey ([date of earlier survey[]]). Please go back and correct your response.
The date you entered is in the future. Please go back and correct your response.
End of if
elseif cr080a_month = response and cr080a_year = response then
if (date("Y", strtotime(FLLastEndtime)) = cr080a_year) AND (date("n", strtotime(FLLastEndtime)) > cr080a_month) then
cr080a_warning
The date you entered is BEFORE the date on which you answered our previous survey ([date of earlier survey[]]). Please go back and correct your response.
elseif (date("Y", time()) = cr080a_year) AND (date("n", time()) < cr080a_month) then
cr080a_warning2
The date you entered is in the future. Please go back and correct your response.
You previously told us on [date of earlier survey[]] that you tested positive for COVID-19. On what date did you first test positive prior to [date of earlier survey[]]? If you are unsure, just give your best guess.
1 January 2 February 3 March 4 April 5 May 6 June 7 July 8 August 9 September 10 October 11 November 12 December
if cr106_month = response and cr106_year = response and cr106_day = response then
if (strtotime(uas350_endtime) < strtotime(cr106_year . "-" . cr106_month . "-" . cr106_day)) then
cr106_warning
The date you entered is AFTER the date on which you answered our previous survey ([date of earlier survey[]]). Please go back and correct your response.
End of if
elseif cr106_month = response and cr106_year = response then
if (date("Y", strtotime(uas350_endtime)) = cr106_year) AND (date("n", strtotime(uas350_endtime)) < cr106_month) then
cr106_warning
The date you entered is AFTER the date on which you answered our previous survey ([date of earlier survey[]]). Please go back and correct your response.
End of if
End of if
End of if
End of if
cr005 (diagnosed with the coronavirus)
Whether or not you have had a coronavirus test, has a doctor or another healthcare professional diagnosed you as having or probably having the coronavirus[ since ^FLDateEarlierSurvey]?
1 Yes 2 No 3 Unsure
cr005a (experienced cold or flu)
Have you experienced a cold or the flu in the last month (since [[]])?
1 Yes 2 No 3 Unsure
if cr002 != 1 AND cr005 !=1 then
cr007 (think infected with coronavirus)
Do you think you have been infected with the coronavirus[ since ^FLDateEarlierSurvey]?
In the last seven days, have you done the following:
Subgroup of questions
Loop from 1 to 18
if cr015_questions[cr015_order[cnt]] = response then
Value of question 'cr015_questions[cr015_order[cnt]]' asked as question
End of if
End of loop
End of subgroup of questions
End of group of questions
if cr015a = 1 OR cr015b = 1 OR cr015c = 1 OR cr015d = 1 OR cr015e = 1 OR cr015f = 1 OR cr015k = 1 OR cr015l = 1 OR cr015m = 1 OR cr015n = 1 OR cr015r = 1 OR cr015s = 1 then
Group of questions presented on the same screen
cr069_intro
For each of the following activities, please indicate how often, if ever, you wore a mask or face covering.
Subgroup of questions
Loop from 1 to 16
if cr015_order[cnt] = 1 AND cr015a = 1 then
cr069a (face mask gone out to a bar, club, or other place where people gather )
When you went to a bar, club, or other place where people gather
1 Always 2 Most of the time 3 Sometimes 4 Rarely 5 Never 6 Unsure
elseif cr015_order[cnt] = 2 AND cr015b = 1 then
cr069b (face mask gone to the grocery store or pharmacy )
When you went to the grocery store or pharmacy
1 Always 2 Most of the time 3 Sometimes 4 Rarely 5 Never 6 Unsure
elseif cr015_order[cnt] = 3 AND cr015c = 1 then
cr069c (face mask friend, neighbor, or other relative’s residence)
When you went to a friend, neighbor, or other relative’s residence
1 Always 2 Most of the time 3 Sometimes 4 Rarely 5 Never 6 Unsure
elseif cr015_order[cnt] = 4 AND cr015d = 1 then
cr069d (face mask visitors such as friends, neighbors, or relatives at residence)
When you had visitors such as friends, neighbors, or relatives at your residence
1 Always 2 Most of the time 3 Sometimes 4 Rarely 5 Never 6 Unsure
elseif cr015_order[cnt] = 5 AND cr015e = 1 then
cr069e (face mask attended a gathering with more than 10 people)
When you attended a gathering with more than 10 people
1 Always 2 Most of the time 3 Sometimes 4 Rarely 5 Never 6 Unsure
elseif cr015_order[cnt] = 6 AND cr015f = 1 then
cr069f (face mask sought care from a hospital or health care facility)
When you sought care from a hospital or health care facility
1 Always 2 Most of the time 3 Sometimes 4 Rarely 5 Never 6 Unsure
elseif cr015_order[cnt] = 11 AND cr015k = 1 then
cr069k (face mask had close contact (within 6 feet) with people who do not live with you)
When you had close contact (within 6 feet) with people who do not live with you
1 Always 2 Most of the time 3 Sometimes 4 Rarely 5 Never 6 Unsure
elseif cr015_order[cnt] = 12 AND cr015l = 1 then
cr069l (face mask gone outside to walk, hike, or exercise)
When you went outside to walk, hike or exercise
1 Always 2 Most of the time 3 Sometimes 4 Rarely 5 Never 6 Unsure
elseif cr015_order[cnt] = 13 AND cr015m = 1 then
cr069m (face mask attended a political rally, protest, or demonstration)
When you attended a political rally, protest, or demonstration
1 Always 2 Most of the time 3 Sometimes 4 Rarely 5 Never 6 Unsure
elseif cr015_order[cnt] = 14 AND cr015n = 1 then
cr069n (face mask attended an in-person religious service)
When you attended an in-person religious service
1 Always 2 Most of the time 3 Sometimes 4 Rarely 5 Never 6 Unsure
elseif cr015_order[cnt] = 17 AND cr015r = 1 then
cr069r (face mask traveled by airplane)
When you traveled by airplane
1 Always 2 Most of the time 3 Sometimes 4 Rarely 5 Never 6 Unsure
elseif cr015_order[cnt] = 18 AND cr015s = 1 then
cr069s (face mask traveled by public transportation (bus, subway, commuter rail, etc.))
When you traveled by public transportation (bus, subway, commuter rail, etc.)
1 Always 2 Most of the time 3 Sometimes 4 Rarely 5 Never 6 Unsure
End of if
End of loop
End of subgroup of questions
End of group of questions
End of if
cr021 (how many family or close friends)
We'd like to ask about your family, as well as your close friends. How many family or close friends do you have? Only include people who are still alive, regardless of where they live.
RANGE 0..9223372036854775807
if cr021 > 999 then
cr021_warning (warning how many family or close friends)
Do you really have [how many family or close friends[]] family and close friends? If so, click "Next" to continue.
End of if
if cr021 > 0 then
cr022 (infected how many family or close friends)
How many family and close friends do you think have been infected with the coronavirus?
RANGE 0..9223372036854775807
if cr022 > cr021 then
cr022_warning
You said you know [how many family or close friends[]] people but that [infected how many family or close friends[]] people have been infected. Please go back and correct your answer(s).
elseif cr022 > 999 then
cr022_warning2
Do you really know [infected how many family or close friends[]] people who have been infected? If so, click "Next" to continue.
End of if
cr022a (hospitalized how many family or close friends)
How many family and close friends do you think have been hospitalized (spent at least one night in the hospital) from the coronavirus?
RANGE 0..9223372036854775807
if cr022a > cr021 then
cr022a_warning
You said you know [how many family or close friends[]] people but that [hospitalized how many family or close friends[]] people have been hospitalized. Please go back and correct your answer(s).
elseif cr022a > 999 then
cr022a_warning2
Do you really know [hospitalized how many family or close friends[]] people who have been hospitalized? If so, click "Next" to continue.
End of if
cr022b (died how many family or close friends)
How many family and close friends do you think have died from the coronavirus?
RANGE 0..9223372036854775807
if cr022b > cr021 then
cr022b_warning
You said you know [how many family or close friends[]] people but that [died how many family or close friends[]] people have died. Please go back and correct your answer(s).
elseif cr022b > 999 then
cr022b_warning2
Do you really know [died how many family or close friends[]] people who have died? If so, click "Next" to continue.
End of if
cr022c (received vaccine how many family or close friends)
How many family and close friends do you think have received at least one dose of the coronavirus vaccine?
RANGE 0..9223372036854775807
if cr022c > cr021 then
cr022c_warning
You said you know [how many family or close friends[]] people but that [received vaccine how many family or close friends[]] people have received at least one dose of the coronavirus vaccine. Please go back and correct your answer(s).
elseif cr022c > 999 then
cr022c_warning2
Do you really know [received vaccine how many family or close friends[]] people who have received at least one dose of the coronavirus vaccine? If so, click "Next" to continue.
End of if
End of if
Group of questions presented on the same screen
cr023 (chance get coronavirus in next 3 months)
On a scale of 0 to 100 percent, what is the chance that you will get the coronavirus in the next three months? If you’re not sure, please give your best guess.
If you do get the coronavirus, what is the percent chance you will be hospitalized (spend at least one night in the hospital) from it? If you’re not sure, please give your best guess.
Do you agree or disagree with the following statements?
Childhood vaccines, such as those for measles and chickenpox:
Subgroup of questions
Loop from 1 to 4
Value of question 'cr025_questions[cr025_order[cnt]]' asked as question
End of loop
End of subgroup of questions
End of group of questions
prayer_intro
The next several questions ask how you think about the role of prayer during the coronavirus pandemic. We are interested in your opinion regardless of your religious or spiritual background.
cr113 (closest to beliefs)
Which of the following comes closest to your beliefs?
1 I believe in God 2 I believe in some other higher power or spiritual force 3 I do not believe in any higher power/spiritual force 4 I'm not sure
if preload_cr095 = 1 AND ((preload_cr076 = 2 AND preload_cr081 in [1,2]) OR (preload_cr076 = 1 AND preload_cr081 = 3)) then
cr095 := preload_cr095
Else
Fill code of question 'FL_cr076' executed
cr095 (confirmation gotten number of doses)
You previously told us that you had received [^preload_cr076 doses/^preload_cr076 dose] of the coronavirus vaccine. Is this still correct, or have you received any additional doses or boosters since then?
1 Yes, I have received this many doses 2 No, I have received additional doses/boosters since then 3 Unsure
End of if
if cr095 = 1 then
cr076 := preload_cr076
Else
cr076 (how many doses received)
Some coronavirus vaccines require two doses (injections) spaced several weeks apart. How many doses of the coronavirus vaccine have you received?
0 0 1 1 2 2 3 3 or more
End of if
Else
cr076 (how many doses received)
Some coronavirus vaccines require two doses (injections) spaced several weeks apart. How many doses of the coronavirus vaccine have you received?
0 0 1 1 2 2 3 3 or more
End of if
if cr076 = response and cr076 < 1 then
cr076_warning
You said you were vaccinated but received zero doses. Please go back and correct your answers
You previously told us that you received your first dose of the coronavirus vaccine on [previous survey month first dose[]] [previous survey day first dose[]]. Is this correct?
settingfollowtype
End of if
if cr096 = 1 then
cr082_month := preload_cr082_month
cr082_month_temp := preload_cr082_month
cr082_day := preload_cr082_day
Group of questions presented on the same screen
cr082_month_temp (month first dose)
In a previous survey you told use when you received your first dose of the coronavirus vaccine. At that time we did not ask you about the year you received this dose.
Please select the year you received your first dose below. The month and day are already pre-filled based on your answers in the past.
1 January 2 February 3 March 4 April 5 May 6 June 7 July 8 August 9 September 10 October 11 November 12 December
You previously told us that you received your second dose of the coronavirus vaccine on [previous survey month second dose[]] [previous survey day second dose[]]. Is this correct?
settingfollowtype
End of if
if cr097 = 1 then
cr083_month := preload_cr083_month
cr083_day := preload_cr083_day
cr083_year := "2021"
Else
cr083_month := preload_cr083_month
cr083_day := preload_cr083_day
cr083_year := "2021"
Group of questions presented on the same screen
cr083_month (month second dose)
When did you receive your second dose of the coronavirus vaccine?
1 January 2 February 3 March 4 April 5 May 6 June 7 July 8 August 9 September 10 October 11 November 12 December
cr104 (how likely receive a booster shot when available)
How likely are you to receive a booster shot of the coronavirus vaccine when it becomes available to you?
1 Very unlikely 2 Somewhat unlikely 3 Somewhat likely 4 Very likely 5 Unsure
End of if
End of if
Else
vaccinated := 1
End of if
Group of questions presented on the same screen
md001_intro
Do you currently support or oppose requiring U.S. adults to be fully vaccinated against COVID-19 to do the following activities?
Subgroup of questions
md001a (vaccinated travel on an airplane)
Travel on an airplane
1 Support 2 Neither support nor oppose 3 Oppose
md001b (vaccinated attend an indoor public event)
Attend a large public event, like a concert or sporting event
1 Support 2 Neither support nor oppose 3 Oppose
md001c (vaccinated go to a bar or restaurant)
Go to a bar or restaurant
1 Support 2 Neither support nor oppose 3 Oppose
md001d (vaccinated go to a retail store, movie theater, or museum)
Go to a retail store, movie theater, or museum
1 Support 2 Neither support nor oppose 3 Oppose
End of subgroup of questions
End of group of questions
Group of questions presented on the same screen
md002_intro
For each of the following types of schools, should students who are eligible for the coronavirus vaccine be required to be fully vaccinated to attend school in person?
Subgroup of questions
md002a (vaccinated attend preschool)
Preschool
1 Yes 2 No 3 Unsure
md002b (vaccinated elementary school)
Elementary school
1 Yes 2 No 3 Unsure
md002c (vaccinated attend middle or high school)
Middle or high school
1 Yes 2 No 3 Unsure
md002d (vaccinated attend college)
College
1 Yes 2 No 3 Unsure
End of subgroup of questions
End of group of questions
Group of questions presented on the same screen
md003_intro
Do you currently support or oppose requiring the following categories of workers to be fully vaccinated against COVID-19?
Subgroup of questions
md003a (vaccinated hospital or other health care workers)
Hospital or other health care workers
1 Support 2 Neither support nor oppose 3 Oppose
md003b (vaccinated workers who interact with the public, such as restaurant or retail workers)
Workers who interact with the public, such as restaurant or retail workers
1 Support 2 Neither support nor oppose 3 Oppose
md003c (vaccinated members of the military)
Members of the military
1 Support 2 Neither support nor oppose 3 Oppose
md003d (vaccinated government workers, such as fire fighters or police officers)
Government workers, such as fire fighters or police officers
1 Support 2 Neither support nor oppose 3 Oppose
md003e (vaccinated teachers and school staff)
Teachers and school staff
1 Support 2 Neither support nor oppose 3 Oppose
md003f (vaccinated workers who do not interact with the public, such as office workers)
Workers who do not interact with the public, such as office workers
1 Support 2 Neither support nor oppose 3 Oppose
md003g (vaccinated taxi or rideshare (Lyft, Uber, etc.) drivers)
Taxi or rideshare (Lyft, Uber, etc.) drivers
1 Support 2 Neither support nor oppose 3 Oppose
End of subgroup of questions
End of group of questions
md011 (support existing school vaccinations)
Many states require children to receive vaccinations against diseases such as measles, mumps, rubella, diphtheria, pertussis, and tetanus before they can attend school. In general, do you support or oppose these requirements?
1 Support 2 Neither support nor oppose 3 Oppose 4 Unsure
Group of questions presented on the same screen
md004_intro
Do you currently support or oppose requiring U.S. adults to wear a mask to do the following activities:
Subgroup of questions
md004a (wear a mask travel on an airplane)
Travel on an airplane?
1 Support 2 Neither support nor oppose 3 Oppose
md004b (wear a mask attend a large public event, like a concert or sporting event)
Attend a large public event, like a concert or sporting event?
1 Support 2 Neither support nor oppose 3 Oppose
md004c (wear a mask go to a bar or restaurant)
Go to a bar or restaurant?
1 Support 2 Neither support nor oppose 3 Oppose
md004d (wear a mask go to a retail store, movie theater, or museum)
Go to a retail store, movie theater, or museum?
1 Support 2 Neither support nor oppose 3 Oppose
End of subgroup of questions
End of group of questions
Group of questions presented on the same screen
md005_intro
Do you currently support or oppose requiring students to wear a mask to attend each of the following types of schools?
Subgroup of questions
md005a (wear a mask attend preschool)
Preschool
1 Support 2 Neither support nor oppose 3 Oppose
md005b (wear a mask elementary school)
Elementary school
1 Support 2 Neither support nor oppose 3 Oppose
md005c (wear a mask attend middle or high school)
Middle or high school
1 Support 2 Neither support nor oppose 3 Oppose
md005d (wear a mask attend college)
College
1 Support 2 Neither support nor oppose 3 Oppose
End of subgroup of questions
End of group of questions
Group of questions presented on the same screen
md006_intro
Do you currently support or oppose requiring the following workers to wear a mask while they are at work?
Subgroup of questions
md006a (wear a mask hospital or other health care workers)
Hospital or other health care workers
1 Support 2 Neither support nor oppose 3 Oppose
md006b (wear a mask restaurant or retail workers)
Restaurant or retail workers
1 Support 2 Neither support nor oppose 3 Oppose
md006c (wear a mask members of the military)
Members of the military
1 Support 2 Neither support nor oppose 3 Oppose
md006d (wear a mask government workers, such as fire fighters or police officers)
Government workers, such as fire fighters or police officers
1 Support 2 Neither support nor oppose 3 Oppose
md006e (wear a mask teachers and school staff)
Teachers and school staff
1 Support 2 Neither support nor oppose 3 Oppose
md006f (wear a mask workers who do not interact with the public, such as office workers)
Workers who do not interact with the public, such as office workers
1 Support 2 Neither support nor oppose 3 Oppose
md006g (wear a mask taxi or rideshare (Lyft, Uber, etc.) drivers)
Taxi or rideshare (Lyft, Uber, etc.) drivers
1 Support 2 Neither support nor oppose 3 Oppose
End of subgroup of questions
End of group of questions
Group of questions presented on the same screen
md007_intro
In your community, how often are people required to wear a mask to do the following activities:
Subgroup of questions
md007a (required wear a mask travel on an airplane)
Travel on an airplane?
1 Always 2 Sometimes 3 Rarely 4 Never 5 Unsure
md007b (required wear a mask attend a large public event, like a concert or sporting event)
Attend a large public event, like a concert or sporting event?
1 Always 2 Sometimes 3 Rarely 4 Never 5 Unsure
md007c (required wear a mask go to a bar or restaurant)
Go to a bar or restaurant?
1 Always 2 Sometimes 3 Rarely 4 Never 5 Unsure
md007d (required wear a mask go to a retail store, movie theater, or museum)
Go to a retail store, movie theater, or museum?
1 Always 2 Sometimes 3 Rarely 4 Never 5 Unsure
End of subgroup of questions
End of group of questions
if vaccinated != 3 then
Group of questions presented on the same screen
md008_intro
Governments and other organizations may require people to be fully vaccinated before they can participate in various activities. For each activity below, would a requirement to be fully vaccinated increase your chance of becoming fully vaccinated yourself?
Subgroup of questions
md008a (if required get vaccinated travel on an airplane)
Travel on an airplane
1 Yes 2 No 3 Unsure
md008b (if required get vaccinated attend large public events)
Attend large public events, like concerts or sporting events
1 Yes 2 No 3 Unsure
md008c (if required get vaccinated go to a retail store, movie theater, or museum)
Go to a retail store, movie theater, or museum
1 Yes 2 No 3 Unsure
md008d (if required get vaccinated go to a bar or restaurant)
Go to a bar or restaurant
1 Yes 2 No 3 Unsure
md008e (if required get vaccinated work in your current job)
Work in your current job
1 Yes 2 No 3 Unsure
md008f (if required get vaccinated attend college)
Attend college
1 Yes 2 No 3 Unsure
md008g (if required get vaccinated attend an event at child's school)
Attend an event at your child's school
1 Yes 2 No 3 Unsure
End of subgroup of questions
End of group of questions
md010 (FDA approval change likelihood of becoming fully vaccinated)
Does the FDA approval or coronavirus vaccines make it more likely or less likely that you will become fully vaccinated?
1 Much more likely 2 Somewhat more likely 3 No difference 4 Somewhat less likely 5 Much less likely 6 Unsure
End of if
Group of questions presented on the same screen
md009_intro
Governments and other organizations may require people to wear a mask in order to participate in various activities. For each activity below, would you wear a mask if you were required to in order to participate?
Subgroup of questions
md009a (if required wear mask travel on an airplane)
Travel on an airplane
1 Yes, regardless of whether I was required 2 Yes, only if I was required 3 No 4 Unsure 5 Not applicable
md009b (if required wear mask attend large public events)
Attend large public events, like concerts or sporting events
1 Yes, regardless of whether I was required 2 Yes, only if I was required 3 No 4 Unsure 5 Not applicable
md009c (if required wear mask go to a retail store, movie theater, or museum)
Go to a retail store, movie theater, or museum
1 Yes, regardless of whether I was required 2 Yes, only if I was required 3 No 4 Unsure 5 Not applicable
md009d (if required wear mask go to a bar or restaurant)
Go to a bar or restaurant
1 Yes, regardless of whether I was required 2 Yes, only if I was required 3 No 4 Unsure 5 Not applicable
md009e (if required wear mask work in your current job)
Work in your current job
1 Yes, regardless of whether I was required 2 Yes, only if I was required 3 No 4 Unsure 5 Not applicable
md009f (if required wear mask attend college)
Attend college
1 Yes, regardless of whether I was required 2 Yes, only if I was required 3 No 4 Unsure 5 Not applicable
md009g (if required wear mask attend an event at child school)
Attend an event at your child's school
1 Yes, regardless of whether I was required 2 Yes, only if I was required 3 No 4 Unsure 5 Not applicable
Do you agree or disagree with the following statements?
Vaccines for the coronavirus (COVID-19):
Subgroup of questions
Loop from 1 to 4
Value of question 'cr072_questions[cr072_order[cnt]]' asked as question
End of loop
End of subgroup of questions
End of group of questions
cr073 (chance someone vaccinated against coronavirus still catch it)
On a scale of 0 to 100, what is the percent chance that someone who is vaccinated against the coronavirus could still catch it? If you’re not sure, please give your best guess.
cr074 (chance coronavirus vaccine will cause serious side effects)
On a scale of 0 to 100, what is the percent chance that a coronavirus vaccine will cause serious side effects or long-term health problems for someone who has been vaccinated? If you are unsure, please give your best guess.
ucv005 (trust in vaccine manufacturing process)
How much do you trust the process in general (not just for COVID-19) to develop safe vaccines for the public?
1 Fully trust 2 Mostly trust 3 Somewhat trust 4 Do not trust
cr089 (trust in child vaccine manufacturing process)
How much do you trust the process in general (not just for COVID-19) to develop safe vaccines for children?
1 Fully trust 2 Mostly trust 3 Somewhat trust 4 Do not trust
ucv006 (trust in governmental approval process)
How much do you trust the governmental approval process to ensure the COVID-19 vaccine is safe for the public?
1 Fully trust 2 Mostly trust 3 Somewhat trust 4 Do not trust
cr090 (trust in children governmental approval process)
How much do you trust the governmental approval process to ensure a COVID-19 vaccine is safe for children?
1 Fully trust 2 Mostly trust 3 Somewhat trust 4 Do not trust
cr105 (trust in covid-19 booster shots)
Booster shots are additional vaccine doses for people who are already fully vaccinated. How much do you trust that COVID-19 booster shots are safe for the public?
1 Fully trust 2 Mostly trust 3 Somewhat trust 4 Do not trust
if preload_cr053a = empty AND preload_cr053b = empty AND preload_cr053c = empty AND preload_cr053d = empty AND preload_cr053e = empty AND preload_cr053f = empty then
Have you ever been told by a doctor, nurse, or other health professional that you have any of the following medical conditions? (please select all that apply)
1 Diabetes 2 Cancer (other than skin cancer) 3 Heart disease 4 High blood pressure 5 Asthma 6 Chronic lung disease such as COPD or emphysema 7 Kidney disease 8 Autoimmune disorder such as rheumatoid arthritis or Crohn’s Disease 9 A mental health condition 10 Obesity 11 None of the above
Else
cr054 := preload_cr054
End of if
if preload_cr056a = empty AND preload_cr056b = empty AND preload_cr056c = empty AND preload_cr056d = empty AND preload_cr056e = empty AND preload_cr056f = empty AND preload_cr056g = empty AND preload_cr056h = empty AND preload_cr056i = empty then
Which of the following mental health conditions has a doctor or another health professional ever told you that you have?
Subgroup of questions
Loop from 1 to 9
Value of question 'cr056_questions[cr056_order[cnt]]' asked as question
End of loop
End of subgroup of questions
cr056i_other (specify other mental issue)
STRING
End of group of questions
Else
cr056a := preload_cr056a
cr056b := preload_cr056b
cr056c := preload_cr056c
cr056d := preload_cr056d
cr056e := preload_cr056e
cr056f := preload_cr056f
cr056g := preload_cr056g
cr056h := preload_cr056h
cr056i := preload_cr056i
cr056i_other := preload_cr056i_other
End of if
if preload_cr054 = empty then
if 1 in cr054 then
cr055a (since when diabetes)
Did the doctor or other health professional first say that you have diabetes before or after March 10, 2020?
1 Before March 10, 2020 2 After March 10, 2020 3 Unsure
End of if
if 2 in cr054 then
cr055b (since when cancer (other than skin cancer))
Did the doctor or other health professional first say that you have cancer (other than skin cancer) before or after March 10, 2020?
1 Before March 10, 2020 2 After March 10, 2020 3 Unsure
End of if
if 3 in cr054 then
cr055c (since when heart disease)
Did the doctor or other health professional first say that you have heart disease before or after March 10, 2020?
1 Before March 10, 2020 2 After March 10, 2020 3 Unsure
End of if
if 4 in cr054 then
cr055d (since when high blood pressure)
Did the doctor or other health professional first say that you have high blood pressure before or after March 10, 2020?
1 Before March 10, 2020 2 After March 10, 2020 3 Unsure
End of if
if 5 in cr054 then
cr055e (since when asthma)
Did the doctor or other health professional first say that you have asthma before or after March 10, 2020?
1 Before March 10, 2020 2 After March 10, 2020 3 Unsure
End of if
if 6 in cr054 then
cr055f (since when chronic lung disease such as COPD or emphysema)
Did the doctor or other health professional first say that you have chronic lung disease such as COPD or emphysema before or after March 10, 2020?
1 Before March 10, 2020 2 After March 10, 2020 3 Unsure
End of if
if 7 in cr054 then
cr055g (since when kidney disease)
Did the doctor or other health professional first say that you have kidney disease before or after March 10, 2020?
1 Before March 10, 2020 2 After March 10, 2020 3 Unsure
End of if
if 8 in cr054 then
cr055h (since when an autoimmune disorder such as rheumatoid arthritis or Crohn’s disease)
Did the doctor or other health professional first say that you have an autoimmune disorder such as rheumatoid arthritis or Crohn’s disease before or after March 10, 2020?
1 Before March 10, 2020 2 After March 10, 2020 3 Unsure
End of if
if 9 in cr054 then
cr055i (since when a mental health condition)
Did the doctor or other health professional first say that you have a mental health condition before or after March 10, 2020?
1 Before March 10, 2020 2 After March 10, 2020 3 Unsure
End of if
if 10 in cr054 then
cr055j (since when obesity)
Did the doctor or other health professional first say that you have obesity before or after March 10, 2020?
1 Before March 10, 2020 2 After March 10, 2020 3 Unsure
End of if
Else
cr055a := preload_cr055a
cr055b := preload_cr055b
cr055c := preload_cr055c
cr055d := preload_cr055d
cr055e := preload_cr055e
cr055f := preload_cr055f
cr055g := preload_cr055g
cr055h := preload_cr055h
cr055i := preload_cr055i
cr055j := preload_cr055j
End of if
if preload_cr056a = empty AND preload_cr056b = empty AND preload_cr056c = empty AND preload_cr056d = empty AND preload_cr056e = empty AND preload_cr056f = empty AND preload_cr056g = empty AND preload_cr056h = empty AND preload_cr056i = empty then
Loop from 1 to 10
if cr056_order[cnt] = 1 and cr056a = 1 then
cr057a (since when an anxiety disorder)
Did the doctor or other health professional first say that you have an anxiety disorder before or after March 10, 2020?
1 Before March 10, 2020 2 After March 10, 2020 3 Unsure
elseif cr056_order[cnt] = 2 and cr056b = 1 then
cr057b (since when attention deficit hyperactivity disorder (ADHD))
Did the doctor or other health professional first say that you have attention deficit hyperactivity disorder (ADHD) before or after March 10, 2020?
1 Before March 10, 2020 2 After March 10, 2020 3 Unsure
elseif cr056_order[cnt] = 3 and cr056c = 1 then
cr057c (since when bipolar disorder)
Did the doctor or other health professional first say that you have bipolar disorder before or after March 10, 2020?
1 Before March 10, 2020 2 After March 10, 2020 3 Unsure
elseif cr056_order[cnt] = 4 and cr056d = 1 then
cr057d (since when an eating disorder)
Did the doctor or other health professional first say that you have an eating disorder before or after March 10, 2020?
1 Before March 10, 2020 2 After March 10, 2020 3 Unsure
elseif cr056_order[cnt] = 5 and cr056e = 1 then
cr057e (since when depression or another depressive disorder)
Did the doctor or other health professional first say that you have depression or another depressive disorder before or after March 10, 2020?
1 Before March 10, 2020 2 After March 10, 2020 3 Unsure
elseif cr056_order[cnt] = 6 and cr056f = 1 then
cr057f (since when obsessive-compulsive disorder (OCD))
Did the doctor or other health professional first say that you have obsessive-compulsive disorder (OCD) before or after March 10, 2020?
1 Before March 10, 2020 2 After March 10, 2020 3 Unsure
elseif cr056_order[cnt] = 7 and cr056g = 1 then
cr057g (since when post-traumatic stress disorder (PTSD))
Did the doctor or other health professional first say that you have post-traumatic stress disorder (PTSD) before or after March 10, 2020?
1 Before March 10, 2020 2 After March 10, 2020 3 Unsure
elseif cr056_order[cnt] = 8 and cr056h = 1 then
cr057h (since when schizophrenia or another psychotic disorder)
Did the doctor or other health professional first say that you have schizophrenia or another psychotic disorder before or after March 10, 2020?
1 Before March 10, 2020 2 After March 10, 2020 3 Unsure
elseif cr056_order[cnt] = 9 and cr056i = 1 then
cr057i (since when other mental issue)
Did the doctor or other health professional first say that you have another mental health condition ([specify other mental issue[]]) before or after March 10, 2020?
1 Before March 10, 2020 2 After March 10, 2020 3 Unsure
IF corrected_hadjob != 1 AND preload_lr003 = 2 then
corrected_hadjob := 1
End of if
IF corrected_hadjob != 1 AND preload_lr003a = 1 then
corrected_hadjob := 1
End of if
IF corrected_hadjob != 1 AND preload_lr003aa in [1,5] then
corrected_hadjob := 1
End of if
IF corrected_hadjob != 1 AND preload_lr003bb in [1,5] then
corrected_hadjob := 1
End of if
IF corrected_hadjob != 1 AND preload_lr003cc = 2 then
corrected_hadjob := 1
End of if
IF corrected_hadjob != 1 AND preload_lr003dd = 2 then
corrected_hadjob := 1
End of if
IF corrected_hadjob != 1 AND preload_lr003ee = 1 then
corrected_hadjob := 1
End of if
IF corrected_hadjob != 1 AND preload_laborstatus_covid = 1 then
corrected_hadjob := 1
End of if
IF corrected_hadjob = 1 THEN
Group of questions presented on the same screen
lr001 (employment status)
The next set of questions are about your primary job. If you have multiple jobs, think of the job in which you work the most hours or receive the most pay.
You told us on [date of earlier survey[]] that you had a job. Which statement best reflects your current employment status:
1 I am still working in the same job 2 I lost my job and I am looking for work 3 I have been temporarily laid off from the same job 4 I am on sick leave or other leave from the same job 5 I am now working at a different job 7 I am now retired 6 None of these, please specify:
lr001_other (other employment status)
STRING
End of group of questions
IF lr001 = 2 OR lr001 = 3 OR lr001 = 4 THEN
lr002 (still receiving benefits)
Are you still receiving benefits such as health insurance through your former job?
1 Yes 2 No 3 Unsure
End of if
Else
if corrected_hadjob = response then
if preload_lr001 = 3 OR preload_lr003aa = 2 OR preload_lr003bb = 4 OR preload_lr003ee = 3 OR preload_laborstatus_covid = 3 then
Group of questions presented on the same screen
lr003aa (job status after laid off)
You told us on [ ^FLDateEarlierSurvey] that you were temporarily laid off from your job. Which statement best reflects your current employment status?
1 I have resumed working at the same job 2 I am still temporarily laid off from the same job 3 I have lost my job and I am looking for work 4 I am on sick leave or other leave from the same job 5 I am now working at a different job 6 None of these, please specify:
lr003aa_other (other job status after laid off)
STRING
End of group of questions
elseif preload_lr001 = 4 OR preload_lr003bb = 2 OR preload_lr003aa = 4 OR preload_lr003ee = 2 OR preload_laborstatus_covid = 2 then
Group of questions presented on the same screen
lr003bb (job status after sick leave)
You told us on [ ^FLDateEarlierSurvey] that you were on sick leave or other leave from your job. Which statement best reflects your current employment status?
1 I have resumed working at the same job 2 I am still on sick leave or other leave from the same job 3 I have lost my job and I am looking for work 4 I have been temporarily laid off from the same job 5 I am now working at a different job 6 None of these, please specify:
lr003bb_other (other job status after sick leave)
STRING
End of group of questions
Else
if preload_lr001 = 7 OR preload_lr003 = 4 OR preload_lr003cc = 1 OR preload_lr003dd = 4 OR preload_lr003ee = 5 OR preload_laborstatus_covid = 5 then
Group of questions presented on the same screen
lr003cc (job status after retired)
You told us on [ ^FLDateEarlierSurvey] that you were retired. Which statement best reflects your current employment status?
1 I am still retired 2 I now have a job 3 I am unemployed and looking for work 4 None of these, please specify:
lr003cc_other (other job status after retired)
STRING
End of group of questions
elseif preload_lr003 = 5 OR preload_lr003dd = 1 OR preload_lr003ee = 6 OR preload_laborstatus_covid = 6 then
Group of questions presented on the same screen
lr003dd (job status after not in labor force)
You told us on [ ^FLDateEarlierSurvey] that you were not in the labor force. Which statement best reflects your current employment status?
1 I am still not in the labor force (not currently working and not looking for work) 2 I now have a job 3 I am unemployed and looking for work 4 I am retired 5 None of these, please specify:
lr003dd_other (other job status after not in labor force)
STRING
End of group of questions
elseif preload_laborstatus_covid = 7 then
Group of questions presented on the same screen
lr003ee (job status unknown labor force status)
Which statement best reflects your current employment status?
1 I have a job 2 I am on sick or other leave 3 I am temporarily laid off from my job 4 I am unemployed and looking for work 5 I am retired 6 I am not in the labor force (not currently working and not looking for work) 7 None of these, please specify:
lr003ee_other (other job status unknown labor status)
STRING
End of group of questions
Else
Group of questions presented on the same screen
lr003 (employment status prev no job)
You told us on [date of earlier survey[]] that you did not have a job. Which statement best reflects your current employment status:
1 I still do not have a job 2 I now have a job 4 I am retired 5 I am not in the labor force (not currently working and not looking for work) 3 None of these, please specify:
lr003_other (other employment status prev no job)
STRING
End of group of questions
End of if
End of if
Else
Group of questions presented on the same screen
lr003ee (job status unknown labor force status)
Which statement best reflects your current employment status?
1 I have a job 2 I am on sick or other leave 3 I am temporarily laid off from my job 4 I am unemployed and looking for work 5 I am retired 6 I am not in the labor force (not currently working and not looking for work) 7 None of these, please specify:
lr003ee_other (other job status unknown labor status)
STRING
End of group of questions
End of if
End of if
lr004 := 2
IF (corrected_hadjob = 1 AND (lr001 = 1 OR lr001 = 5)) THEN
lr004 := 1
ELSEIF (corrected_hadjob = 2 and preload_lr001 = 3 and lr003aa in [1,5]) then
lr004 := 1
ELSEIF (corrected_hadjob = 2 and preload_lr001 = 4 and lr003bb in [1,5]) then
lr004 := 1
ELSEIF (corrected_hadjob = response and preload_lr001 != 3 and preload_lr001 != 4 and preload_lr003 = 4 AND lr003cc = 2) then
lr004 := 1
ELSEIF (corrected_hadjob = response and preload_lr001 != 3 and preload_lr001 != 4 and preload_lr003 = 5 AND lr003dd = 2) then
lr004 := 1
ELSEIF (corrected_hadjob = 2 and preload_lr001 != 3 and preload_lr001 != 4 and lr003 = 2) then
lr004 := 1
ELSEIF (corrected_hadjob = empty and lr003ee = 1) then
lr004 := 1
ELSEIF lr003 = 2 then
lr004 := 1
ELSEIF lr003aa in [1,5] then
lr004 := 1
ELSEIF lr003bb in [1,5] then
lr004 := 1
ELSEIF lr003cc = 2 then
lr004 := 1
ELSEIF lr003dd = 2 then
lr004 := 1
ELSEIF lr003ee = 1 then
lr004 := 1
ELSEIF lr001 in [1,5] THEN
lr004 := 1
End of if
IF lr004 = 1 THEN
Group of questions presented on the same screen
lr005 (self employed or work for employer)
In your primary job, are you self-employed or do you work for an employer?
1 Self-employed 2 Work for an employer 3 Other (specify)
lr005_other (self employed or work for employer other)
STRING
End of group of questions
lr019 (describe primary job)
Do any of the following describe your primary job? Please check all that apply.
1 Independent contractor (for example, freelance worker, Uber driver, Instacart worker, independent consultant) 2 On-call worker or day laborer 3 Temporary agency worker 4 Contract company worker 5 None of the above
lr006 (how many day work past seven days)
Out of the past seven days, how many days did you work at your job?
0 0 days 1 1 day 2 2 days 3 3 days 4 4 days 5 5 days 6 6 days 7 7 days
lr008 (home many hours work for pay past 7 days)
Think of every day you worked in the past seven days. How many total hours did you work for pay across all the days?
RANGE 0..150
lr007 (how many day work from home past seven days)
Out of the past seven days, how many days did you work from home?
0 0 days 1 1 day 2 2 days 3 3 days 4 4 days 5 5 days 6 6 days 7 7 days
if lr007 = 0 then
lb004 (able to work from home)
Consider your current job. Are you able to do that job from home at least partially?
[For example, a bartender is not able to do their job from home; an administrative assistant working in an office should be able to work from home, at least partially]
1 Yes 2 No
End of if
if lr007 > 0 OR (lr007 = 0 AND lb004 = 1) then
lb005 (how often like to work from home)
Looking ahead to the next three months, how often would you like to work from home, whether you think you will be able to or not?
1 5+ days per week 2 4 days per week 3 3 days per week 4 2 days per week 5 1 day per week 6 Less than 1 day per week 7 Never
if lr005 = 2 then
lb006 (how often employer planning to work from home next six months)
Looking ahead to the next three months, how often is your employer planning for you to work from home?
1 5+ days per week 2 4 days per week 3 3 days per week 4 2 days per week 5 1 day per week 6 Less than 1 day per week 7 Never 8 I don't know
End of if
End of if
Group of questions presented on the same screen
lr010 (how frequently paid)
How frequently are you paid for your job?
1 Monthly 6 Twice a month 2 Every two weeks 3 Every week 4 Every day 5 Other (specify)
lr010_other (how frequently paid other)
How frequently are you paid?
STRING
End of group of questions
Loop from 1 to 5
lr011 (amount most recent paycheck)
What was the amount on your most recent paycheck?
RANGE 0..10000000
IF lr011 > 50000 THEN
check_lr011 (amount over 50k)
You entered an amount over $50,000. Is this correct?
1 Yes 2 No
ELSEIF lr011 = response and lr011 < 30 then
lr011a (confirm paycheck amount)
You said your last paycheck was $[amount most recent paycheck[]]. Is this correct?
1 Yes, it is correct 2 No, I made a mistake 3 I did not receive a paycheck in the past fourteen days 4 I do not recall the amount of my last paycheck 5 I prefer not to answer
if lr011a != 2 then
End of if
Else
End of if
End of loop
lr012_ask := 2
if lr011 > 29 OR (lr011 < 30 and lr011a = 1) then
lr012_ask := 1
End of if
if lr011 = empty OR (lr011 = response and lr011 < 30 AND lr011a = 4) then
if lr010 = 1 then
lr011b_i (paycheck monthly)
For the most recent paycheck for your job, would you say the amount was
1 Lower than $1,500 2 Between $1,500 and $3,000 3 Between $3,000 and $4,500 4 Between $4,500 and $6,000 5 Higher than $6,000 6 Prefer not to answer 7 Don't know
if lr011b_i in [1,2,3,4,5] then
lr012_ask := 1
End of if
elseif lr010 in [2,6] then
lr011b_ii (paycheck twice a month or every two weeks)
For the most recent paycheck for your job, would you say the amount was
1 Lower than $750 2 Between $750 and $1,500 3 Between $1,500 and $2,250 4 Between $2,250 and $3,000 5 Higher than $3,000 6 Prefer not to answer 7 Don't know
if lr011b_ii in [1,2,3,4,5] then
lr012_ask := 1
End of if
elseif lr010 = 3 then
lr011b_iii (paycheck every week)
For the most recent paycheck for your job, would you say the amount was
1 Lower than $375 2 Between $375 and $750 3 Between $750 and $1,125 4 Between $1,125 and $1,500 5 Higher than $1,500 6 Prefer not to answer 7 Don't know
if lr011b_iii in [1,2,3,4,5] then
lr012_ask := 1
End of if
elseif lr010 = 4 then
lr011b_iv (paycheck every day)
For the most recent paycheck for your job, would you say the amount was
1 Lower than $75 2 Between $75 and $150 3 Between $150 and $300 4 Between $300 and $600 5 Higher than $600 6 Prefer not to answer 7 Don't know
if lr011b_iv in [1,2,3,4,5] then
lr012_ask := 1
End of if
elseif lr010 = 5 then
lr011b_v (paycheck other frequency)
For the most recent paycheck for your job, would you say the amount was
1 Lower than $375 2 Between $375 and $750 3 Between $750 and $1,500 4 Between $1,500 and $3,000 5 Higher than $3,000 6 Prefer not to answer 7 Don't know
if lr011b_v in [1,2,3,4,5] then
lr012_ask := 1
End of if
End of if
End of if
if lr010 = 4 OR lr010 = 5 OR lr005 = 1 then
lr011c (takeaway amount last month)
Overall, taking into account all sources of income related to your job(s) and/or business, what was your income or “take home pay” in the past month?
RANGE 0..10000000
if lr011c > 50000 then
check_lr011c (takeaway amount over 50k)
You entered an amount over $50,000. Is this correct?
1 Yes 2 No
elseif lr011c = empty then
lr011c_i (followup takeaway amount past month)
Would you say that your income or "take home pay" in the past month was:
1 Lower than $1,500, 2 Between $1,500 and $3,000 3 Between $3,000 and $4,500 4 Between $4,500 and $6,000 5 Higher than $6,000 6 Prefer not to answer 7 Don't know
End of if
End of if
Group of questions presented on the same screen
lr015 (percent chance you lose your job)
The coronavirus may cause economic challenges for some people regardless of whether they are actually infected.
What is the percent chance that you will lose your job because of the coronavirus within the next three months?
cr_error
Please enter a number between 0% and 100%.
End of group of questions
lr026 (currently interaction within six feet)
How often does your job currently require you to come within six feet of other people (such as customers, clients, patients, or coworkers)?
1 Never 2 Less than once per week 3 1-2 times per week 4 Several times per week 5 Nearly every day 6 Every day
End of if
Group of questions presented on the same screen
ei001 (chance run out of money)
The coronavirus may cause economic challenges for some people regardless of whether they are actually infected.
What is the percent chance you will run out of money because of the coronavirus in the next three months?
cr_error
Please enter a number between 0% and 100%.
End of group of questions
ei002 (worried you would run out of food)
In the past seven days, were you worried you would run out of food because of a lack of money or other resources?
1 Yes 2 No 3 Unsure
ei003 (did you eat less)
In the past seven days, did you eat less than you thought you should because of a lack of money or other resources?
1 Yes 2 No 3 Unsure
ei004 (did you go without eating)
In the past seven days, did you go without eating for a whole day because of a lack of money or other resources?
1 Yes 2 No 3 Unsure
ei011 (do you have a mortgage)
Do you have a mortgage?
1 Yes 2 No
IF ei011 = 1 THEN
ei012 (permission to delay mortgage payment)
Have you received permission from your lender to delay or reduce payment on your mortgage?
1 Yes 2 No
ei013 (past month delay payment on mortgage)
In the past month, did you miss or delay payment on your mortgage, or did you pay less than the full amount?
1 Yes 2 No
End of if
ei014 (rent primary residence)
Do you rent your primary residence?
1 Yes 2 No
IF ei014 = 1 THEN
ei015 (permission to delay or reduce rent payment)
Have you received permission from your landlord to delay or reduce payment of your rent?
1 Yes 2 No
ei016 (past month missed or delay rent payment)
In the past month, did you miss or delay payment of your rent, or did you pay less than the full amount?
1 Yes 2 No
End of if
ei030 (have you been evicted or foreclosed, received an eviction or foreclosure notice)
[Since ^FLDateEarlierSurvey/Since April 1, 2020], have you been evicted or foreclosed, received an eviction or foreclosure notice, or been told by a landlord to move from your residence?
1 Yes, I have been, or am currently being, evicted or foreclosed from my residence 2 Yes, I have received an eviction or foreclosure notice, but have not yet been evicted or foreclosed from my residence 3 Yes, I have been told by a landlord to leave my residence, but have not yet received a written eviction notice 4 No, I have not been evicted or foreclosed, received an eviction or foreclosure notice, or been told by a landlord to leave my residence
if ei030 in [2,3,4] then
Group of questions presented on the same screen
ei031 (chance will be evicted)
What is the percent chance that you will be evicted, go into foreclosure, or be forced by a landlord to move from your current residence in the next thirty days? If you are not sure, please give your best guess.
ei031_na (does not apply chance will be evicted)
OR
1 Does not apply to my housing situation
ei_error
Please select a value or check the box.
End of group of questions
End of if
ei017 (how confident you could come up with 2000)
How confident are you that you could come up with $2,000 if an unexpected need arose within the next month?
1 I am certain I could come up with the full $2,000 2 I could probably come up with $2,000 3 I could probably not come up with $2,000 4 I am certain I could not come up with $2,000 5 Don’t know 6 Prefer not to say
ei019 (something been stolen in last 7 days)
In the past seven days, has anything belonging to you been stolen, such as a wallet or purse, clothing, jewelry, things in your home, or things in your vehicle?
1 Yes 2 No 3 Unsure
Group of questions presented on the same screen
ei020_intro (My neighborhood is clean)
Do you agree or disagree with each of the following statements?
Over the past few months, you have answered questions about [previous survey k-12 selected names[]]'s school experiences. Is [previous survey k-12 selected names[]] still a student in elementary, middle, or high school for the 2021-22 school year?
1 (YES) Yes 2 (NO) No
if sl055 = 2 then
haveselectedchild := 2
selectedchild := empty
Else
selectedchild := preload_selectedchild
selectednames := preload_selectednames
haveselectedchild := 1
End of if
End of if
if selectedchild = empty then
Group of questions presented on the same screen
sl015b_intro
You said that [number of hh members in k-12[]] household members are currently in grades K-12. What are their first names or nicknames? Just first names or nicknames will do.
Loop from 1 to SL082A
sl015b (name student)
STRING
End of loop
End of group of questions
Loop from 1 to SL082A
if sl015b[checkcnt] = empty then
if sl082a > 1 then
checkcntwarning
You said that [number of hh members in k-12[]] household members are currently in grades K-12. Please go back and give all of their names or nicknames OR click "Next" to continue.
Else
checkcntwarning_single
You said that [number of hh members in k-12[]] household member is currently in grades K-12. Please go back and give their name or nickname OR click "Next" to continue.
Is [[]] enrolled in a public, private, charter or virtual school for the 2021-22 school year (even if currently attending school from home), or are they homeschooled, or does some other situation apply?
1 Yes, [[]] is enrolled in a public, charter, private or virtual school (select this option even if your child is attending school from home) 2 No, [[]] is not enrolled and is homeschooling 3 No, [[]] is neither enrolled nor homeschooling (e.g. dropped out, taking a year off, pursuing a GED) 4 No, some other situation applies (please specify):
sl057a_other (other enrolled in any type of school)
STRING
End of group of questions
if sl057a = 1 then
sl058a (kind of school enrolled in)
What kind of school is [[]] enrolled in?
1 Public school 2 Private school 3 Charter school 4 Virtual School 5 Other 6 Unsure
sl060a (percent currently attending in person)
Approximately what percent of the students at [[]]'s school are currently attending school in person?
Group of questions presented on the same screen
sl061a (how currently attending school)
How is [[]] currently attending school?
1 In-person only 2 Remote only 3 Both in-person and remote (hybrid) 4 Other, please specify:
sl061a_other (other how currently attending school)
Why hasn't [[]] been vaccinated for the coronavirus yet? Please mark all that apply.
1 [[]] doesn't want to get vaccinated. 2 I don't want [[]] to get vaccinated. 3 Another family member doesn't want [[]] to get vaccinated. 4 We don't know how to schedule an appointment. 5 We don't know where to go for the vaccine. 6 We are waiting for a vaccine provider to contact us. 7 The vaccine providers are too far away. 8 There is a vaccine shortage in my community. 9 We don't have access to transportation. 10 We don't have access to a phone or computer. 11 We don't have time. 12 We are physically unable to travel. 13 We believe the vaccine is not effective. 14 We believe the vaccine is unsafe. 15 [[]] doesn't need the vaccine. 16 The vaccine is not available in my community for people like [[]]. 17 [[]] is not required to get vaccinated. 18 Other, please specify:
sv008_other (other why not vaccinated selected child)
Thank you! We just have a few more questions for you.
Group of questions presented on the same screen
la_001 (Language spoken at home)
What language(s) do you usually speak while you are at home? (Check all that apply)
1 English 2 Spanish 3 Chinese (including Mandarin and Cantonese) 4 Tagalog 5 Vietnamese 6 Some other language(s) (write in):
la_001_other (other language spoken at home)
STRING
End of group of questions
Group of questions presented on the same screen
la_002 (Language preference for surveys)
When you fill out a survey like this one, what language would you prefer to take it in? (Please choose one)
1 English 2 Spanish 3 Chinese (including Mandarin and Cantonese) 4 Tagalog 5 Vietnamese 6 Some other language(s) (write in):
la_002_other (other language preference for surveys)
STRING
End of group of questions
if la_002 = response and la_002 != 1 then
Fill code of question 'fl_la003' executed
la_003 (Comfort with doing surveys in English)
You said you would prefer to take surveys in [English /Spanish/Chinese (including Mandarin and Cantonese)/Tagalog/Vietnamese/^la_002_other]. In general, how comfortable or uncomfortable are you, or would you be, with doing a survey like this one, in English?
1 Extremely uncomfortable - I could not fill out a survey in English 2 Mostly uncomfortable - strongly prefer not to do surveys in English 3 Somewhat comfortable - I read and understand enough English text to do surveys 4 Mostly comfortable - I am pretty good at reading and understanding English text 5 Very comfortable - I read and understand English text very well
End of if
CS_001 (HOW PLEASANT INTERVIEW)
Could you tell us how interesting or uninteresting you found the questions in this interview?
1 Very interesting 2 Interesting 3 Neither interesting nor uninteresting 4 Uninteresting 5 Very uninteresting
CS_003 (comments)
Do you have any other comments on the interview? Please type these in the box below. (If you have no comments, please click next to complete this survey.)