SAMPLE READ-IN
Sample Type:
Cross-section......1
Oversample.............2
State: ____________
County: _____________________ Metro Status: _____
Date: ________________
CATI ID: ____________________
Interviewer:_________________________________________
Telephone Number:
__________________________________________________________
Time Start: _____________
Time End: _____________ TOTAL TIME: ___________
____________________________________________________________________________
INTRODUCTION
Hello, I'm __________________
calling for the U.S. Department of Transportation. We are conducting
a national study of Americans' driving habits and their attitudes
about current driving laws. The interview is completely confidential.
DUMMY QUESTION
FOR BIRTHDAY QUESTIONS
Has had the most
recent.......1
Will have the next................2
IF SAMPLE
TYPE EQ 1, ASK A, ELSE ASK B.
A. In order
to select just one person to interview, could I speak to the person
in your household, 16 or older, who (has had the most recent/will
have the next) birthday?
Respondent
is the person.................1 SKIP
TO Q.1
Other respondent comes to phone..............2
SKIP TO D
Respondent is not available..............3 ARRANGE
CALLBACK
Refused......................................4
IF SAMPLE
TYPE EQ 2 ASK B
B. Is there
anyone aged 16 to 39 years old living in your household?
Yes..................1
No........................2
THANK AND SCREEN OUT
C. Could
I speak to the person aged 16 to 39 years old living in your household
who (has had the most recent/will have the next) birthday?
Respondent
is the person...............1
Other respondent comes to phone............2
Respondent not available...............3 ARRANGE
CALLBACK
Refused....................................4
D. Hello,
I'm _______________ calling for the U.S. Department of Transportation.
We are conducting a national study of Americans' driving habits
and their attitudes about current driving laws. The interview is
completely confidential. It takes fifteen to twenty minutes. Could
we begin now?
Q1. How
often do you drive a motor vehicle? Almost every day, a few days
a week, a few days a month, a few days a year, or do you never drive?
Almost every
day.................1
Few days a week.......................2
Few days a month.................3
Few days a year.......................4
Never............................5 SKIP
TO Q.30
Other.................................6
(SPECIFY)____________________________________
(VOL) Don't know...............7
(VOL) Refused.......................8
Q.2
Not including driving to and from work, do you at least sometimes
drive a vehicle as part of a job or business?
Yes...........................1
No.................................2 SKIP
TO Q.6
Don't work....................3 SKIP
TO Q.6
(VOL) Not sure...................4 SKIP
TO Q.6
(VOL) Refused...............5 SKIP
TO Q.6
Q.3 How
often do you drive a vehicle as part of a job or business? Almost
every day, a few days a week, a few days a month, or a few days
a year?
Almost every
day..................1
Few days a week........................2
Few days a month..................3
Few days a year........................4
(VOL) Never.....................5
Other..................................6
(SPECIFY)_________________________
(VOL) Don't know................7
(VOL) Refused........................8
Q.4 Does
your company or business have a policy requiring seat belt use when
driving on the job?
Yes................................1
No......................................2 SKIP
TO Q.6
(VOL) Not sure...................3
SKIP
TO Q.6
(VOL) Refused.........................4 SKIP
TO Q.6
Q.5a
Is that a written policy?
Yes...................1
No.........................2
(VOL) Not sure......3
(VOL) Refused............4
Q.5b
How strictly does your company enforce its policy about wearing
seatbelts? Is the policy enforced....
Very strictly.........1
Somewhat strictly..........2
Not too strictly......3
Not at all.................4 SKIP
TO Q6
(VOL) Not sure...5
SKIP
TO Q6
(VOL) Refused.........6 SKIP
TO Q6
Q.5c How does
your company enforce its seatbelt policy?
__________________________________________________
Q.6 Comparing
your driving to other drivers, would you say you are average, better
than average or below average?
Average..............................1
Better than average.......................2
Below average........................3
(VOL) Not sure..........................4
(VOL) Refused......................5
Q.7 Now
I'd like you to think about all the driving you do (whether or not
it's part of your job). Is the vehicle you drive most often a car,
van, motorcycle, sport utility vehicle, pickup truck, or other type
of truck? (NOTE: IF RESPONDENT DRIVES MORE THAN ONE VEHICLE
OFTEN, ASK:) "What kind of vehicle did you LAST drive?"
Car...................................................1
Van or minivan............................................2
Motorcycle............................................3
Pickup truck..............................................4
Sport utility vehicle (Jeep/Explorer/Trooper/etc).....5
Other (specify _________________________________).........10
Other truck (SPECIFY _____________________________)...11
(VOL) Don't
know................12
(VOL) Refused........................13
IF Q.2=YES
AND Q.3=1 OR 2, ASK Q.8, ELSE GO TO Q.9
Q.8 Do
you drive this vehicle only for work, only for personal driving
or for both work and personal driving?
Only for work................................1
Only for personal use..............................2
For both work and personal driving...........3
(VOL) Don't
know.................................4
(VOL) Refused..............................5
IF Q.7=MOTORCYCLE,
SKIP TO Q.30, ELSE GO TO Q.9
Q.9 For
the next series of questions, please answer only for the (car/truck/van)
you said you usually drive. Do the seat belts in the front seat
of the (car/truck/van) go across your shoulder only, across your
lap only, or across both your shoulder and lap?
INTERVIEWER
INSTRUCTION: SEATBELT QUESTIONS REFER TO DRIVER-SIDE BELTS.
Across shoulder......................1 SKIP
TO Q.12
Across lap................................2 SKIP
TO Q.15
Across both..........................3
Vehicle has no belts......................4 SKIP
TO Q.30
(VOL) Don't
know...................5 SKIP
TO Q.16a
(VOL) Refused...........................6
SKIP TO Q.16a
Q.10
Are the shoulder and lap belt one piece or are they two separate
belts?
One piece..........................1 SKIP
TO Q.12
Two separate belts.......................2
(VOL) Don't know.................3
(VOL) Refused..........................4
Q.11
Are both the shoulder and lap belt automatic, is only the shoulder
belt automatic or is neither the shoulder or lap belt automatic?
Both are automatic......................1
SKIP
TO Q.13a
Only shoulder is automatic....................2
SKIP TO Q.13a
Neither are automatic...................3 SKIP
TO Q.13b
(VOL) Don't
know............................4 SKIP
TO Q.13b
(VOL) Refused.........................5 SKIP
TO Q.13b
Q.12
Is the shoulder belt automatic or do you have to fasten it?
Automatic.....................1
Manual..............................2 SKIP
TO Q.13b
(VOL) Don't
know............3 SKIP
TO Q.13b (VOL) Refused.....................4 SKIP
TO Q.13b
Q.13a
When you drive, do you always wear your automatic belt or is it
ever disconnected, disabled, or placed behind you?
Always wear
it....................1
Disconnected............................2
Disabled..........................3
Placed behind me........................4
Q.13b
Shoulder belts are usually attached to the door or frame behind
the driver's left shoulder. In some vehicles, this attachment can
be moved up or down to adjust the shoulder belt. Is this attachment
adjustable in your vehicle?
Yes, adjustable............1
No, not adjustable...........2
SKIP TO Q14
Not sure.............3 SKIP
TO Q14
Q.13c
Have you ever tried to adjust it?
Yes.........1
No..............2 SKIP
TO Q14
Q.13d
Were you able to make the shoulder belt more comfortable by adjusting
it?
Yes.........................1
No .............................2
(VOL) Could not adjust it...3
IF Q9=1
OR 3 ASK Q14, ELSE GO TO Q15
Q.14
When driving this (car/truck/van), how often do you wear your shoulder
belt... (READ LIST)
ALL OF THE
TIME..................1
MOST OF THE TIME......................2
SOME OF THE TIME.................3
RARELY OR.............................4
NEVER............................5
(VOL) Don't
know....................6
IF Q9=2
OR 3 ASK Q15, ELSE GO TO Q16a
Q.15
When driving this (car/truck/van), how often do you wear your lap
belt... (READ LIST)
ALL OF THE
TIME..................1
MOST OF THE TIME.....................2
SOME OF THE TIME.................3
RARELY OR............................4
NEVER............................5
(VOL) Don't
know...................6
IF Q.14=1-4,6
OR Q.15=1-4,6 ASK Q.16a ELSE GO TO Q.19
Q.16a
When was the last time you did NOT wear your seat belt (neither
lap nor shoulder belt) when driving?
Today..................................1
\
Within the past week.......................2 |
Within the past month..................3 -- SKIP TO Q17
Within the past 12 months..................4 |
A year or more ago/I always wear it....5 /
(VOL) Don't
know.........................6
(VOL) Refused........................7
ASK Q16b
IF DON'T KNOW/REF IN Q16a, ELSE SKIP TO Q17
Q.16b
Has there been any occasion in the past 12 months when you did not
wear your seat belt (neither lap nor shoulder belt) when driving?
Yes...............1
No...................2
DELETED
Q16c,Q16d,Q16e,Q16f.
IF Q.2=YES
ASK Q.17 ELSE GO TO Q.19
Q.17
Are you more likely, less likely or just as likely to wear your
seat belt when driving on the job as compared to when driving for
personal use?
More likely......................1
Less likely............................2
Just as likely...................3 SKIP
TO Q.19
(VOL) Don't
know.....................4 SKIP
TO Q.19
(VOL) Refused..................5 SKIP
TO Q.19
Q.18
Why are you (more likely/less likely) to wear your belt when driving
on the job? MULTIPLE RECORD
Company policy..................1
#hold................................2
#hold...........................5
#hold................................6
#hold...........................7
Other (SPECIFY)......................8
______________________________________________________
(VOL) Don't
know..............9 (VOL) Refused......................10
Q.19
In the past 12 months, has your use of seat belts when driving (car
driven most often) increased, decreased, or stayed the same?
Increased........................1
Decreased..............................2
SKIP TO Q.21
Stayed the same..................3
SKIP TO Q.21
New driver.............................4
SKIP TO Q.21
(VOL) Don't
know...............5 SKIP
TO Q.21
(VOL) Refused........................6 SKIP
TO Q.21
Q.20
What caused the change? Was it because....
(READ LIST - MULTIPLE RECORD)
You became more
aware of safety issues.................1
Of the seat belt law.......................................2
You didn't want to get a ticket........................3
You were in a crash........................................4
You got a new car which has automatic seat belts.......5
Other people encouraged or pressured you to use seat belts.6
#hold..................................................7
#hold......................................................8
Other..................................................12
______________________________________________________
(VOL) Don't
know..........................................13
(VOL) Refused........................................14
IF RESPONDENT
NEVER WEARS SEAT BELT IN Q.14/15 SKIP TO Q.23 ELSE GO TO Q.21
Q.21 I'm
going to read a list of reasons why you might wear your seat belt.
As I'm reading, tell me yes or no whether each reason applies to you.
When I wear my seat belt, I do so because... RANDOMIZE ORDER
| |
|
YES |
NO |
NOT SURE |
REFUSED |
| a. |
IT'S A HABIT.................................. |
1 |
2 |
3 |
4 |
| b. |
I DON'T WANT TO GET A TICKET.................. |
1 |
2 |
3 |
4 |
| c. |
I'M UNCOMFORTABLE WITHOUT IT.................. |
1 |
2 |
3 |
4 |
| d. |
OTHERS WANT ME TO WEAR IT..................... |
1 |
2 |
3 |
4 |
| e. |
IT'S THE LAW.................................. |
1 |
2 |
3 |
4 |
| f. |
I WANT TO AVOID SERIOUS INJURY................ |
1 |
2 |
3 |
4 |
| f2. |
I WANT TO SET A GOOD EXAMPLE FOR OTHERS....... |
1 |
2 |
3 |
4 |
| f3. |
THE PEOPLE I'M WITH ARE WEARING SEATBELTS..... |
1 |
2 |
3 |
4 |
21g. Are there
any other reasons why you wear your seat belt?
Yes..........................1
No...............................2 SKIP
TO Q22
(VOL) Don't
know...........3
SKIP TO Q22
(VOL) Refused..................4
SKIP TO Q22
IF
YES, What other reasons (why you wear your seat belt)?
_______________________________________________
IF MORE
THAN ONE YES IN Q.21a-g, ASK Q.22, ELSE SKIP TO Q.23
Q.22
Of the following reasons you just gave me for wearing your seat
belt, which is the most important? (READ LIST. SINGLE RECORD)
IT'S A HABIT................................1
I DON'T WANT TO GET A TICKET....................2
I'M UNCOMFORTABLE WITHOUT IT................3
OTHERS WANT ME TO WEAR IT.......................4
IT'S THE LAW................................5
I WANT TO AVOID SERIOUS INJURY..................6
I WANT TO SET A GOOD EXAMPLE FOR OTHERS.....7
THE PEOPLE I'M WITH ARE WEARING SEATBELTS.......8
OTHER (SPECIFY).............................9
___________________________________________
(VOL) Can't
say one is most
important/all are important.................10
(VOL) Don't know..........................11
(VOL) Refused.................................12
IF ALL
THE TIME IN Qs 14/15 & Q.16a-b IS AT LEAST 1 YR SINCE DID NOT
WEAR BELT SKIP TO Q.25 ELSE GO TO Q.23
Q.23
Please tell me if you agree or disagree with the following statements
concerning your use of seat belts. Sometimes I do not wear my seat
belt because... RANDOMIZE ORDER
| |
|
AGREE |
DISAGREE |
(VOL)
NOT SURE |
(VOL)
REFUSED |
| a. |
I'M ONLY DRIVING A SHORT DISTANCE.... |
1 |
2 |
3 |
4 |
| b. |
I'M DRIVING IN LIGHT TRAFFIC......... |
1 |
2 |
3 |
4 |
| c. |
I'M IN A RUSH........................ |
1 |
2 |
3 |
4 |
| d. |
I FORGOT TO PUT IT ON................ |
1 |
2 |
3 |
4 |
| e. |
I DON'T WANT MY CLOTHES TO
GET WRINKLED....................... |
1 |
2 |
3 |
4 |
| f. |
THE SEAT BELT IS UNCOMFORTABLE....... |
1 |
2 |
3 |
4 |
| g. |
THE PROBABILITY OF BEING IN
A CRASH IS TOO LOW................. |
1 |
2 |
3 |
4 |
| h. |
THE PEOPLE I AM WITH ARE NOT
WEARING SEATBELTS.................. |
1 |
2 |
3 |
4 |
Q.23i
Are there any other reasons why you sometimes do not wear your seat
belt?
Yes..................1
No........................2
(VOL) Not Sure.....3
(VOL) Don't know........4
IF YES,
What are they (other reasons for not wearing seatbelt)? __________________________________________________________
IF MORE
THAN ONE YES IN Q.23a-i, ASK Q.24, ELSE GO TO Q.25
Q.24
Of the following reasons you just gave me for not wearing your seat
belt, which is the most important? (READ LIST. SINGLE RECORD)
I'M ONLY DRIVING
A SHORT DISTANCE...............1
I'M DRIVING IN LIGHT TRAFFIC.........................2
I'M IN A RUSH...................................3
I FORGET TO PUT IT ON................................4
I DON'T WANT MY CLOTHES TO GET WRINKLED.........5
THE SEAT BELT IS UNCOMFORTABLE.......................6
THE PROBABILITY OF BEING IN A CRASH
IS TOO LOW....................................7
THE PEOPLE I AM WITH ARE NOT WEARING SEATBELTS.......8
(VOL) Can't
say one is most important/all
important...............................9
(VOL) Don't know...................................10
(VOL) Refused.................................11
(VOL) OTHER........................................12
Q.25
Is there anything that you particularly dislike or find annoying
about wearing your seat belt?
Yes...........................1
No.................................2 SKIP
TO Q.29a
(VOL) Don't
know............3 SKIP
TO Q.29a
(VOL) Refused....................4 SKIP
TO Q.29a
Q.26
What is it that you dislike or find annoying? Anything else?
Gave response
..........................1
Don't know/not sure/no answer.................2
DELETED
Q27, Q28, Q29
Q29a.
How many children age 15 or younger are living in your household
at least half of the time or consider it their primary residence?
________ NUMBER
(Range 0-8) NOT SURE/REFUSED=9
IF
Q29a=0, 98, 99 SKIP TO Q30
Q29b.
How old is (this child/the youngest child)?
______ AGE
(Range=0-15) UNDER 1=0 NOT SURE=16 REFUSED=17
IF
Q29b=0-12 ASK Q29c, ELSE SKIP TO Q30
Q29c.
Think about all the times this child rode with you in the past thirty
days, both with and without other passengers. About what proportion
of those trips would you say that the child rode in the front seat?
Would you say that in the past thirty days the child rode in the
front seat... READ LIST AND SINGLE RECORD
Nearly all
the time, that is 90% or more.....1
Most of the time..................................2
About half of the time.......................3
Some of the time..................................4
A few times, that is 10% or less.............5
Never.............................................6
(VOL) Not sure.........................7
Q29d.
Compared to 12 MONTHS ago, is this child more likely to ride in
the front seat when you drive, as likely to ride in the front seat,
or less likely to ride in the front seat?
More likely
to ride in front seat......1
As likely to ride in front seat.............2 SKIP
TO Q30
Less likely to ride in front seat......3
(Vol) Don't drive
with child................4 SKIP
TO Q30
(Vol) Not sure.........................5
SKIP TO Q30
Q29e.
Why is this child (more/less) likely to ride in the front seat when
you drive? DO NOT READ. MULTIPLE
RECORD
Safer in back..........................1
Danger from airbags.........................2
Child prefers front....................3
Child prefers back..........................4
No other place for child in vehicle....5
Other (SPECIFY).............................6
(Vol) Not sure.........................7
Q.30
How often do you ride as a passenger in any kind of car, van or
truck? Would you say...(READ LIST)
ALMOST EVERY
DAY................1
A FEW DAYS A WEEK.....................2
A FEW DAYS A MONTH..............3
A FEW DAYS A YEAR OR..................4
NEVER...........................5 SKIP
TO Q.40
(VOL) Don't know....................6
SKIP TO Q.40
(VOL) Refused.................7 SKIP
TO Q.40
Q.31
When you are a passenger, do you usually ride in the front seat
or the back seat?
Front seat................1
Back seat........................2
(VOL) Don't
know........3
(VOL) Refused..................4
Q.32a
When riding as a passenger in the front seat how often do you wear
your seat belt? (READ LIST)
ALL OF THE
TIME................1
MOST OF THE TIME.....................2
SOME OF THE TIME...............3
RARELY OR............................4
NEVER..........................5
(VOL) Never
ride in front seat.....6
(VOL) Don't know.............7
(VOL) Refused......................8
Q.32b
When riding as a passenger in the back seat how often do you wear
your seat belt? (READ LIST)
ALL OF THE
TIME................1
MOST OF THE TIME.....................2
SOME OF THE TIME...............3
RARELY OR............................4
NEVER..........................5
(VOL) Never
ride in back seat.....6
(VOL) Don't know.............7
(VOL) Refused......................8
IF Q.1
NE NEVER AND Q.7 NE MOTORCYCLE, SKIP TO Q40.
IF Q.1=NEVER AND Q.32a NE 1-4 AND Q.32b NE 1-4, SKIP TO Q.40.
IF Q.7=MOTORCYCLE AND Q.32a NE 1-4 AND Q.32b NE 1-4, SKIP
TO Q.40,
ELSE ASK Q33.
Q.33 I'm
going to read a list of reasons why you might wear your seat belt.
As I'm reading, tell me yes or no whether each reason applies to you.
When I wear my seat belt, I do so because... RANDOMIZE ORDER
| |
|
YES |
NO |
(VOL)
NOT SURE |
(VOL)
REFUSED |
| a. |
IT'S A HABIT............................... |
1 |
2 |
3 |
4 |
| b. |
I DON'T WANT TO GET A TICKET............... |
1 |
2 |
3 |
4 |
| c. |
I'M UNCOMFORTABLE WITHOUT IT............... |
1 |
2 |
3 |
4 |
| d. |
OTHERS WANT ME TO WEAR IT.................. |
1 |
2 |
3 |
4 |
| e. |
IT'S THE LAW............................... |
1 |
2 |
3 |
4 |
| f. |
I WANT TO AVOID SERIOUS INJURY............. |
1 |
2 |
3 |
4 |
| f2. |
I WANT TO SET A GOOD EXAMPLE FOR OTHERS.... |
1 |
2 |
3 |
4 |
| f3. |
THE PEOPLE I'M WITH ARE WEARING SEATBELTS.. |
1 |
2 |
3 |
4 |
Q.33g
Are there any other reasons why you wear your seat belt?
Yes..........................1
No..................................2
(VOL) Don't
know...........3
(VOL) Refused.....................4
IF
YES, What other reasons (why you wear your seat belt)?
_______________________________________________
IF MORE
THAN ONE YES TO Q.33 ASK Q.34, ELSE GO TO Q.35
Q.34
Of the following reasons you just gave me for wearing your seat
belt, which is the most important? (READ LIST. SINGLE RECORD)
IT'S A HABIT..................................1
I DON'T WANT TO GET A TICKET.......................2
I'M UNCOMFORTABLE WITHOUT IT..................3
OTHERS WANT ME TO WEAR IT..........................4
IT'S THE LAW..................................5
I WANT TO AVOID SERIOUS INJURY.....................6
I WANT TO SET A GOOD EXAMPLE FOR OTHERS.......7
THE PEOPLE I'M WITH ARE WEARING SEATBELTS..........8
OTHER (SPECIFY____________________________)...9
(VOL) Can't
say one is most important/all are important...............,....10
(VOL) Don't know............................11
(VOL) Refused....................................12
IF Q.32a=2-5
OR Q32b=2-5 THEN ASK Q.35, ELSE SKIP TO Q.37
Q.35 Please
tell me if you agree or disagree with the following statements concerning
your use of seat belts. Sometimes I do not wear my seat belt because...
RANDOMIZE ORDER
| |
|
AGREE |
DISAGREE |
(VOL)
NOT SURE |
(VOL)
REFUSED |
| a. |
I'M ONLY RIDING A SHORT DISTANCE......... |
1 |
2 |
3 |
4 |
| b. |
I'M RIDING IN LIGHT TRAFFIC.............. |
1 |
2 |
3 |
4 |
| c. |
I'M IN A RUSH............................ |
1 |
2 |
3 |
4 |
| d. |
FORGET TO PUT IT ON.................... |
1 |
2 |
3 |
4 |
| e. |
I DON'T WANT MY CLOTHES TO GET WRINKLED.. |
1 |
2 |
3 |
4 |
| f. |
THE SEAT BELT IS UNCOMFORTABLE........... |
1 |
2 |
3 |
4 |
| g. |
THE PROBABILITY OF BEING IN A CRASH IS TOO LOW............................... |
1 |
2 |
3 |
4 |
| h. |
THE PEOPLE I AM WITH ARE NOT WEARING SEATBELTS............................... |
1 |
2 |
3 |
4 |
Q.35i
Are there any other reasons why you sometimes do not wear your seat
belt?
Yes..............................1
No..........................2
(VOL) Not sure.............3
(VOL) Refused.........4
IF
YES, What are they (other reasons for not wearing seatbelt)?
______________________________________________________
IF MORE
THAN ONE YES IN Q.35a-i ASK Q.36, ELSE GO TO Q.37
Q.36 Of
the following reasons you just gave me for not wearing your seat belt,
which is the most important? (READ LIST. SINGLE RECORD)
I'M ONLY RIDING
A SHORT DISTANCE...............1
I'M RIDING IN LIGHT TRAFFIC...........................2
I'M IN A RUSH..................................3
I FORGET TO PUT IT ON.................................4
I DON'T WANT MY CLOTHES TO GET.................5
WRINKLED............................................6
THE SEAT BELT IS UNCOMFORTABLE.................7
THE PROBABILITY OF BEING IN A
CRASH IS TOO LOW....................................8
THE PEOPLE I AM WITH ARE NOT WEARING SEATBELTS.9
(VOL) Can't
say one is most important/all
important.....................................10
(VOL) Don't know............................11
(VOL) Refused.......................................12
(VOL) Other reason (SPECIFY)................13
Q.37
Is there anything that you particularly dislike or find annoying
about wearing your seat belt?
Yes.....................1
No...........................2 SKIP
TO Q.40
(VOL) Don't
know......3 SKIP
TO Q.40
(VOL) Refused..............4 SKIP
TO Q.40
Q.38
What is it that you dislike or find annoying? Anything else?
Gave response...............................1
Don't know/not sure/no answer....................2
DELETE
Q.39
Q.40
Now I'd like to ask your opinion about seat belt laws. How do you
feel about laws that require drivers and front seat passengers to
wear seat belts? Do you favor these laws a lot, do you favor them
some or do you not favor these laws at all?
Favor a lot.......................1
Favor some.............................2
Not favor at all..................3 SKIP
TO NQ.44a
(VOL) Don't
know.....................4 SKIP
TO NQ.44a
(VOL) Refused...................5 SKIP
TO NQ.44a
Q.41
Do you think that seat belt laws should also apply to back seat
adult passengers?
Yes.......................................1
No..............................................2
Depends on age of the passenger...........3
(VOL) Other
(SPECIFY______________________)...4
(VOL) Don't know........................5
Q.42
Do you favor or oppose fines for drivers who do not wear seat belts?
Favor.............................1
Oppose................................2 SKIP
TO Q.44
(VOL) Don't
know................3 SKIP
TO Q.44
(VOL) Refused.......................4 SKIP
TO Q.44
Q.43a What
do you think the minimum fine should be for the first seat belt
violation?
___________
AMOUNT OF FINE (Range 0-1000)
No fine/warning......0
Not sure (VOL).......1001
Q.43b What
do you think the minimum fine should be for repeat seat belt violations?
___________
AMOUNT OF FINE (Range 0-1000)
No fine/warning......0
Not sure (VOL).......1001
Q.44
Do you favor or oppose receiving points against a license as a penalty
for seat belt violations?
Favor...................................1
Oppose.........................................2
Depends on past violations..............3
(VOL) Don't
know.............................4
(VOL) Refused.........................5
NQ44a. I'd
like you to think about someone you know who doesn't wear seatbelts
all of the time. If that person were stopped and fined (AMOUNT
OF FINE IN STATE) for not wearing seatbelts, would this
person definitely wear seatbelts more often, probably wear seatbelts
more often, or probably not change his or her seatbelt wearing habits?
Definitely
wear more often..............................1
Probably wear more often....................................2
Probably not change seatbelt wearing habits ............3
(VOL) Maybe short-term
change, but no long term change......4
(VOL) Not sure..........................................5
(VOL) Don't know anyone like that...........................6
Q.45 Suppose
you get a ticket for not wearing your seat belt. Which of the following
statements better describes your likely reaction?
I deserve the
ticket because I broke the law, or...........1
I do NOT deserve the ticket because wearing a seat belt
should be a personal choice..............................2
(VOL) Don't
know.........................................3
(VOL) Refused................................................4
DELETED
NQ45a AND NQ45b
Q.46
The next questions are about seat belt laws in your state. Does
(STATE) have a law requiring seat belt use?
Yes.........................1
No................................2 SKIP
TO Q.48b
(VOL) Don't
know..........3 SKIP
TO Q.48b
(VOL) Refused...................4 SKIP
TO Q.48b
NQ47.
Who is required to wear seatbelts according to your state law? Are
(READ ITEM) required to wear seatbelts?
| |
|
YES |
NO |
NOT SURE |
| a. |
Drivers................................. |
1 |
2 |
3 |
| b. |
Children in the front seat.............. |
1 |
2 |
3 |
| c. |
Children in the back seat............... |
1 |
2 |
3 |
| d. |
Adult passengers in the front seat...... |
1 |
2 |
3 |
| e. |
Adult passengers in the back seat ...... |
1 |
2 |
3 |
DELETE
Q.47
Q.48a
According to your state law, can police stop a vehicle if they observe
a seat belt violation or do they have to observe some other offense
first in order to stop the vehicle?
Can stop just
for seat belt violation...........1
Must observe another offense first...................2
(VOL) Don't
know..........................3
Q.48b
In your opinion, SHOULD police be allowed to stop a vehicle if they
observe a seat belt violation when no other traffic laws are being
broken?
Should be allowed
to stop.....1 SKIP TO
Q.49
Should not........................2
Q.48c
Most other traffic laws allow police to stop the vehicle whenever
they see a violation. Why do you think seat belt violations should
be treated differently from other traffic violations? DO
NOT READ LIST. MULTIPLE RECORD
Don't pose
a risk to others.........1
Not as serious a violation..............2
Police may abuse it.................3
Other (SPECIFY)
____________________________........7
IF Q1=5
SKIP TO Q55a
NQ49.
In the past twelve months, since (MONTH) of last
year, have you been stopped by police for any traffic-related reason
while driving?
Yes.......................1
No.............................2 SKIP
TO Q55a
(VOL) Don't
know........3 SKIP
TO Q55a
(VOL) Refused................4 SKIP
TO Q55a
NQ50.
Were you wearing a seatbelt when you were stopped? (IF
STOPPED MORE THAN ONCE IN PAST 12 MONTHS, ASK
ABOUT MOST RECENT TIME)
Yes.......................1 SKIP
TO NQ54
No...........................2
(VOL) Don't
know..........3 SKIP
TO NQ54
(VOL) Refused................4 SKIP
TO NQ54
NQ51.
Did you receive a ticket for violating seat belt laws?
Yes.......................1 SKIP
TO NQ53
No...........................2
(VOL) Don't
know..........3
(VOL) Refused................4
NQ52.
Did you receive a warning for violating seat belt laws?
Yes.......................1
No...........................2
(VOL) Don't know..........3
(VOL) Refused................4
NQ53.
Did you receive a ticket for some other traffic violation?
Yes.......................1
SKIP
TO Q55a
No.............................2 SKIP
TO Q55a
(VOL) Don't
know........3 SKIP TO Q55a
(VOL) Refused................4 SKIP
TO Q55a
NQ54.
Did you receive a ticket for any traffic violation?
Yes.......................1
No...........................2
(VOL) Don't know..........3
(VOL) Refused................4
IF YES
IN NQ51 SKIP TO Q55b
Q.55a Have
you ever received a ticket for not wearing seat belts?
Yes.......................1
No.............................2
(VOL) Don't know........3
(VOL) Refused................4
IF YES
IN NQ52 SKIP TO Q55c
Q.55b
Have you ever received a warning for not wearing seat belts?
Yes.......................1
No.............................2
(VOL) Don't
know........3
(VOL) Refused................4
IF YES
IN NQ51, NQ52, Q55a OR Q55b ASK Q55c, OTHERWISE SKIP TO Q56
Q55c.
After you received the seatbelt (ticket/warning), did you start
wearing your seatbelts more often, less often, or was there no change
in how often you wore them?
Wore seatbelt
more often.................1
Wore seatbelt less often.....................2
No change in how often wore seatbelt.....3
(VOL) Not sure.........................4
IF Q.1=NEVER
SKIP TO Q.57 ELSE ASK Q.56
Q.56
Assume that you do not wear your seat belt AT ALL while driving
over the next six months. How likely do you think you will be to
receive a ticket for not wearing a seat belt? (READ LIST)
VERY LIKELY....................1
SOMEWHAT LIKELY......................2
SOMEWHAT UNLIKELY..............3
VERY UNLIKELY........................4
(VOL) Don't
know.............5
(VOL) Refused......................6
Q.57
How often do you think police should ticket for seat belt violations?
On a scale of 1 to 10, where 1 means police should hardly ever give
tickets and 10 means police should give tickets at every opportunity
when it comes to enforcing seat belt laws, how strict should police
enforcement be?
____________
(VOL) Don't know...............11
(VOL) Refused..........................12
NQ58.
Now I'm going to read you a few statements Please tell me whether
you strongly agree, somewhat agree, somewhat disagree, or strongly
disagree.
| |
|
Strongly
Agree |
Somewhat
Agree |
Somewhat
Disagree |
Strongly
Disagree |
| ROTATE LIST |
| a. |
Seatbelts are just as likely
to harm you as help you............. |
1 |
2 |
3 |
4 |
| b. |
Police in my community generally
do not bother to write tickets
for seatbelt violations |
1 |
2 |
3 |
4 |
PROBE FOR NOT
SURE ON NQ58b: "Based on
what you have seen or have heard from
others..." REREAD QX |
| c. |
An accident close to home is
usually not as serious as an
accident farther away............... |
1 |
2 |
3 |
4 |
| d. |
Even if parents don't wear seatbelts but
require their children to wear them,
then the children will almost always
continue to wear seatbelts when
they've grown up.................... |
1 |
2 |
3 |
4 |
| e. |
If I were in an accident, I would
want to have my seatbelt on ........ |
1 |
2 |
3 |
4 |
| f. |
If a police officer wanted to stop
a motor vehicle, that officer could
always find a legal reason to
stop it............................. |
1 |
2 |
3 |
4 |
| g. |
I would feel self-conscious around
my friends if I wore a seatbelt and
they did not........................ |
1 |
2 |
3 |
4 |
| h. |
I have a habit of wearing a
seatbelt because my parents
insisted I wear them when I was
a child ............................ |
1 |
2 |
3 |
4 |
| i. |
Medical insurance costs would be
lower if more people wore seatbelts. |
1 |
2 |
3 |
4 |
| k. |
Putting on a seatbelt makes me
worry more about being in an
accident............................ |
1 |
2 |
3 |
4 |
NQ58X. Has
a seatbelt ever broken apart when either you or someone you know was
using it?
Yes.................1
No.......................2
(VOL) Not sure......3
I'd like to
ask you a few questions about speed limits.
Q.58 In general, do you think most highway speed
limits are too low, too high or about right?
Too low...........................1
Too high...............................2
About right.......................3
(VOL) Don't know.....................4
(VOL) Refused...................5
Q.59
How about residential speed limits or those not on a highway? Do you
think they are too low, too high or about right?
Too low..........................1
Too high...............................2
About right......................3
(VOL) Don't know.....................4
(VOL) Refused..................5
Q.60 Would
you say the driving of most other drivers is...(READ LIST)
EXCELLENT...............1
VERY GOOD.....................2
GOOD....................3
FAIR OR.......................4
POOR....................5
(VOL) Don't know............6
(VOL) Refused.........7
IF Q.1=NEVER
SKIP TO Q.64 ELSE ASK Q.61
Q.61 How
often do you feel pressure from other drivers to go faster than the
speed limit? (READ LIST)
VERY OFTEN..................1
OFTEN............................2
RARELY......................3
NEVER............................4
(VOL) Don't know..........5
(VOL) Refused..................6
DELETED
Q.62 AND Q.63
IF Q.1=NEVER
SKIP TO Q.67 ELSE ASK Q.64
Q.64 Which
statement best describes your highway driving. 1 > I TEND TO PASS
OTHER CARS MORE OFTEN THAN OTHER CARS PASS ME, OR 2 > OTHER CARS
TEND TO PASS ME MORE OFTEN
I tend to pass
other cars more often than
other cars pass me......................1
Other cars tend to pass me more often.............2
(VOL) Neither, I drive the same as most
others..................................3
(VOL) I don't' drive on highways..................4 SKIP
TO Q.67
(VOL) Don't know..............................5
(VOL) Refused.....................................6
(VOL) Both, that is, I tend to pass and others
tend to pass me.........................7
Q.65 In
general, how fast do you drive on a highway with a posted speed limit
of 55 miles per hour?
________________ (Range=45-75) DON'T KNOW=77
REFUSED=78
DELETED
Q.66a AND Q.66b
Q.67
I would like to switch subjects for a minute. Have you seen or heard
any advertisements that use crash dummies?
Yes..........................1
No.................................2 SKIP
TO Q.69
(VOL) Don't know...........3
SKIP TO Q.69
(VOL) Refused....................4 SKIP
TO Q.69
Q.68
Could you tell me what advice or message the crash dummies advertised?
(DO NOT READ LIST -- MULTIPLE RECORD)
Commercial
for a brand of car................1
Commercial for something else (e.g., toys)....2
Don't be a dummy.............................3
Wear seat belts/buckle up.......................4
Don't drink and drive........................5
Other (SPECIFY)_____________________________....10
(VOL) Don't
remember.......................11
(VOL) Refused.................................12
Now I'd like
to ask you a few questions about airbags.
IF Q.1=NEVER OR Q7=MOTORCYCLE, SKIP TO Q.72 ELSE ASK Q.69
Q.69
Does the (car/truck/van) you normally drive have an airbag?
Yes..........................1
No...............................2 SKIP
TO Q.71
(VOL) Don't know...........3 SKIP
TO Q.71
(VOL) Refused..................4 SKIP
TO Q.71
Q.70 Is
the airbag for the driver only or is there also a passenger side
airbag?
Driver only.......................1
Driver and passenger....................2
(VOL) Don't
know................3
(VOL) Refused.........................4
Q.71
If you are driving in a vehicle that has an airbag and you get into
an accident involving major vehicle damage is it likely or unlikely
that you would be injured?
Likely....................................1
Unlikely.......................................2
(VOL) Depends
on type of accident.......3
(VOL) Don't know.............................4
(VOL) Refused...................5
IF Q1=5
READ "passenger" and "riding" ELSE READ "driver" and "driving"
Q.72
Please tell me whether you agree or disagree with the following statement.
If my car has a (driver/passenger) side airbag, I don't need to wear
my seat belt when (driving/riding).
Agree...........................1
Disagree..............................2
(VOL) Don't know..............3
Q.73 Based
on what you know or have heard, what is the minimum speed a vehicle
would have to be hit in order for an airbag to open up?
________________
MPH (Range=1-75) DON'T KNOW=77 REFUSED=78
Q.74 If
a vehicle is hit FROM THE FRONT at a moderate speed, would you expect
the airbag to open?
Yes............................1
No....................................2
(VOL) Don't know.............3
(VOL) Refused.......................4
Q.75
If a vehicle is hit FROM THE SIDE at a moderate speed, would you expect
the airbag to open?
Yes.................................1
No.......................................2
(VOL) Don't know..................3
(VOL) Refused..........................4
(VOL) Depends on type of airbag...5
Q.76a
If a vehicle is hit FROM BEHIND at a moderate speed, would you expect
the airbag to open?
Yes..........................1
No..................................2
(VOL) Don't know...........3
(VOL) Refused.....................4
Q.76b
Would you prefer that your next vehicle have driver side airbags only,
driver and passenger side airbags or no airbags?
Driver side only.....................1
Driver and passenger side................2
No airbags...........................3
(VOL) Not sure......................4
(VOL) Refused...................5
Q.76c Do
you have any concerns about the safety of airbags?
Yes.................1
No......................2 SKIP
TO Q.76e
(VOL) Don't know..3
SKIP TO Q.76e
(VOL) Refused.........4 SKIP TO Q.76e
Q.76d
What are those concerns (about the safety of airbags)?
_____________________________________________________
Q.76e
In general, do you feel safer in motor vehicles with airbags, about
the same, or less safe in vehicles with airbags than those without
airbags?
Safer in vehicles
with airbags...............1
About the same.....................................2
Less safe in vehicles with airbags...........3
(VOL) Not sure...............................4
DELETE
Q.76F AND Q.77a AND Q.77b AND Q.77c
IF Q.1=NEVER SKIP TO Q.79 ELSE ASK Q.78a.
IF Q.1 NE NEVER AND Q7=3, SKIP TO Q78b
Now I'd like
to ask you some questions about motorcycle use.
Q.78a Have you driven a motorcycle in the past 12
months?
Yes..........................1
No..................................2 SKIP
TO Q.79
(VOL) Don't know...........3 SKIP
TO Q.79
(VOL) Refused.....................4 SKIP
TO Q.79
Q.78b
How often do you wear a helmet when you drive a motorcycle? Would
you say...(READ LIST)
ALL OF THE
TIME...............1
MOST OF THE TIME....................2
SOME OF THE TIME..............3
RARELY OR...........................4
NEVER.........................5
(VOL) Don't
know..................6
Q.79 Do
you favor or oppose mandatory helmet use laws for motorcyclists?
Favor.......................1
Oppose............................2
(VOL) Don't know..........3
IF Q.78a=YES
OR Q7=3, ASK Q.80. ELSE SKIP TO Q.81
Q.80
During the past 12 months, have you driven a motorcycle after drinking
alcoholic beverages? (IF ASKED HOW LONG AFTER DRINKING, SAY:)
When you probably still had alcohol in your system.
Yes..........................1
No..................................2
(VOL) Don't know...........3
Q.81
During the past 12 months, have you RIDDEN as a passenger on a motorcycle?
Yes......................1
No.............................2 SKIP
TO Q.83
(VOL) Don't know.......3
SKIP TO Q.83
Q.82 Did
you wear a helmet the last time you rode as a passenger?
Yes.........................1
No...............................2
(VOL) Don't know..........3
Q.83
Now I'm going to ask you a few questions about alcohol use. During
the past 30 days have you had at least one drink of any alcoholic
beverage, including liquor, beer, wine or wine coolers?
Yes.........................1 SKIP
TO Q.85
No...............................2
(VOL) Not sure............3
Q.84 Did
you drink any alcoholic beverages at all during the past 12 months?
Yes..........................1
SKIP TO Q.86
No.................................2
SKIP TO Q.90
(VOL) Not sure.............3 SKIP
TO Q.90
Q.85 How
many days out of the past 30 days did you drink alcoholic beverages?
____________(Range=0-30)
NOT SURE=31 REFUSED=32
Q.86
On the average, how many drinks did you typically have on the days
you drank?
_____________(Range=0-12) MORE
THAN 12=13 NOT SURE=14 REFUSED=15
IF
Q.1=NEVER OR Q.83=NO SKIP TO Q.90 ELSE ASK Q.87
Q.87 During
the past 30 days, have you driven a vehicle after you had been drinking
alcohol?
Yes.....................1
No............................2 SKIP
TO Q.90
(VOL) Not sure........3 SKIP
TO Q.90
Q.88
How many days out of the past 30 days did you drive after drinking
alcoholic beverages?
__________
(Range=0-30) NOT SURE=31 REFUSED=32
Q.89
In the past 30 days, have you driven a vehicle when you thought
you might have consumed too much alcohol to drive safely?
Yes.......................1
No..............................2
(VOL) Not sure..........3
Q.90 Have
YOU ever been injured in a motor vehicle accident? Only count injuries
that required medical attention.
Yes.......................1 SKIP
TO Q.91
No.............................2
(VOL) Don't know..........3
(VOL) Refused..................4
NQ.90a
Have YOU ever been injured in a motor vehicle accident when you were
a passenger, or have you ever been hit and injured by a motor vehicle
when you were walking or riding a bike? Only count injuries that required
medical attention.
Yes.......................1
No.............................2 SKIP
TO Q.99c
(VOL) Don't know..........3 SKIP
TO Q.99c
(VOL) Refused..................4 SKIP
TO Q.99c
Q.91 How
many times has this happened to you?
______________________________
DON'T KNOW=98 REFUSED=99
DELETE
Q92.
Q.93a How
long ago did (that/the most recent) accident occur?
________________________
NUMBER OF YEARS AGO
WITHIN THE PAST YEAR=0 NOT SURE=98 REFUSED=99
DELETE
Q.93b
Q.93c
Were you a driver or a passenger in that accident?
Driver.............1
Passenger..............2
Pedestrian (VOL)...3
Bicyclist (VOL)........4
Other (SPECIFY)
______________.......5
IF
Q.93c=PEDESTRIAN OR BICYCLIST, SKIP TO Q95
Q.94
Were you wearing your seat belt at the time of the accident?
Yes.................................1
No.......................................2
(VOL) Motorcycle
driver/rider.....3
(VOL) Don't know.......................4
(VOL) Refused.....................5
Q.95
At which of the following were you treated for your injuries? Were
you treated at ...(READ LIST AND MULTIPLE RECORD)?
A hospital
emergency room........1
A doctor's office....................2
A Clinic.........................3
The accident scene...................4
Somewhere else (SPECIFY).........5
______________________________
Did not need treatment.............6 SKIP
TO Q.98a
Q.96
Were you transported from the accident scene by ambulance or helicopter?
Yes, ambulance
(or rescue vehicle)...1
Yes, helicopter..........................2
No, neither..........................3
(VOL) Don't
know.........................4
Q.97Were
you hospitalized?
Yes.......................1
No.............................2 SKIP
TO NQ97B
(VOL) Don't
know..........3 SKIP TO NQ97B
NQ97a.
How long were you hospitalized?
______ DAYS
(O-365) or HOURS ______ (1-23)
NQ97b.
Did you receive any continuing or follow-up treatment for your injuries?
Yes.......................1
No.............................2 SKIP
TO Q98a
(VOL) Don't
know..........3 SKIP TO Q98a
NQ97c.
Where did you receive this (follow-up) treatment? Was it at ...(READ
LIST AND MULTIPLE RECORD)?
A doctor's
office................1
A physical therapist.................2
A clinic.........................3
Somewhere else (SPECIFY).............4_____________________
NQ98a. Did
your injuries from that accident prevent you from performing any of
your normal activities (work, school, household) for at least a week?
Yes.......................1
No.............................2 SKIP
TO Q.99a
(VOL) Don't know.....3 SKIP
TO Q.99a
(VOL) Refused.............4 SKIP TO
Q.99a
Q.98b Were
there any activities that you were unable to resume because of your
injuries even a year after the accident?
Yes.......................................1
No.............................................2
Happened less than 1 year ago.............3
(VOL) Not sure...............................4
(VOL) Refused...........................5
IF YES
IN Q.98a OR Q.91=1, SKIP TO Q.99E
Q.99a
Have you ever received injuries from a vehicle accident that prevented
you from performing any of your normal activities (work, school, household)
for at least a week?
Yes.......................1
No.............................2
SKIP TO Q.99c
(VOL) Don't know.....3 SKIP
TO Q.99c
(VOL) Refused.............4 SKIP TO
Q.99c
Q.99b Were
there any activities that you were unable to resume because of your
injuries even a year after the accident?
Yes.......................................1
No.............................................2
Happened less than 1 year ago.............3
(VOL) Not sure...............................4
(VOL) Refused...........................5
IF
YES IN Q90 or NQ90a SKIP TO Q.99e
Q.99c Were
you ever a driver or a passenger in a motor vehicle crash that involved
death or injuries requiring medical attention?
Yes.......................1
No.............................2 SKIP
TO Q.99e
(VOL) Don't
know..........3 SKIP
TO Q.99e
(VOL) Refused..................4 SKIP
TO Q.99e
DELETE
Q.99d1 AND Q99d2 AND Q99d3
People have different
beliefs about their own chances of survival in a crash.
Q.99e Do
you agree or disagree that if it is your time to die, you'll die,
so it doesn't matter whether you wear your seat belt?
Agree.........................1
Disagree............................2
(VOL) Not sure..............3
(VOL) Refused.....................4
Q.99f
Do you agree or disagree that people have a choice to do what they
can to avoid death and serious injury, so wearing a seat belt does
matter?
Agree..........................1
Disagree..............................2
(VOL) Not sure...............3
(VOL) Refused.......................4
Q.100
Now I need to ask you some basic information about you and your household.
What is your age?
__________ AGE
REFUSED=99
Q.101a
Including yourself, how many persons, AGE 16 OR OLDER, are living
in your household at least half of the time or consider it their primary
residence?
____________
IF NO OTHER ADULTS 16+, ENTER "0" REFUSED=99
IF Q29a
NOT ASKED, THEN ASK Q101b, ELSE SKIP TO Q102
Q.101b
How many children age 15 OR YOUNGER are living in your household at
least half of the time or consider it their primary residence?
____________
NONE=0 REFUSED=99
Q.102
Do you consider yourself to be Hispanic or Latino?
Yes.......................1
No.............................2
(VOL) Not sure..........3
(VOL) Refused................4
Q.103 Which
of the following racial categories describes you? You may select more
than one? READ LIST AND MULTIPLE RECORD
American Indian
or Alaskan Native........1
Asian........................................2
Black or African-American................3
Native Hawaiian or Other Pacific Islander....4
White....................................5
Other (SPECIFY)..............................6
__________________________________________
(VOL) Refused.........................9
Q.104
Are you married, divorced, widowed, separated or have you never been
married?
Married...............................1
Divorced...................................2
Widowed...............................3
Separated..................................4
Never been married....................5
A member of an unmarried couple............6
(VOL) Refused.......................7
Q.105a
What is the highest grade or year of school you completed?
8th grade or
less..........8
9th grade.......................9
10th grade.................10
11th grade......................11
12th grade/GED.............12
Some college....................13
College graduate or higher.14
(VOL) Refused.................15
Q.105b
Which of the following categories best describes your total household
income before taxes in 1997? (Includes the income of all persons in
the household.) Was your total household income [READ LIST]
Less than $5,000.............1
$5,000 to $14,999..........2
$15,000 to $29,999...........3
$30,000 to $49,999.........4
$50,000 to $74,999...........5
$75,000 to $99,999.........6
$100,000 or more.............7
Not sure (VOL)..........8
Refused (VOL).............9
Q.106 Are
you currently employed for wages, self-employed, out of work, a homemaker,
a student, retired or unable to work? MULTIPLE RECORD
Employed for
wages.......1
Self-employed.................2
Out of work..............3
Homemaker.....................4
Student..................5
Retired.......................6
Unable to work...........7
(VOL) Refused...............8
In order to better
understand driver and rider characteristics, we'd like to ask you
about your height and weight.
Q.107a About
how tall are you without shoes?
_______ft. _______in.
Q.107b What is
your weight?
___________ DON'T
KNOW=998 REFUSED=999
Q.108
Not including beepers and pagers, do you have more than one telephone
number in your household at which you normally can receive in-coming
phone calls?
Yes...............1
No.....................2 SKIP
TO Q.110
(VOL) Refused...3 SKIP
TO Q.110
Q.109
How many different telephone numbers do you have at this residence
at which you can normally receive incoming phone calls?
___________ 10
OR MORE=10 DON'T KNOW=11 REFUSED=12
Q.110FROM
OBSERVATION, ENTER SEX OF RESPONDENT
Male..............1
Female..................2
That
completes the survey.
Thank you very much for your time and cooperation.