proxy.quest.b {heR.ActivityData}R Documentation

NHAPS Proxy Questionnaire, Version B

Description

The complete text of version B of the NHAPS proxy questionnaire

The Verbatim Version B Child-Proxy Questionnaire

>qkid< Hello, I'm calling from the University of Maryland. My name is <—->. The University of Maryland is conducting a study for the U.S. Environmental Protection Agency to help reduce the exposure of both adults and children to pollution. FIRST, are there any children under 18 living in this household?

** IF YOUNG CHILD ANSWERS, ASK TO SPEAK WITH AN ADULT

<0> NO <1> YES <7> RESPONDENT PROBLEM (LANGUAGE, HEALTH, AGE, OTHER)

<8> NON HOUSEHOLD - BUSINESS, GROUP HOME, PAY OR CAR PHONE, HOSPITAL <9> IF CALL BACK OR REFUSAL <n> ** NO ANSWER / TROUBLE WITH LINES <h> ** HOME RECORDER / ANSWERING SERVICE ===>

>knam< For this study, we need to know about the activities of the child in the household under the age of 18 who will have the NEXT birthday. Who would that be? I just need his or her first name.

** RECORD FIRST NAME BELOW ** ** IF REFUSES TO GIVE NAME TYPE (r) ** DO NOT END WITH /// |———-| ===>

>rage< How old is [fill NAME]?

<0> LESS THAN ONE [goto kage] <1-17> RECORD AGE [goto kage] <99> REF/DK ===>

>ksex< ** IF NOT SURE ASK: Is [fill NAME] a boy or girl?

<1> BOY <2> GIRL <9> REF ===>

>KSEX< [if ksex eq <1> then goto khow] [if ksex eq <9> then goto horh] [store <her> in YOUR] [goto khow]

>wkid< I will need to speak with an adult, who lives in the household who would know how [fill NAME] spent [fill YOUR] time yesterday. Who would that be?

<1> INFORMANT <2> SOMEONE ELSE [goto know] <7> RESPONDENT PROBLEM (LANGUAGE, HEALTH, AGE, OTHER) [goto lang] <9> IF CALL BACK OR REFUSAL [goto RES1] ===>

>krel< What is your relationship to [fill NAME]?

<1> MOTHER <2> FATHER <3> OTHER - SPECIFY: [specify] <x> INTERVIEW TERMED OR NEVER BEGUN [goto nono] ===>

>q1< Before asking about what [fill NAME] did yesterday, I need to ask you a few questions about your home.

Is any gasoline or kerosene being stored in any room or basement of your home or in an attached garage or carport?

<0> NO <1> YES <8> DK <x> INTERVIEW TERMED OR NEVER BEGUN [goto nono] ===> [goto Q2]

>Q2< Are any devices with gasoline engines such as lawnmowers being stored in any room or basement of your home or in an attached garage or carport?

<0> NO <1> YES <8> DK ===>

>Q3< Are any paints or varnishes being stored in any room or basement of your home or in an attached garage or carport?

<0> NO <1> YES <8> DK ===>

>Q4< Are any woodworking solvents, paint stripping fluids or adhesives stored in any room or basement of your home or in an attached garage, or carport?

<0> NO <1> YES <8> DK ===>

>Q5< In the last six months, have you or anyone else renovated your home in any way? This would include indoor painting, refinishing floors, adding rooms to the house or laying new carpet.

<0> NO <1> YES [goto Q5a] <8> DK ===> [goto Q6]

>Q5a< Was any indoor painting done?

<0> NO <1> YES <8> DK ===>

>Q5b< How about refinishing floors?

<0> NO <1> YES <8> DK ===>

>Q5c< What about additions to the house?

<0> NO <1> YES <8> DK ===>

>Q5d< What about laying carpet?

<0> NO <1> YES [goto Q5e] <8> DK ===> [goto Q5f]

>Q5e< Was glue used or was it tacked down?

<1> GLUE <2> TACKED <3> OTHER <8> DK ===> >Q5f< During these renovations, did you most often sleep in your home overnight or did you sleep overnight somewhere else?

<1> SLEPT IN HOME <2> SLEPT SOMEWHERE ELSE <3> OTHER <8> DK ===>

>Q6< In the last six months, were any pesticides used to get rid of insects, rodents or other pests at your home?

<0> NO <1> YES [goto Q6a] <8> DK ===> [goto Q7]

>Q6a< Was that done:

<1> INSIDE <2> OUTSIDE <3> OR BOTH? <8> DK ===>

>Q6b< How many of these times were pesticides applied by a PROFESSIONAL?

<0> NONE <1> 1-2 <2> 3-5 <3> 6-9 <4> 10+ TIMES <8> DK ===>

>Q6c< How many of these times did you PERSONALLY apply pesticides?

<0> NONE <1> 1-2 <2> 3-5 <3> 6-9 <4> 10+ times <8> DK ===>

>Q7< Are the floors in your home vacuumed or swept:

<1> ALMOST EVERY DAY <2> 3-5 TIMES A WEEK <3> ABOUT ONCE OR TWICE A WEEK <4> ABOUT ONCE OR TWICE A MONTH <5> LESS OFTEN <6> OR NEVER? <8> DK ===>

>Q7b< Are any welcome mats available for people to wipe their feet before entering your home?

<0> NO <1> YES <8> DK ===>

>Q8< Is a portable humidifier used to add moisture to the air in your home?

<0> NO [goto Q7b1] <1> YES <8> DK [goto Q7b1] ===>

>Q8a< In the last month, was it used:

<1> almost every day <2> 3-5 times a week <3> 1-2 times a week <4> or less often <8> DK ===>

>Q9< Do you get water for general household use from:

<1> THE PUBLIC WATER SYSTEM <2> A PRIVATE WELL <3> OR FROM SOME OTHER SOURCE – What is that? [specify] <8> DK ===>

>Q10< Is bottled water ever used for drinking in your home?

<0> NO [goto HSMK] <1> YES <8> DK [goto HSMK] ===>

>Q10a< How many gallons are used each week?

<0> LESS THAN 1 <1> 1-2 <2> 3-4 <3> 5-6 <4> 7-8 <5> MORE THAN 8 <8> DK ===>

>a8b< [if TYPE eq <2> goto DNO1]

>A8b< Is smoking allowed in your home?

<0> NO <1> YES <8> DK ===> [equiv H8b]

>Smky< [store A8b in nsmk]

>Nsmk< [if A8b ne <1> goto DNO1]

>A8c< How many household members normally smoke cigarettes in the home?

<0> ZERO <1-10> RECORD ACTUAL NUMBER <11> MORE THAN 10 <88> DK ===> [equiv H8c]

[#IF CHILD IS 6-8 GOTO PDIR, IF CHILD IS YOUNGER THAN 6 GOTO DINT]

>pdir< Now I need to ask you about [fill NAME]'s activities yesterday. For this part of the survey, it may be useful if [fill NAME] could be available in case there are questions about [fill YOUR] activities which you cannot answer. Is [fill NAME] available?

IF NO: Let's go ahead, and just let me know if there are any questions you cannot answer.

IF YES: If we come to any questions you cannot answer, I'll wait for you to ask [fill NAME] the question.

<0> NO ** DO NOT ENTER "0" UNTIL ABOVE IS READ ** <1> YES ** DO NOT ENTER "1" UNTIL ABOVE IS READ ** ===>

>dint< An important part of this study is to learn what kinds of pollutants adults and children come in contact with in their daily activities. To do this we need to find out how and where people spend their time.

I would like to ask you about the things [fill name] did yesterday – from midnight [fill pday] night to midnight last night.

** TYPE <1> to begin diary

THE FOLLOWING INFORMATION IS ASKED EACH ACTIVITY:

1. START TIME OF ACTIVITY 2. DESCRIPTION OF ACTIVITY 3. WHERE ACTIVITY WAS DONE 4. END TIME OF ACTIVITY 5. WAS ANYONE SMOKING DURING ACTIVITY

>Q11< We are also interested in contact [fill name] had with tap water, that is, water from a faucet. First, not including bottled water, how many 8-ounce glasses of tap water did [fill name] drink yesterday?

<0> NONE <1> 1-2 <2> 3-5 <3> 6-9 <4> 10-19 <5> 20+ <8> DK ===>

>Q12< About how many 8 ounce glasses of orange juice, lemonade, Kool Aid, or other drinks made with tap water did [fill name] drink yesterday?

<0> NONE <1> 1-2 <2> 3-5 <3> 6-9 <4> 10-19 <5> 20+ <8> DK ===>

>Q13< About how many cans or bottles of carbonated soft drinks did [fill name] drink yesterday?

<0> NONE <1> 1-2 <2> 3-5 <3> 6-9 <4> 10-19 <5> 20+ <8> DK ===>

>Q14< How many times would you say [fill name] washed [fill your] hands yesterday?

<0> NONE <1> 1-2 <2> 3-5 <3> 6-9 <4> 10-19 <5> 20-29 <6> 30+ TIMES <8> DK ===>

>Q15< Did [fill name] take a shower yesterday?

<0> NO [goto bth1] <1> YES <8> DK [goto bth1] ===>

>Q15a< How many showers did [fill name] take?

<1-10> RECORD ACTUAL NUMBER <11> 10+ <88> DK ===>

>Q15b< How long did [fill name] spend taking the shower(s)? (IN TOTAL)

<1-60> RECORD ACTUAL MINUTES <61> OVER AN HOUR <88> DK ===>

>Q16a< When [fill name] showered, was the bathroom door closed?

<0> NO <1> YES <8> DK ===>

>Q16b< Was there a window open or an exhaust fan on?

<0> NO <1> YES <8> DK ===>

>Q16c< How long did [fill name] spend in the shower room immediately after taking the shower(s)?

<0-60> RECORD ACTUAL MINUTES <61> OVER AN HOUR <88> DK ===>

>P17< Did [fill name] take (or was given) a bath yesterday?

<0> NO [goto Q17f] <1> YES <8> DK [goto Q17f] ===> [goto Q17a]

>Q17a< How many baths did [fill NAME] take (and/or give)?

<1-20> RECORD ACTUAL NUMBER OF BATHS <88> DK ===>

>Q17b< How long did [fill name] spend taking or giving the bath(s)? (IN TOTAL)

<1-60> RECORD ACTUAL MINUTES <61> OVER AN HOUR <88> DK ===>

>Q17c< Was the bathroom door closed?

<0> NO <1> YES <8> DK ===>

>Q17d< Was there a window open or an exhaust fan on?

<0> NO <1> YES <8> DK ===>

>Q17e< How long did [fill name] stay in the bathroom immediately after the bath(s)?

<0-60> RECORD ACTUAL MINUTES <61> OVER AN HOUR <88> DK ===>

>Q17f< In the past month, did [fill name] go swimming in a freshwater swimming pool?

<0> NO [goto D17] <1> YES <8> DK [goto D17] ===>

>Q17g< How many times?

<1-80> RECORD ACTUAL NUMBER <88> DK ===>

>Q17h< When [fill name] went swimming this past month, what was the average amount of time [fill name] spent actually in the water. (in minutes)

<1-59> RECORD ACTUAL AMOUNT <60> ONE HOUR <61-119> RECORD ACTUAL MINUTES <120> TWO HOURS <150> TWO AND A HALF HOURS <180> THREE HOURS <240> FOUR HOURS <241> MORE THAN FOUR HOURS <888> DK ===>

>D17< In the past month, how many hours did [fill name] spend working in a garden or otherwise working with soil?

<0> NONE <1-320> RECORD NUMBER OF HOURS <888> DK ===>

>Q18< Do you have a dishwasher in your home?

<0> NO [goto Q19] <1> YES <8> DK [goto Q19] ===>

>Q18a< [fill DOES] [fill NAME] use the dishwasher:

<1> ALMOST EVERY DAY <2> 3-5 TIMES A WEEK <3> 1-2 TIMES A WEEK <4> OR LESS OFTEN <8> DK ===>

>Q19< [fill DOES] [fill NAME] wash or rinse dishes by hand?

<0> NO [goto Q20] <1> YES <8> DK [goto Q20] ===>

>Q19a< [fill DOES] [fill NAME] do this:

<1> ALMOST EVERY DAY <2> 3-5 TIMES A WEEK <3> 1-2 TIMES A WEEK <4> OR LESS OFTEN <8> DK ===>

>Q20< Are clothes in your household done in a home washing machine, at a laundromat or is it all done professionally?

<1> HOME [goto Q21] <2> LAUNDROMAT OR LAUNDRY FACILITY <3> ALL PROFESSIONALLY [goto Q24] <4> COMBINATION OF HOME AND LAUNDROMAT [goto Q21] <5> OTHER, SPECIFY: [specify] <8> DK ===> [goto bab2]

>Q21< Is your washing machine located in a separate basement area or is it in another room of your home? <1> BASEMENT <2> OTHER ROOM: SPECIFY [specify] <8> DK ===>

>Q22< [fill DOES] [fill NAME] wash clothes in a machine:

<1> ALMOST EVERY DAY <2> 3-5 TIMES A WEEK <3> 1-2 TIMES A WEEK <4> LESS THAN ONCE A WEEK <5> OR NEVER <8> DK ===>

>Q24< [fill HAVE] [fill NAME] eaten any seafood (including shellfish, eels or squid) in the last month?

<0> NO [goto Q25] <1> YES <8> DK [goto Q25] ===>

>Q24a< How many servings of seafood would you say [fill NAME] ate altogether in the last month?

<1> 1-2 <2> 3-5 <3> 6-10 <4> 11-19 <5> 20+ <8> DK ===>

>Q24b< Was most of the seafood [fill NAME] ate purchased or was it caught by someone you know?

<1> MOSTLY PURCHASED <2> MOSTLY CAUGHT <8> DK ===>

>Q25< In the last month, [fill HAVE] [fill NAME] eaten any food that was blackened or charred through cooking?

<0> NO [goto dir4] <1> YES <8> DK [goto dir4] ===>

>Q25a< How many servings?

<1> 1 or 2 <2> 3-5 <3> 6-10 <4> 11-19 <5> 20+ <8> DK ===>

>Rsex< Now, I have some background questions:

** RECORD "ADULT" RESPONDENT'S SEX

<1> MALE <2> FEMALE ===>

>Q30c< Now, I have some background questions:

In what year [fill WERE] [fill NAME] born?

<86-95> RECORD ACTUAL YEAR <99> DK/REF ===>

>Q39< Next, I have a few questions about [fill YOUR] health. Has a doctor told you that [fill NAME] [fill HAVE] asthma?

<0> NO <1> YES <8> DK ===>

>Q39a< (Has a doctor told you that [fill NAME] [fill HAVE]) Angina?

<0> NO <1> YES <8> DK ===>

>Q39b< (Has a doctor told you that [fill NAME] [fill HAVE]) Chronic bronchitis or emphysema?

<0> NO <1> YES <8> DK ===>

>Q41< Including yourself, how many adults, age 18 and older, live in your household?

<01-10> RECORD ACTUAL NUMBER <11> MORE THAN 10 <99> REF ===>

>kid1< How many children under 18 live in your household?

<0> NONE <1> ONE <2-10> RECORD NUMBER <11> MORE THAN 10 <99> REF ===>

[#IF CHILD IS YOUNGER THAN 5, ASK Q44-Q46C ABOUT CHILD, ELSE ASK Q42]

>Q42< What is the age of the youngest child living in this household?

<0> LESS THAN ONE <1-5> RECORD AGE 1 THRU 5 <6-17> RECORD AGE 6 THRU 17 [goto Q47] <99> DK/REF [goto Q47] ===>

>DIRT<

>dIRt< [store <this child> in DIRT] [goto Q44]

>dirt< [store NAME in DIRT]

>Q44< Yesterday, did [fill DIRT] spend any time crawling, lying, or playing on the floor in your home?

<0> NO <1> YES [goto Q44a] <8> DK ===> [goto Q45]

>Q44a< Thinking of that floor area where [fill DIRT] spent most of his or her time yesterday, is that area carpeted?

<0> NO, NOT CARPETED <1> YES, CARPETED <8> DK ===>

>Q44b< How many days has it been since that floor area was swept or vacuumed?

<0> WAS SWEPT OR VACUUMED YESTERDAY <01-14> NUMBER OF DAYS AGO SWEPT OR VACUUMED <15> MORE THAN 2 WEEKS AGO <88> DK ===>

>Q45< Did [fill DIRT] spend any time yesterday playing outdoors?

<0> NO <1> YES [goto Q46] <8> DK <9> REFUSED ===> [goto Q47]

>Q46< When [fill DIRT] was outdoors yesterday, did he/she spend any time playing on sand, gravel, dirt, or grass?

<0> NO <1> YES [goto Q46a] <8> DK ===> [goto Q47]

>Q46a< About how much time was on sand or gravel?

<00> LESS THAN 1 MINUTE <1-120> RECORD NUMBER OF MINUTES

<180> 3 HOURS <480> 8 HOURS <240> 4 HOURS <540> 9 HOURS <300> 5 HOURS <600> 10 HOURS <360> 6 HOURS <660> 11 HOURS <420> 7 HOURS <720> 12 HOURS <800> MORE THAN 12 HOURS

<888> DK ===>

>Q46b< About how much time was on dirt?

<00> LESS THAN 1 MINUTE <1-120> RECORD NUMBER OF MINUTES

<180> 3 HOURS <480> 8 HOURS <240> 4 HOURS <540> 9 HOURS <300> 5 HOURS <600> 10 HOURS <360> 6 HOURS <660> 11 HOURS <420> 7 HOURS <720> 12 HOURS <800> MORE THAN 12 HOURS

<888> DK ===>

>Q46c< About how much time was on grass?

<00> LESS THAN 1 MINUTE <1-120> RECORD NUMBER OF MINUTES

<180> 3 HOURS <480> 8 HOURS <240> 4 HOURS <540> 9 HOURS <300> 5 HOURS <600> 10 HOURS <360> 6 HOURS <660> 11 HOURS <420> 7 HOURS <720> 12 HOURS <800> MORE THAN 12 HOURS

<888> DK ===>

>Q47< Now, I have a few more questions about your home? What is your zipcode?

<00000-99990> <99999> DK/REF ===>

>Q48< In what year did you move into your home?

<00> BEFORE 1900 <01-95> RECORD YEAR <99> DK/DON'T REMEMBER [goto Q48a] ===>

>Q48a< All together, how many different phone NUMBERS does your household have for non-business use?

<1-5> RECORD ACTUAL NUMBER <6> 6 OR MORE <9> REF ===>

>Q49< Do you live in an:

<1> APARTMENT <2> DETACHED SINGLE-FAMILY HOUSE <3> A TOWNHOUSE <4> OR SOMETHING ELSE (SPECIFY) [specify] <8> DK ===>

>Q51< How many stories or floors are in your building or home? (COUNT ONLY FLOORS WITH FINISHED ROOMS FOR LIVING PURPOSES OR FULL BASEMENTS)

<1> ONE <2> TWO <3> THREE <4> 4 to 6 <5> 7 to 12 <6> 13 OR MORE STORIES <8> DK ===>

>Q52< How many rooms (not counting bathrooms or half-rooms) do you have in your home?

<01-30> RECORD NUMBER <31> MORE THAN 30 <88> DK [goto Q54] ===>

>Q53< Of these rooms, how many are carpeted or have rugs covering most of their surface?

** SHOULD BE LESS THAN OR EQUAL TO TOTAL ROOMS: [fill Q52]

<00> NONE <01-30> RECORD NUMBER <31> MORE THAN 30 <88> DK [goto Q54] ===>

>cowi< [if Q52 eq <80> then goto Q54] [if Q52 ge Q53 then goto Q54] [store <> in Q52] [store <> in Q53] [store <> in COWI]

>COWI< I recorded that you have more carpeted rooms than total rooms.

Let me go back over these questions one more time.

** TYPE <g> TO RETURN TO QUESTION 62 [goto Q52] ===>

>Q54< Is there a basement in your building?

<0> NO <1> YES <8> DK ===>

>APT< [if Q49 eq <1> goto Q56]

>Q55< Do you have an attached garage or carport?

<0> NO <1> YES [goto Q55a] <8> DK ===> [goto Q56]

>Q55a< Yesterday, was any automobile or other motor vehicle started in the garage or carport?

<0> NO <1> YES [goto Q55b] <8> DK ===> [goto Q56]

>Q55b< How many times? Would you say:

<1> 1-2 <2> 3-5 <3> 6-9 <4> OR 10 OR MORE <8> DK [goto Q56] ===>

>Q55c< About how many of these times were with the garage doors closed? Would you say:

<0> NONE <1> 1-2 <2> 3-5 <3> 6-9 <4> OR 10 OR MORE <8> DK [goto Q56] ===>

>gowi< [if Q55b ge Q55c then goto Q56] [store <> in Q55b] [store <> in Q55c] [store <> in GOWI]

>GOWI< I recorded that the car was started with the garage door closed more than the total number of times the car was started. Let me go back over these questions one more time.

** TYPE <g> TO RETURN TO QUESTION 55b [goto Q55b] ===>

>Q56< Do you have a gas range or gas oven?

<0> NO [goto Q56h] <1> YES <8> DK [goto Q56h] ===>

>Q56a< Does your gas range or gas oven have a continuously burning pilot light?

<0> NO <1> YES <8> DK ===>

>Q57< What is the main type of furnace or heating system used to heat your home?

<1> Central furnace (central system with ducts that blow air into most rooms) <2> Radiator or other steam or hot water system <3> Portable heater <7> Other (SPECIFY) [specify] <8> DK ===>

>Q58< What is the main type of fuel used in this system?

<1> GAS <2> ELECTRIC <3> FUEL OIL <4> KEROSENE <5> COAL <6> WOOD <7> SOLAR <8> DK <0> OTHER (SPECIFY) [specify] ===>

>Q58a< Was this system turned on at anytime yesterday?

<0> NO <1> YES [goto Q58b] <8> DK ===> [goto q59]

>q59< Do you use any other sources of heat in your home?

<0> NO [goto dir5] <1> YES <8> DK ===>

>Q59< Do you use an electric heater?

<0> NO <1> YES [goto 591] <8> DK ===> [goto Q59a]

>Q59a< (Do you use) a kerosene space heater?

<0> NO <1> YES [goto 59a1] <8> DK ===> [goto Q59b]

>Q59b< (Do you use) a wood stove?

<0> NO <1> YES [goto 59b1] <8> DK ===> [goto Q59c]

>Q59c< (Do you use) a fireplace?

<0> NO <1> YES [goto 59c1] <8> DK ===> [goto Q59d]

>Q59d< Do you use any other heat sources that I haven't mentioned?

<0> NO <1> YES - (SPECIFY) [specify] <8> DK ===>

>VERF< And, finally, your number is [fill racd] [fill tel1]-[fill tel2:0]?

<0> NO - What number have I reached? (SPECIFY) [specify] <1> YES <9> REF ===>


[Package heR.ActivityData version 0.0.3 Index]