FORM B
OMB No.: 3145-0077
Approval Expires: 2/28/2002
National Survey of Recent College Graduates: 1999 Follow-up Survey
This information is solicited under the authority of the National Science Foundation Act of 1950, as amended. All information you provide will be treated as confidential and used only for research or statistical purposes by the survey sponsors, their contractors, and collaborating researchers for the purpose of analyzing data and preparing scientific reports and articles. Any information publicly released (such as statistical summaries) will be in a form that does not personally identify you. Your response is voluntary and failure to provide some or all of the requested information will not in any way adversely affect you. Actual time to complete the questionnaire may vary depending on your circumstances. On the average, it will take about 25 minutes to complete the questionnaire. If you have any comments on the time required for this survey, please send them to Gail McHenry, Division of Administrative Services, National Science Foundation, 4201 Wilson Boulevard, Arlington, VA 22230. An agency may not conduct or sponsor, and a person is not required to respond to a collection of information unless it displays a currently valid OMB control number. The OMB number for this project is 3145-0077.
Conducted by:
Westat, Rockville, MD for the National Science Foundation, Arlington, VA
INSTRUCTIONS
Thank you for taking the time to complete this important questionnaire. Directions for filling it out are provided with each question. Because not all questions will apply to everyone, you may be asked to skip certain questions.
- In order to get comparable data, we will be asking you to refer to the week of April 11, 1999 (i.e., April 11-April 17, 1999) when answering most questions.
- Follow all "SKIP" instructions after marking a box. If no "SKIP" instruction is provided, you should continue to the next question.
- Either a pen or pencil may be used.
- When answering questions that require marking a box, please use an [X].
- If you need to change an answer, please make sure that your old answer is either completely erased or clearly crossed out.
- You may notice that some question numbers are not consecutive.
- This was done to maintain consistency with previous survey cycles.Please answer questions in the order they are printed except when following a "SKIP" instruction.
Thanks again for your help. We really appreciate it.
PART A ? Employment Status During the Reference Week of April 11-17, 1999
A1.
Were you working for pay (or profit) during the week of April 15, 1999? Please include self-employment and any jobs from which you were temporarily absent, for example, for illness, vacation, or parental leave (even if leave was unpaid).
STUDENTS: Count jobs required as part of a financial aid award, such as work study or assistantships. Do not count financial aid awards with no work requirement.
STUDENTS: Count jobs required as part of a financial aid award, such as work study or assistantships. Do not count financial aid awards with no work requirement.
1 [ ] Yes (SKIP to A7)
2 [ ] No
2 [ ] No
A2.
(IF NO) Did you look for work during the four weeks preceding April 15, 1999 (that is, anytime between March 19 and April 15, 1999)?
1 [ ] Yes
2 [ ] No
2 [ ] No
A3.
What were your reasons for not working during the week of April 15, 1999?
Mark (X) Yes or No for each
Mark (X) Yes or No for each
a. Retired, Year Retired: 19 ___ ___
b. On layoff from a job
c. Student
d. Family responsibilities
e. Chronic illness or permanent disability
f. Suitable job not available
g. Did not need or want to work
h. Other ? Specify: ____________________________
1 [ ] Yes 2 [ ] No
b. On layoff from a job
1 [ ] Yes 2 [ ] No
c. Student
1 [ ] Yes 2 [ ] No
d. Family responsibilities
1 [ ] Yes 2 [ ] No
e. Chronic illness or permanent disability
1 [ ] Yes 2 [ ] No
f. Suitable job not available
1 [ ] Yes 2 [ ] No
g. Did not need or want to work
1 [ ] Yes 2 [ ] No
h. Other ? Specify: ____________________________
1 [ ] Yes 2 [ ] No
A4.
Prior to the week of April 15, 1999, in what month and year did you last work for pay (or profit)?
[ ] MARK (X) THIS BOX IF NEVER WORKED FOR PAY (OR PROFIT) AND SKIP TO PART D, PAGE 12
LAST WORKED
Month: ___ ___ Year: 19___ ___
LAST WORKED
Month: ___ ___ Year: 19___ ___
A5.
What kind of work were you doing on this last job prior to April 15, 1999--that is, what was your occupation? Please be as specific as possible, including any area of specialization.
EXAMPLE: High school teacher ? Math
EXAMPLE: High school teacher ? Math
_____________________________________________
_____________________________________________
_____________________________________________
_____________________________________________
_____________________________________________
_____________________________________________
_____________________________________________
A6.
Using the JOB CODES (LIST B: pp. 18-19), choose the code that best describes the work you were doing on the job reported in A5.
CODE ___ ___ ___ SKIP to A50, page 6
NOTE: Job codes range from 010 to 500
NOTE: Job codes range from 010 to 500
A7.
(IF WORKING DURING WEEK OF APRIL 15) Counting all jobs you held during the week of April 15, 1999, was your typical work week 35 hours or more per week?
1 [ ] Yes, worked 35 or more hours (SKIP to A10, page 2)
2 [ ] No, worked less than 35 hours per week
2 [ ] No, worked less than 35 hours per week
A8.
(IF WORKED LESS THAN 35 HOURS PER WEEK) During the week of April 15, 1999, did you want to work a full-time work week of 35 or more hours?
1 [ ] Yes
2 [ ] No
2 [ ] No
A9.
(IF WORKED LESS THAN 35 HOURS PER WEEK) What were your reasons for working a part-time work week of less than 35 hours during the week of April 15, 1999?
Mark (X) Yes or No for each
Mark (X) Yes or No for each
a. Retired or semi-retired, Year Retired: 19 ___ ___
b. Student
c. Family responsibilities
d. Chronic illness or permanent disability
e. Suitable full-time work week job not available
f. Did not need or want to work full time
g. Other ? Specify: _____________________________
1 [ ] Yes 2 [ ] No
b. Student
1 [ ] Yes 2 [ ] No
c. Family responsibilities
1 [ ] Yes 2 [ ] No
d. Chronic illness or permanent disability
1 [ ] Yes 2 [ ] No
e. Suitable full-time work week job not available
1 [ ] Yes 2 [ ] No
f. Did not need or want to work full time
1 [ ] Yes 2 [ ] No
g. Other ? Specify: _____________________________
1 [ ] Yes 2 [ ] No
If you answered A9, please skip to A17.
A10.
(IF WORKED 35 OR MORE HOURS PER WEEK) Although you were working during the week of April 15, 1999, had you previously retired from any position?
Examples of retirement include mandatory retirement, early retirement, or voluntary retirement.
Examples of retirement include mandatory retirement, early retirement, or voluntary retirement.
1 [ ] Yes 19 ___ ___
2 [ ] No
2 [ ] No
Please answer the next series of questions for your principal job held during the week of April 15, 1999, that is, the job in which you worked the most hours during the week of April 15, 1999. A second job, if held, will be covered later.
(Question numbers A11-A16 not used this cycle.)
A17.
Who was your principal employer during the week of April 15, 1999?
IF MORE THAN ONE JOB: Record employer for whom you worked the most hours that week.
IF EMPLOYER HAD MORE THAN ONE LOCATION: Record location where you usually worked.
IF MORE THAN ONE JOB: Record employer for whom you worked the most hours that week.
IF EMPLOYER HAD MORE THAN ONE LOCATION: Record location where you usually worked.
Employer Name: ________________________________________
City or Town: ___________________________________________
State/Foreign Country: ___________________________________
ZIP Code: _____________________________________________
City or Town: ___________________________________________
State/Foreign Country: ___________________________________
ZIP Code: _____________________________________________
A18.
Which of the following categories best describes your employer during the week of April 15, 1999?
IF EMPLOYER WAS A SCHOOL: Mark (X) the type of organizational charter (e.g., mark "state government" for state schools or "local government" for schools run by the local school district; most private schools are "private not-for-profit").
Mark (X) ONLY one
IF EMPLOYER WAS A SCHOOL: Mark (X) the type of organizational charter (e.g., mark "state government" for state schools or "local government" for schools run by the local school district; most private schools are "private not-for-profit").
Mark (X) ONLY one
1 [ ] A PRIVATE FOR-PROFIT company, business or individual, paying you wages, salary or commissions
2 [ ] A PRIVATE NOT-FOR-PROFIT, tax-exempt, or charitable organization
3 [ ] SELF-EMPLOYMENT in own NOT INCORPORATED business, professional practice, or farm
4 [ ] SELF-EMPLOYMENT in own INCORPORATED business, professional practice, or farm
5 [ ] Local GOVERNMENT (e.g., city, county)
6 [ ] State GOVERNMENT
7 [ ] U.S. military service, active duty, or Commissioned Corps (e.g., USPHS, NOAA)
8 [ ] U.S. GOVERNMENT as a civilian employee
91 [ ] Other ? Specify: ___________________________________
2 [ ] A PRIVATE NOT-FOR-PROFIT, tax-exempt, or charitable organization
3 [ ] SELF-EMPLOYMENT in own NOT INCORPORATED business, professional practice, or farm
4 [ ] SELF-EMPLOYMENT in own INCORPORATED business, professional practice, or farm
5 [ ] Local GOVERNMENT (e.g., city, county)
6 [ ] State GOVERNMENT
7 [ ] U.S. military service, active duty, or Commissioned Corps (e.g., USPHS, NOAA)
8 [ ] U.S. GOVERNMENT as a civilian employee
91 [ ] Other ? Specify: ___________________________________
A19.
Thinking about your April 1999 employer's main business, (that is, what that employer makes or does), under which of the following categories does that employer's main business best fit?
IF PRINCIPAL EMPLOYER HAD MORE THAN ONE TYPE OF BUSINESS: Please answer for the type of business primarily performed at the location where you worked.
Mark (X) ONLY one
IF PRINCIPAL EMPLOYER HAD MORE THAN ONE TYPE OF BUSINESS: Please answer for the type of business primarily performed at the location where you worked.
Mark (X) ONLY one
1 [ ] Agriculture, forestry, or fishing
2 [ ] Biotechnology
3 [ ] Construction or mining
4 [ ] Education
5 [ ] Finance, insurance or real estate services
6 [ ] Health services
7 [ ] Information technology or computer services
8 [ ] All other services (e.g., social, legal, business)
9 [ ] Manufacturing
10 [ ] Public administration/government
11 [ ] Research ? Specify: ___________________
12 [ ] Transportation services, utilities or communications
13 [ ] Wholesale or retail trade
14 [ ] Other - Specify
2 [ ] Biotechnology
3 [ ] Construction or mining
4 [ ] Education
5 [ ] Finance, insurance or real estate services
6 [ ] Health services
7 [ ] Information technology or computer services
8 [ ] All other services (e.g., social, legal, business)
9 [ ] Manufacturing
10 [ ] Public administration/government
11 [ ] Research ? Specify: ___________________
12 [ ] Transportation services, utilities or communications
13 [ ] Wholesale or retail trade
14 [ ] Other - Specify
A20.
Counting all locations where this employer operated, how many people worked for your April 1999 employer? Your best estimate is fine.
Mark (X) ONLY one
Mark (X) ONLY one
1 [ ] Under 10 employees
2 [ ] 10-24 employees
3 [ ] 25-99 employees
4 [ ] 100-499 employees
5 [ ] 500-999 employees
6 [ ] 1,000-4,999 employees
7 [ ] 5,000+ employees
2 [ ] 10-24 employees
3 [ ] 25-99 employees
4 [ ] 100-499 employees
5 [ ] 500-999 employees
6 [ ] 1,000-4,999 employees
7 [ ] 5,000+ employees
A21.
Did your April 1999 employer come into being as a new business within the past 5 years?
1 [ ] Yes
2 [ ] No
2 [ ] No
A22.
Was your April 1999 principal employer an educational institution?
1 [ ] Yes
2 [ ] No (SKIP to A24)
2 [ ] No (SKIP to A24)
A23.
(IF EDUCATIONAL INSTITUTION) Was this educational institution . . .
Mark (X) ONLY one
Mark (X) ONLY one
1 [ ] Preschool, elementary, or middle school or system
2 [ ] Secondary school or system
3 [ ] 2-year college, junior college, or technical institute
4 [ ] 4-year college or university, other than a medical school
5 [ ] Medical school (including university-affiliated hospital or medical center)
6 [ ] University-affiliated research institute
91 [ ] Some other type ? Specify: _______________________________
2 [ ] Secondary school or system
3 [ ] 2-year college, junior college, or technical institute
4 [ ] 4-year college or university, other than a medical school
5 [ ] Medical school (including university-affiliated hospital or medical center)
6 [ ] University-affiliated research institute
91 [ ] Some other type ? Specify: _______________________________
A24.
What kind of work were you doing on your principal job held during the week of April 15, 1999--that is, what was your occupation?
Please be as specific as possible, including any area of specialization.
EXAMPLE: High school teacher ? Math
Please be as specific as possible, including any area of specialization.
EXAMPLE: High school teacher ? Math
______________________________________
______________________________________
______________________________________
______________________________________
______________________________________
______________________________________
______________________________________
A25.
Using the JOB CODES (LIST B: pp. 18-19), choose the code that best describes the work you were doing on your principal job during the week of April 15, 1999.
CODE ___ ___ ___
NOTE: Job codes range from 010 to 500
NOTE: Job codes range from 010 to 500
(Question number A26 not used this cycle.)
A27.
(IF YES) Did your duties on this job require the technical expertise of a bachelor's degree or higher in . . .
Mark (X) Yes or No for each
Mark (X) Yes or No for each
a. Engineering, computer science, math, or the natural sciences
b. The social sciences
c. Some other field (e.g., health or business) ? Specify: __________________________
1 [ ] Yes 2 [ ] No
b. The social sciences
1 [ ] Yes 2 [ ] No
c. Some other field (e.g., health or business) ? Specify: __________________________
1 [ ] Yes 2 [ ] No
A28.
During what month and year did you start this job, (that is, your principal job held during the week of April 15, 1999)?
JOB STARTED
Month: ___ ___ Year: 19___ ___
Month: ___ ___ Year: 19___ ___
(Question number A29 not used this cycle.)
A30.
Thinking about the relationship between your work and your education, to what extent was your work on your principal job held during the week of April 15, 1999, related to your highest degree field?
Mark (X) ONLY one
Mark (X) ONLY one
1 [ ] Closely related (SKIP to A33, page 5)
2 [ ] Somewhat related (SKIP to A33, page 5)
3 [ ] Not related
2 [ ] Somewhat related (SKIP to A33, page 5)
3 [ ] Not related
A31.
(IF NOT RELATED) Did any of these factors influence your decision to work in an area outside of your highest degree field?
Mark (X) Yes or No for each
Mark (X) Yes or No for each
1. Pay or promotion opportunities
2. Working conditions (e.g., hours, equipment, working environment)
3. Job location
4. Change in career or professional interests
5. Family-related reasons (e.g., children, spouse's job moved)
6. Job in field not available
7. Other reason ? Specify: __________________________________
1 [ ] Yes 2 [ ] No
2. Working conditions (e.g., hours, equipment, working environment)
1 [ ] Yes 2 [ ] No
3. Job location
1 [ ] Yes 2 [ ] No
4. Change in career or professional interests
1 [ ] Yes 2 [ ] No
5. Family-related reasons (e.g., children, spouse's job moved)
1 [ ] Yes 2 [ ] No
6. Job in field not available
1 [ ] Yes 2 [ ] No
7. Other reason ? Specify: __________________________________
1 [ ] Yes 2 [ ] No
A32.
Which two factors in A31 represent your most important reasons for working in an area outside of your highest degree field? Enter number of appropriate factor from A31 above.
1. _____ MOST important reason
2. _____ SECOND MOST important reason (Enter "0" if only one factor selected in A31.)
2. _____ SECOND MOST important reason (Enter "0" if only one factor selected in A31.)
A33.
The next question is about your work activities on the principal job you held during the week of April 15, 1999. For each of the following work activities, please indicate whether the activity occupied 10 percent or more of your time during a typical work week on this job.
Mark (X) Yes or No for each
Mark (X) Yes or No for each
1. Accounting, finance, contracts
2. Applied research - study directed toward gaining scientific knowledge to meet a recognized need
3. Basic research - study directed toward gaining scientific knowledge primarily for its own sake
4. Computer applications, programming, systems development
5. Development - using knowledge gained from research for the production of materials, devices
6. Design of equipment, processes, structures, models
7. Employee relations ? including recruiting, personnel development, training
8. Managing and supervising
9. Production, operations, maintenance (e.g., truck driving, machine tooling, auto/machine repairing)
10. Professional services (e.g., health care, counseling, financial services, legal services)
11. Sales, purchasing, marketing, customer service, public relations
12. Quality or productivity management
13. Teaching
14. Other ? Specify: ______________________
1 [ ] Yes 2 [ ] No
2. Applied research - study directed toward gaining scientific knowledge to meet a recognized need
1 [ ] Yes 2 [ ] No
3. Basic research - study directed toward gaining scientific knowledge primarily for its own sake
1 [ ] Yes 2 [ ] No
4. Computer applications, programming, systems development
1 [ ] Yes 2 [ ] No
5. Development - using knowledge gained from research for the production of materials, devices
1 [ ] Yes 2 [ ] No
6. Design of equipment, processes, structures, models
1 [ ] Yes 2 [ ] No
7. Employee relations ? including recruiting, personnel development, training
1 [ ] Yes 2 [ ] No
8. Managing and supervising
1 [ ] Yes 2 [ ] No
9. Production, operations, maintenance (e.g., truck driving, machine tooling, auto/machine repairing)
1 [ ] Yes 2 [ ] No
10. Professional services (e.g., health care, counseling, financial services, legal services)
1 [ ] Yes 2 [ ] No
11. Sales, purchasing, marketing, customer service, public relations
1 [ ] Yes 2 [ ] No
12. Quality or productivity management
1 [ ] Yes 2 [ ] No
13. Teaching
1 [ ] Yes 2 [ ] No
14. Other ? Specify: ______________________
1 [ ] Yes 2 [ ] No
A34.
On which two activities in A33 did you work the most and second most hours during a typical week on this job? Enter number of appropriate activity from A33 above.
1. _____ Activity MOST hours
2. _____ Activity SECOND MOST hours (Enter "0" if only one activity selected in A33.)
2. _____ Activity SECOND MOST hours (Enter "0" if only one activity selected in A33.)
(Question number A35 not used this cycle.)
A36.
Did you supervise the work of others as part of your principal job held during the week of April 15, 1999?
MARK "YES": If you assigned duties to workers and recommended or initiated personnel actions such as hiring, firing, or promoting.
TEACHERS: Do not count students.
MARK "YES": If you assigned duties to workers and recommended or initiated personnel actions such as hiring, firing, or promoting.
TEACHERS: Do not count students.
1 [ ] Yes
2 [ ] No (SKIP to A38)
2 [ ] No (SKIP to A38)
A37.
(IF YES) How many people did you typically . . .
IF NONE: Enter "0."
IF NONE: Enter "0."
a. Supervise directly? _____ (Number Supervised)
b. Supervise through subordinate supervisors? _____ (Number Supervised)
b. Supervise through subordinate supervisors? _____ (Number Supervised)
A38.
Before deductions, what was your basic annual salary on this job as of the week of April 15, 1999? (Do not include bonuses, overtime, or additional compensation for summertime teaching or research.)
IF NOT SALARIED: Please estimate your earned income, excluding business expenses.
Include tips as part of salary.
IF NOT SALARIED: Please estimate your earned income, excluding business expenses.
Include tips as part of salary.
$______________________.00
Basic Annual Salary/Earned Income
Basic Annual Salary/Earned Income
A39.
During a typical week on this job, how many hours did you usually work?
NUMBER OF HOURS PER WEEK _____
A39WEEKS
Was your salary based on a full year, that is, 52 weeks, or something less than 52 weeks?
1 [ ] 52 weeks (SKIP to A44, page 6)
2 [ ] Something else
2 [ ] Something else
A39a.
Including paid vacation and paid sick leave, on how many weeks per year was your salary based?
NUMBER OF WEEKS PER YEAR _____
(Question numbers A40-A43 not used this cycle.)
A44.
During the week of April 15, 1999, were you working for pay (or profit) at a second job (or business), including part-time, evening, or weekend work?
1 [ ] Yes
2 [ ] No (SKIP to A50)
2 [ ] No (SKIP to A50)
A45.
(IF YES) What kind of work were you doing on your second job during the week of April 15, 1999- that is, what was your occupation? Please be as specific as possible, including any area of specialization.
IF MORE THAN TWO JOBS THAT WEEK: Answer for the job at which you worked the second most hours.
EXAMPLE: High school teacher ? Math
IF MORE THAN TWO JOBS THAT WEEK: Answer for the job at which you worked the second most hours.
EXAMPLE: High school teacher ? Math
________________________________________________
________________________________________________
________________________________________________
________________________________________________
________________________________________________
________________________________________________
________________________________________________
A46.
Using the JOB CODES (LIST B: pp. 18-19), choose the code that best describes the work you were doing on your second job during the week of April 15, 1999.
CODE ___ ___ ___
NOTE: Job codes range from 010 to 500
NOTE: Job codes range from 010 to 500
A47.
To what extent was your work on this second job related to your highest degree field?
Mark (X) ONLY one
Mark (X) ONLY one
1 [ ] Closely related
2 [ ] Somewhat related
3 [ ] Not related
2 [ ] Somewhat related
3 [ ] Not related
(Question numbers A48-A49 not used this cycle.)
The next few questions ask about your work for pay (or profit) during calendar year 1998. Please think about that year as you answer these questions.
A50.
Counting all jobs held in 1998, what was your total earned income for 1998, before deductions? Include all wages, salaries, bonuses, overtime, commissions, consulting fees, net income from businesses, summertime teaching or research, postdoctoral appointment, or other work associated with scholarships.
[ ] MARK (X) THIS BOX IF YOU HAD NO EARNED INCOME IN 1998 AND GO TO B1, PAGE 7
TOTAL 1998 EARNED INCOME $_______________________________.00
TOTAL 1998 EARNED INCOME $_______________________________.00
PART B ? Past Employment
The next few questions will help us better understand employment changes over time.
B1.
Were you working for pay (or profit) during both of these two time periods--the week of April 15, 1997, and the week of April 15, 1999?
STUDENTS: Count jobs required as part of a financial aid award, such as work study or assistantships.
Do not count financial aid awards with no work requirement.
STUDENTS: Count jobs required as part of a financial aid award, such as work study or assistantships.
Do not count financial aid awards with no work requirement.
1 [ ] Yes
2 [ ] No (SKIP to C10)
2 [ ] No (SKIP to C10)
B2.
(IF YES) Thinking back to these two time periods--the week of April 15, 1997, and the week of April 15, 1999--were you working for . . .
Mark (X) ONLY one
Mark (X) ONLY one
1 [ ] Same employer and same job (SKIP to C10)
2 [ ] Same employer but different job
3 [ ] Different employer but same job
4 [ ] Different employer and different job
2 [ ] Same employer but different job
3 [ ] Different employer but same job
4 [ ] Different employer and different job
B3.
(IF DIFFERENT) Did any of the following factors influence your decision to change your employer or your job?
Mark (X) Yes or No for each
Mark (X) Yes or No for each
a. Pay or promotion opportunities
b. Working conditions (e.g., hours, equipment, working environment)
c. Job location
d. Change in career or professional interests
e. Family-related reasons (e.g., children, spouse's job moved)
f. School-related reasons (e.g., returned to school, completed a degree)
g. Laid off or job terminated (includes company closings, mergers, buyouts or grant or contract ended)
h. Retired
i. Other reason ? Specify: _______________________________
1 [ ] Yes 2 [ ] No
b. Working conditions (e.g., hours, equipment, working environment)
1 [ ] Yes 2 [ ] No
c. Job location
1 [ ] Yes 2 [ ] No
d. Change in career or professional interests
1 [ ] Yes 2 [ ] No
e. Family-related reasons (e.g., children, spouse's job moved)
1 [ ] Yes 2 [ ] No
f. School-related reasons (e.g., returned to school, completed a degree)
1 [ ] Yes 2 [ ] No
g. Laid off or job terminated (includes company closings, mergers, buyouts or grant or contract ended)
1 [ ] Yes 2 [ ] No
h. Retired
1 [ ] Yes 2 [ ] No
i. Other reason ? Specify: _______________________________
1 [ ] Yes 2 [ ] No
PART C - Other Work and Career-Related Information
(Question numbers C1-C9 not used this cycle.)
C1.
How concerned are you that you might lose your job in the next 12 months?
[ ] MARK (X) THIS BOX IF YOU ARE NOT CURRENTLY WORKING AND GO TO C2
Mark (X) ONLY one
[ ] MARK (X) THIS BOX IF YOU ARE NOT CURRENTLY WORKING AND GO TO C2
Mark (X) ONLY one
1 [ ] Very concerned
2 [ ] Somewhat concerned
3 [ ] Not very concerned
2 [ ] Somewhat concerned
3 [ ] Not very concerned
C2.
How concerned are you that someone in your household, other than you, might lose his/her job in the next 12 months?
[ ] MARK (X) THIS BOX IF NO OTHER WORKING ADULT IN HOUSEHOLD AND GO TO C3a
Mark (X) ONLY one
[ ] MARK (X) THIS BOX IF NO OTHER WORKING ADULT IN HOUSEHOLD AND GO TO C3a
Mark (X) ONLY one
1 [ ] Very concerned
2 [ ] Somewhat concerned
3 [ ] Not very concerned
2 [ ] Somewhat concerned
3 [ ] Not very concerned
C3a.
Have you ever been offered a buy-out or what is often called "early retirement"?that is, a cash settlement to induce employees to voluntarily give up a job?
1 [ ] Yes
2 [ ] No (SKIP TO C4)
2 [ ] No (SKIP TO C4)
C3b.
Did you accept the offer?
1 [ ] Yes
2 [ ] No
2 [ ] No
C4.
Since completing your first bachelor?s degree, have you ever lost or left a job because your employer closed, moved, or underwent restructuring, downsizing or major layoffs?
MARK ?YES?: If a partnership or self-employed business closed for economic reasons.
MARK ?YES?: If a partnership or self-employed business closed for economic reasons.
1 [ ] Yes
2 [ ] No (SKIP to C9, page 10)
2 [ ] No (SKIP to C9, page 10)
C5.
(IF LOST OR LEFT JOB) For which of the following specific reasons did you lose or leave that job (or jobs) when your employer moved, closed, reorganized, downsized, or had major layoffs?
Mark (X) Yes or No for each
Mark (X) Yes or No for each
a. Your self-operated business ended
b. Your company or the facility or agency where you worked closed down
c. Your company or the facility or agency where you worked moved to another location
d. The work or services of your company or the facility or agency where you worked were reorganized or restructured
e. Your company or the facility or agency where you worked was taken over by another organization
f. Your company or the facility or agency where you worked had insufficient business, revenue or work
g. Some other reason ? Specify: ___________________________
1 [ ] Yes 2 [ ] No
b. Your company or the facility or agency where you worked closed down
1 [ ] Yes 2 [ ] No
c. Your company or the facility or agency where you worked moved to another location
1 [ ] Yes 2 [ ] No
d. The work or services of your company or the facility or agency where you worked were reorganized or restructured
1 [ ] Yes 2 [ ] No
e. Your company or the facility or agency where you worked was taken over by another organization
1 [ ] Yes 2 [ ] No
f. Your company or the facility or agency where you worked had insufficient business, revenue or work
1 [ ] Yes 2 [ ] No
g. Some other reason ? Specify: ___________________________
1 [ ] Yes 2 [ ] No
C6.
In what year did you lose or leave that job?
IF LOST OR LEFT MORE THAN ONE JOB: Please answer for the most recent occurrence.
IF LOST OR LEFT MORE THAN ONE JOB: Please answer for the most recent occurrence.
Year 19___ ___
C7.
From the time you actively began your search, about how many months did it take to find a new job?
IF LOST OR LEFT MORE THAN ONE JOB: Please answer for the most recent occurrence.
IF LOST OR LEFT MORE THAN ONE JOB: Please answer for the most recent occurrence.
[ ] MARK (X) THIS BOX IF YOU HAVE NOT FOUND ANOTHER JOB OR IF YOU ARE NOT LOOKING FOR ANOTHER JOB AND SKIP TO C9
NUMBER OF MONTHS _____ (Enter "0" if less than one month.)
NUMBER OF MONTHS _____ (Enter "0" if less than one month.)
C8.
Compared to the job you had, did your new job offer you significantly more, about the same, or significantly less in terms of:
a. Salary
b. Level of responsibility
c. Utilizing your knowledge or skills
1 [ ] Significantly More 2 [ ] About the Same 3 [ ] Significantly Less
b. Level of responsibility
1 [ ] Significantly More 2 [ ] About the Same 3 [ ] Significantly Less
c. Utilizing your knowledge or skills
1 [ ] Significantly More 2 [ ] About the Same 3 [ ] Significantly Less
C9.
If you had the chance to do it over again, knowing what you do now, how likely is it that you would choose the same field of study for your highest degree?
1 [ ] Very likely
2 [ ] Somewhat likely
3 [ ] Not at all likely
2 [ ] Somewhat likely
3 [ ] Not at all likely
C10.
During the past year, did you attend any professional society or association meetings or professional conferences? Please include regional, national, or international meetings.
1 [ ] Yes
2 [ ] No
2 [ ] No
C11.
To how many national or international professional societies or associations do you currently belong?
Number ____ OR [ ] NONE
C12.
During the past year, did you attend any work-related workshops, seminars, or other work-related training activities? Do not include college courses.
Do not include professional meetings unless you attended a special training session conducted at a meeting or conference.
Do not include professional meetings unless you attended a special training session conducted at a meeting or conference.
1 [ ] Yes
2 [ ] No (SKIP to Part D, page 8)
2 [ ] No (SKIP to Part D, page 8)
C13.
(IF YES) During the past year, in which of the following areas did you attend work-related workshops, seminars, or other work-related training activities?
a. Management or supervisor training
b. Training in your occupational field
c. General professional training (for example, public speaking, business writing
d. Other work-related training ? Specify: _______________________________
1 [ ] Yes 2 [ ] No
b. Training in your occupational field
1 [ ] Yes 2 [ ] No
c. General professional training (for example, public speaking, business writing
1 [ ] Yes 2 [ ] No
d. Other work-related training ? Specify: _______________________________
1 [ ] Yes 2 [ ] No
C14.
For which of the following reasons did you attend training activities during the past year?
Mark (X) Yes or No for each
Mark (X) Yes or No for each
1. To facilitate a change in your occupational field
2. To gain further skills or knowledge in your occupational field
3. For licensure or certification
4. To increase opportunities for promotion, advancement or higher salary
5. To learn skills or knowledge needed for a recently acquired position
6. Required or expected by employer
7. Other ? Specify: _______________________________
1 [ ] Yes 2 [ ] No
2. To gain further skills or knowledge in your occupational field
1 [ ] Yes 2 [ ] No
3. For licensure or certification
1 [ ] Yes 2 [ ] No
4. To increase opportunities for promotion, advancement or higher salary
1 [ ] Yes 2 [ ] No
5. To learn skills or knowledge needed for a recently acquired position
1 [ ] Yes 2 [ ] No
6. Required or expected by employer
1 [ ] Yes 2 [ ] No
7. Other ? Specify: _______________________________
1 [ ] Yes 2 [ ] No
C15.
Which of the reasons marked in C14 represents your most important reason for attending training activities?
Enter number of appropriate reason from C14 above.
Enter number of appropriate reason from C14 above.
_____ MOST important reason
PART D ? Educational Activity and Background Information
D1.
During the four years between April 1995 and April 1999, did you take any college or university courses or enroll in a college or university for any other reason, such as completing a master's or PhD?
1 [ ] Yes
2 [ ] No (SKIP to D10d, page 12)
2 [ ] No (SKIP to D10d, page 12)
Questions D2 through D5a ask about your educational experiences during the two years between April 1995 and April 1997.
D2.
During the two years between April 1995 and April 1997, did you take any courses or enroll in a college or university?
1 [ ] Yes
2 [ ] No (SKIP to BOX above D6, page 10)
2 [ ] No (SKIP to BOX above D6, page 10)
D2a.
During that time period, in which college or university department were you primarily taking classes or doing research (for example, English, chemistry)?
DEPARTMENT ______________________________________________
D2b.
During that time, toward what degree or certificate, if any, were you (or are you) working?
IF WORKING ON MORE THAN ONE DEGREE: Mark the highest level.
Mark (X) ONLY one
IF WORKING ON MORE THAN ONE DEGREE: Mark the highest level.
Mark (X) ONLY one
0 [ ] No specific degree or certificate
1 [ ] Bachelor's degree
2 [ ] Post-baccalaureate certificate
3 [ ] Master's degree (including MBA)
4 [ ] Post master's certificate
5 [ ] Doctorate (Ph.D., D.S.C, D.Sc., Ed.D.)
6 [ ] Other professional degree (JD, LLB, ThD, MD, DDS, etc.) ? Specify: ________________
91 [ ] Other ? Specify: ________________________
1 [ ] Bachelor's degree
2 [ ] Post-baccalaureate certificate
3 [ ] Master's degree (including MBA)
4 [ ] Post master's certificate
5 [ ] Doctorate (Ph.D., D.S.C, D.Sc., Ed.D.)
6 [ ] Other professional degree (JD, LLB, ThD, MD, DDS, etc.) ? Specify: ________________
91 [ ] Other ? Specify: ________________________
D3.
Between April 1995 and April 1997, did you complete a degree or certificate?
1 [ ] Yes
2 [ ] No (SKIP to D4)
2 [ ] No (SKIP to D4)
D3a.
What type of degree or certificate did you complete?
IF YOU COMPLETED MORE THAN ONE DEGREE: Mark the highest level.
Mark (X) ONLY one
IF YOU COMPLETED MORE THAN ONE DEGREE: Mark the highest level.
Mark (X) ONLY one
1 [ ] Bachelor's degree
2 [ ] Post-baccalaureate certificate
3 [ ] Master's degree (including MBA)
4 [ ] Post master's certificate
5 [ ] Doctorate (Ph.D., D.S.C, D.Sc., Ed.D.)
6 [ ] Other professional degree (JD, LLB, ThD, MD, DDS, etc.) ? Specify: _________________
91 [ ] Other ? Specify: _______________________
2 [ ] Post-baccalaureate certificate
3 [ ] Master's degree (including MBA)
4 [ ] Post master's certificate
5 [ ] Doctorate (Ph.D., D.S.C, D.Sc., Ed.D.)
6 [ ] Other professional degree (JD, LLB, ThD, MD, DDS, etc.) ? Specify: _________________
91 [ ] Other ? Specify: _______________________
D3b.
In what month and year was this degree or certificate awarded?
IF YOU COMPLETED MORE THAN ONE: Enter the date for the highest degree or certificate awarded.
IF YOU COMPLETED MORE THAN ONE: Enter the date for the highest degree or certificate awarded.
Month ___ ___ Year: 19 ___ ___
D3c.
From which college or university did you receive this degree or certificate (completed between April 1995 and April 1997)? Please do not abbreviate the school name.
School Name: _______________________________
City/Town: __________________________________
State/Foreign Country: ________________________
City/Town: __________________________________
State/Foreign Country: ________________________
D4.
What was your primary field of study for the degree you completed or for the coursework you took between April 1995 and April 1997?
[ ] MARK (X) THIS BOX IF NO PRIMARY FIELD OF STUDY AND SKIP TO D5
PRIMARY FIELD OF STUDY: _________________________________________________
PRIMARY FIELD OF STUDY: _________________________________________________
D4a.
Using the EDUCATION CODES (LIST A: pp. 16-17), choose the code that best describes your primary field of study during that time.
CODE ___ ___ ___
NOTE ? Education codes range from 601 to 995
NOTE ? Education codes range from 601 to 995
D5.
For which of the following reasons were you taking classes or enrolled between April 1995 and April 1997?
Mark (X) Yes or No for each
Mark (X) Yes or No for each
a. To gain further education before beginning a career
b. To prepare for graduate school
c. To change your academic or occupational field
d. To gain further skills or knowledge in your academic or occupational field
e. For licensure or certification
f. To increase opportunities for promotion, advancement, or higher salary
g. Required or expected by employer
h. For leisure or personal interest
i. Other ? Specify: ___________________________________
1 [ ] Yes 2 [ ] No
b. To prepare for graduate school
1 [ ] Yes 2 [ ] No
c. To change your academic or occupational field
1 [ ] Yes 2 [ ] No
d. To gain further skills or knowledge in your academic or occupational field
1 [ ] Yes 2 [ ] No
e. For licensure or certification
1 [ ] Yes 2 [ ] No
f. To increase opportunities for promotion, advancement, or higher salary
1 [ ] Yes 2 [ ] No
g. Required or expected by employer
1 [ ] Yes 2 [ ] No
h. For leisure or personal interest
1 [ ] Yes 2 [ ] No
i. Other ? Specify: ___________________________________
1 [ ] Yes 2 [ ] No
D5a.
From which of the following sources did you receive support for the degree you completed or for the coursework you took between April 1995 and April 1997?
Mark (X) Yes or No for each
Mark (X) Yes or No for each
g. Financial support from parents/spouse/other relatives, not to be repaid
a. Loans from the school you attended, banks, federal or state government
b. Loans from parents or other relatives
c. Financial assistance from your employer
d. Tuition waivers, fellowships, grants, or scholarships
e. Assistantships/Work Study
f. Earnings from employment
h. Other ? Specify: _______________________________
1 [ ] Yes 2 [ ] No
a. Loans from the school you attended, banks, federal or state government
1 [ ] Yes 2 [ ] No
b. Loans from parents or other relatives
1 [ ] Yes 2 [ ] No
c. Financial assistance from your employer
1 [ ] Yes 2 [ ] No
d. Tuition waivers, fellowships, grants, or scholarships
1 [ ] Yes 2 [ ] No
e. Assistantships/Work Study
1 [ ] Yes 2 [ ] No
f. Earnings from employment
1 [ ] Yes 2 [ ] No
h. Other ? Specify: _______________________________
1 [ ] Yes 2 [ ] No
Questions D6 through D10 ask about your educational experiences during the two years between April 1997 and April 1999.
D6.
During the two years between April 1997 and April 1999, did you take courses or enroll in a college or university?
MARK "YES": If you were enrolled in school but on vacation that week.
MARK "YES": If you were enrolled in school but on vacation that week.
1 [ ] Yes
2 [ ] No (SKIP to D10d, page 12)
2 [ ] No (SKIP to D10d, page 12)
D6a.
During that time period, in which college or university department were you primarily taking classes or doing research (for example, English, chemistry)?
DEPARTMENT ______________________________________________
D6b.
During that time, toward what degree of certificate, if any, were you (or are you) working?
IF WORKING ON MORE THAN ONE DEGREE: Mark the highest level.
Mark (X) ONLY one
IF WORKING ON MORE THAN ONE DEGREE: Mark the highest level.
Mark (X) ONLY one
0 [ ] No specific degree or certificate
1 [ ] Bachelor's degree
2[ ] Post-baccalaureate certificate
3 [ ] Master's degree (including MBA)
4 [ ] Post master's certificate
5 [ ] Doctorate (Ph.D., D.S.C, D.Sc., Ed.D.)
6 [ ] Other professional degree (JD, LLB, ThD, MD, DDS, etc.) ? Specify: __________________
91 [ ] Other ? Specify: _______________________
1 [ ] Bachelor's degree
2[ ] Post-baccalaureate certificate
3 [ ] Master's degree (including MBA)
4 [ ] Post master's certificate
5 [ ] Doctorate (Ph.D., D.S.C, D.Sc., Ed.D.)
6 [ ] Other professional degree (JD, LLB, ThD, MD, DDS, etc.) ? Specify: __________________
91 [ ] Other ? Specify: _______________________
D7.
Between April 1997 and April 1999, did you complete a degree or certificate?
1 [ ] Yes
2 [ ] No (SKIP to D8, page 11)
2 [ ] No (SKIP to D8, page 11)
D7a.
What type of degree or certificate did you complete?
IF WORKING ON MORE THAN ONE DEGREE: Mark the highest level.
Mark (X) ONLY one
IF WORKING ON MORE THAN ONE DEGREE: Mark the highest level.
Mark (X) ONLY one
0 [ ] No specific degree or certificate
1 [ ] Bachelor's degree
2[ ] Post-baccalaureate certificate
3 [ ] Master's degree (including MBA)
4 [ ] Post master's certificate
5 [ ] Doctorate (Ph.D., D.S.C, D.Sc., Ed.D.)
6 [ ] Other professional degree (JD, LLB, ThD, MD, DDS, etc.) ? Specify: __________________
91 [ ] Other ? Specify: _______________________
1 [ ] Bachelor's degree
2[ ] Post-baccalaureate certificate
3 [ ] Master's degree (including MBA)
4 [ ] Post master's certificate
5 [ ] Doctorate (Ph.D., D.S.C, D.Sc., Ed.D.)
6 [ ] Other professional degree (JD, LLB, ThD, MD, DDS, etc.) ? Specify: __________________
91 [ ] Other ? Specify: _______________________
D7b.
In what month and year was this degree or certificate awarded?
IF YOU COMPLETED MORE THAN ONE: Enter the date for the highest degree or certificate awarded.
IF YOU COMPLETED MORE THAN ONE: Enter the date for the highest degree or certificate awarded.
Month: ___ ___ Year: 19___ ___
D7c.
From which college or university did you receive this degree or certificate (completed between April 1997 and April 1999)? Please do not abbreviate the school name.
School Name: _________________________________________
City/Town: ____________________________________________
State/Foreign Country: __________________________________
City/Town: ____________________________________________
State/Foreign Country: __________________________________
D8.
What was your primary field of study for the degree you completed or for the coursework you took between April 1997 and April 1999?
[ ] MARK (X) THIS BOX IF NO PRIMARY FIELD OF STUDY AND SKIP TO D9, PAGE 15
PRIMARY FIELD OF STUDY: _______________________________________________
PRIMARY FIELD OF STUDY: _______________________________________________
D8a.
Using the EDUCATION CODES (LIST A: pp. 16-17), choose the code that best describes your primary field of study during that time.
CODE ___ ___ ___
NOTE: Education codes from 601 to 995
NOTE: Education codes from 601 to 995
D9.
For which of the following reasons were you taking classes or enrolled between April 1997 and April 1999?
Mark (X) Yes or No for each
Mark (X) Yes or No for each
a. To gain further education before beginning a career
b. To prepare for graduate school
c. To change your academic or occupational field
d. To gain further skills or knowledge in your academic or occupational field
e. For licensure or certification
f. To increase opportunities for promotion, advancement, or higher salary
g. Required or expected by employer
h. For leisure or personal interest
i. Other - Specify: ___________________________
1 [ ] Yes 2 [ ] No
b. To prepare for graduate school
1 [ ] Yes 2 [ ] No
c. To change your academic or occupational field
1 [ ] Yes 2 [ ] No
d. To gain further skills or knowledge in your academic or occupational field
1 [ ] Yes 2 [ ] No
e. For licensure or certification
1 [ ] Yes 2 [ ] No
f. To increase opportunities for promotion, advancement, or higher salary
1 [ ] Yes 2 [ ] No
g. Required or expected by employer
1 [ ] Yes 2 [ ] No
h. For leisure or personal interest
1 [ ] Yes 2 [ ] No
i. Other - Specify: ___________________________
1 [ ] Yes 2 [ ] No
D10.
From which of the following sources did you receive support for the degree you completed or for the coursework you took between April 1997 and April 1999?
Mark (X) Yes or No for each
Mark (X) Yes or No for each
g. Financial support from parents/spouse/ other relatives, not to be repaid
a. Loans from the school you attended, banks, federal or state government
b. Loans from parents or other relatives
c. Financial assistance from your employer
d. Tuition waivers, fellowships, grants, or scholarships
e. Assistantships/Work Study
f. Earnings from employment
h. Other ? Specify: ____________________________
1 [ ] Yes 2 [ ] No
a. Loans from the school you attended, banks, federal or state government
1 [ ] Yes 2 [ ] No
b. Loans from parents or other relatives
1 [ ] Yes 2 [ ] No
c. Financial assistance from your employer
1 [ ] Yes 2 [ ] No
d. Tuition waivers, fellowships, grants, or scholarships
1 [ ] Yes 2 [ ] No
e. Assistantships/Work Study
1 [ ] Yes 2 [ ] No
f. Earnings from employment
1 [ ] Yes 2 [ ] No
h. Other ? Specify: ____________________________
1 [ ] Yes 2 [ ] No
D10b.
During the week of April 15, 1999, were you taking college or university courses or enrolled for other reasons such as completing a master's, Ph.D., or a medical or law degree?
MARK "YES": If you were enrolled in school but on vacation that week.
MARK "YES": If you were enrolled in school but on vacation that week.
1 [ ] Yes
2 [ ] No (SKIP to BOX above D11)
2 [ ] No (SKIP to BOX above D11)
D10c.
Were you taking courses as ...
Mark (X) ONLY one
Mark (X) ONLY one
1 [ ] A part-time student (SKIP to BOX above D11)
2 [ ] A full-time student (SKIP to BOX above D11)
2 [ ] A full-time student (SKIP to BOX above D11)
D10d.
Which of the following were reasons why you were not taking courses during the time period from April 1997 to April 1999?
Mark (X) Yes or No for each
Mark (X) Yes or No for each
a. You had achieved your educational goals (at least temporarily)
b. You were waiting for the next school term to start
c. Financial reasons (e.g., too expensive, needed the money for other priorities)
d. Had a job, needed to work
e. Had to stop due to family responsibilities (e.g., caring for children or other family members, had a baby)
f. Moved, could no longer take courses at the school you were attending
g. No longer certain of which field of study you wanted to pursue
h. Needed a break, tired of going to school
i. Other - Specify: ____________________________________
1 [ ] Yes 2 [ ] No
b. You were waiting for the next school term to start
1 [ ] Yes 2 [ ] No
c. Financial reasons (e.g., too expensive, needed the money for other priorities)
1 [ ] Yes 2 [ ] No
d. Had a job, needed to work
1 [ ] Yes 2 [ ] No
e. Had to stop due to family responsibilities (e.g., caring for children or other family members, had a baby)
1 [ ] Yes 2 [ ] No
f. Moved, could no longer take courses at the school you were attending
1 [ ] Yes 2 [ ] No
g. No longer certain of which field of study you wanted to pursue
1 [ ] Yes 2 [ ] No
h. Needed a break, tired of going to school
1 [ ] Yes 2 [ ] No
i. Other - Specify: ____________________________________
1 [ ] Yes 2 [ ] No
Questions D11 through D22 are designed to collect background information. Most questions refer to the week of April 15, 1999.
D11.
During the week of April 15, 1999 were you . . .
Mark (X) ONLY one
Mark (X) ONLY one
1 [ ] Married (GO to D12)
2 [ ] Widowed (SKIP to D14)
3 [ ] Separated (SKIP to D14)
4 [ ] Divorced (SKIP to D14)
5 [ ] Never Married (SKIP to D14)
2 [ ] Widowed (SKIP to D14)
3 [ ] Separated (SKIP to D14)
4 [ ] Divorced (SKIP to D14)
5 [ ] Never Married (SKIP to D14)
D12.
(IF MARRIED) During the week of April 15, 1999, was your spouse working for pay (or profit) at a full-time or part-time job?
1 [ ] Yes, full-time
2 [ ] Yes, part-time
3 [ ] No (SKIP to D14)
2 [ ] Yes, part-time
3 [ ] No (SKIP to D14)
D13.
(IF YES) Did your spouse's duties on this job require the technical expertise equivalent of a bachelor's degree or higher in . . .
Mark (X) Yes or No for each
Mark (X) Yes or No for each
a. Engineering, computer science, math or the natural sciences
b. The social sciences
c. Some other field (e.g., health or business) ? Specify: __________________
1 [ ] Yes 2 [ ] No
b. The social sciences
1 [ ] Yes 2 [ ] No
c. Some other field (e.g., health or business) ? Specify: __________________
1 [ ] Yes 2 [ ] No
D14.
During the week of April 15, 1999, did you have any children living with you as part of your family?
Only count children who lived with you at least 50 percent of the time.
Only count children who lived with you at least 50 percent of the time.
1 [ ] Yes
2 [ ] No (SKIP to D16, page 13)
2 [ ] No (SKIP to D16, page 13)
D15.
(IF YES) How many of these children living with you as part of your family were . . .
IF NO CHILDREN IN A CATEGORY: Enter "0."
IF NO CHILDREN IN A CATEGORY: Enter "0."
a. _____ Under age 2
b. _____ Aged 2-5
c. _____ Aged 6-11
d. _____ Aged 12-17
e. _____ Aged 18 or older
b. _____ Aged 2-5
c. _____ Aged 6-11
d. _____ Aged 12-17
e. _____ Aged 18 or older
D16.
During the week of April 15, 1999, were you living in the United States or one of its territories, or were you living in another country?
1 [ ] United States or one of its territories
2 [ ] Another country
2 [ ] Another country
D17.
During the week of April 15, 1999, were you . . .
Mark (X) ONLY one
Mark (X) ONLY one
1 [ ] A U.S. citizen
2 [ ] Not a U.S. citizen (SKIP to D17b)
2 [ ] Not a U.S. citizen (SKIP to D17b)
D17a.
(IF U.S. CITIZEN) Were you . . .
Mark (X) ONLY one
Mark (X) ONLY one
1 [ ] A native-born citizen (SKIP to D19)
2 [ ] A naturalized citizen (SKIP to D19)
2 [ ] A naturalized citizen (SKIP to D19)
D17b.
(IF NON-U.S. CITIZEN) During the week of April 15, 1999, did you have . . .
Mark (X) ONLY one
Mark (X) ONLY one
3 [ ] A Permanent U.S. Resident Visa
4 [ ] A Temporary U.S. Resident Visa
5 [ ] No U.S. Visa - You were living outside the United States
4 [ ] A Temporary U.S. Resident Visa
5 [ ] No U.S. Visa - You were living outside the United States
D18.
(IF NON-U.S. CITIZEN) Of which country were you a citizen during the week of April 15, 1999?
COUNTRY: ________________________________________
D19.
What is your birthdate?
Month: ___ ___ Day: ___ ___ Year: 19 ___ ___
The next question is designed to help us better understand the career paths of individuals with different physical abilities.
D20.
What is the usual degree of difficulty you have with . . .
MARK (X) ONE FOR EACH LINE
MARK (X) ONE FOR EACH LINE
a. SEEING words or letters in ordinary newsprint (with glasses/contact lenses if you usually wear them)
b. HEARING what is normally said in conversation with another person (with hearing aid, if you usually wear one)
c. WALKING without human or mechanical assistance or using stairs
d. LIFTING or carrying something as heavy as 10 pounds, such as a bag of groceries
0 [ ] None 1 [ ] Slight 2 [ ] Moderate 3 [ ] Severe 4 [ ] Unable to Do
b. HEARING what is normally said in conversation with another person (with hearing aid, if you usually wear one)
0 [ ] None 1 [ ] Slight 2 [ ] Moderate 3 [ ] Severe 4 [ ] Unable to Do
c. WALKING without human or mechanical assistance or using stairs
0 [ ] None 1 [ ] Slight 2 [ ] Moderate 3 [ ] Severe 4 [ ] Unable to Do
d. LIFTING or carrying something as heavy as 10 pounds, such as a bag of groceries
0 [ ] None 1 [ ] Slight 2 [ ] Moderate 3 [ ] Severe 4 [ ] Unable to Do
D21.
[ ] MARK (X) THIS BOX IF YOU ANSWERED "NONE" TO ALL ACTIVITIES IN D20 AND SKIP TO D23
D22.
What is the earliest age at which you first began experiencing any difficulties in any of these areas?
AGE ___ ___ OR [ ] SINCE BIRTH
D23.
In case we need to clarify some of the information you have provided, please provide an address, telephone number(s), and any e-mail address (if applicable) where you can be reached.
______________________________________________________________
Number and Street/Apt. No.
_______________________________________________________________
City/Town State Zip Code Plus 4
_______________________________________________________________
Country (If outside U.S.)
Telephone Numbers:
Daytime: ___ ___ ___-___ ___ ___-___ ___ ___ ___
Evening: ___ ___ ___-___ ___ ___-___ ___ ___ ___
E-mail Address(es): ________________________________________
_________________________________________________________
Number and Street/Apt. No.
_______________________________________________________________
City/Town State Zip Code Plus 4
_______________________________________________________________
Country (If outside U.S.)
Telephone Numbers:
Daytime: ___ ___ ___-___ ___ ___-___ ___ ___ ___
Evening: ___ ___ ___-___ ___ ___-___ ___ ___ ___
E-mail Address(es): ________________________________________
_________________________________________________________
D23a.
Does the name appearing on the back cover of this questionnaire match your current name?
[ ] Yes (SKIP to D23c)
[ ] No
[ ] No
D23b.
Please provide your current name.
_________________________________________________________________
First Name Middle Name Last Name
First Name Middle Name Last Name
D23c.
Did you ever receive the degree listed on the back cover of this questionnaire? Please answer "yes" if you ever received this degree, even if you have completed other degrees since the one listed.
1 [ ] Yes
2 [ ] No
2 [ ] No
D24.
Since we are interested in how education and employment change over time, we may be recontacting you in the future. To help us contact you, please provide the name, address, and telephone number of someone who is likely to know where you can be reached. Do not include someone who lives in your household.
As with all the information provided in this questionnaire, complete confidentiality will be provided. This person will only be contacted if we have trouble contacting you in the future.
As with all the information provided in this questionnaire, complete confidentiality will be provided. This person will only be contacted if we have trouble contacting you in the future.
__________________________________________________________________
First Name Middle Name Last Name
__________________________________________________________________
Number and Street/Apt. No.
__________________________________________________________________
City/Town State Zip Code Plus 4
__________________________________________________________________
Country (If outside U.S.)
Area Code Number
___ ___ ___-___ ___ ___-___ ___ ___ ___
First Name Middle Name Last Name
__________________________________________________________________
Number and Street/Apt. No.
__________________________________________________________________
City/Town State Zip Code Plus 4
__________________________________________________________________
Country (If outside U.S.)
Area Code Number
___ ___ ___-___ ___ ___-___ ___ ___ ___
THANK YOU FOR COMPLETING THE QUESTIONNAIRE
Please return the completed form in the postage-paid envelope provided. If you lose the envelope and want another, or if you have any questions, please call Pat Goodman at 1-800-813-3049. Our address is:
Westat
Attn: Cindy Gray, TA 2140F
1650 Research Boulevard
Rockville, MD 20850
Attn: Cindy Gray, TA 2140F
1650 Research Boulevard
Rockville, MD 20850