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SDR
2008 Survey of Doctorate Recipients


Conducted by The National Opinion Research Center at the University of Chicago for The National Science Foundation

This information is solicited under the authority of the National Science Foundation Act of 1950, as amended, and the Confidential Information Protection and Statistical Efficiency Act of 2002. The information you provide will be used for statistical purposes only. Your responses will be kept confidential. Your response is voluntary and failure to provide some or all of the requested information will not in any way adversely affect you. The average time to complete this survey is about 25 minutes. Please send any comments on the time required for this survey to National Science Foundation, 4201 Wilson Blvd., Suite 295, Arlington, VA 22230, Attn: NSF Reports Clearance Officer.

Please make any name/address changes below.

__________________________________________________________
First Name
_______
MI
___________________________________________________________
Last Name
___________________________________________________________
Number and Street
___________________________________________________________
City/Town
_____________________________
State
_____________________________
Zip Code

Office Use Only
RC [ ] Edit [ ] CADE [ ] VER [ ] Adj [ ]
OMB No.: 3145-0020
Approval Expires 7/2011

A1.

Were you working for pay or profit during the week of October 1, 2008?
Working includes being self-employed, on a postdoctoral appointment, or on any type of paid or unpaid leave, including vacation.
Use an X to mark your answer.
1 [ ] Yes (Go to question A8)
2 [ ] No

A2.
(If No) Did you look for work during the four weeks preceding October 1, 2008? This would be between September 3rd and October 1st.
1 [ ] Yes
2 [ ] No

A3.
What were your reasons for not working during the week of October 1, 2008?
Mark Yes or No for each item.
1 [ ] Retired
1 [ ] Yes 2 [ ] No
(If Yes) Year retired ___ ___ ___ ___

2. On layoff from a job
1 [ ] Yes 2 [ ] No

3. Student
1 [ ] Yes 2 [ ] No

4. Family responsibilities
1 [ ] Yes 2 [ ] No

5. Chronic illness or permanent disability
1 [ ] Yes 2 [ ] No

6. Suitable job not available
1 [ ] Yes 2 [ ] No

7. Did not need or want to work
1 [ ] Yes 2 [ ] No

8. Other ? Specify _______________________________
1 [ ] Yes 2 [ ] No

A4.
Prior to the week of October 1, 2008, when did you last work for pay or profit?
0 [ ] Mark this box if you never worked for pay or profit and then go to page 9, question D1
LAST WORKED
Month ___ ___ Year ___ ___ ___ ___

A5.
What was the title of the last job you held prior to the week of October 1, 2008?
Example: Physics professor
___________________________________________

A6.
What kind of work were you doing on this last job ? that is, what were your duties and responsibilities on your last job? Please be as specific as possible, including any area of specialization.
Example: Taught physics and conducted research. Specialized in high energy physics.
________________________________________________
____________________________________________________
____________________________________________________
____________________________________________________
____________________________________________________

A7.
Using the JOB CATEGORY list on pages 13-14, choose the code that best describes the last job you held prior to the week of October 1, 2008.
CODE ___ ___ ___ (Go to page 7, question A43)

Principal Employer

A8.
Who was your principal employer during the week of October 1, 2008?
If you had more than one job, report the one for which you worked the most hours that week.
If your employer had more than one location, report the location that employed you.
If you worked for a contracting or consulting company, report the name of that company, not the client organization.
Employer Name: ________________________________
Department/Division: ____________________________
City/Town: _____________________________________
State: _________________________________________
ZIP code: ______________________________________

A9.
What was that employer's main business or industry ? that is, what did that employer make or do?
If your principal employer had more than one type of business, report the type of business primarily performed at the location where you worked.
Example: Production of microprocessor chips
EMPLOYER'S MAIN BUSINESS
_____________________________________
_____________________________________
_____________________________________

A10.
Counting all locations where this employer operates, how many people work for your principal employer? Your best estimate is fine.
Mark one answer.
1 [ ] 10 or fewer employees
2 [ ] 11-24 employees
3 [ ] 25-99 employees
4 [ ] 100-499 employees
5 [ ] 500-999 employees
6 [ ] 1,000-4,999 employees
7 [ ] 5,000-24,999 employees
8 [ ] 25,000+ employees

A11.
Which one of the following best describes your principal employer during the week of October 1, 2008? Were you...
Mark one answer.
SELF-EMPLOYED or a BUSINESS OWNER
1 [ ] in a non-incorporated business, professional practice, or farm
2 [ ] in an incorporated business, professional practice, or farm
PRIVATE SECTOR employee
3 [ ] in a for-profit company or organization
4 [ ] in a non-profit organization (including tax-exempt and charitable organizations)
GOVERNMENT employee
5 [ ] in a local government (e.g., city, county, school district)
6 [ ] in a state government (including state colleges/universities)
7 [ ] in the U.S. military service, active duty or Commissioned Corps (e.g., USPHS, NOAA
8 [ ] in the U.S. government (e.g., civilian employee)
9 [ ] OTHER type of employee ? Specify type of employer: _______________

A12.
Was your principal employer an educational institution?
1 [ ] Yes
2 [ ] No (Go to page 3, question A17)

A13.
(If Yes) Was the educational institution where you worked a ...
Mark one answer.
1 [ ] Preschool, elementary, middle, or secondary school or system (Go to page 4, question A19)
2 [ ] Two-year college, community college, or technical institute
3 [ ] Four-year college or university, other than a medical school
4 [ ] Medical school (including university-affiliated hospital or medical center)
5 [ ] University-affiliated research institute
6 [ ] Other ? Specify: ____________________________________

A14.
During the week of October 1, 2008, what type of academic position(s) did you hold at this institution?
Mark Yes or No for each item.
1 [ ] President, Provost, or Chancellor (any level)
1 [ ] Yes 2 [ ] No

2 [ ] Dean (any level), department head, or department chair
1 [ ] Yes 2 [ ] No

3 [ ] Research faculty, scientist, associate, or fellow
1 [ ] Yes 2 [ ] No

4 [ ] Teaching faculty
1 [ ] Yes 2 [ ] No

5 [ ] Adjunct faculty
1 [ ] Yes 2 [ ] No

6 [ ] Postdoc (e.g., postdoctoral fellow or associate)
1 [ ] Yes 2 [ ] No

7 [ ] Research assistant
1 [ ] Yes 2 [ ] No

8 [ ] Teaching assistant
1 [ ] Yes 2 [ ] No

9 [ ] Other position ? Specify: ____________________________
1 [ ] Yes 2 [ ] No

A15.
What was your faculty rank?
Mark one answer.
1 [ ] Not applicable: no ranks designated at this institution
2 [ ] Not applicable: no ranks designated for my position
3 [ ] Professor
4 [ ] Associate Professor
5 [ ] Assistant Professor
6 [ ] Instructor
7 [ ] Lecturer
8 [ ] Other ? Specify: _________________________________

A16.
What was your tenure status?
Mark one answer.
1 [ ] Not applicable: no tenure system at this institution
2 [ ] Not applicable: no tenure system for my position
3 [ ] Tenured
4 [ ] On tenure track but not tenured
5 [ ] Not on tenure track

Principal Job

A17.
What was the title of the principal job you held during the week of October 1, 2008?
Example: Physics professor
_____________________________________________

A18.
What kind of work were you doing on this job ? that is, what were your duties and responsibilities on your principal job? Please be as specific as possible, including any area of specialization.
Example: Taught physics and conducted research. Specialized in high energy physics.
_________________________________________________
_________________________________________________
_________________________________________________
_________________________________________________
__________________________________________________

A19.
Using the JOB CATEGORY list on pages 13-16, choose the code that best describes the principal job you held during the week of October 1, 2008.
CODE ___ ___ ___

A20.
Did your duties on this job require the technical expertise of a bachelor's degree or higher in...
Mark Yes or No for each item.
1 [ ] Engineering, computer science, math, or the natural sciences
1 [ ] Yes 2 [ ] No

2 [ ] The social sciences
1 [ ] Yes 2 [ ] No

3 [ ] Some other field (e.g., health, business, or education) ? Specify
1 [ ] Yes 2 [ ] No

A21.
Was this job a "postdoc"?
A "postdoc" is a temporary position awarded in academe, industry, a non-profit organization, or government primarily for gaining additional education and training in research.
1 [ ] Yes
2 [ ] No (Go to question A24)

A22.
(If Yes) What were your reasons for taking this postdoc?
Mark Yes or No for each item.
1 [ ] Additional training in PhD field
1 [ ] Yes 2 [ ] No

2 [ ] Training in an area outside of PhD field
1 [ ] Yes 2 [ ] No

3 [ ] Work with a specific person or in a specific place
1 [ ] Yes 2 [ ] No

4 [ ] Other employment not available
1 [ ] Yes 2 [ ] No

5 [ ] Postdoc generally expected for a career in this field
1 [ ] Yes 2 [ ] No

6 [ ] Some other reason ? Specify
1 [ ] Yes 2 [ ] No

A23.
Which two reasons in question A22 were your most important reasons for taking this postdoc?
Enter number of appropriate reason from question A22 above.
1 _____ Most important reason
2 _____ Second most important reason (Enter "0" if no second reason)

A24.
During what month and year did you start this job (that is, the principal job you held during the week of October 1, 2008)?
PRINCIPAL JOB STARTED
Month ___ ___ Year ___ ___ ___ ___

A25.
To what extent was your work on your principal job related to your first U.S. doctoral degree? Was it...
Mark one answer.
1 [ ] Closely related (Go to question A28)
2 [ ] Somewhat related (Go to question A28)
3 [ ] Not related

A26.
(If not related) Did these factors influence your decision to work in an area outside of the field of your first U.S. doctoral degree?
Mark Yes or No for each item.
1 Pay, promotion opportunities
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 doctoral field not available
1 [ ] Yes 2 [ ] No

7 Some other reason ? specify: ______________________
1 [ ] Yes 2 [ ] No

A27.
Which two factors in question A26 were your most important reasons for working in an area outside the field of your first U.S. doctoral degree?
Enter number of appropriate reason from question A26 above.
1 _____ Most important reason
2 _____ Second most important reason (Enter "0" if no second reason)

A28.
The next question is about your work activities on your principal job. Which of the following work activities occupied at least 10 percent of your time during a typical work week on this job?
Mark Yes or No for each item.
1 Accounting, finance, contracts
1 [ ] Yes 2 [ ] No

2 Basic research ? study directed toward gaining scientific knowledge primarily for its own sake
1 [ ] Yes 2 [ ] No

3 Applied research ? study directed toward gaining scientific knowledge to meet a recognized need
1 [ ] Yes 2 [ ] No

4 Development ? using knowledge gained from research for the production of materials, devices
1 [ ] Yes 2 [ ] No

5 Design of equipment, processes, structures, models
1 [ ] Yes 2 [ ] No

6 Computer programming, systems or applications development
1 [ ] Yes 2 [ ] No

7 Human resources ? including recruiting, personnel development, training
1 [ ] Yes 2 [ ] No

8 Managing or supervising people or projects
1 [ ] Yes 2 [ ] No

9 Production, operations, maintenance (e.g., chip production, operating lab equipment)
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

A29.
On which two activities in question A28 did you work the most hours during a typical week on this job?
Enter number of appropriate activity from question A28 above.
1 ___ ___ Activity most hours
2 ___ ___ Activity second most hours (Enter "0" if no second most)

A30.
Did you supervise the work of others as part of the principal job you held during the week of October 1, 2008?
Mark "Yes" if you recommended or initiated personnel actions such as hiring, firing, evaluating, or promoting others.
Teachers should not count students
1 [ ] Yes
2 [ ] No (Go to question A32)

A31.
(If Yes) How many people did you typically...
1 Supervise directly? _____ (Number supervised) (If none, enter "0")
2 Supervise indirectly through subordinate supervisors? _____ (Number supervised) (If none, enter "0")

A32.
How would you rate your overall satisfaction with the principal job you held during the week of October 1, 2008?
Mark one answer.
1 [ ] Very satisfied
2 [ ] Somewhat satisfied
3 [ ] Somewhat dissatisfied
4 [ ] Very dissatisfied

A33.
As of the week of October 1, 2008, what was your basic annual salary on your principal job, before deductions?
Do not include bonuses, overtime, or additional compensation for summertime teaching or research. If you are not salaried, please estimate your earned income, excluding business expenses.
$___,___ ___ ___,___ ___ ___.00
ANNUAL SALARY OR EARNED INCOME

A34.
Was this salary based on a 52-week year, or less than that?
Include paid vacation and sick leave.
1 [ ] 52-week year
2 [ ] Less than 52 weeks
NUMBER OF WEEKS PER YEAR _____

A35.
During a typical week on your principal job, how many hours did you work?
NUMBER OF HOURS WORKED PER WEEK _____
If fewer than 35 hours, go to question A36.
If 35 or more hours, go to question A38.

A36.
(If fewer than 35 hours) Did you want to work 35 or more hours per week on your principal job?
1 [ ] Yes
2 [ ] No

A37.
For which of the following reasons did you usually work fewer than 35 hours per week on the principal job you held during the week of October 1, 2008?
Mark Yes or No for each item.
1 Previously retired or semi-retired
1 [ ] Yes 2 [ ] No
If Yes, Year retired ___ ___ ___ ___

2 Student
1 [ ] Yes 2 [ ] No

3 Family responsibilities
1 [ ] Yes 2 [ ] No

4 Chronic illness or disability
1 [ ] Yes 2 [ ] No

5 Full-time job not available
1 [ ] Yes 2 [ ] No

6 Held more than one job
1 [ ] Yes 2 [ ] No

7 Did not need or want to work more hours
1 [ ] Yes 2 [ ] No

8 Other ? Specify: _____________________________
1 [ ] Yes 2 [ ] No

A38.
During the week of October 1, 2008, were you working for pay (or profit) at a second job (or business), including part-time, evening, or weekend work?
1 [ ] Yes
2 [ ] No (Go to page 7, question A43)

A39.
(If Yes) What was the title of the second job you held during the week of October 1, 2008? If you had more than two jobs that week, report the job where you worked the second most hours.
Example: Clinical psychologist
_____________________

A40.
What kind of work were you doing on this job ? that is, what were your duties and responsibilities on your second job? Please be as specific as possible, including any area of specialization.
Example: Diagnose mental and emotional disorders.
____________________
____________________
____________________
____________________
____________________
____________________

A41.
Using the JOB CATEGORY list on pages 13-14, choose the code that best describes the second job you held during the week of October1, 2008.
CODE __ __ __

A42.
To what extent was your work on your second job related to your first U.S. doctoral degree? Was it...
Mark one answer.
1 [ ] Closely related
2 [ ] Somewhat related
3 [ ] Not related

A42.
To what extent was your work on your second job related to your first U.S. doctoral degree? Was it...
Mark one answer

1 [ ] Closely related
2 [ ] Somewhat related
3 [ ] Not related

A43.

Thinking back now to 2007, was any of your work during 2007 supported by contracts or grants from the U.S. government?
Federal employees: Please answer "No."
Mark one answer.
0 [ ] Did not work in 2007 (Go to question B1 on this page)
1 [ ] Yes
2 [ ] No
3 [ ] Don?t know

A44.
Counting all jobs held in 2007, what was your total earned income for 2007, before deductions?
Include all wages, salaries, bonuses, overtime, commissions, consulting fees, net income from businesses, summertime teaching or research, or other work associated with scholarships.
$ __ __ __ , __ __ __ .00

Part B ? Past Employment

B1.
Were you working for pay or profit during both of these time periods ? the week of April 1, 2006 and the week of October 1, 2008?
1 [ ] Yes
2 [ ] No (Go to page 8, question C1)

B2.
(If yes) During these two time periods ? the week of April 1, 2006, and the week of October 1, 2008 ? were you working for...
Mark one answer.
1 [ ] Same employer and in same type of job (Go to page 8, question C1)
2 [ ] Same employer but in different type of job
3 [ ] Different employer but in same type of job
4 [ ] Different employer and in different type of job

B3.
(If different) Why did you change your employer or your job?
Mark Yes or No for each item.
1 Pay, promotion opportunities
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 School-related reasons (e.g., returned to school, completed a degree)
1 [ ] Yes 2 [ ] No

7 Laid off or job terminated (includes company closings, mergers, buyouts, grant or contract ended)
1 [ ] Yes 2 [ ] No

8 Retired
1 [ ] Yes 2 [ ] No

9 Some other reason ? Specify: _______________________________
1 [ ] Yes 2 [ ] No

Part C ? Other Work-Related Experiences

C1.
Since October 2003, how many...
1 Papers have you (co)authored for presentation at regional, national, or international conferences? (Do not count presentations of the same work more than once.)...(If none, enter "0")
2 Articles, (co)authored by you, have been accepted for publication in a refereed professional journal?...(If none, enter "0")
3 Books or monographs, (co)authored by you, have been published or accepted for publication?...(If none, enter "0")

C2.
Since October 2003, have you been named as an inventor on any application for a U.S. patent?
1 [ ] Yes
2 [ ] No (Go to question C4)

C3.
Since October 2003...
1 How many applications for U.S. patents have named you as an inventor?...(If none, enter "0")
2 How many U.S. patents have been granted to you as an inventor?...(If none, enter "0")
3 How many of the patents recorded as granted (in category 2 above) have resulted in commercialized products or processes or have been licensed?...(If none, enter "0")

C4.
During the past 12 months, did you take any work-related training, such as workshops or seminars?
Include conferences or professional meetings only if you attended a training session at the conference or meeting.
Do not include college coursework for which you were enrolled in a degree program.
1 [ ] Yes
2 [ ] No (Go to page 9, question D1)

C5.
(If Yes) For which of the following reasons did you take training during the past 12 months?
Mark Yes or No for each item.
1 To improve skills or knowledge in your current occupational field
1 [ ] Yes 2 [ ] No

2 To increase opportunities for promotion or advancement in your current occupational field
1 [ ] Yes 2 [ ] No

3 For licensure or certification in your current occupational field
1 [ ] Yes 2 [ ] No

4 To facilitate a change to a different occupational field
1 [ ] Yes 2 [ ] No

5 Required or expected by employer
1 [ ] Yes 2 [ ] No

6 For leisure or personal interest
1 [ ] Yes 2 [ ] No

7 Other ? Specify: ______________________________
1 [ ] Yes 2 [ ] No

C6.
What was your most important reason from question C5 for taking training?
Enter number of appropriate reason from question C5 above.
MOST IMPORTANT REASON _____

Part D ? Recent Educational Experiences

D1.
Between April 2006 and October 2008, did you complete another degree such as a master's or another doctorate?
1 [ ] Yes
2 [ ] No (Go to page 10, question E1)

D2.
(If Yes) What type of degree did you earn?
If you completed more than one degree, mark the level for the highest degree awarded.
Mark one answer.
1 [ ] Bachelor's degree (e.g., BS, BA, AB)
2 [ ] Master's degree (e.g., MS, MA, MBA)
3 [ ] Doctorate (e.g., PhD, DSc, EdD)
4 [ ] Other professional degree (e.g., JD, LLB, MD, DDS, DVM) ? Specify: ___________________________
5 [ ] Other ? Specify: __________________________________

D3.
What was the primary field of study for this degree?
PRIMARY FIELD OF STUDY
___________________________________
___________________________________
___________________________________

D4.
In what month and year was this degree awarded?
DEGREE AWARDED
Month ___ ___ Year 200 ___

D5.
From which academic institution did you receive this degree?
College or University Name
__________________________________________________
Department
_______________________________________________________
City/Town
_______________________________________________________
State/Foreign Country
_______________________________________________________

D6.
For which of the following reasons did you obtain this degree?
Mark Yes or No for each item.
1 To gain further education before beginning a career
1 [ ] Yes 2 [ ] No

2 To prepare for graduate school or further education
1 [ ] Yes 2 [ ] No

3 To change your academic or occupational field
1 [ ] Yes 2 [ ] No

4 To gain further skills or knowledge in your academic or occupational field
1 [ ] Yes 2 [ ] No

5 For licensure or certification
1 [ ] Yes 2 [ ] No

6 To increase opportunities for promotion, advancement, or higher salary
1 [ ] Yes 2 [ ] No

7 Required or expected by employer
1 [ ] Yes 2 [ ] No

8 For leisure or personal interest
1 [ ] Yes 2 [ ] No

9 Other ? Specify: _____________________________________________
1 [ ] Yes 2 [ ] No

Part E ? Demographic Information

E1.
On October 1, 2008, were you...
Mark one answer.
1 [ ] Married
2 [ ] Living in a marriage-like relationship
3 [ ] Widowed (Go to question E4)
4 [ ] Separated (Go to question E4)
5 [ ] Divorced (Go to question E4)
6 [ ] Never married (Go to question E4)

E2.
(If Married or Living in a marriage-like relationship) During the week of October 1, 2008, was your spouse or partner working?
1 [ ] Yes, full-time
2 [ ] Yes, part-time
3 [ ] No (Go to question E4)

E3.
(If Yes) Did your spouse's or partner's duties on this job require the technical expertise of a bachelor's degree or higher in...
Mark Yes or No for each item.
1 Engineering, computer science, math, or the natural sciences
1 [ ] Yes 2 [ ] No

2 The social sciences
1 [ ] Yes 2 [ ] No

3 Some other field (e.g., health, business, or education) ? Specify: _____________
1 [ ] Yes 2 [ ] No

E4.
As of the week of October 1, 2008, 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.
1 [ ] Yes
2 [ ] No (Go to question E6)

E5.
(If Yes) How many of these children living with you as part of your family were...
If no children in a category, enter "0."
1 Under age 2 _____ (Number of children)
2 Aged 2-5 _____ (Number of children)
3 Aged 6-11 _____ (Number of children)
4 Aged 12-18 _____ (Number of children)
5 Aged 19 or older _____ (Number of children)

E6.
On October 1, 2008, were you living in the United States, Puerto Rico, or another U.S. territory, or were you living in another country?
1 [ ] United States, Puerto Rico, or another U.S. territory
2 [ ] Another country

E7.
On October 1, 2008, were you a...
1 [ ] U.S. citizen
2 [ ] Non-U.S. citizen (Go to question E9)

E8.
(If U.S. Citizen) Were you a U.S. citizen...
Mark one answer.
1 [ ] Born in the United States, Puerto Rico, or another U.S. territory (Go to question E11)
2 [ ] Born abroad of U.S. citizen parent(s) (Go to question E11)
3 [ ] By naturalization (Go to question E11)

E9.
(If Non-U.S. citizen) Were you a non-U.S. citizen...
1 [ ] With a Permanent U.S. Resident Visa (Green Card)
2 [ ] With a Temporary U.S. Resident Visa

E10.
Of which country are you a citizen?
_______________________________________
FOREIGN COUNTRY

E11.
What is your birthdate?
Month ___ ___ Day ___ ___ Year 19 ___ ___

E12.
The next several questions are designed to help us better understand the career paths of individuals with different physical abilities.


E13.
What is the USUAL degree of difficulty you have with...
Mark one answer for each item.
1 SEEING words or letters in ordinary newsprint (with glasses/contact lenses, if you usually wear them)
1 [ ] None 2 [ ] Slight 3 [ ] Moderate 4 [ ] Severe 5 [ ] Unable to do

2 HEARING what is normally said in conversation with another person (with hearing aid, if you usually wear one)
1 [ ] None 2 [ ] Slight 3 [ ] Moderate 4 [ ] Severe 5 [ ] Unable to do

3 WALKING without human or mechanical assistance or using stairs
1 [ ] None 2 [ ] Slight 3 [ ] Moderate 4 [ ] Severe 5 [ ] Unable to do

4 LIFTING or carrying something as heavy as 10 pounds, such as a bag of groceries
1 [ ] None 2 [ ] Slight 3 [ ] Moderate 4 [ ] Severe 5 [ ] Unable to do

E14.
0 [ ] Mark this box if you answered "None" to all the activities in question E13, and go to question E16.

E15.
What is the earliest age at which you first began experiencing any difficulties in any of these areas?
AGE ___ ___ OR 0 [ ] SINCE BIRTH

E16.
In case we need to clarify some of the information you have provided, please list phone numbers and an email address where you can be reached.
Daytime Phone Number ___ ___ ___-___ ___ ___-___ ___ ___ ___
1 [ ] Home 2 [ ] Work 3 [ ] Cell

Evening Phone Number ___ ___ ___-___ ___ ___-___ ___ ___ ___
1 [ ] Home 2 [ ] Work 3 [ ] Cell

Email Address ___________________@______________

E17.
Because we are interested in how education and employment change over time, we may be contacting you in 2012. To help us contact you, please provide the name and contact information for two people who are 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. These people will only be contacted if we have difficulty contacting you in 2012.
Person 1
__________________________________________________________
First Name
_______
MI
___________________________________________________________
Last Name
___________________________________________________________
Number and Street
___________________________________________________________
City/Town
_____________________________
State
_____________________________
Zip Code
________________________________
Country (if outside of U.S.)

___ ___ ___ - ___ ___ ___ - ___ ___ ___ ___
Area code Number

Person 2
__________________________________________________________
First Name
_______
MI
___________________________________________________________
Last Name
___________________________________________________________
Number and Street
___________________________________________________________
City/Town
_____________________________
State
_____________________________
Zip Code
________________________________
Country (if outside of U.S.)

___ ___ ___ - ___ ___ ___ - ___ ___ ___ ___
Area code Number

E18.
Please turn to the back cover for the last question (E19).

E19.
How would you like to complete future rounds of this survey?
Mark one answer.
1 [ ] A questionnaire sent in the mail
2 [ ] A questionnaire that you could fill out on the World Wide Web
3 [ ] A telephone interview
4 [ ] No preference