PLEASE NOTE: THIS IS AN EXAMPLE OF A "CATI" OR "COMPUTER ASSISTED TELEPHONE INTERVIEWING" QUESTIONNAIRE. THE ENTIRE QUESTIONNAIRE IS PROGRAMMED INTO THE COMPUTER. THE COMPUTER GENERATES SKIP PATTERNS AND BRANCH PATTERNS SO THEY DO NOT APPEAR AS YOU SEE THEM HERE. THIS SCREEN IS A COPY OF THE "PAPER AND PENCIL" QUESTIONNAIRE THAT ALL INTERVIEWERS RECEIVED DURING TRAINING SO THAT THEY COULD BECOME FAMILIAR WITH IT.

Hard to believe, but there are 196 variables in this survey. On the average it took 6.5 minutes to complete. Experienced interviewers can administer 5 Likert items (e.g., Qs 47-60) per MINUTE.

Public Opinion Analysis

INTERVIEWER'S FULL NAME_________________________________________

YOUR INTRODUCTION: Hello, my name is ______________. As part of my public opinion class at Florida State University, and with the Leon County Public Health Unit and the Leon County Health Coalition, I am doing a short survey. I am calling from FSU and I need to speak with a   man   [woman]   who is at least 18 years old.

IF PERSON ANSWERING PHONE IS CORRECT AGE & GENDER, CONTINUE. IF NEW PERSON TAKES PHONE REPEAT INTRODUCTION THEN CONTINUE:

IF PERSON OF CORRECT AGE & GENDER RESIDES AT NUMBER BUT IS NOT HOME ASK: When is a convenient time to contact him [her]? (NOTE TIME ON YOUR DISPO SHEET!!:)

IF NO   MAN   [WOMAN]   LIVES AT NUMBER SAY: Then I'd like to speak with a   woman   [man] [you]  at least 18 years old.

CONTINUE WITH INTRODUCTION: My survey takes from 10 to 15 minutes. It deals with feelings about current issues, including people’s health. Your responses will help Leon County compare general information about people’s health in this area with the state of Florida and the United States. Responses are only presented grouped together and never separately for any one person. Your telephone was dialed using a random number process and your replies are confidential. Your participation in this survey is voluntary and you answer only the questions you want. {PAUSE} First, I need to know if I have dialed the correct number. Is this number __________? (READ CORRECT TELEPHONE NUMBER.)

IF YOU DIALED A WRONG NUMBER SAY: I'm sorry to disturb you. REDIAL CORRECT NUMBER. IF YOU HAVE DIALED CORRECT NUMBER CONTINUE:

IMPORTANT: IMMEDIATELY FILL IN DATE AND TIME STARTED

DATE____________    TIME STARTED_________( )A.M. ( )P.M.

1. Right now, what do you see as the most important problem facing people in the general Tallahassee area?
(PROBE TO CLARIFY IF NEEDED)
 
 

X. "X" RESPONSES DENOTE TEXT RESPONSES THAT THE INTERVIEWER TYPES IN VERBATIM

2. How many years have you lived in the Tallahassee area?

   ______ YEARS (CODE FRACTIONS UP TO NEAREST YEAR)

X. OTHER. 99


3. During the past month, about how many times per week did you read any part of the local Tallahassee Democrat newspaper? (WRITE IN RESPONSE:)
                                                      ______NUMBER OF TIMES [00 = ZERO TIMES]

( )99. REFUSAL/OTHER. GIVE ALL DON’T KNOWS A BEST GUESS PROBE!

4. During the past month, about how many times per week did you watch Tallahassee news on a local television station? (WRITE IN RESPONSE:)
                                                   ________NUMBER OF TIMES   [00 = ZERO TIMES]
                                                               INCLUDES PEOPLE WHO SAY “NO TV”

( )99. REFUSAL/OTHER. GIVE ALL DON’T KNOWS A BEST GUESS PROBE!

Now I'm going to read you several problems often associated with cities. For each one I read, I'd like to know if you think this problem is very serious for people in the Tallahassee area, somewhat serious or not a serious problem for people in the Tallahassee area. Here's the first: It’s:

5. Problems with traffic. Do you think this problem is (READ RESPONSES:)

     (  )1. Very serious for people in the Tallahassee area?
     (  )2. Somewhat serious or
     (  )3. Not serious for people in the Tallahassee area?

     (  )7. DON'T KNOW (VOLUNTEERED ONLY/USE BEST GUESS PROBE)
     (  )9. REFUSED/OTHER (VOLUNTEERED ONLY)

6. How about physically violent crime, such as assault? Do you think this problem is (READ RESPONSES:)

     (  )1. Very serious for people in the Tallahassee area?
     (  )2. Somewhat serious or
     (  )3. Not serious for people in the Tallahassee area?

     (  )7. DON'T KNOW (VOLUNTEERED ONLY/USE BEST GUESS PROBE)
     (  )9. REFUSED/OTHER (VOLUNTEERED ONLY)

7. And how about juvenile crime committed by people under age 18? Do you think this problem is (READ RESPONSES:)

     (  )1. Very serious for people in the Tallahassee area?
     (  )2. Somewhat serious or
     (  )3. Not serious for people in the Tallahassee area?

     (  )7. DON'T KNOW (VOLUNTEERED ONLY/USE BEST GUESS PROBE)
     (  )9. REFUSED/OTHER (VOLUNTEERED ONLY)

The next several questions are about your general health. Your responses will help Leon County compare information about health in  Leon County with the state of Florida and the United States. Of course, the results are presented grouped all together for everybody and never for any one person separately.

8. Would you say that in general your health is (READ RESPONSES:)

  (  )1. Excellent
  {  }2. Very good
  (  )3. Good
  (  )4. Fair or
  (  )5. Poor?

  (  )7. DON'T KNOW/NOT SURE      \ DO NOT READ. VOLUNTEERED ONLY.
  (  )9. REFUSED                   |
  (  )X. OTHER (8) PLEASE SPECIFY:/

9. Do you have any kind of health care coverage, including health
   insurance, prepaid plans such as HMOs, or government plans such
   as Medicare?
DO NOT READ RESPONSES!

  (  )1. YES   ---->SKIP TO Q11

   (  )2. NO                       ------->CONTINUE WITH Q10
   (  )7. DON'T KNOW/NOT SURE      ------->CONTINUE WITH Q10
   (  )9. REFUSED                  ------->CONTINUE WITH Q10
   (  )X. OTHER 8 (SPECIFY THEN:)  ------->CONTINUE WITH Q10

10. [NO/DON’T KNOW/REFUSED/OTHER ON Q9 THEN:]

About how long has it been since you have had any kind of health care coverage? Has it been

(READ RESPONSES BUT READ RESPONSES IN CAPITALS ONLY IF CLARIFICATION IS NEEDED)

(  )1. Within the last six months       (ONE TO SIX MONTHS AGO)?
(  )2. Within the past year             (6 TO 12 MONTHS AGO)?
(  )3. Within the past two years        (ONE TO TWO YEARS AGO)?
(  )4. Within the past five years       (TWO TO FIVE YEARS AGO) or
(  )5. Five or more years ago?

   THESE RESPONSES ARE VOLUNTEERED ONLY:

(  )6. I HAVE NEVER HAD HEALTH INSURANCE
(  )7. DON'T KNOW/NOT SURE [TRY ‘BEST GUESS’ PROBE HERE TO CONVERT]
(  )9. REFUSED
(  )0. INAP/I HAVE HEALTH INSURANCE (SKIP TO Q11)

(  )X. OTHER 8 (PLEASE SPECIFY:)


11. ASK EVERYONE: During the last twelve months, was there a time  when you needed to see a doctor but could not because of the cost?
DO NOT READ RESPONSES:
                          (  )1. YES
                          (  )2. NO

(  )7. DON'T KNOW/NOT SURE\
(  )9. REFUSED             |   DO NOT READ RESPONSES. VOLUNTEERED ONLY
(  )X. OTHER 8 (SPECIFY:) /

12. ASK EVERYONE: About how long has it been since you last visited a doctor for a routine checkup?
(READ RESPONSES BUT READ RESPONSES IN CAPITALS ONLY IF CLARIFICATION IS NEEDED)

   (  )1. Within the past year          (1 TO 12 MONTHS AGO)?
   (  )2. Within the past two years     (ONE TO TWO YEARS AGO)?
   (  )3. Within the past five years    (TWO TO FIVE YEARS AGO)?
   (  )4. Five or more years ago?

(  )7. DON'T KNOW/NOT SURE \
(  )9. REFUSED              |   DO NOT READ RESPONSES. VOLUNTEERED ONLY
(  )X. OTHER (SPECIFY:)    /

13. ASK EVERYONE: Related to routine healthcare, when was the last time that you had your blood pressure taken by a doctor, nurse, or other health care professional?
(READ RESPONSES BUT READ RESPONSES IN CAPITALS ONLY IF CLARIFICATION IS NEEDED:)

   (  )1. Within the past six months      (ONE TO SIX MONTHS AGO)
   (  )2. Within the past year            (SIX TO 12 MONTHS AGO)
   (  )3. Within the past two years       (ONE TO TWO YEARS AGO)
   (  )4. Within the past five years      (TWO TO FIVE YEARS AGO)
   (  )5. Five or more years ago

(  )6. I HAVE NEVER HAD MY BLOOD PRESSURE TAKEN BY A HEALTH CARE PROFESSIONAL---->SKIP TO Q15
(  )7. DON'T KNOW/NOT SURE \
(  )9. REFUSED             |     DO NOT READ RESPONSES. VOLUNTEERED ONLY
(  )X. OTHER 8 SPECIFY:  /

14. Have you ever been told by a doctor, nurse or other health professional that you have high blood pressure?
DO NOT READ RESPONSES:

             (  )1. YES
             (  )2. NO

(  )7. DON'T KNOW/NOT SURE \
(  )9. REFUSED             |     DO NOT READ RESPONSES. VOLUNTEERED ONLY
(  )X. OTHER 8 SPECIFY:  /


 15. ASK EVERYONE: Have you ever been told by a doctor that you have diabetes? (“BAD” OR “HIGH” BLOOD SUGAR)
DO NOT READ RESPONSES!

                 (  )1. YES----->IF R IS FEMALE CONTINUE WITH Q16
                                 IF R IS MALE SKIP TO Q17

(  )2. N0 ----->SKIP TO Q17
(  )7. DON'T KNOW/NOT SURE \ DO NOT READ RESPONSES. VOLUNTEERED ONLY
(  )9. REFUSED             | SKIP TO Q17
(  )X. OTHER 8 SPECIFY:    /

16. IF R SAYS ‘YES’ TO Q 15 AND IS FEMALE: Were you only told you had diabetes when you were pregnant? DO NOT READ RESPONSES!

                            (  )1. YES ONLY WHEN PREGNANT
                            (  )2. NO--AT SOME OTHER TIME
(  )0. INAP. R IS MALE          \
(  )7. DON'T KNOW/NOT SURE      | DO NOT READ RESPONSES. VOLUNTEERED ONLY
(  )9. REFUSED                  |
(  )X. OTHER 8 SPECIFY:         /

17. During the last year, did you consult any other kind of healthcare provider, other than a medical doctor or a nurse?
DO NOT READ RESPONSES:

                   (  )1. YES   --->CONTINUE WITH Q18
                   (  )2. NO    --->SKIP TO Q19

(  )7. DON’T KNOW/NOT SURE: USE BEST GUESS PROBE/CONTINUE WITH Q18
(  )9. REFUSED
(  )X. OTHER 8 SPECIFY AND CONTINUE WITH Q18

18. What kind of healthcare provider was that?
(DO NOT READ RESPONSES. CHECK THE FIRST TWO PROVIDERS CITED AND SPECIFY "OTHER":)

(  )01. Accupuncture
(  )02. Chiropracter
(  )03. “Healing Touch”
(  )04. Health food store NEC
(  )05. Homeopathy
(  )06. Massage
(  )07. Meditation
(  )08. Midwife
(  )09. Osteopath
(  )10. Vitamins and/or minerals
(  )99. REFUSED
(  )98. NO SECOND PROVIDER MENTIONED
(  )X. ”Home remedies” 20 (SPECIFY)
(  )X. Other 80 (PLEASE SPECIFY)

After first provider is mentioned, PROBES: Who else did you consult? Where else did you go? What kind of health care provider was that?


 19. ASK EVERYONE: Have you smoked at least 100 cigarettes in your entire life?
DO NOT READ RESPONSES!

                       (  )1. YES---->CONTINUE WITH Q20
                       (  )2. NO----->SKIP TO Q25

(  )7. DON'T KNOW/NOT SURE------->CONTINUE WITH Q20
(  )9. REFUSED            ------->CONTINUE WITH Q20
(  )X. OTHER 8 SPECIFY:   ------->CONTINUE WITH Q20

20. How often do you smoke cigarettes right now? (READ RESPONSES):

(  )1. Everyday      ----->CONTINUE WITH Q21 AND THEN Q23
(  )2. Some days or  ----->SKIP TO Q22 AND THEN Q23
(  )3. Not at all?   ----->SKIP TO Q24
(  )7. DON'T KNOW/NOT SURE   \
(  )9. REFUSED               |   DO NOT READ RESPONSES. VOLUNTEERED ONLY
(  )X. OTHER 8 SPECIFY:      /   CONTINUE WITH Q21 AND THEN Q23

21. IF R SMOKES CIGARETTES EVERYDAY: On the average about how many cigarettes a day do you now smoke?

        __________ Number of cigarettes (1 pack = 20 cigarettes)

(  )7. DON'T KNOW/NOT SURE \   VOLUNTEERED ONLY
(  )9. REFUSED             |   TRY "BEST GUESS" PROBE HERE
(  )X. OTHER 8 SPECIFY:    /

22. IF R SMOKES CIGARETTES SOME DAYS: On the average, when you smoked during the past 30 days, about how many cigarettes did you smoke a day?

 __________ Number of cigarettes (1 pack = 20 cigarettes)

(  )7. DON'T KNOW/NOT SURE \   VOLUNTEERED ONLY
(  )9. REFUSED             |   TRY "BEST GUESS" PROBE HERE
(  )X. OTHER 8 SPECIFY:    /

23. IF R SMOKES CIGARETTES AT ALL RIGHT NOW, ASK:
During the past 12 months, have you ever quit smoking for 1 day or longer? (DO NOT READ RESPONSES.)

                                                        (  )1. YES
                                                        (  )2. NO

(  )7. DON'T KNOW/NOT SURE (TRY BEST GUESS)\ DO NOT READ RESPONSES!
(  )9. REFUSED          TRY BEST GUESS   |  VOLUNTEERED ONLY
(  )X. OTHER 8 SPECIFY:     IF YOU CAN!  /


24. IF R NO LONGER SMOKES CIGARETTES AT ALL:
About how long has it been since you last smoked cigarettes regularly, that is, daily?

(READ RESPONSES BUT READ RESPONSES IN CAPITALS ONLY IF CLARIFICATION IS NEEDED)

(  )01. Within the past month           (ZERO TO ONE MONTH AGO)
(  )02. Within the past three months    (ONE TO THREE MONTHS AGO)
(  )03. Within the past six months      (THREE TO SIX MONTHS AGO)
(  )04. Within the past year            (SIX TO TWELVE MONTHS AGO)
(  )05. Within the past five years      (ONE TO FIVE YEARS AGO)
(  )06. Within the past fifteen years   (FIVE TO FIFTEEN YEARS AGO)
(  )07. 15 or more years ago

(  )00. INAP. R HAS NEVER SMOKED         \
(  )98. R NEVER SMOKED REGULARLY          |
(  )99. R IS STILL SMOKING                | DO NOT READ RESPONSES
(  )08. DON'T KNOW/NOT SURE               | VOLUNTEERED ONLY
        [TRY "BEST GUESS" PROBE HERE]     |
(  )09. REFUSED                           |
(  )X.  OTHER 80 SPECIFY:               /

25. ASK EVERYONE: During the past month, have you had at least one drink of any alcoholic beverage such as beer, wine,  wine coolers, or liquor?
DO NOT READ RESPONSES!

           (  )1. YES ------>ASK Q26 AND Q27
           (  )2. NO  ------>SKIP TO Q28

(  )7. DON'T KNOW/NOT SURE \ VOLUNTEERED ONLY
(  )9. REFUSED             | CAREFULLY CONTINUE WITH Q26 AND Q27
(  )X. OTHER 8 SPECIFY:  /

26. During the past month, how many days per week on the average did you drink any alcoholic beverages?
                                   ___________Days per week

IF R SAYS LESS THAN ONCE A WEEK, ASK:
how many days per month on the average did you drink any alcoholic beverages?

                      ______Days per month

(  )70. DON'T KNOW/NOT SURE [TRY 'BEST GUESS' PROBE HERE]
(  )99. REFUSED
(  )X.  OTHER 80 SPECIFY:


27. IF R DRANK AT ALL IN PAST MONTH: READ SLOWLY! Here is how we define one drink: a drink is one can of beer, or one glass of wine, or one can or bottle of wine cooler, or one cocktail, or one shot of liquor. On the days that you had any alcoholic beverages, on the average about how many drinks did you have?

                                            ______Number of drinks

ONLY IF R ASKS ABOUT DEFINITION: THIS IS CENTER FOR DISEASE CONTROL DEFINITION!
DON'T READ THE FOLLOWING RESPONSES. VOLUNTEERED ONLY!

(  )00  INAP. R NEVER DRINKS ALCOHOLIC BEVERAGES
(  )70. DON'T KNOW/NOT SURE (TRY A 'BEST GUESS' PROBE HERE)
(  )90. REFUSED
(  )X.  OTHER 80 SPECIFY:

28. In the past 12 months, have you ever taken any prescription weight control pills or "diet pills" that were prescribed by a doctor to help you lose weight or stop gaining weight?
DO NOT READ RESPONSES.

                (  )1. YES    ------------>ASK Q29 AND THEN Q30
                (  )2. NO     -----------> SKIP TO Q31

(  )7. DON'T KNOW/NOT SURE (TRY A 'BEST GUESS' PROBE HERE) ASK Q29
(  )8. OTHER    \
(  )9. REFUSED  / SKIP TO Q31

29. IF R EVER TOOK PRESCRIPTION WEIGHT CONTROL PILLS: Are you currently taking these prescription or doctor=s weight control pills now?
DO NOT READ RESPONSES.
                          (  )1. YES I AM STILL TAKING THEM
                          (  )2. NO I AM NO LONGER TAKING THEM

(  )0. INAP. R HAS NOT TAKEN PRESCRIPTION WEIGHT CONTROL PILLS
(  )9. REFUSED/OTHER

30. About how many pounds did you weigh at the time you first began using prescription or doctor's weight control drugs? REMIND R OF CONFIDENTIALITY IF YOU NEED TO!

                                        _______Number of pounds

DON'T READ THE FOLLOWING RESPONSES. VOLUNTEERED ONLY!

(  )700. DON'T KNOW/NOT SURE (USE YOUR BEST JUDGEMENT ON A 'BEST GUESS' PROBE HERE)
(  )900. REFUSED
(  )000. INAP. R HAS NOT TAKEN PRESCRIPTION WEIGHT CONTROL PILLS
(  )X.   OTHER 800 SPECIFY:

The next few questions are about exercise, recreation, or physical activities other than your regular job or housework duties.

31. During the past month, did you participate in any physical activities or exercises, such as running, calisthenics, golf, gardening, or walking for exercise? DO NOT READ RESPONSES:

                              (  )1. YES------>ASK Q32
                              (  )2. NO------->SKIP TO Q36

(  )7. DON'T KNOW/NOT SURE  ----->ASK Q32
(  )9. REFUSED              ----->ASK Q32
(  )8. OTHER (SPECIFY:)     ----->ASK Q32

32. IF YES TO Q31: What type of physical activity or exercise did you spend the most time doing during the past month?
(DO NOT READ RESPONSES. CHECK THE FIRST EXERCISE R MENTIONED. SPECIFY "OTHER" RESPONSES:)

 (  ) 01. BASEBALL/SOFTBALL
 (  ) 02. BASKETBALL
 (  ) 03. BICYCLING
 (  ) 04. DANCING (INCLUDE AEROBICS)
 (  ) 05. FOOTBALL
 (  ) 06. JOGGING        ----->ASK Q33
 (  ) 07. RUNNING/RACING ----->ASK Q33
 (  ) 08. SQUASH/RACQUETBALL
 (  ) 09. SWIMMING       ----->ASK Q33
 (  ) 10. WALKING        ----->ASK Q33
 (  ) 11. WORKOUT AT GYM OR VIDEOTAPE

 (  ) 99. REFUSED/SKIP TO Q
 (  ) 00. INAP/R DOES NOT EXERCISE
 (  ) X.  OTHER 80 (PLEASE SPECIFY:)

IF R SAYS: RUNNING, JOGGING, WALKING, OR SWIMMING, CONTINUE WITH Q33.
ALL OTHERS SKIP TO Q34 AND THEN ASK Q35.

33. IF R RUNS, JOG, WALKS OR SWIMS, ASK:
How many miles or parts of a mile during one exercise period do you usually run, jog, walk or swim?

                  ________MILES

(  )00. INAP. R DOES NOT RUN, JOG, WALK OR SWIM
(  )99. REFUSED
(  )X. OTHER. GET "BEST GUESS" 80. SPECIFY:


34. ASK EVERYONE WITH YES TO Q31: During the past month, how many times did you take part in this exercise activity?

                                                   _________TIMES

(  )000. INAP. R DID NOT NOT EXERCISE IN THE PAST MONTH
(  )999. REFUSED. ASK Q35
(  )X.   OTHER. GET "BEST GUESS" 800. SPECIFY THEN ASK Q35:

35. ASK EVERYONE WITH YES TO Q31: When you take part in this activity, how long do you usually keep at it, that is, for how many minutes or hours at a time do you exercise?
DO NOT READ RESPONSES. NOTE MINUTES OR HOURS.

                                     __________ NUMBER OF: (   )1. MINUTES
                                                           (   )2. HOURS
(  )000. INAP. R DID NOT EXERCISE
(  )999. REFUSED
(  )X.   OTHER. GET "BEST GUESS" 800. SPECIFY:

36. Turning to a very different topic, during the last two months, did you ever play the Florida lottery?
DO NOT READ RESPONSES!

                (  )1. YES ------>CONTINUE WITH Q37
                (  )2. NO  ------>SKIP TO Q47

(  )7. DON'T KNOW (OTHER) ---->CONTINUE WITH Q37
(  )9. REFUSED            ---->CONTINUE WITH Q37

37. IF YES TO Q36: During the last two months, how many times did you play the Florida lottery?
DO NOT READ RESPONSES!
                                               _________TIMES

   (  )00. INAP. R DOES NOT PLAY LOTTERY
   (  )99. REFUSED
   (  )X.  OTHER. WRITE DOWN BEST ESTIMATE (E.G., ONCE A WEEK)

38. IF YES TO Q36: On the average, when you do play the lottery, about how many lottery tickets at a time do you buy?
DO NOT READ RESPONSES:
                                              _________TICKETS

   (  )00. INAP. R DOES NOT PLAY LOTTERY
   (  )99. REFUSED. DO NOT PROBE.
   (  )X.  OTHER. WRITE DOWN BEST GUESS (E.G., ONCE A WEEK)

39. IF YES TO Q36: Do you ever select your own numbers to play the Florida lottery?
DO NOT READ RESPONSES:

                  (  )1. YES -------->ASK QUESTION 40
                  (  )2. NO  -------->SKIP TO QUESTION 41

                  (  )0. INAP. R DOES NOT PLAY LOTTERY
                  (  )7. DON'T KNOW/ ASK QUESTION 40
                  (  )8. OTHER/ ASK QUESTION 40
                  (  )9. REFUSED------->SKIP TO QUESTION 41

40. IF YES TO Q39: What methods do you use to select your own lottery numbers
DO NOT READ RESPONSES.
CHECK EACH OF THE FIRST THREE METHODS CITED AND SPECIFY "OTHER":

      ( )01. ADDRESSES
      ( )02. ASTROLOGY/NUMEROLOGY/OTHER OCCULT
      ( )03. BIRTHDAYS/ANIVERSARIES OF FAMILY/FRIENDS/PETS
      ( )04. BOOKS THAT HELP ME PICK LOTTERY NUMBERS
      ( )05. COINCIDENCES
      ( )06. MY OWN COMPUTER/MY COMPUTER PROGRAM
      ( )06. DREAMS/VISIONS
      ( )07. LUCKY NUMBERS
      ( )08. QUICKPICK/LET THE STATE DO IT
      ( )09. PRAYER/BIBLE VERSES
      ( )10. MY OWN RANDOM NUMBER GENERATOR
      ( )11. NO SPECIAL METHODS/NOTHING SPECIAL

      ( )99. NO OTHER METHOD CITED
      ( )98. REFUSED
      ( )X.  OTHER (SPECIFY AND WRITE IT DOWN!)
      ( )00. R DOES NOT PLAY LOTTERY/DOES NOT PICK NUMBERS

[PROBE: "What other methods do you use?"]

41. ASK ALL LOTTERY PLAYERS:
During the past six months, how many times did you buy any books or magazines that told how to select numbers for lotteries?
DO NOT READ RESPONSES

                         _______________TIMES

(  )00. DID NOT BUY ANY BOOKS
(  )97. DON'T KNOW/CAN'T REMEMBER [TRY "BEST GUESS" PROBE HERE]
(  )98. REFUSED
(  )99. INAP. R DOES NOT PLAY THE LOTTERY


 42. ASK ALL LOTTERY PLAYERS: Have you ever used any kind of gadget, machine or device that could help you select numbers to play the Lottery? DO NOT READ RESPONSES.

                                        (  )1. YES-->GO TO Q43
                                        (  )2. NO -->SKIP TO Q44

(  )0. INAP. R DOES NOT PLAY THE LOTTERY
(  )7. DON'T KNOW / ASK Q43
(  )9. REFUSED ---->SKIP TO Q44
(  )X. OTHER. 8 SPECIFY THEN ASK Q43

43. ASK THOSE WHO USE GADGETS:
What kind of gadget, machine or device did you use to help you select Lottery numbers?

(  )X. WRITE DOWN GADGET, MACHINE OR DEVICE USING R'S OWN WORDS

(  )00. INAP. R DOES NOT PLAY THE LOTTERY.
(  )98. INAP. R HAS HAD NO GADGETS, MACHINES OR DEVICES
(  )99. REFUSED

44. ASK ALL LOTTERY PLAYERS: Have you ever been part of a group of people who put or pooled their money together to buy tickets for the Florida Lottery?
DO NOT READ RESPONSES

                                   (  )1. YES  ----->ASK Q45
                                   (  )2. NO   ----->SKIP TO Q46

(  )0. INAP. R DOES NOT PLAY THE LOTTERY
(  )7. DON'T KNOW      \
(  )9. REFUSED          |   ---->SKIP TO Q46
(  )X. OTHER 8 SPECIFY:/

45. IF R PART OF LOTTERY GROUP: What has been the major way your group selected its numbers to play the lottery?

(DO NOT READ RESPONSES. CHECK THE FIRST METHOD CITED AND SPECIFY "OTHER":)

         ( )01. ADDRESSES
         ( )02. ASTROLOGY/NUMEROLOGY/OTHER OCCULT
         ( )03. BIRTHDAYS/ANIVERSARIES OF FAMILY/FRIENDS/PETS
         ( )04. BOOKS THAT HELP ME PICK LOTTERY NUMBERS
         ( )05. COINCIDENCES
         ( )06. MY OWN COMPUTER/MY COMPUTER PROGRAM
         ( )06. DREAMS/VISIONS
         ( )07. LUCKY NUMBERS
         ( )08. QUICKPICK/LET THE STATE DO IT
         ( )09. PRAYER/BIBLE VERSES
         ( )10. MY OWN RANDOM NUMBER GENERATOR
         ( )11. NO SPECIAL METHODS/NOTHING SPECIAL

      ( )98. REFUSED
      ( )00. R DOES NOT PLAY LOTTERY/DOES NOT PICK NUMBERS
      ( )X.  OTHER (PLEASE SPECIFY:)


 46. ASK ALL LOTTERY PLAYERS: Have you ever won a prize from playing the Florida Lottery?
DO NOT READ RESPONSES:
                                            (  )1. YES
                                            (  )2. NO
(  )0. INAP. R DOES NOT PLAY THE LOTTERY
(  )7. DON'T KNOW    \
(  )9. REFUSED        | DON'T READ. VOLUNTEERED ONLY
(  )X. OTHER SPECIFY:/

Turning to a different topic, I have some statements about why people enjoy success or experience failure in life. For each one I read, I'd like to know if you strongly agree (SA) with that statement, agree (A), disagree (D), strongly disagree (SD), or are undecided (U). Here's the first one (REPEAT RESPONSES AS NECESSARY:)

PROGRAMMERS NOTE: FOR THIS SERIES, 8 IS OTHER (NOT SPECIFIED) AND 9 IS REFUSAL. PLEASE PLACE ON FRAME FOR INTERVIEWER'S CONVENIENCE.

NOTE: THE ENTIRE SET OF RESPONSES (NOT ABBREVIATIONS) IS PLACED ON THE COMPUTER SCREEN IN FRONT OF THE INTERVIEWER FOR EACH SEPARATE QUESTION.

47. In the United States, most people can achieve anything they really set their minds to.

SA     A     U     D     SD
48. In the United States, the good things that happen to people are mostly luck.
SA     A     U     D     SD
49. Any failures in my life are the results of mistakes that I have made.
SA     A     U     D     SD
50. In the United States, most people who have good things deserve them.
SA     A     U     D     SD
51. In the United States, most people's problems are just bad luck.
SA     A     U     D     SD
52. The good things that happen to me in life are mainly through God's will.
SA     A     U     D     SD
53. In the United States, most people's problems are caused by other people who are selfish, greedy, or mean.
SA     A     U     D     SD
54. The really good things that happen to me are mostly luck.
SA     A     U     D     SD
55. What a person achieves in life mainly depends on their family's  economic background.
SA     A     U     D     SD
56.  When I make plans, I can nearly always carry them out.
SA     A     U     D     SD
57. In the United States, most people who do poorly in life just didn't try hard enough.
SA     A     U     D     SD
58. Most of my problems have been due to bad luck.
SA     A     U     D     SD
59. The bad things that happen to me in life have been through God's will.
SA     A     U     D     SD
60. Someday it will be shown that astrology can explain a lot of things.
SA     A     U     D     SD

I have just a few more questions and my survey will be complete.

61. How many children between the age of six to age 18 currently live in your household?

                                    ___________ CHILDREN

(  )X OTHER. 80 SPECIFY. FOLLOW SKIP PATTERN BELOW

**IF ANY CHILDREN BETWEEN SIX AND 18, CONTINUE WITH Q62 AND Q63
**IF NO CHILDREN (0 OR 00) BETWEEN SIX AND 18, SKIP TO Q64

62. IF ANY CHILDREN IN HOUSEHOLD BETWEEN 6 AND 18:
Do ANY of these children in your household attend a public elementary, middle or high school in Leon County?
DO NOT READ RESPONSES:
                                         (  )1. YES
                                         (  )2. NO
                                         (  )9. REFUSED
                                         (  )X. OTHER 8 SPECIFY:
                                         (  )0. INAP. NO CHILDREN


 63. IF ANY CHILDREN IN HOUSEHOLD BETWEEN 6 AND 18: In general, would you say that the public schools in Leon County are
(READ RESPONSES:)

                    ( )1. Excellent
                    ( )2. Good
                    ( )3. Fair or
                    ( )4. Poor?

                ( )0. INAP. NO CHILDREN BETWEEN 6 AND 18
                ( )6. NOT FAMILIAR WITH LEON COUNTY PUBLIC SCHOOLS
                ( )7. DON'T KNOW. TRY BEST GUESS PROBE
                ( )9. REFUSED
                ( )X. OTHER 8 SPECIFY:

64. ASK EVERYONE: DO NOT READ RESPONSES: What is the highest grade of school or level of education that you have completed?

00  01  02   03   04   05   06   07   08   09   10   11   12

13   14   15   16   17+ (GRAD SCHOOL)

X (OTHER. SPECIFY:)

65. Are you currently (READ RESPONSES)
    (  )1. Married
    (  )2. Widowed
    (  )3. Divorced
    (  )4. Separated
    (  )5. Living together
    (  )6. Single (NEVER MARRIED) or
    (  )X. Something else? (PLEASE SPECIFY:)

66. READ SLOWLY: And right now are you (READ RESPONSES)

     (  )1. Employed for pay           ---->ASK Q67
     (  )2. Retired                    ---->ASK Q67
     (  )3. Actively looking for a job ---->ASK Q67
     (  )4. A fulltime student         ---->SKIP TO Q68
     (  )5. Keeping house fulltime     ---->SKIP TO Q68
     (  )X. Or something else? (SPECIFY:) THEN ASK Q67

     (  )6. STUDENT AND WORKING (VOLUNTEERED ONLY)--->ASK Q67

67. What kind of work do [did] you do?
(BE SPECIFIC: FOR EXAMPLE, HIGH SCHOOL HISTORY teacher or LEGAL secretary. PROBE FOR DETAIL IF NEEDED.)

(  )X.

68. ASK EVERYONE: What is your current religious preference? (DO NOT READ RESPONSES)

  (  )1. CATHOLIC
  (  )2. JEWISH
  (  )3. BAPTIST (SPECIFY TYPE OF BAPTIST)*__________________________
  (  )4. OTHER CHRISTIAN (SPECIFY DENOMINATION)**____________________
  (  )5. NONE/ATHEIST/AGNOSTIC
  (  )X. OTHER. SPECIFY_____________________(TRY GENERAL PROBE** BELOW:)

* What kind of Baptist is that?
**What denomination or kind of church is that?

69. (ASK EVERYONE:) During the last month, how often did you attend religious services
(READ RESPONSES):

    (  )1. Not at all
    (  )2. Once
    (  )3. Twice
    (  )4. Three times
    (  )5. Four times or
    (  )6. More than four times in the last month?

    (  )9. REFUSED

70. (ASK EVERYONE:) Currently, would you say that your religious beliefs are:

     (  )1. One of the most important things to you
     (  )2. Very important
     (  )3. Important
     (  )4. Somewhat important,
     (  )5. Only a little important or
     (  )6. Not very important at all?

(  )7. DON'T KNOW
(  )9. REFUSED
(  )X. OTHER 8. SPECIFY:

71. In general, would you say that your political beliefs are:

(  )1. Very conservative
(  )2. Conservative
(  )3. Leaning conservative
(  )4. Leaning liberal
(  )5. Liberal or
(  )6. Very liberal?

(  )7. MODERATE (VOLUNTEERED ONLY)
(  )8. NEITHER/DON'T BELIEVE IN THESE LABELS
(  )9. REFUSED
(  )X. OTHER. SPECIFY:


72. And in general, what is your current political party affiliation? Are you (READ RESPONSES:)

   (  )1. A strong Republican
   (  )2. Republican
   (  )3. Leaning Republican
   (  )4. Leaning Democratic
   (  )5. A Democrat or
   (  )6. A strong Democrat?

DO NOT READ: THE FOLLOWING RESPONSES ARE VOLUNTEERED ONLY THEN CONTINUE WITH QUESTION 73.

   (  )7. INDEPENDENT
   (  )8. NEITHER/DON'T BELIEVE IN PARTIES (VOLUNTEERED ONLY)
   (  )X. OTHER. [PLEASE SPECIFY AND CONTINUE WITH QUESTION 73]

73. IF INDEPENDENT/DON'T BELIEVE/OTHER: Do you consider yourself to be closer to the Republicans or to the Democrats?
DO NOT READ RESPONSES!

  (  )1. REPUBLICANS
  (  )2. DEMOCRATS

  (  )3. INDEPENDENT (VOLUNTEERED ONLY)
  (  )4. NEITHER/DON'T BELIEVE IN PARTIES (VOLUNTEERED ONLY)
  (  )X. OTHER 8 (PLEASE SPECIFY:)

74. In general, do you feel the Republican party or the Democratic party comes closer to your views on economic policies?

  (  )1. REPUBLICAN PARTY
  (  )2. DEMOCRATIC PARTY

  (  )4. NEITHER/DON'T BELIEVE IN PARTIES (VOLUNTEERED ONLY)
  (  )X. OTHER 8 (PLEASE SPECIFY:)

75. And are you:

  (  )1. White   (  )2. Black or   (  )3. Some other group? (SPECIFY:)

76. (IF YOU ARE NOT SURE, ASK. OTHERWISE JUST CHECK RESPONSE:)

            Are you     (  )1. Male     or    (  )2. Female?

77. And in what year were you born? ____________________

()9999. REFUSED
()X. OTHER 8000. SPECIFY: [DO WHAT YOU CAN!]


 78. I'm going to read you some income categories. Please tell me only the letter that best fits the total before-tax income in 1996 for all the members of your household  put together (READ RESPONSES/USE "BEST GUESS" PROBE:)

          (  )A. Under $10000
          (  )B. $10000-$15000
          (  )C. $15000-$20000
          (  )D. $20000-$25000
          (  )E. $25000-$30000
          (  )F. $30000-$40000
          (  )G. $40000-$50000
          (  )H. $50000-$60000
          (  )I. $60000-70000
          (  )J. Or over $70000

          (  )0. DON'T KNOW/WON'T SAY

79. And how tall are you in feet and inches without shoes?

____________ FEET    __________INCHES

(  )777. DON'T KNOW/NOT SURE
(  )999. REFUSED
(  )X. OTHER 8 SPECIFY:

80. Finally, about how many pounds do you weigh without shoes?

_______    number of pounds

(  )700. DON'T KNOW/NOT SURE
         (USE YOUR BEST JUDGEMENT ON A 'BEST GUESS' PROBE HERE)
(  )900. REFUSED
(  )X. OTHER 800. SPECIFY:

81. How many different telephone numbers come into your home?   ____________

IMMEDIATELY: TIME FINISHED______________(  )A.M. (  )P.M.

This concludes our survey. Thank you so very much for your time and I appreciate your help. Your answers will help Leon County set priorities for health care!