Questionnaire Cornell National Social Survey 2017 (CNSS) · 2019. 3. 8. · Cornell National Social Survey 2017 (CNSS) Prepared by: Survey Research Institute . Cornell University

Questionnaire

Cornell National Social Survey 2017 (CNSS)

Prepared by: Survey Research Institute

Cornell University 391 Pine Tree Rd Ithaca, NY 14850

Phone: 607.255.3786

Toll-free: 888.367.8404 Fax: 607.255.7118

www.sri.cornell.edu

January 18th, 2018

http://www.sri.cornell.edu/

Survey Research Institute • Cornell University • (607) 255-3786 • Fax (607) 255-7118 • www.sri.cornell.edu 2

Table of Contents

AHq1: College degrees for prisoners ________________________________________________ 6

AHq2: State funded college for prisoners _____________________________________________ 6

AHq3: Prisoners should repay education costs _________________________________________ 6

KENq1: Country needs strong leader ________________________________________________ 7

KENq2: Courts get in way of leaders ________________________________________________ 7

KENq3: Media get in way of leaders ________________________________________________ 7

JSq1: Contraceptive policy under Trump ______________________________________________ 8

LCq1: China rise a threat or opportunity ______________________________________________ 9

SKq1: Mens rights participant _____________________________________________________ 10

SKq2@a: Red pill - Heard of term _________________________________________________ 10

SKq2@b: Alt right - Heard of term _________________________________________________ 10

SKq3: Men should be alpha _______________________________________________________ 10

JBq1: Resource to find new surgeon ________________________________________________ 11

JBq2: Used internet to find physician _______________________________________________ 11

JBq3: Helpfulness of internet w/ finding physician _____________________________________ 11

RVq1: # of healthcare visits in the past year __________________________________________ 12

RVq2: Rate customer service last healthcare visit ______________________________________ 12

RVq3: Most urgent healthcare issue ________________________________________________ 12

RVq4: Employer offers wellness program ___________________________________________ 13

RVq5: Describe workplace wellness program _________________________________________ 13

RVq6: Rate workplace wellness program ____________________________________________ 13

JAq1: Teen access to patient portal _________________________________________________ 14

rq_seq_i: JAq2, JAq3 - Sequence Index Variable ______________________________________ 14

JAq2_rq: Parent access teen medical record __________________________________________ 14

JAq3_rq: Sensitive issue avoidance if parent views record ______________________________ 14

PDq1: Cosmetic or health reasons - Bariatric surgery ___________________________________ 15

PDq2: Quick fix - Bariatric surgery _________________________________________________ 15

PDq3: Should insurance cover - Bariatric surgery _____________________________________ 15

KRq1: # of dogs owned __________________________________________________________ 16

KRq2: Canine clinical study interest ________________________________________________ 16

MMq1: Aware of bee health concern _______________________________________________ 17

MMq2: Personal concern about bee health ___________________________________________ 17


MMq3: Produce protecting bees - Pay more __________________________________________ 17

MMq4: Organic food - Pay more __________________________________________________ 17

RIq1: What do antibiotics kill _____________________________________________________ 18

RIq2: Cow antibiotics threaten human health _________________________________________ 18

RIq3: Milk without antibiotics - Pay more ___________________________________________ 18

RIq4: Cow treatment on conventional/organic farms ___________________________________ 18

SZq1: Attractive natural sights - Neighborhood _______________________________________ 19

SZq2: People look out for each other - Neighborhood __________________________________ 19

SZq3: Mental health a priority - Community __________________________________________ 19

SZq4: Sufficient mental health services - Community __________________________________ 19

SZq5: Physical environment impacts mental health ____________________________________ 20

EBq1: Worry about crime - Workplace ______________________________________________ 21

EBq2: Worry about crime - Neighborhood ___________________________________________ 21

EBq3: Recidivism due to criminal record ____________________________________________ 21

DRUGq1: Marijuana legalization _________________________________________________ 22

MFq1: Rate distraction at work ____________________________________________________ 23

MFq2: Work from home frequency ________________________________________________ 23

SSq1: Homework completion rate in high school ______________________________________ 24

KWq1@a: Work harassment - Experienced __________________________________________ 25

KWq1@b: Domestic violence - Experienced _________________________________________ 25

KWq2: Experience w/ violence impacted work _______________________________________ 25

SKq4: Harder for men to be successful ______________________________________________ 26

SKq5: Men should protect women _________________________________________________ 26

SKq6: Feminism good or bad for America ___________________________________________ 26

EYCq1: Asked to do favor outside of work __________________________________________ 27

EYCq2: Who asked for favor outside of work ________________________________________ 27

EYCq3: Time spent doing favor outside of work ______________________________________ 27

EYCq4: Rules about doing favors outside of work _____________________________________ 28

LVq1@a: Restless - Past 30 days __________________________________________________ 29

LVq1@b: Everything an effort - Past 30 days _________________________________________ 30

MJq1: Undocumented farmworkers community impact _________________________________ 31

IDq1: Occupational category ______________________________________________________ 32

IDq2: Labor union member _______________________________________________________ 32

IDq3: Voted in 2016 presidential election ____________________________________________ 32


IDq4: Elected officials represent the rich ____________________________________________ 32

IDq5: Minorities get government advantages _________________________________________ 32

employ: Employed ______________________________________________________________ 33

jbtype: Main job type ____________________________________________________________ 33

selfempl: Self-employed _________________________________________________________ 33

lkwork: Looking for new work ____________________________________________________ 34

LVq2@a: Performance raise - Eligible at work ________________________________________ 35

LVq2@b: Performance bonus - Eligible at work ______________________________________ 35

hhsize@65: # adults 65+ in household ______________________________________________ 36

hhsize@1864: # adults 18-64 in household ___________________________________________ 36

hhsize@chld: # children in household ______________________________________________ 36

hhadults ______________________________________________________________________ 36

ph_totl: # phones for household ___________________________________________________ 36

ph_cell: Cell/Landline for survey ___________________________________________________ 36

yob: Year born _________________________________________________________________ 36

borninus: Born in US ___________________________________________________________ 36

Zipcode: ZIP code ______________________________________________________________ 36

married: Marital status __________________________________________________________ 37

ideo: Social ideology ____________________________________________________________ 37

party: Political party ____________________________________________________________ 37

educ: Education level ____________________________________________________________ 38

ownrent: Home ownership status __________________________________________________ 38

hisp: Hispanic or Latino __________________________________________________________ 38

race@white: Caucasian - Race ____________________________________________________ 38

race@black: African-American - Race ______________________________________________ 38

race@natam: Native American - Race ______________________________________________ 38

race@asian: Asian - Race ________________________________________________________ 38

race@other: Other - Race ________________________________________________________ 38

relig: Religious affiliation_________________________________________________________ 39

church: How often attend religious services __________________________________________ 39

hhince: Exact household income 2016 ______________________________________________ 39

hhinc50k: Over/Under $50k - Household income 2016 _________________________________ 39

hhincu: Range under $50k - Household income 2016___________________________________ 40

hhinco: Range over $50k - Household income 2016 ____________________________________ 40


hhinc: Household income 2016 - Coded value ________________________________________ 40

gender: Gender _________________________________________________________________ 40


Name: Anna Haskins Title: Assistant Professor of Sociology Email: [email protected] AHq1 Please tell me how much you agree or disagree with the following statement. People who are currently in prison should be able to earn a college degree. Strongly agree Somewhat agree Neither agree nor disagree Somewhat disagree Strongly disagree Do not know Refused AHq2 There are also different views about how to fund programs for people who are incarcerated. Do you agree or disagree with the following? We should use state dollars to give people who are currently in prison the opportunity to earn a college degree by funding college classes. Strongly agree Somewhat agree Neither agree nor disagree Somewhat disagree Strongly disagree Do not know Refused AHq3 People who are in prison should have to repay the state for any college education they receive. Strongly agree Somewhat agree Neither agree nor disagree Somewhat disagree Strongly disagree Do not know Refused


Name: Ken Roberts Title: Government Professor Email: [email protected] KENq1 Our country needs a strong leader who knows how to get things done, even if that means bending the rules sometimes. Strongly agree Somewhat agree Neither agree nor disagree Somewhat disagree Strongly disagree Do not know Refused KENq2 Usually the courts just get in the way of our leaders and make it hard to get anything done. Strongly agree Somewhat agree Neither agree nor disagree Somewhat disagree Strongly disagree Do not know Refused KENq3 Usually the media just get in the way of our leaders and make it hard to get anything done. Strongly agree Somewhat agree Neither agree nor disagree Somewhat disagree Strongly disagree Do not know Refused


Name: Jed Stiglitz Title: Assistant Professor – Cornell Law School Email: [email protected] JSq1 Condition A: Please imagine the following scenario: The Trump Administration issued a new birth control policy after providing notice of the policy, taking public comments, and responding to those comments. How much of the time do you think you can trust the government in Washington to do what is right--just about always, most of the time, only some of the time, or never? Just about always Most of the time Some of the time Never Don’t know Refused Condition B: Please imagine the following scenario: The Trump Administration issued a new birth control policy without prior notice or opportunity to comment until after the rule went into effect. How much of the time do you think you can trust the government in Washington to do what is right--just about always, most of the time, only some of the time, or never? Just about always Most of the time Some of the time Never Don’t know Refused


Name: Lourdes Casanova Title: Senior Lecturer, Director Emerging Markets Institute Email: [email protected] LCq1 Is China's economic rise over the past decade more of a threat, more of an opportunity, or equal parts threat and opportunity to the United States? More of a threat than an opportunity More of an opportunity than a threat Equal parts threat and opportunity Do not know Refused


Name: Sabrina Karim Title: Assistant Professor, Department of Government Email: [email protected]

SKq1 Have you ever read or participated in online forums, blogs, websites or chatrooms related to men’s rights? Yes No Do not know Refused SKq2 How many of the following terms have you heard of? Check all that apply. a. Red pill b. Alternative or alt right Yes No Do not know Refused SKq3 In general, do you think men should strive to be “alpha males?” Yes No Unfamiliar with the term “alpha male” Do not know Refused

[Q4, Q5, Q6 later in survey]


Name: Julianna Brouwer Title: Research Coordinator, Weill Cornell Medicine Email: [email protected] JBq1 If you needed to find a new surgeon, what would you use as your primary resource? Asking friends, colleagues, neighbors, or family Talking to your current doctor or another healthcare specialist Searching online Other Do not know Refused JBq2 Have you ever used the internet to find a physician? Yes No [go to RVq1] Do not know [go to RVq1] Refused [go to RVq1] JBq3 How helpful was the internet when looking for a physician? Extremely helpful Somewhat helpful Not very helpful Not at all helpful Do not know Refused


Name: Rohit Verma Title: Dean of External Relations, Cornell SC Johnson College of Business | Executive Director, Cornell Institute for Healthy Futures Email: [email protected] RVq1 How often during the last 12 months did you, as a patient, visit a care provider for a health problem or preventative care (like checkups)? This includes physical, mental, or dental health provided in any type of healthcare facilities. Never 1-2 times Once every few months Once a month Twice a month Once a week 2-3 times a week Do not know Refused RVq2 How would you rate the overall level of customer service experience during your most recent visit to the healthcare facility? Very poor Somewhat poor Average Somewhat positive Very positive Do not know Refused RVq3 In your opinion, what is the MOST important problem in U.S. healthcare that needs to be urgently addressed? Answer [specify] Do not know Refused


RVq4 Does your place of employment offer workplace wellness programs? Examples of such programs include biometric screening to identify health risks, healthy food options in cafeterias, fitness programs, health education, and life style management educations. Yes No [go to JAq1] N/A – not currently employed [go to JAq1] Do not know [go to JAq1] Refused [go to JAq1] RVq5 Please describe what is included in your workplace wellness program. Answer [specify] Do not know Refused RVq6 [If answered "yes" to question 4]: How would you rate the workplace wellness program offered at your place of work? Very poor Somewhat poor Average Somewhat positive Very positive N/A - I haven't used it Do not know Refused


Name: Jessica Ancker Title: Associate Professor – Weill Cornell Medicine Email: [email protected] JAq1 An online patient portal is a website offered by your doctor’s office. You can use a patient portal to see your lab test results, prescriptions, and medical record, or to privately message your doctor. Do you think a 16-year-old should be able to have their own patient portal account? Always Only with parental permission Never Do not know Refused

JAq2 Should a parent/guardian be able to see their 16-year-old child’s entire medical record? [randomize JAq2 and JAq3 question order] Always Only with the 16-year-old’s permission Never Do not know Refused JAq3 Do you think teens would be less likely to talk to their doctors about sensitive issues (for example, sexual activity and alcohol or drug problems) if they knew their parents could see their medical record afterwards? [randomize JAq2 and JAq3 question order] Yes No Do not know Refused


Name: Patrick Dolan Title: Resident Email: [email protected] PDq1 Do you think people mostly have weight loss surgery for cosmetic reasons or for health reasons? Mostly for cosmetic reasons Mostly for health reasons Do not know Refused PDq2 Do you think weight loss surgery is usually an "easy way out?” Yes No Do not know Refused PDq3 Should health insurance cover medical procedures to help people lose weight? Yes, always Yes, but only for health benefits No Do not know Refused


Name: Kristy Richards Title: Assoc. Professor, College of Veterinary Medicine Email: [email protected] KRq1 How many dogs do you own? 0 [go to MMq1] Do not know Refused KRq2 If the costs of medication and clinic visits were covered, would you consider enrolling your dog in a research study designed to improve your pet's health? Yes No Do not know Refused


Name: Margaret McGrath Title: Associate Professor - School of Integrative Plant Science Email: [email protected] MMq1 Are you aware there is concern about the health of bees? Yes No Do not know Refused MMq2 How concerned are you about the health of bees? Extremely concerned Fairly concerned Slightly concerned Not concerned Do not know Refused MMq3 How much more, if anything, would you be willing to pay for produce grown in ways that help protect bees? Not willing to pay more Up to 25% more Up to 50% more More than 50% more Do not know Refused MMq4 How much more, if anything, would you be willing to pay for organic food? Not willing to pay more Up to 25% more Up to 50% more More than 50% more Do not know Refused


Name: Renata Ivanek Miojevic Title: Associate Professor – College of Veterinary Medicine Email: [email protected] RIq1 Based on whatever you know, do you think antibiotics kill or stop growth of… Bacteria Viruses Fungi All of the above Do not know Refused RIq2 How big of a threat to human health is antibiotic use in cows on dairy farms? High threat Moderate threat Low threat No threat Do not know Refused RIq3 How much more, if anything, would you be willing to pay for milk produced by cows raised without using antibiotics? I do not purchase milk Not willing to pay more Up to 10% more Up to 20% more Up to 30% more Up to 40% more Up to 50% more More than 50% more Do not know Refused

RIq4 Do you think cows are generally treated better on conventional dairy farms, organic dairy farms, or about the same in both places? Treated better on conventional dairy farms Treated better on organic dairy farms Treated about the same Do not know Refused


Name: Mardelle Shepley and Rana Zadeh Title: Professor, Department of Design and Environmental Analysis Email: [email protected] SZq1 Please indicate your level of agreement with each of the following statements: There are many attractive natural sights in my neighborhood. Example of natural sights include parks, gardens, plants, ponds. Strongly agree Somewhat agree Somewhat disagree Strongly disagree Do not know Refused SZq2 In my neighborhood, people look out for each other. Strongly agree Somewhat agree Somewhat disagree Strongly disagree Do not know Refused SZq3 Addressing mental health issues should be a top priority in my community. Strongly agree Somewhat agree Somewhat disagree Strongly disagree Do not know Refused SZq4 There are sufficient mental health services available in my community Strongly agree Somewhat agree Somewhat disagree Strongly disagree Do not know Refused


SZq5 The physical environment impacts mental health (Characteristics of the physical environment include noise, temperature, air quality, lighting, and access to nature). Strongly agree Somewhat agree Somewhat disagree Strongly disagree Do not know Refused


Name: Esta Bigler Title: Director, Labor and Employment Law Programs Email: [email protected] EBq1 How much do you personally worry about crime and violence in your workplace? A great deal A fair amount Only a little Not at all N/A – Not currently working Do not know Refused EBq2 How much do you personally worry about crime and violence in your neighborhood? A great deal A fair amount Only a little Not at all Do not know Refused EBq3 Please tell me how much you agree or disagree with the following statement: One reason why so many offenders go back into crime is that when they are released from prison, they can't get a job because they have a criminal record. Strongly agree Agree Neither agree nor disagree Disagree Strongly disagree Do not know Refused


Name: Cornell University Survey Research Institute Questions: Rotating annual topic DRUGq1 Should marijuana be legalized for all adults (including for recreational use), legalized only for people who have a medical prescription, or should it be illegal in all cases? Legalized for all adults Legalized only with a prescription Illegal in all cases Do not know Refused


Name: Melissa Ferguson Title: Professor of Social Psychology Email: [email protected] MFq1 When you do schoolwork or work for your job, to what extent do you find yourself easily distracted? Never or rarely Sometimes Often Always N/A – I do not currently attend school or work for pay [go to SSq1] Do not know Refused MFq2 How often do you work from home? This could include schoolwork or paid work for an employer.

Never. I always work at an office or some other work site Rarely Sometimes Often I always work from home Do not know Refused


Name: Scott Stewart Title: Clinical Professor Email: [email protected] SSq1 How often did you complete your assigned homework in high school (or in your final four years of schooling if you did not finish high school)? Never Rarely About half of the time Most of the time Always Do not know Refused


Name: KC Wagner Title: co-chair, Equity at Work - ILR Email: [email protected] KWq1 Please indicate whether you have ever experienced any of the following. a.) I have experienced sexual harassment or inappropriate sexual behavior from a co-worker, work supervisor, client, customer, or business associate. b.) I have experienced domestic violence or controlling behavior by an intimate partner or a relative. [if “no” to KWq1@a and KWq1@b, go to SKq4] Yes No Do not know Refused

KWq2 At the time you had these experiences or afterwards, have they had an impact on your work life, your career advancement, or your ability to obtain, keep, or perform a job? Yes. No- they haven't had an impact on my work. Not applicable because I wasn't working or seeking employment within the relevant time period. Do not know Refused


Name: Sabrina Karim - continued Title: Assistant Professor, Department of Government Email: [email protected] SKq4 Please tell me if you agree or disagree with the following statements: These days it is more difficult for men to be successful in life than women. Strongly agree Agree Neutral Disagree Strongly disagree Do not know Refused

SKq5 It is a man’s job to protect women from danger Strongly agree Agree Neutral Disagree Strongly disagree Do not know Refused SKq6 In general, do you think feminism is good for America, bad for America, or has no impact? Generally good for America Generally bad for America No impact Do not know Refused


Name: Erin York Cornwell Title: Assistant Professor, Department of Sociology Email: [email protected] EYCq1 Has a family member, friend, or acquaintance ever asked you to do a favor for them related to the work that you do at your current or most recent job? This favor could involve providing advice, information, labor, or materials outside of work hours or without going through your employer. Yes, and I’ve done such a favor at least once Yes, but I’ve never done such a favor [go to EYCq4] No, I’ve never been asked for such a favor [go to EYCq4] I have never had a job [go to LVq1] Do not know [go to EYCq4] Refused [go to EYCq4] EYCq2 Think about the most recent time that you provided such a favor. Who did you help out? A spouse or romantic partner Parent, child, or sibling Other relative or in-law Friend Neighbor Fellow member of church, social group, or organization Friend of a friend, or friend of a family member Other Do not know Refused EYCq3 [IF Q1 = ]: About how much time did it take you to do this favor? Less than 30 minutes About an hour Several hours A full workday More than a full workday Do not know Refused


EYCq4 Do any rules from your employer, a professional association, or someone else make it difficult for you to do this kind of favor? Yes, in all cases Yes, but only during work hours or in certain circumstances Not at all Do not know Refused


Name: Lars Vilhuber Title: Senior Research Associate - ILR - Executive Director, Labor Dynamics Institute Email: [email protected] LVq1 During the last 30 days, about how often did you feel… a.) … restless or fidgety? b.) … that everything was an effort? None of the time A little of the time Some of the time Most of the time All of the time Do not know Refused


Name: Mary Jo Dudley Title: Director, Cornell Farmworker Program Email: [email protected] MJq1 Based on your own opinion and experience, do you think undocumented immigrant farmworkers have a more positive or more negative impact on local communities? Very positive impact Somewhat positive impact Neutral Somewhat negative impact Very negative impact Do not know Refused


Name: Ileen A. DeVault Title: Professor, Academic Director, The Worker Institute Email: [email protected] IDq1 Which occupational category best describes your job? If you have more than one job, please tell us about your primary job. If you are not working, please tell us about the last job you had. Management, business, and financial (e.g., managers, business agents, buyers, financial analysts and

advisors, meeting/event planners, accountants, training specialists) Computer, engineering, and science (e.g., software developers, computer support specialists,

statisticians, architects, engineers, health and safety inspectors, life/physical/social scientists and technicians)

Education, legal, community service, arts, media (e.g., teachers and teacher assistants, librarians, judicial staff, lawyers and paralegals, social and community/mental health workers, artists, entertainers, writers, media and film workers, photographers)

Healthcare practitioners and technical (e.g., doctors, nurses, medical technicians) Service occupations (e.g., home health aides, nursing and medical assistants, law enforcement and

security, food preparation and service, building/grounds cleaning and maintenance, hair and salon workers, personal trainers)

Sales and related occupations (e.g., cashiers, retail salesperson, ad agents, models, real estate brokers, street vendors)

Office and administrative support occupations (e.g., clerks, tellers, administrative assistants/secretaries, dispatchers, postal workers)

Farming, fishing, and forestry occupations (e.g., farmer, animal breeders, fishery workers, logging workers)

Construction and extraction occupations (e.g., construction trades, highway repair, drilling and mining)

Installation, maintenance, and repair occupations (e.g., mechanics, repairers, commercial and residential installers, locksmiths) Production occupations (e.g., assemblers, machine setters and operators, food processing, garment

production, laundry, painters) Transportation and material moving occupations (e.g., bus/truck drivers, pilots, cargo handlers, rail

operators, parking lot attendants, car/vehicle washers) Military specific operations Other [do not read aloud but place here if respondent cannot place themselves in one of the

categories] Never had a paying job Do not know Refused


IDq2 Are you currently a member of a labor union? Yes- I am currently a member of a union. No- but I would be interested in joining a union of working people. No- and I’m not interested in joining a union of working people. No- being a union member is irrelevant to my current circumstances (e.g. I’m self-employed, unemployed, or retired) Do not know Refused IDq3 If you were able to vote in the 2016 election, who did you vote for? Donald Trump Hillary Clinton Another candidate I was ineligible to vote I chose not to vote I wanted to vote but ran into difficulties that kept me from voting Do not know Refused IDq4 Please rate your level of agreement with the following statement: Elected officials mainly represent the rich and powerful in society. Strongly agree Agree Neither agree nor disagree Disagree Strongly disagree Do not know Refused IDq5 Please rate your level of agreement with the following statement: Racial and ethnic minorities tend to receive unfair advantages from government. Strongly agree Agree Neither agree nor disagree Disagree Strongly disagree Do not know Refused


Name: Cornell University Survey Research Institute Questions: Core annual demographic questions

Employ Now I am going to ask you some basic questions about your employment just to make sure we have opinions and views from all different sorts of people. Last week, did you do any work for either pay or profit? Include any job from which you were on vacation or otherwise temporarily absent (e.g. "on layoff"). Yes No Retired Disabled Unable to work (e.g. student without working papers, etc.) Refused Jbtype Which of the following best describes your main job? By main job we mean the one at which you usually work the most hours. Full-time, all year round Part-time, all year round Temporary Seasonal or part year Contract or on call Refused Selfempl Are you self-employed without employees (i.e. consultant, freelancer) on your main job? Yes No Refused


Lkwork In the last four weeks have you looked for new work or a new job? Yes No Refused


Name: Lars Vilhuber Title: Senior Research Associate - ILR - Executive Director, Labor Dynamics Institute Email: [email protected] LVq2 Given your position, are you eligible for …. a.) A pay raise based solely on your own performance (NOT an expected company-wide pay raise (within your current position—a promotion does not count) b.) A one-time bonus based solely on your own performance (NOT an expected company-wide bonus) No Yes Do not know Refused


Name: Cornell University Survey Research Institute Questions: Core annual demographic questions (continued) Hhsize We're almost done. We'll wrap things up with a few demographic questions to make sure that we're getting opinions from a wide variety of people. How many total people, including yourself in your household are: Refused Adults age 65 and older ___# Adults age 18-64 ___# Children (under age 18) ___# Ph_totl How many different phone numbers can be used to reach your household? Please include both cell phones and traditional land-line phones. Refused Ph_cell And the phone that we're speaking on right now, is it a traditional land-line phone or is it a cell phone? Land-line Cell VoIP (Skype, Vonage, etc.) Refused Yob What year were you born? Refused Borninus Were you born in the United States? No Yes Refused Zip What is your zip code?


Married Are you married, divorced, separated, widowed, or single? Married Divorced Separated Widowed Single Other [specify] Refused Ideo When it comes to social issues, do you usually think of yourself as extremely liberal, liberal, slightly liberal, moderate or middle of the road, slightly conservative, conservative, or extremely conservative? Extremely liberal Liberal Slightly liberal Moderate or middle of the road Slightly conservative Conservative Extremely conservative Refused Party Generally speaking, when it comes to political parties in the United States, how would you best describe yourself? Interviewer: If Democrat or Republican, probe on whether strong, not very strong. If Independent, probe if closer to Democrat or Republican, or closer to neither. Strong Democrat Not very strong Democrat Independent, close to Democrat Independent (close to Neither) Independent, close to Republican Not very strong Republican Strong Republican Other party affiliation [specify] Refused


Educ What is the last grade or class that you completed in school? None or grades 1-8 High school incomplete (grades 9-11) High school graduate (grade 12 or GED certificate) Technical, trade, or vocational school after high school Some college, no 4-year degree (including 2 year Associate Degree) College graduate (BS, BA, or other 4-year degree) Post-graduate training or professional schooling after college (e.g. toward a Master's Degree, PhD or law/medical degree) Refused Ownrent Do you own or rent the place where you live now? Own Rent Live there rent-free Refused Hisp Are you, yourself, of Hispanic origin or descent, such as Mexican, Puerto Rican, Cuban, or some other Spanish background? Yes No Refused Race How would you describe your race? Please tell me yes or no for each of the following: Yes No Refused White or Caucasian ____ Black or African-American ____ American Indian, Aleut, Eskimo ____ Asian or Pacific Islander ____ Other race [specify] ____


Relig What is your religious preference? Is it Protestant, Catholic, Christian Orthodox, Jewish, Muslim, some other religion or no religion? Protestant (This includes: Baptist, Episcopal, Jehovah's Witness, Lutheran, Methodist, Presbyterian, Episcopalian, Pentecostal, Church of Christ) Catholic (This includes: Roman Catholic) Christian Orthodox (This includes: Greek Orthodox, Russian Orthodox) Jewish Muslim (This includes: Islam / Islamic) Other non-Christian religion [specify] No religion/Atheist/Agnostic Refused Church Aside from weddings and funerals, how often do you attend religious services: more than once a week, once a week, once or twice a month, a few times a year, seldom or never? More than once a week Once a week Once or twice a month A few times a year Seldom Never Refused Hhince For statistical purposes, last year (that is in 2016) what was your total household income from all sources, before taxes? Dollars Dollars or more Do not know [go to hhinc50k] Refused [go to hhinc50k] hhinc50k Instead of a specific number, please tell me if your total household income in 2016 was under or over $50,000. Under $50,000 [go to hhincu] $50,000 or over [go to hhinco] Do not know [go to gender] Refused [go to gender]


Hhincu Instead of a specific number, please tell me if your total household income in 2016 was under or over $50,000. And was it: Less than $10,000 10 to under $20,000 20 to under $30,000 30 to under $40,000 40 to under $50,000 Do not know Refused Hhinco Instead of a specific number, please tell me if your total household income in 2016 was under or over $50,000. And was it: 50 to under $75,000 75 to under $100,000 100 to under $150,000 $150,000 or more Do not know Refused Gender Interviewer: Record the respondent's gender but don't read this statement or the options. Male Female

Documents

Questionnaire Cornell National Social Survey 2017 (CNSS) · 2019. 3. 8. · Cornell National Social Survey 2017 (CNSS) Prepared by: Survey Research Institute . Cornell University