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Name
Label/Question
1.

Sequential Record Identifier

Taken from: Hurricane Katrina Community Advisory Group Study [United States].

2.

Number of Adults in household affected by Katrina

R2. Counting yourself, how many people ages 18 or older, CURRENTLY living in your [household/hotel room] , were residents of a county or parish affected by Katrina at the time of the hurricane? ... (view details)

Taken from: Hurricane Katrina Community Advisory Group Study [United States].

3.

Adult affected by Katrina

Is that you?

Taken from: Hurricane Katrina Community Advisory Group Study [United States].

4.

Speak to adult affected by Katrina

Could I speak to that person?

Taken from: Hurricane Katrina Community Advisory Group Study [United States].

5.

Speak to male/female adult affected by Katrina

R6. (IF ONE (MAN/WOMAN) WITHIN TARGET GENDER: My computer has selected the (man/woman) living in your household who is 18 or older... IF TWO OR THREE (MEN/WOMEN) WITHIN TARGET GENDER: My comput... (view details)

Taken from: Hurricane Katrina Community Advisory Group Study [United States].

6.

Red Cross - Living area affected by Katrina

R9. Hello, my name is _________, calling on behalf of the American Red Cross from DataStat. We have been asked by the Red Cross to gather opinions about your experiences with the services that the Red ... (view details)

Taken from: Hurricane Katrina Community Advisory Group Study [United States].

7.

Red Cross Assistance

R10. Did you or anyone in your [household/hotel room] apply for disaster assistance from the American Red Cross because of Hurricane Katrina? ... (view details)

Taken from: Hurricane Katrina Community Advisory Group Study [United States].

8.

Red Cross - Meeting Needs

R11. Please rate the Red Cross on the following features of their service. For each feature I read, please rate by answering excellent, very good, good, fair or poor. The first feature is "meeting your mo... (view details)

Taken from: Hurricane Katrina Community Advisory Group Study [United States].

9.

Red Cross - Useful Recovery Help

R12. How would you rate the Red Cross on "giving you help that was useful in beginning your recovery? (Would you say...) ... (view details)

Taken from: Hurricane Katrina Community Advisory Group Study [United States].

10.

RC: Treated with respect

R13.(A-D) [Using a scale of 1 to 5, where 1 means 'strongly agree' and 5 means 'strongly disagree', to what extent do you agree or disagree with the following statements:/(Using a scale of 1 to 5,... (view details)

Taken from: Hurricane Katrina Community Advisory Group Study [United States].

11.

RC: Treated with fairness

R13.(A-D) [Using a scale of 1 to 5, where 1 means 'strongly agree' and 5 means 'strongly disagree', to what extent do you agree or disagree with the following statements:/(Using a scale of 1 to 5,... (view details)

Taken from: Hurricane Katrina Community Advisory Group Study [United States].

12.

RC: MeT Human Needs

R13.(A-D) [Using a scale of 1 to 5, where 1 means 'strongly agree' and 5 means 'strongly disagree', to what extent do you agree or disagree with the following statements:/(Using a scale of 1 to 5,... (view details)

Taken from: Hurricane Katrina Community Advisory Group Study [United States].

13.

RC: Handled Itself With Integrity

R13.(A-D) [Using a scale of 1 to 5, where 1 means 'strongly agree' and 5 means 'strongly disagree', to what extent do you agree or disagree with the following statements:/(Using a scale of 1 to 5,... (view details)

Taken from: Hurricane Katrina Community Advisory Group Study [United States].

14.

RC: Change One Thing

R14. If you could change one thing about your experience in applying for disaster help from the Red Cross, what would you change? ... (view details)

Taken from: Hurricane Katrina Community Advisory Group Study [United States].

15.

Rate RC On Meeting Most Serious Needs

R14a. Based on what you have heard from other people, how would you rate the Red Cross on "meeting people's most serious needs" -- EXCELLENT, VERY GOOD, GOOD, FAIR or POOR. ... (view details)

Taken from: Hurricane Katrina Community Advisory Group Study [United States].

16.

Goverment Response

R15a. DataStat is working with Harvard Medical School to form a "Hurricane Katrina Advisory Group" that will give feedback to government policy-makers about the needs of people who were affected by Hurricane... (view details)

Taken from: Hurricane Katrina Community Advisory Group Study [United States].

17.

Join Advisory Group?

R15.1. [(Hello, my name is _________, calling on behalf of the Harvard Medical School from DataStat. DataStat is working with Harvard Medical School to form a 'Hurricane Katrina Advisory Group' that wi... (view details)

Taken from: Hurricane Katrina Community Advisory Group Study [United States].

18.

Advisory Group Response

R15.2 - OFFER TO MAIL STUDY BROCHURE TO R FOR MORE INFORMATION. - REFER R TO WEB SITE (www.hurricanekatrina.med.harvard.edu). - OFFER TO CALL BACK IN A FEW DAYS AFTER R HAS HAD A CHANCE ... (view details)

Taken from: Hurricane Katrina Community Advisory Group Study [United States].

19.

INTWR Instruction 1

R16. Before we begin the interview, I should tell you that everything you tell us will be confidential as provided by law and that you can skip questions you don't want to answer. ... (view details)

Taken from: Hurricane Katrina Community Advisory Group Study [United States].

20.

INTWR Instruction 2

R17. - ADDRESS REMAINING QUESTIONS. - CONSULT WITH SUPERVISOR IF NECESSARY. - IF YOU NEED TO CONSULT HARVARD STAFF, INFORM R OF THIS AND MAKE A SPECIFIC APPOINTMENT TO RECONTA... (view details)

Taken from: Hurricane Katrina Community Advisory Group Study [United States].

21.

Record Interview?

R19. I'd like your permission to record this interview so that my supervisor may review the interview to be sure that I've done it correctly. When the study is complete, we will destroy the recordings. At... (view details)

Taken from: Hurricane Katrina Community Advisory Group Study [United States].

22.

E-mail Address?

M1. In order to keep in touch with you over the next couple of years, we need to collect tracking information. First, do you have an email address that you check regularly? ... (view details)

Taken from: Hurricane Katrina Community Advisory Group Study [United States].

23.

Cell Phone Number?

M2. Do you have a cell phone number?

Taken from: Hurricane Katrina Community Advisory Group Study [United States].

24.

Number of Phone

M4. Not including cell phones, how many different phone numbers do you have in your current [household/hotel room] ? (IF NECESSARY: 'I don't mean number of phones, but the number of ... (view details)

Taken from: Hurricane Katrina Community Advisory Group Study [United States].

25.

Friends' Contact for Whereabouts

M5. Can you give me the name, address, telephone number and relationship to you of three friends or relatives who would know where you are if you move and we lose track of you. ... (view details)

Taken from: Hurricane Katrina Community Advisory Group Study [United States].

26.

Age

A1. How old are you?

Taken from: Hurricane Katrina Community Advisory Group Study [United States].

27.

Sex

A2. (IF NECESSARY: Are you a male or female?)

Taken from: Hurricane Katrina Community Advisory Group Study [United States].

28.

Marital Status

A3. In the week before the hurricane, were you married, separated, divorced, widowed, or never married?

Taken from: Hurricane Katrina Community Advisory Group Study [United States].

29.

Cohabitation

A3.1. In the week before the hurricane, were you living with someone in a marriage-like relationship?

Taken from: Hurricane Katrina Community Advisory Group Study [United States].

30.

Number of occupants Not Respondent

A4. In the week before the hurricane, how many people lived with you, not counting yourself? IF QA4 = 00 OR DON'T KNOW, GO TO QA5_1 IF QA4 >= 1, ASK QA4_1-10_A QA4_1-10_S, AND QA4_1-10_R ... (view details)

Taken from: Hurricane Katrina Community Advisory Group Study [United States].

31.

First Occupant Age

A4.(1-10).A [How old is that person/Let's start with the oldest person who lived with you, how old is the/How old is the] [/OLDEST/SECOND OLDEST/THIRD OLDEST/FOURTH OLDEST/FIFTH OLDEST/ SIXTH ... (view details)

Taken from: Hurricane Katrina Community Advisory Group Study [United States].

32.

First Occupant Sex

A4.(1-10).S [Are they/Is the] [/OLDEST/SECOND OLDEST/THIRD OLDEST/FOURTH OLDEST/FIFTH OLDEST/ SIXTH OLDEST/SEVENTH OLDEST/EIGHTH OLDEST/NINTH OLDEST/TENTH OLDEST] [/a] male or female? ... (view details)

Taken from: Hurricane Katrina Community Advisory Group Study [United States].

33.

First Occupant Relationship

A4.(1-10).R [What is your relationship to them/What is your relationship with the] [/OLDEST/SECOND OLDEST/THIRD OLDEST/FOURTH OLDEST/FIFTH OLDEST/ SIXTH OLDEST/SEVENTH OLDEST/EIGHTH OLDEST/... (view details)

Taken from: Hurricane Katrina Community Advisory Group Study [United States].

34.

Second Occupant Age

A4.(1-10).A [How old is that person/Let's start with the oldest person who lived with you, how old is the/How old is the] [/OLDEST/SECOND OLDEST/THIRD OLDEST/FOURTH OLDEST/FIFTH OLDEST/ SIXTH ... (view details)

Taken from: Hurricane Katrina Community Advisory Group Study [United States].

35.

Second Occupant Sex

A4.(1-10).S [Are they/Is the] [/OLDEST/SECOND OLDEST/THIRD OLDEST/FOURTH OLDEST/FIFTH OLDEST/ SIXTH OLDEST/SEVENTH OLDEST/EIGHTH OLDEST/NINTH OLDEST/TENTH OLDEST] [/a] male or female? ... (view details)

Taken from: Hurricane Katrina Community Advisory Group Study [United States].

36.

Second Occupant Relationship

A4.(1-10).R [What is your relationship to them/What is your relationship with the] [/OLDEST/SECOND OLDEST/THIRD OLDEST/FOURTH OLDEST/FIFTH OLDEST/ SIXTH OLDEST/SEVENTH OLDEST/EIGHTH OLDEST/... (view details)

Taken from: Hurricane Katrina Community Advisory Group Study [United States].

37.

Third Occupant Age

A4.(1-10).A [How old is that person/Let's start with the oldest person who lived with you, how old is the/How old is the] [/OLDEST/SECOND OLDEST/THIRD OLDEST/FOURTH OLDEST/FIFTH OLDEST/ SIXTH ... (view details)

Taken from: Hurricane Katrina Community Advisory Group Study [United States].

38.

Third Occupant Sex

A4.(1-10).S [Are they/Is the] [/OLDEST/SECOND OLDEST/THIRD OLDEST/FOURTH OLDEST/FIFTH OLDEST/ SIXTH OLDEST/SEVENTH OLDEST/EIGHTH OLDEST/NINTH OLDEST/TENTH OLDEST] [/a] male or female? ... (view details)

Taken from: Hurricane Katrina Community Advisory Group Study [United States].

39.

Third Occupant Relationship

A4.(1-10).R [What is your relationship to them/What is your relationship with the] [/OLDEST/SECOND OLDEST/THIRD OLDEST/FOURTH OLDEST/FIFTH OLDEST/ SIXTH OLDEST/SEVENTH OLDEST/EIGHTH OLDEST/... (view details)

Taken from: Hurricane Katrina Community Advisory Group Study [United States].

40.

Fourth Occupant Age

A4.(1-10).A [How old is that person/Let's start with the oldest person who lived with you, how old is the/How old is the] [/OLDEST/SECOND OLDEST/THIRD OLDEST/FOURTH OLDEST/FIFTH OLDEST/ SIXTH ... (view details)

Taken from: Hurricane Katrina Community Advisory Group Study [United States].

41.

Fourth Occupant Sex

A4.(1-10).S [Are they/Is the] [/OLDEST/SECOND OLDEST/THIRD OLDEST/FOURTH OLDEST/FIFTH OLDEST/ SIXTH OLDEST/SEVENTH OLDEST/EIGHTH OLDEST/NINTH OLDEST/TENTH OLDEST] [/a] male or female? ... (view details)

Taken from: Hurricane Katrina Community Advisory Group Study [United States].

42.

Fourth Occupant Relationship

A4.(1-10).R [What is your relationship to them/What is your relationship with the] [/OLDEST/SECOND OLDEST/THIRD OLDEST/FOURTH OLDEST/FIFTH OLDEST/ SIXTH OLDEST/SEVENTH OLDEST/EIGHTH OLDEST/... (view details)

Taken from: Hurricane Katrina Community Advisory Group Study [United States].

43.

Fifth Occupant Age

A4.(1-10).A [How old is that person/Let's start with the oldest person who lived with you, how old is the/How old is the] [/OLDEST/SECOND OLDEST/THIRD OLDEST/FOURTH OLDEST/FIFTH OLDEST/ SIXTH ... (view details)

Taken from: Hurricane Katrina Community Advisory Group Study [United States].

44.

Fifth Occupant Relationship

A4.(1-10).S [Are they/Is the] [/OLDEST/SECOND OLDEST/THIRD OLDEST/FOURTH OLDEST/FIFTH OLDEST/ SIXTH OLDEST/SEVENTH OLDEST/EIGHTH OLDEST/NINTH OLDEST/TENTH OLDEST] [/a] male or female? ... (view details)

Taken from: Hurricane Katrina Community Advisory Group Study [United States].

45.

Fifth Occupant Sex

A4.(1-10).R [What is your relationship to them/What is your relationship with the] [/OLDEST/SECOND OLDEST/THIRD OLDEST/FOURTH OLDEST/FIFTH OLDEST/ SIXTH OLDEST/SEVENTH OLDEST/EIGHTH OLDEST/... (view details)

Taken from: Hurricane Katrina Community Advisory Group Study [United States].

46.

Sixth Occupant Age

A4.(1-10).A [How old is that person/Let's start with the oldest person who lived with you, how old is the/How old is the] [/OLDEST/SECOND OLDEST/THIRD OLDEST/FOURTH OLDEST/FIFTH OLDEST/ SIXTH ... (view details)

Taken from: Hurricane Katrina Community Advisory Group Study [United States].

47.

Sixth Occupant Sex

A4.(1-10).S [Are they/Is the] [/OLDEST/SECOND OLDEST/THIRD OLDEST/FOURTH OLDEST/FIFTH OLDEST/ SIXTH OLDEST/SEVENTH OLDEST/EIGHTH OLDEST/NINTH OLDEST/TENTH OLDEST] [/a] male or female? ... (view details)

Taken from: Hurricane Katrina Community Advisory Group Study [United States].

48.

Sixth Occupant Relationship

A4.(1-10).R [What is your relationship to them/What is your relationship with the] [/OLDEST/SECOND OLDEST/THIRD OLDEST/FOURTH OLDEST/FIFTH OLDEST/ SIXTH OLDEST/SEVENTH OLDEST/EIGHTH OLDEST/... (view details)

Taken from: Hurricane Katrina Community Advisory Group Study [United States].

49.

Seventh Occupant Age

A4.(1-10).A [How old is that person/Let's start with the oldest person who lived with you, how old is the/How old is the] [/OLDEST/SECOND OLDEST/THIRD OLDEST/FOURTH OLDEST/FIFTH OLDEST/ SIXTH ... (view details)

Taken from: Hurricane Katrina Community Advisory Group Study [United States].

50.

Seventh Occupant Sex

A4.(1-10).S [Are they/Is the] [/OLDEST/SECOND OLDEST/THIRD OLDEST/FOURTH OLDEST/FIFTH OLDEST/ SIXTH OLDEST/SEVENTH OLDEST/EIGHTH OLDEST/NINTH OLDEST/TENTH OLDEST] [/a] male or female? ... (view details)

Taken from: Hurricane Katrina Community Advisory Group Study [United States].

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