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More Less | English to Spanish - Standard rate: 0.10 USD per word / 45 USD per hour
Spanish to English - Standard rate: 0.10 USD per word / 45 USD per hour
Portuguese to Spanish - Standard rate: 0.10 USD per word / 45 USD per hour
Portuguese to English - Standard rate: 0.10 USD per word / 45 USD per hour
Spanish to Portuguese - Standard rate: 0.10 USD per word / 45 USD per hour
More Less | | Questions answered: 101, Questions asked: 173 Easy / 3184 PRO, PRO-level points: 55 | Sample translations submitted: 6| English to Spanish: Record of Hepatitis B Vaccine Declination | Source text - English
Record of Hepatitis "B" Vaccine Declination
I understand that due to my occupational exposure to blood or other potentially infectious
materials, I may be at risk of acquiring hepatitis B virus (HBV) infection. I have been given the opportunity to be vaccinated with hepatitus B vaccine, at no charge to me. However, I decline hepatitis vaccination at this time. I understand that by declining this vaccine, I continue to be at risk of acquiring hepatitis B, a serious disease. If in the future, I continue to have occupational exposure to blood or other potentially infectious materials and I want to be vaccinated with hepatitis B vaccine, I can receive the vaccination series at no charge to me.
| Translation - Spanish
Registro de Rechazo a la Vacuna contra la Hepatitis "B"
Entiendo que debido a mi exposición ocupacional a la sangre y otros materiales potencialmente infecciosos, puedo estar en riesgo de adquirir la infección del virus de la hepatitis B (HBV). Tuve la posibilidad de recibir la vacuna contra la hepatitis B, en forma gratuita. Sin embargo, en esta oportunidad rechazo la vacuna contra la hepatitis. Entiendo que al rechazar la vacuna, sigo estando en riesgo de adquirir la hepatitis B, una grave enfermedad. Si en el futuro, sigo teniendo una exposición ocupacional a la sangre o a otros materiales potencialmente infecciosos y quiero que me vacunen con la vacuna contra la hepatitis B, puedo recibir gratuitamente la serie de vacunas.
| | English to Spanish: Parent Safety document | Source text - English
October 3, 2006
Dear Parents & Caretakers,
We understand that this is a stressful time for you and your student(s). Recent reports of school violence in our own state and now in Pennsylvania are upsetting to us all. We want to reassure you that your student(s) and our staff’s safety are a priority.
Douglas County School District has several safety and security measures currently in place. As many of you know, all of our school exterior doors – except for the front door – are supposed to remain locked at all times. All of our schools have security cameras in place. Armed School Resource Officers are assigned to all District high schools. These same officers are capable of rapid response to Elementary and Middle Schools as well. Additionally, we have security specialists at each of our secondary schools and security managers assigned to the east and west sides of the Douglas County. Security personnel are also on patrol in the evenings.
When you visit our schools, expect to sign-in at the main office and show photo identification. You will see increased visibility of teachers and other volunteers at unlocked doors. These procedures are standard throughout DCSD. These extra steps my take additional time, but please understand the need for these precautions. You may also notice Douglas County Sheriff’s Department, and DCSD Safety and Security will be more visible presence in and around our schools.
As parents you can help us with safety and security. The more visibility we have in and around our schools, the better. We ask that you and your children stay alert and report any person or situation that appears to be out of the ordinary to your school leaders or law enforcement.
Sincerely,
Larry Borland
Executive Director of Safety and Transportation
(303) 387-0025
_____________________________
Principal of ___________________
Phone number _________________
| Translation - Spanish
3 de octubre, 2006
Estimados padres y tutores:
Comprendemos que la actualidad se nos presenta llena de tensiones tanto para usted como para su(s) hijo(s). Los recientes informes de violencia escolar en nuestro propio estado y ahora en Pensilvania nos apenan a todos. Queremos reafirmarle que tanto la seguridad de su(s) estudiante(s) como la de nuestro personal constituyen nuestra principal prioridad.
El Distrito escolar del Condado Douglas aplica diferentes medidas de seguridad y prevención en el lugar. Como muchos de ustedes saben, todas nuestras puertas de la escuela que dan al exterior (excepto la puerta de entrada) deben permanecer cerradas con llave en todo momento. Hemos colocado cámaras de seguridad en todas nuestras escuelas. Hay policías armados asignados a la escuela en todos los establecimientos escolares del Distrito. Estos mismos policías son capaces de una respuesta rápida también en la Escuela Primaria y en la Escuela Media. Además, tenemos especialistas en seguridad en cada una de las escuelas secundarias y encargados de seguridad asignados tanto en el este como en el oeste del Condado Douglas. El personal de seguridad también patrulla en las noches.
Cuando usted visite nuestras escuelas, debe registrarse en la administración y mostrar su identificación con su fotografía. Podrá ver más maestros y otros voluntarios cerca y en las puertas que no estén cerradas con llave. Estos procedimientos son la norma en todo el DCSD. Estos pasos extra pueden llevar más tiempo pero, por favor, entienda que estas precauciones son necesarias. También notará que la Oficina del Alguacil del Condado Douglas y la Seguridad y Prevención de DCSD tendrán mayor presencia dentro y alrededor de nuestras escuelas.
Como padres, usted puede ayudarnos con la seguridad y prevención. Cuanto mayor presencia tengamos en y alrededor de las escuelas, mucho mejor. Le pedimos que tanto usted como sus hijos estén alertas y que informen a sus líderes escolares o a los funcionarios de seguridad sobre cualquier persona o situación que le parezca inusual.
Cordialmente,
Larry Borland
Director Ejecutivo de Seguridad y Transporte
(303) 387-0025
_______________________________
Director de______________________
Número de teléfono_______________
| | English to Spanish: Referred question (Ballot) | Source text - English
REFERRED QUESTION 1B
Shall the Charter of the City and County of Denver be amended concerning the financial management of the City and County, to create a Department of Finance and provide for a Manager of Finance to serve as the chief financial officer of the city; to define the powers and duties of the Department and the Manager, including certain accounting powers and duties currently performed by the Auditor; to enable the Auditor to conduct financial and performance audits; to establish an Audit Committee chaired by the Auditor and enabled to supervise the annual independent audit of the City and County, receive audit reports, and perform related powers and duties; to provide that the Auditor shall countersign all contracts of the City and County unless excepted by the Audit Committee; and to make other conforming amendments?
BE IT ENACTED BY THE COUNCIL OF THE CITY AND COUNTY OF DENVER:
Section 1. There is hereby submitted to the properly qualified and registered electors of the City and County of Denver for their approval or rejection at a special municipal election to be conducted at the same time and in conjunction with the State general election to be held in the City and County of Denver on November 7, 2006, a proposed amendment to the Charter of the City and County of Denver, as follows:
Effective January 1, 2008, and after publication and filing with the Secretary of State pursuant to the Constitution and laws of the State of Colorado, the following sections of the 2002 Charter of the City and County of Denver shall be and are hereby amended to read as follows:
Section 2.2.4 shall be amended by deleting the language stricken and adding the language underlined to read as follows:
§ 2.2.4 Execution of contracts, bonds and other instruments; service of process.
All contracts or other instruments of writing, requiring the assent of the City and County, shall be subscribed by the Mayor, or acting Mayor, as the case may be, under the seal of the City and County, and attested by the Clerk. The Mayor may designate the Manager of Revenue Finance to subscribe bonds, other securities and other similar multi-year financial obligations and any and all documents related thereto on behalf of the City and County. Either a manual or facsimile signature of the Mayor or acting Mayor, the Manager of Revenue Finance, and the Clerk and either a manual or facsimile impression of the seal of the City and County of Denver may be used on any bonds, other securities and other similar multi-year financial obligations of the City and County. All legal process against the City and County shall be served upon the Mayor or acting Mayor.
Section 2.2.5 shall be repealed by deleting the language stricken as follows:
§ 2.2.5 Annual audit.
The Mayor shall annually commission an independent audit of the finances of the City and County, to be conducted in accordance with generally accepted accounting principles.
Sub-section 2.2.10 (A) shall be amended by deleting the language stricken and adding the language underlined to read as follows:
§ 2.2.10 Mayor's cabinet.
(A) The Mayor and the cabinet, which shall consist of the Manager of the Department of Public Works, the Manager of the Department of Revenue Finance, the Manager of the Department of Parks and Recreation, the Manager of the Department of Environmental Health, the Manager of the Department of Safety, the Manager of the Department of General Services, the Manager of the Department of Human Services, the Manager of the Department of Aviation, the Manager of the Department of Community Planning and Development, and the City Attorney, shall formulate the general administrative policies of the City and County, and each Manager and Officer in its department, shall be responsible for and have full power to carry out such policies.
Part 5 of Article II, sections 2.5.1 through 2.5.5, shall be amended by deleting the language stricken and adding the language underlined to read as follows:
PART 5. REVENUE FINANCE
§ 2.5.1 Department of Revenue Finance created; departmental powers and duties.
There shall be, and hereby is, created a Department of Revenue Finance, which shall have full charge and control of, exercise all powers, perform all the acts and duties now required or that may hereafter be required by the Constitution or general laws of this State to be exercised or performed by the County Assessor and County Treasurer and such other powers and duties related to the financial operations and interests of the City and County as are provided in this Part 5.
§ 2.5.2 Manager of the Department of Revenue Finance.
The Manager of the Department of Revenue Finance, acting as the chief financial officer of the City and County, shall be the officer in full charge and control of the department, and shall devote full time to the duties of the office. The Manager shall be appointed by the Mayor and hold office at the pleasure of the Mayor.
§ 2.5.3 Powers and duties of the Manager of the Department of Revenue Finance.
(A) Warrants. No money shall be paid out by the Manager of Revenue for any purpose except upon warrants authorized by the Auditor unless otherwise provided by this Charter. A record of each warrant shall be registered by the Auditor and shall show the date of issue, to whom issued, and the amount. Every warrant issued as in this Charter required, shall when paid be canceled and a proper accounting entry thereof made. The manager of Revenue may pay the interest and principal on bonded indebtedness, including special improvement bonds, as the same become due without a warrant having previously issued therefor.
(A) Accountant and Comptroller. The Manager of Finance shall perform the duties of general accountant and comptroller of the City and County, and shall perform the following specific functions:
(i) The Manager shall establish, maintain and enforce accounting policies, practices and procedures to be utilized by all departments and agencies of the City and County.
(ii) The Manager shall make available information as to the exact condition of the treasury and of every appropriation and fund thereof, upon demand of the Mayor, of the Auditor, of the Council or any committee thereof, or of any department, agency, board or commission of the City and County. The council may by ordinance provide additional procedures for periodic financial reporting by the Manager.
(iii) The Manager shall prepare the comprehensive annual financial report summarizing the condition and results of all funds and financial activities of the city as of December 31 of each fiscal year, which report shall be subject to audit by the independent auditor of the City and County as provided in Article V of the charter.
(iv) The Manager shall countersign and register all contracts of the City and County involving the receipt or disbursement of funds, and shall register and sign all checks or warrants authorizing a draw upon the accounts of the City and County. Either a manual or facsimile signature of the Manager of Finance may be used on any such contracts, checks or warrants. The Council may by ordinance require a review by the Auditor of certain disbursements from the accounts of the City prior to the disbursement being authorized by the Manager.
(B) Reports to Auditor. The Manager of Revenue shall promptly report the transactions of the Manager's office to the Auditor showing the amount of money received, from what source, and on what account, with a list of all warrants paid or cancelled.
(B) Designation of Treasurer and Assessor. The Manager of Finance shall appoint a Treasurer to exercise the powers and duties assigned by the Charter and ordinances of the City and County to the treasurer and by the constitution and general laws of the state to county treasurers. The Manager of Finance shall appoint an Assessor to exercise the powers and duties assigned by the constitution and general laws of the state to county assessors.
(C) Bank Depository; Investment of funds. The Manager of Revenue Finance shall, with the approval of the Mayor and Auditor, select one or more banking or savings and loan institutions for deposit of public funds. Before any deposit shall be made, the bank or savings and loan institution shall pledge sufficient collateral as required by law. The Manager of Revenue is authorized to invest the funds in his or her custody or possession in the following securities: obligations of the United States Government, obligations of the United States Government agencies and United States Government sponsored corporations, prime bankers acceptances, prime commercial paper, certificates of deposit issued by banks and savings and loan institutions, repurchase agreements, security lending agreements, highly rated municipal securities, money market funds that purchase only the types of securities specified herein, and other similar securities as may be authorized by ordinance.
(D) Investment of deferred compensation funds. Compensation deferred from the salaries of City officers and employees and held in trust by the City and County of Denver may be invested by the Manager of Revenue pursuant to the agreements in such cases in any and all securities set forth under the provisions of Subsection (C) of this Section; and, in addition thereto, the Manager is authorized to invest the deferred compensation funds in his or her custody or possession in any legitimate investment; including but not limited to investment programs of any bank or savings and loan association when such bank or savings and loan association is authorized to do business in this state, life insurance contracts, deferred annuities, equity products, real estate investment trusts, or other investment products. The Manager shall not invest such monies in any investment plan unless the plan is offered by a person, firm or corporation authorized to do business in the State of Colorado and unless the plan is subject to applicable state and federal regulations. shall be administered and invested as provided by ordinance. The City and County of Denver, its officers, employees and Manager of Revenue Finance shall not be liable for any loss due to the investment or failure of investment of monies and assets of the deferred compensation plan, nor shall the City or any of its officers, employees or the Manager of Revenue Finance be required to replace any loss which may result from such investment or failure of investment of any such monies or assets.
(E) Debt management. The Manager of Finance shall manage the debt and financial obligations incurred by the City and County.
(F) Debt Collection. The Manager of Finance shall be responsible for collecting or causing to be collected any debts or other financial obligations owed to the City and County.
(G) Budget. The Manager of Finance shall assist the Mayor in the preparation of the budget and in carrying out the budgetary procedures set forth in Article VII of the Charter, and shall manage the implementation of the budget on a year to year basis.
(H) Risk Management. The Manager of Finance shall administer any risk management and insurance program of the City and County, including any self-insurance fund; provided, however, the Mayor may assign a specific segment of risk management and insurance programs to another department whenever such assignment is in the interest of economy, organization, administration and efficiency of the City and County as a whole.
(I) Rulemaking. The Manager is authorized to adopt and enforce rules and regulations concerning the financial operations and interests of the City and County, consistent with the powers and duties assigned by the Charter or any ordinance adopted pursuant to the Charter.
(J) Other Duties Assigned by Ordinance. The Manager of Finance shall, in addition to performing the duties herein assigned, perform such other duties not inconsistent with the provisions of this Charter, as the Council may by ordinance require.
§ 2.5.4 Powers and duties of Treasurer.
(A) Receipt and payment of money. The Treasurer shall receive, receipt for and keep the money of the City and County and pay out the same only on warrants as herein provided in accordance with rules promulgated by the Manager of Finance as provided in Section 2.5.3 (J) and any other applicable law or regulation. No officer or person other than the treasurer shall pay out or disburse such moneys or any part thereof, except as herein otherwise provided. When a warrant is drawn on any particular fund it shall be paid out of that fund only.
(B) All revenue reported to and recorded by Treasurer. All revenues arising from taxes, licenses, fees, fines, penalties and forfeitures, and from any other source whatsoever, which may be collected or received by any officer or employee of the City and County, or any department thereof, in their official capacity or for the performance of any official duty, shall be reported to and recorded by the Treasurer in accordance with procedures established by the Manager of the Department of Revenue Finance.
(C) Other duties. The Treasurer shall, in addition to performing the duties herein specifically required, perform such other duties not inconsistent with the laws of the State and this Charter as the Council may by ordinance require.
§ 2.5.5 Powers and duties of Assessor.
The Assessor shall assess all taxable property within the City and County at the time and in the manner prescribed by the general laws of the State and provisions of this Charter, and shall perform such other duties not inconsistent with such laws and the provisions of this Charter as the Council may by ordinance require.
Paragraph 3.2.6 (A)(iii) shall be amended by deleting the language stricken and adding the language underlined, to read as follows:
§ 3.2.6 Leases and contracts.
The Council shall have the additional powers to approve or disapprove, by ordinance or resolution, leases or other instruments selling or granting the use of City-owned property to other parties, and certain contracts, under the following conditions:
(A) Definitions. For the purposes of this section the following definitions shall apply:
(iii) The term "personal property" shall include tangible and intangible personal property other than cash and investments invested by the Manager of Revenue Finance under Section 2.5.3 of the Charter.
Part 2 of Article V shall be amended by deleting the language stricken and adding the language underlined to read as follows:
PART 2. POWERS AND DUTIES
§ 5.2.1 General powers and duties of Auditor.
(A) The Auditor shall be the general accountant of the City and County. The Auditor shall keep an official record of all assets and liabilities, revenues and expenditures, warrants, contracts, and payroll of the City and County, and of all demands upon the treasury audited in accordance with section 5.2.2; provided, however, that the physical custody of contracts shall be kept by the Clerk as provided in section 2.8.2 (A). Except as otherwise provided in this Charter or by ordinance, the Auditor shall prescribe the mode of keeping, dating and rendering all accounts.
(B) The Auditor shall make available information as to the exact condition of the treasury, and of every appropriation and fund thereof, upon demand of the Mayor, of the Council or any committee thereof, or of any department, agency, board or commission of the City and County.
(C) The Auditor shall authorize and register all warrants as provided in section 2.5.3(A) and countersign and register all contracts.
(D) The Auditor shall see that rules and regulations are prescribed and observed in relation to accounts, settlements and reports; that no appropriation of funds is overdrawn or misapplied; and that no liability is incurred, money is disbursed or the property of the City and County is disposed of contrary to law.
(E) The Auditor shall perform such other duties not inconsistent with the provisions of this Charter, as the Council may by ordinance require.
(A) Internal Auditing. The Auditor shall conduct financial and performance audits of the City and County and its departments and agencies in accordance with generally accepted governmental auditing standards promulgated by the United States Comptroller General. The Auditor shall conduct audits of individual financial transactions, contracts and franchises of the City and County; and shall generally audit the financial and accounting systems and procedures administered by the Manager of Finance and other departments and agencies of the City and County, including records systems, revenue identification and accounting, and payment practices, for compliance with generally accepted accounting principles, best financial management practices, and any applicable laws and regulations governing the financial practices of the City and County. The results of any audit shall be reported by the Auditor to the Audit Committee as provided in Section 5.2.2.
(B) Annual Work Plan; special audits. On or before the third Monday of October of each year, the Auditor shall submit to the Mayor and City Council, for information only, an audit work plan for the ensuing fiscal year. The work plan shall identify the particular departments, agencies, programs, contracts, franchises or other matters that the Auditor has scheduled for auditing in the ensuing fiscal year. Special audits or emergency audits may be requested by the Mayor or the City Council or proposed by the Auditor at any time; provided, however that the ultimate decision to perform any audit shall be at the sole discretion of the Auditor.
(C) Access to records. The Auditor shall have access at all times to all of the books, accounts, reports, vouchers, or other records or information maintained by the Manager of Finance or by any other department or agency of the City and County. In verifying any of the audits made, the Auditor shall have the right to ascertain the amounts on deposit in any bank or depository belonging to the City and County or any department or agency thereof, and shall have the right to audit said accounts on the books of any such bank or depository.
(D) Contracts. Unless excepted by the Audit Committee as provided in section 5.2.2 (C), the Auditor shall countersign and register all contracts of the City and County in order to see that no liability is incurred, money is disbursed, or the property of the City and County is disposed of contrary to law.
(E) Audit Committee. The Auditor shall chair the Audit Committee as provided in Section 5.2.2, and shall assist that Audit Committee in carrying out the powers and duties provided therein.
(F) Other Duties Assigned by Ordinance. The Auditor shall perform such other duties not inconsistent with the provisions of this Charter, as the Council may by ordinance require. The Council shall provide by ordinance procedures to require the confidentiality of preliminary audit findings, to require the public dissemination of final audit findings by and through the Audit Committee, and to require response by departments and agencies to audit findings. No ordinance shall compromise the independence of the Auditor as required by generally accepted government auditing standards promulgated by the Comptroller General of the United States.
5.2.2 Audit Committee.
There shall be an Audit Committee chaired by the Auditor and consisting of the Auditor and six other members, two of whom shall be appointed by the Mayor, the Council, and the Auditor, respectively. With the exception of the Auditor, no member of the Audit Committee shall hold any other office or employment with the City and County while serving on the Audit Committee. Members of the Audit Committee shall be appointed on the basis of education or experience in accounting, auditing, financial management, or related fields of expertise. The powers and duties of the Audit Committee shall consist of the following:
(A) Independent External Audit. The Audit Committee shall annually commission an independent external audit of the finances of the City and County, to be conducted in accordance with generally accepted government auditing standards; provided, however, that the contract for the independent external auditor shall be subject to approval by the Council and execution by the Mayor as otherwise provided in this charter. The Audit Committee shall supervise the work of the independent external auditor, shall receive reports of the independent external auditor, and shall communicate the findings and recommendations of the independent external auditor to the Mayor, the Manager of Finance, the Council, and the general public.
(B) Internal Audit. The Audit Committee shall receive the results of the internal audits conducted by the Auditor in accordance with section 5.2.1 (A) and shall communicate findings and recommendations to the Mayor, Manager of Finance and Council and the general public.
(C) Contracts. The Audit Committee shall determine what, if any, exceptions shall be made to the requirements of section 5.2.1 (D) concerning the Auditor’s countersigning of contracts of the City and County and section 10.1.8 concerning the Auditor’s countersigning of contracts of the Board of Water Commissioners. Any such exception shall be based upon the type, amount or materiality of the contracts.
(D) Auditor’s Annual Work Plan. The Audit Committee shall review the Auditor’s annual work plan prior to the Auditor’s submission of the plan to the Mayor and the City Council as required by section 5.2.1 (B).
(E) Complaints. The Audit Committee shall establish procedures for the receipt, retention and treatment of complaints regarding accounting, internal accounting controls, or auditing matters.
(F) Other Duties Assigned by Ordinance. The Audit Committee shall perform such other duties not inconsistent with the provisions of this Charter, as the Council may by ordinance require.
5.2.3 Appropriations to support Auditor and Audit Committee.
The Council shall appropriate sufficient funds to the Auditor and the Audit Committee to enable the Auditor and the Audit Committee to exercise the powers and duties set forth herein, and to obtain suitable offices, supplies, and employees to perform these powers and duties.
§ 5.2.2 Auditing of demands for payment from the treasury.
(A) Every demand upon the treasury of the City and County shall be verified and authorized by the expending authority of the City and County by or on behalf of whom the demand is made and shall, before payment, be presented to the Auditor. The Auditor shall determine whether payment of the demand would be contrary to law, against what appropriation and out of what fund the demand is payable.
(B) If the Auditor allows the demand, then the Auditor shall record his or her approval of the demand and make payment. If the Auditor does not allow the demand, then the Auditor shall return the demand to the expending authority by or on behalf of whom the demand was made, stating the grounds for disallowance of the demand. No demand shall be approved or paid unless presented as required by this Charter.
§ 5.2.3 Reserved.
§ 5.2.4 Reports by Auditor to Council.
The Auditor shall provide to the Council a report showing receipts and disbursements and the condition of each fund at the close of business as of June thirtieth, and shall also provide to the Council on or before March fifteenth a report of the financial transactions of the City and County during the preceding fiscal year.
§ 5.2.9 Auditing of payroll and other employment matters.
(A) The salaries, wages, reimbursements, and any other compensation of the Auditor and the Auditor's employees shall be audited and allowed by the Mayor. The salaries for elected and appointed Charter officers set in accordance with sections 9.2.4 and 9.2.6 shall be allowed by the Auditor without any previous approval. Except as otherwise provided in this subsection, any demand for payment out of the treasury for salaries, wages, reimbursements, or other compensation of any officer or employee shall, before being audited or paid, be first verified by the officer's or employee's appointing authority, and then shall be audited as provided in section 5.2.2.
(B) When any officer is legally authorized to employ a person other than one of his or her deputies or assistants at a stated compensation fixed by law, and such person has rendered the service for which the person was employed, such officer and person shall each, at such intervals as may be required by ordinance, prepare and deliver to the Auditor a verified statement showing the service, by and for whom performed, the amount of compensation, and the time actually employed.
(C) After any officer or employee of the City and County shall be discharged or shall cease to be in its employ, the appointing authority shall promptly report such information to the Auditor, giving the name of the employee and the date when such employment ceased.
§ 5.2.10 Actions against persons failing to pay account due City.
If any person who is chargeable with moneys or other personal property belonging to the City and County, or who has been entrusted with the collection, management or disbursement of any moneys, bonds or interest accruing therefrom belonging to, or held in trust by the City and County, fails to render an account thereof and make a settlement with the Treasurer within the time prescribed by law; or when no particular time is specified, fails to render such account and make such settlement, within ten days after notice from the Auditor, then the Auditor shall state an account with such person charging the maximum interest allowed by law or contract from the time of such failure, and file a copy thereof with the City Attorney. Such person, if in the service of the City and County, shall also be subject to removal. In any suit a copy of such account shall be prima facie evidence of the things therein stated. In case the Auditor cannot, for want of information, state an account, in any action brought that fact maybe averred, and it shall be sufficient to allege generally the amount of money, or other property which is due to or which belongs to the City and County. The City Attorney shall institute all actions arising under this Section within ten days after notification by the Auditor, and prosecute the same to conclusion.
Section 7.1.2 shall be amended by deleting the language stricken and adding the language underlined to read as follows:
§ 7.1.2 Budget calendar; budget estimates; capital improvements program.
On or before May 1 of each year the Mayor shall prepare a budget calendar and procedures for the preparation of the budget. On or before July 1 of each year, all agencies, offices, departments, boards, commissions and other spending agencies of the City and County shall prepare and submit to the Mayor and City Council estimates of their expenditure requirements and estimated revenues for the ensuing fiscal year. The estimates of expenditures shall be based upon specific work programs which shall be set forth in detail sufficient to justify the proposed expenditures. The proposed expenditures shall be further classified so as to set forth the data by funds, character and object of expenditures and such other details as the Mayor or City Council may require. Revenue estimates shall be classified as to funds and sources of income in such detail as may be required by the Mayor or City Council. Changes in ordinances establishing taxes, fees, charges and other types of revenue may be proposed. The Manager of Revenue Finance shall certify to the Mayor and City Council the amount of money to be raised by taxation to pay the interest on general obligation bonded indebtedness and to provide for the sinking fund. The Mayor shall develop long range plans for capital improvements and shall prepare a six-year capital improvements program.
Section 7.1.8 shall be amended by deleting the language stricken and adding the language underlined to read as follows:
§ 7.1.8 Budget allotment and work programs.
On or before the fifteenth day of December in each year, the various agencies, offices, departments, boards, commissions and other spending agencies shall submit to the Mayor revised budget expenditure plans, work programs and budget allotments in accordance with the budget and appropriations adopted by the Council. The Mayor shall review the allotments and may revise, alter or change the allotments but may not increase or reduce the total amount for the spending agency. The Mayor shall file a copy of the approved allotments with necessary supporting documents with the Auditor Manager of Finance and shall file copies of the expenditure plans, work programs and allotments with the Council. The Auditor Manager of Finance shall allow lawful expenditures for the spending agencies to be made from the appropriations on the basis of the approved allotments and not otherwise. The approved allotments may be revised during the budget year in the same manner as the original allotments were made.
Section 7.4.4 shall be amended by deleting the language stricken and adding the language underlined to read as follows:
§ 7.4.4 Collection of taxes governed by State law.
The Manager of Revenue Treasurer shall collect said taxes in the same manner and at the same time as State taxes are collected, and all laws of the State for the assessment and collection of general taxes, including laws for the sale of property for taxes and the redemption of the same, shall apply, and have as full effect for the collection of taxes for the City and County as for such general taxes, except as modified by this Charter or by ordinance. The Manager of Revenue shall promptly report the amount of tax collections to the Auditor.
Section 7.4.5 shall be amended by deleting the language stricken to read as follows:
§ 7.4.5 State and school taxes.
All taxes levied for State and school purposes upon persons and property within the City and County shall be collected by the Treasurer and paid out by him or her in conformity with the general laws of the State. All amounts so collected and disbursed or paid over shall be included in reports to the Auditor and Council as required by this Charter.
Section 7.4.6 shall be amended by deleting the language stricken to adding the language underlined to read as follows:
§ 7.4.6 Board of Equalization.
There is hereby created a Board of Equalization to consist of the President of Council, the Manager of Public Works, the Manager of Revenue Finance, the Clerk and Recorder, and the Manager of General Services, any three of whom shall constitute a quorum for the transaction of business, to perform all the duties and functions in reference to the equalization, reduction, abatement and rebate of general taxes required by the constitution and general laws of the State to be performed by county commissioners, except the levying of the taxes, which shall be levied by the Council.
Subsection 9.2.1 (B) shall be amended by deleting the language stricken and adding the language underlined to read as follows:
§ 9.2.1 Salaries and benefits of certain Charter officers set by ordinance.
The annual salaries and benefits of the following officers of the City and County of Denver shall be set by ordinance as hereinafter provided:
(B) Appointed Charter officers. Manager of the Department of Environmental Health; Manager of the Department of Public Works; City Attorney; Manager of the Department of Safety; Manager of the Department of Revenue Finance; Manager of the Department of Parks and Recreation; Manager of the Department of General Services; Manager of the Department of Human Services; Manager of the Department of Aviation; Manager of the Department of Community Planning and Development; Clerk and Recorder; Director of Excise and Licenses.
Section 10.1.7 shall be amended by deleting the language stricken and adding the language underlined to read as follows:
§ 10.1.7 Water Works Fund.
There is hereby created a Water Works Fund into which shall be placed all revenues received from the operation of the water works system and plant together with all monies received by the Board from other sources. The Board shall maintain records in compliance with generally accepted accounting principles sufficient for reliance by the Treasurer and the Auditor Manager of Finance in faithfully accounting for the Water Works Fund. The Board shall promptly deposit all receipts into a bank account in the name of the City and County of Denver acting by and through its Board of Water Commissioners. The Board may invest such funds until they are required for operations of the Board. Monies shall be paid out of the account only upon the authority of the Board and evidenced by warrants drawn upon the Treasurer by the Auditor of the City and County of Denver, except as to general obligation bonds and the interest thereon, which the Treasurer shall pay using procedures approved by the Manager of Revenue as required pursuant to procedures established by the Manager of Finance.
Section 10.1.8 shall be amended by deleting the language stricken and adding the language underlined to read as follows:
§ 10.1.8. City auditor.
The Auditor of the City and County of Denver shall audit or cause to be audited the accounts of the Board at least annually and make a report of his or her findings to the Council of the City and County of Denver. The Board shall make all of its accounts and records fully available to the Auditor to enable him the Auditor to carry forward these duties that shall be performed without interference with the water works function. Unless excepted by the Audit Committee as provided in section 5.2.2 (C), the Auditor, or some person designated by him or her, shall sign all warrants, countersign and register all bonds and written contracts (with the privilege but without the necessity for keeping copies thereof). The Auditor may authorize the affixing of his or her signature by mechanical means.
Section 2. The voting machines and paper ballot for said election shall carry the following designation, which shall be the title and submission clause:
Section 3. Each elector voting at the election and wishing to for or against the amendment shall indicate the elector’s choice by depressing the appropriate counter of the voting machine which indicates the word “YES” or the word “NO”, or by appropriate marking upon paper ballots when used.
Section 4. The proper officials of the City and County of Denver as are charged with duties relating to the election shall, before the election, issue such calls, make such certifications and publications, give such notices, make such appointments, and do all such other acts and things in connection with the submission of this Charter amendment to the registered electors of the City and County of Denver at the election as are required by the Constitution and laws of the State of Colorado and the Charter and ordinances of the City and County of Denver.
Section 5. The ballots cast at such election shall be canvassed and the results ascertained, determined, and certified in accordance with the requirements of the Constitution and laws of the State of Colorado and the Charter and ordinances of the City and County of Denver.
Section 6. If any section, paragraph, clause, or other portion of this ordinance is held to be invalid or unenforceable for any reason, the validity of the remaining portions of this ordinance shall not be affected.
THE FOLLOWING IS A SUMMARY OF WRITTEN COMMENTS IN FAVOR OF THE REFERRED QUESTION FILED WITH THE DESIGNATED ELECTION OFFICIAL:
THE FOLLOWING IS A SUMMARY OF WRITTEN COMMENTS IN OPPOSITION TO THE REFERRED QUESTION FILED WITH THE DESIGNATED ELECTION OFFICIAL:
| Translation - Spanish
PREGUNTA 1B SOMETIDA AL VOTO POPULAR
¿Debe enmendarse el Estatuto de la Ciudad y Condado de Denver con respecto a la administración financiera de la Ciudad y Condado, para crear un Departamento de Finanzas y suministrar un Director de Finanzas que trabajará como funcionario financiero en jefe de la ciudad; para definir las facultades y obligaciones del Departamento y del Director, incluidas ciertas facultades contables y las tareas que actualmente cumple el Auditor; para permitirle al Auditor conducir las audiencias financieras y de desempeño; para establecer un Consejo de Audiencias presidido por el Auditor y permitirle supervisar la audiencia anual independiente de la Ciudad y el Condado, recibir informes de auditoría y ejercer las facultades y realizar las tareas relacionadas; teniendo en cuenta que el Auditor refrendará todos los contratos de la Ciudad y el Condado a menos que esté exceptuado por el Consejo de Audiencias; y realizar otras enmiendas correspondientes?
A SANCIONAR POR MEDIO DEL CONSEJO DE LA CIUDAD Y EL CONDADO DE DENVER:
Artículo 1. Por medio de la presente, una enmienda propuesta para el Estatuto de la Ciudad y el Condado, se somete de la siguiente forma a los electores debidamente calificados y registrados de la Ciudad y Condado de Denver para su aprobación o rechazo en una elección municipal especial que se realizará al mismo tiempo y en conjunción con la elección general del Estado que se llevará a cabo en la Ciudad y Condado de Denver el 7 de noviembre de 2006:
En vigencia desde el 1 de enero de 2008 y después de la publicación y en poder del Secretario de Estado, de acuerdo con la Constitución y las leyes del Estado de Colorado, los siguientes artículos del Estatuto 2002 de la Ciudad y el Condado de Denver quedan enmendados desde ahora en adelante por la presente para que pueda leerse lo siguiente:
El Artículo 2.2.4 será enmendado eliminando el texto tachado y agregando el texto subrayado para que pueda leerse lo siguiente:
§ 2.2.4 Ejecución de contratos, bonos y otros instrumentos; notificaciones.
Todos los contratos u otros documentos, que requieran del consentimiento de la Ciudad y el Condado, deben ser suscritos por el Alcalde o el Alcalde interino, bajo el sello de la Ciudad y el Condado y certificado por el Secretario. El Alcalde puede designar al Director de Rentas Finanzas para suscribir bonos, otros valores y otros títulos de deuda financieras similares multianuales y cada uno y todos los documentos relacionadas con los mismos en nombre de la Ciudad y el Condado. Una firma manual o por fax del Alcalde o del Alcalde interino, del Director de Rentas Finanzas y del Secretario y una impresión manual o por fax del sello de la Ciudad y Condado de Denver pueden utilizarse en los bonos, otros valores y otros títulos de deuda financieras multianuales de la Ciudad y Condado. Todos los procesos legales contra la Ciudad y el Condado serán atendidos por el Alcalde o el Alcalde interino.
El Artículo 2.2.5 será derogado eliminando el texto tachado de la siguiente forma:
§ 2.2.5 Auditoría anual.
El Alcalde ordenará anualmente una auditoría independiente de las finanzas de la Ciudad y el Condado, que será conducida de acuerdo con los principios contables generalmente aceptados.
El Inciso 2.2.10 (A) será enmendado eliminando el texto tachado y agregando el texto subrayado para que pueda leerse lo siguiente:
§ 2.2.10 Gabinete del Alcalde.
(A) El Alcalde y el gabinete, que estará formado por el Director del Departamento de Trabajos Públicos, el Director del Departamento de Rentas Finanzas, el Director del Departamento de Parques y Recreaciones, el Director del Departamento de Salud Ambiental, el Director del Departamento de Seguridad, el Director del Departamento de Servicios Generales, el Director del Departamento de Servicios Humanos, el Director del Departamento de Aviación, el Director del Departamento de Planificación y Desarrollo de la Comunidad, y el Abogado Municipal, formularán las políticas administrativas generales de la Ciudad y el Condado, y cada Director y Funcionario en su departamento será responsable y tendrá completo poder para llevar a cabo dichas políticas.
El Apartado 5 del Artículo II, artículo 2.5.1 hasta 2.5.5 será enmendado eliminando el texto tachado y agregando el texto subrayado para que pueda leerse lo siguiente:
APARTADO 5. RENTAS FINANZAS
§ 2.5.1 Departamento de Rentas Finanzas creado; facultades y obligaciones departamentales.
Por la presente se creará un Departamento de Rentas Finanzas, que tendrá plena responsabilidad y control, ejercerá todas las facultades, realizará todos los actos y las tareas requeridas en este momento o que podrán ser requeridas en adelante por la Constitución o las leyes generales de este Estado para ser ejercidas o realizadas por el Asesor del Condado y el Tesorero del Condado y otras facultades y obligaciones relacionados con las operaciones financieras y los intereses de la Ciudad y Condado, según lo dispone en este Apartado 5.
§ 2.5.2 Director del Departamento de Rentas Finanzas.
El Director del Departamento de Rentas Finanzas, actuando como funcionario financiero en jefe de la Ciudad y Condado, será el funcionario la persona con plena responsabilidad y control del departamento y dedicará todo su tiempo a las tareas de oficina. El Director será designado por el Alcalde y ejercerá su cargo conforme al criterio del Alcalde.
§ 2.5.3 Facultades y tareas del Director del Departamento de Rentas Finanzas.
(A) Órdenes de pago. El Director de Rentas no pagará ningún dinero para ningún propósito, excepto por las órdenes de pago autorizadas por el Auditor, a menos que se disponga de otro modo por medio de este Estatuto. El Auditor registrará un historial de cada orden de pago y mostrará la fecha de publicación, a favor de quién se emite y el monto. Cada orden de pago emitida de acuerdo con lo requerido en este Estatuto, se cancelará cuando se pague y se realice el adecuado registro contable sobre el mismo. El director de Rentas puede pagar el interés y el monto principal del endeudamiento vinculado, incluidos los bonos especiales por mejora debido a que los mismos vencen sin una orden de pago emitida previamente para ello.
(A) Contador y Auditor. El Director de Finanzas realizará las tareas del contador y auditor general de la Ciudad y el Condado con las siguientes funciones específicas:
(i) El Director establecerá, mantendrá y pondrá en vigencia las políticas, prácticas y procedimientos contables a emplear en todos los departamentos y agencias de la Ciudad y el Condado.
(ii) El Director pondrá a disposición la información con respecto a la condición exacta del tesoro y de cada consignación de crédito y de los fondos del mismo, a pedido del Alcalde, del Auditor, del Consejo o de cualquier otra comisión del mismo o de cualquier departamento, agencia, consejo o comisión de la Ciudad y el Condado. El consejo puede suministrar por ordenanza los procedimientos adicionales para los informes financieros y periódicos del Director.
(iii) El Director preparará el informe financiero anual exhaustivo que resume la condición y los resultados de todos los fondos y actividades financieras de la ciudad desde el 31 de diciembre de cada año fiscal, cuyo informe se someterá a la auditoria por medio de un auditor independiente de la Ciudad y el Condado, como se indica en el Artículo V del estatuto.
(iv) El Director refrendará y registrará todos los contratos de la Ciudad y el Condado que implican el recibo o desembolso de fondos, y registrará y firmará todos los cheques u órdenes de pago que autorizan una extracción de las cuentas de la Ciudad y el Condado. Una firma manual o por fax del Director de Finanzas puede utilizarse en tales contratos, cheques u órdenes de pago. El Consejo puede requerir por ordenanza una revisión por parte del Auditor de ciertos desembolsos de las cuentas de la Ciudad antes del desembolso autorizado por el Director.
(B) Informes para el Auditor. El Director de Rentas le informará rápidamente al Auditor sobre las transacciones de la oficina del Director demostrando el monto recibido, a partir de qué fuente y en que cuenta con una lista de todas las órdenes de pago pagadas o canceladas.
(B) Designación del Tesorero y del Asesor. El Director de Finanzas designará a un Tesorero para ejercer las facultades y tareas asignadas por el Estatuto y las ordenanzas de la Ciudad y el Condado para el tesorero y por medio de la constitución y las leyes generales del estado para los tesoreros del condado. El Director de Finanzas designará a un Asesor para ejercer las facultades y tareas asignadas por la constitución y las leyes generales del estado para los asesores del condado.
(C) Depósitos bancarios; Fondos de inversión. El Director de Rentas Finanzas seleccionará –con la aprobación del Alcalde y el Auditor, una o más instituciones bancarias o de ahorro y crédito para el depósito de fondos públicos. Antes de realizar cualquier depósito, la institución bancaria o de ahorro y crédito constituirá una garantía prendaria suficiente, según lo requerido por ley. El Director de Rentas está autorizado a invertir los fondos bajo su custodia o posesión en los siguientes valores: títulos de deuda del Gobierno de los Estados Unidos, títulos de deuda de las agencias del Gobierno de los Estados Unidos y de las corporaciones patrocinadas por el Gobierno de los Estados Unidos, aceptaciones bancarias preferenciales, documentos comerciales preferenciales, certificados de depósito emitidos por instituciones bancarias, de ahorro y préstamo, contratos de recompra, contratos de préstamos de valores, valores municipales de alta calificación, fondos del mercado de dinero que adquieren sólo los tipos de valores que aquí se especifican y otros valores similares, según lo autorizado por la ordenanza.
(D) Inversión de fondos de compensación diferidos. Compensación diferida de los salarios de los funcionarios de la Ciudad y de los empleados y en fideicomiso por la Ciudad y Condado de Denver pueden ser invertidos por el Director de Rentas de acuerdo con los contratos en tales casos en cada uno y todos los valores establecidos bajo las estipulaciones del Inciso (C) de esta Sección; y además, el Director tiene la autoridad para invertir los fondos de compensación diferidos en su custodia o posesión en cualquier inversión legítima ; incluida pero sin limitarse solamente a los programas de inversión de cualquier asociación bancaria o de ahorro y crédito cuando dicha asociación bancaria o de ahorro y crédito tenga la autorización para concretar el negocio en este estado, contratos de seguro de vida, anualidad diferida, productos del capital, fondo de inversiones de bienes raíces u otros productos de inversión. El Director no invertirá dichos fondos en ningún plan de inversión a menos que el plan se ofrezca por medio de una persona, empresa o corporación autorizada para realizar negocios en el Estado de Colorado y a menos que el plan esté sujeto a las reglamentaciones estatales y federales aplicables. serán administrados y se invertirán según lo estipulado por la ordenanza. La Ciudad y Condado de Denver, sus funcionarios, empleados y el Director de Rentas Finanzas no serán responsables por ninguna pérdida debido a la inversión o imposibilidad de inversión de fondos y bienes del plan diferido de compensaciones, ni se exigirá que la Ciudad ni ninguno de sus funcionarios, empleados o el Director de Rentas Finanzas reemplace ninguna pérdida que pudiera resultar de tal inversión o imposibilidad de inversión de cualquiera de dichos fondos o bienes.
(E) Gestión de la deuda. El Director de Finanzas administrará la deuda y los títulos de deuda financiera en las que incurrió la Ciudad y el Condado.
(F) Cobro de deudas El Director de Finanzas será responsable de cobrar o de provocar el cobro de cualquier deuda u otro título de deuda financiera que se le adeude a la Ciudad y Condado.
(G) Presupuesto. El Director de Finanzas asistirá al Alcalde en la preparación del presupuesto y para llevar a cabo los procedimientos presupuestarios establecidos en el Artículo VII del Estatuto y administrará la implementación del presupuesto en una base de año a año.
(H) Control de riesgos. El Director de Finanzas administrará cualquier programa de seguros y control de riesgos de la Ciudad y Condado, incluido cualquier fondo de auto-seguro; aunque teniendo en cuenta que el Alcalde puede asignar un segmento específico de los programas de seguro y control del riesgo a otro departamento siempre que tal asignación sea en interés de la economía, organización, administración y eficiencia de la Ciudad y el Condado como un todo.
(I) Normativa. El Director está autorizado a adoptar y hacer cumplir las reglas y normas con respecto a las operaciones financieras e intereses de la Ciudad y Condado, compatibles con las facultades y obligaciones asignadas por el Estatuto o por medio de cualquier ordenanza adoptada de acuerdo con el Estatuto.
(J) Otras tareas asignadas por la ordenanza. El Director de Finanzas, además de cumplir con las tareas aquí asignadas, realizará otras obligaciones que no son compatibles con las estipulaciones de este Estatuto, que el Consejo puede requerir por ordenanza.
§ 2.5.4 Facultades y tareas del Tesorero.
(A) Recibo y pago de dinero. El Tesorero recibirá, acusará recibo y guardará el dinero de la Ciudad y Condado y pagará el mismo sólo con las órdenes de pago como se indica por la presente de acuerdo con las reglas promulgadas por el Director de Finanzas, como se indica en el Artículo 2.5.3 (J) y cualquier otra ley o norma aplicable. Ningún funcionario o persona que no sea el tesorero pagará o desembolsará tales sumas de dinero ni ninguna fracción de la misma, excepto si se indica aquí lo contrario. Cuando se libra una orden de pago sobre cualquier fondo en particular, se pagará sólo con respecto a ese fondo.
(B) Todos los ingresos informados y registrados por el Tesorero. Todos los ingresos que se desprendan de los impuestos, licencias, honorarios, multas, sanciones y confiscaciones y de cualquier otra fuente, que pueda cobrar o recibir cualquier funcionario o empleado de la Ciudad y Condado, o cualquier departamento del mismo, en su capacidad oficial o para el desempeño de cualquier obligación oficial, se informará y registrará por medio del Tesorero, de acuerdo con los procedimientos establecidos por el Director del Departamento de Rentas Finanzas.
(C) Otras tareas. El Tesorero, además de cumplir con las tareas aquí asignadas, realizará otras tareas que no son compatibles con las leyes del Estado y este Estatuto, que el Consejo puede requerir por ordenanza.
§ 2.5.5 Facultades y tareas del Asesor.
El Asesor evaluará todas las propiedades imponibles dentro de la Ciudad y el Condado en el momento y en la forma prescripta por las leyes generales del Estado y las estipulaciones de este Estatuto y realizará otras tareas compatibles con tales leyes y las estipulaciones de este Estatuto que el Consejo puede requerir por ordenanza.
El párrafo 3.2.6 (A)(iii) será enmendado eliminando el texto tachado y agregando el texto subrayado para que pueda leerse lo siguiente:
§ 3.2.6 Arrendamientos y contratos.
El Consejo tendrá facultades adicionales para aprobar o desaprobar, por ordenanza o resolución, los arrendamientos u otros instrumentos de venta u otorgamiento de uso a terceros de la propiedad que le pertenece a la Ciudad, como así también ciertos contratos, bajo las siguientes condiciones:
(A) Definiciones. A los fines de este artículo, se aplican las siguientes definiciones:
(iii) El término "propiedad personal" incluirá los bienes personales tangibles e intangibles, que no sean dinero en efectivo ni inversiones en las que invirtió el Director de Rentas Finanzas de acuerdo con el Artículo 2.5.3 del Estatuto.
El Apartado 2 del Artículo V será enmendado eliminando el texto tachado y agregando el texto subrayado para que pueda leerse lo siguiente:
APARTADO 2. FACULTADES Y TAREAS
§ 5.2.1 Facultades y tareas generales del Auditor
(A) El Auditor será el contador general de la Ciudad y el Condado. El Auditor mantendrá un registro oficial de todos los bienes activos y pasivos, ingresos y gastos, órdenes de pago, contratos y nómina de pagos de la Ciudad y el Condado, y todas las intimaciones al tesoro conforme al Artículo 5.2.2; siempre que, no obstante, la custodia física de los contratos sea realizada por el Secretario, como se determina en el artículo 2.8.2 (A). A menos que se lo disponga de otra manera en este Estatuto o por ordenanza, el Auditor prescribirá el modo de realizar, fechar y presentar todas las cuentas.
(B) El Auditor pondrá a disposición la información con respecto a la condición exacta del tesoro y de cada consignación de crédito y de los fondos de allí en más, a pedido del Alcalde, del Consejo o de cualquier otra comisión de allí en más, o de cualquier departamento, agencia, consejo o comisión de la Ciudad y el Condado.
(C) El Auditor autorizará y registrará todas las órdenes de pago como se especifica en la sección 2.5.3(A) y refrendará y registrará todos los contratos.
(D) El Auditor verificará que se prescriban y observen todas las normas y reglamentaciones en relación con las cuentas, liquidaciones e informes; que no se sobregiren ni usen los fondos de forma inapropiada; y que no se incurra en deudas, que no se desembolse dinero ni que se disponga de las propiedades de la Ciudad y el Condado de forma contraria a la ley.
(E) El Auditor realizará aquellas otras tareas que no sean incompatibles con las estipulaciones de este Estatuto, según lo puede exigir el Consejo mediante ordenanza.
(A) Auditoría interna. El Auditor llevará a cabo auditorías financieras y del desempeño de la Ciudad y el Condado y de sus departamentos y agencias en conformidad con las normas gubernamentales de auditoría generalmente aceptadas, promulgadas por la Auditoría General de los Estados Unidos. El Auditor llevará a cabo auditorías de las operaciones financieras individuales, los contratos y las concesiones de la Ciudad y el Condado; y auditará de manera general los sistemas financieros y contables y los procedimientos administrados por el Director de Finanzas y otros departamentos y agencias de la Ciudad y el Condado, incluidos los sistemas de registro, la identificación de ingresos, la contabilidad y las prácticas de pago, para el cumplimiento de los principios contables generalmente aceptados, de las mejores prácticas de administración financiera y de las leyes y reglamentaciones aplicables que rigen las prácticas financieras de la Ciudad y el Condado. El Auditor le informará los resultados de las auditorías al Consejo de Audiencias, como se estipula en el Artículo 5.2.2.
(B) Plan anual de trabajo; auditorías especiales. El tercer lunes de octubre de cada año o antes, el Auditor le presentará al Alcalde y al Consejo de la Ciudad un plan de trabajo de auditoría para el siguiente período fiscal, sólo con fines informativos. El plan de trabajo identificará los departamentos, agencias, programas, contratos y concesiones específicos u otros asuntos que el Auditor haya programado auditar en el siguiente año fiscal. El Alcalde o el Consejo de la Ciudad pueden solicitar auditorías especiales o auditorías de emergencia, o también el Auditor puede proponerlas en cualquier momento; siempre que, no obstante, la decisión final para el desarrollo de las auditorías sea según el criterio exclusivo del Auditor.
(C) Acceso a los registros. En todo momento, el Auditor tendrá acceso a todos los libros, cuentas, informes, comprobantes y demás registros de información conservados por el Director de Finanzas o por cualquier otro departamento o agencia de la Ciudad y el Condado. Al verificar las auditorías realizadas, el Auditor tendrá derecho a cerciorarse de las sumas depositadas en cualquier banco o depositario perteneciente a la Ciudad o al Condado o a cualquiera de sus departamentos o agencias, y tendrá derecho a auditar las cuentas mencionadas en los libros de los bancos o depositarios mencionados.
(D) Contratos. A menos que el Consejo de Audiencias lo exceptúe, como se estipula en el Artículo 5.2.2 (C), el Auditor refrendará y registrará todos los contratos de la Ciudad y del Condado para comprobar que no se incurra en deudas, que no se desembolse dinero, ni se disponga de las propiedades de la Ciudad y el Condado de forma contraria a la ley.
(E) Consejo de Audiencias. El Auditor presidirá el Consejo de Audiencias según lo estipulado en el Artículo 5.2.2, y ayudará al Consejo de Audiencias a llevar a cabo las facultades y tareas estipuladas en el presente.
(F) Otras tareas asignadas mediante ordenanza. El Auditor realizará aquellas otras tareas que no sean incompatibles con las estipulaciones de este Estatuto y que pueda exigirle el Consejo mediante ordenanza. Mediante ordenanza, el Consejo establecerá los procedimientos para requerir la confidencialidad de los descubrimientos preliminares de la auditoría, a fin de requerir la divulgación pública de los descubrimientos finales de la auditoría a través del Consejo de Audiencias y para solicitar la respuesta de los departamentos y de las agencias para auditar los descubrimientos. Ninguna ordenanza comprometerá la independencia del Auditor, según lo establecen las normas generalmente aceptadas que rigen las auditorías, promulgadas por la Auditoría General de los Estados Unidos.
5.2.2 Consejo de Audiencias.
Habrá un Consejo de Audiencias presidido por el Auditor, integrado por el Auditor y otros seis integrantes, dos de los cuales serán designados por el Alcalde, dos por el Consejo y dos por el Auditor, respectivamente. Con la excepción del Auditor, ningún integrante del Consejo de Audiencias tendrá otra función o empleo para la Ciudad ni el Condado mientras trabaje para el Consejo de Audiencias. Los miembros del Consejo de Audiencias serán designados tomando como base su educación o experiencia en contabilidad, auditoría, administración financiera o en campos de conocimiento relacionados. Las facultades y las tareas del Consejo de Audiencias incluyen lo siguiente:
(A) Audiencia externa independiente. El Consejo de Audiencias ordenará anualmente una audiencia externa independiente de las finanzas de la Ciudad y el Condado, que deberá ser realizada conforme a las normas de auditoría generalmente aceptadas; siempre que, no obstante, el contrato con el auditor externo independiente sea objeto de la aprobación del Consejo y la ejecución del Alcalde como se establece en este estatuto. El Consejo de Audiencias supervisará el trabajo del auditor independiente externo, recibirá sus informes y le comunicará al Alcalde, al Director de Finanzas, al Consejo y al público en general, los descubrimientos y las recomendaciones del auditor externo independiente.
(B) Auditoría interna. El Consejo de Audiencias recibirá los resultados de las auditorías internas llevadas a cabo por el Auditor en cumplimiento del artículo 5.2.1 (A) y le comunicará los descubrimientos y las recomendaciones al Alcalde, al Director de Finanzas, al Consejo y al público en general.
(C) Contratos. El Consejo de Audiencias determinará qué excepciones, si las hubiera, se realizarán en relación con los requerimientos del artículo 5.2.1 (D) con respecto al refrendamiento de parte del Auditor de los contratos de la Ciudad y el Condado y del artículo 10.1.8 concerniente al refrendamiento de parte del Auditor de los contratos de los miembros de la Junta del Agua. Las excepciones se basarán en el tipo, la suma o la pertinencia de los contratos.
(D) Plan de trabajo anual del Auditor. El Consejo de Audiencias revisará el plan de trabajo anual del Auditor antes de la entrega del plan de parte del Auditor al Alcalde y al Consejo de la Ciudad, según lo establecido en el artículo 5.2.1 (B).
(E) Demandas. El Consejo de Audiencias establecerá los procedimientos para la recepción, conservación y tratamiento de las demandas relacionadas con la contabilidad, los controles contables internos o los temas de auditoría.
(F) Otras tareas asignadas mediante ordenanza. El Consejo de Audiencias realizará aquellas otras tareas que no sean incompatibles con las estipulaciones de este Artículo, que pueda requerirle el Consejo mediante ordenanza.
5.2.3 Consignaciones de crédito para financiar al Auditor y al Consejo de Audiencias
El Consejo designará fondos suficientes para el Auditor y el Consejo de Audiencias para permitirles el ejercicio de las facultades y tareas establecidas en el presente, y para obtener oficinas, suministros y empleados adecuados para la realización de estas facultades y tareas.
§ 5.2.2 Auditoría de las solicitudes de pago del tesoro.
(A) Todas las solicitudes al tesoro de la Ciudad y del Condado serán verificadas y autorizadas por la autoridad responsable de los gastos de la Ciudad y del Condado, a cuyo nombre se realiza la solicitud, y, antes del pago, se presentarán al Auditor. El Auditor determinará si el pago de la solicitud podría ser contrario a la ley, contra qué consignación de crédito y sobre qué fondos debe pagarse dicha solicitud.
(B) Si el Auditor aprueba la solicitud, entonces deberá registrar su aprobación de la misma y realizar el pago. Si el Auditor no aprueba la solicitud, entonces deberá devolverla a la autoridad de gastos a cuyo nombre se realizó la solicitud, estableciendo los fundamentos para desaprobarla. No se aprobará ni se pagará ninguna solicitud a menos que se la presente de la forma establecida en este Estatuto.
§ 5.2.3 Reservado.
§ 5.2.4 Informes del Auditor para el Consejo.
El Auditor le entregará al Consejo un informe que muestre los recibos, desembolsos y condiciones de cada uno de los fondos al cierre de los negocios el treinta de junio, y también le proporcionará al Consejo el 15 de marzo o antes un informe de las operaciones financieras de la Ciudad y del Condado durante el período fiscal anterior.
§ 5.2.9 Auditoría de la nómina de pagos y otros temas relacionados con el empleo.
(A) Los sueldos, salarios, reembolsos y cualquier otro tipo de compensación del Auditor y de los empleados del auditor serán auditados y autorizados por el Alcalde. Los salarios de los funcionarios elegidos y designados del Estatuto, establecidos conforme a los artículos 9.2.1 y 9.2.6 serán autorizados por el Auditor sin aprobación previa. Excepto en el caso de lo estipulado de otra manera en este inciso, cualquier solicitud de pago al tesoro por sueldos, salarios, reembolsos o cualquier tipo de compensación de los funcionarios o empleados, antes de ser auditadas o pagadas, deben ser verificadas primero por la autoridad que designó al funcionario o al empleado, y luego auditadas como se estipula en el artículo 5.2.2.
(B) Cuando un funcionario se encuentre legalmente autorizado a emplear a una persona que no sea uno de sus adjuntos o asistentes con una compensación establecida y fija por ley, y esa persona haya brindado el servicio para el que fue empleada, dicho funcionario y dicha persona prepararán y le entregarán al Auditor, en los intervalos que puedan exigirse mediante ordenanza, una declaración verificada que demuestre la realización del servicio, por quién y para quién fue realizado, la suma de la compensación y el tiempo que se utilizó realmente.
(C) Después de que cualquier funcionario o empleado de la Ciudad o del Condado haya sido despedido o haya cesado en sus funciones, la autoridad que lo designó informará inmediatamente sobre esta situación al Auditor, dando el nombre del empleado y la fecha en que cesó en su empleo.
§ 5.2.10 Acciones contra las personas que no pagan las cuentas que le deben a la Ciudad.
Si una persona a cargo de sumas de dinero u otros bienes personales que le pertenezcan a la Ciudad y Condado, o a quién se le haya encargado el cobro, la administración o el desembolso de sumas de dinero, bonos o intereses acumulados de ellos que pertenezcan o estén a cargo de la Ciudad y Condado no rinde cuentas por las mismas ni realiza una liquidación de cuentas con el Tesoro dentro del período prescripto por ley; o cuando no haya un período especificado, no rinde dichas cuentas ni realiza dicha liquidación dentro de los diez días posteriores a la notificación del Auditor, el Auditor establecerá una cuenta con dicha persona cobrándole el máximo interés permitido por la ley o el contrato desde el momento en que se produjo el incumplimiento, y presentará una copia de ello ante el Abogado Municipal. Dicha persona, si trabaja para le Ciudad y Condado, también será objeto de destitución. En cualquier litigio, una copia de dicha cuenta será una prueba suficiente prima facie de lo que se establece al respecto. Si el Auditor no puede establecer una cuenta por falta de información en cualquier acción legal iniciada donde pueda verificarse el hecho, será suficiente afirmar de manera general la cantidad de dinero u otro bien que se le debe o que pertenezca a la Ciudad y Condado. El Abogado Municipal entablará todos los juicios que surjan por este Artículo dentro de los días posteriores a la notificación de parte del Auditor, y los llevará adelante hasta el final.
El Artículo 7.1.2 será enmendado eliminando el texto tachado y agregando el texto subrayado para que pueda leerse lo siguiente:
§ 7.1.2 Calendario del presupuesto; estimaciones del presupuesto; programa de mejoras del capital.
El 1º de mayo de cada año o antes el Alcalde preparará un calendario del presupuesto y los procedimientos para la preparación del presupuesto. El 1º de julio de cada año o antes todas las agencias, oficinas, departamentos, consejos, comisiones y demás agencias de inversiones de la Ciudad y Condado prepararán y le presentarán al Alcalde y al Consejo de la Ciudad las estimaciones de sus requerimientos de gastos y sus ingresos estimados para el siguiente año fiscal. Las estimaciones de gastos se basarán en los programas de trabajo específicos, que se establecerán con el suficiente detalle como para justificar los gastos propuestos. Los gastos propuestos se clasificarán también para exponer los datos por fondos, carácter y objeto de los mismos y los demás detalles que el Alcalde o el Consejo de la Ciudad puedan exigir. Las estimaciones de los beneficios se clasificarán como fondos y fuentes de ingresos con los detalles que puedan exigir el Alcalde o el Consejo de la Ciudad. Pueden proponerse cambios en las ordenanzas para establecer impuestos, honorarios, costos y otros tipos de ingresos. El Director de Rentas Finanzas certificará ante el Alcalde y el Consejo de la Ciudad la suma de dinero que se recaudará por los impuestos para pagar los intereses sobre el endeudamiento general y vinculado de títulos de deuda y para proporcionar el fondo de amortización. El Alcalde desarrollará planes a largo plazo para obtener mejoras en el capital y preparará un programa de 6 años para mejoras en el capital.
El Artículo 7.1.8 será enmendado eliminando el texto tachado y agregando el texto subrayado para que pueda leerse lo siguiente:
§ 7.1.8 Asignación de presupuesto y programas de trabajo.
A los quince días del mes de diciembre o antes, todos los años, las diferentes agencias, oficinas, departamentos, comités, comisiones y otras agencias encargadas de inversiones le presentarán al Alcalde los planes de gastos del presupuesto revisados, programas de trabajo y asignaciones de presupuesto de acuerdo con el presupuesto y las asignaciones de crédito adoptadas por el Consejo. El Alcalde revisará las asignaciones y podrá revisar, alterar o cambiar las asignaciones pero no podrá aumentar ni reducir la cantidad total de la agencia encargada de inversiones. El Alcalde le presentará una copia de las asignaciones con los documentos de respaldo necesarios al Auditor Director de finanzas y le presentará al Consejo las copias de los planes de gastos, programas de trabajo y asignaciones. El Auditor Director de Finanzas le permitirá a las agencias encargadas de inversiones que se realicen gastos legales a partir de las consignaciones de crédito en base a las asignaciones aprobadas y no de otra manera. Las asignaciones aprobadas se pueden revisar durante el ejercicio presupuestario de la misma forma que se realizó con las asignaciones originales.
El Artículo 7.4.4 será enmendado eliminando el texto tachado y agregando el texto subrayado para que pueda leerse lo siguiente:
§ 7.4.4 Cobranza de impuestos regida por la ley del Estado.
El Director de Rentas Tesorero cobrará dichos impuestos de la misma manera y en el mismo momento en los que se cobran los impuestos del Estado y se aplicarán todas las leyes estatales para el cálculo y cobranza de los impuestos generales, inclusive las leyes para la venta de propiedad para los impuestos y la liquidación de los mismos y tendrán una vigencia tan plena para la cobranza de impuestos para la Ciudad y el Condado como para los impuestos generales, excepto según se modifique por este Estatuto o por ordenanza. El Director de Rentas le informará inmediatamente al Auditor sobre el monto de cobranzas de impuestos.
El Artículo 7.4.5. será enmendado eliminando el texto tachado para que pueda leerse lo siguiente:
§ 7.4.5 Impuestos estatales y escolares.
El Tesorero cobrará todos los impuestos recaudados para fines estatales y escolares de las personas y propiedad dentro de la Ciudad y Condado y se les pagará a él o ella de conformidad con las leyes generales del Estado. Todos los montos cobrados de esta manera y desembolsados o pagados se deben incluir en los informes al Auditor y Consejo según se exige por medio de este Estatuto.
El Artículo 7.4.6 será enmendado eliminando el texto tachado y agregando el texto subrayado para que pueda leerse lo siguiente:
§ 7.4.6 Comité de Nivelación.
Por medio de la presente se crea un Comité de Nivelación formado por el Presidente del Consejo, el Director de obras públicas, el Director de Rentas Finanzas, el Secretario y el Funcionario encargado de los registros y el Director de servicios generales, tres de los cuales constituirán un quórum para la transacción de negocios, para realizar sus tareas y funciones en referencia a la nivelación, reducción, supresión y reembolso de los impuestos generales requeridos por la constitución y las leyes estatales generales que se realizarán por los comisionados del Condado, excepto la recaudación de impuestos, que se recaudará por el Consejo.
El Inciso 9.2.1 (B) será enmendado eliminando el texto tachado y agregando el texto subrayado para que pueda leerse lo siguiente:
§ 9.2.1 Salarios y beneficios de ciertos funcionarios, según el Estatuto y establecidos por ordenanza.
Los salarios y beneficios anuales de los siguientes funcionarios de la Ciudad y Condado de Denver se establecerán por ordenanza según se contempla de aquí en adelante:
(B) Funcionarios designados por el Estatuto. Director del Departamento de Salud Ambiental; Director del Departamento de Obras Públicas; Abogado Municipal; Director del Departamento de Seguridad; Director del Departamento de Rentas Finanzas; Director del Departamento de Parques y Recreación; Director del Departamento de Servicios Generales; Director del Departamento de Servicios Humanos; Director del Departamento de Aviación; Director del Departamento de la Planificación y Desarrollo de la Comunidad; Secretario y funcionario encargado de Registros; Director de Impuestos Internos y Licencias.
El Artículo 10.1.7 será enmendado eliminando el texto tachado y agregando el texto subrayado para que pueda leerse lo siguiente:
§ 10.1.7 Fondo para obras sanitarias.
Por medio de la presente se crea un Fondo para obras sanitarias en el cual se colocarán todas las rentas recibidas del funcionamiento del sistema y planta de obras sanitarias junto con todas las sumas de dinero recibidas por el Comité de otras fuentes. El Comité llevará los registros de conformidad con los principios de contabilidad generalmente aceptados y suficientes para que el Tesorero y el Auditor Director de Finanzas pueda depositar plena confianza en la contabilidad del Fondo para obras sanitarias. El Comité depositará inmediatamente todos los ingresos en una cuenta bancaria a nombre de la Ciudad y Condado de Denver, actuando por medio y a través de su Comité de Comisionados Sanitarios. El Comité puede invertir dichos fondos hasta que sea necesario para el funcionamiento del Comité. Se pagarán las sumas de dinero de la cuenta solamente con la autoridad del Comité y con la comprobación de las órdenes de pago libradas por el Tesorero por medio del Auditor de la Ciudad y Condado de Denver, excepto con respecto a los bonos generales de los títulos de la deuda y sus intereses, que el Tesorero pagará utilizando los procedimientos aprobados por el Director de Rentas según se requiera de conformidad con los procedimientos establecidos por el Director de Finanzas.
El Artículo 10.1.8 será enmendado eliminando el texto tachado y agregando el texto subrayado para que pueda leerse lo siguiente:
§ 10.1.8. Auditor de la ciudad.
El Auditor de la Ciudad y Condado de Denver auditará o hará que se auditen las cuentas del Comité, al menos anualmente y confeccionará un informe de sus descubrimientos para el Consejo de la Ciudad y Condado de Denver. El Comité pondrá a plena disposición del Auditor todas las cuentas y registros para permitirle permitir que el Auditor lleve a cabo sus tareas que se deben realizar sin interferencia de la función de las obras sanitarias. A menos que se exceptúe por la Comisión de Auditoría según se contempla en el artículo 5.2.2 (C), el Auditor, o una persona designada por él o ella, firmará todas las órdenes de pago, refrendará y registrará todos los bonos y contratos escritos (con privilegio, pero sin necesidad de conservar copias de los mismos). El Auditor puede autorizar que se coloque su firma a través de medios mecánicos.
Artículo 2. Las máquinas para votar y las boletas de votación para dicha elección llevarán la siguiente designación, que será el título y la cláusula de presentación:
Artículo 3. Cada Elector que vote en la elección y esté a favor o en contra de la enmienda indicará la elección del elector pulsando el contador apropiado de la máquina para votar, que indique la palabra “SÍ” o la palabra “NO”, o si utilizar la boleta de votación, marcando adecuadamente en dicha boleta.
Artículo 4. Los funcionarios apropiados de la Ciudad y Condado de Denver según las tareas encomendadas en relación con la elección harán, antes de la elección, el llamado correspondiente, realizarán dichas certificaciones y publicaciones, notificarán, realizarán las designaciones apropiadas y harán todos los actos y actividades relacionadas con la presentación de esta enmienda en el Estatuto para los electores de la elección registrados de la Ciudad y Condado de Denver, según lo exija la Constitución y las leyes estatales de Colorado y el Estatuto y las ordenanzas de la Ciudad y Condado de Denver.
Artículo 5. Se llevará a cabo el escrutinio de los votos emitidos en dicha elección y los resultados establecidos, determinados, y certificados de conformidad con los requisitos de la Constitución y las leyes del Estado de Colorado y el Estatuto y las ordenanzas de la Ciudad y el Condado de Denver.
Artículo 6. Si se invalida o queda sin efecto por cualquier motivo, algún artículo, párrafo, cláusula u otra parte de esta ordenanza, no se afectará la validez del texto restante de la misma.
A CONTINUACIÓN SE ENCUENTRA UN RESUMEN DE LOS COMENTARIOS ESCRITOS EN FAVOR DE LA CUESTIÓN REFERIDA Y PRESENTADA ANTE EL FUNCIONARIO DESIGNADO DE LA ELECCIÓN:
A CONTINUACIÓN SE ENCUENTRA UN RESUMEN DE LOS COMENTARIOS ESCRITOS EN OPOSICIÓN A LA CUESTIÓN REFERIDA Y PRESENTADA ANTE EL FUNCIONARIO DESIGNADO DE LA ELECCIÓN:
| | English to Spanish: Teen immunization survey | Source text - English
TEEN IMMUNIZATION SURVEY
CATI Specifications
7/28/2006 9:55 AM
National Immunization Program
National Center for Health Statistics
NIS SCREENER (SECTION S)
TEEN SCREENER
SECTION A (RESPONDENT HAS SHOT RECORDS)
SECTION B (RESPONDENT DOES NOT HAVE SHOT RECORDS)
HEALTH
DEMOGRAPHICS
PROVIDER SECTIONS
CALL BACK SCRIPTS
ANSWERING MACHINE SCRIPTS
TEEN SCREENER
IF COMPLETED NIS INTERVIEW, READ:
TIS_C2Q0A (FOR NIS ELIGIBLE CASES)
You have already given me (NAME OF NIS-ELIGIBLE CHILD OR CHILDREN)'s birth date(s). Now, would you please tell me the age(s) of your other (IF [(answer to c1-c1a) - S_NUMB = 1; INSERT ‘child’/ IF [S_UNDR18 - S_NUMB > 1; INSERT ‘children’) under the age of 18?
YES 01 SKIP TO TIS_INTRO2
WRONG NUMBER OF CHILDREN UNDER 18 02SKIP TO TIS_UNDR18, CORRECT, AND RETURN TO C2Q0A
[Read for ALL TIS selected households]
IF NCIR FOR NIS, READ:
TIS_Under18
How many people less than 18 years old live in this household?
___ ___PERSONS under 18 years of age [IF HOUSEHOLD COMPLETED NIS INTERVIEW, SKIP TO TIS_INTRO2, ELSE SKIP TO TIS INTRO_1]
DON’T KNOW 77 SKIP TO TIS_ TIS_S1AREF]
REFUSED 99 SKIP TO TIS_S1AREF]
IF TIS_UNDER18 = 0, GO TO 3_TERM
IF NIS S4 =1 THEN FILL IN FROM S4 AND GO TO TIS_INTRO1
TIS_S1ADK
Is there anyone in your household who knows how many people in this household who are less than 18 years old?
NEW PERSON COMES TO PHONE 1GO TO TIS_UNDER18
NO 2 [GO TIS_S1TERM]
TIS_S1TERM Thank you, we’ll try back another time.
TIS_S1AREF
The only reason we need to know how many children in this household are in this age group is to determine if you’re eligible to participate in this study.
CONTINUE 1 RETURN TO TIS_UNDER18
R STILL REFUSES: 2 SKIP TO TIS_REFKID
TIS_REFKID
Since we need to know how many children are in this age group in order to continue, these are all the questions I have at this time. I'd like to thank you on behalf of the Centers for Disease Control and Prevention for the time you have spent answering these questions. [GO TO R1]
[IF S3_INTRO has not been read:]
TIS_INTRO1
Before we continue, I'd like you to know that taking part in this research is voluntary. You may choose not to answer any question you don’t want to answer or stop at any time. We are required by the Public Health Service Act to keep your answers strictly private. I can give you more information on this and other federal laws if you want. They guarantee that your answers will be used only for statistical research. In order to review my work, my supervisor may record and listen as I ask the questions. I'd like to continue now unless you have any questions.
YES 1 SKIP TO TIS_SAGE_X
Respondent asks for description of law 2 GO TO S3_LAW
TIS_S3_EVAL_R Yes, respondent agrees to recording/listening 1 GO TO TIS_SAGE_X
No, the respondent does not agree to
recording/listening 2 GO TO TIS_SAGE_X
TIS_S3_LAW/
The Public Health Service Act is Volume 42 of the US Code, Section 242k. The collection of information in this survey is authorized by Section 306 of this Act. The confidentiality of your responses is assured by Section 308d of this Act, and the Confidential Information Protection and Statistical Efficiency Act.
Continue TIS_INTRO1
[IF S3_INTRO has been read:]
TIS_INTRO2
As we said earlier, you may choose not to answer any question you don’t want to answer or stop at any time. I’d like to continue now unless you have any questions.
YES 1 SKIP TO TIS_SAGE_X
TIS_S3AGE_x
What is the age of the (first, second third) child under 18?
_____NUMBER
YEARS 1
MONTHS 2
TIS_AGEREF
I understand you may be uncomfortable, however, all information is confidential under Federal Law.
RETURN TO QUESTIONNAIRE 1 SKIP TO TIS_S3AGE_X
R STILL REFUSES 99 IF LAST CHILD GO TO TIS_TERM
TIS_AGEDK
Is there anyone available who would know the child/children age?
NEW PERSON COMES TO PHONE 1 SKIP TO TIS_UNDER18
NO 2 SKIP TO TIS_S1TERM
TIS_AGE_
CONFIRM So, you have a (FILL WITH AGE IN YEARS FOR ALL). Is that correct?
GO TO TIS_S3Intro
TIS_TERM IF NIS INTERVIEW COMPLETED, READ AND FINAL REFUSAL
Those are all the questions I have. You may be re-contacted in the future to participate in related studies. If you are contacted to participate in future surveys, you have the right to refuse. I'd like to thank you again on behalf of the Centers for Disease Control and Prevention for the time and effort you've spent answering these questions. If you would like more information about the National Immunization Study, please call the study's toll-free number, 1-866-999-3340. If you have questions about your rights as a study participant, you may call 1-800-223-8118, toll-free, and leave a message asking to speak to the Chairperson of the Ethics Review Board.
IF NIS NCIR, READ:
Those are all the questions I have. I'd like to thank you on behalf of the Centers for Disease Control and Prevention for the time and effort you spent answering these questions. [IF RESPONDENT DISCONNECTS AT ANY TIME ON THIS SCREEN USE ENTER TO EXIT SCREEN AND TERMINATE INTERVIEW.]
IF CHILD IS NOT 13, 14, 15, 16 OR 17 BUT UNDER 18 YEARS OF AGE GO TO SLAITS
IF TIS3CONF FILL2 <13 or >16, and sample code = 2 or 3 then go to SLAITS:
IF TIS3CONF FILL2 <13 or >16, and sample code = 1 then read:
TIS_S1AQT
Those are all the questions I have. This survey is collecting information on the health of children between 13 and 17 years old only. I’d like to thank you on behalf of the Centers for Disease Control and Prevention for the time you spent answering these questions. [TERMINATE INTERVIEW]
TISYRREF
I understand you may be uncomfortable, however, all information is confidential under Federal Law. The only reason we need your child’s birth date is to know which immunization questions to ask (IF NECESSARY: If you would feel more comfortable, I can enter only a month and year of birth.)
RETURN TO QUESTIONNAIRE 1 SKIP TO TIS_S3
R STILL REFUSES 99 SKIP TO TISYRQUIT
TISYRDK
The reason we need your child’s birth date is to know which immunization questions to ask. Is there anyone available who would know the child’s month, day, and year of birth?
NEW PERSON COMES TO PHONE 1 SKIP TO S_under18
NO 2 SKIP TO TIS_CB3]
TISYRQUIT
Since we need a birth date in order to continue, these are all the questions I have at this time. I’d like to thank you on behalf of the Centers for Disease Control and Prevention for the time you spent answering these questions. [TERMINATE INTERVIEW]
TIS_S3INTRO [TIS_UNDER18 =1 then go to TIS_S3 ]
(IF TIS_UNDR18 > 1 THEN FILL: The computer randomly chose this child for the interview the child who is (fill in age) and we will not be asking questions about any other child from this point forward.)
TIS_S3
So I’ll know which vaccination questions to ask, please tell me the month, day, and year of birth of the child (fill in age in years).
MM/DD/YYYY ENTER BIRTH DATE SKIP TO TIS3CONF]
DON’T KNOW 99/99/9996 77 SKIP TO TISYRDK
REFUSED 99SKIP TO TISYRREF
IF HAVE YEAR, CALCULATE AGE BASED ON YEAR
TIS3CONF
FILL1: ordinal # of kid derived from TIS_S3_# where # is 1 to 9 depending on the iteration.
If TIS_S1A = 1 FILL1 is empty, therefore “… the child…”
FILL2: age of child in years
That would make this child [FILL2] old; is that correct?
YES 1 SKIP TO TIS_S4
NO 2 SKIP TO TIS_S3
TIS_S4
FILL: BIRTH DATE FROM TIS_S3 FOR SELECTED CHILD
Is this child male or female?
MALE 1 SKIP TO TIS_S5
FEMALE 2 SKIP TO TIS_S5
DON'T KNOW 77 SKIP TO TIS_S5
REFUSED 99 SKIP TO TIS_S5
IF TIS_S4 = 1, GENDER 1 = HIM, GENDER2 = HIS, GENDER3 = HE
IF TIS_S4 = 2, GENDER1 = HER, GENDER2 = HER, GENDER3 = SHE
TIS_S5
FILL1 = GENDER1
FILL2 = GENDER2
FIELD = 35 CHARACTERS
So I’ll know how to refer to [FILL1] during the interview, please tell me [FILL2] first name or initials.
_____________ SKIP TO TIS_S4A]
IF NIS S4 =1 THEN FILL IN FROM S4 AND GO TO TIS_INTRO1
TIS_S4A
Since this survey asks about immunizations children may have received, I need to speak to the person living in your household who knows the most about the immunizations or shots that [FIRST NAMES OF CHILD FROM TIS_S5] has received. Are you this person?
YES 1 SKIP TO TIS_SR1
NO 2 SKIP TO TIS_S5A
May I speak with this person now?
YES 1 KIP TO TIS_S5BOX
NO 2 SKIP TO TIS_MR1
TIS_S5BOX
Hi. I’m calling for the Centers for Disease Control and Prevention. We’re calling about an important national study of immunization. I’d like you to know that this study is voluntary You can skip any question you don’t want to answer, or end the interview without penalty. We are required by the Public Health Service Act to keep your answers strictly private. I can describe these laws if you want. They guarantee that your answers will be used only for statistical research. The questions take between 15 and 25 minutes. In order to review my work, my supervisor may record and listen as I ask the questions. I’d like to continue unless you have any questions. SKIP TO TIS_SR1]
YES 1 SKIP TO TIS_SAGE_X
Respondent asks for description of law 2 GO TO S3_LAW
TIS_S5EVAL_BOX Yes, respondent agrees to recording/listening 1 GO TO TIS_SAGE_X
No, the respondent does not agree to
recording/listening 2 GO TO TIS_SAGE_X
TIS_S5LAW_BOX
The Public Health Service Act is Volume 42 of the US Code, Section 242k. The collection of information in this survey is authorized by Section 306 of this Act. The confidentiality of your responses is assured by Section 308d of this Act, and the Confidential Information Protection and Statistical Efficiency Act.
Continue TIS_INTRO1
TIS_MR1
Before we hang up, please tell me the first name of the person who knows the most about (this child’s/these children’s) immunizations.
First Name:__________________________________ SKIP TO TIS_MR3
TIS_MR3
Would I call the same telephone number where I reached you?
YES 1 SKIP TO TIS_MR2
NO 2 SKIP TO TIS_MR4
TIS_MR4
What number should I call?
AREA CODE:_______________
NUMBER:__________________ SKIP TO TIS_MR2
TIS_MR2
When would be a good time to call back and speak with [FILL VAR: this person/NAME FROM TIS_MR1]?
SELECT APPOINTMENT AND ENTER THE APPROPRIATE DATE/TIME ON THE NEXT APPOINTMENT SCREEN
IF CALLBACK, SELECT CONTINUE AND READ THE NEXT SCREEN STATEMENT FOR THE MOST KNOWLEDGEABLE CALLBACK INTRODUCTION
APPOINTMENT 1 GO TO UNIVERSAL EXIT-CB1
CONTINUE 2 GO TO TIS_S5_BOX
TIS_SR1
FILL = TIS_S5 (NAME OF SELECTED CHILD)
Because the Centers for Disease Control and Prevention needs accurate information on immunizations children receive, we would like you to refer to shot records. Do you have any shot records for [FILL]?
YES 1 SKIP TO TIS_SR2
NO 2 SKIP TO TIS_BINTRO
DON’T KNOW 77 SKIP TO TIS_SR2
REFUSED 99 SKIP TO TIS_SR2
TIS_SR2
FILL = TIS_S5 (NAME OF SELECTED CHILD)
Some children receive many shots, and the names and dates of those shots can be difficult to remember. It would be helpful if you could bring [FILL]'s shot record(s) to the phone. (IF NECESSARY: I'll be happy to wait while you go get it/them)
HAS SHOT RECORDS 1 SKIP TO TIS_SR3
CAN’T/WON’T GET SHOT RECORDS 2 SKIP TO TIS_BINTRO
TIS_SR3
Does the shot record include all the immunizations that [FILL] has ever received?
Yes 1 skip to TIS_AINTRO
No 2 skip to TIS_AINTRO
Don’t know 77 skip to TIS_AINTRO
Refused 99 skip to TIS_AINTRO
Section A
BEGIN SECTION 2
USE DATE CHECKS FROM NIS – DATES OF SHOTS CANNOT BE OLDER THAN CHILD OR PAST TODAY’S DATE
TIS_AINTRO.
Thank you for getting the shot records.
TIS_AMMR
Looking at the shot record, please tell me how many times [FILL] has received a measles shot or an M-M-R shot, that is, a measles, mumps, and rubella shot,
SHOTS _________ SKIP TO TIS_AMMR_Date]
[IF = 0, SKIP TO TIS_AMMR_Recall]
DON’T KNOW 77 SKIP TO TIS_AMMR_Recall
REFUSED 99 SKIP TO TIS_AMMR_Recall
TIS_AMMR_Date
What is the date (on the record) for the [FILL VAR: (First/Second/third)]
measles shot or M-M-R shot?
first… MM/DD/YYYY
second… MM/DD/YYYY
third… MM/DD/YYYY
fourth… MM/DD/YYYY
SKIP TO TIS_AHepB]
DON’T KNOW 77 SKIP TO TIS_AMMR_Recall
REFUSED 99 SKIP TO TIS_AMMR_Recall
TIS_AMMR_Recall
I know that it might be difficult, but do you remember if [FILL] received a measles shot?
Yes 1 SKIP TO TIS_AMMR_Dose
No 2 SKIP TO TIS_AHepB
Don’t know 77 SKIP TO TIS_AHepB
Refused 99 SKIP TO TIS_AHepB
TIS_AMMR_Dose
How many measles or MMR shots did [FILL] ever receive?
Number of shots ____________ SKIP TO TIS_AHepB
ALL SHOTS 50 SKIP TO TIS_AHepB
DON’T KNOW 77 SKIP TO TIS_AHepB
REFUSED 99 SKIP TO TIS_AHepB
TIS_AHepB
Looking at the shot record, please tell how many times has [FILL] received a hepatitis B shot?
SHOTS _________________ SKIP TO TIS_AHepB_Date)
(if =0, skip to TIS_AHepB_Recall)
Don’t know 77 SKIP TO TIS_AHepB_Recall
Refused 99 SKIP TO TIS_AHepB_Recall
TIS_AHepB_Date
What is the date (on the record) for the [FILL VAR: (First/Second/...Eighth)]
Hepatitis B shot?
first… MM/DD/YYYY
second… MM/DD/YYYY
third… MM/DD/YYYY
fourth… MM/DD/YYYY
fifth… MM/DD/YYYY
SKIP TO TIS_AHepB _Man
Don’t know 77 SKIP TO TIS_AHepB_Recall
Refused 99SKIP TO TIS_AHepB_Recall )
TIS_AHepB_Recall
I know that it might be difficult but do you remember if [FILL] ever received hepatitis B shots?
Yes 1 SKIP TO TIS_AHepB_Dose
No 2 SKIP TO TIS_AHepA
Don’t know 77 SKIP TO TIS_AHepA
Refused 99 SKIP TO TIS_AHepA
TIS_AHepB_Dose
How many Hepatitis B shots did [FILL] ever receive?
Number of shots____________ SKIP TO TIS_AHepB _Man)
All shots 50 SKIP TO TIS_AHepB _Man
Don’t know 77 SKIP TO TIS_AHepA
Refused 99 SKIP TO TIS_AHepA
TIS_AHepB _Man
Did [FILL] receive hepatitis B shots because of a school requirement?
Yes 1 SKIP TO TIS_AHepA
No 2 SKIP TO TIS_AHepA
Don’t know 3 SKIP TO TIS_AHepA
Refused 4 SKIP TO TIS_AHepA
TIS_AHepA
Looking at the shot record, please tell how many times has [FILL] received a hepatitis A shot?
SHOTS_________ SKIP TO TIS_AHepA _Date
[IF = 0, SKIP TO SKIP TO TIS_HepA _Recall)
DON’T KNOW 77 SKIP TO TIS_AHepA_Recall
REFUSED 99 SKIP TO TIS_AHepA_Recall
TIS_AHepA _Date
What is the date (on the record) for the [FILL VAR: (First/Second/Third)]
Hepatitis A shot?
first… MM/DD/YYYY
second… MM/DD/YYYY
third… MM/DD/YYYY
fourth… MM/DD/YYYY
SKIP TO TIS_AHepA _Recom
Don’t know SKIP TO TIS_AHepA _Recall)
Refused SKIP TO TIS_AHepA _Recall)
TIS_AHepA _Recall
I know that it might be difficult, but do you remember if [FILL] ever received hepatitis A shots?
Yes SKIP TO TIS_AHepA _Dose
No SKIP TO TIS_AHepA _Recom
Don’t know SKIP TO TIS_AHepA _Recom
Refused SKIP TO TIS_AHepA _Recom
TIS_AHepA _Dose
How many hepatitis A shots did [FILL] ever receive?
Number of shots____________SKIP TO AHepA _Recom
All shots 50 SKIP TO TIS_ AHepA _Recom
Don’t know 77 SKIP TO TIS_AHepA _Recom
Refused 99 SKIP TO TIS_AHepA _Recom
TIS_AHepA _Recom
Had or has a doctor or other health care professional ever recommended that [FILL] receive hepatitis A shots?
Yes 1 SKIP TO TIS_AVAR
No 2 SKIP TO TIS_AVAR
Don’t know 77 SKIP TO TIS_AVAR
Refused 99 SKIP TO TIS_AVAR
TIS_AVAR
Looking at the shot record, please tell me how many varicella shots, or chicken pox shots, has [FILL] received?
SHOTS_________ SKIP TO TIS_AVAR _Date]
[IF = 0, SKIP TO TIS_AVAR _Recall]
DON’T KNOW 77 SKIP TO TIS_AVAR _Recall
REFUSED 99 SKIP TO TIS_AVAR _Recall
TIS_AVAR _Date
What is the date (on the record) for the [FILL VAR: (First/Second/...Fourth)] varicella or
Chicken pox shot?
first… MM/DD/YYYY
second… MM/DD/YYYY
third… MM/DD/YYYY
fourth… MM/DD/YYYY
SKIP TO TIS_AINFLU]
Don’t know 77 SKIP TO TIS_VAR _Recall
Refused 99 SKIP TO TIS_VAR _Recall
TIS_AVAR _Recall
I know that it might be difficult but do you remember if [FILL] ever received varicella shots?
Yes 1 SKIP TO TIS_AVAR _Dose
No 2 SKIP TO TIS_AINFLU
Don’t know 77 SKIP TO TIS_AINFLU
Refused 99 SKIP TO TIS_AINFLU
TIS_AVAR _Dose
How many varicella shots did [FILL] ever receive?
Number of shots____________ SKIP TO TIS_AINFLU)
All shots 50 SKIP TO TIS_AINFLU
Don’t know 77 SKIP TO TIS_AINFLU
Refused 99 SKIP TO TIS_AINFLU
TIS_AINFLU
Looking at the shot record, has [FILL] had an influenza shot, or flu shot, in the past 12 months?
YES 1 SKIP TO TIS_AINFLU_Date
NO 2 SKIP TO TIS_AINFLU _Recall
Don’t know 77 SKIP TO TIS_AINFLU _Recall
Refused 99 SKIP TO TIS_AINFLU _Recall
TIS_AINFLU _Date
What was the date of that flu shot?
|___|____|______| SKIP TO TIS_ATET
IF DATE IS > 1 YEAR FROM DATE OF INTERVIEW, DISPLAY WARNING MESSAGE: “This date is not within the last year.” and repeat dates question..
DON’T KNOW SKIP TO TIS_ATET
REFUSED SKIP TO TIS_ATET
TIS_AINFLU _Recall
I know that it might be difficult but do you remember if [FILL] received an influenza shot in the past 12 months?
Yes SKIP TO TIS_AINFLU_Date2
No SKIP TO TIS_ATET
Don’t know SKIP TO TIS_ATET
Refused SKIP TO TIS_ATET
TIS_AINFLU _Date2
During what month and year did [FILL] receive the most recent influenza shot?
MM/ /YYYY SKIP TO TIS_ATET
Don’t know 77 SKIP TO TIS_ATET
Refused 99 SKIP TO TIS_ATET
TIS_ATET
Looking at the shot record, please tell me how many times [FILL] has received a tetanus booster shot. There are two main types of tetanus booster shots, Td and Tdap. The Tdap booster shot also protects against pertussis or whooping cough and has been available since 2005. Looking at the shot record, please tell me how many times [FILL] has received a tetanus booster shot, also called Td or Tdap shot? Tetanus boosters are usually given every 10 years. The first booster shot is usually given around 11 or 12 years of age.
SHOTS_________ SKIP TO TIS_ATET_Date]
[IF = 0, SKIP TO TIS_ATET_Recall]
DON’T KNOW 77 SKIP TO TIS_ATET_Recall
REFUSED 99 SKIP TO TIS_ATET_Recall
TIS_ATET _Date
What is the date (on the record) for the [FILL VAR: (First/Second/...Eighth)]
tetanus booster?
first… MM/DD/YYYY Was it Td__ Tdap__Unknown
second… MM/DD/YYYY Was it Td__ Tdap__Unknown
third… MM/DD/YYYY Was it Td__ Tdap__Unknown
fourth… MM/DD/YYYY Was it Td__ Tdap__Unknown
fifth… MM/DD/YYYY Was it Td__ Tdap__Unknown
[NOTE: IF LAST DATE OF VACCINATION READ IS BEFORE AGE 6 YEARS OLD, SKIP TO TIS_ATET_RECALL QUESTION OTHERWISE, WHEN COMPLETE SKIP TO TIS_AMEN]
CAN ADD REMINDERS: Are you sure these are tetanus boosters? The first tetanus booster shot is usually given at 11-12 years of age.
DON’T KNOW 77 SKIP TO TIS_ATET_Recall
REFUSED 99 SKIP TO TIS_ATET_Recall
TIS_ATET _Recall
I know that it might be difficult but do you remember if [FILL] ever received a tetanus booster shot, also called Td or Tdap shot.
Yes 1 SKIP TO TIS_ATET _AGE
NO 2 SKIP TO TIS_ATET REASON
Don’t know 77 SKIP TO TIS_AMEN
Refused 99 SKIP TO TIS_AMEN
TIS_ATET _
Age At what age did [FILL] receive the last tetanus booster shot?
Years____________SKIP TO TIS_ATET_TYPE]
Note: If age given is < 6 years old, can add: The first tetanus booster shots isare usually given at 11-12 years of age.
Don’t know 77 SKIP TO TIS_ATET_TYPE
Refused 99 SKIP TO TIS_ATET_TYPE
TIS_ATET_TYPE Which type of tetanus booster shot did [FILL] receive?
Td only 1 skip to TIS_AMEN
Tdap only 2 skip to TIS_AMEN
Don’t know 77skip to TIS_AMEN
Refused 99 skip to TIS_AMEN
TIS_ATET Reason
What is the MAIN reason [FILL] did not receive tetanus booster shots?
Knowledge- did not know about disease or booster shot
or that my child needed it 1 SKIP TO TIS_AMEN
Provider did not recommend booster shot
for my child 2 SKIP TO TIS_AMEN
Vaccine safety- concern about side effects of vaccine 3 SKIP TO TIS_AMEN
Vaccine effectiveness- concern that vaccine
does not work 4 SKIP TO TIS_AMEN
Costs - not covered by insurance, too expensive 5 SKIP TO TIS_AMEN
Vaccine not available in provider’s office 6 SKIP TO TIS_AMEN
other- Specify: _________________________ 7 SKIP TO TIS_AMEN
Don’t know 77 SKIP TO TIS_AMEN
Refused 99 SKIP TO TIS_AMEN
TIS_AMEN
Looking at the shot record, please tell me how many times [FILL] has received a meningitis shot, sometimes called MENACTRA or MENOMUNE? It is sometimes abbreviated as MCV4 or MPSV4.
SHOTS _________ SKIP TO TIS_AMEN_Date]
[IF = 0, SKIP TO TIS_AMEN _Recall]
DON’T KNOW 96 SKIP TO TIS_AMEN _Recall
REFUSED 97 SKIP TO TIS_AMEN _Recall
TIS_AMEN _Date
What is the date (on the record) for the [FILL VAR: (First/Second/…)] meningitis shot?
MM/DD/YYYY
MM/DD/YYYY
MM/DD/YYYY
SKIP TO TIS_AHPV)
Don’t know 77 SKIP TO TIS_AMEN_Recall
Refused 99 SKIP TO TIS_AMEN _Recall
TIS_AMEN _Recall
I know that it might be difficult but do you remember if [FILL] ever received meningitis shots?
Yes 1 SKIP TO TIS_AMEN _Dose
No 2 SKIP to TIS_AMEN _Reason)
Don’t know 77 SKIP TO TIS_AHPV
Refused 99 SKIP TO TIS_AHPV
TIS_AMEN _Dose
How many meningitis shots did [FILL] ever receive?
Number of shots_____________ SKIP TO TIS_AHPV
All shots 50 SKIP TO TIS_AHPV
Don’t know 77 SKIP TOTIS_AHPV
Refused 99 SKIP TO TIS_AHPV
TIS_AMEN _Reason
What is the MAIN reason [FILL] did not receive meningitis shots?
Knowledge- did not know about disease
or that shot for my child was needed 1 SKIP TOTIS_AHPV
Provider did not recommend meningitis shot 2 SKIP TOTIS_AHPV
Vaccine safety- concern about vaccine side effects 3 SKIP TOTIS_AHPV
Vaccine effectiveness- concern that vaccine
does not work 4 SKIP TOTIS_AHPV
Costs- not covered by insurance, too expensive 5 SKIP TOTIS_AHPV
Vaccine not available in providers office 6 SKIP TOTIS_AHPV
other Specify: ______________________________ 7 SKIP TOTIS_AHPV
Don’t know 77 SKIP TO TIS_AHPV
Refused 99 SKIP TO TIS_AHPV
TIS_AHPV
Have you ever heard of Human Papillomavirus or HPV? This is different from Human Immunodeficiency virus or HIV, which you may have heard of.
Yes 1 SKIP TO TIS_AHPV_Knowledge
No 2 SKIP TO TIS_AHPV_Knowledge
Don’t know 77SKIP TO TIS_AHPV _Knowledge question
Refused 99 SKIP TOTIS_AHPV_Knowledge
The human papillomavirus is a common virus known to cause genital warts and some cancers, such as cervical cancer in women. A vaccine to prevent HPV infection is available and is called the cervical cancer vaccine, HPV shot, or GARDASIL.
TIS_AHPV _Knowledge
Before today, have you ever heard of the cervical cancer vaccine, HPV shot, or Gardasil?
Yes 1 SKIP TOTIS_AHPV2
No 2 SKIP TO TIS_AHPV_INTENT
Don’t know 77 SKIP TO TIS_Heath_Var
Refused 99 SKIP TOTIS_Heath_Var
TIS_AHPV2
Looking at the shot record, please tell me how many times [FILL] has received HPV shots?
Shots _________SKIP TO TIS_HPV_Date)
(If=0, then skip to TIS_AHPV_Recall)
Don’t know SKIP TO TIS_AHPV_Recall
Refused SKIP TO TIS_AHPV_Recall
TIS_AHPV_Date
What is the date (on the record) for the [FILL VAR: (First/Second/...)]
HPV shot?
first… MM/DD/YYYY
second… MM/DD/YYYY
third… MM/DD/YYYY
SKIP TO TIS_Heath_Var]
Don’t know SKIP TO TIS_AHPV_Recall
Refused SKIP TO TIS_AHPV_Recall
TIS_AHPV_Recall
I know that it might be difficult but do you remember if [FILL] received HPV shots?
Yes 1 SKIP TO TIS_AHPV_Dose
No 2 SKIP TO TIS_AHPV_Intent
Don’t know 77 SKIP TO TIS_Heath_Var
Refused 99 SKIP TO TIS_Heath_Var
TIS_AHPV _Dose
How many HPV shots did [FILL] ever receive?
Number of shots___________ SKIP TO TIS_Heath_Var
TIS_A6B
All shots 50 SKIP TO TIS_Heath_Var
Don’t know 96 SKIP TO TIS_Heath_Var
Refused 97 SKIP TO TIS_Heath_Var
TIS_AHPV_ Intent
How likely is it that [FILL] will receive HPV shots in the next 12 months?
Very likely 1 SKIP TO TIS_Heath_Var
Somewhat likely 2 SKIP TO TIS_Heath_Var
Not too likely 3 SKIP TO TIS_AHPV_Reason
Not likely at all 4 SKIP TO TIS_AHPV_Reason
Not sure/Don’t know 5 SKIP TO TIS_AHPV_Reason
Refused 99 SKIP TO TIS_Heath_Var
TIS_AHPV_Reason
What is the MAIN reason [FILL] will not receive HPV shots in the next 12 months?
Knowledge- Do not know much about HPV
or HPV vaccine 1 SKIP TO TIS_Heath_Var
Provider did not recommend HPV vaccine 2 SKIP TO TIS_Heath_Var
Child does not need vaccine – 3 SKIP TO TIS_Heath_Var
WHY? ________________________________________________
Concern about vaccine leading to sexual activity 4 SKIP TO TIS_Heath_Var
Vaccine safety- side effects 5 SKIP TO TIS_Heath_Var
Vaccine not effective 6 SKIP TO TIS_Heath_Var
Costs- costs too much, not covered by insurance 7 SKIP TO TIS_Heath_Var
Vaccine not available in providers office 8 SKIP TO TIS_Heath_Var
Other Specify _______________________________ 9 SKIP TO TIS_Heath_Var
Don’t know 77 SKIP TO TIS_Heath_Var
Refused 99 SKIP TO TIS_Heath_Var
Section B—NO SHOT RECORD AVAILABLE
TIS_B1
Has [FILL.] ever received an immunization that is a shot or drops?
YES 1 GO TO TIS_BMMR
NO 2 GO TO TIS_Heath_Var
DON’T KNOW 77 GO TO TIS_Heath_Var
REFUSED 99 GO TO TIS_Heath_Var
TIS_BMMR
Has [FILL] ever received a measles shot or MMR (measles-mumps-rubella) shot?
Yes 1 SKIP TO TIS_BMMR_Dose)
No 2 SKIP TO TIS_BHepB)
Don’t know 77 SKIP TO_BHepB)
Refused 99 SKIP TO TIS_BHepB)
TIS_BMMR_Dose
How many measles shots did [FILL] ever receive?
Number of shots____________SKIP TO TIS_BHepB
ALL SHOTS 50 SKIP TO TIS_BHepB
DON’T KNOW 77 SKIP TO TIS_BHepB
REFUSED 99 SKIP TO TIS_BHepB
TIS_BHepB
Has [FILL] ever received a hepatitis B shot?
Yes 1 SKIP to TIS_BHepB_Dose
No 2 SKIP to TIS_AHepA
Don’t know 77 SKIP TO TIS_AHepA
Refused 99 SKIP TO TIS_AHepA
TIS_BHepB_Dose
How many hepatitis B shots did [FILL] receive?
Number of shots ____________ SKIP TO mandatory question
ALL SHOTS 50 SKIP TO TIS_BHepB_Man
Don’t Know 77 SKIP TO TIS_AHepA
Refused 99 SKIP TO TIS_AHepA
TIS_BHepB_Man
Did [FILL] receive hepatitis B shots because of a school requirement?
Yes SKIP TO TIS_BHepA
No SKIP TO TIS_BHepA
Don’t Know SKIP TO TIS_BHepA
Refused SKIP TO TIS_BHepA
TIS_BHepA
Has [FILL] ever received a hepatitis A shot?
Yes 1 SKIP TO TIS_BHepA_Dose
No 2 SKIP TO TIS_BHepA _Recom
Don’t know 77 SKIP TO TIS_BHepA _Recom
Refused 99 SKIP TO TIS_BHepA _Recom
TIS_BHepA_Dose
How many Hepatitis A shots did [FILL] ever receive?
Number of shots____________SKIP TO TIS_BHepA _Recom)
ALL SHOTS 50 SKIP TO TIS_BHepA _Recom
Don’t know 77 SKIP TO TIS_BHepA _Recom
Refused 99 SKIP TO TIS_BHepA _Recom
TIS_BHepA _Recom
Had or has a doctor or other health care professional ever recommended that [FILL] receive hepatitis A shots?
Yes 1 SKIP TO TIS_BVar
No 2 SKIP TO TIS_BVar
Don’t know 77SKIP TO TIS_BVar
Refused 99 SKIP TO TIS_BVar
TIS_BVar
Has [FILL] ever received a varicella shot or chickenpox shot?
Yes 1 SKIP to TIS_BVar _Dose
No 2 SKIP TO TIS_BINFLU
Don’t know 3 SKIP TO TIS_BINFLU
Refused 4 SKIP TO TIS_BINFLU
TIS_BVar
Dose How many varicella shots did [FILL] ever receive?
Number of shots ____________ SKIP TO TIS_BINFLU
ALL SHOTS 50 SKIP TO TIS_BINFLU
Don’t know 77 SKIP TO TIS_BINFLU
Refused 99 SKIP TO TIS_BINFLU
TIS_BINFLU
Has [FILL] received an influenza shot, or flu shot, in the past 12 months?
YES 1 SKIP TO TIS_BINFLU_Date
NO 2 SKIP TO TIS_BTET
Don’t know 77 SKIP TO TIS_BTET
Refused 99 SKIP TO TIS_BTET
TIS_BINFLU_Date
During what month and year did [Fill] receive the most recent flu shot?
|___|____|______| SKIP TO TIS_BTET
IF DATE IS > 1 YEAR FROM DATE OF INTERVIEW, DISPLAY WARNING MESSAGE: “This date is not within the last year.” and repeat question TIS_BINFLU.
Don’t Know SKIP TO TIS_BTET
Refused SKIP TO TIS_BTET
TIS_BTET
Looking at the shot record, please tell me how many times [FILL] has received a tetanus booster shot. There are two main types of tetanus booster shots, Td and Tdap. The Tdap booster shot also protects against pertussis or whooping cough and has been available since 2005.
Yes 1 SKIP TO TIS_BET_Age
No 2 SKIP TO TIS_BET_Reason
Don’t know 3 SKIP TO TIS_BMEN
Refused 4 SKIP TO TIS_BMEN
TIS_BET_Age
At what age did [FILL] receive the last tetanus booster shot?
Years_________________ SKIP TO TIS_BTET_TYPE
If age given is < 6 years old, can add: The first tetanus booster shot is usually given at 11-12 years of age.
Don’t know 77SKIP TO TIS_BTET_TYPE
Refused 99SKIP TO TIS_BTET_TYPE
TIS_BTET_TYPE Which type of tetanus booster shot did [FILL] receive?
FAQ: Td has no trade name. Tdap is called Adacel or Boostrix.
Td only 1skip to TIS_BMEN
Tdap only 2skip to TIS_BMEN
Don’t know 77skip to TIS_BMEN
Refused 99skip to TIS_BMEN
TIS_BTET_Reason
What is the MAIN reason [FILL] did not receive tetanus booster shots?
Knowledge- did not know about disease or booster
shot or that my child needed booster shot 1 SKIP TO TIS_BMEN
Provider did not recommend booster
shot for my child 2 SKIP TO TIS_BMEN
Vaccine safety- concern about side effects 3 SKIP TO TIS_BMEN
Vaccine effectiveness- concern that
vaccine does not work 4 SKIP TO TIS_BMEN
Costs - not covered by insurance, too expensive 5 SKIP TO TIS_BMEN
Vaccine not available in providers office 6 SKIP TO TIS_BMEN
other-Specify: _____________________ 7 SKIP TO TIS_BMEN
Don’t know 77 SKIP TO TIS_BMEN
Refused 99 SKIP TO TIS_BMEN
TIS_BMEN
Has [FILL] ever received a meningitis shot, sometimes called MENACTRA or MENOMUNE?
Yes 1 SKIP TO TIS_BMEN_Dose
No 2 SKIP TO TIS_BMEN_Reason
Don’t know 77 SKIP TO TIS_BHPV
Refused 99 SKIP TO TIS_BHPV
TIS_BMEN_Dose
How many meningitis shots did [FILL] ever receive?
Number of shots_____________SKIP TO TIS_BHPV
ALL SHOTS 50SKIP TO TIS_BHPV
Don’t know 96SKIP TO TIS_BHPV
Refused 97SKIP TO TIS_BHPV
TIS_BMEN_Reason
What is the MAIN reason [FILL] did not receive meningitis shots?
Knowledge- did not know about disease or
that shot for my child was needed 1 Go TO TIS_BHPV
Provider did not recommend meningitis vaccine 2 Go TO TIS_BHPV
Vaccine safety- concern about vaccine side effects 3 Go TO TIS_BHPV
Vaccine effectiveness- concern that
vaccine does not work 4 Go TO TIS_BHPV
Costs- not covered by insurance, too expensive 5 Go TO TIS_BHPV
Vaccine not available in providers office 6 Go TO TIS_BHPV
other Specify: _____________________ 7 Go TO TIS_BHPV
Don’t know 77 SKIP TO TIS_BHPV
Refused 99 SKIP TO TIS_BHPV
TIS_BHPV
Have you ever heard of Human Papillomavirus or HPV? This is different from Human Immunodeficiency virus or HIV, which you may have heard of.
Yes 1 SKIP TO TIS_BHPV _Knowledge
No 2 SKIP TO TIS_BHPV _Knowledge
Don’t know 77 SKIP TO TIS_BHPV _Knowledge
Refused 99 SKIP TO TIS_BHPV _Knowledge
TIS_BHPV _Knowledge
The human papillomavirus is a common virus known to cause genital warts and some cancers, such as cervical cancer in women. A vaccine to prevent HPV infection is available and is called the cervical cancer vaccine, HPV shot, or GARDASIL.
Before today, have you ever heard of the cervical cancer vaccine, HPV shot, or Gardasil?
Yes SKIP TO TIS_BHPV2
No SKIP TO TIS_BHPV_ Intent
Don’t know SKIP TO TIS_Heath_Var
Refused SKIP TO TIS_Heath_Var
TIS_BHPV2
Has [FILL] ever received HPV shots?
Yes 1 SKIP TO TIS_BHPV_Dose
No 2 SKIP TO TIS_BHPV_ Intent
Don’t know 77 SKIP TO TIS_Heath_Var
Refused 99 SKIP TO TIS_Heath_Var
TIS_BHPV_Dose
How many HPV shots did [FILL] ever receive?
Number of shots___________ SKIP TO TIS_Heath_Var
ALL SHOTS 50SKIP TO TIS_Heath_Var
Don’t know 77SKIP TO TIS_Heath_Var
Refused 99SKIP TO TIS_Heath_Var
TIS_BHPV_ Intent
Is it likely that [FILL] will receive HPV shots in the next 12 months?
Very likely 1 SKIP TO TIS_Heath_Var
Somewhat likely 2 SKIP TO TIS_Heath_Var
Not too likely 3 SKIP TO TIS_BHPV_Reason
Not likely at all 4 SKIP TO TIS_BHPV_Reason
Not sure/Don’t know 5 SKIP TO TIS_BHPV_Reason
Refused 99 SKIP TO TIS_Heath_Var
TIS_BHPV_Reason
What is the MAIN reason [FILL] will not receive HPV shots in the next 12 months?
Knowledge- Do not know much about HPV
or HPV vaccine 1 SKIP TO TIS_Heath_Var
Provider did not recommend HPV vaccine 2 SKIP TO TIS_Heath_Var
Child does not need vaccine – 3 SKIP TO TIS_Heath_Var
WHY? ________________________________________________
Concern about vaccine leading to sexual activity 4 SKIP TO TIS_Heath_Var
Vaccine safety- side effects 5 SKIP TO TIS_Heath_Var
Vaccine not effective 6 SKIP TO TIS_Heath_Var
Costs- costs too much, not covered by insurance 7 SKIP TO TIS_Heath_Var
Vaccine not available in providers office 8 SKIP TO TIS_Heath_Var
Other Specify _______________________________ 9 SKIP TO TIS_Heath_Var
Don’t know 77 SKIP TO TIS_Heath_Var
Refused 99 SKIP TO TIS_Heath_Var
Health Questions
TIS_Heath_Var
FILL = TIS_S3.5 (NAME OF SELECTED CHILD)
I’ve been asking about shots received by [FILL]. Now I would like to ask, has [FILL] ever been ill with chicken pox or varicella?
YES 1 SKIP TO TIS_Health_Var_Age
NO 2 SKIP TO TIS_Health_CHECKUPA
DON’T KNOW 77 SKIP TO TIS_Health_CHECKUPA
REFUSED 99 SKIP TO TIS_Health_CHECKUPA
TIS_Health_Var_Age
FILL1 = TIS_S3.5 (NAME OF SELECTED CHILD)
FILL2 = GENDER3
FIELD LENGTH = 2 CHARACTERS
HELP SCREEN: IF LESS THAN 12 MONTHS, ENTER 0 YEARS
IF TIS_A6C > TIS_S3, DISPLAY WARNING: “AGE CANNOT BE OLDER THAN AGE OF CHILD”
How old was [FILL], in years, when (FILL2) had chicken pox?
AGE CHILD HAD CHICKEN POX __|__ YEARS
UNABLE TO GIVE EXACT AGE 77 SKIP TO TIS_Health_Var_Age2
REFUSED 99 SKIP TO TIS_Health_CHECKUPA
TIS_Health_Var_Age2
FILL = TIS_S3.5 (NAME OF SELECTED CHILD)
Was [FILL]
…less than one year old? 1 SKIP TO TIS_Health_CHECKUPA
…one to five years old? 2 SKIP TO TIS_Health_CHECKUPA
…five to ten years old? 3 SKIP TO TIS_Health_CHECKUPA
…over ten years old? 4 SKIP TO TIS_Health_CHECKUPA
DON’T KNOW 77 SKIP TO TIS_Health_CHECKUPA
REFUSED 99 SKIP TO TIS_Health_CHECKUPA
TIS_Health_CHECKUPA
FILL = TIS_S3.5 (NAME OF SELECTED CHILD)
FIELD LENGTH = 2 CHARACTERS
How old was [FILL] at the time of [his/her] last check-up? Please do not include visits for medical treatment or illness.
Years _______
[NOTE: IF <10 YEARS, SKIP TO TIS_HealthASTHMA.A]
[NOTE: IF 11-12 YEARS, SKIP TO TIS_HealthASTHMA.A]
[NOTE: IF 13-17 YEARS, SKIP TO CHECKUP2A]
DON’T KNOW 77SKIP TO TIS_Health_CHECKUP2A
REFUSED 99SKIP TO TIS_Health_CHECKUP2A
TIIS_Health_CHECKUP2A
Did [FILL] have an 11-12 year old well child exam or check-up?
Yes 1 SKIP TO TIS_HealthASTHMA.A
No 2 SKIP TO TIS_HealthASTHMA.A
Don’t know 77 SKIP TO TIS_Health_CHECKUP3A
Refused 99 SKIP TO TIS_Health_CHECKUP3A
TIS_Health_CHECKUP3A
FILL = TIS_S3.5 (NAME OF SELECTED CHILD)
FILL2=[age of child-12, ex. If child is 17 fill would be five, if child is 13 fill would be one]
Was [FILL]’s last check-up more than [FILL2] years ago or less than [FILL2] years ago?
MORE THAN [FILL2] YEARS AGO 1 SKIP TO TIS_HealthASTHMA.A
EXACTLY [FILL2] YEARS AGO 2 SKIP TO TIS_HealthASTHMA.A
LESS THAN [FILL2] YEARS AGO 3 SKIP TO TIS_HealthASTHMA.A
DON’T KNOW 77 SKIP TO TIS_HealthASTHMA.A
REFUSED 99SKIP TO TIS_HealthASTHMA.A
TIS_HealthASTHMA.A
FILL1 = TIS_S3.5 (NAME OF SELECTED CHILD)
FILL2 = GENDER3 (HE OR SHE)
Has [FILL] ever been told by a doctor or other health professional that [FILL2] has asthma?
YES 1 SKIP TO TIS_HEALTH.A
NO 2 SKIP TO TIS_HEALTH.A
DON’T KNOW 77 SKIP TO TIS_HEALTH.A
REFUSED 99 SKIP TO TIS_HEALTH.A
TIS_HEALTH.A
FILL1 = TIS_S3.5 (NAME OF SELECTED CHILD)
FILL2 = GENDER3 (HE OR SHE)
In general, how would you describe [FILL]’s health? Would you say [FILL2] health is excellent, very good, good, fair, or poor?
EXCELLENT 1 SKIP TO GRADE
VERY GOOD 2 SKIP TO GRADE
GOOD 3 SKIP TO GRADE
FAIR 4 SKIP TO GRADE
POOR 5 SKIP TO GRADE
DON’T KNOW 6 SKIP TO GRADE
REFUSED 99SKIP TO GRADE
END SECTION 6
DEMOGRAPHICS
TIS_GRADE
FILL = TIS_S5 (NAME OF SELECTED CHILD)
What is [FILL]'s current grade in school?
6th GRADE 6 SKIP TO TIS_CINTRO
7th GRADE 7 SKIP TO TIS_CINTRO
8th GRADE 8 SKIP TO TIS_CINTRO
9th GRADE/FRESHMAN IN HIGH SCHOOL 9 SKIP TO TIS_CINTRO
10th GRADE/SOPHOMORE IN HIGH SCHOOL 10 SKIP TO TIS_CINTRO
11th GRADE/JUNIOR IN HIGH SCHOOL 11 SKIP TO TIS_CINTRO
12TH GRADE/SENIOR IN HS 12 SKIP TP TIS CINTRO
GRADUATED FROM HIGH SCHOOL 13 SKIP TO TIS_CINTRO
ENROLLED IN GED PROGRAM 14 SKIP TO TIS_CINTRO
COMPLETED GED PROGRAM 15 SKIP TO TIS_CINTRO
NOT IN SCHOOL 16 SKIP TO TIS_CINTRO
OTHER 17 SKIP TO TIS_GRADE_OTH
DON’T KNOW 77 SKIP TO TIS_CINTRO
REFUSED 99 SKIP TO TIS_CINTRO
TIS_GRADE_OTH _________________________ SKIP TO TIS_CINTRO
TIS_CINTRO
Now I have some questions about your entire household.
TIS_C1
IF NIS INTERVIEW CONDUCTED, FILL WITH NIS VARIABLE C1
FIELD LENGTH = 2 CHARACTERS
Including the adults and all the children, how many people live in this household?
NUMBER OF PEOPLE_______ SKIP TO TIS_C1.A
TIS_C1_A
IF NIS INTERVIEW CONDUCTED, FILL WITH NIS VARIABLE C1_A
FIELD LENGTH = 2 CHARACTERS
How many of these are adults 18 years of age or older?
NUMBER OF PEOPLE_______ SKIP TO TIS_C1_B
TIS_C1_B
IF NIS INTERVIEW CONDUCTED, FILL WITH NIS VARIABLE C1_B
FILL = CALCULATE ANSWER TO TIS_C1 MINUS ANSWER TO TIS_C1A
And that means that [FILL] of these people are under 18 years of age?
YES 1 SKIP TO TIS_C1_C
NO 2 RETURN TO TIS_C1_A
REFUSED 7 SKIP TO TIS_C1_C
[IF ANSWER TO TIS_C1_A IS GREATER THAN OR EQUAL TO S_NUMB +1, THEN ASK TIS_C1_C, OTHERWISE, SKIP TO TIS_C2]
TIS_C1_C
IF NIS INTERVIEW CONDUCTED, FILL WITH NIS VARIABLE C1_C
FIELD LENGTH = 2 CHARACTERS
How many children less than 12 months old live in this household?
NUMBER OF CHILDREN < 12 MONTHS__________
DON’T KNOW 96 SKIP TO TIS_C2
REFUSED 97 SKIP TO TIS_C2
TIS_C2.
FILL = TIS_S5 (NAME OF SELECTED CHILD)
Is [FILL] Hispanic or Latino? (INCLUDES MEXICAN, MEXICAN-AMERICAN, CENTRAL AMERICAN, SOUTH AMERICAN OR PUERTO RICAN, CUBAN, OR OTHER SPANISH-CARIBBEAN)
YES 1 GO TO TIS_C3
NO 2 GO TO TIS_C4
DON’T KNOW 77 GO TO TIS_C4
REFUSED 99 GO TO TIS_C4
TIS_C3 FILL = TIS_S3.5 (NAME OF SELECTED CHILD)
Is [child] Mexican, Mexican-American, Central American, South American, Puerto Rican, Cuban, or other Spanish-Caribbean? CLICK ALL THAT APPLY
MEXICAN/MEXICANO 1
MEXICAN-AMERICAN 2
CENTRAL AMERICAN 3
SOUTH AMERICAN 4
PUERTO RICAN 5
CUBAN/CUBAN AMERICAN 6
SPANISH-CARIBBEAN. 7
OTHER SPANISH/HISPANIC (SPECIFY 10 GO TO TIS_C3_OTHR
DON’T KNOW 77
REFUSED 99
TIS_C3_OTHER
ENTER OTHER SPECIFY
________________________________
TIS_C4 Now, I am going to read a list of categories. Please choose one or more of the following categories to describe [FILL.]’s race. Is [FILL.] White, Black or African American, American Indian, Alaska Native, Asian, Native Hawaiian or other Pacific Islander? CLICK ALL THAT APPLY
WHITE 1
BLACK/AFRICAN AMERICAN 2
AMERICAN INDIAN 3
ALASKA NATIVE 4
ASIAN 5
NATIVE HAWAIIAN 6
PACIFIC ISLANDER 7
OTHER 8 GO TO TIS_C4_OTHR
DON’T KNOW 77
REFUSED 99
TIS_C4_OTHR
ENTER OTHER SPECIFY
___________________________________________________
TIS_C5
IF NIS INTERVIEW CONDUCTED, FILL WITH NIS VARIABLE C5
FILL = TIS_S5 (NAME OF SELECTED CHILD)
What is your relationship to [FILL]?
MOTHER (STEP, FOSTER, ADOPTIVE) OR
FEMALE GUARDIAN 01 SKIP TO TIS_C6
FATHER (STEP, FOSTER, ADOPTIVE) OR
MALE GUARDIAN 02 SKIP TO TIS_C6
SISTER OR BROTHER (STEP, FOSTER, HALF,
ADOPTIVE) 03 SKIP TO TIS_C6
IN-LAW OF ANY TYPE 04 SKIP TO TIS_C6
AUNT/UNCLE 05 SKIP TO TIS_C6
GRANDPARENT 06 SKIP TO TIS_C6
OTHER FAMILY MEMBER 07 SKIP TO TIS_C6
FRIEND 08 SKIP TO TIS_C6
DON’T KNOW 77 SKIP TO TIS_C6
REFUSED 99 SKIP TO TIS_C6
TIS_C6
IF NIS INTERVIEW CONDUCTED, FILL WITH NIS VARIABLE C6_06Q3_x
FILL = IF TIS_C5 = 01, FILL ‘you have,’ ELSE FILL “TIS_S3.5’s mother has”
FIELD LENGTH = 2 CHARACTERS
What is the highest grade or year of regular school (FILL) ever completed?
What is the highest grade or year of school (you have /[FILL VAR: NAME OF FROM S3.5]’s mother has) completed?
READ IF NESSESSARY
8th GRADE OR LESS 1
9th-12th GRADE NO DIPLOMA 2
HIGH SCHOOL GRADUATE
OR GED COMPLETED 3
COMPLETED A VOCATIONAL, TRADE, OR
BUSINESS SCHOOL PROGRAM 4
SOME COLLEGE CREDIT BUT NO DEGREE 5
ASSOCIATE DEGREE (AA, AS) 6
BACHELOR’S DEGREE (BA, BS, AB) 7
MASTER’S DEGREE (MA, MS, MSW, MBA) 8
DOCTORATE (PhD, EdD) or PROFESSIONAL DEGREE (MD, DDS, DVM, JD) 9
DON’T KNOW 77
REFUSED 99
TIS_C7
IF NIS INTERVIEW CONDUCTED, FILL WITH NIS VARIABLE C7-c9
FILL1 = IF TIS_C5 = 01, FILL ‘Are you,’ ELSE FILL “Is [FILL: TIS_S3.5]’s mother”
FILL2 = IF TIS_C5 = 01, FILL ‘have you,’ ELSE FILL “has she”
[FILL1] now married, widowed, divorced, separated, or (FILL2) never been married?
MARRIED 01 SKIP TO TIS_C8
WIDOWED 02 SKIP TO TIS_C8
DIVORCED 03 SKIP TO TIS_C8
SEPARATED 04 SKIP TO TIS_C8
NEVER MARRIED 05 SKIP TO TIS_C8
DECEASED 06 SKIP TO TIS_C8_INTRO
DON’T KNOW 96 SKIP TO TIS_C8
REFUSED 97 SKIP TO TIS_C8
TIS_C8_INTRO
The next few questions ask for some background information about (eligible child)’s mother. I understand that it may be difficult to answer these questions. Please know we are asking them because they’re important for the survey. (READ IF NECESSARY: If you feel uncomfortable answering any of these questions, please let me know and I will move on to the next question.)
TIS_C8
IF TIS_C7_X= 6
Was [FILL VAR: NAME OF FIRST/SECOND/NINTH CHILD, FROM TIS_S5]'s mother Hispanic or Latino? (INCLUDES MEXICAN, MEXICAN-AMERICAN, CENTRAL AMERICAN, SOUTH AMERICAN OR PUERTO RICAN, CUBAN, OR OTHER SPANISH-CARIBBEAN)?
IF TIS_C7_X ≠ 6
Are you/is [FILL VAR: NAME OF FIRST/SECOND/NINTH CHILD, FROM TIS_S5]'s mother Hispanic or Latino? (INCLUDES MEXICAN, MEXICAN-AMERICAN, CENTRAL AMERICAN, SOUTH AMERICAN OR PUERTO RICAN, CUBAN, OR OTHER SPANISH-CARIBBEAN)
YES 1 GO TO C8_A
NO 2 GO TO C9
DON’T KNOW 77 GO TO C9
REFUSED 99 GO TO C9
TIS_C8_A (Are you / Is [child]’s mother) Mexican, Mexican-American, Central American, South American, Puerto Rican, Cuban, or other Spanish-Caribbean? CLICK ALL THAT APPLY
MEXICAN/MEXICANO 1
MEXICAN-AMERICAN 2
CENTRAL AMERICAN 3
SOUTH AMERICAN 4
PUERTO RICAN 5
CUBAN/CUBAN AMERICAN 6
SPANISH-CARIBBEAN 7
OTHER SPANISH/HISPANIC (SPECIFY) 10 GO TO TIS_C8_OTHR1
DON’T KNOW 77
REFUSED 99
TIS_C8_OTHR1
ENTER OTHER SPECIFY
___________________________________________________
TIS_C9
Now I’m going to read a list of categories. Please choose one or more of the following categories to describe (your/[FILL VAR: NAME OF CHILD, FROM TIS_S5]’s mother’s) race. (Are you/is [FILL VAR: NAME OF CHILD, FROM TIS_S5]’s mother) White, Black or African American, American Indian, Alaska Native, Asian, Native Hawaiian or other Pacific Islander? [CLICK ALL THAT APPLY]
WHITE 1
BLACK/AFRICAN AMERICAN 2
AMERICAN INDIAN 3
ALASKA NATIVE 4
ASIAN 5
NATIVE HAWAIIAN. 6
PACIFIC ISLANDER 7
OTHER (SPECIFY) 8 GO TO TIS_C9_OTHR1
DON’T KNOW 77
REFUSED 99
TIS_C9_OTHR1
ENTER OTHER SPECIFY
___________________________________________________
IF COMPLETED BY THE NIS FILL IN
TIS_C10
IF NIS INTERVIEW CONDUCTED, FILL WITH NIS VARIABLE C10
FILL = IF TIS_C5 = 01, FILL ‘your,’ ELSE FILL “[FILL: TIS_S5]’s mother’s”
FIELD = MM/DD/YYYY
Which do you feel best describes (your/[FILL VAR: NAME OF F CHILD, FROM TIS_S5]’s mother’s) race?
WHITE 1
BLACK/AFRICAN AMERICAN 2
AMERICAN INDIAN 3
ALASKA NATIVE 4
ASIAN. 5
NATIVE HAWAIIAN 6
PACIFIC ISLANDER 7
OTHER (SPECIFY) 8
C9_OTHR1 9
DON’T KNOW 77
REFUSED 99
TIS_C10A
IF NIS INTERVIEW CONDUCTED, FILL WITH NIS VARIABLE C10AMDY
FILL = IF TIS_C5 = 01, FILL ‘your,’ ELSE FILL “[FILL: TIS_S5]’s mother’s”
FIELD = MM/DD/YYYY
What is [FILL] month, day, and year of birth?
__________/__________/__________ (mm/dd/yyyy) SKIP TO TIS_C11]
DON’T KNOW 77 SKIP TO TIS_C10B
REFUSED 99 SKIP TO TIS_C10B
TIS_C10B
IF NIS INTERVIEW CONDUCTED, FILL WITH NIS VARIABLE C10B
FILL = IF TIS_C5 = 01, FILL ‘your,’ ELSE FILL “[FILL: TIS_S5]’s mother’s”
FIELD LENGTH = 2 CHARACTERS
IF TIS_C10B < 14 years of age, DISPLAY WARNING: “Mother must be 14 or older.”
What is [FILL] current age?
AGE______________ SKIP TO TIS_C11]
DON’T KNOW 77 SKIP TO TIS_C11
REFUSED 99 SKIP TO TIS_C11
TIS_C11
IF NIS INTERVIEW CONDUCTED, FILL WITH NIS VARIABLE C11
FILL1 = IF TIS_C5 = 01, FILL ‘Do you,’ ELSE FILL “Does [FILL: TIS_5]’s mother”
FILL2 = IF TIS_C5 = 01, FILL ‘ you,’ ELSE FILL “she”
FILL3 = TIS_S5 (NAME OF SELECTED CHILD)
[FILL1] live at the same address as [FILL2] did when [FILL3] was born?
YES 1 SKIP TO TIS_ CFAMIN
NO 2 SKIP TO TIS_ C11A
DON’T KNOW 6 SKIP TO TIS_ CFAMIN
REFUSED 7 SKIP TO TIS_ CFAMIN
TIS_C11A
IF NIS INTERVIEW CONDUCTED, FILL WITH NIS VARIABLE C11A
FILL1 = IF TIS_C5 = 01, FILL ‘ you,’ ELSE FILL “[FILL: TIS_S5]’s mother”
FILL2 = TIS_S5 (NAME OF SELECTED CHILD)
FIELD LENGTH = 35 CHARACTERS
In what city, county, and state did [FILL1] live when [FILL2] was born?
TIS_C11A1
CITY _______________________
TIS_C11A3
COUNTY ____________________
TIS_C11A2
STATE ______________________ SKIP TO TIS_C11B]
OR
TIS_C11A4
COUNTRY ___________________ SKIP TO TIS_C11B]
REFUSED 7 SKIP TO TIS_CFAMIN
TIS_C11B
IF NIS INTERVIEW CONDUCTED, FILL WITH NIS VARIABLE C11B
FILL = IF TIS_C5 = 01, FILL ‘ your,’ ELSE FILL “[FILL: TIS_S5]’s mother’s”
FIELD LENGTH = 5 CHARACTERS
What was [FILL] zip code at that time?
_____ _____ _____ _____ _____ SKIP TO TIS_CFAMINC
DON’T KNOW 77 SKIP TO TIS_CFAMIN
REFUSED 99 SKIP TO TIS_CFAMIN
IF COMPLETED THE NIS FILL IN ALL INCOME INFORMATION FROM THE NIS
TIS_CFAMINC
Please think about your total combined family income during 2005 for all members of the family. Include money for jobs, social security, retirement income, unemployment payments, public assistance, and so forth. Also include income from interest, dividends, net income from business, farm, rent, or any other money income received. Can you tell me that amount before taxes? ENTER 77 FOR DON’T KNOW AND 99 FOR REFUSED
IF RESPONDENT GIVES INCOME RANGE READ: What amount would you like me to enter?
$ ____ ____ ____, ____ ____ ____, ____ ____ ____ GO TO TIS_CINC
DON’T KNOW 77GO TO TIS_C12_DONT_KNOW
REFUSED 99GO TO TIS_C12_REFUSED
TIS_C12 _DONT_KNOW
You may not be able to give us an exact figure for your total combined family income, but was your total family income during 2005 more or less than $20,000?
More than $20,000. 1 GO TO TIS_C16
$20,000 2 GO TO TIS_C19
Less than $20,000 3 GO TO TIS_C13
DON’T KNOW 77 GO TO TIS_C19
REFUSED 99GO TO TIS_C19
TIS_C12_REFUSED
Income is important in analyzing the immunization information we collect. For example, this information helps us to learn whether persons in one group use these medical services more or less than those in another group. Now you may not be able to give us an exact figure for your total combined family income, but was your total family income during 2005 more or less than $20,000?
More than $20,000. 1 GO TOTIS_C16
$20,000 2 GO TO TIS_C19
Less than $20,000 3 GO TO TIS_C13
DON’T KNOW 77 GO TO TIS_C19
REFUSED 99 GO TO TIS_C19
TIS_C13
Was the total combined FAMILY income more or less than $10,000?
More than $10,000. 1 GO TO TIS_C15
$10,000 2 GO TO TIS_C19
Less than $10,000 3 GO TO TIS_C14_A
DON’T KNOW 77 GO TO TIS_C19
REFUSED 99 GO TO TIS_C19
TIS_C14_A
Was it more than $7,500?
YES 1 GO TO TIS_C19
NO 2 GO TO TIS_C19
DON’T KNOW 77 GO TO TIS_C19
REFUSED 99 GO TO TIS_C19
TIS_C15
Was it more than $15,000?
YES 1 GO TO TIS_C15_A
NO 2 GO TO TIS_C15_B
DON’T KNOW 77 GO TO TIS_C19
REFUSED 99 GO TO TIS_C19
TIS_C15_A
Was it more than $17,500?
YES 1 GO TO TIS_C19
NO 2 GO TO TIS_C19
DON’T KNOW. 77 GO TO TIS_C19
REFUSED 99 GO TO TIS_C19
TIS_C15_B
Was it more than $12,500?
YES 1 GO TO TIS_C19
NO 2 GO TO TIS_C19
DON’T KNOW. 77 GO TO TIS_C19
REFUSED 99 GO TO TIS_C19
TIS_C16
Was the total combined FAMILY income more or less than $40,000?
More than $40,000. 1 GO TO TIS_C16_A
$40,000 2 GO TO TIS_C19
Less than $40,000 3 GO TO TIS_C17
DON’T KNOW 77 GO TO TIS_C19
REFUSED 99 GO TO TIS_C19
TIS_C16_A
Was the total combined FAMILY income more or less than $60,000?
More than $60,000. 1 GO TO TIS_C18
$60,000 2 GO TO TIS_C19
Less than $60,000 3 GO TO TIS_C16_B
DON’T KNOW 77 GO TO TIS_C19
REFUSED 99 GO TO TIS_C19
TIS_C16_B
Was the total combined FAMILY income more or less than $50,000?
More than $50,000. 1 GO TO TIS_C19
$50,000 2 GO TO TIS_C19
Less than $50,000 3 GO TO TIS_C16_C
DON’T KNOW 77 GO TO TIS_C19
REFUSED 99 GO TO TIS_C19
TIS_C16_C
Was the total combined FAMILY income more or less than $45,000?
More than $45,000. 1 GO TO TIS_C19
$45,000 2 GO TO TIS_C19
Less than $45,000 3 GO TO TIS_C19
DON’T KNOW 77 GO TO TIS_C19
REFUSED 99 GO TO TIS_C19
TIS_C17
Was the total combined FAMILY income more or less than $30,000?
More than $30,000. 1 GO TO TIS_C17_A
$30,000 2 GO TO TIS_C19
Less than $30,000 3 GO TO TIS_C17_B
DON’T KNOW 77 GO TO TIS_C19
REFUSED 99 GO TO TIS_C19
TIS_C17_A
Was the total combined FAMILY income more or less than $35,000?
More than $35,0001 1 GO TO TIS_C19
$35,000 2 GO TO TIS_C19
Less than $35,000 3 GO TO TIS_C19
DON’T KNOW 77 GO TO TIS_C19
REFUSED 99 GO TO TIS_C19
TIS_C17_B
Was the total combined FAMILY income more or less than $25,000?
More than $25,000 1 GO TO TIS_C19
$25,000 2 GO TO TIS_C19
Less than $25,000 3 GO TO TIS_C19
DON’T KNOW 77GO TO TIS_C19
REFUSED 90 GO TO TIS_C19
TIS_C18
Was the total combined FAMILY income more or less than $75,000?
More than $75,000 1 GO TO TIS_C19
$75,000 2 GO TO TIS_C19
Less than $75,000 3 GO TO TIS_C19
DON’T KNOW 77 GO TO TIS_C19
REFUSED 99 GO TO TIS_C19
TIS_CINC
Just to confirm that I entered the number correctly, the total combined family income was [FILL RESPONSE, CFAMINC]?
YES. 1 GO TO TIS_C19
NO 2 GO TO TIS_CFAMINC
DON’T KNOW 77 GO TO TIS_CFAMINC
REFUSED 99 GO TO TIS_CFAMINC
TIS_C19
IF NIS INTERVIEW CONDUCTED, FILL WITH NIS VARIABLE C19
FIELD LENGTH = 35 CHARACTERS
In what city, county and state do you live?
CITY _____________________________
COUNTY__________________________
STATE____________________________ SKIP TO TIS_C19A]
DON’T KNOW 6 SKIP TO TIS_C19A
REFUSED 7 SKIP TO TIS_C20
TIS_C19A
IF NIS INTERVIEW CONDUCTED, FILL WITH NIS VARIABLE C19A
FIELD LENGTH = 5 CHARACTERS
What is your zip code?
_____ _____ _____ _____ _____
DON’T KNOW 6 SKIP TO TIS_C19B
REFUSED 7 SKIP TO TIS_C19B
TIS_C19B
IF NIS INTERVIEW CONDUCTED, FILL WITH NIS VARIABLE C19B
Do you live within the city limits?
YES 1 SKIP TO TIS_C20
NO 2 SKIP TO TIS_C20
REFUSED 77 SKIP TO TIS_C20
IF FINISHED THE NIS FILL IN WITH THE NIS TELEPHONE INFORMATION
TIS_C20
How many telephone numbers ring to your household? Do not include cellular phones, or dedicated computer, fax, or business phones in your answer.
READ IF NECESSARY: "I'd like to know about the telephone numbers, not telephone extensions, that ring to this household.”
INTERVIEWER INSTRUCTION: COUNT BUSINESS TELEPHONE NUMBERS THAT RING TO THE HOUSEHOLD IF THEY ARE USED OCCASIONALLY FOR HOME USE.
ONE 1
TWO 2
THREE OR MORE 3
DON’T KNOW 77
REFUSED 99
REFUSED 99 GO TO TIS_ D5
C11Q14_A (NIS VARIABLE – C21_06Q3)
How many telephone numbers are residential numbers?
THIS QUESTION IS ASKING FOR THE TOTAL NUMBER OF HOME TELEPHONE NUMBERS (INCLUDING THE NUMBER WE CALLED).
ONE 1
TWO 2
THREE OR MORE 3
DON’T KNOW 77
REFUSED 99
TIS_CNOSERV During the past 12 months, has your household been without telephone service for 1 week or more? Please do not include cellular phones in your answer. Do not include interruptions of phone service due to weather or natural disasters.
YES 1
NO 2 GO TO TIS_D5
DON’T KNOW 77 GO TOTIS_D5
REFUSED 99 GO TOTIS_D5
TIS_CHOWLONG1
For how long was your household without telephone service in the past 12 months?
IF ONE WEEK OR LESS, ENTER 0 FOR THE NUMBER.
ENTER 77 FOR DON’T KNOW AND 99 FOR REFUSED
NUMBER _______________
DON’T KNOW 77 GO TO TIS_D5
REFUSED 99GO TO TIS_D5
TIS_CHOWLONG2
ENTER PERIOD __________
DAY(S) 1 GO TO TIS_D5
WEEK(S) 2 GO TO TIS_D5
MONTH(S) 3 GO TO TIS_D5
Provider
BEGIN SECTION 5
TIS_D5:
To get a complete picture of the vaccinations received by your (children/child), we would like to contact doctors or health clinics to obtain a copy of the vaccination records. These records contain only the types and dates of the immunizations for your (children/child).
READ IF NECESSARY: Information we collect from you and your health care provider will be used to monitor and report on childhood immunizations. Last year, over 21,000 providers participated in this study. You and your provider's participation will help the CDC prevent many serious childhood diseases.
TIS_D6_X
How many locations have provided vaccinations for your child named [NAME OF ELIGIBLE CHILD] whose birth date is [DATE OF BIRTH OF ELIGIBLE CHILD]?
ENTER 77 FOR DON’T KNOW AND 99 REFUSED
ENTER NUMBER __ GO TO TIS_D6A_1_X
ZERO 0 GO TO TIS_D6AA_X
DON’T KNOW 77 GO TO TIS_D6AA_X
REFUSED 99 GO TO TIS_D16
FAQ HELP:
Why contact my doctor? Why give consent?
The information you’ve provided is very helpful and we appreciate your cooperation; however, to get the most accurate vaccination history of your child, we need to contact your child’s healthcare provider. They will be able to confirm the dates and specific types of each vaccination.
• The Adolescent Survey is part of the National Immunization Survey. The NIS has been conducted for over 10 years (since 1994). Each year we receive immunization histories from over 20,000 doctors and clinics; in fact, your doctor may have already taken part in this survey.
• Information collected helps to identify communities where additional resources may be needed for vaccination programs.
• Because vaccinations play an important role in reducing and eliminating childhood and adolescent diseases, we need dependable, up to date statistics (from this study). Public health agencies in your area rely on this information when making decisions and evaluating health care programs in your area.
o In 2001 there were shortages of the DTaP and MMR vaccines. Data collected by this survey indicated that certain populations were more affected by these shortages than others. Based on these findings, changes were made to ensure a more even distribution of vaccines during future shortages.
o The Centers for Disease Control and Prevention uses the information we collect to determine if individual states are meeting the vaccination goals set for them by the Childhood Immunization Initiative.
Why can’t I just get the information from my doctor and send it to you?
In order to standardize the type of information that we receive, it is required that we contact providers directly. We also ask providers a few questions about their practice or clinic, so we can accept only vaccination history forms filled out by health care professionals.
TIS_D6AA_x
How many locations have provided health care for your child? Please include the hospital and any other clinics or doctor’s offices that have seen [him/her].
ENTER 0 IF CHILD HAS NEVER SEEN A DOCTOR OR THER HEALTH CARE PROVIDER.
ENTER 77 FOR DON’T KNOW AND 99 REFUSED
ENTER NUMBER GO TO TIS_D6A_1_X
ZERO 0 GO TO TIS_D16.; NS_CSHCN (if sample type ne 1 )
DON’T KNOW 77 GO TO TIS_D16.; NS_CSHCN (if sample type ne 1)
REFUSED 99 GO TO TIS_D16.; NS_CSHCN (if sample type ne 1)
FAQ HELP:
Why contact my doctor? Why give consent?
The information you’ve provided is very helpful and we appreciate your cooperation; however, to get the most accurate vaccination history of your child, we need to contact your child’s healthcare provider. They will be able to confirm the dates and specific types of each vaccination.
· The Adolescent Survey is part of the National Immunization Survey. The NIS has been conducted for over 10 years (since 1994). Each year we receive immunization histories from over 20,000 doctors and clinics; in fact, your doctor may have already taken part in this survey.
· Information collected helps to identify communities where additional resources may be needed for vaccination programs.
· Because vaccinations play an important role in reducing and eliminating childhood and adolescent diseases, we need dependable, up to date statistics (from this study). Public health agencies in your area rely on this information when making decisions and evaluating health care programs in your area.
o In 2001 there were shortages of the DTaP and MMR vaccines. Data collected by this survey indicated that certain populations were more affected by these shortages than others. Based on these findings, changes were made to ensure a more even distribution of vaccines during future shortages.
o The Centers for Disease Control and Prevention uses the information we collect to determine if individual states are meeting the vaccination goals set for them by the Childhood Immunization Initiative.
Why can’t I just get the information from my doctor and send it to you?
§ In order to standardize the type of information that we receive, it is required that we contact providers directly. We also ask providers a few questions about their practice or clinic, so we can accept only vaccination history forms filled out by health care professionals.
TIS_D6 A_1_x
Starting with the most recent, please tell me the contact information for each location. (Would you take a moment to find shot records, appointment cards, or other records you may have?)
Yes, continue on 1 GO TO TIS_PLU
No, can’t find, continue 2 GO TO TIS_PLU
Refused 99 GO TO TIS_D16
FAQ HELP:
Why contact my doctor? Why give consent?
The information you’ve provided is very helpful and we appreciate your cooperation; however, to get the most accurate vaccination history of your child, we need to contact your child’s healthcare provider. They will be able to confirm the dates and specific types of each vaccination.
· The Adolescent Survey is part of the National Immunization Survey. The NIS has been conducted for over 10 years (since 1994). Each year we receive immunization histories from over 20,000 doctors and clinics; in fact, your doctor may have already taken part in this survey.
· Information collected helps to identify communities where additional resources may be needed for vaccination programs.
· Because vaccinations play an important role in reducing and eliminating childhood and adolescent diseases, we need dependable, up to date statistics (from this study). Public health agencies in your area rely on this information when making decisions and evaluating health care programs in your area.
o In 2001 there were shortages of the DTaP and MMR vaccines. Data collected by this survey indicated that certain populations were more affected by these shortages than others. Based on these findings, changes were made to ensure a more even distribution of vaccines during future shortages.
o The Centers for Disease Control and Prevention uses the information we collect to determine if individual states are meeting the vaccination goals set for them by the Childhood Immunization Initiative.
Why can’t I just get the information from my doctor and send it to you?
§ In order to standardize the type of information that we receive, it is required that we contact providers directly. We also ask providers a few questions about their practice or clinic, so we can accept only vaccination history forms filled out by health care professionals.
NIS PROVIDER LOOKUP
Provider Search Information Screen
Please locate the (first/second/…) provider for (child name)
In order to help me accurately record the information for your child’s health care provider, I will need to try and find that provider in a “lookup” database. The most efficient search is typically the doctor’s last name in combination with the city and state where the office is located. Do you have that information?
READ IF R DOESN’T HAVE THE LAST NAME: Do you have the clinic or office name?
What is the last name of the (first/next) doctor? [variable: TIS_D6B1]
Please tell me the name of the office or the clinic. [variable: TIS_D6B3]
What is the street address of the office or the clinic? [variable: TIS_D6B4]
Is there a suite, floor or room number? [variable: TIS_D6B5]
What is the zip code? [variable: TIS_D6B8]
What city is that in? [variable: TIS_D6B6]
What state is that in? [variable: TIS_D6B7]
What is their telephone number? [variable: TIS_D6B9]
Do you know the doctor’s first name? [variable: D6B2]
SEARCH
DK
REF
Search Results Screen
READ IF NECESSARY: Thank you. I now have a list of possible matches and just need to find the correct listing. I can organize the list by many different categories, including the practice name, street address, telephone number and the doctor's first and last names.
SEARCH RESULTS: Name or Practice, City, State, First Name, Last Name, Phone Number, Address Information, Action
DK
REF
MODIFY SEARCH
ADD NEW PROVIDER
Provider Details Screen
To be certain I have the correct information I would like to confirm th | Translation - Spanish
ENCUESTA SOBRE VACUNACIÓN EN ADOLESCENTES
Especificaciones CATI
7/28/2006 9:55 AM
Programa Nacional de Vacunación
Centro Nacional de Estadísticas de Salud
EVALUACIÓN NIS (SECCIÓN S)
EVALUACIÓN DEL ADOLESCENTE
SECIÓN A (LA PERSONA QUE RESPONDE CUENTA CON REGISTRO DE VACUNACIÓN)
SECCIÓN B (LA PERSONA QUE RESPONDE NO CUENTA CON REGISTRO DE VACUNACIÓN)
SALUD
CARACTERÍSTICAS DEMOGRÁFICAS
SECCIONES DE PROVEEDORES
GUIONES DE DEVOLUCIÓN DE LLAMADAS
GUIONES DE LA CONSTESTADORA TELEFÓNICA
EVALUACIÓN DEL ADOLESCENTE
SI COMPLETÓ LA ENTREVISTA DE NIS, LEA:
TIS_C2Q0A (FOR NIS ELIGIBLE CASES)
Usted ya me ha proporcionado la fecha de nacimiento de (NAME OF NIS-ELIGIBLE CHILD OR CHILDREN)'. Ahora, ¿podría decirme la edad o las edades de sus otros hijos (IF [(answer to c1-c1a) - S_NUMB = 1; INSERT ‘child’/ IF [S_UNDR18 - S_NUMB > 1; INSERT ‘children’) menores de 18 años de edad? YES 01 SKIP TO TIS_INTRO2
WRONG NUMBER OF CHILDREN UNDER 18 02SKIP TO TIS_UNDR18, CORRECT, AND RETURN TO C2Q0A
[Read for ALL TIS selected households]
IF NCIR FOR NIS, READ:
TIS_Under18
¿Cuántas personas menores de 18 años de edad viven en su casa?
______PERSONAS menores de 18 años de edad [IF HOUSEHOLD COMPLETED NIS INTERVIEW, SKIP TO TIS_INTRO2, ELSE SKIP TO TIS INTRO_1]
DON’T KNOW 77 SKIP TO TIS_ TIS_S1AREF]
REFUSED 99 SKIP TO TIS_S1AREF]
IF TIS_UNDER18 = 0, GO TO 3_TERM
IF NIS S4 =1 THEN FILL IN FROM S4 AND GO TO TIS_INTRO1
TIS_S1ADK
¿Hay alguna persona en su casa que sepa cuántas personas en dicha casa tienen menos de 18 años de edad?
NEW PERSON COMES TO PHONE 1GO TO TIS_UNDER18
NO 2 [GO TIS_S1TERM]
TIS_S1TERM Gracias, lo intentaremos en otra oportunidad.
TIS_S1AREF
El único motivo por el cuál necesitamos saber cuántos niños hay en la casa de ese grupo de edad es para determinar si usted es elegible para participar en este estudio.
CONTINUE 1 RETURN TO TIS_UNDER18
R STILL REFUSES: 2 SKIP TO TIS_REFKID
TIS_REFKID
Dado que necesitamos saber cuántos niños hay en ese grupo de edad para poder continuar, estas son todas las preguntas que tengo hasta el momento. Quisiera agradecerle en representación del Centro para el Control y la Prevención de Enfermedades por el tiempo que se ha tomado para responder a estas preguntas. [GO TO R1]
[IF S3_INTRO has not been read:]
TIS_INTRO1
Antes de continuar, me gustaría que sepa que la participación en este estudio es voluntaria. Usted puede elegir no responder a ninguna pregunta que no desee responder o detenerse en cualquier momento. La Ley del Servicio de Salud Pública nos exige que mantengamos sus respuestas en confidencialidad. Puedo proporcionarle más información sobre dicha ley y sobre otras leyes federales, si así lo desea. Dichas leyes garantizan que sus respuestas serán utilizadas sólo para investigaciones estadísticas. Para poder revisar mi trabajo, mi supervisor puede grabar y escuchar a medida que realizo las preguntas. Ahora me gustaría continuar, a menos que usted tenga alguna pregunta.
YES 1 SKIP TO TIS_SAGE_X
Respondent asks for description of law 2 GO TO S3_LAW
TIS_S3_EVAL_R Yes, respondent agrees to recording/listening 1 GO TO TIS_SAGE_X
No, the respondent does not agree to
recording/listening 2 GO TO TIS_SAGE_X
TIS_S3_LAW/
La Ley de Servicio de Salud Pública se encuentra en el Volumen 42 del Código de los Estados Unidos, Sección 242k. La recolección de información en esta encuesta está autorizada por la Sección 306 de dicha Ley. La confidencialidad de sus respuestas está garantizada por la Sección 308d de dicha ley y por la Ley de Protección de Información Confidencial y de Eficacia Estadística.
Continue TIS_INTRO1
[IF S3_INTRO has been read:]
TIS_INTRO2
Como dijimos anteriormente, usted puede elegir no responder a ninguna pregunta que no desee responder o detenerse en cualquier momento. Ahora me gustaría continuar, a menos que usted tenga alguna pregunta.
YES 1 SKIP TO TIS_SAGE_X
TIS_S3AGE_x
¿Cuál es la edad del (primer, segundo, tercer) hijo menor de 18 años de edad?
_____CANTIDAD
AÑOS 1
MESES 2
TIS_AGEREF
Entiendo que pueda sentirse incómodo, sin embargo, toda la información es confidencial, de acuerdo con las leyes federales.
RETURN TO QUESTIONNAIRE 1 SKIP TO TIS_S3AGE_X
R STILL REFUSES 99 IF LAST CHILD GO TO TIS_TERM
TIS_AGEDK
¿Hay alguna persona disponible que conozca la edad del niño o de los niños?
NEW PERSON COMES TO PHONE 1 SKIP TO TIS_UNDER18
NO 2 SKIP TO TIS_S1TERM
TIS_AGE_
CONFIRM Entonces, usted tiene (FILL WITH AGE IN YEARS FOR ALL). ¿Es verdad?
GO TO TIS_S3Intro
TIS_TERM IF NIS INTERVIEW COMPLETED, READ AND FINAL REFUSAL
Esas son todas las preguntas que tengo. Es posible que vuelvan a comunicarse con usted en el futuro para participar en estudios relacionados. Si se vuelven a comunicar con usted para participar en futuras encuestas, usted tiene derecho a rehusarse. Quisiera agradecerle nuevamente en nombre de los Centros para el Control y la Prevención de Enfermedades por el tiempo que se tomó y el esfuerzo por responder estas preguntas. Si desea más información sobre el Estudio Nacional de Vacunación, por favor, llame al número telefónico gratuito del estudio, 1- 866-999-3340. Si tiene preguntas sobre sus derechos como participante del estudio, puede llamar al número telefónico gratuito, 1-800-223-8118, y dejar un mensaje solicitando hablar con el Presidente del Consejo de revisión ética.
IF NIS NCIR, READ:
Esas son todas las preguntas que tengo. Quisiera agradecerle en representación del Centro para el Control y la Prevención de Enfermedades por el tiempo que se ha tomado y el esfuerzo por responder estas preguntas. [IF RESPONDENT DISCONNECTS AT ANY TIME ON THIS SCREEN USE ENTER TO EXIT SCREEN AND TERMINATE INTERVIEW.]
IF CHILD IS NOT 13, 14, 15, 16 OR 17 BUT UNDER 18 YEARS OF AGE GO TO SLAITS
IF TIS3CONF FILL2 <13 or >16, and sample code = 2 or 3 then go to SLAITS:
IF TIS3CONF FILL2 <13 or >16, and sample code = 1 then read:
TIS_S1AQT
Esas son todas las preguntas que tengo. Esta encuesta es para recolectar información sobre la salud de los niños de 13 a 17 años de edad solamente. Quisiera agradecerle en nombre del Centro para el Control y la Prevención de Enfermedades por el tiempo que se ha tomado para responder estas preguntas. [TERMINATE INTERVIEW]
TISYRREF
Entiendo que pueda sentirse incómodo, sin embargo, toda la información es confidencial, de acuerdo con las leyes federales. El único motivo por el cual necesitamos la fecha de nacimiento de su hijo es para saber qué preguntas sobre vacunación se deben hacer (IF NECESSARY: Si le hace sentir más cómodo, puedo registrar sólo el mes y el año de nacimiento).
RETURN TO QUESTIONNAIRE 1 SKIP TO TIS_S3
R STILL REFUSES 99 SKIP TO TISYRQUIT
TISYRDK
El único motivo por el cual necesitamos la fecha de nacimiento de su hijo es para saber qué preguntas sobre vacunación se deben hacer. ¿Hay alguna persona disponible que sepa el día, el mes y el año de nacimiento del niño?
NEW PERSON COMES TO PHONE 1 SKIP TO S_under18
NO 2 SKIP TO TIS_CB3]
TISYRQUIT
Dado que necesitamos la fecha de nacimiento para poder continuar, éstas son todas las preguntas que tengo en este momento. Quisiera agradecerle en nombre del Centro para el Control y la Prevención de Enfermedades por el tiempo que se ha tomado para responder estas preguntas. [TERMINATE INTERVIEW]
TIS_S3INTRO [TIS_UNDER18 =1 then go to TIS_S3 ]
(IF TIS_UNDR18 > 1 THEN FILL: La computadora eligió al azar a este niño para la entrevista, que tiene (fill in age) y, de aquí en adelante, no haremos preguntas sobre ningún otro niño).
TIS_S3
Entonces, sé qué preguntas sobre vacunación hacer, por favor, dígame el día, el mes y el año de nacimiento del niño (completar la edad en años).
MM/DD/YYYY ENTER BIRTH DATE SKIP TO TIS3CONF]
DON’T KNOW 99/99/9996 77 SKIP TO TISYRDK
REFUSED 99SKIP TO TISYRREF
IF HAVE YEAR, CALCULATE AGE BASED ON YEAR
TIS3CONF
FILL1: ordinal # of kid derived from TIS_S3_# where # is 1 to 9 depending on the iteration.
If TIS_S1A = 1 FILL1 is empty, therefore “… the child…”
FILL2: age of child in years
Entonces el niño tiene [FILL2] años, ¿es verdad?
YES 1 SKIP TO TIS_S4
NO 2 SKIP TO TIS_S3
TIS_S4
FILL: BIRTH DATE FROM TIS_S3 FOR SELECTED CHILD
Su hijo ¿es niño o niña?
MALE 1 SKIP TO TIS_S5
FEMALE 2 SKIP TO TIS_S5
DON'T KNOW 77 SKIP TO TIS_S5
REFUSED 99 SKIP TO TIS_S5
IF TIS_S4 = 1, GENDER 1 = HIM, GENDER2 = HIS, GENDER3 = HE
IF TIS_S4 = 2, GENDER1 = HER, GENDER2 = HER, GENDER3 = SHE
TIS_S5
FILL1 = GENDER1
FILL2 = GENDER2
FIELD = 35 CHARACTERS
Así sabré cómo referirme a [FILL1] durante la entrevista, por favor, dígame el primer nombre o las iniciales de [FILL2]. _____________ SKIP TO TIS_S4A]
IF NIS S4 =1 THEN FILL IN FROM S4 AND GO TO TIS_INTRO1
TIS_S4A
Dado que esta encuesta es sobre las vacunas que los niños hayan recibido, debo hablar con la persona que viva en su casa y sepa sobre las vacunas que [FIRST NAMES OF CHILD FROM TIS_S5] haya recibido. ¿Es usted esa persona?
YES 1 SKIP TO TIS_SR1
NO 2 SKIP TO TIS_S5A
¿Puedo hablar con esa persona ahora?
YES 1 KIP TO TIS_S5BOX
NO 2 SKIP TO TIS_MR1
TIS_S5BOX
¡Hola! Llamo del Centro para el Control y la Prevención de Enfermedades. Estamos llamando con respecto a un importante estudio nacional de vacunación. Deseo que sepa que este estudio es voluntario, Puede saltear cualquier pregunta que no desee responder o terminar la entrevista sin recibir ningún tipo de sanción. La Ley del Servicio de Salud Pública nos exige que mantengamos sus respuestas en confidencialidad. Si lo desea, puedo describirle dichas leyes. Dichas leyes garantizan que sus respuestas serán utilizadas sólo para investigaciones estadísticas. Las preguntas pueden llevar de 15 a 25 minutos. Para poder revisar mi trabajo, es posible que mi supervisor grabe y escuche a medida que realizo las preguntas. Me gustaría continuar, a menos que usted tenga alguna pregunta. SKIP TO TIS_SR1]
YES 1 SKIP TO TIS_SAGE_X
Respondent asks for description of law 2 GO TO S3_LAW
TIS_S5EVAL_BOX Yes, respondent agrees to recording/listening 1 GO TO TIS_SAGE_X
No, the respondent does not agree to
recording/listening 2 GO TO TIS_SAGE_X
TIS_S5LAW_BOX
La Ley de Servicio de Salud Pública se encuentra en el Volumen 42 del Código de los Estados Unidos, Sección 242k. La recolección de información en esta encuesta está autorizada por la Sección 306 de dicha Ley. La confidencialidad de sus respuestas está garantizada por la Sección 308d de dicha ley y por la Ley de Protección de Información Confidencial y de eficacia estadística.
Continuar TIS_INTRO1
TIS_MR1
Antes de que colguemos, por favor, dígame el primer nombre de la persona que sepa más sobre las vacunas de (el niño/ los niños).
Primer nombre:__________________________________ SKIP TO TIS_MR3
TIS_MR3
¿Debo llamar al mismo número telefónico en el que me comuniqué con usted?
YES 1 SKIP TO TIS_MR2
NO 2 SKIP TO TIS_MR4
TIS_MR4
¿A qué número debo llamar?
AREA CODE:_______________
NUMBER:__________________ SKIP TO TIS_MR2
TIS_MR2
¿Cuándo sería un buen momento para volver a llamar y hablar con [FILL VAR: this person/NAME FROM TIS_MR1]?
SELECT APPOINTMENT AND ENTER THE APPROPRIATE DATE/TIME ON THE NEXT APPOINTMENT SCREEN
IF CALLBACK, SELECT CONTINUE AND READ THE NEXT SCREEN STATEMENT FOR THE MOST KNOWLEDGEABLE CALLBACK INTRODUCTION
APPOINTMENT 1 GO TO UNIVERSAL EXIT-CB1
CONTINUE 2 GO TO TIS_S5_BOX
TIS_SR1
FILL = TIS_S5 (NAME OF SELECTED CHILD)
Dado que los Centros para el Control y la Prevención de Enfermedades necesitan información precisa sobre las vacunas que reciben los niños, nos gustaría que revise los registros de vacunación. ¿Tiene algún registro de vacunación para [FILL]?
YES 1 SKIP TO TIS_SR2
NO 2 SKIP TO TIS_BINTRO
DON’T KNOW 77 SKIP TO TIS_SR2
REFUSED 99 SKIP TO TIS_SR2
TIS_SR2
FILL = TIS_S5 (NAME OF SELECTED CHILD)
Algunos niños pueden recibir muchas vacunas y los nombres y las fechas de dichas vacunas pueden ser difíciles de recordar. Sería útil si pudiera traer el registro de vacunas de [FILL] junto al teléfono. (SI ES NECESARIO: No tengo problema en esperar mientras va a buscarlo).
HAS SHOT RECORDS 1 SKIP TO TIS_SR3
CAN’T/WON’T GET SHOT RECORDS 2 SKIP TO TIS_BINTRO
TIS_SR3
¿Incluye el registro todas las vacunas que [FILL] ha recibido?
Yes 1 skip to TIS_AINTRO
No 2 skip to TIS_AINTRO
Don’t know 77 skip to TIS_AINTRO
Refused 99 skip to TIS_AINTRO
Sección A
BEGIN SECTION 2
USE DATE CHECKS FROM NIS – DATES OF SHOTS CANNOT BE OLDER THAN CHILD OR PAST TODAY’S DATE
TIS_AINTRO.
Gracias por traer el registro.
TIS_AMMR
Mire el registro y por favor dígame cuántas veces ha recibido [FILL] la vacuna contra el sarampión o la vacuna triple viral, es decir, la vacuna contra el sarampión, las paperas y la rubeola.
SHOTS _________ SKIP TO TIS_AMMR_Date]
[IF = 0, SKIP TO TIS_AMMR_Recall]
DON’T KNOW 77 SKIP TO TIS_AMMR_Recall
REFUSED 99 SKIP TO TIS_AMMR_Recall
TIS_AMMR_Date
¿Cuál es la fecha (que figura en el registro) para la [FILL VAR: (First/Second/third)]
vacuna contra el sarampión o la triple viral?
first… MM/DD/YYYY
second… MM/DD/YYYY
third… MM/DD/YYYY
fourth… MM/DD/YYYY
SKIP TO TIS_AHepB]
DON’T KNOW 77 SKIP TO TIS_AMMR_Recall
REFUSED 99 SKIP TO TIS_AMMR_Recall
TIS_AMMR_Recall
Sé que podría ser difícil, pero ¿recuerda si [FILL] recibió la vacuna contra el sarampión?
Sí 1 SKIP TO TIS_AMMR_Dose
No 2 SKIP TO TIS_AHepB
Don´t know 77 SKIP TO TIS_AHepB
Refused 99 SKIP TO TIS_AHepB
TIS_AMMR_Dose
¿Cuántas vacunas contra el sarampión y triples virales recibió [FILL]?
Cantidad de vacunas ____________ SKIP TO TIS_AHepB
ALL SHOTS 50 SKIP TO TIS_AHepB
DON’T KNOW 77 SKIP TO TIS_AHepB
REFUSED 99 SKIP TO TIS_AHepB
TIS_AHepB
Mire el registro y por favor dígame ¿cuántas veces recibió [FILL] la vacuna contra la hepatitis B?
SHOTS _________________ SKIP TO TIS_AHepB_Date)
(if =0, skip to TIS_AHepB_Recall)
Don’t know 77 SKIP TO TIS_AHepB_Recall
Refused 99 SKIP TO TIS_AHepB_Recall
TIS_AHepB_Date
¿Cuál es la fecha (que figura en el registro) para la [FILL VAR: (First/Second/...Eighth)]
vacuna contra la hepatitis B?
first… MM/DD/YYYY
second… MM/DD/YYYY
third… MM/DD/YYYY
fourth… MM/DD/YYYY
fifth… MM/DD/YYYY
SKIP TO TIS_AHepB _Man
Don’t know 77 SKIP TO TIS_AHepB_Recall
Refused 99SKIP TO TIS_AHepB_Recall )
TIS_AHepB_Recall
Sé que podría ser difícil, pero ¿recuerda si [FILL] recibió la vacuna contra la hepatitis B?
Yes 1 SKIP TO TIS_AHepB_Dose
No 2 SKIP TO TIS_AHepA
Don’t know 77 SKIP TO TIS_AHepA
Refused 99 SKIP TO TIS_AHepA
TIS_AHepB_Dose
¿Cuántas vacunas contra la hepatitis B recibió [FILL]?
Number of shots____________ SKIP TO TIS_AHepB _Man)
All shots 50 SKIP TO TIS_AHepB _Man
Don’t know 77 SKIP TO TIS_AHepA
Refused 99 SKIP TO TIS_AHepA
TIS_AHepB _Man
¿Recibió [FILL] la vacuna contra la hepatitis B debido a un requisito escolar?
Yes 1 SKIP TO TIS_AHepA
No 2 SKIP TO TIS_AHepA
Don’t know 3 SKIP TO TIS_AHepA
Refused 4 SKIP TO TIS_AHepA
TIS_AHepA
Mire el registro y por favor dígame ¿cuántas veces recibió [FILL] la vacuna contra la hepatitis A?
SHOTS_________ SKIP TO TIS_AHepA _Date
[IF = 0, SKIP TO SKIP TO TIS_HepA _Recall)
DON’T KNOW 77 SKIP TO TIS_AHepA_Recall
REFUSED 99 SKIP TO TIS_AHepA_Recall
TIS_AHepA _Date
¿Cuál es la fecha (que figura en el registro) para la [FILL VAR: (First/Second/Third)]
vacuna contra la hepatitis A?
first… MM/DD/YYYY
second… MM/DD/YYYY
third… MM/DD/YYYY
fourth… MM/DD/YYYY
SKIP TO TIS_AHepA _Recom
Don’t know SKIP TO TIS_AHepA _Recall)
Refused SKIP TO TIS_AHepA _Recall)
TIS_AHepA _Recall
Sé que podría ser difícil, pero ¿recuerda si [FILL] recibió la vacuna contra la hepatitis A?
Yes SKIP TO TIS_AHepA _Dose
No SKIP TO TIS_AHepA _Recom
Don’t know SKIP TO TIS_AHepA _Recom
Refused SKIP TO TIS_AHepA _Recom
TIS_AHepA _Dose
¿Cuántas vacunas contra la hepatitis A recibió [FILL]?
Number of shots____________SKIP TO AHepA _Recom
All shots 50 SKIP TO TIS_ AHepA _Recom
Don’t know 77 SKIP TO TIS_AHepA _Recom
Refused 99 SKIP TO TIS_AHepA _Recom
TIS_AHepA _Recom
¿El médico u otro profesional de atención de la salud le había o le ha recomendado alguna vez que [FILL] reciba la vacuna contra la hepatitis A?
Yes 1 SKIP TO TIS_AVAR
No 2 SKIP TO TIS_AVAR
Don’t know 77 SKIP TO TIS_AVAR
Refused 99 SKIP TO TIS_AVAR
TIS_AVAR
Mire el registro y por favor dígame cuántas vacunas contra la varicela ha recibido [FILL]?
SHOTS_________ SKIP TO TIS_AVAR _Date]
[IF = 0, SKIP TO TIS_AVAR _Recall]
DON’T KNOW 77 SKIP TO TIS_AVAR _Recall
REFUSED 99 SKIP TO TIS_AVAR _Recall
TIS_AVAR _Date
¿Cuál es la fecha (que figura en el registro) para la [FILL VAR: (First/Second/...Fourth)]
varicela?
first… MM/DD/YYYY
second… MM/DD/YYYY
third… MM/DD/YYYY
fourth… MM/DD/YYYY
SKIP TO TIS_AINFLU]
Don’t know 77 SKIP TO TIS_VAR _Recall
Refused 99 SKIP TO TIS_VAR _Recall
TIS_AVAR _Recall
Sé que podría ser difícil, pero ¿recuerda si [FILL] recibió la vacuna contra la varicela?
Yes 1 SKIP TO TIS_AVAR _Dose
No 2 SKIP TO TIS_AINFLU
Don’t know 77 SKIP TO TIS_AINFLU
Refused 99 SKIP TO TIS_AINFLU
TIS_AVAR _Dose
¿Cuántas vacunas contra la varicela recibió [FILL]?
Number of shots____________ SKIP TO TIS_AINFLU)
All shots 50 SKIP TO TIS_AINFLU
Don’t know 77 SKIP TO TIS_AINFLU
Refused 99 SKIP TO TIS_AINFLU
TIS_AINFLU
Mire el registro y dígame si durante los últimos 12 meses [FILL] ha recibido la vacuna contra la influenza o gripe
YES 1 SKIP TO TIS_AINFLU_Date
NO 2 SKIP TO TIS_AINFLU _Recall
Don’t know 77 SKIP TO TIS_AINFLU _Recall
Refused 99 SKIP TO TIS_AINFLU _Recall
TIS_AINFLU _Date
¿Cuál fue la fecha de esa vacuna contra la gripe?
|___|____|______| SKIP TO TIS_ATET
IF DATE IS > 1 YEAR FROM DATE OF INTERVIEW, DISPLAY WARNING MESSAGE: “This date is not within the last year.” and repeat dates question..
DON’T KNOW SKIP TO TIS_ATET
REFUSED SKIP TO TIS_ATET
TIS_AINFLU _Recall
Sé que podría ser difícil, pero ¿recuerda si [FILL] recibió la vacuna contra la gripe durante los últimos 12 meses?
Yes SKIP TO TIS_AINFLU_Date2
No SKIP TO TIS_ATET
Don’t know SKIP TO TIS_ATET
Refused SKIP TO TIS_ATET
TIS_AINFLU _Date2
¿Durante qué mes y qué año recibió [FILL] la vacuna más reciente contra la influenza?
MM/ /YYYY SKIP TO TIS_ATET
Don’t know 77 SKIP TO TIS_ATET
Refused 99 SKIP TO TIS_ATET
TIS_ATET
Mire el registro y por favor dígame cuántas veces recibió [FILL] la vacuna de refuerzo contra el tétanos? Existen dos tipos principales de vacunas de refuerzo contra el tétanos: TD (tétanos difteria) y Tdap. La vacuna de refuerzo Tdap también protege contra la pertusis o tos ferina y se encuentra disponible desde el año 2005. Mire el registro y por favor dígame cuántas veces ha recibido [FILL] la vacuna de refuerzo contra el tétanos, también llamada vacuna Td o Tdap? Los refuerzos para el tétanos generalmente se dan cada 10 años. La primera vacuna de refuerzo generalmente se aplica a los 11 o 12 años de edad.
SHOTS_________ SKIP TO TIS_ATET_Date]
[IF = 0, SKIP TO TIS_ATET_Recall]
DON’T KNOW 77 SKIP TO TIS_ATET_Recall
REFUSED 99 SKIP TO TIS_ATET_Recall
TIS_ATET _Date
¿Cuál es la fecha (que figura en el registro) para la [FILL VAR: (First/Second/...Eighth)]
vacuna de refuerzo contra el tétanos?
first… MM/DD/YYYY Was it Td__ Tdap__Unknown
second… MM/DD/YYYY Was it Td__ Tdap__Unknown
third… MM/DD/YYYY Was it Td__ Tdap__Unknown
fourth… MM/DD/YYYY Was it Td__ Tdap__Unknown
fifth… MM/DD/YYYY Was it Td__ Tdap__Unknown
[NOTE: IF LAST DATE OF VACCINATION READ IS BEFORE AGE 6 YEARS OLD, SKIP TO TIS_ATET_RECALL QUESTION OTHERWISE, WHEN COMPLETE SKIP TO TIS_AMEN]
CAN ADD REMINDERS: ¿Está seguro de que son los refuerzos contra el tétanos? El primer refuerzo para el tétanos se aplica generalmente a los 11-12 años.
DON’T KNOW 77 SKIP TO TIS_ATET_Recall
REFUSED 99 SKIP TO TIS_ATET_Recall
TIS_ATET _Recall
Sé que podría ser difícil, pero ¿recuerda si [FILL] alguna vez recibió la vacuna de refuerzo contra el tétanos, también llamada Td o Tdap?
Yes 1 SKIP TO TIS_ATET _AGE
NO 2 SKIP TO TIS_ATET REASON
Don’t know 77 SKIP TO TIS_AMEN
Refused 99 SKIP TO TIS_AMEN
TIS_ATET _
Age ¿A qué edad recibió [FILL] la última vacuna de refuerzo contra el tétanos?
Years____________SKIP TO TIS_ATET_TYPE]
Nota: Si la edad de aplicación es menor a los 6 años, puede agregar: La primer vacuna de refuerzo contra el tétanos generalmente se aplica a los 11 o 12 años de edad.
Don’t know 77 SKIP TO TIS_ATET_TYPE
Refused 99 SKIP TO TIS_ATET_TYPE
TIS_ATET_TYPE ¿Qué tipo de vacuna de refuerzo contra el tétanos recibió [FILL]?
Td only 1 skip to TIS_AMEN
Tdap only 2 skip to TIS_AMEN
Don’t know 77skip to TIS_AMEN
Refused 99 skip to TIS_AMEN
TIS_ATET Reason
¿Cuál es el PRINCIPAL motivo por el que [FILL] no recibió la vacuna de refuerzo contra el tétanos?
Conocimiento: no sabía sobre la enfermedad o la vacuna de refuerzo,
tampoco sabía que mi hijo la necesitaba. 1 SKIP TO TIS_AMEN
El proveedor no recomendó la vacuna de refuerzo
para mi hijo. 2 SKIP TO TIS_AMEN
Seguridad de la vacuna: dudas sobre los efectos secundarios de la vacuna.3 SKIP TO TIS_AMEN
Eficacia de la vacuna: dudas con respecto a que la vacuna
no sirviera. 4 SKIP TO TIS_AMEN
Costo: la vacuna no estaba cubierta por el seguro y era demasiado costosa. 5 SKIP TO TIS_AMEN
La vacuna no estaba disponible en el consultorio del proveedor. 6 SKIP TO TIS_AMEN
Otro: especificar: _________________________ 7 SKIP TO TIS_AMEN
No sé 77 SKIP TO TIS_AMEN
No contesta 99 SKIP TO TIS_AMEN
TIS_AMEN
Mire el registro y por favor dígame cuántas veces recibió [FILL] la vacuna contra la meningitis, a veces llamada MENACTRA o MENOINMUNE. Algunas veces el nombre se abrevia como MCV4 o MPSV4.
SHOTS _________ SKIP TO TIS_AMEN_Date]
[IF = 0, SKIP TO TIS_AMEN _Recall]
DON’T KNOW 96 SKIP TO TIS_AMEN _Recall
REFUSED 97 SKIP TO TIS_AMEN _Recall
TIS_AMEN _Date
¿Cuál es la fecha (que figura en el registro) para la [FILL VAR: (First/Second/…)] vacuna contra la meningitis?
MM/DD/YYYY
MM/DD/YYYY
MM/DD/YYYY
SKIP TO TIS_AHPV)
Don’t know 77 SKIP TO TIS_AMEN_Recall
Refused 99 SKIP TO TIS_AMEN _Recall
TIS_AMEN _Recall
Sé que podría ser difícil, pero ¿recuerda si [FILL] recibió la vacuna contra la meningitis?
Yes 1 SKIP TO TIS_AMEN _Dose
No 2 SKIP to TIS_AMEN _Reason)
Don’t know 77 SKIP TO TIS_AHPV
Refused 99 SKIP TO TIS_AHPV
TIS_AMEN _Dose
¿Cuántas vacunas contra la meningitis recibió [FILL]?
Number of shots_____________ SKIP TO TIS_AHPV
All shots 50 SKIP TO TIS_AHPV
Don’t know 77 SKIP TOTIS_AHPV
Refused 99 SKIP TO TIS_AHPV
TIS_AMEN _Reason
¿Cuál es el PRINCIPAL motivo por el que [FILL] no recibió la vacuna contra la meningitis?
Conocimiento: no sabía sobre la enfermedad
ni tampoco que dicha vacuna fuera necesaria para mi hijo. 1 SKIP TOTIS_AHPV
El proveedor no recomendó la vacuna contra la meningitis. 2 SKIP TOTIS_AHPV
Seguridad de la vacuna: dudas sobre los efectos secundarios de la vacuna.3 SKIP TOTIS_AHPV
Eficacia de la vacuna: dudas con respecto a que la vacuna
no sirviera. 4 SKIP TOTIS_AHPV
Costo: la vacuna no estaba cubierta por el seguro y era demasiado costosa.5 SKIP TOTIS_AHPV
La vacuna no estaba disponible en el consultorio del proveedor.6 SKIP TOTIS_AHPV
Otro: especificar: ______________________________ 7 SKIP TOTIS_AHPV
No sé 77 SKIP TO TIS_AHPV
No contesta 99 SKIP TO TIS_AHPV
TIS_AHPV
¿Alguna vez escuchó sobre el Virus Papiloma Humano o VPH? Es distinto al Virus de Inmunodeficiencia Humana o VIH, sobre el cual es posible que haya escuchado.
Yes 1 SKIP TO TIS_AHPV_Knowledge
No 2 SKIP TO TIS_AHPV_Knowledge
Don’t know 77SKIP TO TIS_AHPV _Knowledge question
Refused 99 SKIP TOTIS_AHPV_Knowledge
El virus papiloma humano es un virus común que causa verrugas genitales y algunos tipos de cáncer, como por ejemplo el cáncer cervical en las mujeres. Se encuentra disponible una vacuna para prevenir la infección por VPH y se la denomina vacuna contra el cáncer cervical, vacuna VPH o GARDASIL.
TIS_AHPV _Knowledge
Antes del día de hoy, ¿había escuchado sobre la vacuna contra el cáncer cervical, vacuna VPH o Gardasil?
Yes 1 SKIP TOTIS_AHPV2
No 2 SKIP TO TIS_AHPV_INTENT
Don’t know 77 SKIP TO TIS_Heath_Var
Refused 99 SKIP TOTIS_Heath_Var
TIS_AHPV2
Mire el registro y por favor dígame cuántas veces recibió [FILL] la vacuna vacuna VPH.
Shots _________SKIP TO TIS_HPV_Date)
(If=0, then skip to TIS_AHPV_Recall)
Don’t know SKIP TO TIS_AHPV_Recall
Refused SKIP TO TIS_AHPV_Recall
TIS_AHPV_Date
¿Cuál es la fecha (que figura en el registro) para la [FILL VAR: (First/Second/...)]
vacuna VPH?
first… MM/DD/YYYY
second… MM/DD/YYYY
third… MM/DD/YYYY
SKIP TO TIS_Heath_Var]
Don’t know SKIP TO TIS_AHPV_Recall
Refused SKIP TO TIS_AHPV_Recall
TIS_AHPV_Recall
Sé que podría ser difícil, pero ¿recuerda si [FILL] recibió la vacuna VPH?
Yes 1 SKIP TO TIS_AHPV_Dose
No 2 SKIP TO TIS_AHPV_Intent
Don’t know 77 SKIP TO TIS_Heath_Var
Refused 99 SKIP TO TIS_Heath_Var
TIS_AHPV _Dose
¿Cuántas vacunas VPH recibió [FILL]?
Number of shots___________ SKIP TO TIS_Heath_Var
TIS_A6B
All shots 50 SKIP TO TIS_Heath_Var
Don’t know 96 SKIP TO TIS_Heath_Var
Refused 97 SKIP TO TIS_Heath_Var
TIS_AHPV_ Intent
¿Qué probabilidades hay de que [FILL] reciba la vacuna VPH en los próximos 12 meses?
Very likely 1 SKIP TO TIS_Heath_Var
Somewhat likely 2 SKIP TO TIS_Heath_Var
Not too likely 3 SKIP TO TIS_AHPV_Reason
Not likely at all 4 SKIP TO TIS_AHPV_Reason
Not sure/Don’t know 5 SKIP TO TIS_AHPV_Reason
Refused 99 SKIP TO TIS_Heath_Var
TIS_AHPV_Reason
¿Cuál es el PRINCIPAL motivo por el que [FILL] no recibirá la vacuna VPH en los próximos 12 meses?
Conocimiento: no sé mucho sobre el VPH
ni sobre la vacuna contra el VPH 1 SKIP TO TIS_Heath_Var
El proveedor no recomendó la vacuna VPH 2 SKIP TO TIS_Heath_Var
El niño no necesita la vacuna. 3 SKIP TO TIS_Heath_Var
¿POR QUÉ? ________________________________________________
Dudas sobre el hecho de que la vacuna conduzca a la actividad sexual 4 SKIP TO TIS_Heath_Var
Seguridad de la vacuna: efectos secundarios 5 SKIP TO TIS_Heath_Var
La vacuna no es eficaz 6 SKIP TO TIS_Heath_Var
Costo: la vacuna es muy costosa y el seguro no la cubre. 7 SKIP TO TIS_Heath_Var
La vacuna no estaba disponible en el consultorio del proveedor.8 SKIP TO TIS_Heath_Var
Otro: especificar: _______________________________ 9 SKIP TO TIS_Heath_Var
No sé 77 SKIP TO TIS_Heath_Var
No contesta 99 SKIP TO TIS_Heath_Var
Sección B: NO HAY REGISTRO DE VACUNACIÓN DISPONIBLE
TIS_B1
¿Alguna vez recibió [FILL.] una vacuna que no fuera inyectable o en gotas?
YES 1 GO TO TIS_BMMR
NO 2 GO TO TIS_Heath_Var
DON’T KNOW 77 GO TO TIS_Heath_Var
REFUSED 99 GO TO TIS_Heath_Var
TIS_BMMR
¿Alguna vez recibió [FILL] la vacuna contra el sarampión MMR (sarampión, paperas, rubeola)?
Yes 1 SKIP TO TIS_BMMR_Dose)
No 2 SKIP TO TIS_BHepB)
Don’t know 77 SKIP TO_BHepB)
Refused 99 SKIP TO TIS_BHepB)
TIS_BMMR_Dose
¿Cuántas vacunas contra el sarampión recibió [FILL]?
Cantidad de vacunas ____________SKIP TO TIS_BHepB
ALL SHOTS 50 SKIP TO TIS_BHepB
DON’T KNOW 77 SKIP TO TIS_BHepB
REFUSED 99 SKIP TO TIS_BHepB
TIS_BHepB
¿Ha recibido [FILL] la vacuna contra la hepatitis B?
Yes 1 SKIP to TIS_BHepB_Dose
No 2 SKIP to TIS_AHepA
Don’t know 77 SKIP TO TIS_AHepA
Refused 99 SKIP TO TIS_AHepA
TIS_BHepB_Dose
¿Cuántas vacunas contra la hepatitis B recibió [FILL]?
Cantidad de vacunas ____________ SKIP TO mandatory question
ALL SHOTS 50 SKIP TO TIS_BHepB_Man
Don’t Know 77 SKIP TO TIS_AHepA
Refused 99 SKIP TO TIS_AHepA
TIS_BHepB_Man
¿Recibió [FILL] la vacuna contra la hepatitis B debido a un requisito escolar?
Yes SKIP TO TIS_BHepA
No SKIP TO TIS_BHepA
Don’t Know SKIP TO TIS_BHepA
Refused SKIP TO TIS_BHepA
TIS_BHepA
¿Ha recibido [FILL] la vacuna contra la hepatitis A?
Yes 1 SKIP TO TIS_BHepA_Dose
No 2 SKIP TO TIS_BHepA _Recom
Don’t know 77 SKIP TO TIS_BHepA _Recom
Refused 99 SKIP TO TIS_BHepA _Recom
TIS_BHepA_Dose
¿Cuántas vacunas contra la hepatitis A recibió [FILL]?
Cantidad de vacunas____________SKIP TO TIS_BHepA _Recom)
ALL SHOTS 50 SKIP TO TIS_BHepA _Recom
Don’t know 77 SKIP TO TIS_BHepA _Recom
Refused 99 SKIP TO TIS_BHepA _Recom
TIS_BHepA _Recom
¿El médico u otro profesional de atención de la salud le había o le ha recomendado alguna vez que [FILL] reciba la vacuna contra la hepatitis A?
Yes 1 SKIP TO TIS_BVar
No 2 SKIP TO TIS_BVar
Don’t know 77SKIP TO TIS_BVar
Refused 99 SKIP TO TIS_BVar
TIS_BVar
¿Alguna vez recibió [FILL] una vacuna contra la varicela?
Yes 1 SKIP to TIS_BVar _Dose
No 2 SKIP TO TIS_BINFLU
Don’t know 3 SKIP TO TIS_BINFLU
Refused 4 SKIP TO TIS_BINFLU
TIS_BVar
Dosis ¿Cuántas vacunas contra la varicela recibió [FILL]?
Number of shots ____________ SKIP TO TIS_BINFLU
ALL SHOTS 50 SKIP TO TIS_BINFLU
Don’t know 77 SKIP TO TIS_BINFLU
Refused 99 SKIP TO TIS_BINFLU
TIS_BINFLU
¿Ha recibido [FILL] la vacuna contra la influenza o la gripe durante los últimos 12 meses?
YES 1 SKIP TO TIS_BINFLU_Date
NO 2 SKIP TO TIS_BTET
Don’t know 77 SKIP TO TIS_BTET
Refused 99 SKIP TO TIS_BTET
TIS_BINFLU_Date
¿Durante qué mes y qué año recibió [FILL] la vacuna más reciente contra la gripe?
|___|____|______| SKIP TO TIS_BTET
IF DATE IS > 1 YEAR FROM DATE OF INTERVIEW, DISPLAY WARNING MESSAGE: “This date is not within the last year.” and repeat question TIS_BINFLU.
Don’t Know SKIP TO TIS_BTET
Refused SKIP TO TIS_BTET
TIS_BTET
Mire el registro y por favor dígame ¿cuántas veces recibió [FILL] la vacuna de refuerzo contra el tétanos? Existen dos tipos principales de vacunas de refuerzo contra el tétanos: Td y Tdap. La vacuna de refuerzo Tdap también protege contra la pertusis o tos ferina y se encuentra disponible desde el año 2005.
Yes 1 SKIP TO TIS_BET_Age
No 2 SKIP TO TIS_BET_Reason
Don’t know 3 SKIP TO TIS_BMEN
Refused 4 SKIP TO TIS_BMEN
TIS_BET_Age
¿A qué edad recibió [FILL] la última vacuna de refuerzo contra el tétanos?
Years_________________ SKIP TO TIS_BTET_TYPE
If age given is < 6 years old, can add: The first tetanus booster shot is usually given at 11-12 years of age.
Don’t know 77SKIP TO TIS_BTET_TYPE
Refused 99SKIP TO TIS_BTET_TYPE
TIS_BTET_TYPE ¿Qué tipo de vacuna de refuerzo contra el tétanos recibió [FILL]?
FAQ: La vacuna Td no tiene nombre comercial. A la vacuna Tdap se la denomina Adacel o Boostrix.
Td only 1skip to TIS_BMEN
Tdap only 2skip to TIS_BMEN
Don’t know 77skip to TIS_BMEN
Refused 99skip to TIS_BMEN
TIS_BTET_Reason
¿Cuál es el PRINCIPAL motivo por el que [FILL] no recibió la vacuna de refuerzo contra el tétanos?
Conocimiento: no sabía sobre la enfermedad o la vacuna de refuerzo,
ni que mi hijo necesitaba la vacuna de refuerzo 1 SKIP TO TIS_BMEN
El proveedor no recomendó la vacuna de refuerzo
para mi hijo. 2 SKIP TO TIS_BMEN
Seguridad de la vacuna: dudas sobre los efectos secundarios de la vacuna.3 SKIP TO TIS_BMEN
Eficacia de la vacuna: dudas con respecto a que la vacuna
no sirviera. 4 SKIP TO TIS_BMEN
Costo: la vacuna no estaba cubierta por el seguro y era demasiado costosa.5 SKIP TO TIS_BMEN
La vacuna no estaba disponible en el consultorio del proveedor. 6 SKIP TO TIS_BMEN
Otro: especificar: _____________________ 7 SKIP TO TIS_BMEN
No sé 77 SKIP TO TIS_BMEN
No contesta 99 SKIP TO TIS_BMEN
TIS_BMEN
¿Ha recibido [FILL] alguna vez la vacuna contra la meningitis, llamada MENACTRA o MENOMUNE?
Yes 1 SKIP TO TIS_BMEN_Dose
No 2 SKIP TO TIS_BMEN_Reason
Don’t know 77 SKIP TO TIS_BHPV
Refused 99 SKIP TO TIS_BHPV
TIS_BMEN_Dose
¿Cuántas vacunas contra la meningitis recibió [FILL]?
Cantidad de vacunas_____________SKIP TO TIS_BHPV
ALL SHOTS 50SKIP TO TIS_BHPV
Don’t know 96SKIP TO TIS_BHPV
Refused 97SKIP TO TIS_BHPV
TIS_BMEN_Reason
¿Cuál es el PRINCIPAL motivo por el que [FILL] no recibió la vacuna contra la meningitis?
Conocimiento: no sabía sobre la enfermedad
ni tampoco que dicha vacuna fuera necesaria para mi hijo. 1 Go TO TIS_BHPV
El proveedor no recomendó la vacuna contra la meningitis 2 Go TO TIS_BHPV
Seguridad de la vacuna: dudas sobre los efectos secundarios de la vacuna.3 Go TO TIS_BHPV
Eficacia de la vacuna: dudas con respecto a que la vacuna
no sirviera. 4 Go TO TIS_BHPV
Costo: la vacuna no estaba cubierta por el seguro y era demasiado costosa.5 Go TO TIS_BHPV
La vacuna no estaba disponible en el consultorio del proveedor. 6 Go TO TIS_BHPV
Otro: especificar: _____________________ 7 Go TO TIS_BHPV
No sé 77 SKIP TO TIS_BHPV
No contesta 99 SKIP TO TIS_BHPV
TIS_BHPV
¿Alguna vez escuchó sobre el Virus Papiloma Humano o VPH? Es distinto al Virus de Inmunodeficiencia Humana o VIH, sobre el cual es posible que haya escuchado.
Yes 1 SKIP TO TIS_BHPV _Knowledge
No 2 SKIP TO TIS_BHPV _Knowledge
Don’t know 77 SKIP TO TIS_BHPV _Knowledge
Refused 99 SKIP TO TIS_BHPV _Knowledge
TIS_BHPV _Knowledge
El virus papiloma humano es un virus común que causa verrugas genitales y algunos tipos de cáncer, como por ejemplo el cáncer cervical en las mujeres. Se encuentra disponible una vacuna para prevenir la infección por VPH y se la denomina vacuna contra el cáncer cervical, vacuna VPH o GARDASIL.
Antes del día de hoy, ¿había escuchado sobre la vacuna contra el cáncer cervical, vacuna VPH o Gardasil?
Yes SKIP TO TIS_BHPV2
No SKIP TO TIS_BHPV_ Intent
Don’t know SKIP TO TIS_Heath_Var
Refused SKIP TO TIS_Heath_Var
TIS_BHPV2
¿Alguna vez recibió [FILL] la vacuna VPH?
Yes 1 SKIP TO TIS_BHPV_Dose
No 2 SKIP TO TIS_BHPV_ Intent
Don’t know 77 SKIP TO TIS_Heath_Var
Refused 99 SKIP TO TIS_Heath_Var
TIS_BHPV_Dose
¿Cuántas vacunas VPH recibió [FILL]?
Cantidad de vacunas___________ SKIP TO TIS_Heath_Var
ALL SHOTS 50SKIP TO TIS_Heath_Var
Don’t know 77SKIP TO TIS_Heath_Var
Refused 99SKIP TO TIS_Heath_Var
TIS_BHPV_ Intent
¿Es probable que [FILL] reciba la vacuna VPH en los próximos 12 meses?
Very likely 1 SKIP TO TIS_Heath_Var
Somewhat likely 2 SKIP TO TIS_Heath_Var
Not too likely 3 SKIP TO TIS_BHPV_Reason
Not likely at all 4 SKIP TO TIS_BHPV_Reason
Not sure/Don’t know 5 SKIP TO TIS_BHPV_Reason
Refused 99 SKIP TO TIS_Heath_Var
TIS_BHPV_Reason
¿Cuál es el PRINCIPAL motivo por el que [FILL] no recibirá la vacuna VPH en los próximos 12 meses?
Conocimiento: no sé mucho sobre el VPH
ni sobre la vacuna contra el VPH 1 SKIP TO TIS_Heath_Var
El proveedor no recomendó la vacuna VPH 2 SKIP TO TIS_Heath_Var
El niño no necesita la vacuna. 3 SKIP TO TIS_Heath_Var
¿POR QUÉ? ________________________________________________
Dudas sobre el hecho de que la vacuna conduzca a la actividad sexual 4 SKIP TO TIS_Heath_Var
Seguridad de la vacuna: efectos secundarios 5 SKIP TO TIS_Heath_Var
La vacuna no es eficaz 6 SKIP TO TIS_Heath_Var
Costo: la vacuna es muy costosa y el seguro no la cubre. 7 SKIP TO TIS_Heath_Var
La vacuna no estaba disponible en el consultorio del proveedor.8 SKIP TO TIS_Heath_Var
Otro: especificar: _______________________________ 9 SKIP TO TIS_Heath_Var
No sé 77 SKIP TO TIS_Heath_Var
No contesta 99 SKIP TO TIS_Heath_Var
Refused 99 SKIP TO TIS_Heath_Var
Preguntas sobre la salud
TIS_Heath_Var
FILL = TIS_S3.5 (NAME OF SELECTED CHILD)
He estado preguntando sobre las vacunas que recibió [FILL]. Ahora me gustaría preguntar si [FILL] ha tenido alguna vez varicela.
YES 1 SKIP TO TIS_Health_Var_Age
NO 2 SKIP TO TIS_Health_CHECKUPA
DON’T KNOW 77 SKIP TO TIS_Health_CHECKUPA
REFUSED 99 SKIP TO TIS_Health_CHECKUPA
TIS_Health_Var_Age
FILL1 = TIS_S3.5 (NAME OF SELECTED CHILD)
FILL2 = GENDER3
FIELD LENGTH = 2 CHARACTERS
HELP SCREEN: IF LESS THAN 12 MONTHS, ENTER 0 YEARS
IF TIS_A6C > TIS_S3, DISPLAY WARNING: “AGE CANNOT BE OLDER THAN AGE OF CHILD”
¿Cuántos años tenía [FILL], cuando (FILL2) tuvo varicela?
AGE CHILD HAD CHICKEN POX __|__ YEARS
UNABLE TO GIVE EXACT AGE 77 SKIP TO TIS_Health_Var_Age2
REFUSED 99 SKIP TO TIS_Health_CHECKUPA
TIS_Health_Var_Age2
FILL = TIS_S3.5 (NAME OF SELECTED CHILD)
¿Tenía [FILL]
...menos de un año de edad? 1 SKIP TO TIS_Health_CHECKUPA
...de uno a cinco años de edad? 2 SKIP TO TIS_Health_CHECKUPA
...de cinco a diez años de edad? 3 SKIP TO TIS_Health_CHECKUPA
...más de diez años de edad? 4 SKIP TO TIS_Health_CHECKUPA
DON’T KNOW 77 SKIP TO TIS_Health_CHECKUPA
REFUSED 99 SKIP TO TIS_Health_CHECKUPA
TIS_Health_CHECKUPA
FILL = TIS_S3.5 (NAME OF SELECTED CHILD)
FIELD LENGTH = 2 CHARACTERS
¿Cuántos años tenía [FILL] al momento de su último chequeo de salud? Por favor, no incluya las consultas por tratamiento médico o enfermedad.
Años _______
[NOTE: IF <10 YEARS, SKIP TO TIS_HealthASTHMA.A]
[NOTE: IF 11-12 YEARS, SKIP TO TIS_HealthASTHMA.A]
[NOTE: IF 13-17 YEARS, SKIP TO CHECKUP2A]
DON’T KNOW 77SKIP TO TIS_Health_CHECKUP2A
REFUSED 99SKIP TO TIS_Health_CHECKUP2A
TIIS_Health_CHECKUP2A
¿Se le realizó a [FILL] un examen pediátrico o un chequeo de salud cuando tenía 11 o 12 años de edad?
Yes 1 SKIP TO TIS_HealthASTHMA.A
No 2 SKIP TO TIS_HealthASTHMA.A
Don’t know 77 SKIP TO TIS_Health_CHECKUP3A
Refused 99 SKIP TO TIS_Health_CHECKUP3A
TIS_Health_CHECKUP3A
FILL = TIS_S3.5 (NAME OF SELECTED CHILD)
FILL2=[edad del niño – 12, por ejemplo: Si el niño tiene 17, sería 5, si el niño tiene 13, será uno]
¿El último chequeo de salud de [FILL] fue hace más de [FILL2] años o hace menos de [FILL2] años?
MÁS DE [FILL2] AÑOS 1 SKIP TO TIS_HealthASTHMA.A
EXACTAMENTE [FILL2] AÑOS 2 SKIP TO TIS_HealthASTHMA.A
MENOS DE [FILL2] AÑOS 3 SKIP TO TIS_HealthASTHMA.A
NO SÉ 77 SKIP TO TIS_HealthASTHMA.A
NO CONTESTA 99SKIP TO TIS_HealthASTHMA.A
TIS_HealthASTHMA.A
FILL1 = TIS_S3.5 (NAME OF SELECTED CHILD)
FILL2 = GENDER3 (HE OR SHE)
¿Alguna vez el médico u otro profesional de la salud le informó a [FILL] que [FILL2] tiene asma?
SÍ 1 SKIP TO TIS_HEALTH.A
NO 2 SKIP TO TIS_HEALTH.A
NO SÉ 77 SKIP TO TIS_HEALTH.A
NO CONTESTA 99 SKIP TO TIS_HEALTH.A
TIS_HEALTH.A
FILL1 = TIS_S3.5 (NAME OF SELECTED CHILD)
FILL2 = GENDER3 (HE OR SHE)
En general, cómo describiría la salud de [FILL]? ¿Diría que a salud de [FILL2] es excelente, muy buena, buena, regular o mala?
EXCELENTE 1 SKIP TO GRADE
MUY BUENA 2 SKIP TO GRADE
BUENA 3 SKIP TO GRADE
REGULAR 4 SKIP TO GRADE
MALA 5 SKIP TO GRADE
NO SÉ 6 SKIP TO GRADE
NO CONTESTA 99SKIP TO GRADE
END SECTION 6
CARACTERÍSTICAS DEMOGRÁFICAS
TIS_GRADE
FILL = TIS_S5 (NAME OF SELECTED CHILD)
¿Cuál es el grado actual de [FILL] en la escuela?
6th GRADE 6 SKIP TO TIS_CINTRO
7th GRADE 7 SKIP TO TIS_CINTRO
8th GRADE 8 SKIP TO TIS_CINTRO
9th GRADE/FRESHMAN IN HIGH SCHOOL 9 SKIP TO TIS_CINTRO
10th GRADE/SOPHOMORE IN HIGH SCHOOL 10 SKIP TO TIS_CINTRO
11th GRADE/JUNIOR IN HIGH SCHOOL 11 SKIP TO TIS_CINTRO
12TH GRADE/SENIOR IN HS 12 SKIP TP TIS CINTRO
GRADUATED FROM HIGH SCHOOL 13 SKIP TO TIS_CINTRO
ENROLLED IN GED PROGRAM 14 SKIP TO TIS_CINTRO
COMPLETED GED PROGRAM 15 SKIP TO TIS_CINTRO
NOT IN SCHOOL 16 SKIP TO TIS_CINTRO
OTHER 17 SKIP TO TIS_GRADE_OTH
DON’T KNOW 77 SKIP TO TIS_CINTRO
REFUSED 99 SKIP TO TIS_CINTRO
TIS_GRADE_OTH _________________________ SKIP TO TIS_CINTRO
TIS_CINTRO
Ahora tengo algunas preguntas sobre su hogar en general.
TIS_C1
IF NIS INTERVIEW CONDUCTED, FILL WITH NIS VARIABLE C1
FIELD LENGTH = 2 CHARACTERS
Incluyendo los adultos y todos los niños, ¿cuántas personas viven en su hogar?
NUMBER OF PEOPLE_______ SKIP TO TIS_C1.A
TIS_C1_A
IF NIS INTERVIEW CONDUCTED, FILL WITH NIS VARIABLE C1_A
FIELD LENGTH = 2 CHARACTERS
¿Cuántas de esas personas son adultos de 18 años de edad o mayores?
NUMBER OF PEOPLE_______ SKIP TO TIS_C1_B
TIS_C1_B
IF NIS INTERVIEW CONDUCTED, FILL WITH NIS VARIABLE C1_B
FILL = CALCULATE ANSWER TO TIS_C1 MINUS ANSWER TO TIS_C1A
¿Y eso significa que [FILL] de esas personas son menores de 18 años de edad?
YES 1 SKIP TO TIS_C1_C
NO 2 RETURN TO TIS_C1_A
REFUSED 7 SKIP TO TIS_C1_C
[IF ANSWER TO TIS_C1_A IS GREATER THAN OR EQUAL TO S_NUMB +1, THEN ASK TIS_C1_C, OTHERWISE, SKIP TO TIS_C2]
TIS_C1_C
IF NIS INTERVIEW CONDUCTED, FILL WITH NIS VARIABLE C1_C
FIELD LENGTH = 2 CHARACTERS
¿Cuántas personas menores de 12 meses de edad viven en su casa?
NUMBER OF CHILDREN < 12 MONTHS__________
DON’T KNOW 96 SKIP TO TIS_C2
REFUSED 97 SKIP TO TIS_C2
TIS_C2.
FILL = TIS_S5 (NAME OF SELECTED CHILD)
¿[FILL] es hispano o latino? (INCLUDES MEXICAN, MEXICAN-AMERICAN, CENTRAL AMERICAN, SOUTH AMERICAN OR PUERTO RICAN, CUBAN, OR OTHER SPANISH-CARIBBEAN)
YES 1 GO TO TIS_C3
NO 2 GO TO TIS_C4
DON’T KNOW 77 GO TO TIS_C4
REFUSED 99 GO TO TIS_C4
TIS_C3 FILL = TIS_S3.5 (NAME OF SELECTED CHILD)
¿Es [child] Mexicano, Mexicano-Americano, Centroamericano, Sudamericano, Puertorriqueño, Cubano o Español Caribeño? CLICK ALL THAT APPLY
MEXICAN/MEXICANO 1
MEXICAN-AMERICAN 2
CENTRAL AMERICAN 3
SOUTH AMERICAN 4
PUERTO RICAN 5
CUBAN/CUBAN AMERICAN 6
SPANISH-CARIBBEAN. 7
OTHER SPANISH/HISPANIC (SPECIFY 10 GO TO TIS_C3_OTHR
DON’T KNOW 77
REFUSED 99
TIS_C3_OTHER
ENTER OTHER SPECIFY
________________________________
TIS_C4 Ahora, voy a leerle una lista de categorías. Por favor, elija una o más de las siguientes categorías que describan la raza de [FILL.]. ¿Es [FILL] Blanco, Negro o Afroamericano, Indioamericano, Nativo de Alaska, Asiático, Nativo de Hawai o nativo de alguna otra isla del Pacífico? CLICK ALL THAT APPLY
WHITE 1
BLACK/AFRICAN AMERICAN 2
AMERICAN INDIAN 3
ALASKA NATIVE 4
ASIAN 5
NATIVE HAWAIIAN 6
PACIFIC ISLANDER 7
OTHER 8 GO TO TIS_C4_OTHR
DON’T KNOW 77
REFUSED 99
TIS_C4_OTHR
ENTER OTHER SPECIFY
___________________________________________________
TIS_C5
IF NIS INTERVIEW CONDUCTED, FILL WITH NIS VARIABLE C5
FILL = TIS_S5 (NAME OF SELECTED CHILD)
¿Cuál es su relación con [FILL]?
MOTHER (STEP, FOSTER, ADOPTIVE) OR
FEMALE GUARDIAN 01 SKIP TO TIS_C6
FATHER (STEP, FOSTER, ADOPTIVE) OR
MALE GUARDIAN 02 SKIP TO TIS_C6
SISTER OR BROTHER (STEP, FOSTER, HALF,
ADOPTIVE) 03 SKIP TO TIS_C6
IN-LAW OF ANY TYPE 04 SKIP TO TIS_C6
AUNT/UNCLE 05 SKIP TO TIS_C6
GRANDPARENT 06 SKIP TO TIS_C6
OTHER FAMILY MEMBER 07 SKIP TO TIS_C6
FRIEND 08 SKIP TO TIS_C6
DON’T KNOW 77 SKIP TO TIS_C6
REFUSED 99 SKIP TO TIS_C6
TIS_C6
IF NIS INTERVIEW CONDUCTED, FILL WITH NIS VARIABLE C6_06Q3_x
FILL = IF TIS_C5 = 01, FILL ‘you have,’ ELSE FILL “TIS_S3.5’s mother has”
FIELD LENGTH = 2 CHARACTERS
¿Cuál fue el grado máximo o el año escolar regular que (FILL) completó?
¿Cuál es el grado máximo o el año escolar regular que (usted / la madre de [FILL VAR: NAME OF FROM S3.5] completó?
READ IF NESSESSARY
8th GRADE OR LESS 1
9th-12th GRADE NO DIPLOMA 2
HIGH SCHOOL GRADUATE
OR GED COMPLETED 3
COMPLETED A VOCATIONAL, TRADE, OR
BUSINESS SCHOOL PROGRAM 4
SOME COLLEGE CREDIT BUT NO DEGREE 5
ASSOCIATE DEGREE (AA, AS) 6
BACHELOR’S DEGREE (BA, BS, AB) 7
MASTER’S DEGREE (MA, MS, MSW, MBA) 8
DOCTORATE (PhD, EdD) or PROFESSIONAL DEGREE (MD, DDS, DVM, JD) 9
DON’T KNOW 77
REFUSED 99
TIS_C7
IF NIS INTERVIEW CONDUCTED, FILL WITH NIS VARIABLE C7-c9
FILL1 = IF TIS_C5 = 01, FILL ‘Are you,’ ELSE FILL “Is [FILL: TIS_S3.5]’s mother”
FILL2 = IF TIS_C5 = 01, FILL ‘have you,’ ELSE FILL “has she”
¿[FILL1] está ahora casado, es viudo, está divorciado, separado o (FILL2) no se ha casado nunca?
MARRIED 01 SKIP TO TIS_C8
WIDOWED 02 SKIP TO TIS_C8
DIVORCED 03 SKIP TO TIS_C8
SEPARATED 04 SKIP TO TIS_C8
NEVER MARRIED 05 SKIP TO TIS_C8
DECEASED 06 SKIP TO TIS_C8_INTRO
DON’T KNOW 96 SKIP TO TIS_C8
REFUSED 97 SKIP TO TIS_C8
TIS_C8_INTRO
Las siguientes preguntas son para obtener antecedentes sobre la madre (del niño elegible). Entiendo que puede resultar difícil responder estas preguntas. Por favor, sepa que las estamos haciendo porque son importantes para la encuesta. (LEER SI ES NECESARIO: si se siente incómodo/a respondiendo cualquiera de estas preguntas, por favor, hágamelo saber y pasaré a la próxima pregunta).
TIS_C8
IF TIS_C7_X= 6
¿Era la madre de [FILL VAR: NAME OF FIRST/SECOND/NINTH CHILD, FROM TIS_S5] hispana o latina? (INCLUDES MEXICAN, MEXICAN-AMERICAN, CENTRAL AMERICAN, SOUTH AMERICAN OR PUERTO RICAN, CUBAN, OR OTHER SPANISH-CARIBBEAN)?
IF TIS_C7_X ≠ 6
¿Es usted o la madre de [FILL VAR: NAME OF FIRST/SECOND/NINTH CHILD, FROM TIS_S5] hispana o latina? (INCLUDES MEXICAN, MEXICAN-AMERICAN, CENTRAL AMERICAN, SOUTH AMERICAN OR PUERTO RICAN, CUBAN, OR OTHER SPANISH-CARIBBEAN)
YES 1 GO TO C8_A
NO 2 GO TO C9
DON’T KNOW 77 GO TO C9
REFUSED 99 GO TO C9
TIS_C8_A ¿Es usted/ la madre de [child] Mexicano, Mexicano-Americano, Centroamericano, Sudamericano, Puertorriqueño, Cubano o Español Caribeño? CLICK ALL THAT APPLY
MEXICAN/MEXICANO 1
MEXICAN-AMERICAN 2
CENTRAL AMERICAN 3
SOUTH AMERICAN 4
PUERTO RICAN 5
CUBAN/CUBAN AMERICAN 6
SPANISH-CARIBBEAN 7
OTHER SPANISH/HISPANIC (SPECIFY) 10 GO TO TIS_C8_OTHR1
DON’T KNOW 77
REFUSED 99
TIS_C8_OTHR1
ENTER OTHER SPECIFY
___________________________________________________
TIS_C9
Ahora, voy a leerle una lista de categorías. Por favor, elija una o más de las siguientes categorías que describan (su raza de / la raza de la madre de [FILL VAR: NAME OF CHILD, FROM TIS_S5]. ¿Es usted o la madre de [FILL VAR: NAME OF CHILD, FROM TIS_S5] Blanco, Negro o Afro-americano, Indio americano, Nativo de Alaska, Asiático, Nativo de Hawai o nativo de alguna otra isla del Pacífico? [CLICK ALL THAT APPLY]
WHITE 1
BLACK/AFRICAN AMERICAN 2
AMERICAN INDIAN 3
ALASKA NATIVE 4
ASIAN 5
NATIVE HAWAIIAN. 6
PACIFIC ISLANDER 7
OTHER (SPECIFY) 8 GO TO TIS_C9_OTHR1
DON’T KNOW 77
REFUSED 99
TIS_C9_OTHR1
ENTER OTHER SPECIFY
___________________________________________________
IF COMPLETED BY THE NIS FILL IN
TIS_C10
IF NIS INTERVIEW CONDUCTED, FILL WITH NIS VARIABLE C10
FILL = IF TIS_C5 = 01, FILL ‘your,’ ELSE FILL “[FILL: TIS_S5]’s mother’s”
FIELD = MM/DD/YYYY
¿Qué adjetivo considera que describe mejor la raza (suya/[FILL VAR: NAME OF F CHILD, FROM TIS_S5] de su madre)?
WHITE 1
BLACK/AFRICAN AMERICAN 2
AMERICAN INDIAN 3
ALASKA NATIVE 4
ASIAN. 5
NATIVE HAWAIIAN 6
PACIFIC ISLANDER 7
OTHER (SPECIFY) 8
C9_OTHR1 9
DON’T KNOW 77
REFUSED 99
TIS_C10A
IF NIS INTERVIEW CONDUCTED, FILL WITH NIS VARIABLE C10AMDY
FILL = IF TIS_C5 = 01, FILL ‘your,’ ELSE FILL “[FILL: TIS_S5]’s mother’s”
FIELD = MM/DD/YYYY
¿Cuál es mes, día y año de nacimiento [FILL]?
__________/__________/__________ (mm/dd/yyyy) SKIP TO TIS_C11]
DON’T KNOW 77 SKIP TO TIS_C10B
REFUSED 99 SKIP TO TIS_C10B
TIS_C10B
IF NIS INTERVIEW CONDUCTED, FILL WITH NIS VARIABLE C10B
FILL = IF TIS_C5 = 01, FILL ‘your,’ ELSE FILL “[FILL: TIS_S5]’s mother’s”
FIELD LENGTH = 2 CHARACTERS
IF TIS_C10B < 14 years of age, DISPLAY WARNING: “Mother must be 14 or older.”
¿Cuál es la edad actual [FILL]?
AGE______________ SKIP TO TIS_C11]
DON’T KNOW 77 SKIP TO TIS_C11
REFUSED 99 SKIP TO TIS_C11
TIS_C11
IF NIS INTERVIEW CONDUCTED, FILL WITH NIS VARIABLE C11
FILL1 = IF TIS_C5 = 01, FILL ‘Do you,’ ELSE FILL “Does [FILL: TIS_5]’s mother”
FILL2 = IF TIS_C5 = 01, FILL ‘ you,’ ELSE FILL “she”
FILL3 = TIS_S5 (NAME OF SELECTED CHILD)
¿[FILL1] vive en el mismo domicilio en el que [FILL2] vivía cuando [FILL3] nació?
YES 1 SKIP TO TIS_ CFAMIN
NO 2 SKIP TO TIS_ C11A
DON’T KNOW 6 SKIP TO TIS_ CFAMIN
REFUSED 7 SKIP TO TIS_ CFAMIN
TIS_C11A
IF NIS INTERVIEW CONDUCTED, FILL WITH NIS VARIABLE C11A
FILL1 = IF TIS_C5 = 01, FILL ‘ you,’ ELSE FILL “[FILL: TIS_S5]’s mother”
FILL2 = TIS_S5 (NAME OF SELECTED CHILD)
FIELD LENGTH = 35 CHARACTERS
¿En qué ciudad, condado y estado [FILL1] vivía cuando [FILL2] nació?
TIS_C11A1
CITY _______________________
TIS_C11A3
COUNTY ____________________
TIS_C11A2
STATE ______________________ SKIP TO TIS_C11B]
OR
TIS_C11A4
COUNTRY ___________________ SKIP TO TIS_C11B]
REFUSED 7 SKIP TO TIS_CFAMIN
TIS_C11B
IF NIS INTERVIEW CONDUCTED, FILL WITH NIS VARIABLE C11B
FILL = IF TIS_C5 = 01, FILL ‘ your,’ ELSE FILL “[FILL: TIS_S5]’s mother’s”
FIELD LENGTH = 5 CHARACTERS
¿Cuál era el código postal [FILL] en ese momento?
_____ _____ _____ _____ _____ SKIP TO TIS_CFAMINC
DON’T KNOW 77 SKIP TO TIS_CFAMIN
REFUSED 99 SKIP TO TIS_CFAMIN
IF COMPLETED THE NIS FILL IN ALL INCOME INFORMATION FROM THE NIS
TIS_CFAMINC
Por favor piense en su ingreso familiar combinado total durante el 2005 para todos los miembros de su familia. Incluya el dinero de los trabajos, seguridad social, ingreso por jubilación, seguro de desempleo, asistencia pública, etcétera. También incluya el ingreso de intereses, dividendos, ingresos netos de negocios, granjas, alquiler o cualquier otro ingreso de dinero recibido. ¿Puede decir cuál es esa cantidad antes de la deducción de impuestos? ENTER 77 FOR DON’T KNOW AND 99 FOR REFUSED
IF RESPONDENT GIVES INCOME RANGE READ: ¿Qué cantidad desea que ingrese?
$ ____ ____ ____, ____ ____ ____, ____ ____ ____ GO TO TIS_CINC
DON’T KNOW 77GO TO TIS_C12_DONT_KNOW
REFUSED 99GO TO TIS_C12_REFUSED
TIS_C12 _DONT_KNOW
Es probable que no pueda darnos una cifra exacta de su ingreso familiar combinado total, pero ¿el ingreso familiar total durante el 2005 fue mayor o menor que $ 20.000?
Mayor que $ 20.000. 1 GO TO TIS_C16
$20.000 2 GO TO TIS_C19
Menor que $ 20.000 3 GO TO TIS_C13
DON´T KNOW 77 GO TO TIS_C19
REFUSED 99GO TO TIS_C19
TIS_C12_REFUSED
El ingreso es importante para analizar la información sobre vacunación que recolectamos. Por ejemplo, esta información nos ayuda a saber si las personas en un grupo utilizan estos servicios médicos más o menos que otro grupo. Ahora, es probable que no pueda darnos una cifra exacta de su ingreso familiar combinado total, pero ¿el ingreso familiar total durante el 2005 fue mayor o menor que $ 20.000?
Mayor que $ 20.000. 1 GO TOTIS_C16
$20.000 2 GO TO TIS_C19
Menor que $ 20.000 3 GO TO TIS_C13
DON’T KNOW 77 GO TO TIS_C19
REFUSED 99 GO TO TIS_C19
TIS_C13
¿Fue el ingreso FAMILIAR combinado total mayor o menor que $ 10.000?
Mayor que $ 10.000. 1 GO TO TIS_C15
$10.000 2 GO TO TIS_C19
Menor que $ 10.000 3 GO TO TIS_C14_A
DON’T KNOW 77 GO TO TIS_C19
REFUSED 99 GO TO TIS_C19
TIS_C14_A
¿Fue mayor que $7.500?
YES 1 GO TO TIS_C19
NO 2 GO TO TIS_C19
DON’T KNOW 77 GO TO TIS_C19
REFUSED 99 GO TO TIS_C19
TIS_C15
¿Fue mayor que $15.000?
YES 1 GO TO TIS_C15_A
NO 2 GO TO TIS_C15_B
DON’T KNOW 77 GO TO TIS_C19
REFUSED 99 GO TO TIS_C19
TIS_C15_A
¿Fue mayor que $17.500?
YES 1 GO TO TIS_C19
NO 2 GO TO TIS_C19
DON’T KNOW. 77 GO TO TIS_C19
REFUSED 99 GO TO TIS_C19
TIS_C15_B
¿Fue mayor que $12.500?
YES 1 GO TO TIS_C19
NO 2 GO TO TIS_C19
DON’T KNOW. 77 GO TO TIS_C19
REFUSED 99 GO TO TIS_C19
TIS_C16
¿Fue el ingreso FAMILIAR combinado total mayor o menor que $ 40.000?
More than $40,000. 1 GO TO TIS_C16_A
$40,000 2 GO TO TIS_C19
Less than $40,000 3 GO TO TIS_C17
DON’T KNOW 77 GO TO TIS_C19
REFUSED 99 GO TO TIS_C19
TIS_C16_A
¿Fue el ingreso FAMILIAR combinado total mayor o menor que $ 60.000?
More than $60,000. 1 GO TO TIS_C18
$60,000 2 GO TO TIS_C19
Less than $60,000 3 GO TO TIS_C16_B
DON’T KNOW 77 GO TO TIS_C19
REFUSED 99 GO TO TIS_C19
TIS_C16_B
Was the total combined FAMILY income more or less than $50,000?
More than $50,000. 1 GO TO TIS_C19
$50,000 2 GO TO TIS_C19
Less than $50,000 3 GO TO TIS_C16_C
DON’T KNOW 77 GO TO TIS_C19
REFUSED 99 GO TO TIS_C19
TIS_C16_C
¿Fue el ingreso FAMILIAR combinado total mayor o menor que $ 45.000?
More than $45,000. 1 GO TO TIS_C19
$45,000 2 GO TO TIS_C19
Less than $45,000 3 GO TO TIS_C19
DON’T KNOW 77 GO TO TIS_C19
REFUSED 99 GO TO TIS_C19
TIS_C17
¿Fue el ingreso FAMILIAR combinado total mayor o menor que $ 30.000?
Mayor que $ 30.000. 1 GO TO TIS_C17_A
$30.000 2 GO TO TIS_C19
Menor que $ 30.000 3 GO TO TIS_C17_B
DON’T KNOW 77 GO TO TIS_C19
REFUSED 99 GO TO TIS_C19
TIS_C17_A
¿Fue el ingreso FAMILIAR combinado total mayor o menor que $ 35.000?
Mayor que $ 35.000 1 GO TO TIS_C19
$35.000 2 GO TO TIS_C19
Menor que $ 35.000 3 GO TO TIS_C19
DON’T KNOW 77 GO TO TIS_C19
REFUSED 99 GO TO TIS_C19
TIS_C17_B
¿Fue el ingreso FAMILIAR combinado total mayor o menor que $ 25.000?
Mayor que $ 25.000 1 GO TO TIS_C19
$25.000 2 GO TO TIS_C19
Menor que $ 25.000 3 GO TO TIS_C19
DON’T KNOW 77GO TO TIS_C19
REFUSED 90 GO TO TIS_C19
TIS_C18
¿Fue el ingreso FAMILIAR combinado total mayor o menor que $ 75.000?
Mayor que $ 75.000 1 GO TO TIS_C19
$75.000 2 GO TO TIS_C19
Menor que $ 75.000 3 GO TO TIS_C19
DON’T KNOW 77 GO TO TIS_C19
REFUSED 99 GO TO TIS_C19
TIS_CINC
Solamente a fin de confirmar que ingresé el número correctamente, ¿el ingreso familiar combinado total fue de [FILL RESPONSE, CFAMINC]?
YES. 1 GO TO TIS_C19
NO 2 GO TO TIS_CFAMINC
DON’T KNOW 77 GO TO TIS_CFAMINC
REFUSED 99 GO TO TIS_CFAMINC
TIS_C19
IF NIS INTERVIEW CONDUCTED, FILL WITH NIS VARIABLE C19
FIELD LENGTH = 35 CHARACTERS
¿En qué ciudad, condado y estado vive?
CITY _____________________________
COUNTY__________________________
STATE____________________________ SKIP TO TIS_C19A]
DON’T KNOW 6 SKIP TO TIS_C19A
REFUSED 7 SKIP TO TIS_C20
TIS_C19A
IF NIS INTERVIEW CONDUCTED, FILL WITH NIS VARIABLE C19A
FIELD LENGTH = 5 CHARACTERS
¿Cuál es su código postal?
_____ _____ _____ _____ _____
DON’T KNOW 6 SKIP TO TIS_C19B
REFUSED 7 SKIP TO TIS_C19B
TIS_C19B
IF NIS INTERVIEW CONDUCTED, FILL WITH NIS VARIABLE C19B
¿Vive dentro de los límites de la ciudad?
YES 1 SKIP TO TIS_C20
NO 2 SKIP TO TIS_C20
REFUSED 77 SKIP TO TIS_C20
IF FINISHED THE NIS FILL IN WITH THE NIS TELEPHONE INFORMATION
TIS_C20
¿Cuántos números de teléfonos hay en su hogar? No incluya teléfonos celulares ni los teléfonos especiales para computadoras, faxes o comerciales en su respuesta. .
LEA SI ES NECESARIO: "Me gustaría saber más sobre los números de teléfono, que no sean internos y que suenan en este hogar.”
INTERVIEWER INSTRUCTION: COUNT BUSINESS TELEPHONE NUMBERS THAT RING TO THE HOUSEHOLD IF THEY ARE USED OCCASIONALLY FOR HOME USE.
ONE 1
TWO 2
THREE OR MORE 3
DON’T KNOW 77
REFUSED 99
REFUSED 99 GO TO TIS_ D5
C11Q14_A (NIS VARIABLE – C21_06Q3)
¿Cuántos números de teléfono son números residenciales?
THIS QUESTION IS ASKING FOR THE TOTAL NUMBER OF HOME TELEPHONE NUMBERS (INCLUDING THE NUMBER WE CALLED).
ONE 1
TWO 2
THREE OR MORE 3
DON’T KNOW 77
REFUSED 99
TIS_CNOSERV Durante los últimos 12 meses, ¿estuvo su hogar sin servicio telefónico durante más de una semana? Por favor, no incluya los teléfonos celulares en su respuesta. No incluya las interrupciones del servicio telefónico debido a catástrofes climáticas o naturales.
YES 1
NO 2 GO TO TIS_D5
DON’T KNOW 77 GO TOTIS_D5
REFUSED 99 GO TOTIS_D5
TIS_CHOWLONG1
¿Durante cuánto tiempo su hogar estuvo sin servicio telefónico en los últimos 12 meses?
IF ONE WEEK OR LESS, ENTER 0 FOR THE NUMBER.
ENTER 77 FOR DON’T KNOW AND 99 FOR REFUSED
NUMBER _______________
DON’T KNOW 77 GO TO TIS_D5
REFUSED 99GO TO TIS_D5
TIS_CHOWLONG2
ENTER PERIOD __________
DAY(S) 1 GO TO TIS_D5
WEEK(S) 2 GO TO TIS_D5
MONTH(S) 3 GO TO TIS_D5
Proveedor
BEGIN SECTION 5
TIS_D5:
Para obtener un panorama completo de las vacunas recibidas por su(s) (niños/niño), nos gustaría comunicarnos con los médicos o la clínica sanitaria para obtener una copia de los registros de vacunación. Estos registros contienen solamente los tipos y fechas de vacunas de su(s) (niño/niños).
LEA SI ES NECESARIO: La información que recolectemos sobre usted y la de su proveedor de atención de la salud se utilizará para monitorear y realizar un informe sobre las vacunas infantiles. El año pasado, más de 21.000 proveedores participaron en este estudio. Su participación y la de su proveedor serán útiles para que el CDC prevenga muchas enfermedades infantiles graves.
TIS_D6_X
¿Cuántos centros han administrado vacunas en su niño que se llama [NAME OF ELIGIBLE CHILD] que nació el [DATE OF BIRTH OF ELIGIBLE CHILD]?
ENTER 77 FOR DON’T KNOW AND 99 REFUSED
ENTER NUMBER __ GO TO TIS_D6A_1_X
ZERO 0 GO TO TIS_D6AA_X
DON’T KNOW 77 GO TO TIS_D6AA_X
REFUSED 99 GO TO TIS_D16
AYUDA PARA PREGUNTAS FRECUENTES:
¿Por qué se va a comunicar con mi médico? ¿Por qué tengo que otorgar mi consentimiento?
La información que usted proporciona es muy útil y apreciamos su cooperación; sin embargo para obtener un historial de vacunación de su niño más preciso, necesitamos comunicarnos con el proveedor de atención de la salud de su niño. Ellos podrán confirmar las fechas y tipos específicos de cada vacunación.
• La Encuesta de adolescentes es parte de la Encuesta Nacional de Vacunación (NIS, por su sigla en inglés). Se ha realizado la NIS durante más de 10 años (desde 1994). Cada año recibimos historiales de vacunas de más de 20.000 médicos y clínicas; de hecho, es probable que su médico ya haya realizado esta encuesta.
• La información que recolectamos es útil para identificar las comunidades en las que puedan ser necesarios los recursos adicionales para los programas de vacunación.
• Debido a que las vacunas desempeñan un papel importante en la reducción y eliminación de las enfermedades de la infancia y la adolescencia, necesitamos estadísticas confiables y actualizadas (de este estudio). Las entidades de salud pública de su área se basan en esta información cuando toman decisiones y evalúan los programas de asistencia para la salud de su área.
o En el 2001 se produjo una escasez de las vacunas DTaP y MMR. Los datos recolectados por esta encuesta indican que ciertas poblaciones fueron más afectadas por esta escasez que otras. En base a estos descubrimientos, se realizaron cambios para asegurar una distribución más uniforme de las vacunas para los problemas futuros de escasez.
o Los Centros para el Control y la Prevención de las Enfermedades utilizan la información que recolectamos para determinar si los estados individuales cumplen con los objetivos de vacunación establecidos para ellos por la Iniciativa para la Vacunación Infantil.
¿Por qué no puedo obtener la información de mi médico personalmente y enviársela?
A fin de estandarizar el tipo de información que recibimos, es necesario que nos comuniquemos con los proveedores directamente. También le planteamos algunas preguntas al proveedor sobre su práctica o clínica, de manera tal que sólo podemos aceptar los formularios del historial de vacunación que completen los profesionales de la atención de la salud.
TIS_D6AA_x
¿Cuántos centros han administrado la atención de la salud a su niño? Por favor, incluya el hospital y cualquier otra clínica o consultorio medico que [lo/la] haya visitado.
ENTER 0 IF CHILD HAS NEVER SEEN A DOCTOR OR THER HEALTH CARE PROVIDER.
ENTER 77 FOR DON’T KNOW AND 99 REFUSED
ENTER NUMBER GO TO TIS_D6A_1_X
ZERO 0 GO TO TIS_D16.; NS_CSHCN (if sample type ne 1 )
DON’T KNOW 77 GO TO TIS_D16.; NS_CSHCN (if sample type ne 1)
REFUSED 99 GO TO TIS_D16.; NS_CSHCN (if sample type ne 1)
AYUDA PARA PREGUNTAS FRECUENTES:
¿Por qué se va a comunicar con mi médico? ¿Por qué tengo que otorgar mi consentimiento?
La información que usted proporciona es muy útil y apreciamos su cooperación; sin embargo para obtener un historial de vacunación de su niño más preciso, necesitamos comunicarnos con el proveedor de atención de la salud de su niño. Ellos podrán confirmar las fechas y tipos específicos de cada vacuna.
· La Encuesta de adolescentes es parte de la Encuesta Nacional de Vacunación (NIS, por su sigla en inglés). Se ha realizado la NIS durante más de 10 años (desde 1994). Cada año recibimos historiales de vacunaciones de más de 20.000 médicos y clínicas; de hecho, es probable que su médico ya haya realizado esta encuesta.
· La información que recolectamos es útil para identificar las comunidades en las que puedan ser necesarios recursos adicionales para los programas de vacunación.
· Debido a que las vacunas desempeñan un papel importante en la reducci | | English to Spanish: DVD information | Source text - English
MODEL PVS6100W ENGLISH IB (25 August, 2006)
SEE BACK OF UNIT FOR GRAPHIC SYMBOLS
The rating plate is located on the back of unit.
TO INSTALL BATTERIES
Connecting a Game System
Game System
Using the Car Power Adapter inside a vehicle
Using the AC Adapter (optional) in home
•You can also power this unit by connecting an AC adapter (not supplied).
Before you buy an AC Adapter, please note the only AC adapter suitable for this unit is DC 9V 1.5A, with plus center polarity. Please check voltage & current (A) before buying an AC adapter.
To order an AC Adapter, please visit: www.1800customersupport.com/venturer or call 1-800-252-6123
AAA battery (for wireless headphone)
When the HEADPHONE ON / OFF switch is “ON”, you can adjust the unit’s volume to minimum to disable speaker of main unit.
1) Input/Output
2) DC Voltage: 12V
3) DC Current: 2A
4) CAUTION: For continued protection against risk of fire, replace only with same type and ratings of fuse.
5) Manufacturer: Kenic
6) Made in China
7) Fuse Replacement instructions
8) Press and hold
Model HB601 Gift box feature
Headrest Bracket
· Designed for use with VENTURER model#PVS6100W
GIVE ALL PASSENGERS A GREAT VIEW!
ADD A PROFESSIONALLY INSTALLED LOOK!
DVD Player sold separately.
| Translation - Spanish
MODELO PVS6100W INGLES IB (25 de agosto de 2006)
VEA LA PARTE POSTERIOR DE LA UNIDAD PARA LOS SÍMBOLOS GRÁFICOS
La placa de datos de servicio está en la parte inferior de la unidad.
PARA INSTALAR LAS BATERÍAS
Conexión de un Sistema de juego
Sistema de juego
Uso del Adaptador de energía del automóvil dentro de un vehículo
Uso del Adaptador de CA (opcional) en el hogar
• Usted también puede darle energía a esta unidad conectando un adaptador de CA (no se suministra con este producto)
Antes de comprar un adaptador de CA, tenga en cuenta que el único adaptador adecuado para esta unidad es DC 9V 1,5A, con una polaridad central adicional. Por favor, revise la tensión y la corriente (A) antes de comprar un adaptador de CA.
Para solicitar un Adaptador de CA, por favor visite: http://www.1800customersupport.com/venturer o llame al 1-800-252-6123
Batería AAA (para el auricular inalámbrico)
Cuando el interruptor del AURICULAR ON / OFF (ENCENDIDO/ APAGADO) esté en “ON” (ENCENDIDO), usted puede ajustar el volumen de la unidad al mínimo para desactivar el auricular de la unidad principal.
1) Entrada/ Salida
2) Tensión de CD: 12V
3) Corriente CD: 2A
4) PRECAUCIÓN: Para la protección continua frente al riesgo de incendio, sustituya sólo con el mismo tipo y clasificación de fusible.
5) Fabricante: Kenic
6) Hecho en China
7) Instrucciones para reemplazar el fusible
8) Presione sin soltar
Modelo HB601, Características del estuche para regalo
Soporte reposacabeza
· Designado para utilizar con VENTURER modelo #PVS6100W
¡BRÍNDELE A TODOS LOS PASAJEROS UNA VISIÓN MAGNÍFICA!
¡AGREGUE UNA MIRADA INSTALADA PROFESIONALMENTE!
El Reproductor de DVD se vende en forma separada.
| | Spanish to English: Carta de pago (artículo periodístico) | Source text - Spanish
CARTAS DE PAGO
El HIJO de 'EL POCERO', Francisco Hernando del Saz, sale A ESCENA
04/08/2006 14:41:08
Medios jurídicos que han estudiado a fondo la denuncia presentada por IU ante la Fiscalía Anticorrupción han señalado a PRNoticias que una de las primeras cosas que tendrán que aclarar los fiscales es “el caso de las cartas de pago” por una deuda de ONDE 2000 y que nunca existieron o se perdieron en ese camino tortuoso que conduce al pelotazo de El Quiñón.
¿Y que fue “el caso de las cartas de pago”? Algo que descubrió el alcalde actual nada más llegar al Poder y detectar algunas irregularidades de la etapa de los socialistas. Llegados aquí lo mejor es reproducir lo que se dice en la denuncia de IU: “Concretamente aparecían apuntes en la tesorería municipal pendientes de cobro del año 2000, correspondientes a las cesiones de aprovechamiento del 10% que se compensaban en metálico de conformidad con los convenios urbanísticos firmados entre el Ayuntamiento y ONDE 2000 S L, resultando pendiente de cobro la cantidad de UN MILLÓN CIENTO CINCUENTA Y NUEVE MIL TRESCIENTOS CURENTA Y CINCO EUROS CON TREINTA Y CUTRO CÉNTIMOS (1.159.354,34 euros = 192.900.000 millones de pesetas).Ante tan graves irregularidades y con fecha 25 de septiembre de 2003 el Ayuntamiento de Seseña requiere a d. Francisco Hernando del Sanz, como representante de Onde 2000 S.L. el pago de la deuda contraída con el Ayuntamiento. Como respuesta el Sr. Francisco Hernando del Sanz presentó cinco días después, con fecha 30/09/2003, cinco cartas de pago por esos importes y conceptos coincidentes con lo reclamado por el Ayuntamiento, pidiendo la anulación de la reclamación realizada. En esas cartas de pago al tesorero recibía unas cantidades que en ningún caso se ingresaron en las arcas municipales Sin embargo del importe de esas cartas de pago no aparece referencia del ingreso en las arcas municipales. Es decir aunque aparecían las cartas de pago el ingreso no se había realizado.En las cartas de pago el Tesorero (no existía en esos momentos) afirmaba haber recibido cantidades líquidas y la intervención ratificaba su ingreso en las arcas municipales, sin que el erario municipal ingresara cantidad alguna. Según manifestaciones hechas en octubre de 2003 por el secretario de- interventor al alcalde, las cartas de pago las confeccionó por indicación de D. Felipe Sancho, concejal de Hacienda en 2002 y hoy concejal del Grupo Municipal de PSOE, y no solo firmó el “Tome razón” sino que, el mismo signó un garabato en la que debería haber sido la firma del Tesorero.”Naturalmente, y ante una irregularidad tan manifiesta, el alcalde Manuel Fuentes presentó una denuncia (el 27 de octubre de 2003) en el juzgado de Illescas contra los tres presuntos responsables: Francisco Hernando del Saz (hijo mayor del pocero y representante legal de ONDE 2000), Felipe Sancho Ripoi (entonces concejal de Hacienda y hoy portavoz del PSOE) y Fermín Martín Carrillo (entonces secretario interventor) por supuestas malversación de caudales públicos y falsificación de documentos.Esto puso furioso al constructor (que llegó a decir incluso: “un padre por un hijo mata”), pero como es más listo que el hambre, aunque apenas haya recibido formación académica, se dio cuenta enseguida que su hijo corría peligro… Y sin pensarlo se fue a negociar con el alcalde que a cambio de que este retirada la denuncia él devolvía la deuda. Y así se hizo. Hernando pagó un 1.292.353,27 euros y Fuentes retiró la denuncia.Pero ¿y los primeros millones donde fueron a parar? ¿Habían existido o no habían existido las cartas de pago? ¿Había habido malversación de fondos públicos y falsificación de documentos? ¿Había sido delictiva la actuación del concejal de Hacienda Sancho? ¿Había sido delictiva la actuación de Hernando del Saz…?Muchas preguntas que no se anulan con los millones de un padre que tiene ante sí un pelotazo de 250.000 millones de pesetas.Está claro que los fiscales tienen tajo por delante.
| Translation - English
RECEIPTS
The SON of 'EL POCERO', Francisco Hernando del Saz, comes to STAGE
04/08/2006 14:41:08
Court sources which have deeply studied the complaint submitted by IU (United Left) before the Anticorruption Prosecutor’s Office have informed PRNoticias that one of the first topics the prosecutors will have to clarify is "the case of the receipts" for a debt of ONDE 2000 which have never existed before or were lost in the tortuous way which leads to the quick buck of El Quiñón.
And what was “the case of the receipts”? It was something discovered by the present mayor on reaching Power and detecting some irregularities in the socialists stage. Once here, the best thing to do is to reproduce the aforementioned complaint:“There appeared entries in the municipal treasury pending collection of the year 2000, corresponding to the assignments of 10% of the exploitation which was compensated in cash pursuant to the urban agreements signed by the Town Council and ONDE 2000 S L. As a result, the sum of ONE MILLION ONE HUNDRED AND FIFTY NINE THOUSAND THREE HUNDRED AND FORTY FIVE EUROS WITH THRITY FOUR CENTS (1,159,354.34 euros = 192,900,000 million pesetas) was uncollected. Due to these very serious irregularities, on September 25, 2003, the Town Council of Seseña requests Mr. Francisco Hernando del Sanz, acting as representative of Onde 2000 S.L., the payment of the debt acquired with the Town Council. In response, Mr. Francisco Hernando del Sanz submitted, five days later, on 09/30/2003, five receipts of the amounts and concepts requested by the Town Council and asked for the annulment of the complaint made. In these receipts, the treasurer received sums which were never registered in the municipal coffers. However, the amount of those receipts does not appear in the municipal coffers, i.e., even though the receipts were there, they had not been registered.The Treasurer (did not exist at the time) stated in the receipts that he had received liquid amounts and the intervention ratified its register in the municipal coffers but the municipal treasury did not register any amount. According to statements made in October 2003 by the comptroller secretary to the mayor, the receipts were made pursuant to the instructions of Mr. Felipe Sancho, tax councilor in 2002 and member of the Grupo Municipal of PSOE at present, and not only did he sign the “I attest” but he also signed with a scrawl where the Treasurer should have signed”.Naturally, and before a so obvious irregularity, the mayor Manuel Fuentes submitted a complaint (dated October 27, 2003) before the Illescas court against the three alleged responsible people: Francisco Hernando del Saz (older son of the “pocero” and legal representative of ONDE 2000), Felipe Sancho Ripoi (then tax councilor and at present spokesman of PSOE) and Fermín Martín Carrillo (then, comptroller secretary) due to fund embezzlement and document forgery.This made the constructor furious (he even said: “a father kills for a son”) but as he is really smart, although he has hardly received academic education, he quickly realized that his son was in danger… So, without thinking about it, he tried to negotiate with the mayor that if he withdrew the complaint, he would return the money of the debt. And it was so. Hernando paid 1,292,353.27 euros and Fuentes withdrew the complaint.But, where are the first millions? Had the receipts existed or not? Had there been fund embezzlement and document forgery? Had the tax councilor Sancho had a criminal conduct? Had Hernando del Saz had a criminal conduct?There are a lot of questions which are not cleared by the million of a father with a 250,000-million peseta quick buck. It is clear that prosecutors have advantages ahead.
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