Write your research questions here, and assign eac
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NHANES(1999-200)
1
Widowed
Other
1
Household characteristics
Number of residents in home
How many people currently live in your home at least 3 or more days a week?
1
2
3
4
5
6 or more
1ST GRADE
2ND GRADE
3RD GRADE
4ቤተ መጻሕፍቲ ባይዱH GRADE
5TH GRADE
6TH GRADE
7TH GRADE
8TH GRADE
9TH GRADE
10TH GRADE
11TH GRADE
12TH GRADE, NO DIPLOMA
HIGH SCHOOL GRADUATE
GED OR EQUIVALENT
1
Socioeconomic Status
Household Income
For the past year, what was your total combined household income before taxes from all sources? Include income from jobs, social security, retirement income, unemployment payments, public assistance, interest, and dividends.
SURVEY MATRIX EXAMPLE
Write your research questionsand assign each a number.Identify thenumber of theresearch question that eachsurvey item is meant to addressin the matrix.Seeexamplebelowfor one research question:
Research Question 1: What sociodemographic factors are associated with access to health care?
Domain
Subdomains
Variables
Questions
Response
Categories
Source
(if applicable)
Research question
Socio- demographics
Demographics
Race
What is your race? (Select all that apply)
White/Caucasian
Black/African American
Asian
Below $20,000
$20,000 –$29,999
$30,000 –$39,999
$40,000 –$49,999
$50,000 –$59,999
$60,000 –$69,999
$70,000 –$79,999
$80,000 –$89,999
$90,000 –$99,999
Above $100,000
American Indian /Alaskan Native
Native Hawaiian/Other Pacific Islander
Don’t Know
1
Demographics
Ethnicity
Are you of Hispanic or Latino origin?
Yes
No
Don’t Know
Don’t Know
1
Socioeconomic
Education level
What is the highest grade or level of school you completed or the highest degree you received?
Never attended/ Kindergarten
SOME COLLEGE, NO DEGREE
ASSOCIATE DEGREE: OCCUPATIONAL,
TECHNICAL, OR VOCATIONALPROGRAM
ASSOCIATE DEGREE: ACADEMIC PROGRAM
BACHELOR’S DEGREE (EXAMPLE: BA,AB, BS, BBA)
MASTER’S DEGREE (EXAMPLE: MA,MS, MEng, MEd, MBA)
PROFESSIONAL SCHOOL DEGREE (EXAMPLE: MD, DDS, DVM, JD)
DOCTORAL DEGREE (EXAMPLE: PhD, EdD)
REFUSED
DON’T KNOW
1
Demographics
Gender
What is your gender?
Male
Female
1
Demographics
Marital Status
What is your current marital status?
Single
Married
Living with partner
Divorced
1
Widowed
Other
1
Household characteristics
Number of residents in home
How many people currently live in your home at least 3 or more days a week?
1
2
3
4
5
6 or more
1ST GRADE
2ND GRADE
3RD GRADE
4ቤተ መጻሕፍቲ ባይዱH GRADE
5TH GRADE
6TH GRADE
7TH GRADE
8TH GRADE
9TH GRADE
10TH GRADE
11TH GRADE
12TH GRADE, NO DIPLOMA
HIGH SCHOOL GRADUATE
GED OR EQUIVALENT
1
Socioeconomic Status
Household Income
For the past year, what was your total combined household income before taxes from all sources? Include income from jobs, social security, retirement income, unemployment payments, public assistance, interest, and dividends.
SURVEY MATRIX EXAMPLE
Write your research questionsand assign each a number.Identify thenumber of theresearch question that eachsurvey item is meant to addressin the matrix.Seeexamplebelowfor one research question:
Research Question 1: What sociodemographic factors are associated with access to health care?
Domain
Subdomains
Variables
Questions
Response
Categories
Source
(if applicable)
Research question
Socio- demographics
Demographics
Race
What is your race? (Select all that apply)
White/Caucasian
Black/African American
Asian
Below $20,000
$20,000 –$29,999
$30,000 –$39,999
$40,000 –$49,999
$50,000 –$59,999
$60,000 –$69,999
$70,000 –$79,999
$80,000 –$89,999
$90,000 –$99,999
Above $100,000
American Indian /Alaskan Native
Native Hawaiian/Other Pacific Islander
Don’t Know
1
Demographics
Ethnicity
Are you of Hispanic or Latino origin?
Yes
No
Don’t Know
Don’t Know
1
Socioeconomic
Education level
What is the highest grade or level of school you completed or the highest degree you received?
Never attended/ Kindergarten
SOME COLLEGE, NO DEGREE
ASSOCIATE DEGREE: OCCUPATIONAL,
TECHNICAL, OR VOCATIONALPROGRAM
ASSOCIATE DEGREE: ACADEMIC PROGRAM
BACHELOR’S DEGREE (EXAMPLE: BA,AB, BS, BBA)
MASTER’S DEGREE (EXAMPLE: MA,MS, MEng, MEd, MBA)
PROFESSIONAL SCHOOL DEGREE (EXAMPLE: MD, DDS, DVM, JD)
DOCTORAL DEGREE (EXAMPLE: PhD, EdD)
REFUSED
DON’T KNOW
1
Demographics
Gender
What is your gender?
Male
Female
1
Demographics
Marital Status
What is your current marital status?
Single
Married
Living with partner
Divorced