MEPS-HC Survey Instrument

17 - HH (BETA).pdf

Medical Expenditure Panel Survey Household Component and Medical Provider Component (MEPS-HC and MEPS-MPC through 2009)

MEPS-HC Survey Instrument

OMB: 0935-0118

Document [pdf]
Download: pdf | pdf
Assets (AS) Section
Beta

AS01

Help Enabled

Comment Enabled

Jump Back Enabled

Savings and investments are an important part of family finances. In these
next questions, we are going to be asking about a number of different kinds of
savings or investments the members of this family may have.
PRESS ENTER OR SELECT NEXT PAGE TO CONTINUE.

AS02

Help Enabled (AS02Help)

Variable Name
HOME.OWNHOME

Comment Enabled

Jump Back Enabled

Label
DOES ANYONE IN THE FAMILY OWN THIS HOME

Size
2

Does anyone in the family own this home?
YES

1

{AS03}

NO

2

{AS16}

----------------------------------------------------------------------------------------------------------------------------------

Refused

RF

{AS16}

Don't Know

DK

{AS16}

HELP AVAILABLE FOR DEFINITION OF ‘OWN THIS HOME’.

1

Assets (AS) Section
Beta

AS03

Help Enabled

Comment Enabled

Jump Back Enabled

Variable Name
ASET.ASETID

ASET ID KEY: HOMEID + COUNTER(2)

Label

Size
10

ASET.ASETRURN
ASET.CREATEQ

ROUND STAMP: RU LETTER + ROUND NUMBER
CREATION STAMP

2
4

ASET.ASSETTYP
OWNR.OWNRID

TYPE OF ASSET
OWNR ID KEY: ASETID + PID

2
13

OWNR.OWNRRURN

ROUND STAMP: RU LETTER + ROUND NUMBER

2

OWNR.CREATEQ

CREATION STAMP

4

Who in the family owns this home?
PROBE: Does anyone else in the family own this home?
CHECK ALL THAT APPLY.
[First Name,[Middle Name],Last Name]
[First Name,[Middle Name],Last Name]
[First Name,[Middle Name],Last Name]

{AS04}

DISPLAY INSTRUCTIONS:
DISPLAY ‘PERSON DECEASED’ AND ‘PERSON NOT IN RU’ AS THE LAST
TWO ENTRIES ON THE ROSTER.

Roster Details
Title:

RU_Members_1

Col #

Header

Instructions

NAME

Display RU member's first, middle, and last names
PERS.FULLNAME

1

Roster Definition:
DISPLAY THE RU_MEMBERS_ROSTER FOR SELECTION OF ONE OR MORE RU
MEMBERS.
Roster Behavior:
1. MULTIPLE SELECT ALLOWED.
2. EDIT, DELETE, ADD DISALLOWED.
2

Assets (AS) Section
Beta
Roster Filter:
NONE. DISPLAY ALL.

AS04

Help Enabled (DEFVALUE)

Variable Name
ASET.VALUE

Comment Enabled

Jump Back Enabled

Label

Size
9

PRESENT VALUE OF ASSET

What is the present value of this home, that is, about how much would it bring
if you sold it on today’s market?
IF RESPONDENT IS NOT SURE, DO NOT PROBE. SELECT ‘DON’T
KNOW’.
IF AMOUNT IS NOTHING, ENTER ‘0’.
VALUE IN WHOLE _______
DOLLARS: $

{AS06}

----------------------------------------------------------------------------------------------------------------------------------

Refused
Don't Know

RF
DK

{AS05}
{AS05}

HELP AVAILABLE FOR DEFINITION OF VALUE.

Soft CHECK:
AMOUNT SHOULD BE 0 OR WHOLE DOLLAR AMOUNT $1 - $9,999,999

3

Assets (AS) Section
Beta

AS05

Help Enabled

Variable Name
ASET.VALURANG

Comment Enabled

Jump Back Enabled

Label

Size
2

ASSET VALUE CATEGORY

SHOW CARD AS-1.
Which category on the card best indicates the value of this home?
0 - 500

1

{AS06}

501 - 1,000
1,001 - 5,000

2
3

{AS06}
{AS06}

5,001 - 10,000
10,001 - 25,000

4
5

{AS06}
{AS06}

25,001 - 50,000

6

{AS06}

50,001 - 100,000
100,001 - 250,000

7
8

{AS06}
{AS06}

250,001 - 500,000
500,001 - 1,000,000

9
10

{AS06}
{AS06}

1,000,001 OR MORE

11

{AS06}

----------------------------------------------------------------------------------------------------------------------------------

Refused
Don't Know

RF
DK

4

{AS06}
{AS06}

Assets (AS) Section
Beta

AS06

Help Enabled (OWEDLOAN)

Variable Name
ASET.ANYOWED

Comment Enabled

Jump Back Enabled

Label

Size
2

ANY MONEY OWED ON ASSET

Is any money owed or are there any loans outstanding on this home?
YES

1

{AS07}

NO

2

{AS09}

----------------------------------------------------------------------------------------------------------------------------------

Refused

RF

{AS09}

Don't Know

DK

{AS09}

HELP AVAILABLE FOR DEFINITION OF MONEY OWED AND
OUTSTANDING LOANS.

5

Assets (AS) Section
Beta

AS07

Help Enabled (STILOWED)

Variable Name
ASET.OWEDVALU

Comment Enabled

Jump Back Enabled

Label

Size
9

HOW MUCH OWED

How much is still owed for this home, that is, how much principal is still owed
on the mortgage(s)?
IF RESPONDENT IS NOT SURE, DO NOT PROBE. SELECT ‘DON’T
KNOW’.
AMOUNT OWED IN _______
WHOLE DOLLARS: $

{AS09}

----------------------------------------------------------------------------------------------------------------------------------

Refused
Don't Know

RF
DK

{AS08}
{AS08}

HELP AVAILABLE FOR DEFINITION OF STILL OWED.

Soft CHECK:
AMOUNT SHOULD BE WHOLE DOLLAR AMOUNT $1 - $9,999,999

6

Assets (AS) Section
Beta

AS08

Help Enabled

Variable Name
ASET.OWEDRANG

Comment Enabled

Jump Back Enabled

Label

Size
2

ASSET CATEGORY OWED

SHOW CARD AS-1.
Which category on the card best indicates the amount owed?
0 - 500

1

{AS09}

501 - 1,000
1,001 - 5,000

2
3

{AS09}
{AS09}

5,001 - 10,000
10,001 - 25,000

4
5

{AS09}
{AS09}

25,001 - 50,000

6

{AS09}

50,001 - 100,000
100,001 - 250,000

7
8

{AS09}
{AS09}

250,001 - 500,000
500,001 - 1,000,000

9
10

{AS09}
{AS09}

1,000,001 OR MORE

11

{AS09}

----------------------------------------------------------------------------------------------------------------------------------

Refused
Don't Know

RF
DK

7

{AS09}
{AS09}

Assets (AS) Section
Beta

AS09

Help Enabled (AS09Help)

Variable Name
HOME.OWN2HOME

Comment Enabled

Jump Back Enabled

Label
ANYONE IN FAMILY OWN A 2ND HOME

Size
2

Does anyone in the family own a second home?
YES

1

{AS10}

NO

2

{AS16}

----------------------------------------------------------------------------------------------------------------------------------

Refused

RF

{AS16}

Don't Know

DK

{AS16}

HELP AVAILABLE FOR DEFINITION OF SECOND HOME.

8

Assets (AS) Section
Beta

AS10

Help Enabled

Comment Enabled

Jump Back Enabled

Variable Name
ASET.ASSETTYP

TYPE OF ASSET

Label

Size
2

ASET.ASETID
ASET.ASETRURN

ASET ID KEY: HOMEID + COUNTER(2)
ROUND STAMP: RU LETTER + ROUND NUMBER

10
2

ASET.CREATEQ
ASET.ASSETNUM

CREATION STAMP
NUMBER OF ASSET TYPE

4
2

OWNR.OWNRID

OWNR ID KEY: ASETID + PID

13

OWNR.OWNRRURN
OWNR.CREATEQ

ROUND STAMP: RU LETTER + ROUND NUMBER
CREATION STAMP

2
4

Who in the family owns the second home?
PROBE: Does anyone else in the family own the second home?
CHECK ALL THAT APPLY.
[First Name,[Middle Name],Last Name]
[First Name,[Middle Name],Last Name]
[First Name,[Middle Name],Last Name]

{AS11}

DISPLAY INSTRUCTIONS:
DISPLAY ‘PERSON DECEASED’ AND ‘PERSON NOT IN RU’ AS THE LAST
TWO ENTRIES ON THE ROSTER.

Roster Details
Title:

RU_Members_1

Col #

Header

Instructions

NAME

Display RU member's first, middle, and last names
PERS.FULLNAME

1

Roster Definition:
DISPLAY THE RU_MEMBERS_ROSTER FOR SELECTION OF ONE OR MORE RU
MEMBERS.
Roster Behavior:
1. MULTIPLE SELECT ALLOWED.
9

Assets (AS) Section
Beta
2. EDIT, DELETE, ADD DISALLOWED.
Roster Filter:
NONE. DISPLAY ALL.

AS11

Help Enabled (DEFVALUE)

Variable Name
ASET.VALUE

Comment Enabled

Jump Back Enabled

Label

Size
9

PRESENT VALUE OF ASSET

What is the present value of the second home, that is, about how much would
it bring if you sold it on today’s market?
IF RESPONDENT IS NOT SURE, DO NOT PROBE. SELECT ‘DON’T
KNOW’.
IF AMOUNT IS NOTHING, ENTER ‘0’.
VALUE IN WHOLE _______
DOLLARS: $

{AS13}

----------------------------------------------------------------------------------------------------------------------------------

Refused
Don't Know

RF
DK

{AS12}
{AS12}

HELP AVAILABLE FOR DEFINITION OF VALUE.

Soft CHECK:
AMOUNT SHOULD BE 0 OR WHOLE DOLLAR AMOUNT $1 - $9,999,999

10

Assets (AS) Section
Beta

AS12

Help Enabled

Variable Name
ASET.VALURANG

Comment Enabled

Jump Back Enabled

Label

Size
2

ASSET VALUE CATEGORY

SHOW CARD AS-1.
Which category on the card best indicates the value of the second home?
0 - 500

1

{AS13}

501 - 1,000
1,001 - 5,000

2
3

{AS13}
{AS13}

5,001 - 10,000
10,001 - 25,000

4
5

{AS13}
{AS13}

25,001 - 50,000

6

{AS13}

50,001 - 100,000
100,001 - 250,000

7
8

{AS13}
{AS13}

250,001 - 500,000
500,001 - 1,000,000

9
10

{AS13}
{AS13}

1,000,001 OR MORE

11

{AS13}

----------------------------------------------------------------------------------------------------------------------------------

Refused
Don't Know

RF
DK

11

{AS13}
{AS13}

Assets (AS) Section
Beta

AS13

Help Enabled (OWEDLOAN)

Variable Name
ASET.ANYOWED

Comment Enabled

Jump Back Enabled

Label

Size
2

ANY MONEY OWED ON ASSET

Is any money owed or are there any loans outstanding on the second home?
PROBE: Please do not include any debt we’ve already talked about.
YES
NO

1
2

{AS14}
{AS16}

----------------------------------------------------------------------------------------------------------------------------------

Refused
Don't Know

RF
DK

{AS16}
{AS16}

HELP AVAILABLE FOR DEFINITION OF MONEY OWED AND
OUTSTANDING LOANS.

12

Assets (AS) Section
Beta

AS14

Help Enabled (STILOWED)

Variable Name
ASET.OWEDVALU

Comment Enabled

Jump Back Enabled

Label

Size
9

HOW MUCH OWED

How much is still owed for the second home?
IF RESPONDENT IS NOT SURE, DO NOT PROBE. SELECT ‘DON’T
KNOW’.
AMOUNT OWED IN _______
WHOLE DOLLARS: $

{AS16}

----------------------------------------------------------------------------------------------------------------------------------

Refused
Don't Know

RF
DK

{AS15}
{AS15}

HELP AVAILABLE FOR DEFINITION OF STILL OWED.

Soft CHECK:
AMOUNT SHOULD BE WHOLE DOLLAR AMOUNT $1 - $9,999,999

13

Assets (AS) Section
Beta

AS15

Help Enabled

Variable Name
ASET.OWEDRANG

Comment Enabled

Jump Back Enabled

Label

Size
2

ASSET CATEGORY OWED

SHOW CARD AS-1.
Which category on the card best indicates the amount owed?
0 - 500

1

{AS16}

501 - 1,000
1,001 - 5,000

2
3

{AS16}
{AS16}

5,001 - 10,000
10,001 - 25,000

4
5

{AS16}
{AS16}

25,001 - 50,000

6

{AS16}

50,001 - 100,000
100,001 - 250,000

7
8

{AS16}
{AS16}

250,001 - 500,000
500,001 - 1,000,000

9
10

{AS16}
{AS16}

1,000,001 OR MORE

11

{AS16}

----------------------------------------------------------------------------------------------------------------------------------

Refused
Don't Know

RF
DK

14

{AS16}
{AS16}

Assets (AS) Section
Beta

AS16

Help Enabled (AS16Help)

Variable Name
HOME.OWNFARM

Comment Enabled

Jump Back Enabled

Label

Size
2

OWN PART OF A FARM OR BUSINESS

Does anyone in the family own part or all of a farm or business [other than
what we have already talked about]?
YES

1

{AS17}

NO

2

{AS24}

----------------------------------------------------------------------------------------------------------------------------------

Refused
Don't Know

RF
DK

{AS24}
{AS24}

HELP AVAILABLE FOR DEFINITION OF FARM AND BUSINESS.

15

Assets (AS) Section
Beta

AS17

Help Enabled

Comment Enabled

Jump Back Enabled

Variable Name
ASET.ASSETTYP

TYPE OF ASSET

Label

Size
2

ASET.ASETID
ASET.ASETRURN

ASET ID KEY: HOMEID + COUNTER(2)
ROUND STAMP: RU LETTER + ROUND NUMBER

10
2

ASET.CREATEQ
ASET.ASSETNUM

CREATION STAMP
NUMBER OF ASSET TYPE

4
2

How many farm(s) or business(es) are owned by the family?
NUMBER: _______

{AS18}

----------------------------------------------------------------------------------------------------------------------------------

Refused
Don't Know

RF
DK

Soft CHECK:
1 - 10

16

{AS18}
{AS18}

Assets (AS) Section
Beta

AS18

Help Enabled

Comment Enabled

Variable Name
OWNR.OWNRID

OWNR ID KEY: ASETID + PID

OWNR.OWNRRURN
OWNR.CREATEQ

ROUND STAMP: RU LETTER + ROUND NUMBER
CREATION STAMP

Jump Back Enabled

Label

Size
13
2
4

Who in the family owns the farm(s) or business(es)?
PROBE: Does anyone else in the family own the farm(s) or business(es)?
CHECK ALL THAT APPLY.
[First Name,[Middle Name],Last Name]
[First Name,[Middle Name],Last Name]
[First Name,[Middle Name],Last Name]

{AS19}

DISPLAY INSTRUCTIONS:
DISPLAY ‘PERSON DECEASED’ AND ‘PERSON NOT IN RU’ AS THE LAST
TWO ENTRIES ON THE ROSTER.

Roster Details
Title:

RU_Members_1

Col #

Header

Instructions

NAME

Display RU member's first, middle, and last names
PERS.FULLNAME

1

Roster Definition:
DISPLAY THE RU_MEMBERS_ROSTER FOR SELECTION OF ONE OR MORE RU
MEMBERS.
Roster Behavior:
1. MULTIPLE SELECT ALLOWED.
2. EDIT, DELETE, ADD DISALLOWED.
Roster Filter:
NONE. DISPLAY ALL.
17

Assets (AS) Section
Beta

AS19

Help Enabled (AS19Help)

Variable Name
ASET.VALUE

Comment Enabled

Jump Back Enabled

Label

Size
9

PRESENT VALUE OF ASSET

What are all the farm(s) or business(es) worth together if sold today?
IF RESPONDENT IS NOT SURE, DO NOT PROBE. SELECT ‘DON’T
KNOW’.
IF AMOUNT IS NOTHING, ENTER ‘0’.
WORTH IN WHOLE _______
DOLLARS: $

{AS21}

----------------------------------------------------------------------------------------------------------------------------------

Refused
Don't Know

RF
DK

{AS20}
{AS20}

HELP AVAILABLE FOR DEFINITION OF WORTH.

Soft CHECK:
AMOUNT SHOULD BE 0 OR WHOLE DOLLAR AMOUNT $1 - $9,999,999

18

Assets (AS) Section
Beta

AS20

Help Enabled

Variable Name
ASET.VALURANG

Comment Enabled

Jump Back Enabled

Label

Size
2

ASSET VALUE CATEGORY

SHOW CARD AS-1.
Which category on the card best indicates the worth of the farm(s) or
business(es) if sold today?
0 - 500
501 - 1,000

1
2

{AS21}
{AS21}

1,001 - 5,000
5,001 - 10,000

3
4

{AS21}
{AS21}

10,001 - 25,000
25,001 - 50,000

5
6

{AS21}
{AS21}

50,001 - 100,000

7

{AS21}

100,001 - 250,000
250,001 - 500,000

8
9

{AS21}
{AS21}

500,001 - 1,000,000
1,000,001 OR MORE

10
11

{AS21}
{AS21}

----------------------------------------------------------------------------------------------------------------------------------

Refused
Don't Know

RF
DK

19

{AS21}
{AS21}

Assets (AS) Section
Beta

AS21

Help Enabled (OWEDLOAN)

Variable Name
ASET.ANYOWED

Comment Enabled

Jump Back Enabled

Label

Size
2

ANY MONEY OWED ON ASSET

Is any money owed or are there any loans outstanding on the farm(s) or
business(es)?
PROBE: Please do not include any debt we’ve already talked about.
YES

1

{AS22}

NO

2

{AS24}

----------------------------------------------------------------------------------------------------------------------------------

Refused
Don't Know

RF
DK

{AS24}
{AS24}

HELP AVAILABLE FOR DEFINITION OF MONEY OWED AND
OUTSTANDING LOANS.

20

Assets (AS) Section
Beta

AS22

Help Enabled (STILOWED)

Variable Name
ASET.OWEDVALU

Comment Enabled

Jump Back Enabled

Label

Size
9

HOW MUCH OWED

How much is still owed for the farm(s) or business(es)?
IF RESPONDENT IS NOT SURE, DO NOT PROBE. SELECT ‘DON’T
KNOW’ .
AMOUNT OWED IN _______
WHOLE DOLLARS: $

{AS24}

----------------------------------------------------------------------------------------------------------------------------------

Refused
Don't Know

RF
DK

{AS23}
{AS23}

HELP AVAILABLE FOR DEFINITION OF STILL OWED.

Soft CHECK:
AMOUNT SHOULD BE WHOLE DOLLAR AMOUNT $1 - $9,999,999

21

Assets (AS) Section
Beta

AS23

Help Enabled

Variable Name
ASET.OWEDRANG

Comment Enabled

Jump Back Enabled

Label

Size
2

ASSET CATEGORY OWED

SHOW CARD AS-1.
Which category on the card best indicates the amount owed?
0 - 500

1

{AS24}

501 - 1,000
1,001 - 5,000

2
3

{AS24}
{AS24}

5,001 - 10,000
10,001 - 25,000

4
5

{AS24}
{AS24}

25,001 - 50,000

6

{AS24}

50,001 - 100,000
100,001 - 250,000

7
8

{AS24}
{AS24}

250,001 - 500,000
500,001 - 1,000,000

9
10

{AS24}
{AS24}

1,000,001 OR MORE

11

{AS24}

----------------------------------------------------------------------------------------------------------------------------------

Refused
Don't Know

RF
DK

22

{AS24}
{AS24}

Assets (AS) Section
Beta

AS24

Help Enabled (AS24Help)

Variable Name
HOME.OWNLAND

Comment Enabled

Jump Back Enabled

Label
ANYONE OWN LAND OR REAL ESTATE

Size
2

Does anyone in the family have any real estate such as land, rental real
estate, a real estate partnership, or money owed to the family on a land
contract or mortgage [other than what we have already talked about]?
YES
NO

1
2

{AS25}
{AS31}

----------------------------------------------------------------------------------------------------------------------------------

Refused
Don't Know

RF
DK

{AS31}
{AS31}

HELP AVAILABLE FOR DEFINITION OF REAL ESTATE.

23

Assets (AS) Section
Beta

AS25

Help Enabled

Comment Enabled

Jump Back Enabled

Variable Name
ASET.ASSETTYP

TYPE OF ASSET

Label

Size
2

ASET.ASETID
ASET.ASETRURN

ASET ID KEY: HOMEID + COUNTER(2)
ROUND STAMP: RU LETTER + ROUND NUMBER

10
2

ASET.CREATEQ
OWNR.OWNRID

CREATION STAMP
OWNR ID KEY: ASETID + PID

4
13

OWNR.OWNRRURN

ROUND STAMP: RU LETTER + ROUND NUMBER

2

OWNR.CREATEQ

CREATION STAMP

4

Who in the family owns other properties or real estate (such as land, rental
real estate, or a real estate partnership)?
PROBE: Does anyone else in the family own other properties or real estate
(such as land, rental real estate, or a real estate partnership)?
CHECK ALL THAT APPLY.
[First Name,[Middle Name],Last Name]
[First Name,[Middle Name],Last Name]
[First Name,[Middle Name],Last Name]

{AS26}

DISPLAY INSTRUCTIONS:
DISPLAY ‘PERSON DECEASED’ AND ‘PERSON NOT IN RU’ AS THE LAST
TWO ENTRIES ON THE ROSTER.

Roster Details
Title:

RU_Members_1

Col #

Header

Instructions

NAME

Display RU member's first, middle, and last names
PERS.FULLNAME

1

Roster Definition:
DISPLAY THE RU_MEMBERS_ROSTER FOR SELECTION OF ONE OR MORE RU
MEMBERS.
Roster Behavior:
1. MULTIPLE SELECT ALLOWED.
24

Assets (AS) Section
Beta
2. EDIT, DELETE, ADD DISALLOWED.
Roster Filter:
NONE. DISPLAY ALL.

AS26

Help Enabled (DEFVALUE)

Variable Name
ASET.VALUE

Comment Enabled

Jump Back Enabled

Label

Size
9

PRESENT VALUE OF ASSET

Altogether, what is the present value of the other properties or real estate
(such as land, rental real estate, or a real estate partnership), that is, about
how much would it bring if you sold it on today’s market?
IF RESPONDENT IS NOT SURE, DO NOT PROBE. SELECT ‘DON’T KNOW’.
IF AMOUNT IS NOTHING, ENTER ‘0’.
VALUE IN WHOLE _______
DOLLARS: $

{AS28}

----------------------------------------------------------------------------------------------------------------------------------

Refused
Don't Know

RF
DK

{AS27}
{AS27}

HELP AVAILABLE FOR DEFINITION OF VALUE.

Soft CHECK:
AMOUNT SHOULD BE 0 OR WHOLE DOLLAR AMOUNT $1 - $9,999,999

25

Assets (AS) Section
Beta

AS27

Help Enabled

Variable Name
ASET.VALURANG

Comment Enabled

Jump Back Enabled

Label

Size
2

ASSET VALUE CATEGORY

SHOW CARD AS-1.
Which category on the card best indicates the value of the other properties or
real estate (such as land, rental real estate, or a real estate partnership)?
0 - 500
501 - 1,000

1
2

{AS28}
{AS28}

1,001 - 5,000
5,001 - 10,000

3
4

{AS28}
{AS28}

10,001 - 25,000
25,001 - 50,000

5
6

{AS28}
{AS28}

50,001 - 100,000

7

{AS28}

100,001 - 250,000
250,001 - 500,000

8
9

{AS28}
{AS28}

500,001 - 1,000,000
1,000,001 OR MORE

10
11

{AS28}
{AS28}

----------------------------------------------------------------------------------------------------------------------------------

Refused
Don't Know

RF
DK

26

{AS28}
{AS28}

Assets (AS) Section
Beta

AS28

Help Enabled (OWEDLOAN)

Variable Name
ASET.ANYOWED

Comment Enabled

Jump Back Enabled

Label

Size
2

ANY MONEY OWED ON ASSET

Is any money owed or are there any loans outstanding on the other properties
or real estate (such as land, rental real estate, or a real estate partnership)?
PROBE: Please do not include any debt we’ve already talked about.
YES

1

{AS29}

NO

2

{AS31}

----------------------------------------------------------------------------------------------------------------------------------

Refused
Don't Know

RF
DK

{AS31}
{AS31}

HELP AVAILABLE FOR DEFINITION OF MONEY OWED AND
OUTSTANDING LOANS.

27

Assets (AS) Section
Beta

AS29

Help Enabled (STILOWED)

Variable Name
ASET.OWEDVALU

Comment Enabled

Jump Back Enabled

Label

Size
9

HOW MUCH OWED

How much is still owed for the other properties or real estate (such as land,
rental real estate, or a real estate partnership)?
IF RESPONDENT IS NOT SURE, DO NOT PROBE. SELECT ‘DON’T
KNOW’.
AMOUNT OWED IN _______
WHOLE DOLLARS: $

{AS31}

----------------------------------------------------------------------------------------------------------------------------------

Refused
Don't Know

RF
DK

{AS30}
{AS30}

HELP AVAILABLE FOR DEFINITION OF STILL OWED.

Soft CHECK:
AMOUNT SHOULD BE WHOLE DOLLAR AMOUNT $1 - $9,999,999

28

Assets (AS) Section
Beta

AS30

Help Enabled

Variable Name
ASET.OWEDRANG

Comment Enabled

Jump Back Enabled

Label

Size
2

ASSET CATEGORY OWED

SHOW CARD AS-1.
Which category on the card best indicates the amount owed?
0 - 500

1

{AS31}

501 - 1,000
1,001 - 5,000

2
3

{AS31}
{AS31}

5,001 - 10,000
10,001 - 25,000

4
5

{AS31}
{AS31}

25,001 - 50,000

6

{AS31}

50,001 - 100,000
100,001 - 250,000

7
8

{AS31}
{AS31}

250,001 - 500,000
500,001 - 1,000,000

9
10

{AS31}
{AS31}

1,000,001 OR MORE

11

{AS31}

----------------------------------------------------------------------------------------------------------------------------------

Refused
Don't Know

RF
DK

29

{AS31}
{AS31}

Assets (AS) Section
Beta

AS31

Help Enabled

Variable Name
HOME.OWNCARS

Comment Enabled

Jump Back Enabled

Label

Size
2

OWN CAR TRUCKS OR VANS

Does anyone in the family own any transportation vehicles, such as cars,
trucks, or vans?
PROBE: Do not include recreational vehicles, such as motorcycles, trailers,
motor homes, boats, or airplanes. We ask about those types of vehicles next.
YES
NO

1
2

{AS32}
{AS39}

----------------------------------------------------------------------------------------------------------------------------------

Refused
Don't Know

RF
DK

30

{AS39}
{AS39}

Assets (AS) Section
Beta

AS32

Help Enabled

Comment Enabled

Jump Back Enabled

Variable Name
ASET.ASETID

ASET ID KEY: HOMEID + COUNTER(2)

Label

Size
10

ASET.ASETRURN
ASET.CREATEQ

ROUND STAMP: RU LETTER + ROUND NUMBER
CREATION STAMP

2
4

ASET.ASSETTYP
ASET.ASSETNUM

TYPE OF ASSET
NUMBER OF ASSET TYPE

2
2

How many transportation vehicles (such as cars, trucks, or vans) are owned
by the family?
NUMBER: _______

{AS33}

----------------------------------------------------------------------------------------------------------------------------------

Refused
Don't Know

RF
DK

Soft CHECK:
1 - 15

31

{AS33}
{AS33}

Assets (AS) Section
Beta

AS33

Help Enabled

Comment Enabled

Variable Name
OWNR.OWNRID

OWNR ID KEY: ASETID + PID

OWNR.OWNRRURN
OWNR.CREATEQ

ROUND STAMP: RU LETTER + ROUND NUMBER
CREATION STAMP

Jump Back Enabled

Label

Size
13
2
4

Who in the family owns the transportation vehicles (such as cars, trucks, or
vans)?
PROBE: Does anyone else in the family own the transportation vehicles
(such as cars, trucks, or vans)?
CHECK ALL THAT APPLY.
[First Name,[Middle Name],Last Name]
[First Name,[Middle Name],Last Name]
[First Name,[Middle Name],Last Name]

{AS34}

DISPLAY INSTRUCTIONS:
DISPLAY ‘PERSON DECEASED’ AND ‘PERSON NOT IN RU’ AS THE LAST
TWO ENTRIES ON THE ROSTER.

Roster Details
Title:

RU_Members_1

Col #

Header

Instructions

NAME

Display RU member's first, middle, and last names
PERS.FULLNAME

1

Roster Definition:
DISPLAY THE RU_MEMBERS_ROSTER FOR SELECTION OF ONE OR MORE RU
MEMBERS.
Roster Behavior:
1. MULTIPLE SELECT ALLOWED.
2. EDIT, DELETE, ADD DISALLOWED.
Roster Filter:
32

Assets (AS) Section
Beta
NONE. DISPLAY ALL.

AS34

Help Enabled (VALUEDEF)

Variable Name
ASET.VALUE

Comment Enabled

Jump Back Enabled

Label

Size
9

PRESENT VALUE OF ASSET

Altogether, what is the present value of the transportation vehicles (such as
cars, trucks, or vans), that is, about how much would it bring if you sold them
on today’s market?
IF RESPONDENT IS NOT SURE, DO NOT PROBE. SELECT ‘DON’T
KNOW’.
IF AMOUNT IS NOTHING, ENTER ‘0’.
VALUE IN WHOLE _______
DOLLARS: $

{AS36}

----------------------------------------------------------------------------------------------------------------------------------

Refused
Don't Know

RF
DK

{AS35}
{AS35}

HELP AVAILABLE FOR DEFINITION OF VALUE.

Soft CHECK:
AMOUNT SHOULD BE 0 OR WHOLE DOLLAR AMOUNT $1 - $9,999,999

33

Assets (AS) Section
Beta

AS35

Help Enabled

Variable Name
ASET.VALURANG

Comment Enabled

Jump Back Enabled

Label

Size
2

ASSET VALUE CATEGORY

SHOW CARD AS-1.
Which category on the card best indicates the value of the transportation
vehicles (such as cars, trucks, or vans)?
0 - 500
501 - 1,000

1
2

{AS36}
{AS36}

1,001 - 5,000
5,001 - 10,000

3
4

{AS36}
{AS36}

10,001 - 25,000
25,001 - 50,000

5
6

{AS36}
{AS36}

50,001 - 100,000

7

{AS36}

100,001 - 250,000
250,001 - 500,000

8
9

{AS36}
{AS36}

500,001 - 1,000,000
1,000,001 OR MORE

10
11

{AS36}
{AS36}

----------------------------------------------------------------------------------------------------------------------------------

Refused
Don't Know

RF
DK

34

{AS36}
{AS36}

Assets (AS) Section
Beta

AS36

Help Enabled (OWEDLOAN)

Variable Name
ASET.ANYOWED

Comment Enabled

Jump Back Enabled

Label

Size
2

ANY MONEY OWED ON ASSET

Is any money owed or are there any loans outstanding on the transportation
vehicles (such as cars, trucks, or vans)?
PROBE: Please do not include any debt we’ve already talked about.
YES

1

{AS37}

NO

2

{AS39}

----------------------------------------------------------------------------------------------------------------------------------

Refused
Don't Know

RF
DK

{AS39}
{AS39}

HELP AVAILABLE FOR DEFINITION OF MONEY OWED AND
OUTSTANDING LOANS.

35

Assets (AS) Section
Beta

AS37

Help Enabled (STILOWED)

Variable Name
ASET.OWEDVALU

Comment Enabled

Jump Back Enabled

Label

Size
9

HOW MUCH OWED

How much is still owed for the transportation vehicles (such as cars, trucks, or
vans)?
IF RESPONDENT IS NOT SURE, DO NOT PROBE. SELECT ‘DON’T
KNOW’.
AMOUNT OWED IN _______
WHOLE DOLLARS: $

{AS39}

----------------------------------------------------------------------------------------------------------------------------------

Refused
Don't Know

RF
DK

{AS38}
{AS38}

HELP AVAILABLE FOR DEFINITION OF STILL OWED.

Soft CHECK:
AMOUNT SHOULD BE WHOLE DOLLAR AMOUNT $1 - $9,999,999

36

Assets (AS) Section
Beta

AS38

Help Enabled

Variable Name
ASET.OWEDRANG

Comment Enabled

Jump Back Enabled

Label

Size
2

ASSET CATEGORY OWED

SHOW CARD AS-1.
Which category on the card best indicates the amount owed?
0 - 500

1

{AS39}

501 - 1,000
1,001 - 5,000

2
3

{AS39}
{AS39}

5,001 - 10,000
10,001 - 25,000

4
5

{AS39}
{AS39}

25,001 - 50,000

6

{AS39}

50,001 - 100,000
100,001 - 250,000

7
8

{AS39}
{AS39}

250,001 - 500,000
500,001 - 1,000,000

9
10

{AS39}
{AS39}

1,000,001 OR MORE

11

{AS39}

----------------------------------------------------------------------------------------------------------------------------------

Refused
Don't Know

RF
DK

37

{AS39}
{AS39}

Assets (AS) Section
Beta

AS39

Help Enabled (AS39Help)

Variable Name
HOME.OWNBOAT

Comment Enabled

Jump Back Enabled

Label
ANYONE OWN RECREATIONAL VEHICLE

Size
2

Does anyone in the family own any recreational vehicles, such as motorcycles,
a trailer, a motor home, a boat, or an airplane?
YES
NO

1
2

{AS40}
{AS46}

----------------------------------------------------------------------------------------------------------------------------------

Refused
Don't Know

RF
DK

{AS46}
{AS46}

HELP AVAILABLE FOR DEFINITION OF RECREATIONAL VEHICLES.

38

Assets (AS) Section
Beta

AS40

Help Enabled

Comment Enabled

Jump Back Enabled

Variable Name
ASET.ASETID

ASET ID KEY: HOMEID + COUNTER(2)

Label

Size
10

ASET.ASETRURN
ASET.CREATEQ

ROUND STAMP: RU LETTER + ROUND NUMBER
CREATION STAMP

2
4

ASET.ASSETNUM
ASET.ASSETTYP

NUMBER OF ASSET TYPE
TYPE OF ASSET

2
2

How many recreational vehicles (such as motorcycles, trailers, motor homes,
boats, or airplanes) are owned by the family?
NUMBER: _______

{AS41}

----------------------------------------------------------------------------------------------------------------------------------

Refused
Don't Know

RF
DK

Soft CHECK:
1 - 15

39

{AS41}
{AS41}

Assets (AS) Section
Beta

AS41

Help Enabled (VALUEDEF)

Variable Name
ASET.VALUE

Comment Enabled

Jump Back Enabled

Label

Size
9

PRESENT VALUE OF ASSET

Altogether, what is the present value of the recreational vehicles (such as
motorcycles, trailers, motor homes, boats, or airplanes), that is, about how
much would it bring if you sold them on today’s market?
IF RESPONDENT IS NOT SURE, DO NOT PROBE. SELECT ‘DON’T KNOW’.
IF AMOUNT IS NOTHING, ENTER ‘0’.
VALUE IN WHOLE _______
DOLLARS: $

{AS43}

----------------------------------------------------------------------------------------------------------------------------------

Refused
Don't Know

RF
DK

{AS42}
{AS42}

HELP AVAILABLE FOR DEFINITION OF VALUE.

Soft CHECK:
AMOUNT SHOULD BE 0 OR WHOLE DOLLAR AMOUNT $1 - $9,999,999

40

Assets (AS) Section
Beta

AS42

Help Enabled

Variable Name
ASET.VALURANG

Comment Enabled

Jump Back Enabled

Label

Size
2

ASSET VALUE CATEGORY

SHOW CARD AS-1.
Which category on the card best indicates the value of the recreational
vehicles (such as motorcycles, trailers, motor homes, boats, or airplanes)?
0 - 500
501 - 1,000

1
2

{AS43}
{AS43}

1,001 - 5,000
5,001 - 10,000

3
4

{AS43}
{AS43}

10,001 - 25,000
25,001 - 50,000

5
6

{AS43}
{AS43}

50,001 - 100,000

7

{AS43}

100,001 - 250,000
250,001 - 500,000

8
9

{AS43}
{AS43}

500,001 - 1,000,000
1,000,001 OR MORE

10
11

{AS43}
{AS43}

----------------------------------------------------------------------------------------------------------------------------------

Refused
Don't Know

RF
DK

41

{AS43}
{AS43}

Assets (AS) Section
Beta

AS43

Help Enabled (OWEDLOAN)

Variable Name
ASET.ANYOWED

Comment Enabled

Jump Back Enabled

Label

Size
2

ANY MONEY OWED ON ASSET

Is any money owed or are there any loans outstanding on the recreational
vehicles (such as motorcycles, trailers, motor homes, boats, or airplanes)?
PROBE: Please do not include any debt we’ve already talked about.
YES

1

{AS44}

NO

2

{AS46}

----------------------------------------------------------------------------------------------------------------------------------

Refused
Don't Know

RF
DK

{AS46}
{AS46}

HELP AVAILABLE FOR DEFINITION OF MONEY OWED AND
OUTSTANDING LOANS.

42

Assets (AS) Section
Beta

AS44

Help Enabled (STILOWED)

Variable Name
ASET.OWEDVALU

Comment Enabled

Jump Back Enabled

Label

Size
9

HOW MUCH OWED

How much is still owed for the recreational vehicles (such as motorcycles,
trailers, motor homes, boats, or airplanes)?
IF RESPONDENT IS NOT SURE, DO NOT PROBE. SELECT ‘DON’T
KNOW’.
AMOUNT OWED IN _______
WHOLE DOLLARS: $

{AS46}

----------------------------------------------------------------------------------------------------------------------------------

Refused
Don't Know

RF
DK

{AS45}
{AS45}

HELP AVAILABLE FOR DEFINITION OF STILL OWED.

Soft CHECK:
AMOUNT SHOULD BE WHOLE DOLLAR AMOUNT $1 - $9,999,999

43

Assets (AS) Section
Beta

AS45

Help Enabled

Variable Name
ASET.OWEDRANG

Comment Enabled

Jump Back Enabled

Label

Size
2

ASSET CATEGORY OWED

SHOW CARD AS-1.
Which category on the card best indicates the amount owed?
0 - 500

1

{AS46}

501 - 1,000
1,001 - 5,000

2
3

{AS46}
{AS46}

5,001 - 10,000
10,001 - 25,000

4
5

{AS46}
{AS46}

25,001 - 50,000

6

{AS46}

50,001 - 100,000
100,001 - 250,000

7
8

{AS46}
{AS46}

250,001 - 500,000
500,001 - 1,000,000

9
10

{AS46}
{AS46}

1,000,001 OR MORE

11

{AS46}

----------------------------------------------------------------------------------------------------------------------------------

Refused
Don't Know

RF
DK

44

{AS46}
{AS46}

Assets (AS) Section
Beta

AS46

Help Enabled (AS46Help)

Variable Name
HOME.OWNSTOCK

Comment Enabled

Jump Back Enabled

Label
OWN SHARES OF STOCK OR MUTUAL FUNDS

Size
2

Does anyone in the family own any CDs, stocks, government or corporate
bonds or mutual funds [other than what we have already talked about]?
YES
NO

1
2

{AS47}
{AS57}

----------------------------------------------------------------------------------------------------------------------------------

Refused
Don't Know

RF
DK

{AS57}
{AS57}

HELP AVAILABLE FOR DEFINITION OF CDs, SHARES OF STOCKS,
BONDS, AND MUTUAL FUNDS.

45

Assets (AS) Section
Beta

AS47

Help Enabled

Comment Enabled

Jump Back Enabled

Variable Name
ASET.ASSETTYP

TYPE OF ASSET

Label

Size
2

ASET.ASETID
ASET.ASETRURN

ASET ID KEY: HOMEID + COUNTER(2)
ROUND STAMP: RU LETTER + ROUND NUMBER

10
2

ASET.CREATEQ
OWNR.OWNRID

CREATION STAMP
OWNR ID KEY: ASETID + PID

4
13

OWNR.OWNRRURN

ROUND STAMP: RU LETTER + ROUND NUMBER

2

OWNR.CREATEQ

CREATION STAMP

4

Who in the family owns the CDs, stocks, government or corporate bonds or
mutual funds?
PROBE: Does anyone else in the family own the CDs, stocks, government or
corporate bonds or mutual funds?
CHECK ALL THAT APPLY.
[First Name,[Middle Name],Last Name]
[First Name,[Middle Name],Last Name]
[First Name,[Middle Name],Last Name]

{AS48}

DISPLAY INSTRUCTIONS:
DISPLAY ‘PERSON DECEASED’ AND ‘PERSON NOT IN RU’ AS THE LAST
TWO ENTRIES ON THE ROSTER.

Roster Details
Title:

RU_Members_1

Col #

Header

Instructions

NAME

Display RU member's first, middle, and last names
PERS.FULLNAME

1

Roster Definition:
DISPLAY THE RU_MEMBERS_ROSTER FOR SELECTION OF ONE OR MORE RU
MEMBERS.
Roster Behavior:
46

Assets (AS) Section
Beta
1. MULTIPLE SELECT ALLOWED.
2. EDIT, DELETE, ADD DISALLOWED.
Roster Filter:
NONE. DISPLAY ALL.

AS48

Help Enabled (AS48)

Variable Name
ASET.VALUE

Comment Enabled

Jump Back Enabled

Label

Size
9

PRESENT VALUE OF ASSET

What are all the CDs, stocks, government or corporate bonds and mutual
funds worth together if sold today?
IF RESPONDENT IS NOT SURE, DO NOT PROBE. SELECT ‘DON’T
KNOW’.
IF AMOUNT IS NOTHING, ENTER ‘0’.
WORTH IN WHOLE _______
DOLLARS: $

{AS57}

----------------------------------------------------------------------------------------------------------------------------------

Refused
Don't Know

RF
DK

{AS49}
{AS49}

HELP AVAILABLE FOR DEFINITION OF WORTH.

Soft CHECK:
AMOUNT SHOULD BE 0 OR WHOLE DOLLAR AMOUNT $1 - $9,999,999

47

Assets (AS) Section
Beta

AS49

Help Enabled

Variable Name
ASET.VALURANG

Comment Enabled

Jump Back Enabled

Label

Size
2

ASSET VALUE CATEGORY

SHOW CARD AS-1.
Which category on the card best indicates the worth of the CDs, stocks,
government or corporate bonds and mutual funds if sold today?
0 - 500
501 - 1,000

1
2

{AS57}
{AS57}

1,001 - 5,000
5,001 - 10,000

3
4

{AS57}
{AS57}

10,001 - 25,000
25,001 - 50,000

5
6

{AS57}
{AS57}

50,001 - 100,000

7

{AS57}

100,001 - 250,000
250,001 - 500,000

8
9

{AS57}
{AS57}

500,001 - 1,000,000
1,000,001 OR MORE

10
11

{AS57}
{AS57}

----------------------------------------------------------------------------------------------------------------------------------

Refused
Don't Know

RF
DK

48

{AS57}
{AS57}

Assets (AS) Section
Beta

AS57

Help Enabled (AS57Help)

Variable Name
HOME.OWNIRA

Comment Enabled

Jump Back Enabled

Label
ANYONE HAVE IRA OR KEOGH ACCOUNTS

Size
2

Does anyone in the family have any Individual Retirement Accounts, that is,
IRA, Keogh, or 401K accounts?
YES
NO

1
2

{AS58}
{AS67}

----------------------------------------------------------------------------------------------------------------------------------

Refused
Don't Know

RF
DK

{AS67}
{AS67}

HELP AVAILABLE FOR DEFINITION OF IRA, KEOGH, AND 401K
ACCOUNTS.

49

Assets (AS) Section
Beta

AS58

Help Enabled

Comment Enabled

Jump Back Enabled

Variable Name
ASET.ASETID

ASET ID KEY: HOMEID + COUNTER(2)

Label

Size
10

ASET.ASETRURN
ASET.CREATEQ

ROUND STAMP: RU LETTER + ROUND NUMBER
CREATION STAMP

2
4

ASET.ASSETNUM
ASET.ASSETTYP

NUMBER OF ASSET TYPE
TYPE OF ASSET

2
2

How many IRA, Keogh, or 401K accounts does the family have?
NUMBER: _______

{AS59}

----------------------------------------------------------------------------------------------------------------------------------

Refused
Don't Know

RF
DK

Soft CHECK:
1 - 20

50

{AS59}
{AS59}

Assets (AS) Section
Beta

AS59

Help Enabled

Comment Enabled

Variable Name
OWNR.OWNRID

OWNR ID KEY: ASETID + PID

OWNR.OWNRRURN
OWNR.CREATEQ

ROUND STAMP: RU LETTER + ROUND NUMBER
CREATION STAMP

Jump Back Enabled

Label

Size
13
2
4

Who in the family has IRA, Keogh, or 401K accounts?
PROBE: Does anyone else in the family have IRA, Keogh, or 401K
accounts?
CHECK ALL THAT APPLY.
[First Name,[Middle Name],Last Name]
[First Name,[Middle Name],Last Name]
[First Name,[Middle Name],Last Name]

{AS60}

DISPLAY INSTRUCTIONS:
DISPLAY ‘PERSON DECEASED’ AND ‘PERSON NOT IN RU’ AS THE LAST
TWO ENTRIES ON THE ROSTER.

Roster Details
Title:

RU_Members_1

Col #

Header

Instructions

NAME

Display RU member's first, middle, and last names
PERS.FULLNAME

1

Roster Definition:
DISPLAY THE RU_MEMBERS_ROSTER FOR SELECTION OF ONE OR MORE RU
MEMBERS.
Roster Behavior:
1. MULTIPLE SELECT ALLOWED.
2. EDIT, DELETE, ADD DISALLOWED.
Roster Filter:
NONE. DISPLAY ALL.
51

Assets (AS) Section
Beta

AS60

Help Enabled (AS60Help)

Variable Name
ASET.VALUE

Comment Enabled

Jump Back Enabled

Label

Size
9

PRESENT VALUE OF ASSET

Altogether, what is the current value of these IRA, Keogh, and 401K
accounts?
IF RESPONDENT IS NOT SURE, DO NOT PROBE. SELECT ‘DON’T
KNOW’.
VALUE IN WHOLE _______
DOLLARS: $

{AS67}

----------------------------------------------------------------------------------------------------------------------------------

Refused
Don't Know

RF
DK

{AS61}
{AS61}

HELP AVAILABLE FOR DEFINITION OF VALUE.

Soft CHECK:
AMOUNT SHOULD BE WHOLE DOLLAR AMOUNT $1 - $9,999,999

52

Assets (AS) Section
Beta

AS61

Help Enabled

Variable Name
ASET.VALURANG

Comment Enabled

Jump Back Enabled

Label

Size
2

ASSET VALUE CATEGORY

SHOW CARD AS-1.
Which category on the card best indicates the value of these IRA, Keogh, and
401K accounts?
0 - 500
501 - 1,000

1
2

{AS67}
{AS67}

1,001 - 5,000
5,001 - 10,000

3
4

{AS67}
{AS67}

10,001 - 25,000
25,001 - 50,000

5
6

{AS67}
{AS67}

50,001 - 100,000

7

{AS67}

100,001 - 250,000
250,001 - 500,000

8
9

{AS67}
{AS67}

500,001 - 1,000,000
1,000,001 OR MORE

10
11

{AS67}
{AS67}

----------------------------------------------------------------------------------------------------------------------------------

Refused
Don't Know

RF
DK

53

{AS67}
{AS67}

Assets (AS) Section
Beta

AS67

Help Enabled (AS67Help)

Variable Name
HOME.OWNCHECK

Comment Enabled

Jump Back Enabled

Label
CHECKING SAVINGS OR MONEY MARKET

Size
2

Does anyone in the family have any money in checking or savings accounts,
or money market funds [other than what we have already talked about]?
YES
NO

1
2

{AS68}
{AS72}

----------------------------------------------------------------------------------------------------------------------------------

Refused
Don't Know

RF
DK

{AS72}
{AS72}

HELP AVAILABLE FOR DEFINITION OF CHECKING, SAVINGS, AND
MONEY MARKET ACCOUNTS.

54

Assets (AS) Section
Beta

AS68

Help Enabled

Comment Enabled

Jump Back Enabled

Variable Name
ASET.ASETID

ASET ID KEY: HOMEID + COUNTER(2)

Label

Size
10

ASET.ASETRURN
ASET.CREATEQ

ROUND STAMP: RU LETTER + ROUND NUMBER
CREATION STAMP

2
4

ASET.ASSETNUM
ASET.ASSETTYP

NUMBER OF ASSET TYPE
TYPE OF ASSET

2
2

How many checking, savings, or money market accounts does the family
have?
NUMBER: _______

{AS69}

----------------------------------------------------------------------------------------------------------------------------------

Refused
Don't Know

RF
DK

Soft CHECK:
1 - 20

55

{AS69}
{AS69}

Assets (AS) Section
Beta

AS69

Help Enabled

Comment Enabled

Variable Name
OWNR.OWNRID

OWNR ID KEY: ASETID + PID

OWNR.OWNRRURN
OWNR.CREATEQ

ROUND STAMP: RU LETTER + ROUND NUMBER
CREATION STAMP

Jump Back Enabled

Label

Size
13
2
4

Who in the family has checking, savings, or money market accounts?
PROBE: Does anyone else in the family have checking, savings, or money
market accounts?
CHECK ALL THAT APPLY.
[First Name,[Middle Name],Last Name]
[First Name,[Middle Name],Last Name]
[First Name,[Middle Name],Last Name]

{AS70}

DISPLAY INSTRUCTIONS:
DISPLAY ‘PERSON DECEASED’ AND ‘PERSON NOT IN RU’ AS THE LAST
TWO ENTRIES ON THE ROSTER.

Roster Details
Title:

RU_Members_1

Col #

Header

Instructions

NAME

Display RU member's first, middle, and last names
PERS.FULLNAME

1

Roster Definition:
DISPLAY THE RU_MEMBERS_ROSTER FOR SELECTION OF ONE OR MORE RU
MEMBERS.
Roster Behavior:
1. MULTIPLE SELECT ALLOWED.
2. EDIT, DELETE, ADD DISALLOWED.
Roster Filter:
NONE. DISPLAY ALL.
56

Assets (AS) Section
Beta

AS70

Help Enabled (HOWMUCH)

Variable Name
ASET.VALUE

Comment Enabled

Jump Back Enabled

Label

Size
9

PRESENT VALUE OF ASSET

Altogether, how much is in these checking, savings, or money market
accounts?
IF RESPONDENT IS NOT SURE, DO NOT PROBE. SELECT ‘DON’T
KNOW’.
AMOUNT IN WHOLE _______
DOLLARS: $

{AS72}

----------------------------------------------------------------------------------------------------------------------------------

Refused
Don't Know

RF
DK

{AS71}
{AS71}

HELP AVAILABLE FOR DEFINITION OF HOW MUCH IS IN.

Soft CHECK:
AMOUNT SHOULD BE WHOLE DOLLAR AMOUNT $1 - $9,999,999

57

Assets (AS) Section
Beta

AS71

Help Enabled

Variable Name
ASET.VALURANG

Comment Enabled

Jump Back Enabled

Label

Size
2

ASSET VALUE CATEGORY

SHOW CARD AS-1.
Which category on the card best indicates the amount in these checking,
savings, or money market accounts?
0 - 500
501 - 1,000

1
2

{AS72}
{AS72}

1,001 - 5,000
5,001 - 10,000

3
4

{AS72}
{AS72}

10,001 - 25,000
25,001 - 50,000

5
6

{AS72}
{AS72}

50,001 - 100,000

7

{AS72}

100,001 - 250,000
250,001 - 500,000

8
9

{AS72}
{AS72}

500,001 - 1,000,000
1,000,001 OR MORE

10
11

{AS72}
{AS72}

----------------------------------------------------------------------------------------------------------------------------------

Refused
Don't Know

RF
DK

58

{AS72}
{AS72}

Assets (AS) Section
Beta

AS72

Help Enabled (AS72Help)

Variable Name
HOME.OWNJEWEL

Comment Enabled

Jump Back Enabled

Label
OTHER ASSET OR SAVINGS JEWELRY

Size
2

Does anyone in the family have any other savings or assets, such as jewelry,
money owed to you by others, a collection for investment purposes, rights in a
trust or estate where someone in the family is the beneficiary, or an annuity
[that you haven’t already told me about]?
YES
NO

1
2

{AS73}
{AS76}

----------------------------------------------------------------------------------------------------------------------------------

Refused
Don't Know

RF
DK

{AS76}
{AS76}

HELP AVAILABLE FOR DEFINITION OF ‘OTHER SAVINGS OR ASSETS’.

59

Assets (AS) Section
Beta

AS73

Help Enabled

Comment Enabled

Jump Back Enabled

Variable Name
ASET.ASSETTYP

TYPE OF ASSET

Label

Size
2

ASET.ASETID
ASET.ASETRURN

ASET ID KEY: HOMEID + COUNTER(2)
ROUND STAMP: RU LETTER + ROUND NUMBER

10
2

ASET.CREATEQ
OWNR.OWNRID

CREATION STAMP
OWNR ID KEY: ASETID + PID

4
13

OWNR.OWNRRURN

ROUND STAMP: RU LETTER + ROUND NUMBER

2

OWNR.CREATEQ

CREATION STAMP

4

Who in the family has other savings or assets [such as jewelry, money owed
to you, a collection for investment purposes, rights in a trust or estate, or an
annuity]?
PROBE: Does anyone else in the family have other savings or assets [such
as jewelry, money owed to you, a collection for investment purposes, rights in
a trust or estate, or an annuity]?
CHECK ALL THAT APPLY.
[First Name,[Middle Name],Last Name]
[First Name,[Middle Name],Last Name]
[First Name,[Middle Name],Last Name]

{AS74}

DISPLAY INSTRUCTIONS:
DISPLAY ‘PERSON DECEASED’ AND ‘PERSON NOT IN RU’ AS THE LAST
TWO ENTRIES ON THE ROSTER.

Roster Details
Title:

RU_Members_1

Col #

Header

Instructions

NAME

Display RU member's first, middle, and last names
PERS.FULLNAME

1

Roster Definition:
DISPLAY THE RU_MEMBERS_ROSTER FOR SELECTION OF ONE OR MORE RU
MEMBERS.
60

Assets (AS) Section
Beta
Roster Behavior:
1. MULTIPLE SELECT ALLOWED.
2. EDIT, DELETE, ADD DISALLOWED.
Roster Filter:
NONE. DISPLAY ALL.

AS74

Help Enabled (AS74Help)

Variable Name
ASET.VALUE

Comment Enabled

Jump Back Enabled

Label

Size
9

PRESENT VALUE OF ASSET

What are all the other savings or assets [such as jewelry, money owed to you,
a collection for investment purposes, rights in a trust or estate, or an annuity]
worth together?
IF RESPONDENT IS NOT SURE, DO NOT PROBE. SELECT ‘DON’T
KNOW’.
IF AMOUNT IS NOTHING, ENTER ‘0’.
WORTH IN WHOLE _______
DOLLARS: $

{AS76}

----------------------------------------------------------------------------------------------------------------------------------

Refused
Don't Know

RF
DK

{AS75}
{AS75}

HELP AVAILABLE FOR DEFINITION OF WORTH.

Soft CHECK:
AMOUNT SHOULD BE 0 OR WHOLE DOLLAR AMOUNT $1 - $9,999,999

61

Assets (AS) Section
Beta

AS75

Help Enabled

Variable Name
ASET.VALURANG

Comment Enabled

Jump Back Enabled

Label

Size
2

ASSET VALUE CATEGORY

SHOW CARD AS-1.
Which category on the card best indicates the worth of the other savings or
assets?
0 - 500
501 - 1,000

1
2

{AS76}
{AS76}

1,001 - 5,000
5,001 - 10,000

3
4

{AS76}
{AS76}

10,001 - 25,000
25,001 - 50,000

5
6

{AS76}
{AS76}

50,001 - 100,000

7

{AS76}

100,001 - 250,000
250,001 - 500,000

8
9

{AS76}
{AS76}

500,001 - 1,000,000
1,000,001 OR MORE

10
11

{AS76}
{AS76}

----------------------------------------------------------------------------------------------------------------------------------

Refused
Don't Know

RF
DK

62

{AS76}
{AS76}

Assets (AS) Section
Beta

AS76

Help Enabled (AS76Help)

Variable Name
HOME.OWNDEBTS

Comment Enabled

Jump Back Enabled

Label
CREDIT CARD BALANCES MEDICAL DEBTS

Size
2

Does anyone in the family have any debts that we haven’t asked about, such
as credit card balances, medical debts, life insurance policy loans, loans from
relatives, and so forth?
YES
NO

1
2

{AS77}
{BOX_02}

----------------------------------------------------------------------------------------------------------------------------------

Refused
Don't Know

RF
DK

{BOX_02}
{BOX_02}

HELP AVAILABLE FOR DEFINITION OF DEBTS.

63

Assets (AS) Section
Beta

AS77

Help Enabled

Comment Enabled

Jump Back Enabled

Variable Name
ASET.ASETID

ASET ID KEY: HOMEID + COUNTER(2)

Label

Size
10

ASET.ASETRURN
ASET.CREATEQ

ROUND STAMP: RU LETTER + ROUND NUMBER
CREATION STAMP

2
4

ASET.ASSETTYP
OWNR.OWNRID

TYPE OF ASSET
OWNR ID KEY: ASETID + PID

2
13

OWNR.OWNRRURN

ROUND STAMP: RU LETTER + ROUND NUMBER

2

OWNR.CREATEQ

CREATION STAMP

4

Who in the family has the debts [such as credit card balances, medical debts,
life insurance policy loans, loans from relatives and so forth]?
PROBE: Does anyone else in the family have the debts [such as credit card
balances, medical debts, life insurance policy loans, loans from relatives and
so forth]?
CHECK ALL THAT APPLY.
[First Name,[Middle Name],Last Name]
[First Name,[Middle Name],Last Name]
[First Name,[Middle Name],Last Name]

{AS78}

DISPLAY INSTRUCTIONS:
DISPLAY ‘PERSON DECEASED’ AND ‘PERSON NOT IN RU’ AS THE LAST
TWO ENTRIES ON THE ROSTER.

Roster Details
Title:

RU_Members_1

Col #

Header

Instructions

NAME

Display RU member's first, middle, and last names
PERS.FULLNAME

1

Roster Definition:
DISPLAY THE RU_MEMBERS_ROSTER FOR SELECTION OF ONE OR MORE RU
MEMBERS.

64

Assets (AS) Section
Beta
Roster Behavior:
1. MULTIPLE SELECT ALLOWED.
2. EDIT, DELETE, ADD DISALLOWED.
Roster Filter:
NONE. DISPLAY ALL.

AS78

Help Enabled (AS78Help)

Variable Name
ASET.OWEDVALU

Comment Enabled

Jump Back Enabled

Label

Size
9

HOW MUCH OWED

How much do these debts amount to?
IF RESPONDENT IS NOT SURE, DO NOT PROBE. SELECT ‘DON’T
KNOW’.
AMOUNT OWED IN _______
WHOLE DOLLARS: $

{BOX_02}

----------------------------------------------------------------------------------------------------------------------------------

Refused
Don't Know

RF
DK

{AS79}
{AS79}

HELP AVAILABLE FOR DEFINITION OF ‘DEBTS AMOUNT TO’.

Soft CHECK:
AMOUNT SHOULD BE WHOLE DOLLAR AMOUNT $1 - $9,999,999

65

Assets (AS) Section
Beta

AS79

Help Enabled

Variable Name
ASET.OWEDRANG

Comment Enabled

Jump Back Enabled

Label

Size
2

ASSET CATEGORY OWED

SHOW CARD AS-1.
Which category on the card best indicates the amount owed?
0 - 500

1

{BOX_02}

501 - 1,000
1,001 - 5,000

2
3

{BOX_02}
{BOX_02}

5,001 - 10,000
10,001 - 25,000

4
5

{BOX_02}
{BOX_02}

25,001 - 50,000

6

{BOX_02}

50,001 - 100,000
100,001 - 250,000

7
8

{BOX_02}
{BOX_02}

250,001 - 500,000
500,001 - 1,000,000

9
10

{BOX_02}
{BOX_02}

1,000,001 OR MORE

11

{BOX_02}

----------------------------------------------------------------------------------------------------------------------------------

Refused
Don't Know

RF
DK

BOX_02
GO TO NEXT QUESTIONNAIRE SECTION.

66

{BOX_02}
{BOX_02}


File Typeapplication/pdf
File TitleC:\Documents and Settings\POLACHEK_L\Local Settings\Temporary Internet Files\OLK8\AS (BETA).snp
Authorpolachek_l
File Modified2006-02-20
File Created2006-02-20

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