Cognitive Interviews to Evaluate Segments of the 2009 AHS Spanish Version

Phase 2 – AHS English version

HOUSING UNIT MODULE

HTYPE

Is this unit a house, an apartment, a manufactured/mobile home, or some other type of residence?

1. House

2. Apartment, flat

3. Manufactured/mobile home with NO permanent room added

4. Manufactured/mobile home WITH one or more permanent rooms added

5. HU in nontransient hotel, motel, etc.

6. HU, permanent in transient hotel, motel

7. HU in rooming house or boarding house

8. Boat or recreational vehicle

9. Tent, cave, or railroad car

10. HU not specified above, specify

11. Unoccupied site for manufactured/mobile home, trailer, or tent

12. Group Quarters

ISTYPE

• If not obvious ask..

Are your living quarters in a

• Read all categories

1. Manufactured/Mobile home?

2. One-unit building, detached from any other building?

3. One-unit building, attached to one or more buildings?

4. Building with two or more apartments?

<4> or <any answer and HTYPE = 2> [goto NUNITS1]

<else> [goto TENURE]

NUNITS1

How many apartments are in the building?

• Enter 998 if 998 or more

ACCESS

Does [unit] have direct access either from the outside or through a common hall? [If address is known - fill with address, if address is unknown – fill with “this unit”]

1. Yes, direct access

2. No, through another unit

TENURE

Is this [HTYPE]…[HTYPE, 1=house, 2= apartment, 3, 4 = manufactured/mobile home]

• Read categories until a “Yes” reply is received

1. Owned or being bought by someone in your household?

2. Rented?

3. Occupied without payment of rent?

TAXES AND FEES MODULE

FRENT

How often is the rent on that [HTYPE] due? [HTYPE, 1=house, 2=apartment, 3, 4=manufactured/mobile home, else living quarters]

• Enter 12 for monthly

• Enter 53 for 53 times or more

RENT

How much is the rent?

• Include total amount paid by household and any other source

• If parking priced separately, exclude it here

• Enter 29998 for $29,998 or more

BUYI2

Does this household have household property insurance?

1. Yes [goto AMTI2]

2. No [goto Renter Subsidies Module]

AMTI2

In the past 12 months, what was the total cost?

• Enter 9998 for $9,998 or more

RENTER SUBSIDIES MODULE

RENEW

(Some rental agreements include a special re-certification process.  Re-certification means a renter is REQUIRED to report everyone who lives with them, all jobs, all savings and sources of income AND this determines the amount of rent they have to pay.)

Do you have to re-certify to determine the amount of rent you pay?

1. Yes

2. No

SUBRENT1

Is your rent amount lower because you are in either a Federal, State or local government housing program?

1. Yes

2. No

<Yes> or <No, Don’t Know, Refuse and RENEW = Yes > [goto VCHER]

< No, Don’t Know, Refuse and RENEW = No, Don’t Know, Refuse and unit is in rent control area> [goto RCNTRL1]

< No, Don’t Know, Refuse and RENEW = No, Don’t Know, Refuse and unit is NOT in rent control area> [goto RENTADJ1]

VCHER

(A housing voucher gives a renter the right to choose where they live AND it helps pay for rent.)

Does your household have a housing voucher?

1. Yes [goto VCHRMOV]

2. No [goto PROJ1]

VCHRMOV

Can you use your housing voucher to move to another location?

1. Yes

2. No [goto APPLY]

<Yes and unit is in rent control area> [goto RCNTRL1]

<Yes and unit is NOT in rent control area> [goto RNTADJ1]

PROJ1

Is the housing authority your landlord?

1. Yes [goto PRENT]

2. No [goto APPLY]

APPLY

Was your household assigned to this specific [HTYPEFILLAPPLY], or were you allowed to choose it yourself? [HTYPE 1=house, 2=building, 3, 4=manufactured/mobile home, else living quarters]

1. Household assigned to specific living quarters

2. Household allowed to choose living quarters

<Unit is in rent control area> [goto RCNTRL1]

<Unit is NOT in rent control area> [goto RNTADJ1]

RCNTRL1

Does the government limit the rent on your [HTYPE] through rent control or rent stabilization? [HTYPE, 1=house, 2= apartment, 3, 4 = manufactured/mobile home, else living quarters]

1. Yes

2. No

RNTADJ1

Does anyone in the household work for the owner, or is anyone related to the owner?

1. Yes [RNTADJ2]

2. No

<No, DK, RF, and (RCNTRL1 = Yes or SUBRNT1 = Yes or VCHER1 = Yes or APPLY = 2)> [goto PRENT]

<RNTADJ1 = 2, DK, RF and (RCNTRL1 <> Yes and SUBRNT1 <> Yes and VCHER <> Yes and APPLY <> 2)> [goto INC Module]

RNTADJ2

Is the rent adjusted because someone in the household works for or is related to the owner?

1. Yes

2. No

PRENT

Of the [RENTAMOUNTFILL] rent you reported, how much is this household required to pay? [RENTAMOUNTFILL = the amount from RENT in SUBRENT Module]

INCOME MODULE

[BEGIN ROSTER –Hhmems age 16+ who are related to reference person]

QSAL

During the past 12 months, did [you_name] receive any wages, salary, tips, bonuses, or commissions? [For reference person – you, otherwise name of the person]

1. Yes (goto SALQ)

2. No (goto QSELF – Record SALQ=0)

Dk, Rf {goto QSELF}

SALQ

How much did [you_name] receive? [For reference person – you, otherwise name of the person]

(Report amount from all jobs before any deductions for taxes, bonds or other items.)

• Enter 9999998 for $9,999,998 or more

QSELF

Did [you_name] receive any self-employment income during the past 12 months? [For reference person – you, otherwise name of the person]

• Report income from own business (farm or non-farm) including proprietorship and partnership.

1. Yes

2. No

QINT

In the past 12 months, did [you_name] have interest from savings, money market funds, IRA's, CDs, or other interest bearing accounts? [For reference person – you, otherwise name of the person]

1. Yes

2. No

QDIV

(In the past 12 months), did [you_name] have dividends from stocks? [For reference person – you, otherwise name of the person]

1. Yes

2. No

QRENT

(In the past 12 months), did [you_name] receive rental income?  [For reference person – you, otherwise name of the person]

1. Yes

2. No

QSS

Did [you_name] receive any Social Security or Railroad Retirement benefits during the past 12 months? [For reference person – you, otherwise name of the person]

1. Yes

2. No

QSSI

Did [you_name] receive any Supplemental Security Income (SSI) payments (during the past 12 months)? [For reference person – you, otherwise name of the person]

• Exclude Supplemental Security Disability Income (SSDI).

1. Yes

2. No

QWELF

Did [you_name] receive any public assistance or public welfare payments from the state or local welfare office (during the past 12 months)? [For reference person – you, otherwise name of the person]

1. Yes

2. No

QRETIR

Did [you_name] receive any retirement orsurvivor pensions (during the past 12 months)? [For reference person – you, otherwise name of the person]

1. Yes

2. No

QWKCMP

Did [you_name] receive any disability payments such as SSDI, worker's compensation, veteran's disabilityor other disability payments (during the past 12 months)? [For reference person – you, otherwise name of the person]

1. Yes

2. No

QALIM

In the past 12 months, did [you_name] receive alimony orchild support? [For reference person – you, otherwise name of the person]

1. Yes

2. No

QOTHER

(In the past 12 months), did [you_name] receive unemployment compensation, any veteran's payments not already mentioned or any other income? [For reference person – you, otherwise name of the person]

1. Yes

2. No

-CHECK-

{if any previous question=Dk,Rf, goto MISSINC, else goto QSAL for next eligible hhmem, else END ROSTER}

MISSINC

What was [your_NAME] TOTAL income during the past 12 months? [For reference person – your, otherwise name of the person]

• If income was a loss, precede amount with a ' - '.

• Enter 99999998 for $99,999,998 or more

-CHECK-

{goto QSAL for next eligible hhmem, else END ROSTER}

[END ROSTER]

[BEGIN HOUSEHOLD]

-CHECK-

{if any hhmems with MISSINC=Dk,Rf, goto ESTTINC, else goto ZINCH}

ESTTINC

What is your best estimate of the total income [you_yourfamily] received from all sources over the past 12 months? [If only one Hhmem- you, 2+ Hhmems – your family]

• If income was a loss, precede amount with a ' - '.  Breakeven = 1.

• Enter 99999998 for $99,999,998 or more

-9999998 – 99999998 {goto ZINCH}

Dk, Rf {goto LT25K}

LT25K

Was all of your total combined incomes over $25,000?

1. Yes

2. No

ZINCH

Is [your/all of your] total [income/combined income] THIS MONTH about the same as it was a year ago?

• If income is about the same, or within 10 percent, or just cost of living

adjustments, enter "Yes"

1. Yes {and LT25K=1 or ESTTINC/MISSINC/SALQ>25000 goto END HOUSEHOLD}

{and LT25K=2,Dk,Rf or ESTTINC/MISSINC/SALQ<=25000 goto QFS1}

2. No {goto ZINCN}

Dk, Rf {goto ZINCN}

ZINCN

What do you expect [your/all of your] total [income/combined income] to be in the NEXT 12 MONTHS?

• If income was a loss, precede amount with a ' - '.  Breakeven = 1.

• Enter 99999998 for $99,999,998 or more

-CHECK-

{if LT25K=2,Dk,Rf or ESTTINC/MISSINC/SALQ<=25000, goto QFS1, else END HOUSEHOLD}

QFS1

Did [you_your family] receive Food Stamp Benefitsin the past 12 months? [If only one Hhmem- you, 2+ Hhmems – your family]

1. Yes

2. No

[END HOUSEHOLD]