EFT Surveys

SSI Check Recipient Screener

KRC RESEARCH FEBRUARY 2008

FEDERAL RESERVE BANK

Direct Express Prepaid Debit Card: Messaging Focus Groups

SSI CHECK RECIPIENT SCREENER

Name: _________________________________________________________

Address: _________________________________________________________

City, State, Zip: _________________________________________________________

Phone: _________________________________________________________

Recruiter: _________________________________________________________

BIRMINGHAM, AL – April/May XX, 2008
GRP 1: Unbanked SSA Recipients	TIME		Recruit 12-14 for 7-10 to show
GRP 2: Unbanked African American SSI Recipients	TIME		Recruit 20 for 8-10 to show
HOUSTON – April/May XX, 2008
GRP 3: Unbanked SSA Recipients	TIME		Recruit 12-14 for 7-10 to show
GRP 4: Unbanked SSI Recipients	TIME		Recruit 20 for 8-10 to show
GRP 5: Banked SSI Recipients	TIME		Recruit 20 for 8-10 to show
PHILADELPHIA/NEW YORK – April/May XX, 2008
GRP 6: Unbanked SSA Recipients	TIME		Recruit 12-14 for 7-10 to show
GRP 7: Unbanked SSI Recipients	TIME		Recruit 20 for 8-10 to show
DETROIT – April/May XX, 2008
GRP 8: Unbanked African-American SSA Recipients	TIME		Recruit 12-14 for 7-10 to show
GRP 9: Unbanked SSI Recipients	TIME		Recruit 20 for 8-10 to show
GRP 10: Banked SSA Recipients	TIME		Recruit 12-14 for 7-10 to show
LOS ANGELES – April/May XX, 2008
GRP 11: Unbanked Hispanic SSI Recipients	TIME		Recruit 20 for 8-10 to show
GRP 12: Unbanked SSA Recipients	TIME		Recruit 12-14 for 7-10 to show
GRP 13: Banked SSI Recipients	TIME		Recruit 20 for 8-10 to show
MIAMI – April/May XX, 2008
GRP 14: Unbanked Hispanic SSI Recipients	TIME		Recruit 20 for 8-10 to show
GRP 15: Unbanked Hispanic SSA Recipients	TIME		Recruit 12-14 for 7-10 to show

[BEFORE PROCEEDING, CONFIRM THAT YOU ARE WORKING FROM THE APPROPRIATE SAMPLE – THE SUPPLEMENTAL SECURITY INCOME RECIPIENT SAMPLE.

ASK TO SPEAK TO SPECIFIC PERSON ON THE LIST. NO OTHER PERSON IN THE HOUSEHOLD QUALIFIES FOR THE SURVEY.]

Hello. My name is __________ and I’m calling from KRC Research, an independent research firm working on behalf of the U.S. Department of the Treasury. We are an independent research firm working with the Department of the Treasury. This is NOT a sales call. We are conducting a research discussion group in your area of people who receive federal benefit payments from the Social Security Administration to help us better understand how the Supplemental Security Income, or SSI benefit payment system, works for you.

Again, this call is for research purposes only. The Department of the Treasury is not interested in your name or in any specific details about you as an individual.

This research discussion group will be held on (DATE) at (EXACT TIME) and last approximately two hours. The discussion will include about eight or nine other SSI benefit recipients such as yourself. Your participation is voluntary and will not affect the amount of your benefit payment. As a token of our appreciation for your time, you will receive [$XXX] for participating in the discussion group. Would you be available at that time? (IF NO, THANK THEM AND TERMINATE THE CALL.)

To make sure that we are reaching a variety of people, I have a few general background questions.

IF TERMINATE DURING SCREENING PROCESS READ: I’m sorry, we already have enough participants in that category. Thank you very much for your time.

INTERVIEWER INSTRUCTION: IF RESPONDENT EXPRESSES CONCERN AT ANY POINT DURING THE INTERVIEW, REASSURE THEM THAT YOU DO NOT WORK FOR THE GOVERNMENT. YOU ARE WORKING FOR AN INDEPENDENT RESEARCH COMPANY. THEIR ANSWERS AND PARTICIPATION WILL BE COMPLETELY CONFIDENTIAL AND THEIR INDIVIDUAL RESPONSES WILL NOT BE SHARED WITH ANYONE.

IF RESPONDENT WANTS A PHONE NUMBER TO CALL TO VERIFY THIS IS A LEGITIMATE SURVEY: [INSERT CONTACT INFORMATION.]

1 RECORD GENDER:

	Male		RECRUIT 8 per group
	Female		RECRUIT 12 per group

2 Do you or does anyone in your immediate family work for any of the following?
(READ LIST.)

		YES	NO
	In advertising or public relations?		
	In marketing or opinion research?		
	In journalism or for the news media?		
	The federal government?		
	TERMINATE IF YES TO ANY OF ABOVE.

3 I am going to read some statements that may or may not describe you. As I read each one, please tell me whether it describes you, or not really? (READ RESPONSES. ACCEPT ALL THAT APPLY.)

		YES	NO
	You receive a Supplemental Security Income or SSI payment for yourself		
	You receive an SSI payment for someone else		
	PARTICIPANTS MUST RECEIVE AN SSI PAYMENT FOR THEMSELVES TO QUALIFY. IF ANSWER IS “NO” TO FIRST CATEGORY ABOVE, TERMINATE.

IF RESPONDENT ALSO RECEIVES A FEDERAL BENEFIT PAYMENT FOR SOMEONE ELSE READ:

For the following questions, please answer only about your own federal benefit payment.

4 Do you currently have a checking or savings account with a bank or other financial institution? (DO NOT READ ANSWER CHOICES.)

	No		CONTINUE
	Yes		Recruit for Houston GP 5 Los Angeles GP 13

5 Do you currently receive your Social Security payment as a paper check in the mail, or through some other means? (DO NOT READ ANSWER CHOICES.)

	Paper check		CONTINUE
	Other means		TERMINATE
	Don’t know/refused (VOL)	

6 Who makes the decision on HOW you receive your payments? Do you make the decision yourself, make the decision along with someone else, or does someone else make the decision for you? (ACCEPT ONE RESPONSE.)

	Make the decision yourself		CONTINUE
	Make the decision along with someone else	
	Someone else makes the decision for you		TERMINATE

7 IF BANKED: Now please tell me if you have done any of the following in the past year. (CHECK YES ANSWERS.)

	Used a check cashing service.		CONTINUE
	Used a money order to pay bills.	
	Took a loan from a payday lender.	
	Used a pre-paid debit card.	
	Used an ATM card, check card, or debit card you get with a bank account	

The following questions are to make sure we are talking to a variety of people.

8 What is your age?

	18 to 24	
	25 to 34	
	35 to 44	
	45 to 54	
	55 to 64	
	65 or over	

9 What is the last grade of school you have completed? (READ LIST. RECORD.)

	Less than grade six	
	Grade six to eight	
	Some high school	
	Completed high school	
	Completed GED	
	Some college or trade school	
	Completed college	
	Some post graduate or professional school	
	Don’t know/refused (VOL)	

10 To ensure we have opinions from a wide variety of people, which of the following categories best describes your ethnic group? (READ LIST. RECORD.)

	Black or African-American		Birmingham Group 2 recruit African Americans only Miami Group 1 and Los Angeles Group 11 and 13 recruit Latino only. All others recruit a mix.
	Hispanic, Latino	
	White or Caucasian	
	American Indian or Alaskan Native	
	Asian (e.g., Asian Indian, Chinese, Filipino, Japanese, Korean, Vietnamese)	
	Native Hawaiian or other Pacific Islander	
	Other ethnic origin	
	Don’t know/refused (VOL)	

11 Approximately how many years have you been receiving your SSI benefit payment?

RECORD: ________________________

12 When was the last time, if ever, that you participated in a marketing research study? (READ LIST.)

	Within the past 6 months		TERMINATE
	More than 6 months ago		CONTINUE
	Never	

13 Sometimes participants are also asked to view or read materials and write out their answers on a questionnaire. Is there any reason why you could not participate? If you need glasses to read, please remember to bring them.

	Yes		TERMINATE
	No		CONTINUE

NOTE: Terminate if respondent offers any reason such as sight or hearing problem, a written or verbal language problem, or a concern with not being able to communicate effectively.

INVITATION:

We would like to invite you to participate in a marketing research discussion group. The group will take 2 hours of your time and you will receive a cash gift of [BIRMINGHAM-$110; HOUSTON-$125; PHILLY/NYC-$125; DETROIT-$110; LA-$125; MIAMI-$100]. The discussion group will be held on ____________________ at _______ p.m. It will be held at ___________________________________________________________.

Will you be available on _________________ from _______ to _______ p.m.?

	Yes		CONTINUE
	No		TERMINATE

IF YES: CONFIRM DATE AND TIME, PROVIDE DIRECTIONS. IF NO, THANK AND TERMINATE.

KRC RESEARCH page 6