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pdfAttachment A
Survey of Income and Program Participation - 2008 Panel
Topical Module Items Booklet
Wave 2
Items Booklet Table of Contents for
Section
Page
Section: WORK DISABILTIY TM
1
Section: EDUCATION TM
6
Section: MARITAL TOPICAL MODULE
22
Section: FERTILITY HISTORY TM
27
Section: MIGRATION HISTORY TM
36
Section: HOUSEHOLD RELATIONSHIPS
43
Section: TAX REBATE
58
Items Booklet for
Specification:
Section: WORK DISABILTIY TM
LMTVER
Mark One Only
I have recorded that [fill HISHER]
health or condition limits the kind or
amount of work [fill HESHE] can do.
Is that correct?
(1)
(2)
Yes
No
@
LMTWHEN
Multiple Entry
When did [fill HESHE] become limited in the kind or
amount of work [fill HESHE] could do at a job?
(B)
(1)
(2)
(3)
(4)
Person became limited BEFORE
person became 16 years old
January
February
March
April
(5)
(6)
(7)
(8)
MONTH:
YEAR:
May
June
July
August
(9)
(10)
(11)
(12)
September
October
November
December
@MO
@YR
ERRMSG
Enter Number
THE DATE [fill TEMPMON] [fill TEMPYR] IS NOT A VALID RESPONSE.
PLEASE CHOOSE A DATE NO LATER THAN TODAY.
(1) BACKUP AND CORRECT
@
LMTEMP
Mark One Only
employed
at the time [fill HISHER] work limitation began?
(1)
(2)
Yes
No
@
WKBLMT
Multiple Entry
Before [fill HISHER] limitation began, when had
[fill TEMPNAME] last worked?
(N) Had NEVER BEEN EMPLOYED BEFORE
work LIMITATION BEGAN
(1)
(2)
(3)
(4)
January
February
March
April
MONTH:
YEAR:
Wednesday, July 23, 2008
(5)
(6)
(7)
(8)
May
June
July
August
(9)
(10)
(11)
(12)
September
October
November
December
@MO
@YR
Page 1 of 58
Survey:
Section: WORK DISABILTIY TM
Items Booklet
WKERRMSG
Enter Number
THE DATE [fill TEMPMON] [fill TEMPYR] IS NOT A VALID RESPONSE.
PLEASE CHOOSE A DATE NO LATER THAN TODAY.
(1) BACKUP AND CORRECT
@
Mark One Only
WKBLMTPROB
THE DATE RECORDED FOR WHEN THE PERSON LAST
WORKED BEFORE THE WORK LIMITATION STARTED
[fill MONTH(WKBLMT@MO)]
[fill WKBLMT@YR]
CANNOT BE CORRECT. THE DATE LAST WORKED MUST BE BEFORE THIS DATE.
PLEASE REVIEW AND CORRECT IF POSSIBLE.
(M)
Need to change MONTH Person last worked
(Y) Need to change YEAR Person last worked
(Z) Cannot correct the dates
@
ALLCOND
Multiple Entry
ASK OR VERIFY/[fill SHOWFIL] FLASHCARD L
[fill WHATWHICHFIL] conditions cause [fill PTEMPNAME] work limitation?
MARK ALL THAT APPLY/ENTER "N" FOR NO MORE
[if
[if
[if
[if
[if
[if
[if
[if
[if
[if
[if
[if
[if
[if
[if
[if
[if
[if
[if
[if
[if
[if
[if
[if
[if
[if
[if
[if
[if
[if
Page 2 of 58
[r]H[n]
@1 eq <1>]X[else] [endif] (1) Alcohol or drug problem or disorder
@2 eq <2>]X[else] [endif] (2) AIDS or AIDS Related Condition (ARC)
@3 eq <3>]X[else] [endif] (3) Arthritis or rheumatism
@4 eq <4>]X[else] [endif] (4) Back or spine problems
@5 eq <5>]X[else] [endif] (5) Blindness or vision problems
@6 eq <6>]X[else] [endif] (6) Broken bone/fracture
@7 eq <7>]X[else] [endif] (7) Cancer
@8 eq <8>]X[else] [endif] (8) Carpal tunnel syndrome
@9 eq <9>]X[else] [endif] (9) Cerebral Palsy
@10 eq <10>]X[else] [endif] (10) Deafness or serious trouble hearing
@11 eq <11>]X[else] [endif] (11) Diabetes
@12 eq <12>]X[else] [endif] (12) Epilepsy or seizures
@13 eq <13>]X[else] [endif] (13) Head or spinal cord injury
@14 eq <14>]X[else] [endif] (14) Heart trouble (Heart attack/disease)
@15 eq <15>]X[else] [endif] (15) Hernia
@16 eq <16>]X[else] [endif] (16) High blood pressure
@17 eq <17>]X[else] [endif] (17) Kidney stones/kidney trouble
@18 eq <18>]X[else] [endif] (18) Learning Disability
@19 eq <19>]X[else] [endif] (19) Lung or respiratory trouble
@20 eq <20>]X[else] [endif] (20) Mental or emotional conditions
@21 eq <21>]X[else] [endif] (21) Mental retardation
@22 eq <22>]X[else] [endif] (22) Missing limbs/foot/hand/finger
@23 eq <23>]X[else] [endif] (23) Multiple Sclerosis (MS)
@24 eq <24>]X[else] [endif] (24) Paralysis of any kind
@25 eq <25>]X[else] [endif] (25) Stiff/deformed/foot/hand/finger
@26 eq <26>]X[else] [endif] (26) Stomach trouble
@27 eq <27>]X[else] [endif] (27) Stroke
@28 eq <28>]X[else] [endif] (28) Thyroid trouble or goiter
@29 eq <29>]X[else] [endif] (29) Tumor, cyst or growth
@30 eq <30>]X[else] [endif] (30) Other
@KEY
Wednesday, July 23, 2008
Items Booklet
Survey:
Section: WORK DISABILTIY TM
Enter Text
MNCONDOTH
PLEASE ENTER DESCRIPTION
@
Mark One Only
MNCOND
Of those conditions, which one would
you say is the main reason for [fill PTEMPNAME]
work limitation?
[if ALLCOND@1 eq <1>](1) Alcohol or drug problem or disorder
[endif][if ALLCOND@2 eq <2>](2) AIDS or AIDS Related Condition (ARC)
[endif][if ALLCOND@3 eq <3>](3) Arthritis or rheumatism
[endif][if ALLCOND@4 eq <4>](4) Back or spine problems
[endif][if ALLCOND@5 eq <5>](5) Blindness or vision problems
[endif][if ALLCOND@6 eq <6>](6) Broken bone/fracture
[endif][if ALLCOND@7 eq <7>](7) Cancer
[endif][if ALLCOND@8 eq <8>](8) Carpal tunnel syndrome
[endif][if ALLCOND@9 eq <9>](9) Cerebral Palsy
[endif][if ALLCOND@10 eq <10>](10) Deafness or serious trouble hearing
[endif][if ALLCOND@11 eq <11>](11) Diabetes
[endif][if ALLCOND@12 eq <12>](12) Epilepsy or seizures
[endif][if ALLCOND@13 eq <13>](13) Head or spinal cord injury
[endif][if ALLCOND@14 eq <14>](14) Heart trouble (Heart attack/disease)
[endif][if ALLCOND@15 eq <15>](15) Hernia
[endif][if ALLCOND@16 eq <16>](16) High blood pressure
[endif][if ALLCOND@17 eq <17>](17) Kidney stones/kidney trouble
[endif][if ALLCOND@18 eq <18>](18) Learning disability
[endif][if ALLCOND@19 eq <19>](19) Lung or respiratory trouble
[endif][if ALLCOND@20 eq <20>](20) Mental or emotional conditions
[endif][if ALLCOND@21 eq <21>](21) Mental retardation
[endif][if ALLCOND@22 eq <22>](22) Missing limbs/foot/hand/finger
[endif][if ALLCOND@23 eq <23>](23) Multiple Sclerosis (MS)
[endif][if ALLCOND@24 eq <24>](24) Paralysis of any kind
[endif][if ALLCOND@25 eq <25>](25) Stiff/deformed/foot/hand/finger
[endif][if ALLCOND@26 eq <26>](26) Stomach trouble
[endif][if ALLCOND@27 eq <27>](27) Stroke
[endif][if ALLCOND@28 eq <28>](28) Thyroid trouble or goiter
[endif][if ALLCOND@29 eq <29>](29) Tumor, cyst or growth
[endif][if ALLCOND@30 eq <30>](30) [fill MNCONDOTH]
[endif]
@
Mark One Only
MNCAUS
MAIN CONDITION: [fill TEMP]
ASK OR VERIFY:
Was this condition caused by an accident or injury?
(1)
(2)
Yes
No
@
Wednesday, July 23, 2008
Page 3 of 58
Survey:
Section: WORK DISABILTIY TM
Items Booklet
MNLOC
Mark One Only
ASK OR VERIFY:
Where did the accident or injury take place?
Was it...
(1)
(2)
(3)
(4)
...on the job?
...during service in the Armed Forces?
...in the home?
...or somewhere else?
@
PREVWK
Mark One Only
Does [fill HISHER] health or condition prevent
[fill HIMHER] from working at a job or business?
(1)
(2)
Yes
No
@
PREVBEG
Multiple Entry
[fill TEMP+]
[fill TEMP2+]
When did [fill HESHE] become unable to work[if JOBFIL ne <>] [fill JOBFIL][endif]?
(N) Has NEVER been ABLE TO WORK at a job
[fill OPTIONFIL]
(1)
(2)
(3)
(4)
January
February
March
April
MONTH:
YEAR:
(5)
(6)
(7)
(8)
May
June
July
August
(9)
(10)
(11)
(12)
September
October
November
December
@MO
@YR
Enter Number
PRERRMSG
THE DATE [fill TEMPMON] [fill TEMPYR] IS NOT A VALID RESPONSE.
PLEASE CHOOSE A DATE NO LATER THAN TODAY.
(1) BACKUP AND CORRECT
@
Page 4 of 58
Wednesday, July 23, 2008
Items Booklet
Survey:
Section: WORK DISABILTIY TM
Mark One Only
PREVBEGPROB
THE DATE RECORDED FOR WHEN THE PERSON
BECAME UNABLE TO WORK CANNOT BE CORRECT.
THE DATE MUST BE AFTER
[fill MONTH(WKBLMT@MO)]
[fill WKBLMT@YR]
PLEASE REVIEW AND CORRECT IF POSSIBLE.
(M)
Need to change MONTH Person became unable to work
(Y)
Need to change YEAR Person became unable to work
(Z) Cannot correct the dates
@
Mark One Only
NOWFPT
[fill C_AREIS] [fill HESHE] now able to work
at a full-time job or [fill AREIS] [fill HESHE] only
able to work part-time?
(1)
(2)
(3)
Able to work full-time
Only able to part-time
Not able to work
@
Mark One Only
NOWOCC
[fill C_AREIS] [fill HESHE] now able to work
regularly or [fill AREIS] [fill HESHE] only
able to work occasionally or irregularly?
(1)
(2)
(3)
Regularly
Only occasionally or irregularly
Not able to work
@
Mark One Only
NOWSAME
[fill C_AREIS] [fill HESHE] now able to do
the same kind of work [fill HESHE] did before
[fill HISHER] work limitation began?
(1)
(2)
(3)
Yes, able to do same kind of work
No, not able to do same kind of work
(Did not work before limitation began)
@
Wednesday, July 23, 2008
Page 5 of 58
Survey:
Section: EDUCATION TM
Items Booklet
ADVNCYR
Enter Number
ENTER YEAR OF MOST RECENT ADVANCE DEGREE, IF MORE THAN ONE
In what year did [fill HESHE] receive [fill HISHER]
[fill EDFIL]?
FILL in year:
@
AGECHK1
Mark One Only
That means that [fill HESHE] [fill WASWERE] [fill INDEX3+] or
[fill INDEX2+] years old when [fill HESHE] received [fill HISHER]
[fill EDFIL].
Does this sound right?
(1)
(2)
Yes. Go on to next question.
No. Go back and change the year the degree
was received.
@
ADVNCFLD
Mark One Only
SHOW FLASHCARD M
In what field of study did [fill HESHE] receive that degree?
(1)
(2)
(3)
(4)
(5)
(6)
(7)
(8)
(9)
(10)
Agriculture/forestry
Art/Architecture
Business/Management
Communications
Computer and Information Sciences
Education
Engineering
English/Literature
Foreign Languages
Law
(11)
(12)
(13)
(14)
(15)
(16)
(17)
(18)
(19)
Liberal Arts/Humanities
Math/Statistics
Medicine/Dentistry
Natural Sciences (Biological
and Physical)
Nursing/Pharmacy/Public Health
Philosophy/Religion/Theology
Psychology
Social Sciences/History
Other
@
ADVNCOTH
Enter Text
ASK IF NECESSARY:
What field of study was that?
@
BACHYR
Enter Number
ENTER YEAR OF MOST RECENT BACHELOR'S DEGREE,
IF MORE THAN ONE
In what year did [fill HESHE] receive
[fill HISHER] Bachelor's degree?
ENTER (N) FOR NO BACHELOR'S DEGREE RECEIVED
[r]H[n]
FILL in year:
Page 6 of 58
@
Wednesday, July 23, 2008
Items Booklet
Survey:
Section: EDUCATION TM
AGECHK2
Mark One Only
That means that [fill HESHE] [fill WASWERE] [fill INDEX2+]
years old when [fill HESHE] received a bachelor's degree.
Does this sound right?
(1)
(2)
Yes. Go on to next question.
No. Go back and change the year the degree
was received.
@
CHK01
Mark One Only
Do I have this right? [fill TEMPNAME] completed [fill HISHER]
Bachelor's degree in [fill BACHYR], and [fill HISHER]
[fill EDFIL]
in [fill ADVNCYR].
Are both of those years correct?
(1)
(2)
(3)
(4)
Yes, both years are correct
Bachelor's degree year should be changed
Advanced degree year should be changed
Both years should be changed
@
FXADVYR
Enter Number
ENTER YEAR OF MOST RECENT ADVANCED DEGREE,
IF MORE THAN ONE
In what year did [fill HESHE] receive [fill HISHER]
[fill EDFIL]?
[r]H[n]
FILL in year:
@
FXBACHYR
Enter Number
In what year did [fill HESHE] receive
[fill HISHER] Bachelor's degree?
[r]H[n]
FILL in year:
@
PSYR
Enter Number
ENTER YEAR OF MOST RECENT DEGREE,
IF MORE THAN ONE
In what year did [fill HESHE] receive [fill HISHER]
[fill EDFIL]?
[r]H[n]
FILL in year:
Wednesday, July 23, 2008
@
Page 7 of 58
Survey:
Section: EDUCATION TM
Items Booklet
AGECHK3
Mark One Only
That means that [fill HESHE] [fill WASWERE] [fill INDEX2+]
years old when [fill HESHE] received [fill HISHER]
[fill EDFIL].
Is that right?
(1)
(2)
Yes. Go on to next question.
No. Go back and change the year the degree
was received.
@
VOCFLD
Mark One Only
SHOW FLASHCARD N
In what field of study did [fill HESHE]
receive that diploma or certificate?
(1)
(2)
(3)
(4)
(5)
(6)
(7)
(8)
(9)
(10)
Agriculture/Forestry/Horticulture
Auto Mechanics
Aviation
Business/Office Management
Computers and Information Sciences
Construction Trades
Cosmetology
Drafting
Electronics
Food Service
[r]H[n]
Health Care
Home Economics
Hotel and Restaurant Management
Marketing and Distribution
Metal Working
Police/Protective Services
Refrigeration, Heating, or Air
Conditioning
(18) Transportation and Materials
Moving
(19) Other
(11)
(12)
(13)
(14)
(15)
(16)
(17)
@
Enter Text
VOCOTH
What field of study was that?
@
Mark One Only
ASSOCFLD
SHOW FLASHCARD O
In what field of study did [fill HESHE] receive
[fill HISHER] associate degree?
(1)
(2)
(3)
(4)
(5)
(6)
(7)
(8)
(9)
(10)
(11)
(12)
(13)
(14)
@
Agriculture/Forestry/Horticulture
Business/Office Management
Communications
Computer and Information Sciences
Education
Engineering/Drafting
Health Sciences
Liberal Arts/Humanities
Natural Sciences (Biological and Physical)
Police and Protective Services
Social Sciences/History
Visual and Commercial Arts
Other Vocational/Technical Studies
Other
Page 8 of 58
Wednesday, July 23, 2008
Items Booklet
Survey:
Section: EDUCATION TM
ASSOCOTH
Enter Text
ASK IF NECESSARY:
What field of study was that?
@
BACHFLD
Mark One Only
SHOW FLASHCARD P
In what field of study did [fill HESHE]
receive [fill HISHER] Bachelor's degree?
(1)
(2)
(3)
(4)
(5)
(6)
(7)
(8)
(9)
(10)
Agriculture/Forestry
Art/Architecture
Business/Management
Communications
Computer and Information Sciences
Education
Engineering
English/Literature
Foreign Language Studies
Health Sciences
[r]H[n]
(11) Liberal Arts/Humanities
(12) Math/Statistics
(13) Natural Sciences (Biological
and Physical)
(14) Philosophy/Religion/Theology
(15) Pre-Professional
(16) Psychology
(17) Social Sciences/History
(18) Other
@
BACHOTH
Enter Text
ASK IF NECESSARY:
What field of study was that?
@
LASTCOLL
Enter Number
In what year [fill WASWERE] [fill HESHE]
last enrolled in college?
[r]H[n]
FILL in year:
@
Mark One Only
AGECHK4
That means that [fill HESHE] [fill WASWERE] [fill INDEX2+]
years old when [fill HESHE] last attended college.
Does this sound right?
(1)
(2)
Yes. Go on to next question.
No. Go back and change the year of latest
college attendance.
@
Enter Number
COLLSTRT
In what year did [fill HESHE] first attend
[fill TECHFIL]?
FILL in year:
Wednesday, July 23, 2008
@
Page 9 of 58
Survey:
Section: EDUCATION TM
Items Booklet
AGECHK5
Mark One Only
That means that [fill HESHE] [fill WASWERE] [fill INDEX2+]
years old when [fill HESHE] first attended college.
Does this sound right?
(1)
(2)
Yes. Go on to next question.
No. Go back and change the year college was
started.
@
CHK02
Mark One Only
Do I have this right? [fill TEMPNAME] first went college in
[fill COLLSTRT], and last attended college in [fill LASTCOLL].
Are both of those years correct?
(1)
(2)
(3)
(4)
Yes,
Year
Year
Both
both years are correct
of last enrollment should be changed
started college should be changed
years should be changed
@
FXLAST
Enter Number
In what year [fill WASWERE] [fill HESHE] last
enrolled in a college or other post-secondary school?
[r]H[n]
FILL in year:
@
CHK03
Mark One Only
Do I have this right? [fill TEMPNAME] first went to college
in [fill COLLSTRT], and received [fill HISHER] [fill DEGREE]
in [fill PSYR].
Are both of those years correct?
(1)
(2)
(3)
(4)
Yes,
Year
Year
Both
both years are correct
completed [fill DEGREE] should be changed
started should be changed
years should be changed
@
FXPSYR
Enter Number
In what year did [fill HESHE] complete [fill HISHER]
[fill DEGREE]?
[r]H[n]
FILL in year:
@
FXSTART
Enter Number
In what year did [fill HESHE] first attend a
college or other post-secondary institution?
[r]H[n]
FILL in year:
Page 10 of 58
@
Wednesday, July 23, 2008
Items Booklet
Survey:
Section: EDUCATION TM
CONTENRL
Mark One Only
Aside from summer and winter breaks between
semesters, [fill WASWERE] [fill TEMPNAME]
enrolled in college continuously from [fill COLLSTRT]
through [fill BACHYR], when [fill HESHE] got [fill HISHER]
Bachelor's degree?
[r]H[n]
(1) Yes
(2) No
@
HSYR
Enter Number
In what year did [fill TEMPNAME] receive a high
school diploma (or equivalent)?
[r]H[n]
FILL in year:
@
AGECHK6
Mark One Only
That means that [fill HESHE] [fill WASWERE] [fill INDEX2+]
years old when [fill HESHE] received a high school diploma.
Does this sound right?
(1)
(2)
Yes. Go on to next question.
No. Go back and change the year of high
school completion.
@
CHK04
Mark One Only
Do I have this right? [fill TEMPNAME] graduated from
high school in [fill HSYR], and first started [fill SCHOOLFIL]
in [fill COLLSTRT].
Are both of those years correct?
(1)
(2)
(3)
(4)
Yes,
Date
High
Both
both dates are correct
started [fill SCHOOLFIL] should be changed
school graduation date should be changed
dates should be changed
@
FXCOLLST
Enter Number
In what year did [fill HESHE] first attend a college
or other post-secondary institution?
[r]H[n]
FILL in year:
@
FXHSYR
Enter Number
In what year did [fill TEMPNAME] receive a high
school diploma (or the equivalent)?
[r]H[n]
FILL in year:
Wednesday, July 23, 2008
@
Page 11 of 58
Survey:
Section: EDUCATION TM
Items Booklet
GED_B
Mark One Only
Did [fill TEMPNAME] get [fill HISHER] high school
diploma by graduating from high school, or did [fill HESHE]
get it by passing a GED exam (or other equivalent)?
(1)
(2)
Graduation from high school
GED exam or other equivalent
@
LASTSCHL
Enter Number
When did [fill HESHE] last attend a regular elementary or
high school?
[r]H[n]
(C) Currently attending
(N) Never attended
YEAR:
@
EDDATES
Mark One Only
ONLY CONFIRM DATES THAT HAVE A YEAR DISPLAYED
I have recorded that [fill TEMPNAME]:
[fill
[fill
[fill
[fill
[fill
[fill
[fill
TEMP+]
TEMP2+]
TEMP3+]
TEMP4+]
TEMP5+]
TEMP6+]
TEMP7+]
Are all of these dates correct?
(1) Yes
(2) No
@
DATEFX3
Multiple Entry
ASK IF NECESSARY:
ENTER NEW DATE OR (S) FOR SAME DATE AS THE
ONE SHOWN IN "ORIGINAL"
Which dates need correction?
ORIGNAL
CORRECTED
Completed high school in:
[fill HSYR]
First attended postsecondary school in:
[fill COLLSTRT]
@D3
Last attended postsecondary school in:
[fill LASTCOLL]
@D4
Page 12 of 58
@D2
Wednesday, July 23, 2008
Items Booklet
Survey:
Section: EDUCATION TM
DATEFX4
Multiple Entry
ASK IF NECESSARY:
ENTER NEW DATE OR (S) FOR SAME DATE AS THE
ONE SHOWN IN "ORIGINAL"
Which dates need correction?
ORIGINAL
CORRECTED
Completed high school in:
[fill HSYR]
First attended postsecondary school in:
[fill COLLSTRT]
@D2
@D3
[fill TEMP10+]
[fill TEMP11+] @D5
DATEFX5
Multiple Entry
ASK IF NECESSARY:
ENTER NEW DATE OR (S) FOR SAME DATE AS THE
ONE SHOWN IN "ORIGINAL"
Which dates need correction?
ORIGINAL
CORRECTED
Completed high school in:
[fill HSYR]
First attended postsecondary school in:
[fill COLLSTRT]
[fill TEMP10+]
[fill TEMP11+]
@D2
@D3
@D5
[fill TEMP12+] @D6
DATEFX6
Multiple Entry
ASK IF NECESSARY:
ENTER NEW DATE OR (S) FOR SAME DATE AS THE
ONE SHOWN IN "ORIGINAL"
Which dates need correction?
ORIGINAL
CORRECTED
Last attended elementary or high school in:
[fill LASTSCHL]
Completed high school in:
[fill HSYR]
Wednesday, July 23, 2008
@D1
@D2
Page 13 of 58
Survey:
Section: EDUCATION TM
Items Booklet
DATEFX7
Multiple Entry
ASK IF NECESSARY:
ENTER NEW DATE OR (S) FOR SAME DATE AS THE
ONE SHOWN IN "ORIGINAL"
Which dates need correction?
ORIGINAL
CORRECTED
Last attended elementary or high school in:
[fill LASTSCHL]
@D1
Completed high school in:
[fill HSYR]
First attended postsecondary school in:
[fill COLLSTRT]
@D3
Last attended postsecondary school in:
[fill LASTCOLL]
@D4
@D2
DATEFX8
Multiple Entry
ASK IF NECESSARY:
ENTER NEW DATE OR (S) FOR SAME DATE AS THE
ONE SHOWN IN "ORIGINAL"
Which dates need correction?
ORIGINAL
CORRECTED
Last attended elementary or high school in:
[fill LASTSCHL]
Completed high school in:
[fill HSYR]
First attended postsecondary school in:
[fill COLLSTRT]
[fill TEMP10+]
[fill TEMP11+]
@D1
@D2
@D3
@D5
DATEFX9
Multiple Entry
ASK IF NECESSARY:
ENTER NEW DATE OR (S) FOR SAME DATE AS THE
ONE SHOWN IN "ORIGINAL"
Which dates need correction?
ORIGINAL
Last attended elementary or high school in:
[fill LASTSCHL]
Completed high school in:
[fill HSYR]
First attended postsecondary school in:
[fill COLLSTRT]
[fill TEMP10+]
[fill TEMP11+]
CORRECTED
@D1
@D2
@D3
@D5
[fill TEMP12+] @D6
Page 14 of 58
Wednesday, July 23, 2008
Items Booklet
Survey:
Section: EDUCATION TM
PUBHS
Mark One Only
[fill TEMP1+] the high school that [fill TEMPNAME] [fill TEMP2+]
public or private?
ENTER HOME-SCHOOLING AS "PRIVATE"
IF THE PERSON ATTENDED BOTH TYPES OF SCHOOLS, ENTER THE TYPE
HE/SHE GRADUATED FROM OR ATTENDED MOST RECENTLY
(1)
(2)
(3)
Public
Private
Did not attend high school
@
COURSES
Multiple Entry
SHOW FLASHCARD Q
Which of the following subjects [fill HAVEYOUFIL] [fill HESHE]
[fill TAKEFIL] at least 2 years of in high school?
MARK ALL THAT APPLY / ENTER (N) AFTER LAST ENTRY
[if @1 eq <1>]X [else] [endif](1) Two
advanced algebra, calculus)
[if @2 eq <2>]X [else] [endif](2) Two
chemistry, physics)
[if @3 eq <3>]X [else] [endif](3) Two
[if @4 eq <4>]X [else] [endif](4) Two
[if @5 eq <5>]X [else] [endif](5) Two
economics
[if @6 eq <6>]X [else] [endif](6) Two
shorthand, secretarial typing)
[if @7 eq <7>]X [else] [endif](7) Two
or more years of advanced math (trigonometry,
or more years of advanced science (biology,
or more years of English composition or literature
or more years of a foreign language
or more years of industrial arts, shop, or home
or more years of business courses (bookkeeping,
or more years of fine arts (drama, music, art)
@KEY
Mark One Only
PROGRAM
[fill PRESENTFIL] [fill TEMPNAME] in an academic or "college
prep" program in high school, a general program for people not
intending to go to college, a vocational program, or a business
program?
(1)
(2)
(3)
(4)
(5)
Academic or college prepatory
General
Vocational
Business
Other
@
Mark One Only
RCVTRN1
At any time since [fill MONTH5] 1st of last year,
did [fill TEMPNAME] receive any of the first kind of
training - to help search for or train for a new
job?
(1)
(2)
Yes
No
@
Wednesday, July 23, 2008
Page 15 of 58
Survey:
Section: EDUCATION TM
Items Booklet
Enter Number
NUMTRN1
TRAINING TYPE = TRAINING TO HELP SEARCH FOR OR
TRAIN FOR A NEW JOB
[fill TRAINFIL]
[fill TEMP]
Not counting anything that lasted less than an hour, how many
training activities of this type did [fill HESHE] participate in
during the past year (that is, since [fill MONTH5] 1st of last year)?
@
Mark One Only
TRN1TIME
CODE ANSWER ACCORDING TO ACTUAL AMOUNT OF TIME SPENT IN
TRAINING - "1 FULL DAY" EQUALS 8 HOURS; "1 WEEK" EQUALS 40 HOURS
How long did [fill TYPEFIL] last?
(1)
(2)
(3)
(4)
Less than 1 full day (less than 8 hours)
1 Day to 1 Week (8-40 hours)
More than 1 Week (more than 40 hours)
Currently in training
@
Enter Text
WEEKT1
ASK IF NECESSARY:
How many weeks?
NUMBER OF WEEKS: @
Mark One Only
INTRN1
CODE ANSWER ACCORDING TO ACTUAL AMOUNT OF TIME TRAINING IS
EXPECTED TO TAKE -"1 FULL DAY" EQUALS 8 HOURS; "1 WEEK"EQUALS 40 HOURS
How long is this training expected to take?
(1)
(2)
(3)
Less than 1 full day (less than 8 hours)
1 Day to 1 Week (8-40 hours)
More than 1 Week (more than 40 hours)
@
Mark One Only
WHOTRN1
TRAINING TYPE = TRAINING TO HELP SEARCH FOR OR TRAIN
FOR A NEW JOB
MARK THE PAYER WHO PROVIDED THE LARGEST AMOUNT, IF MORE THAN ONE
Who [fill PAIDFIL] for [fill TEMPNAME] to attend [fill RECENTFIL]
training?
(1)
(2)
(3)
(4)
Federal, state, or local government program
(NOT employer)
Self or family
Current or previous employer
Other
@
Page 16 of 58
Wednesday, July 23, 2008
Items Booklet
Survey:
Section: EDUCATION TM
Enter Text
OTHTRN1
SPECIFY THE "OTHER" WHO PAID FOR TRAINING:
@
Mark One Only
LCTNTRN1
Where [fill DIDFIL] [fill TEMPNAME] [fill RECEIVEFIL] this
[fill MOSTFIL] training?
(1)
(2)
(3)
(4)
(5)
(6)
(7)
(8)
(9)
Business, technical, or vocational school
High school
Two-year or community college
Four-year college or university
At current or previous employer's place of work
Correspondence course
Sheltered workshop
Vocational rehabilitation center
Other
@
Enter Text
LCTNOTH1
Please specify where this most recent work training
was received:
@
Mark One Only
TYPETRN1
What [fill WASFIL] this[if MOSTFIL ne <>] [fill MOSTFIL][endif] work training
designed to accomplish - to help [fill HIMHER] look for a
job, or teach [fill HIMHER] skills for a specific job or career?
MARK ONLY ONE
(1)
To help [fill HIMHER] look for a job
(for example, resume preparation, job search techniques,
interviewing skills)
(2)
To teach [fill HIMHER] skills for a specific job or
career
(for example, mechanic, electrician, computer operator)
@
Mark One Only
JOBATRN1
Did [fill HESHE] use this training to get [fill HISHER]
[fill TEMP+] job?
(1) Yes
(2) No
@
Wednesday, July 23, 2008
Page 17 of 58
Survey:
Section: EDUCATION TM
Items Booklet
Mark One Only
NWATRN1
been using this training to
search for a job?
(1) Yes
(2) No
@
Mark One Only
JOBBTRN1
this training on
[fill HISHER] [fill TEMP2+] job?
(1) Yes
(2) No
@
Mark One Only
NWBTRN1
[fill C_HAVHAS] [fill HESHE] been looking for work where
[fill HESHE] can use this training?
(1)
(2)
Yes
No
@
Mark One Only
RCVTRN2
[if RCVTRN1 eq <2> or RCVTRN1 eq or RCVTRN1 eq ]How about the second type of
training - to improve skills in a job
[fill HESHE] already had? ([fill C_HAVHAS] [fill TEMPNAME]
received any of that kind of training in the past year?)
[else]Another kind of work training is designed to improve people's
skills in a job they already have. Since [fill MONTH5] 1st of
last year, [fill HAVHAS] [fill TEMPNAME] received any of that
kind of training?[endif]
(1) Yes
(2) No
@
Enter Number
NUMTRN2
TRAINING TYPE = TRAINING TO IMPROVE ONE'S SKILLS IN A JOB
ONE ALREADY HAS
Not counting anything that lasted less than an hour, how many
training activities of this type did [fill HESHE] participate
in during the past year (that is, since [fill MONTH5] 1st
of last year)?
@
Page 18 of 58
Wednesday, July 23, 2008
Items Booklet
Survey:
Section: EDUCATION TM
Mark One Only
TRN2TIME
How long did [fill TRAININGFIL] last?
CODE ANSWER ACCORDING TO ACTUAL AMOUNT OF TIME SPENT IN
TRAINING - "1 FULL DAY" EQUALS 8 HOURS; "1 WEEK" EQUALS 40 HOURS
(1)
(2)
(3)
(4)
Less than 1 full day (less than 8 hours)
1 Day to 1 Week (8 -40 hours)
More than 1 Week (more than 40 hours)
Currently in training
@
Enter Text
WEEKT2
ASK IF NECESSARY:
How many weeks?
NUMBER OF WEEKS: @
Mark One Only
INTRN2
How long is this training expected to take?
CODE ANSWER ACCORDING TO ACTUAL AMOUNT OF TIME TRAINING IS
EXPECTED TO TAKE -"1 FULL DAY" EQUALS 8 HOURS; "1 WEEK"EQUALS 40 HOURS
(1)
(2)
(3)
Less than 1 full day (less than 8 hours)
1 Day to 1 week (8 - 40 hours)
More than 1 week (more than 40 hours)
@
Mark One Only
WHOTRN2
TRAINING TYPE = TRAINING TO IMPROVE ONE'S SKILLS IN A JOB
ONE ALREADY HAS
MARK THE PAYER WHO PROVIDED THE LARGEST AMOUNT, IF MORE THAN ONE
Who [Fill PAIDFIL] for [fill TEMPNAME] to attend
[fill THISFIL] training?
(1)
(2)
(3)
(4)
Federal, state, or local government program
(NOT employer)
Self or family
Current or previous employer
Other
@
Enter Text
OTHTRN2
SPECIFY TRAINING SPONSER:
@
Wednesday, July 23, 2008
Page 19 of 58
Survey:
Section: EDUCATION TM
Items Booklet
LCTNTRN2A
Mark One Only
Where [fill DIDFIL] [fill TEMPNAME] [fill RECEIVEFIL] this
[fill MOSTFIL] training - on the job or away from the job?
(1)
(2)
(3)
(4)
On the job - taught by someone from the organization
On the job - taught by someone outside the
organization
Away from the job
Other
@
LCTNOTH2
Enter Text
Please specify where this most recent training was
received:
@
TYPETRN2
Multiple Entry
SHOW FLASHCARD R
What [fill ISWASFIL] this [fill MRECENTFIL] training designed
to accomplish?
Was it designed to:
(1) Yes
(2)
(1)
(2)
(3)
(4)
(5)
(6)
(7)
[endif]
No
...teach basic job skills? (such as office software,
work habits, or management practices)
@1
...to teach new specific work skills? (such as how to
use equipment, machinery, or technical procedures)
@2
([fill ISWASFIL] it designed) to upgrade skills or
knowledge?
@3
...to introduce company policies? (or guidelines or
requirements)
@4
...([fill ISWASFIL] the training designed ) to prepare
[fill HIMHER] for another job (or assignment) WITHIN the
organization?
@5
...or to prepare [fill HIMHER] for another job (or
assignment) OUTSIDE the organization?
@6
...or [fill SOMEANYFIL] else?[if SOMEANYFIL eq ]
@7
Enter Text
TYPEOTH2
Please specify what this training was designed to
accomplish:
@
Mark One Only
JOBTRN2
used this training on
[fill HISHER] current job?
(1) Yes
(2) No
@
Page 20 of 58
Wednesday, July 23, 2008
Items Booklet
Survey:
Section: EDUCATION TM
Mark One Only
NWTRN2
Did [fill HESHE] use this training on the job [fill HESHE]
held at that time?
(1) Yes
(2) No
@
Mark One Only
RCVTRN10
During the past ten years, [fill HAVHAS] [fill HESHE]
received either kind of work-related training?
(1) Yes
(2) No
@
Wednesday, July 23, 2008
Page 21 of 58
Survey:
Section: MARITAL TOPICAL MODULE
Mark One Only
Items Booklet
MSCHK
ASK IF NECESSARY
[fill PTEMPNAME] current marital status is
[fill F_NAME] [fill L_NAME]
Marital Status:
[fill TEMP3+]
Spouse:
[fill TEMP2+]
Is that correct?
(1)
(2)
(3)
(4)
Yes, information is correct
No, marital status and name of spouse are incorrect
No, marital status is incorrect
No, name of spouse is incorrect
@
Mark One Only
TMMS
What is [fill PTEMPNAME] current marital status?
(1)
(2)
(3)
(4)
(5)
(6)
Married, spouse present
Married, spouse absent
Widowed
Divorced
Separated
Never married
@
Multiple Entry
TMSP
DO NOT READ
ENTER THE LINE NUMBER OF
[fill PNAME(L_NO)] SPOUSE
ASK IF NECESSARY
(N)
Spouse is not listed
@TMLNSP
Mark One Only
CONFIRM1
INCLUDE "COMMON-LAW" MARRIAGES; IGNORE MARRIAGES THAT
WERE LATER ANNULLED.
[fill TEMP] [fill HAVHAS] only been married once is that correct?
(1)
(2)
Yes
No
@
Page 22 of 58
Wednesday, July 23, 2008
Items Booklet
Survey:
Section: MARITAL TOPICAL MODULE
XMAR
Mark One Only
INCLUDE "COMMON-LAW" MARRIAGES; IGNORE MARRIAGES THAT WERE LATER
ANNULLED.
How many times [fill HAVHAS] [fill TEMPNAME] been married?
(1)
(2)
(3)
(4)
1
2
3
4+
@
DATE0
Multiple Entry
In what month [if YEARFIL ne <>][fill YEARFIL] [endif]did
[fill TEMPNAME] get married?
MONTH: @MO
[if I_MS ne <1> and MS eq <1>][else]YEAR:
@YR[endif]
Mark One Only
MVAGE
Our records show that [fill TEMPNAME] [fill WASWERE]
married at age [fill TEMP]. Is this correct?
(1)
(2)
Yes
No
@
Mark One Only
RMAGE
I'd like to verify that [fill PTEMPNAME]
marriage date was [fill DATE0@MO] [fill DATE0@YR].
Is this correct?
(1)
(2)
Yes
No
@
Multiple Entry
RMDAT
In what month and year did [fill TEMPNAME]
get married?
(ORIGINAL ANSWERS: [fill DATE0@MO] [fill DATE0@YR])
MONTH:
YEAR:
@MO
@YR
Mark One Only
RMAGE1
I'd like to verify that [fill PTEMPNAME] marriage date was
[fill TEMP] [fill DATE1@YR]. Is this correct?
(1)
(2)
Yes
No
@
Wednesday, July 23, 2008
Page 23 of 58
Survey:
Section: MARITAL TOPICAL MODULE
Multiple Entry
Items Booklet
RMDAT1
In what month and year did [fill TEMPNAME]
get married?
(ORIGINAL ANSWERS: [fill DATE1@MO] [fill DATE1@YR])
MONTH:
YEAR:
@MO
@YR
Multiple Entry
DATE1
In what month and year did [fill TEMPNAME]
get married for the first time?
MONTH:
YEAR:
@MO
@YR
Mark One Only
WIDIV1
Did [fill PTEMPNAME] first marriage end in
widowhood or divorce?
(1)
(2)
Widowhood
Divorce
@
Multiple Entry
WIDYR1
In what month and year [fill WASWERE]
[fill TEMPNAME] widowed?
MONTH:
YEAR:
@MO
@YR
Multiple Entry
DIVYR1
In what month and year [fill WASWERE]
[fill TEMPNAME] divorced?
MONTH:
YEAR:
@MO
@YR
Multiple Entry
STOP1
Before [fill YOURFIL] divorce became final, when did
[fill TEMPNAME] and [fill HISHER] first [fill SPOUSE] actually
stop living together?
MONTH:
YEAR:
@MO
@YR
Multiple Entry
DATE2
In what month and year did [fill TEMPNAME]
get married for the second time?
MONTH:
YEAR:
Page 24 of 58
@MO
@YR
Wednesday, July 23, 2008
Items Booklet
Survey:
Section: MARITAL TOPICAL MODULE
Mark One Only
WIDIV2
Did [fill PTEMPNAME] second marriage end in
widowhood or divorce?
(1)
(2)
Widowhood
Divorce
@
Multiple Entry
WIDYR2
In what month and year [fill WASWERE]
[fill TEMPNAME] widowed?
MONTH:
YEAR:
@MO
@YR
Multiple Entry
DIVYR2
In what month and year [fill WASWERE]
[fill TEMPNAME] divorced?
MONTH:
YEAR:
@MO
@YR
Multiple Entry
STOP2
Before [fill YOURFIL] divorce became final, when did
[fill TEMPNAME] and [fill HISHER] second [fill SPOUSE] actually
stop living together?
MONTH:
YEAR:
@MO
@YR
Multiple Entry
DATER
In what month and year did [fill TEMPNAME]
get married most recently?
MONTH:
YEAR:
@MO
@YR
Multiple Entry
WIDYRR
In what month and year [fill WASWERE]
[fill TEMPNAME] widowed?
MONTH:
YEAR:
@MO
@YR
Multiple Entry
DIVYRR
In what month and year [fill WASWERE]
[fill TEMPNAME] divorced?
MONTH:
YEAR:
Wednesday, July 23, 2008
@MO
@YR
Page 25 of 58
Survey:
Section: MARITAL TOPICAL MODULE
Items Booklet
STOPR1
Multiple Entry
[if RMS eq <4>]Before [fill YOURFIL] divorce became final, when did [fill TEMPNAME]
and [fill HISHER] [fill SPOUSE] actually stop living together?
[else][if RMS eq <5>]When did [fill TEMPNAME] and [fill HISHER] [fill SPOUSE] separate that is, when did [fill YOUTHEYFIL] actually stop living together?[endif][endif]
MONTH:
YEAR:
@MO
@YR
STOPR2
Multiple Entry
[if RMS eq <4>]Before [fill YOURFIL] divorce became final, when did [fill TEMPNAME]
and [fill HISHER] last [fill SPOUSE] actually stop living together?
[else][if RMS eq <5>]When did [fill TEMPNAME] and [fill HISHER] [fill SPOUSE] separate that is, when did [fill YOUTHEYFIL] actually stop living together?[endif][endif]
MONTH:
YEAR:
@MO
@YR
MHIST
Multiple Entry
PROBE TO CORRECT THE INCONSISTENT DATES. EACH DATE IN
THE FOLLOWING LIST SHOULD BE LATER THAN THE PREVIOUS DATE.
AN "X" INDICATES AN INCONSISTENT DATE.
Some of the dates I have recorded for [fill TEMPNAME]
appear to be inconsistent.
ENTER "N" FOR NONE/NO MORE CORRECTIONS.
FIRST MARRIAGE
Month
Year
1. Date of First marriage:
[fill TEMP1A:b] [fill TEMPFMMON:b] @1A [fill TEMPFMYEAR:b] @1B
2. Date of Separation:
[fill TEMP1B:b] [fill TEMPFSMON:b] @3A [fill TEMPFSYEAR:b] @3B
3. Date of Widowhood/Divorce:
[fill TEMP1C:b] [fill TEMPFTMON:b] @2A [fill TEMPFTYEAR:b] @2B
SECOND MARRIAGE
4. Date of Second marriage:
5. Date of Separation:
6. Date of Widowhood/Divorce:
[fill TEMP1D:b]
[fill TEMP1E:b]
[fill TEMP1F:b]
[fill TEMPSMMON:b] @4A [fill TEMPSMYEAR:b] @4B
[fill TEMPSSMON:b] @6A [fill TEMPSSYEAR:b] @6B
[fill TEMPSTMON:b] @5A [fill TEMPSTYEAR:b] @5B
CURRENT or MOST RECENT MARRIAGE
7. Date of Most Recent marriage: [fill TEMP1G:b]
8. Date of Separation
[fill TEMP1H:b]
9. Date of Widowhood/Divorce:
[fill TEMP1I:b]
[fill TEMPLMMON:b] @7A [fill TEMPLMYEAR:b] @7B
[fill TEMPLSMON:b] @9A [fill TEMPLSYEAR:b] @9B
[fill TEMPLTMON:b] @8A [fill TEMPLTYEAR:b] @8B
Page 26 of 58
Wednesday, July 23, 2008
Items Booklet
Survey:
Section: FERTILITY HISTORY TM
Enter Number
FRCHL
[fill ALTOGETHERFIL] many children[if IFANYFIL ne <>][fill IFANYFIL][endif] [fill HAVHAS]
[fill HESHE] ever fathered?
COUNT ALL BIOLOGICAL CHILDREN OF THIS PERSON REGARDLESS
OF WHETHER THEY WERE BORN WITHIN OR OUTSIDE OF ANY MARRIAGE.
DO NOT COUNT ADOPTED, FOSTER, OR STEPCHILDREN;
DO NOT COUNT STILLBIRTHS.
ENTER (N) FOR NONE
NUMBER: @
Mark One Only
FRVER
I have recorded that [fill HESHE]
[fill AREIS] the biological father of
**READ NAME(S)**.
Is that correct?
(1)
(2)
Yes
No
@
Multiple Entry
FRCHK
VERIFY OR ASK AS APPROPRIATE
Who is not [fill HISHER] biological child?
ENTER ALL THAT APPLY
ENTER (A) FOR ALL
ENTER (N) FOR NONE OR NO MORE
RE-ENTER LINE NUMBER TO DELETE
@KEY
Enter Number
FRINHH
ASK OR VERIFY
BE SURE TO INCLUDE UNMARRIED CHILDREN WHO ARE AWAY ATTENDING SCHOOL
OR CHILDREN AWAY ON TRAVEL WHOSE USUAL RESIDENCE IS THIS ADDRESS
How many of [fill HISHER] children are currently
living with [fill HIMHER] in this household?
ENTER (N) FOR NONE
@
Wednesday, July 23, 2008
Page 27 of 58
Survey:
Section: FERTILITY HISTORY TM
Enter Number
Items Booklet
MOMCHL
[fill ALTOGETHERFIL] many children[if IFANYFIL ne <>] [fill IFANYFIL][endif] [fill HAVHAS]
[fill HESHE] ever given birth to?
COUNT ALL BIOLOGICAL CHILDREN OF THIS PERSON, REGARDLESS
OF WHETHER THEY WERE BORN WITHIN OR OUTSIDE OF ANY MARRIAGE.
DO NOT COUNT ADOPTED, FOSTER, OR STEPCHILDREN;
DO NOT COUNT STILLBIRTHS.
ENTER (N) FOR NONE
NUMBER: @
Mark One Only
MOMVER
I have recorded that [fill HESHE]
[fill AREIS] the biological mother of
**READ NAME(S)**.
Is that correct?
(1)
(2)
Yes
No
@
Multiple Entry
MOMCHK
VERIFY OR ASK AS APPROPRIATE
Who is not [fill HISHER] biological child?
ENTER ALL THAT APPLY
ENTER (A) FOR ALL
ENTER (N) FOR NONE OR NO MORE
RE-ENTER LINE NUMBER TO DELETE
@KEY
Mark One Only
MOMLIVHH
ASK OR VERIFY:
Are all of the children [fill TEMPNAME] ever had
living with [fill HIMHER] in this household?
(1)
(2)
Yes
No
@
Multiple Entry
FBBIRTH
In what month and year was [fill HISHER]
first child born?
MONTH: @MO
YEAR: @YR
Page 28 of 58
Wednesday, July 23, 2008
Items Booklet
Survey:
Section: FERTILITY HISTORY TM
FBVERBY
Mark One Only
MOTHER'S DATE OF BIRTH IS [fill TEMP2+] [fill DOB@BYEAR].
FIRST BORN'S DATE OF BIRTH IS [fill TEMP+] [fill FY1].
Based on what I have recorded, [fill HESHE] [fill WASWERE]
about [fill AGEX] years old when [fill HISHER] first
child was born. Is that correct?
(1)
(2)
(3)
(4)
Yes
First born's birth is wrong.
Mother's birth is wrong.
Both are wrong.
@
FBCORBY
Enter Number
FIRST BORN'S BIRTH YEAR ORIGINALLY GIVEN AS [fill FY1].
In what year was [fill PTEMPNAME] first child born?
YEAR:
@
FBLIVNOW
Mark One Only
ASK OR VERIFY:
With whom does the child live now?
HERE
(1)
In this household
ELSEWHERE
(2)
In his/her own household
WITH RELATIVES
(3)
(4)
(5)
(6)
With
With
With
With
WITH NONRELATIVES (7)
(8)
(9)
(10)
In
In
In
In
his/her own father
his/her own grandparent(s)
an adoptive parent(s)
other relatives
foster care/foster family
an institution (hospital)
school dormitory
correctional facility
(11) Deceased
(12) Other
@
Enter Text
FBLIVOTH
Specify the other arrangement under with
the child now lives.
@
Multiple Entry
LBBIRTH
FIRST CHILD BORN IN [fill TEMP+] [fill FY1].
When was [fill PTEMPNAME] last child born?
VERIFY IF LAST CHILD WAS BORN BEFORE THE FIRST CHILD.
MONTH: @MO
YEAR: @YR
Wednesday, July 23, 2008
Page 29 of 58
Survey:
Section: FERTILITY HISTORY TM
Items Booklet
LBVERBY
Mark One Only
I have recorded that [fill HISHER] last child was
born before [fill HISHER] first child.
[fill C_HISHER] first child was born in [fill TEMP+] [fill FY1] and
[fill HISHER] last child was born in [fill TEMP2+] [FILL FY2].
Is that correct?
(1)
(2)
(3)
(4)
Yes
Last child's birth date is incorrect.
First child's birth date is incorrect.
Both are incorrect.
@
LBCORBY
Multiple Entry
BIRTH DATE PREVIOUSLY GIVEN FOR LAST BORN CHILD WAS
[fill TEMP+] [fill FY2].
In what month and year was [fill HISHER] last child born?
MONTH: @MO
YEAR: @YR
FBNEWBY
Multiple Entry
In what month and year was [fill HISHER] first child born?
VERIFY IF FIRST CHILD WAS BORN AFTER THE LAST CHILD.
MONTH: @MO
YEAR: @YR
LBLIVNOW
Mark One Only
ASK OR VERIFY:
With whom does [fill HISHER] last child live with now?
HERE
(1)
In this household
ELSEWHERE
(2)
In his/her own household
WITH RELATIVES
(3)
(4)
(5)
(6)
With
With
With
With
WITH NONRELATIVES (7)
(8)
(9)
(10)
In
In
In
In
his/her own father
his/her own grandparent(s)
an adoptive parent(s)
other relatives
foster care/foster family
an institution (hospital)
school dormitory
correctional facility
(11) Deceased
(12) Other
@
Enter Text
LBLIVOTH
Specify the other arrangement under which
the child now lives.
@
Page 30 of 58
Wednesday, July 23, 2008
Items Booklet
Survey:
Section: FERTILITY HISTORY TM
Mark One Only
BFBCNTWK
Next are questions about [fill PTEMPNAME] work history
before and after [fill PTEMPNAME] [if FIRSTFIL ne <>][fill FIRSTFIL] [endif]child
was born.
At any time before [fill HISHER] [if FIRSTFIL ne <>][fill FIRSTFIL] [endif]child was born,
did [fill HESHE] work for pay for at least six straight months?
INCLUDE PART-TIME AND FULL-TIME WORK
(1)
(2)
Yes
No
@
Mark One Only
BFBWKPRG
Did [fill HESHE] work for pay at a job or business
at any time during that pregnancy?
(1)
(2)
Yes
No
@
Mark One Only
BFBPRGFT
At the last job [fill HESHE] held before [fill HISHER] [fill FIRSTFIL]
child was born, did [fill HESHE] usually work 35 hours or more per week?
(1)
(2)
Yes
No
@
Multiple Entry
BFBWRKST
[fill TEMP2]
In what month and year did [fill HESHE] stop working
before [fill HISHER][if FIRSTFIL ne <>] [fill FIRSTFIL][endif] child was born -- or did
[fill HESHE] continue working right up to the delivery?
VERIFY IF SHE DID NOT STOP WORKING
UNTIL AFTER THE BIRTH OF HER FIRST BORN CHILD.
ENTER (F) FOR STOPPED WHEN FOUND OUT PREGNANT
ENTER (N) FOR NEVER STOPPED/WORKED RIGHT UP TO DELIVERY
MONTH: @STOPM1
YEAR: @STOPY1
Wednesday, July 23, 2008
Page 31 of 58
Survey:
Section: FERTILITY HISTORY TM
Items Booklet
BFBSTSIT
Multiple Entry
SHOW FLASHCARD S
In order for [fill TEMPNAME]
[fill HISHER][if FIRSTFIL ne
quit or [fill WASWERE] [fill
or did [fill HESHE] take any
to stop working before
<>] [fill FIRSTFIL][endif] child was born, did [fill HESHE]
HESHE] let go from [fill HISHER] job,
paid or unpaid leave, or something else?
INCLUDE ANY MATERNITY, SICK, OR VACATION LEAVE
ENTER ALL THAT APPLY
ENTER (N) FOR NO MORE
[if @1 eq <1>]X [else] [endif](1)
[endif](9) Unpaid vacation leave
[if @2 eq <2>]X [else] [endif](2)
[endif](10) Other paid leave
[if @3 eq <3>]X [else] [endif](3)
[endif](11) Other unpaid leave
[if @4 eq <4>]X [else] [endif](4)
[endif](12) Never stopped working
[if @5 eq <5>]X [else] [endif](5)
[endif](13) Self-employed
[if @6 eq <6>]X [else] [endif](6)
[endif](14) Employer went out of business
[if @7 eq <7>]X [else] [endif](7)
[endif](15) Other circumstances
[if @8 eq <8>]X [else] [endif](8)
Quit
[if @9 eq <9>]X [else]
Let go from her job
[if @10 eq <10>]X [else]
Paid maternity leave
[if @11 eq <11>]X [else]
Unpaid maternity leave
[if @12 eq <12>]X [else]
Paid sick leave
[if @13 eq <13>]X [else]
Unpaid sick leave
[if @14 eq <14>]X [else]
Disability leave
[if @15 eq <15>]X [else]
Paid vacation leave
@KEY
AFBJBSIT
Multiple Entry
SHOW FLASHCARD S
What about AFTER [fill HISHER][if FIRSTFIL ne <>] [fill FIRSTFIL][endif] child was born,
and up to the time the baby was 12 weeks old? What types of
leave, if any, did [fill HESHE] use then? Anything else?
INCLUDE ANY MATERNITY, SICK, OR VACATION LEAVE
ENTER ALL THAT APPLY
ENTER (N) FOR NO MORE
[if @1 eq <1>]X [else] [endif](1)
[endif](9) Unpaid vacation leave
[if @2 eq <2>]X [else] [endif](2)
[endif](10) Other paid leave
[if @3 eq <3>]X [else] [endif](3)
[endif](11) Other unpaid leave
[if @4 eq <4>]X [else] [endif](4)
[endif](12) Never stopped working
[if @5 eq <5>]X [else] [endif](5)
[endif](13) Self-employed
[if @6 eq <6>]X [else] [endif](6)
[endif](14) Employer went out of business
[if @7 eq <7>]X [else] [endif](7)
[endif](15) Other circumstances
[if @8 eq <8>]X [else] [endif](8)
Quit
[if @9 eq <9>]X [else]
Let go from her job
[if @10 eq <10>]X [else]
Paid maternity leave
[if @11 eq <11>]X [else]
Unpaid maternity leave
[if @12 eq <12>]X [else]
Paid sick leave
[if @13 eq <13>]X [else]
Unpaid sick leave
[if @14 eq <14>]X [else]
Disability leave
[if @15 eq <15>]X [else]
Paid vacation leave
@KEY
Page 32 of 58
Wednesday, July 23, 2008
Items Booklet
Survey:
Section: FERTILITY HISTORY TM
Mark One Only
AFBWRK
Did [fill HESHE] work for pay at any time after
the birth of [fill HISHER] [fill TEMP+] child?
(1)
(2)
Yes
No
@
Multiple Entry
AFBWRKBG
[fill TEMP2+]
In what month and year did [fill HESHE] start[if BACKFIL ne <>] [fill BACKFIL][endif] to work
after the birth of [fill HISHER][if FIRSTFIL ne <>] [fill FIRSTFIL][endif] child?
VERIFY IF ANSWER IS BEFORE THE CHILD'S BIRTH DATE.
ENTER (X) FOR HAS NOT RETURNED TO WORK
MONTH:
YEAR:
@AFBWM1
@AFBWY1
Mark One Only
AFBWRKFT
When [fill HESHE] first [fill TEMP], did [fill HESHE]
start out working 35 hours or more per week?
IF THE RESPONDENT RETURNED TO MORE THAN ONE JOB,
ANSWER THIS ITEM FOR THE JOB RETURNED TO FIRST.
(1)
(2)
Yes
No
@
Mark One Only
AFBWRKHR
(When [fill HESHE] went back,) was that about the same, more,
or fewer hours per week compared to the hours [fill HESHE]
[fill WASWERE] working while [fill HESHE] [fill WASWERE] pregnant?
(1)
(2)
(3)
About the same hours
More hours than the last job
Fewer hours than the last job
@
Mark One Only
AFBWRKEM
Was this job with the same employer [fill HESHE]
last worked for while pregnant?
(1)
(2)
(3)
(4)
Yes
No
Self-Employed
Employer went out of business
@
Wednesday, July 23, 2008
Page 33 of 58
Survey:
Section: FERTILITY HISTORY TM
Mark One Only
Items Booklet
AFBWRKPS
Was this[if NEWFIL ne <>] [fill NEWFIL][endif] job at the same skill and responsibility
level as the one [fill TEMPNAME] last had when [fill HESHE]
[fill WASWERE] pregnant, or was it at a greater or lesser level
of skill or responsibility?
(1)
(2)
(3)
About the same
Greater skill/responsibility level
Lesser skill/responsibility level
@
Mark One Only
AFBWRKPY
And did this[if NEWFIL ne <>] [fill NEWFIL][endif] job have the same pay rate as
[fill JOBWHENFIL] [fill HESHE] left, or was it higher or lower?
(1)
(2)
(3)
Same pay rate
Higher pay rate
Lower pay rate
@
Mark One Only
AFBWRKSE
ASK OR VERIFY:
[fill C_AREIS] [fill HESHE] still with the same employer
[fill HESHE] first worked for after [fill HISHER] [fill TEMP+]
child's birth?
(1)
(2)
Yes
No
@
Multiple Entry
AFBFELV
MOTHER BEGAN WORKING FOR EMPLOYER IN [fill TEMP+] [fill AFBWRKBG@AFBWY1].
In what month and year did [fill HESHE] leave that employer (after
the birth of [fill HISHER] [if MOMCHL gt <1>]first [endif]child)?
VERIFY IF LEFT DATE IS BEFORE THE START DATE DISPLAYED ABOVE.
MONTH: @MO
YEAR: @YR
Mark One Only
GRNDPR
ASK OR VERIFY:
[fill C_AREIS] [fill TEMPNAME] a grandparent -- that is,
[fill ANYCHILDFIL]
have any biological or adopted children of their own who
are currently living?
(1)
(2)
Yes
No
@
Page 34 of 58
Wednesday, July 23, 2008
Items Booklet
Wednesday, July 23, 2008
Survey:
Section: MIGRATION HISTORY TM
Page 35 of 58
Survey:
Section: MIGRATION HISTORY TM
Items Booklet
MOVEMOYR
Multiple Entry
Now I have some questions about [fill PTEMPNAME]
previous residence and [fill HISHER] place of birth.
When did [fill TEMPNAME] move into this
house/apartment/mobile home?
(IF LIVED HERE MORE THAN ONCE, ENTER MONTH AND YEAR
OF MOST RECENT MOVE.)
(A) Always lived here
MONTH:
YEAR:
@MOVMON
@MOVEYR
NOMOVE
Mark One Only
So [fill TEMPNAME] [fill HAVHAS] lived here since birth is that correct?
(1) Yes
(2) No
@
SAMSTATE
Mark One Only
Was [fill PTEMPNAME] previous home also
located in [fill TEMP], or was it in some other state?
(1)
(2)
Yes, same state
No, not in the same state
@
STATE
Mark One Only
ASK IF NECESSARY:
What state
(AL) Alabama
(LA)
(AK) Alaska
(ME)
(AZ) Arizona
(MD)
(AR) Arkansas
(MA)
(CA) California
(MI)
(CO) Colorado
(MN)
(CT) Connecticut
(MS)
(DE) Delaware
(MO)
(DC) District of Columbia (MT)
(FL) Florida
(NE)
(GA) Georgia
(NV)
(HI) Hawaii
(NH)
(ID) Idaho
(NJ)
(IL) Illinois
(NM)
(IN) Indiana
(NY)
(IA) Iowa
(NC)
(KS) Kansas
(ND)
(KY) Kentucky
(OH)
@
Page 36 of 58
was that?
Louisiana
Maine
Maryland
Massachusetts
Michigan
Minnesota
Mississippi
Missouri
Montana
Nebraska
Nevada
New Hampshire
New Jersey
New Mexico
New York
North Carolina
North Dakota
Ohio
(OK)
(OR)
(PA)
(RI)
(SC)
(SD)
(TN)
(TX)
(UT)
(VT)
(VA)
(WA)
(WV)
(WI)
(WY)
(57)
Oklahoma
Oregon
Pennsylvania
Rhode Island
South Carolina
South Dakota
Tennessee
Texas
Utah
Vermont
Virginia
Washington
West Virginia
Wisconsin
Wyoming
United States
(state unknown)
(99) NOT IN THE U.S.
Wednesday, July 23, 2008
Items Booklet
Survey:
Section: MIGRATION HISTORY TM
SAMCTY
Mark One Only
Was [fill PTEMPNAME] previous home
in this county?
(1)
(2)
Yes
No
@
DIFCTR
Enter Number
ASK OR VERIFY:
(301)
(206)
(207)
(379)
(337)
(339)
(380)
(312)
(139)
(109)
(110)
(116)
(313)
SHOW FLASHCARD T
What country did [fill TEMPNAME] live in before moving here?
Canada
(383) Guyana
(315) Mexico
Cambodia
(342) Haiti
(316) Nicaragua
China
(314) Honduras
(385) Peru
Colombia
(209) Hong Kong
(231) Philippines
Cuba
(117) Hungary
(128) Poland
Dominican Republic
(210) India
(129) Portugal
Ecuador
(212) Iran
( 72) Puerto Rico
El Salvador
(119) Ireland/Eire
(192) Russia
England
(120) Italy
(140) Scotland
France
(343) Jamaica
(238) Taiwan
Germany
(215) Japan
(239) Thailand
Greece
(217) Korea/South Korea
(351) Trinidad & Tobago
Guatemala
(221) Laos
(242) Vietnam
PRESS "H" FOR MORE COUNTRIES
@
INMOYR
Multiple Entry
When did [fill TEMPNAME] move into [fill HISHER]
previous home?
(B) BORN INTO THE PREVIOUS RESIDENCE
Month:
@INMON
Year:
@INYR
Mark One Only
PREVTEN
Was [fill PTEMPNAME] previous home -(1)
...owned by someone living in that household?
(2)
...rented?
(3)
...or occupied without payment of rent?
@
Enter Number
MOVEST
When did [fill TEMPNAME] move into [fill TEMP]?
(IF RESPONDENT LIVED IN [fill TEMP2] MORE THAN ONCE,
ENTER YEAR OF MOST RECENT MOVE.)
(A) Always lived in [fill TEMP]
Year:
Wednesday, July 23, 2008
@
Page 37 of 58
Survey:
Section: MIGRATION HISTORY TM
Items Booklet
BRSTATE
Mark One Only
Where [fill WASWERE] [fill TEMPNAME] born?
(AL) Alabama
(LA) Louisiana
(AK) Alaska
(ME) Maine
(AZ) Arizona
(MD) Maryland
(AR) Arkansas
(MA) Massachusetts
(CA) California
(MI) Michigan
(CO) Colorado
(MN) Minnesota
(CT) Connecticut
(MS) Mississippi
(DE) Delaware
(MO) Missouri
(DC) District of Columbia (MT) Montana
(FL) Florida
(NE) Nebraska
(GA) Georgia
(NV) Nevada
(HI) Hawaii
(NH) New Hampshire
(ID) Idaho
(NJ) New Jersey
(IL) Illinois
(NM) New Mexico
(IN) Indiana
(NY) New York
(IA) Iowa
(NC) North Carolina
(KS) Kansas
(ND) North Dakota
(KY) Kentucky
(OH) Ohio
@
(OK)
(OR)
(PA)
(RI)
(SC)
(SD)
(TN)
(TX)
(UT)
(VT)
(VA)
(WA)
(WV)
(WI)
(WY)
(57)
Oklahoma
Oregon
Pennsylvania
Rhode Island
South Carolina
South Dakota
Tennessee
Texas
Utah
Vermont
Virginia
Washington
West Virginia
Wisconsin
Wyoming
United States
(state unknown)
(99) NOT IN THE U.S.
Enter Number
BCNTRY
ASK OR VERIFY:
(301)
(206)
(207)
(379)
(337)
(339)
(380)
(312)
(139)
(109)
(110)
(116)
(313)
SHOW FLASHCARD T
What country [fill WASWERE] [fill TEMPNAME] born in?
Canada
(383) Guyana
(315) Mexico
Cambodia
(342) Haiti
(316) Nicaragua
China
(314) Honduras
(385) Peru
Colombia
(209) Hong Kong
(231) Philippines
Cuba
(117) Hungary
(128) Poland
Dominican Republic
(210) India
(129) Portugal
Ecuador
(212) Iran
( 72) Puerto Rico
El Salvador
(119) Ireland/Eire
(192) Russia
England
(120) Italy
(140) Scotland
France
(343) Jamaica
(238) Taiwan
Germany
(215) Japan
(239) Thailand
Greece
(217) Korea/South Korea
(351) Trinidad & Tobago
Guatemala
(221) Laos
(242) Vietnam
PRESS "H" FOR MORE COUNTRIES
@
Multiple Entry
CITIZEN1
a U.S. citizen?
(1) Yes
(2) No
@USCIT
Page 38 of 58
Wednesday, July 23, 2008
Items Booklet
Survey:
Section: MIGRATION HISTORY TM
Multiple Entry
NATCIT1
How did [fill TEMPNAME] become a U.S. citizen?
(1)
(2)
(3)
(4)
(5)
(6)
[r]H[n]
Naturalized
Through [fill HISHER] (or spouse's) military service
in U.S. Armed Forces
Adopted by U.S. citizen parent or parents
Born in a U.S. Island Area or born in the United States
Born abroad of U.S. citizen parent or parents
Other [if @1 eq <6>]SPECIFY: @SP[endif]
@1
Enter Number
MOVEUS
When did [fill TEMPNAME] move to the United States?
IF RESPONDENT HAS LIVED IN THE US MORE THAN ONCE, ENTER
YEAR OF MOST RECENT MOVE.
Year:
@
Mark One Only
IMSTAT
SHOW FLASHCARD U
When [fill TEMPNAME] moved to the United States
to live, what was [fill PTEMPNAME] immigration status?
(1)
(2)
(3)
(4)
(5)
(6)
Immediate relative or family sponsored
permanent resident
Employment-based permanent resident
Other permanent resident
Granted refugee status or granted asylum
Non-immigrant (e.g., diplomatic, student,
business, or tourist visa)
Other
@
Mark One Only
ADJUST
Has [fill PTEMPNAME] status been changed
to permanent resident?
(1)
(2)
Yes
No
@
Enter Number
ADYEAR
In what year was [fill PTEMPNAME] status changed
to permanent resident?
YEAR:
Wednesday, July 23, 2008
@
Page 39 of 58
Survey:
Section: MIGRATION HISTORY TM
Items Booklet
DATECHK
Multiple Entry
INCONSISTENT DATES ARE MARKED WITH AN "X."
PRESS "ENTER" TO KEEP CURRENT DATE, OR ENTER A NEW DATE.
AFTER ALL NECESSARY CHANGES, ENTER (N) FOR "NO MORE."
ENTER (P) IF NO INCONSISTENCIES OR IF DATES CANNOT BE RECONCILED.
Some of the dates I have recorded for [fill TEMPNAME]
appear to be inconsistent:
Incoming
Correct
Birthdate...
Mo: [fill TEMPX0:b]
Yr: [fill RBYEAR:b]
Year moved to the U.S. .... Yr: [fill TEMPX1:b]
[r][fill TEMP1A:b][n] @2
Year immigration status
changed ................. Yr: [fill TEMPX9:b]
[r][fill TEMP9I:b][n] @7
Year moved to this state .. Yr: [fill TEMPX2:b]
[r][fill TEMP2B:b][n] @3
Date moved into
previous home .......
Mo: [fill TEMPX3:b]
Yr: [fill TEMPX4:b]
[r][fill TEMP3C:b][n] @4A
[r][fill TEMP4D:b][n] @4B
Date moved into
current home ........
Mo: [fill TEMPX7:b]
Yr: [fill TEMPX8:b]
[r][fill TEMP7G:b][n] @6A
[r][fill TEMP8H:b][n] @6B
H_DIFCTR
Enter Number
(200)
(60)
(375)
(185)
(102)
(501)
(130)
(333)
(202)
(334)
(310)
Afghanistan
American Samoa
Argentina
Armenia
Austria
Australia
Azores
Bahamas
Bangladesh
Barbados
Belize
(103)
(300)
(376)
(377)
(205)
(378)
(311)
(155)
(105)
(106)
(338)
Belgium
Bermuda
Bolivia
Brazil
Burma
Chile
Costa Rica
Czech Republic
Czechoslovakia
Denmark
Dominica
(415)
(417)
(507)
(108)
(421)
(138)
(340)
(66)
(126)
(211)
Egypt
Ethiopia
Fiji
Finland
Ghana
Great Britain
Grenada
Guam
Holland
Indonesia
IF THE COUNTRY NAMED IS NOT LISTED, GO TO THE NEXT PAGE OF THE HELP SCREEN,
OR ELSE, ENTER COUNTRY CODE
(M)
More
(P)
Exit Help
@
H_DIFCTR2
Enter Number
(213)
(214)
(216)
(427)
(183)
(222)
(184)
(224)
(436)
(126)
(514)
Iraq
Israel
Jordan
Kenya
Latvia
Lebanon
Lithuania
Malaysia
Morocco
Netherlands
New Zealand
(440)
(142)
(127)
(229)
(253)
(317)
(132)
(233)
(234)
(156)
(449)
Nigeria
Northern Ireland
Norway
Pakistan
Palestine
Panama
Romania
Saudi Arabia
Singapore
Slovakia/Slovak Rep.
South Africa
(134)
(136)
(137)
(237)
(240)
(78)
(195)
(180)
(387)
(388)
(147)
Spain
Sweden
Switzerland
Syria
Turkey
U.S. Virgin Islands
Ukraine
USSR
Uruguay
Venezuela
Yugoslavia
IF THE COUNTRY NAMED IS NOT LISTED, GO TO THE NEXT PAGE OF THE HELP SCREEN,
OR ELSE ENTER COUNTRY CODE
(M)
Page 40 of 58
More
(P)
Exit Help
(B)
Back
@
Wednesday, July 23, 2008
Items Booklet
Survey:
Section: MIGRATION HISTORY TM
H_DIFCTR3
Enter Number
The country you have named is not on my list. Can you tell me what part
of the world that country is in? (READ LIST IF NECESSARY)
(353)
(318)
(389)
(304)
Caribbean
Central America
South America
North America
(P)
(148)
(252)
(468)
(462)
Exit Help
Europe
Middle East
North Africa
Other Africa
(B)
(245) Asia
(527) Pacific Islands
(555) Elsewhere
Back
@
H_BCNTRY
Enter Number
(200)
(60)
(375)
(185)
(102)
(501)
(130)
(333)
(202)
(334)
(310)
Afghanistan
American Samoa
Argentina
Armenia
Austria
Australia
Azores
Bahamas
Bangladesh
Barbados
Belize
(103)
(300)
(376)
(377)
(205)
(378)
(311)
(155)
(105)
(106)
(338)
Belgium
Bermuda
Bolivia
Brazil
Burma
Chile
Costa Rica
Czech Republic
Czechoslovakia
Denmark
Dominica
(415)
(417)
(507)
(108)
(421)
(138)
(340)
(66)
(126)
(211)
Egypt
Ethiopia
Fiji
Finland
Ghana
Great Britain
Grenada
Guam
Holland
Indonesia
IF THE COUNTRY NAMED IS NOT LISTED, GO TO THE NEXT PAGE OF THE HELP SCREEN,
OR ELSE, ENTER COUNTRY CODE
(M)
More
(P)
Exit Help
@
H_BCNTRY2
Enter Number
(213)
(214)
(216)
(427)
(183)
(222)
(184)
(224)
(436)
(126)
(514)
Iraq
Israel
Jordan
Kenya
Latvia
Lebanon
Lithuania
Malaysia
Morocco
Netherlands
New Zealand
(440)
(142)
(127)
(229)
(253)
(317)
(132)
(233)
(234)
(156)
(449)
Nigeria
Northern Ireland
Norway
Pakistan
Palestine
Panama
Romania
Saudi Arabia
Singapore
Slovakia/Slovak Rep.
South Africa
(134)
(136)
(137)
(237)
(240)
(78)
(195)
(180)
(387)
(388)
(147)
Spain
Sweden
Switzerland
Syria
Turkey
U.S. Virgin Islands
Ukraine
USSR
Uruguay
Venezuela
Yugoslavia
IF THE COUNTRY NAMED IS NOT LISTED, GO TO THE NEXT PAGE OF THE HELP SCREEN,
OR ELSE ENTER COUNTRY CODE
(M)
More
Wednesday, July 23, 2008
(P)
Exit Help
(B)
Back
@
Page 41 of 58
Survey:
Section: MIGRATION HISTORY TM
Items Booklet
H_BCNTRY3
Enter Number
The country you have named is not on my list. Can you tell me what part
of the world that country is in? (READ LIST IF NECESSARY)
(353)
(318)
(389)
(304)
Caribbean
Central America
South America
North America
(P)
Page 42 of 58
Exit Help
(148)
(252)
(468)
(462)
Europe
Middle East
North Africa
Other Africa
(B)
Back
(245) Asia
(527) Pacific Islands
(555) Elsewhere
@
Wednesday, July 23, 2008
Items Booklet
Survey:
Section: HOUSEHOLD RELATIONSHIPS
Mark One Only
(1)
(2)
(10)
(11)
(12)
(13)
(14)
(15)
(20)
(21)
(22)
(23)
(24)
(25)
SHOW FLASHCARD V
What is the EXACT relationship of [fill TEMP+]
to [fill TEMPNAME]?
[fill TEMP+] is [fill PTEMPNAME]...?
Spouse
(30) Biological [fill TEMP3+]
Unmarried partner
(31) Half [fill TEMP3+]
(32) Step [fill TEMP3+]
Biological parent
(33) Adopted [fill TEMP3+]
Stepparent
(34) Other [fill TEMP3+]
Step & adoptive parent
(61) Room/housemate
Adoptive parent
(40) Grandparent
(62) Roomer/boarder
Foster parent
(41) Grandchild
(63) Paid employee
Other parent
(42) [fill TEMP4+]
(43) [fill TEMP5+]
Biological child
(65) Other non-relative
Stepchild
(50) [fill TEMP6+]-in-law
Step & adopted child
(51) [fill TEMP7+]-in-law
Adopted child
(52) [fill TEMP8+]-in-law
Foster child
Other child
(55) Other relative
@
Mark One Only
(1)
(2)
(10)
(11)
(12)
(13)
(14)
(15)
(20)
(21)
(22)
(23)
(24)
(25)
RELAT1
RELAT2
SHOW FLASHCARD V
What is the EXACT relationship of [fill TEMP+]
to [fill TEMPNAME]?
[fill TEMP+] is [fill PTEMPNAME]...?
Spouse
(30) Biological [fill TEMP3+]
Unmarried partner
(31) Half [fill TEMP3+]
(32) Step [fill TEMP3+]
Biological parent
(33) Adopted [fill TEMP3+]
Stepparent
(34) Other [fill TEMP3+]
Step & adoptive parent
(61) Room/housemate
Adoptive parent
(40) Grandparent
(62) Roomer/boarder
Foster parent
(41) Grandchild
(63) Paid employee
Other parent
(42) [fill TEMP4+]
(43) [fill TEMP5+]
Biological child
(65) Other non-relative
Stepchild
(50) [fill TEMP6+]-in-law
Step & adopted child
(51) [fill TEMP7+]-in-law
Adopted child
(52) [fill TEMP8+]-in-law
Foster child
Other child
(55) Other relative
@
Wednesday, July 23, 2008
Page 43 of 58
Survey:
Section: HOUSEHOLD RELATIONSHIPS
Mark One Only
(1)
(2)
(10)
(11)
(12)
(13)
(14)
(15)
(20)
(21)
(22)
(23)
(24)
(25)
(10)
(11)
(12)
(13)
(14)
(15)
(20)
(21)
(22)
(23)
(24)
(25)
RELAT3
SHOW FLASHCARD V
What is the EXACT relationship of [fill TEMP+]
to [fill TEMPNAME]?
[fill TEMP+] is [fill PTEMPNAME]...?
Spouse
(30) Biological [fill TEMP3+]
Unmarried partner
(31) Half [fill TEMP3+]
(32) Step [fill TEMP3+]
Biological parent
(33) Adopted [fill TEMP3+]
Stepparent
(34) Other [fill TEMP3+]
Step & adoptive parent
(61) Room/housemate
Adoptive parent
(40) Grandparent
(62) Roomer/boarder
Foster parent
(41) Grandchild
(63) Paid employee
Other parent
(42) [fill TEMP4+]
(43) [fill TEMP5+]
Biological child
(65) Other non-relative
Stepchild
(50) [fill TEMP6+]-in-law
Step & adopted child
(51) [fill TEMP7+]-in-law
Adopted child
(52) [fill TEMP8+]-in-law
Foster child
Other child
(55) Other relative
@
Mark One Only
(1)
(2)
Items Booklet
RELAT4
SHOW FLASHCARD V
What is the EXACT relationship of [fill TEMP+]
to [fill TEMPNAME]?
[fill TEMP+] is [fill PTEMPNAME]...?
Spouse
(30) Biological [fill TEMP3+]
Unmarried partner
(31) Half [fill TEMP3+]
(32) Step [fill TEMP3+]
Biological parent
(33) Adopted [fill TEMP3+]
Stepparent
(34) Other [fill TEMP3+]
Step & adoptive parent
(61) Room/housemate
Adoptive parent
(40) Grandparent
(62) Roomer/boarder
Foster parent
(41) Grandchild
(63) Paid employee
Other parent
(42) [fill TEMP4+]
(43) [fill TEMP5+]
Biological child
(65) Other non-relative
Stepchild
(50) [fill TEMP6+]-in-law
Step & adopted child
(51) [fill TEMP7+]-in-law
Adopted child
(52) [fill TEMP8+]-in-law
Foster child
Other child
(55) Other relative
@
Page 44 of 58
Wednesday, July 23, 2008
Items Booklet
Survey:
Section: HOUSEHOLD RELATIONSHIPS
Mark One Only
(1)
(2)
(10)
(11)
(12)
(13)
(14)
(15)
(20)
(21)
(22)
(23)
(24)
(25)
SHOW FLASHCARD V
What is the EXACT relationship of [fill TEMP+]
to [fill TEMPNAME]?
[fill TEMP+] is [fill PTEMPNAME]...?
Spouse
(30) Biological [fill TEMP3+]
Unmarried partner
(31) Half [fill TEMP3+]
(32) Step [fill TEMP3+]
Biological parent
(33) Adopted [fill TEMP3+]
Stepparent
(34) Other [fill TEMP3+]
Step & adoptive parent
(61) Room/housemate
Adoptive parent
(40) Grandparent
(62) Roomer/boarder
Foster parent
(41) Grandchild
(63) Paid Employee
Other parent
(42) [fill TEMP4+]
(43) [fill TEMP5+]
Biological child
(65) Other non-relative
Stepchild
(50) [fill TEMP6+]-in-law
Step & adopted child
(51) [fill TEMP7+]-in-law
Adopted child
(52) [fill TEMP8+]-in-law
Foster child
Other child
(55) Other relative
@
Mark One Only
(1)
(2)
(10)
(11)
(12)
(13)
(14)
(15)
(20)
(21)
(22)
(23)
(24)
(25)
RELAT5
RELAT6
SHOW FLASHCARD V
What is the EXACT relationship of [fill TEMP+]
to [fill TEMPNAME]?
[fill TEMP+] is [fill PTEMPNAME]...?
Spouse
(30) Biological [fill TEMP3+]
Unmarried partner
(31) Half [fill TEMP3+]
(32) Step [fill TEMP3+]
Biological parent
(33) Adopted [fill TEMP3+]
Stepparent
(34) Other [fill TEMP3+]
Step & adoptive parent
(61) Room/housemate
Adoptive parent
(40) Grandparent
(62) Roomer/boarder
Foster parent
(41) Grandchild
(63) Paid employee
Other parent
(42) [fill TEMP4+]
(43) [fill TEMP5+]
Biological child
(65) Other non-relative
Stepchild
(50) [fill TEMP6+]-in-law
Step & adopted child
(51) [fill TEMP7+]-in-law
Adopted child
(52) [fill TEMP8+]-in-law
Foster child
Other child
(55) Other relative
@
Wednesday, July 23, 2008
Page 45 of 58
Survey:
Section: HOUSEHOLD RELATIONSHIPS
Mark One Only
(1)
(2)
(10)
(11)
(12)
(13)
(14)
(15)
(20)
(21)
(22)
(23)
(24)
(25)
(10)
(11)
(12)
(13)
(14)
(15)
(20)
(21)
(22)
(23)
(24)
(25)
RELAT7
SHOW FLASHCARD V
What is the EXACT relationship of [fill TEMP+]
to [fill TEMPNAME]?
[fill TEMP+] is [fill PTEMPNAME]...?
Spouse
(30) Biological [fill TEMP3+]
Unmarried partner
(31) Half [fill TEMP3+]
(32) Step [fill TEMP3+]
Biological parent
(33) Adopted [fill TEMP3+]
Stepparent
(34) Other [fill TEMP3+]
Step & adoptive parent
(61) Room/housemate
Adoptive parent
(40) Grandparent
(62) Roomer/boarder
Foster parent
(41) Grandchild
(63) Paid employee
Other parent
(42) [fill TEMP4+]
(43) [fill TEMP5+]
Biological child
(65) Other non-relative
Stepchild
(50) [fill TEMP6+]-in-law
Step & adopted child
(51) [fill TEMP7+]-in-law
Adopted child
(52) [fill TEMP8+]-in-law
Foster child
Other child
(55) Other relative
@
Mark One Only
(1)
(2)
Items Booklet
RELAT8
SHOW FLASHCARD V
What is the EXACT relationship of [fill TEMP+]
to [fill TEMPNAME]?
[fill TEMP+] is [fill PTEMPNAME]...?
Spouse
(30) Biological [fill TEMP3+]
Unmarried partner
(31) Half [fill TEMP3+]
(32) Step [fill TEMP3+]
Biological parent
(33) Adopted [fill TEMP3+]
Stepparent
(34) Other [fill TEMP3+]
Step & adoptive parent
(61) Room/housemate
Adoptive parent
(40) Grandparent
(62) Roomer/boarder
Foster parent
(41) Grandchild
(63) Paid employee
Other parent
(42) [fill TEMP4+]
(43) [fill TEMP5+]
Biological child
(65) Other non-relative
Stepchild
(50) [fill TEMP6+]-in-law
Step & adopted child
(51) [fill TEMP7+]-in-law
Adopted child
(52) [fill TEMP8+]-in-law
Foster child
Other child
(55) Other relative
@
Page 46 of 58
Wednesday, July 23, 2008
Items Booklet
Survey:
Section: HOUSEHOLD RELATIONSHIPS
Mark One Only
(1)
(2)
(10)
(11)
(12)
(13)
(14)
(15)
(20)
(21)
(22)
(23)
(24)
(25)
SHOW FLASHCARD V
What is the EXACT relationship of [fill TEMP+]
to [fill TEMPNAME]?
[fill TEMP+] is [fill PTEMPNAME]...?
Spouse
(30) Biological [fill TEMP3+]
Unmarried partner
(31) Half [fill TEMP3+]
(32) Step [fill TEMP3+]
Biological parent
(33) Adopted [fill TEMP3+]
Stepparent
(34) Other [fill TEMP3+]
Step & adoptive parent
(61) Room/housemate
Adoptive parent
(40) Grandparent
(62) Roomer/boarder
Foster parent
(41) Grandchild
(63) Paid employee
Other parent
(42) [fill TEMP4+]
(43) [fill TEMP5+]
Biological child
(65) Other non-relative
Stepchild
(50) [fill TEMP6+]-in-law
Step & adopted child
(51) [fill TEMP7+]-in-law
Adopted child
(52) [fill TEMP8+]-in-law
Foster child
Other child
(55) Other relative
@
Mark One Only
(1)
(2)
(10)
(11)
(12)
(13)
(14)
(15)
(20)
(21)
(22)
(23)
(24)
(25)
RELAT9
RELAT10
SHOW FLASHCARD V
What is the EXACT relationship of [fill TEMP+]
to [fill TEMPNAME]?
[fill TEMP+] is [fill PTEMPNAME]...?
Spouse
(30) Biological [fill TEMP3+]
Unmarried partner
(31) Half [fill TEMP3+]
(32) Step [fill TEMP3+]
Biological parent
(33) Adopted [fill TEMP3+]
Stepparent
(34) Other [fill TEMP3+]
Step & adoptive parent
(61) Room/housemate
Adoptive parent
(40) Grandparent
(62) Roomer/boarder
Foster parent
(41) Grandchild
(63) Paid employee
Other parent
(42) [fill TEMP4+]
(43) [fill TEMP5+]
Biological child
(65) Other non-relative
Stepchild
(50) [fill TEMP6+]-in-law
Step & adopted child
(51) [fill TEMP7+]-in-law
Adopted child
(52) [fill TEMP8+]-in-law
Foster child
Other child
(55) Other relative
@
Wednesday, July 23, 2008
Page 47 of 58
Survey:
Section: HOUSEHOLD RELATIONSHIPS
Mark One Only
(1)
(2)
(10)
(11)
(12)
(13)
(14)
(15)
(20)
(21)
(22)
(23)
(24)
(25)
(10)
(11)
(12)
(13)
(14)
(15)
(20)
(21)
(22)
(23)
(24)
(25)
RELAT11
SHOW FLASHCARD V
What is the EXACT relationship of [fill TEMP+]
to [fill TEMPNAME]?
[fill TEMP+] is [fill PTEMPNAME]...?
Spouse
(30) Biological [fill TEMP3+]
Unmarried partner
(31) Half [fill TEMP3+]
(32) Step [fill TEMP3+]
Biological parent
(33) Adopted [fill TEMP3+]
Stepparent
(34) Other [fill TEMP3+]
Step & adoptive parent
(61) Room/housemate
Adoptive parent
(40) Grandparent
(62) Roomer/boarder
Foster parent
(41) Grandchild
(63) Paid employee
Other parent
(42) [fill TEMP4+]
(43) [fill TEMP5+]
Biological child
(65) Other non-relative
Stepchild
(50) [fill TEMP6+]-in-law
Step & adopted child
(51) [fill TEMP7+]-in-law
Adopted child
(52) [fill TEMP8+]-in-law
Foster child
Other child
(55) Other relative
@
Mark One Only
(1)
(2)
Items Booklet
RELAT12
SHOW FLASHCARD V
What is the EXACT relationship of [fill TEMP+]
to [fill TEMPNAME]?
[fill TEMP+] is [fill PTEMPNAME]...?
Spouse
(30) Biological [fill TEMP3+]
Unmarried partner
(31) Half [fill TEMP3+]
(32) Step [fill TEMP3+]
Biological parent
(33) Adopted [fill TEMP3+]
Stepparent
(34) Other [fill TEMP3+]
Step & adoptive parent
(61) Room/housemate
Adoptive parent
(40) Grandparent
(62) Roomer/boarder
Foster parent
(41) Grandchild
(63) Paid employee
Other parent
(42) [fill TEMP4+]
(43) [fill TEMP5+]
Biological child
(65) Other non-relative
Stepchild
(50) [fill TEMP6+]-in-law
Step & adopted child
(51) [fill TEMP7+]-in-law
Adopted child
(52) [fill TEMP8+]-in-law
Foster child
Other child
(55) Other relative
@
Page 48 of 58
Wednesday, July 23, 2008
Items Booklet
Survey:
Section: HOUSEHOLD RELATIONSHIPS
Mark One Only
(1)
(2)
(10)
(11)
(12)
(13)
(14)
(15)
(20)
(21)
(22)
(23)
(24)
(25)
SHOW FLASHCARD V
What is the EXACT relationship of [fill TEMP+]
to [fill TEMPNAME]?
[fill TEMP+] is [fill PTEMPNAME]...?
Spouse
(30) Biological [fill TEMP3+]
Unmarried partner
(31) Half [fill TEMP3+]
(32) Step [fill TEMP3+]
Biological parent
(33) Adopted [fill TEMP3+]
Stepparent
(34) Other [fill TEMP3+]
Step & adoptive parent
(61) Room/housemate
Adoptive parent
(40) Grandparent
(62) Roomer/boarder
Foster parent
(41) Grandchild
(63) Paid employee
Other parent
(42) [fill TEMP4+]
(43) [fill TEMP5+]
Biological child
(65) Other non-relative
Stepchild
(50) [fill TEMP6+]-in-law
Step & adopted child
(51) [fill TEMP7+]-in-law
Adopted child
(52) [fill TEMP8+]-in-law
Foster child
Other child
(55) Other relative
@
Mark One Only
(1)
(2)
(10)
(11)
(12)
(13)
(14)
(15)
(20)
(21)
(22)
(23)
(24)
(25)
RELAT13
RELAT14
SHOW FLASHCARD V
What is the EXACT relationship of [fill TEMP+]
to [fill TEMPNAME]?
[fill TEMP+] is [fill PTEMPNAME]...?
Spouse
(30) Biological [fill TEMP3+]
Unmarried partner
(31) Half [fill TEMP3+]
(32) Step [fill TEMP3+]
Biological parent
(33) Adopted [fill TEMP3+]
Stepparent
(34) Other [fill TEMP3+]
Step & adoptive parent
(61) Room/housemate
Adoptive parent
(40) Grandparent
(62) Roomer/boarder
Foster parent
(41) Grandchild
(63) Paid employee
Other parent
(42) [fill TEMP4+]
(43) [fill TEMP5+]
Biological child
(65) Other non-relative
Stepchild
(50) [fill TEMP6+]-in-law
Step & adopted child
(51) [fill TEMP7+]-in-law
Adopted child
(52) [fill TEMP8+]-in-law
Foster child
Other child
(55) Other relative
@
Wednesday, July 23, 2008
Page 49 of 58
Survey:
Section: HOUSEHOLD RELATIONSHIPS
Mark One Only
(1)
(2)
(10)
(11)
(12)
(13)
(14)
(15)
(20)
(21)
(22)
(23)
(24)
(25)
(10)
(11)
(12)
(13)
(14)
(15)
(20)
(21)
(22)
(23)
(24)
(25)
RELAT15
SHOW FLASHCARD V
What is the EXACT relationship of [fill TEMP+]
to [fill TEMPNAME]?
[fill TEMP+] is [fill PTEMPNAME]...?
Spouse
(30) Biological [fill TEMP3+]
Unmarried partner
(31) Half [fill TEMP3+]
(32) Step [fill TEMP3+]
Biological parent
(33) Adopted [fill TEMP3+]
Stepparent
(34) Other [fill TEMP3+]
Step & adoptive parent
(61) Room/housemate
Adoptive parent
(40) Grandparent
(62) Roomer/boarder
Foster parent
(41) Grandchild
(63) Paid employee
Other parent
(42) [fill TEMP4+]
(43) [fill TEMP5+]
Biological child
(65) Other non-relative
Stepchild
(50) [fill TEMP6+]-in-law
Step & adopted child
(51) [fill TEMP7+]-in-law
Adopted child
(52) [fill TEMP8+]-in-law
Foster child
Other child
(55) Other relative
@
Mark One Only
(1)
(2)
Items Booklet
RELAT16
SHOW FLASHCARD V
What is the EXACT relationship of [fill TEMP+]
to [fill TEMPNAME]?
[fill TEMP+] is [fill PTEMPNAME]...?
Spouse
(30) Biological [fill TEMP3+]
Unmarried partner
(31) Half [fill TEMP3+]
(32) Step [fill TEMP3+]
Biological parent
(33) Adopted [fill TEMP3+]
Stepparent
(34) Other [fill TEMP3+]
Step & adoptive parent
(61) Room/housemate
Adoptive parent
(40) Grandparent
(62) Roomer/boarder
Foster parent
(41) Grandchild
(63) Paid employee
Other parent
(42) [fill TEMP4+]
(43) [fill TEMP5+]
Biological child
(65) Other non-relative
Stepchild
(50) [fill TEMP6+]-in-law
Step & adopted child
(51) [fill TEMP7+]-in-law
Adopted child
(52) [fill TEMP8+]-in-law
Foster child
Other child
(55) Other relative
@
Page 50 of 58
Wednesday, July 23, 2008
Items Booklet
Survey:
Section: HOUSEHOLD RELATIONSHIPS
Mark One Only
(1)
(2)
(10)
(11)
(12)
(13)
(14)
(15)
(20)
(21)
(22)
(23)
(24)
(25)
SHOW FLASHCARD V
What is the EXACT relationship of [fill TEMP+]
to [fill TEMPNAME]?
[fill TEMP+] is [fill PTEMPNAME]...?
Spouse
(30) Biological [fill TEMP3+]
Unmarried partner
(31) Half [fill TEMP3+]
(32) Step [fill TEMP3+]
Biological parent
(33) Adopted [fill TEMP3+]
Stepparent
(34) Other [fill TEMP3+]
Step & adoptive parent
(61) Room/housemate
Adoptive parent
(40) Grandparent
(62) Roomer/boarder
Foster parent
(41) Grandchild
(63) Paid employee
Other parent
(42) [fill TEMP4+]
(43) [fill TEMP5+]
Biological child
(65) Other non-relative
Stepchild
(50) [fill TEMP6+]-in-law
Step & adopted child
(51) [fill TEMP7+]-in-law
Adopted child
(52) [fill TEMP8+]-in-law
Foster child
Other child
(55) Other relative
@
Mark One Only
(1)
(2)
(10)
(11)
(12)
(13)
(14)
(15)
(20)
(21)
(22)
(23)
(24)
(25)
RELAT17
RELAT18
SHOW FLASHCARD V
What is the EXACT relationship of [fill TEMP+]
to [fill TEMPNAME]?
[fill TEMP+] is [fill PTEMPNAME]...?
Spouse
(30) Biological [fill TEMP3+]
Unmarried partner
(31) Half [fill TEMP3+]
(32) Step [fill TEMP3+]
Biological parent
(33) Adopted [fill TEMP3+]
Stepparent
(34) Other [fill TEMP3+]
Step & adoptive parent
(61) Room/housemate
Adoptive parent
(40) Grandparent
(62) Roomer/boarder
Foster parent
(41) Grandchild
(63) Paid employee
Other parent
(42) [fill TEMP4+]
(43) [fill TEMP5+]
Biological child
(65) Other non-relative
Stepchild
(50) [fill TEMP6+]-in-law
Step & adopted child
(51) [fill TEMP7+]-in-law
Adopted child
(52) [fill TEMP8+]-in-law
Foster child
Other child
(55) Other relative
@
Wednesday, July 23, 2008
Page 51 of 58
Survey:
Section: HOUSEHOLD RELATIONSHIPS
Mark One Only
(1)
(2)
(10)
(11)
(12)
(13)
(14)
(15)
(20)
(21)
(22)
(23)
(24)
(25)
(10)
(11)
(12)
(13)
(14)
(15)
(20)
(21)
(22)
(23)
(24)
(25)
RELAT19
SHOW FLASHCARD V
What is the EXACT relationship of [fill TEMP+]
to [fill TEMPNAME]?
[fill TEMP+] is [fill PTEMPNAME]...?
Spouse
(30) Biological [fill TEMP3+]
Unmarried partner
(31) Half [fill TEMP3+]
(32) Step [fill TEMP3+]
Biological parent
(33) Adopted [fill TEMP3+]
Stepparent
(34) Other [fill TEMP3+]
Step & adoptive parent
(61) Room/housemate
Adoptive parent
(40) Grandparent
(62) Roomer/boarder
Foster parent
(41) Grandchild
(63) Paid employee
Other parent
(42) [fill TEMP4+]
(43) [fill TEMP5+]
Biological child
(65) Other non-relative
Stepchild
(50) [fill TEMP6+]-in-law
Step & adopted child
(51) [fill TEMP7+]-in-law
Adopted child
(52) [fill TEMP8+]-in-law
Foster child
Other child
(55) Other relative
@
Mark One Only
(1)
(2)
Items Booklet
RELAT20
SHOW FLASHCARD V
What is the EXACT relationship of [fill TEMP+]
to [fill TEMPNAME]?
[fill TEMP+] is [fill PTEMPNAME]...?
Spouse
(30) Biological [fill TEMP3+]
Unmarried partner
(31) Half [fill TEMP3+]
(32) Step [fill TEMP3+]
Biological parent
(33) Adopted [fill TEMP3+]
Stepparent
(34) Other [fill TEMP3+]
Step & adoptive parent
(61) Room/housemate
Adoptive parent
(40) Grandparent
(62) Roomer/boarder
Foster parent
(41) Grandchild
(63) Paid employee
Other parent
(42) [fill TEMP4+]
(43) [fill TEMP5+]
Biological child
(65) Other non-relative
Stepchild
(50) [fill TEMP6+]-in-law
Step & adopted child
(51) [fill TEMP7+]-in-law
Adopted child
(52) [fill TEMP8+]-in-law
Foster child
Other child
(55) Other relative
@
Page 52 of 58
Wednesday, July 23, 2008
Items Booklet
Survey:
Section: HOUSEHOLD RELATIONSHIPS
Mark One Only
(1)
(2)
(10)
(11)
(12)
(13)
(14)
(15)
(20)
(21)
(22)
(23)
(24)
(25)
SHOW FLASHCARD V
What is the EXACT relationship of [fill TEMP+]
to [fill TEMPNAME]?
[fill TEMP+] is [fill PTEMPNAME]...?
Spouse
(30) Biological [fill TEMP3+]
Unmarried partner
(31) Half [fill TEMP3+]
(32) Step [fill TEMP3+]
Biological parent
(33) Adopted [fill TEMP3+]
Stepparent
(34) Other [fill TEMP3+]
Step & adoptive parent
(61) Room/housemate
Adoptive parent
(40) Grandparent
(62) Roomer/boarder
Foster parent
(41) Grandchild
(63) Paid employee
Other parent
(42) [fill TEMP4+]
(43) [fill TEMP5+]
Biological child
(65) Other non-relative
Stepchild
(50) [fill TEMP6+]-in-law
Step & adopted child
(51) [fill TEMP7+]-in-law
Adopted child
(52) [fill TEMP8+]-in-law
Foster child
Other child
(55) Other relative
@
Mark One Only
(1)
(2)
(10)
(11)
(12)
(13)
(14)
(15)
(20)
(21)
(22)
(23)
(24)
(25)
RELAT21
RELAT22
SHOW FLASHCARD V
What is the EXACT relationship of [fill TEMP+]
to [fill TEMPNAME]?
[fill TEMP+] is [fill PTEMPNAME]...?
Spouse
(30) Biological [fill TEMP3+]
Unmarried partner
(31) Half [fill TEMP3+]
(32) Step [fill TEMP3+]
Biological parent
(33) Adopted [fill TEMP3+]
Stepparent
(34) Other [fill TEMP3+]
Step & adoptive parent
(61) Room/housemate
Adoptive parent
(40) Grandparent
(62) Roomer/boarder
Foster parent
(41) Grandchild
(63) Paid employee
Other parent
(42) [fill TEMP4+]
(43) [fill TEMP5+]
Biological child
(65) Other non-relative
Stepchild
(50) [fill TEMP6+]-in-law
Step & adopted child
(51) [fill TEMP7+]-in-law
Adopted child
(52) [fill TEMP8+]-in-law
Foster child
Other child
(55) Other relative
@
Wednesday, July 23, 2008
Page 53 of 58
Survey:
Section: HOUSEHOLD RELATIONSHIPS
Mark One Only
(1)
(2)
(10)
(11)
(12)
(13)
(14)
(15)
(20)
(21)
(22)
(23)
(24)
(25)
(10)
(11)
(12)
(13)
(14)
(15)
(20)
(21)
(22)
(23)
(24)
(25)
RELAT23
SHOW FLASHCARD V
What is the EXACT relationship of [fill TEMP+]
to [fill TEMPNAME]?
[fill TEMP+] is [fill PTEMPNAME]...?
Spouse
(30) Biological [fill TEMP3+]
Unmarried partner
(31) Half [fill TEMP3+]
(32) Step [fill TEMP3+]
Biological parent
(33) Adopted [fill TEMP3+]
Stepparent
(34) Other [fill TEMP3+]
Step & adoptive parent
(61) Room/housemate
Adoptive parent
(40) Grandparent
(62) Roomer/boarder
Foster parent
(41) Grandchild
(63) Paid employee
Other parent
(42) [fill TEMP4+]
(43) [fill TEMP5+]
Biological child
(65) Other non-relative
Stepchild
(50) [fill TEMP6+]-in-law
Step & adopted child
(51) [fill TEMP7+]-in-law
Adopted child
(52) [fill TEMP8+]-in-law
Foster child
Other child
(55) Other relative
@
Mark One Only
(1)
(2)
Items Booklet
RELAT24
SHOW FLASHCARD V
What is the EXACT relationship of [fill TEMP+]
to [fill TEMPNAME]?
[fill TEMP+] is [fill PTEMPNAME]...?
Spouse
(30) Biological [fill TEMP3+]
Unmarried partner
(31) Half [fill TEMP3+]
(32) Step [fill TEMP3+]
Biological parent
(33) Adopted [fill TEMP3+]
Stepparent
(34) Other [fill TEMP3+]
Step & adoptive parent
(61) Room/housemate
Adoptive parent
(40) Grandparent
(62) Roomer/boarder
Foster parent
(41) Grandchild
(63) Paid employee
Other parent
(42) [fill TEMP4+]
(43) [fill TEMP5+]
Biological child
(65) Other non-relative
Stepchild
(50) [fill TEMP6+]-in-law
Step & adopted child
(51) [fill TEMP7+]-in-law
Adopted child
(52) [fill TEMP8+]-in-law
Foster child
Other child
(55) Other relative
@
Page 54 of 58
Wednesday, July 23, 2008
Items Booklet
Survey:
Section: HOUSEHOLD RELATIONSHIPS
Mark One Only
(1)
(2)
(10)
(11)
(12)
(13)
(14)
(15)
(20)
(21)
(22)
(23)
(24)
(25)
SHOW FLASHCARD V
What is the EXACT relationship of [fill TEMP+]
to [fill TEMPNAME]?
[fill TEMP+] is [fill PTEMPNAME]...?
Spouse
(30) Biological [fill TEMP3+]
Unmarried partner
(31) Half [fill TEMP3+]
(32) Step [fill TEMP3+]
Biological parent
(33) Adopted [fill TEMP3+]
Stepparent
(34) Other [fill TEMP3+]
Step & adoptive parent
(61) Room/housemate
Adoptive parent
(40) Grandparent
(62) Roomer/boarder
Foster parent
(41) Grandchild
(63) Paid employee
Other parent
(42) [fill TEMP4+]
(43) [fill TEMP5+]
Biological child
(65) Other non-relative
Stepchild
(50) [fill TEMP6+]-in-law
Step & adopted child
(51) [fill TEMP7+]-in-law
Adopted child
(52) [fill TEMP8+]-in-law
Foster child
Other child
(55) Other relative
@
Mark One Only
(1)
(2)
(10)
(11)
(12)
(13)
(14)
(15)
(20)
(21)
(22)
(23)
(24)
(25)
RELAT25
RELAT26
SHOW FLASHCARD V
What is the EXACT relationship of [fill TEMP+]
to [fill TEMPNAME]?
[fill TEMP+] is [fill PTEMPNAME]...?
Spouse
(30) Biological [fill TEMP3+]
Unmarried partner
(31) Half [fill TEMP3+]
(32) Step [fill TEMP3+]
Biological parent
(33) Adopted [fill TEMP3+]
Stepparent
(34) Other [fill TEMP3+]
Step & adoptive parent
(61) Room/housemate
Adoptive parent
(40) Grandparent
(62) Roomer/boarder
Foster parent
(41) Grandchild
(63) Paid employee
Other parent
(42) [fill TEMP4+]
(43) [fill TEMP5+]
Biological child
(65) Other non-relative
Stepchild
(50) [fill TEMP6+]-in-law
Step & adopted child
(51) [fill TEMP7+]-in-law
Adopted child
(52) [fill TEMP8+]-in-law
Foster child
Other child
(55) Other relative
@
Wednesday, July 23, 2008
Page 55 of 58
Survey:
Section: HOUSEHOLD RELATIONSHIPS
Mark One Only
(1)
(2)
(10)
(11)
(12)
(13)
(14)
(15)
(20)
(21)
(22)
(23)
(24)
(25)
(10)
(11)
(12)
(13)
(14)
(15)
(20)
(21)
(22)
(23)
(24)
(25)
RELAT27
SHOW FLASHCARD V
What is the EXACT relationship of [fill TEMP+]
to [fill TEMPNAME]?
[fill TEMP+] is [fill PTEMPNAME]...?
Spouse
(30) Biological [fill TEMP3+]
Unmarried partner
(31) Half [fill TEMP3+]
(32) Step [fill TEMP3+]
Biological parent
(33) Adopted [fill TEMP3+]
Stepparent
(34) Other [fill TEMP3+]
Step & adoptive parent
(61) Room/housemate
Adoptive parent
(40) Grandparent
(62) Roomer/boarder
Foster parent
(41) Grandchild
(63) Paid employee
Other parent
(42) [fill TEMP4+]
(43) [fill TEMP5+]
Biological child
(65) Other non-relative
Stepchild
(50) [fill TEMP6+]-in-law
Step & adopted child
(51) [fill TEMP7+]-in-law
Adopted child
(52) [fill TEMP8+]-in-law
Foster child
Other child
(55) Other relative
@
Mark One Only
(1)
(2)
Items Booklet
RELAT28
SHOW FLASHCARD V
What is the EXACT relationship of [fill TEMP+]
to [fill TEMPNAME]?
[fill TEMP+] is [fill PTEMPNAME]...?
Spouse
(30) Biological [fill TEMP3+]
Unmarried partner
(31) Half [fill TEMP3+]
(32) Step [fill TEMP3+]
Biological parent
(33) Adopted [fill TEMP3+]
Stepparent
(34) Other [fill TEMP3+]
Step & adoptive parent
(61) Room/housemate
Adoptive parent
(40) Grandparent
(62) Roomer/boarder
Foster parent
(41) Grandchild
(63) Paid employee
Other parent
(42) [fill TEMP4+]
(43) [fill TEMP5+]
Biological child
(65) Other non-relative
Stepchild
(50) [fill TEMP6+]-in-law
Step & adopted child
(51) [fill TEMP7+]-in-law
Adopted child
(52) [fill TEMP8+]-in-law
Foster child
Other child
(55) Other relative
@
Page 56 of 58
Wednesday, July 23, 2008
Items Booklet
Survey:
Section: HOUSEHOLD RELATIONSHIPS
Mark One Only
(1)
(2)
(10)
(11)
(12)
(13)
(14)
(15)
(20)
(21)
(22)
(23)
(24)
(25)
SHOW FLASHCARD V
What is the EXACT relationship of [fill TEMP+]
to [fill TEMPNAME]?
[fill TEMP+] is [fill PTEMPNAME]...?
Spouse
(30) Biological [fill TEMP3+]
Unmarried partner
(31) Half [fill TEMP3+]
(32) Step [fill TEMP3+]
Biological parent
(33) Adopted [fill TEMP3+]
Stepparent
(34) Other [fill TEMP3+]
Step & adoptive parent
(61) Room/housemate
Adoptive parent
(40) Grandparent
(62) Roomer/boarder
Foster parent
(41) Grandchild
(63) Paid employee
Other parent
(42) [fill TEMP4+]
(43) [fill TEMP5+]
Biological child
(65) Other non-relative
Stepchild
(50) [fill TEMP6+]-in-law
Step & adopted child
(51) [fill TEMP7+]-in-law
Adopted child
(52) [fill TEMP8+]-in-law
Foster child
Other child
(55) Other relative
@
Mark One Only
(1)
(2)
(10)
(11)
(12)
(13)
(14)
(15)
(20)
(21)
(22)
(23)
(24)
(25)
RELAT29
RELAT30
SHOW FLASHCARD V
What is the EXACT relationship of [fill TEMP+]
to [fill TEMPNAME]?
[fill TEMP+] is [fill PTEMPNAME]...?
Spouse
(30) Biological [fill TEMP3+]
Unmarried partner
(31) Half [fill TEMP3+]
(32) Step [fill TEMP3+]
Biological parent
(33) Adopted [fill TEMP3+]
Stepparent
(34) Other [fill TEMP3+]
Step & adoptive parent
(61) Room/housemate
Adoptive parent
(40) Grandparent
(62) Roomer/boarder
Foster parent
(41) Grandchild
(63) Paid employee
Other parent
(42) [fill TEMP4+]
(43) [fill TEMP5+]
Biological child
(65) Other non-relative
Stepchild
(50) [fill TEMP6+]-in-law
Step & adopted child
(51) [fill TEMP7+]-in-law
Adopted child
(52) [fill TEMP8+]-in-law
Foster child
Other child
(55) Other relative
@
Wednesday, July 23, 2008
Page 57 of 58
Survey:
Section: TAX REBATE
Items Booklet
TAXREB01
Mark One Only
Last year the Federal government approved an economic stimulus
package. Last year, many households received a one-time economic
stimulus payment, either by check or direct deposit. This is also
called a tax rebate and is different from a refund on your annual
income taxes. Since the first of April, 2008, [fill HAVHAS] [fill TEMPNAME]
received a tax rebate (Economic Stimulus Payment)?
(1) Yes
(2) No
@
Multiple Entry
TAXREB02
Who was the rebate for?
ENTER "N" FOR NO MORE
RE-ENTER LINE NUMBER TO DELETE
List of household members.
@KEY
[fill TEMP3]
Multiple Entry
TAXREB03
In what month did [fill TEMPNAME] receive the rebate?
MONTH: @
Enter Number
TAXREB04
What was the amount of the rebate?
$@
Mark One Only
TAXREB05
Was the rebate received by . . .
(1)
(2)
Check?
Direct deposit?
@
Mark One Only
TAXREB06
Did the rebate lead [fill TEMPNAME] mostly to increase spending,
mostly to increase savings, mostly to pay off debt?
(1)
(2)
(3)
Mostly to increase spending
Mostly to increase saving
Mostly to pay off debt
@
Page 58 of 58
Wednesday, July 23, 2008
Items Booklet Index for
Alphabetical index for the Items Booklet
Object Name
Page
A
Object Name
Page
D
ADJUST
ADVNCFLD
ADVNCOTH
ADVNCYR
ADYEAR
39
6
6
6
39
DATE0
DATE1
DATE2
DATECHK
DATEFX3
23
24
24
40
12
AFBFELV
AFBJBSIT
AFBWRK
AFBWRKBG
AFBWRKEM
AFBWRKFT
AFBWRKHR
AFBWRKPS
AFBWRKPY
AFBWRKSE
34
32
33
33
33
33
33
34
34
34
DATEFX4
DATEFX5
DATEFX6
DATEFX7
DATEFX8
DATEFX9
DATER
DIFCTR
DIVYR1
DIVYR2
13
13
13
14
14
14
25
37
24
25
AGECHK1
AGECHK2
AGECHK3
AGECHK4
AGECHK5
AGECHK6
ALLCOND
ASSOCFLD
ASSOCOTH
6
7
8
9
10
11
2
8
9
DIVYRR
25
B
BACHFLD
BACHOTH
BACHYR
BCNTRY
BFBCNTWK
BFBPRGFT
BFBSTSIT
BFBWKPRG
BFBWRKST
BRSTATE
9
9
6
38
31
31
32
31
31
38
C
CHK01
CHK02
CHK03
CHK04
CITIZEN1
COLLSTRT
CONFIRM1
CONTENRL
COURSES
7
10
10
11
38
9
22
11
15
E
EDDATES
ERRMSG
12
1
F
FBBIRTH
FBCORBY
FBLIVNOW
FBLIVOTH
28
29
29
29
FBNEWBY
FBVERBY
FRCHK
FRCHL
FRINHH
FRVER
FXADVYR
FXBACHYR
FXCOLLST
FXHSYR
FXLAST
30
29
27
27
27
27
7
7
11
11
10
FXPSYR
FXSTART
10
10
G
GED_B
GRNDPR
12
34
H
H_BCNTRY
H_BCNTRY2
H_BCNTRY3
41
41
42
Index 1
#Error
Date Printed: 7/23/2008
Object Name
H_DIFCTR
H_DIFCTR2
H_DIFCTR3
HSYR
Page
40
40
41
11
I
NOWOCC
NOWSAME
NUMTRN1
NUMTRN2
NWATRN1
NWBTRN1
NWTRN2
IMSTAT
INMOYR
INTRN1
39
37
16
INTRN2
19
OTHTRN1
OTHTRN2
17
18
20
P
J
JOBATRN1
JOBBTRN1
JOBTRN2
L
LASTCOLL
LASTSCHL
LBBIRTH
9
12
29
LBCORBY
LBLIVNOW
LBLIVOTH
LBVERBY
LCTNOTH1
LCTNOTH2
LCTNTRN1
LCTNTRN2A
LMTEMP
LMTVER
30
30
30
30
17
20
17
20
1
1
LMTWHEN
1
M
MHIST
MNCAUS
MNCOND
MNCONDOTH
MNLOC
MOMCHK
MOMCHL
MOMLIVHH
26
3
3
3
4
28
28
28
MOMVER
MOVEMOYR
MOVEST
MOVEUS
MSCHK
MVAGE
28
36
37
39
22
23
N
Index 2
Object Name
NATCIT1
NOMOVE
39
36
NOWFPT
5
Page
5
5
16
18
18
18
21
O
17
19
PRERRMSG
PREVBEG
PREVBEGPROB
PREVTEN
PREVWK
PROGRAM
PSYR
4
4
5
37
4
15
7
PUBHS
15
R
RCVTRN1
RCVTRN10
RCVTRN2
RELAT1
RELAT10
RELAT11
RELAT12
15
21
18
43
47
48
48
RELAT13
RELAT14
RELAT15
RELAT16
RELAT17
RELAT18
RELAT19
RELAT2
RELAT20
RELAT21
49
49
50
50
51
51
52
43
52
53
RELAT22
RELAT23
RELAT24
RELAT25
RELAT26
RELAT27
RELAT28
RELAT29
RELAT3
RELAT30
RELAT4
53
54
54
55
55
56
56
57
44
57
44
Date Printed: 7/23/2008
Object Name
RELAT5
RELAT6
RELAT7
RELAT8
RELAT9
RMAGE
RMAGE1
RMDAT
RMDAT1
#Error
Page
45
45
46
46
47
23
23
23
24
Object Name
Page
X
XMAR
23
S
SAMCTY
SAMSTATE
STATE
STOP1
STOP2
STOPR1
STOPR2
37
36
36
24
25
26
26
T
TAXREB01
TAXREB02
TAXREB03
TAXREB04
TAXREB05
TAXREB06
TMMS
TMSP
TRN1TIME
TRN2TIME
58
58
58
58
58
58
22
22
16
19
TYPEOTH2
TYPETRN1
TYPETRN2
20
17
20
V
VOCFLD
VOCOTH
8
8
W
WEEKT1
WEEKT2
16
19
WHOTRN1
WHOTRN2
WIDIV1
WIDIV2
WIDYR1
WIDYR2
WIDYRR
WKBLMT
WKBLMTPROB
WKERRMSG
16
19
24
25
24
25
25
1
2
2
Index 3
| File Type | application/pdf |
| File Title | N:\SIPP96\ItemsBklt\2008 Panel\Wave 2\TitlePage.wpd |
| Author | coate302 |
| File Modified | 2008-08-12 |
| File Created | 2008-08-12 |