Form Redesigned SIPP In Redesigned SIPP In Redesigned SIPP Instrument for 2010 Dress Rehearsal

2010 Dress Rehearsal of the Re-engineered Survey of Income and Program Participation

Re-SIPP Dress Rehearsal Instrument (Attachment A)

2010 Dress Rehearsal of the Re-engineered Survey of Income and Program Participation

OMB: 0607-0957

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Re-SIPP

Survey Component Design

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

• Annual Survey

• Calendar component to improve 12-month recall

• Three-year panel

• Reduced and streamlined content – focused on SIPP Core concepts









































CENSUS CATI/CAPI SYSTEM                                                     ^VERDATE
                                                                                                       ^VERSION

                                         Re-engineered SIPP

RE-ENGINEERED SURVEY OF INCOME AND PROGRAM PARTICIPATION

        
                                   ^I_PANEL                  ^WAVE
                                             
PSU:  ^I_PSU

DATE IS: ^DATE
TIME IS: ^TIME                           


CASE STATUS IS: ^CSTATUS
INTERVIEW MODE: ^I_NXTINTFLG
APPOINTMENT:  ^CALLBACK
INCENTIVE:  ^I_INCTV






1.

Proceed - Personal interview

2.

Telephone interview

3.

Set appointment for visit or callback

4.

Quit - Do not attempt now

5.

Ready to transmit, no more follow-up needed



CTRLNUM



**NON-DISPLAYED ITEM**





DIAL



 Dial this number:  (^I_AREA) ^I_PREFIX - ^I_SUFFIX ^I_EXTN

 Secondary number:  (^SAREA) ^SPREFIX - ^SSUFFIX ^SEXTN

^HHLDCOMP





1.

Someone answers - BEGIN INTERVIEW

2.

Someone answers - SET APPOINTMENT

3.

No contact - answering machine/busy/no answer

4.

New telephone number or telephone disconnected

5.

Not attempted now



HHAPPT1



^INTRO_HHAPPT1

^HHRESP_FIL

 
STREET ADDRESS:  ^I_HNO ^I_HNOSUF ^I_STRNAME

 TELEPHONE NUMBER:  (^I_AREA) ^I_PREFIX - ^I_SUFFIX ^I_EXTN

Is there a convenient time I can contact your household to complete this interview?

^HHLDCOMP





1.

YES - Set appointment for interview

2.

No - Cannot set up appointment

3.

Need to contact Directory Assistance

4.

All sample persons moved to a new address

5.

Conduct interview NOW



CTRLNUM



**NON-DISPLAYED ITEM**





DASSIST_AREA



 Call Directory Assistance in your area, if necessary, to obtain the correct telephone number for this household.

 CURRENT TELEPHONE NUMBER:  (^I_AREA) ^I_PREFIX - ^I_SUFFIX ^I_EXTN


What is the new telephone number for the ^REFPER_DASSIST household?

 Enter new area code.

 
Enter 000 if the household does not have a telephone.

Display the household address as follows:
^I_HNO ^I_HNOSUF ^I_STRNAME
^I_UNITDES
^I_NONCITYADD
^I_PHYSDES
^I_PO, ^I_ST  ^I_ZIP5-^I_ZIP4
^I_BLDGNAME





DASSIST_PREFIX



 Call Directory Assistance in your area, if necessary, to obtain the correct telephone number for this household.

 CURRENT TELEPHONE NUMBER:  (^I_AREA) ^I_PREFIX - ^I_SUFFIX ^I_EXTN


(What is the new telephone number for the ^REFPER_DASSIST household?

 Enter new prefix.

Display the household address as follows:
^I_HNO ^I_HNOSUF ^I_STRNAME
^I_UNITDES
^I_NONCITYADD
^I_PHYSDES
^I_PO, ^I_ST  ^I_ZIP5-^I_ZIP4
^I_BLDGNAME





DASSIST_SUFFIX



 Call Directory Assistance in your area, if necessary, to obtain the correct telephone number for this household.

 CURRENT TELEPHONE NUMBER:  (^I_AREA) ^I_PREFIX - ^I_SUFFIX ^I_EXTN


(What is the new telephone number for the ^REFPER_DASSIST household?

 Enter new suffix.

Display the household address as follows:
^I_HNO ^I_HNOSUF ^I_STRNAME
^I_UNITDES
^I_NONCITYADD
^I_PHYSDES
^I_PO, ^I_ST  ^I_ZIP5-^I_ZIP4
^I_BLDGNAME





DASSIST_EXTN



 Call Directory Assistance in your area, if necessary, to obtain the correct telephone number for this household.

 CURRENT TELEPHONE NUMBER:  ^I_AREA  ^I_PREFIX - ^I_SUFFIX   ^I_EXTN

(What is the new telephone number for the ^REFPER_DASSIST household?

 Enter new extension (if applicable).

Display the household address as follows:
^I_HNO ^I_HNOSUF ^I_STRNAME
^I_UNITDES
^I_NONCITYADD
^I_PHYSDES
^I_PO, ^I_ST  ^I_ZIP5-^I_ZIP4
^I_BLDGNAME





HHAPPT2



When would be a convenient time to conduct an interview with your household?





CTRLNUM



**NON-DISPLAYED ITEM**





HHAPPT3



Before I go, let me verify some information.  Is your address still  Read address:

ADDRESS:
^I_HNO ^I_HNOSUF ^I_STRNAME
^I_UNITDES
^I_NONCITYADD
^I_PHYSDES
^I_PO, ^I_ST  ^I_ZIP5 - ^I_ZIP4
^I_BLDGNAME





1.

Yes

2.

No

3.

Address correction -- household did not move

4.

End interview



HHAPPT4_HNO



? [F1]

 Enter the correct House Number or press ENTER for Same.





HHAPPT4_HNOSUF



? [F1]

 Enter the correct House Number Suffix or press ENTER for Same.





HHAPPT4_STRNAME



? [F1]

 Enter the correct Street Name or press ENTER for Same.





HHAPPT4_UNITDES



? [F1]

 Enter the correct Unit Designation or press ENTER for Same.





HHAPPT4_NONCITYADD



? [F1]

 Enter the correct Non-City Style Address or press ENTER for Same.





HHAPPT4_PHYSDES



? [F1]

 Enter the correct Physical Description or press ENTER for Same.





HHAPPT4_PO



? [F1]

 Enter the correct Locality or press ENTER for Same.





HHAPPT4_ST



? [F1]

 Enter the correct State Abbreviation or press ENTER for Same.





AL.

Alabama

AK.

Alaska

AZ.

Arizona

AR.

Arkansas

CA.

California

CO.

Colorado

CT.

Conneticut

DC.

District of Columbia

DE.

Deleware

FL.

Flordia

HI.

Hawaii

ID.

Idaho

IL.

Illinois

IN.

Indiana

IA.

Iowa

KS.

Kansas

KY.

Kentuck

LA.

Louisana

ME.

Maine

MD.

Maryland

MA.

Massachusetts

MI.

Michigan

MN.

Minnesota

MS.

Mississippi

MO.

Missouri

MT.

Montana

NE.

Nebraska

NV.

Nevada

NH.

New Hampshire

NJ.

New Jersey

NM.

New Mexico

NY.

New York

NC.

North Carolina

ND.

North Dakota

OH.

Ohio

OK.

Oklahoma

OR.

Oregon

PA.

Pennsylvania

RI.

Rhode Island

SC.

South Carolina

SD.

South Dakota

TN.

Tennessee

TX.

Texas

UT.

Utah

VT.

Vermont

VA.

Virginia

WA.

Washington

WV.

West Virginia

WI.

Wisconsin

WY.

Wyoming



HHAPPT4_ZIP5



? [F1]

 Enter the correct Zip Code or press ENTER for Same.





HHAPPT4_ZIP4



? [F1]

 Enter the correct 4-Digit Zip Code or press ENTER for Same.





HHAPPT4_BLDGNAME



? [F1]

 Enter the correct Building Name or press ENTER for Same.





HHAPPT5



I have listed  Read names as living in this household.  Are all of these people still living here?

Display the ROST_FNAME, ROST_MNAME, ROST_LNAME, RELRP, AGE, and MARITAL_STATUS of all people who were listed on final household roster for the previous wave





1.

Yes

2.

No

3.

End interview



HHAPPT99



Thank you for your assistance.  I will visit your household ^CALLBACK.

 This household has persons who have moved since the last interview.  You may wish to review procedures for movers before this interview.  Remember to deal with mover cases early in the month, so that you have sufficient time to locate and interview the people who moved.

 Enter 1 to continue.





1.

Enter 1 to continue



INTRO_D



^NAMEFIL_INTROD
Some of the questions have already been answered.  Let me see where we should begin.

 Press END to go to the first unanswered question.





1.

Enter 1 to continue



INTRO



Hello.  I'm ... from the United States Census Bureau.  Here is my identification card  Show ID card.  We are conducting a survey on the economic situation of people who live in the United States.  I have some questions to ask you.

 
 Ask the respondent if he/she received the advanced letter.  If no, give or read the letter to the respondent (depending on the type of interview) before proceeding.





1.

Inconvenient time - try again later

2.

Reluctant respondent - hold for refusal follow-up

3.

Noninterview

4.

Proceed

5.

Contacted incorrect household - END INTERVIEW



NONINTERVIEW



 What type of noninterview - Type A, Type B, Type C, or Type D?





1.

Type A noninterview

2.

Type B noninterview

3.

Type C noninterview

4.

Type D noninterview



TYPE_A



 Enter Type A noninterview code.





1.

No one home

2.

Temporarily absent

3.

Refused

4.

Unable to locate

5.

Language problem

6.

Other Type A



TYPEA__SP



 Specify the kind of 'other' Type A noninterview.





TYPE_B



 Enter Type B noninterview code.





1.

Vacant regular (REG)

2.

Vacant - storage of household furniture

3.

Unfit or to be demolished

4.

Under construction, not ready

5.

Converted to temporary business or storage

6.

Unoccupied tent or trailer site

7.

Permit granted, construction not started

8.

Temporarily occupied by persons with URE

9.

Occupied by persons under 15 years of age

10.

ENTIRE household institutionalized

11.

Other Type B



TYPEB__SP



 Specify the kind of 'other' Type B noninterview.





TYPE_C



 Enter Type C noninterview code.





1.

Demolished

2.

House or trailer moved

3.

Address outside segment

4.

Converted to permanent business or storage

5.

Merged

6.

Condemned

7.

Unused Serial number/Listing sheet line

8.

Removed during subsampling

9.

Unit already had a chance of selection

10.

ENTIRE household deceased

11.

ENTIRE household moved out of the county

12.

ENTIRE household on active duty in the Armed Forces

13.

ENTIRE household moved to known address OUTSIDE of FR's area

14.

ENTIRE household moved to known address WITHIN FR's area

15.

ENTIRE household moved to unknown address

16.

ENTIRE household merged with another Re-engineered SIPP household

17.

ENTIRE household moved and split into several new Re-engineered SIPP households

18.

ENTIRE household moved - further work needed to obtain address

19.

Other Type C



TYPEC_SP



 Specify the kind of 'other' Type C noninterview.





TYPE_D



 Enter Type D noninterview code.





1.

ENTIRE household moved, address unknown

2.

ENTIRE household moved with US; RO determined case is outside Re-engineered SIPP limits



CTRLNUM



**NON-DISPLAYED ITEM**





NI_RACE



 Enter your best guess as to the Race of the reference person.

 Enter all that apply.





1.

White

2.

Black/African American

3.

American Indian or Alaska Native

4.

Asian

5.

Native Hawaiian or Other Pacific Islander

6.

Other



NI_SEX



 Enter your best guess as to the sex of the reference person.

^ENTERFIL





1.

Male

2.

Female



NI_SIZE



 Ask or verify with some knowledgeable individual.

Enter your best guess as to the total number of people in the household.  Count all children and adults.

^ENTERFIL





NI_TENURE



 Ask or verify with a knowledgeable individual, or enter your best guess.

Are the living quarters --





1.

Owned or being bought by you or someone in your household?

2.

Rented?

3.

Occupied without payment of rent?



TYPEA_DISCUSS



 You must discuss this case with your supervisor before transmitting it as a Type A noninterview.





1.

Enter 1 to continue



CTRLNUM



**NON-DISPLAYED ITEM**





MOVER_ADR



 Ask or verify.

Can you give me the new address and/or telephone number of the individuals who lived in this household?





1.

Yes

2.

No - address and/or telephone number not available yet



MOVER_HNO



 If any part of the address is unknown or blank, press ENTER to leave those fields blank.

What is the new address and/or telephone number for these persons?

 Enter new house number.





MOVER_HNOSUF



 If any part of the address is unknown or blank, press ENTER to leave those fields blank.

(What is the new address and/or telephone number for these persons?)

 Enter new house number suffix.





MOVER_STRNAME



 If any part of the address is unknown or blank, press ENTER to leave those fields blank.

(What is the new address and/or telephone number for these persons?)

 Enter new street name.





MOVER_UNITDES



 If any part of the address is unknown or blank, press ENTER to leave those fields blank.

(What is the new address and/or telephone number for these persons?)

 Enter new unit designation.





MOVER_PO



 If any part of the address is unknown or blank, press ENTER to leave those fields blank.

(What is the new address and/or telephone number for these persons?)

 Enter new locality.





MOVER_ST



 If any part of the address is unknown or blank, press ENTER to leave those fields blank.

(What is the new address and/or telephone number for these persons?)

 Enter new state abbreviation.





AL.

Alabama

AK.

Alaska

AZ.

Arizona

AR.

Arkansas

CA.

California

CO.

Colorado

CT.

Conneticut

DC.

District of Columbia

DE.

Deleware

FL.

Flordia

HI.

Hawaii

ID.

Idaho

IL.

Illinois

IN.

Indiana

IA.

Iowa

KS.

Kansas

KY.

Kentuck

LA.

Louisana

ME.

Maine

MD.

Maryland

MA.

Massachusetts

MI.

Michigan

MN.

Minnesota

MS.

Mississippi

MO.

Missouri

MT.

Montana

NE.

Nebraska

NV.

Nevada

NH.

New Hampshire

NJ.

New Jersey

NM.

New Mexico

NY.

New York

NC.

North Carolina

ND.

North Dakota

OH.

Ohio

OK.

Oklahoma

OR.

Oregon

PA.

Pennsylvania

RI.

Rhode Island

SC.

South Carolina

SD.

South Dakota

TN.

Tennessee

TX.

Texas

UT.

Utah

VT.

Vermont

VA.

Virginia

WA.

Washington

WV.

West Virginia

WI.

Wisconsin

WY.

Wyoming



MOVER_ZIP5



 If any part of the address is unknown or blank, press ENTER to leave those fields blank.

(What is the new address and/or telephone number for these persons?)

 Enter new zip code.





MOVER_ZIP4



 If any part of the address is unknown or blank, press ENTER to leave those fields blank.

(What is the new address and/or telephone number for these persons?)

 Enter new 4-digit zip code.





MOVER_AREA



 If any part of the address is unknown or blank, press ENTER to leave those fields blank.

(What is the new address and/or telephone number for these persons?)

 Enter new area code.





MOVER_PREFIX



 If any part of the address is unknown or blank, press ENTER to leave those fields blank.

(What is the new address and/or telephone number for these persons?)

 Enter new telephone number prefix.





MOVER_SUFFIX



 If any part of the address is unknown or blank, press ENTER to leave those fields blank.

(What is the new address and/or telephone number for these persons?)

 Enter new telephone number suffix.





MOVER_EXTN



 If any part of the address is unknown or blank, press ENTER to leave those fields blank.

(What is the new address and/or telephone number for these persons?)

 Enter new telephone number extension.





CTRLNUM



**NON-DISPLAYED ITEM**





DATELEFT_MONTH



DATE OF LAST INTERVIEW: ^INTVDATE

When did these persons leave?

 Enter month.





1.

January

2.

February

3.

March

4.

April

5.

May

6.

June

7.

July

8.

August

9.

September

10.

October

11.

November

12.

December



DATELEFT_DAY



DATE OF LAST INTERVIEW:  ^INTVDATE 

(When did these persons leave?)

 Enter day.





REASON_LEFT



Why did these persons leave the household?

 Enter all that apply.





5.

Separation or divorce

6.

Marriage

7.

Become employed/unemployed

8.

Due to job change - other

10.

Other



MAIN_REASON



What is the main reason these persons left the household?





5.

Separation or divorce

6.

Marriage

7.

Become employed/unemployed

8.

Due to job change - other

10.

Other













































CENSUS CATI/CAPI SYSTEM                                                     ^VERDATE
                                                                                                       ^VERSION

                                         Re-engineered SIPP

RE-ENGINEERED SURVEY OF INCOME AND PROGRAM PARTICIPATION

        
                                   ^I_PANEL                  ^WAVE
                                             
PSU:  ^I_PSU

DATE IS: ^DATE
TIME IS: ^TIME                           


CASE STATUS IS: ^CSTATUS
INTERVIEW MODE: ^I_NXTINTFLG
APPOINTMENT:  ^CALLBACK
INCENTIVE:  ^I_INCTV






1.

Proceed - Personal interview

2.

Telephone interview

3.

Set appointment for visit or callback

4.

Quit - Do not attempt now

5.

Ready to transmit, no more follow-up needed



CTRLNUM



**NON-DISPLAYED ITEM**





DIAL



 Dial this number:  (^I_AREA) ^I_PREFIX - ^I_SUFFIX ^I_EXTN

 Secondary number:  (^SAREA) ^SPREFIX - ^SSUFFIX ^SEXTN

^HHLDCOMP





1.

Someone answers - BEGIN INTERVIEW

2.

Someone answers - SET APPOINTMENT

3.

No contact - answering machine/busy/no answer

4.

New telephone number or telephone disconnected

5.

Not attempted now



HHAPPT1



^INTRO_HHAPPT1

^HHRESP_FIL

 
STREET ADDRESS:  ^I_HNO ^I_HNOSUF ^I_STRNAME

 TELEPHONE NUMBER:  (^I_AREA) ^I_PREFIX - ^I_SUFFIX ^I_EXTN

Is there a convenient time I can contact your household to complete this interview?

^HHLDCOMP





1.

YES - Set appointment for interview

2.

No - Cannot set up appointment

3.

Need to contact Directory Assistance

4.

All sample persons moved to a new address

5.

Conduct interview NOW



CTRLNUM



**NON-DISPLAYED ITEM**





DASSIST_AREA



 Call Directory Assistance in your area, if necessary, to obtain the correct telephone number for this household.

 CURRENT TELEPHONE NUMBER:  (^I_AREA) ^I_PREFIX - ^I_SUFFIX ^I_EXTN


What is the new telephone number for the ^REFPER_DASSIST household?

 Enter new area code.

 
Enter 000 if the household does not have a telephone.

Display the household address as follows:
^I_HNO ^I_HNOSUF ^I_STRNAME
^I_UNITDES
^I_NONCITYADD
^I_PHYSDES
^I_PO, ^I_ST  ^I_ZIP5-^I_ZIP4
^I_BLDGNAME





DASSIST_PREFIX



 Call Directory Assistance in your area, if necessary, to obtain the correct telephone number for this household.

 CURRENT TELEPHONE NUMBER:  (^I_AREA) ^I_PREFIX - ^I_SUFFIX ^I_EXTN


(What is the new telephone number for the ^REFPER_DASSIST household?

 Enter new prefix.

Display the household address as follows:
^I_HNO ^I_HNOSUF ^I_STRNAME
^I_UNITDES
^I_NONCITYADD
^I_PHYSDES
^I_PO, ^I_ST  ^I_ZIP5-^I_ZIP4
^I_BLDGNAME





DASSIST_SUFFIX



 Call Directory Assistance in your area, if necessary, to obtain the correct telephone number for this household.

 CURRENT TELEPHONE NUMBER:  (^I_AREA) ^I_PREFIX - ^I_SUFFIX ^I_EXTN


(What is the new telephone number for the ^REFPER_DASSIST household?

 Enter new suffix.

Display the household address as follows:
^I_HNO ^I_HNOSUF ^I_STRNAME
^I_UNITDES
^I_NONCITYADD
^I_PHYSDES
^I_PO, ^I_ST  ^I_ZIP5-^I_ZIP4
^I_BLDGNAME





DASSIST_EXTN



 Call Directory Assistance in your area, if necessary, to obtain the correct telephone number for this household.

 CURRENT TELEPHONE NUMBER:  ^I_AREA  ^I_PREFIX - ^I_SUFFIX   ^I_EXTN

(What is the new telephone number for the ^REFPER_DASSIST household?

 Enter new extension (if applicable).

Display the household address as follows:
^I_HNO ^I_HNOSUF ^I_STRNAME
^I_UNITDES
^I_NONCITYADD
^I_PHYSDES
^I_PO, ^I_ST  ^I_ZIP5-^I_ZIP4
^I_BLDGNAME





HHAPPT2



When would be a convenient time to conduct an interview with your household?





CTRLNUM



**NON-DISPLAYED ITEM**





HHAPPT3



Before I go, let me verify some information.  Is your address still  Read address:

ADDRESS:
^I_HNO ^I_HNOSUF ^I_STRNAME
^I_UNITDES
^I_NONCITYADD
^I_PHYSDES
^I_PO, ^I_ST  ^I_ZIP5 - ^I_ZIP4
^I_BLDGNAME





1.

Yes

2.

No

3.

Address correction -- household did not move

4.

End interview



HHAPPT4_HNO



? [F1]

 Enter the correct House Number or press ENTER for Same.





HHAPPT4_HNOSUF



? [F1]

 Enter the correct House Number Suffix or press ENTER for Same.





HHAPPT4_STRNAME



? [F1]

 Enter the correct Street Name or press ENTER for Same.





HHAPPT4_UNITDES



? [F1]

 Enter the correct Unit Designation or press ENTER for Same.





HHAPPT4_NONCITYADD



? [F1]

 Enter the correct Non-City Style Address or press ENTER for Same.





HHAPPT4_PHYSDES



? [F1]

 Enter the correct Physical Description or press ENTER for Same.





HHAPPT4_PO



? [F1]

 Enter the correct Locality or press ENTER for Same.





HHAPPT4_ST



? [F1]

 Enter the correct State Abbreviation or press ENTER for Same.





AL.

Alabama

AK.

Alaska

AZ.

Arizona

AR.

Arkansas

CA.

California

CO.

Colorado

CT.

Conneticut

DC.

District of Columbia

DE.

Deleware

FL.

Flordia

HI.

Hawaii

ID.

Idaho

IL.

Illinois

IN.

Indiana

IA.

Iowa

KS.

Kansas

KY.

Kentuck

LA.

Louisana

ME.

Maine

MD.

Maryland

MA.

Massachusetts

MI.

Michigan

MN.

Minnesota

MS.

Mississippi

MO.

Missouri

MT.

Montana

NE.

Nebraska

NV.

Nevada

NH.

New Hampshire

NJ.

New Jersey

NM.

New Mexico

NY.

New York

NC.

North Carolina

ND.

North Dakota

OH.

Ohio

OK.

Oklahoma

OR.

Oregon

PA.

Pennsylvania

RI.

Rhode Island

SC.

South Carolina

SD.

South Dakota

TN.

Tennessee

TX.

Texas

UT.

Utah

VT.

Vermont

VA.

Virginia

WA.

Washington

WV.

West Virginia

WI.

Wisconsin

WY.

Wyoming



HHAPPT4_ZIP5



? [F1]

 Enter the correct Zip Code or press ENTER for Same.





HHAPPT4_ZIP4



? [F1]

 Enter the correct 4-Digit Zip Code or press ENTER for Same.





HHAPPT4_BLDGNAME



? [F1]

 Enter the correct Building Name or press ENTER for Same.





HHAPPT5



I have listed  Read names as living in this household.  Are all of these people still living here?

Display the ROST_FNAME, ROST_MNAME, ROST_LNAME, RELRP, AGE, and MARITAL_STATUS of all people who were listed on final household roster for the previous wave





1.

Yes

2.

No

3.

End interview



HHAPPT99



Thank you for your assistance.  I will visit your household ^CALLBACK.

 This household has persons who have moved since the last interview.  You may wish to review procedures for movers before this interview.  Remember to deal with mover cases early in the month, so that you have sufficient time to locate and interview the people who moved.

 Enter 1 to continue.





1.

Enter 1 to continue



INTRO_D



^NAMEFIL_INTROD
Some of the questions have already been answered.  Let me see where we should begin.

 Press END to go to the first unanswered question.





1.

Enter 1 to continue



INTRO



Hello.  I'm ... from the United States Census Bureau.  Here is my identification card  Show ID card.  We are conducting a survey on the economic situation of people who live in the United States.  I have some questions to ask you.

 
 Ask the respondent if he/she received the advanced letter.  If no, give or read the letter to the respondent (depending on the type of interview) before proceeding.





1.

Inconvenient time - try again later

2.

Reluctant respondent - hold for refusal follow-up

3.

Noninterview

4.

Proceed

5.

Contacted incorrect household - END INTERVIEW



NONINTERVIEW



 What type of noninterview - Type A, Type B, Type C, or Type D?





1.

Type A noninterview

2.

Type B noninterview

3.

Type C noninterview

4.

Type D noninterview



TYPE_A



 Enter Type A noninterview code.





1.

No one home

2.

Temporarily absent

3.

Refused

4.

Unable to locate

5.

Language problem

6.

Other Type A



TYPEA__SP



 Specify the kind of 'other' Type A noninterview.





TYPE_B



 Enter Type B noninterview code.





1.

Vacant regular (REG)

2.

Vacant - storage of household furniture

3.

Unfit or to be demolished

4.

Under construction, not ready

5.

Converted to temporary business or storage

6.

Unoccupied tent or trailer site

7.

Permit granted, construction not started

8.

Temporarily occupied by persons with URE

9.

Occupied by persons under 15 years of age

10.

ENTIRE household institutionalized

11.

Other Type B



TYPEB__SP



 Specify the kind of 'other' Type B noninterview.





TYPE_C



 Enter Type C noninterview code.





1.

Demolished

2.

House or trailer moved

3.

Address outside segment

4.

Converted to permanent business or storage

5.

Merged

6.

Condemned

7.

Unused Serial number/Listing sheet line

8.

Removed during subsampling

9.

Unit already had a chance of selection

10.

ENTIRE household deceased

11.

ENTIRE household moved out of the county

12.

ENTIRE household on active duty in the Armed Forces

13.

ENTIRE household moved to known address OUTSIDE of FR's area

14.

ENTIRE household moved to known address WITHIN FR's area

15.

ENTIRE household moved to unknown address

16.

ENTIRE household merged with another Re-engineered SIPP household

17.

ENTIRE household moved and split into several new Re-engineered SIPP households

18.

ENTIRE household moved - further work needed to obtain address

19.

Other Type C



TYPEC_SP



 Specify the kind of 'other' Type C noninterview.





TYPE_D



 Enter Type D noninterview code.





1.

ENTIRE household moved, address unknown

2.

ENTIRE household moved with US; RO determined case is outside Re-engineered SIPP limits



CTRLNUM



**NON-DISPLAYED ITEM**





NI_RACE



 Enter your best guess as to the Race of the reference person.

 Enter all that apply.





1.

White

2.

Black/African American

3.

American Indian or Alaska Native

4.

Asian

5.

Native Hawaiian or Other Pacific Islander

6.

Other



NI_SEX



 Enter your best guess as to the sex of the reference person.

^ENTERFIL





1.

Male

2.

Female



NI_SIZE



 Ask or verify with some knowledgeable individual.

Enter your best guess as to the total number of people in the household.  Count all children and adults.

^ENTERFIL





NI_TENURE



 Ask or verify with a knowledgeable individual, or enter your best guess.

Are the living quarters --





1.

Owned or being bought by you or someone in your household?

2.

Rented?

3.

Occupied without payment of rent?



TYPEA_DISCUSS



 You must discuss this case with your supervisor before transmitting it as a Type A noninterview.





1.

Enter 1 to continue



CTRLNUM



**NON-DISPLAYED ITEM**





MOVER_ADR



 Ask or verify.

Can you give me the new address and/or telephone number of the individuals who lived in this household?





1.

Yes

2.

No - address and/or telephone number not available yet



MOVER_HNO



 If any part of the address is unknown or blank, press ENTER to leave those fields blank.

What is the new address and/or telephone number for these persons?

 Enter new house number.





MOVER_HNOSUF



 If any part of the address is unknown or blank, press ENTER to leave those fields blank.

(What is the new address and/or telephone number for these persons?)

 Enter new house number suffix.





MOVER_STRNAME



 If any part of the address is unknown or blank, press ENTER to leave those fields blank.

(What is the new address and/or telephone number for these persons?)

 Enter new street name.





MOVER_UNITDES



 If any part of the address is unknown or blank, press ENTER to leave those fields blank.

(What is the new address and/or telephone number for these persons?)

 Enter new unit designation.





MOVER_PO



 If any part of the address is unknown or blank, press ENTER to leave those fields blank.

(What is the new address and/or telephone number for these persons?)

 Enter new locality.





MOVER_ST



 If any part of the address is unknown or blank, press ENTER to leave those fields blank.

(What is the new address and/or telephone number for these persons?)

 Enter new state abbreviation.





AL.

Alabama

AK.

Alaska

AZ.

Arizona

AR.

Arkansas

CA.

California

CO.

Colorado

CT.

Conneticut

DC.

District of Columbia

DE.

Deleware

FL.

Flordia

HI.

Hawaii

ID.

Idaho

IL.

Illinois

IN.

Indiana

IA.

Iowa

KS.

Kansas

KY.

Kentuck

LA.

Louisana

ME.

Maine

MD.

Maryland

MA.

Massachusetts

MI.

Michigan

MN.

Minnesota

MS.

Mississippi

MO.

Missouri

MT.

Montana

NE.

Nebraska

NV.

Nevada

NH.

New Hampshire

NJ.

New Jersey

NM.

New Mexico

NY.

New York

NC.

North Carolina

ND.

North Dakota

OH.

Ohio

OK.

Oklahoma

OR.

Oregon

PA.

Pennsylvania

RI.

Rhode Island

SC.

South Carolina

SD.

South Dakota

TN.

Tennessee

TX.

Texas

UT.

Utah

VT.

Vermont

VA.

Virginia

WA.

Washington

WV.

West Virginia

WI.

Wisconsin

WY.

Wyoming



MOVER_ZIP5



 If any part of the address is unknown or blank, press ENTER to leave those fields blank.

(What is the new address and/or telephone number for these persons?)

 Enter new zip code.





MOVER_ZIP4



 If any part of the address is unknown or blank, press ENTER to leave those fields blank.

(What is the new address and/or telephone number for these persons?)

 Enter new 4-digit zip code.





MOVER_AREA



 If any part of the address is unknown or blank, press ENTER to leave those fields blank.

(What is the new address and/or telephone number for these persons?)

 Enter new area code.





MOVER_PREFIX



 If any part of the address is unknown or blank, press ENTER to leave those fields blank.

(What is the new address and/or telephone number for these persons?)

 Enter new telephone number prefix.





MOVER_SUFFIX



 If any part of the address is unknown or blank, press ENTER to leave those fields blank.

(What is the new address and/or telephone number for these persons?)

 Enter new telephone number suffix.





MOVER_EXTN



 If any part of the address is unknown or blank, press ENTER to leave those fields blank.

(What is the new address and/or telephone number for these persons?)

 Enter new telephone number extension.





CTRLNUM



**NON-DISPLAYED ITEM**





DATELEFT_MONTH



DATE OF LAST INTERVIEW: ^INTVDATE

When did these persons leave?

 Enter month.





1.

January

2.

February

3.

March

4.

April

5.

May

6.

June

7.

July

8.

August

9.

September

10.

October

11.

November

12.

December



DATELEFT_DAY



DATE OF LAST INTERVIEW:  ^INTVDATE 

(When did these persons leave?)

 Enter day.





REASON_LEFT



Why did these persons leave the household?

 Enter all that apply.





5.

Separation or divorce

6.

Marriage

7.

Become employed/unemployed

8.

Due to job change - other

10.

Other



MAIN_REASON



What is the main reason these persons left the household?





5.

Separation or divorce

6.

Marriage

7.

Become employed/unemployed

8.

Due to job change - other

10.

Other



CTRLNUM



**NON-DISPLAYED ITEM**





BEGINT



We will begin the interview with questions about who lives here, their ages, how they're related to each other, and other information.  Then I will ask you questions about your jobs and any other sources of income.  Then I'll have questions about anyone else who's at least 15 years old.

 Enter 1 to continue.





1.

Enter 1 to continue



VERIFY_ADDRESS



? [F1]

I have your address listed as:

ADDRESS:
^I_HNO ^I_HNOSUF ^I_STRNAME
^I_UNITDES
^I_NONCITYADD
^I_PHYSDES
^I_PO, ^I_ST  ^I_ZIP5-^I_ZIP4
^I_BLDGNAME

Is this your exact address?





1.

YES, address is EXACTLY CORRECT as listed

2.

Address is MOSTLY CORRECT, but needs some minor changes

3.

INCORRECT ADDRESS - terminate interview, find correct address



CTRLNUM



**NON-DISPLAYED ITEM**





NEW_HNO



? [F1]

 Enter the correct House Number or press ENTER for Same.





NEW_HNOSUF



? [F1]

 Enter the correct House Number Suffix or press ENTER for Same.





NEW_STRNAME



? [F1]

 Enter the correct Street Name or press ENTER for Same.





NEW_UNITDES



? [F1]

 Enter the correct Unit Designation or press ENTER for Same.





NEW_NONCITYADD



? [F1]

 Enter the correct Non-City Style Address or press ENTER for Same.





NEW_PHYSDES



? [F1]

 Enter the correct Physical Description or press ENTER for Same.





NEW_PO



? [F1]

 Enter the correct Locality or press ENTER for Same.





NEW_ST



? [F1]

 Enter the correct State Abbreviation or press ENTER for Same.





AL.

Alabama

AK.

Alaska

AZ.

Arizona

AR.

Arkansas

CA.

California

CO.

Colorado

CT.

Conneticut

DC.

District of Columbia

DE.

Deleware

FL.

Flordia

HI.

Hawaii

ID.

Idaho

IL.

Illinois

IN.

Indiana

IA.

Iowa

KS.

Kansas

KY.

Kentuck

LA.

Louisana

ME.

Maine

MD.

Maryland

MA.

Massachusetts

MI.

Michigan

MN.

Minnesota

MS.

Mississippi

MO.

Missouri

MT.

Montana

NE.

Nebraska

NV.

Nevada

NH.

New Hampshire

NJ.

New Jersey

NM.

New Mexico

NY.

New York

NC.

North Carolina

ND.

North Dakota

OH.

Ohio

OK.

Oklahoma

OR.

Oregon

PA.

Pennsylvania

RI.

Rhode Island

SC.

South Carolina

SD.

South Dakota

TN.

Tennessee

TX.

Texas

UT.

Utah

VT.

Vermont

VA.

Virginia

WA.

Washington

WV.

West Virginia

WI.

Wisconsin

WY.

Wyoming



NEW_ZIP5



? [F1]

 Enter the correct Zip Code or press ENTER for Same.





NEW_ZIP4



? [F1]

 Enter the correct 4-Digit Zip Code or press ENTER for Same.





NEW_BLDGNAME



? [F1]

 Enter the correct Building Name or press ENTER for Same.





VERIFY_MAILADDR



? [F1]

Is this also your mailing address?





1.

Yes

2.

No



CTRLNUM



**NON-DISPLAYED ITEM**





NEW_MHNO



? [F1]

 Enter the correct House Number for the mailing address or press ENTER for Same.





NEW_MHNOSUF



? [F1]

 Enter the correct House Number Suffix for the mailing address or press ENTER for Same.





NEW_MSTRNAME



? [F1]

 Enter the correct Street Name for the mailing address or press ENTER for Same.





NEW_MUNITDES



? [F1]

 Enter the correct Unit Designation of the mailing address or press ENTER for Same.





NEW_MNONCITYADD



? [F1]

 Enter the correct Non-City Style Mailing Address or press ENTER for Same.





NEW_MPO



? [F1]

 Enter the correct Locality of the mailing address or press ENTER for Same.





NEW_MST



? [F1]

 Enter the correct State Abbreviation of the mailing address or press ENTER for Same.





AL.

Alabama

AK.

Alaska

AZ.

Arizona

AR.

Arkansas

CA.

California

CO.

Colorado

CT.

Conneticut

DC.

District of Columbia

DE.

Deleware

FL.

Flordia

HI.

Hawaii

ID.

Idaho

IL.

Illinois

IN.

Indiana

IA.

Iowa

KS.

Kansas

KY.

Kentuck

LA.

Louisana

ME.

Maine

MD.

Maryland

MA.

Massachusetts

MI.

Michigan

MN.

Minnesota

MS.

Mississippi

MO.

Missouri

MT.

Montana

NE.

Nebraska

NV.

Nevada

NH.

New Hampshire

NJ.

New Jersey

NM.

New Mexico

NY.

New York

NC.

North Carolina

ND.

North Dakota

OH.

Ohio

OK.

Oklahoma

OR.

Oregon

PA.

Pennsylvania

RI.

Rhode Island

SC.

South Carolina

SD.

South Dakota

TN.

Tennessee

TX.

Texas

UT.

Utah

VT.

Vermont

VA.

Virginia

WA.

Washington

WV.

West Virginia

WI.

Wisconsin

WY.

Wyoming



NEW_MZIP5



? [F1]

 Enter the correct Zip Code of the mailing address or press ENTER for Same.





NEW_MZIP4



? [F1]

 Enter the correct 4-Digit Zip Code of the mailing address or press ENTER for Same.





ACCESS



? [F1]

 Ask if not apparent.

Do you have direct access to your home, either from the outside or through a common hall?





1.

Yes

2.

No



MERGE



This household must be merged with the household through which access is gained. 

 Refer to your Interviewer's manual to determine if the merged household is in or out of the Re-engineered SIPP sample.





1.

Merged - in Re-engineered SIPP sample

2.

Merged - NOT in Re-engineered SIPP sample



LIVQTR



 Enter type of living quarters.

 Response choices 1 through 7 correspond to HOUSING UNITS and 8 through 12 correspond to GROUP QUARTERS.





1.

House, apartment, flat

2.

HU in nontransient hotel, motel, etc.

3.

HU permanent, in transient hotel, motel, etc.

4.

HU in rooming house

5.

Mobile home or trailer with no permanent room added

6.

Mobile home or trailer with one or more permanent rooms added

7.

HU not specified above

8.

Quarters no HU in rooming or boarding house

9.

Unit not permanent in transient hotel, motel, tec.

10.

Unoccupied tent or trailer site

11.

Student quarters in college dormitory

12.

GROUP QUARTERS UNIT not specified above



NUMBER_UNITS



 Ask if not apparent.

How many housing units, both occupied and vacant, are there in this structure?





1.

One, detached

2.

One, attached

3.

Two

4.

3 - 4

5.

5 - 9

6.

10 - 19

7.

20 - 49

8.

50 or more



TENURE



Are your living quarters --

 Read answer categories.





1.

Owned or being bought by you or someone in your household?

2.

Rented?

3.

Occupied without payment of rent?



CTRLNUM



**NON-DISPLAYED ITEM**





RENTSUB



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





1.

Yes

2.

No



VOUCHER



Does your household have a housing voucher? (A housing voucher gives a renter the right to choose where they live AND it helps pay the rent.)





1.

Yes

2.

No




SEX



 Ask if not apparent.

^C_AREIS ^TEMPNAME Male or Female?





1.

Male

2.

Female



REFPER2



Who ^OWNRENTFIL this home - that is, whose name is on the ^DEEDLEASEFIL?

 If the respondent can't identify owner/renter, enter the line number of the head of household.

 Enter all that apply.





1.

^LNO ^ROST_FNAME ^ROST_LNAME

2.

^LNO ^ROST_FNAME ^ROST_LNAME

3.

^LNO ^ROST_FNAME ^ROST_LNAME

4.

^LNO ^ROST_FNAME ^ROST_LNAME

5.

^LNO ^ROST_FNAME ^ROST_LNAME

6.

^LNO ^ROST_FNAME ^ROST_LNAME

7.

^LNO ^ROST_FNAME ^ROST_LNAME

8.

^LNO ^ROST_FNAME ^ROST_LNAME

9.

^LNO ^ROST_FNAME ^ROST_LNAME

10.

^LNO ^ROST_FNAME ^ROST_LNAME

11.

^LNO ^ROST_FNAME ^ROST_LNAME

12.

^LNO ^ROST_FNAME ^ROST_LNAME

13.

^LNO ^ROST_FNAME ^ROST_LNAME

14.

^LNO ^ROST_FNAME ^ROST_LNAME

15.

^LNO ^ROST_FNAME ^ROST_LNAME

16.

^LNO ^ROST_FNAME ^ROST_LNAME

17.

^LNO ^ROST_FNAME ^ROST_LNAME

18.

^LNO ^ROST_FNAME ^ROST_LNAME

19.

^LNO ^ROST_FNAME ^ROST_LNAME

20.

^LNO ^ROST_FNAME ^ROST_LNAME

21.

^LNO ^ROST_FNAME ^ROST_LNAME

22.

^LNO ^ROST_FNAME ^ROST_LNAME

23.

^LNO ^ROST_FNAME ^ROST_LNAME

24.

^LNO ^ROST_FNAME ^ROST_LNAME

25.

^LNO ^ROST_FNAME ^ROST_LNAME



CTRLNUM



**NON-DISPLAYED ITEM**





LNO



**NON-DISPLAYED ITEM**





RELRP



 A

 First time asked.
What is ^PTEMPNAME relationship to ^YOUFIL?

 Subsequent times asked.
(How about/And) ^TEMPNAME...?  (What is ^PTEMPNAME relationship to ^YOUFIL?)





1.

Spouse (Husband/Wife)

2.

Unmarried Partner

3.

Child (Biological, Step, Adopted)

4.

Grandchild

5.

Parent (Mother/Father)

6.

Brother/Sister

7.

Other Relative (Uncle, cousin, mother-in-law, father-in-law, etc.)

8.

Foster Child

9.

Housemate/Roommate

10.

Roomer/Boarder

11.

Other non-relative



CTRLNUM



**NON-DISPLAYED ITEM**





LNO



**NON-DISPLAYED ITEM**





DOB_BMONTH



What is ^PTEMPNAME date of birth?

 Enter month.





1.

January

2.

February

3.

March

4.

April

5.

May

6.

June

7.

July

8.

August

9.

September

10.

October

11.

November

12.

December



DOB_BDAY



(What is ^PTEMPNAME date of birth?)

 
Enter day.





DOB_BYEAR



(What is ^PTEMPNAME date of birth?)

 Enter year.





WHICH_AGE



^C_AREIS ^TEMPNAME now?





1.

^AGEX or

2.

^AGEX+1 years old?

3.

Neither is correct



AGEGES



? [F1]

How old would you say ^TEMPNAME AREIS?

 Enter best estimate of age.





FRGES



 Enter your best estimate of ^NAMEFIL age.





UNDERAGE



 Both the household reference person and the household respondent must be 15 years of age or older.  You reported that the ^WHICHPERSONFIL is under 15.   Since no one in the household is 15 years of age or older, the household is a Type B Noninterview.

Enter 1 to continue.





1.

Enter 1 to continue



CTRLNUM



**NON-DISPLAYED ITEM**





LNO



**NON-DISPLAYED ITEM**





ORIGIN



^C_AREIS ^TEMPNAME Spanish, Hispanic or Latino?  (Such as Mexican, Mexican-American, Chicano, Puerto Rican, Cuban or some other Spanish, Hispanic, or Latino group.)





1.

Yes

2.

No



HISPAN



 B

^C_AREIS ^TEMPNAME Mexican, Mexican American, Chicano, Puerto Rican, Cuban, Cuban American, or other Spanish, Hispanic, or Latino group?





1.

Mexican

2.

Mexican American

3.

Chicano

4.

Puerto Rican

5.

Cuban

6.

Cuban American

7.

Other Spanish, Hispanic, or Latino group



OROTSP



What is the name of ^PTEMPNAME other Spanish, Hispanic, or Latino group?





OROTSS



What 'other' Spanish, Hispanic or Latino group?





CTRLNUM



**NON-DISPLAYED ITEM**





LNO



**NON-DISPLAYED ITEM**





RACE



 C, ? [F1]

Please choose one or more races that ^NAME1FIL_RACE ^NAME2FIL_RACE  to be.

 
Probe if  response is 'Hispanic' or 'Latino', or a specific Hispanic Origin (e.g., 'Mexican', 'Cuban', etc.)

 Enter all that apply.





1.

White

2.

Black or African American

3.

American Indian or Alaska Native

4.

Asian

5.

Native Hawaiian or Other Pacific Islander

6.

Other -- DO NOT READ



RACEAS



Which of the following Asian groups ^CONSIDERFIL_RACE?

 Read each item.

 Enter all that apply.





1.

Asian Indian

2.

Chinese

3.

Filipino

4.

Japanese

5.

Korean

6.

Vietnamese

7.

Other Asian - DO NOT READ



RACEPI



 Which of the following Native Hawaiian or Other Pacific Islander groups ^CONSIDERFIL_RACE?

 Read each item.

 Enter all that apply.





1.

Hawaiian

2.

Guamanian or Chamorro

3.

Samoan

4.

Other Pacific Islander -- DO NOT READ



RACEOT



 Read only if necessary.

(What is  ^PTEMPNAME other race?)





RACEOS



What 'other' race?





CTRLNUM



**NON-DISPLAYED ITEM**





LNO



**NON-DISPLAYED ITEM**





BORNUS



Where ^WASWERE ^TEMPNAME born?





1.

In the United States

2.

Outside the United States



BORNSTATE



In what state ^WEREWAS ^TEMPNAME born?





1.

Alabama

2.

Alaska

3.

American Samoa

4.

Arizona

5.

Arkansas

6.

California

7.

Colorado

8.

Connecticut

9.

Delaware

10.

District of Columbia

11.

Florida

12.

Georgia

13.

Guam

14.

Hawaii

15.

Idaho

16.

Illinois

17.

Indiana

18.

Iowa

19.

Kansas

20.

Kentucky

21.

Louisiana

22.

Maine

23.

Maryland

24.

Massachusetts

25.

Michigan

26.

Minnesota

27.

Mississippi

28.

Missouri

29.

Montana

30.

Nebraska

31.

Nevada

32.

New Hampshire

33.

New Jersey

34.

New Mexico

35.

New York

36.

North Carolina

37.

North Dakota

38.

Northern Marianas

39.

Ohio

40.

Oklahoma

41.

Oregon

42.

Other place of birth

43.

Pennsylvania

44.

Puerto Rico

45.

Rhode Island

46.

South Carolina

47.

South Dakota

48.

Tennessee

49.

Texas

50.

U.S. Virgin Islands

51.

Utah

52.

Vermont

53.

Virginia

54.

Washington

55.

West Virginia

56.

Wisconsin

57.

Wyoming



BORNCNTRY



In what country ^WEREWAS ^TEMPNAME born?





1.

Afghanistan

2.

Africa

3.

American Samoa

4.

Argentina

5.

Armenia

6.

Australia

7.

Austria

8.

Azores

9.

Bahamas

10.

Bangladesh

11.

Barbados

12.

Belgium

13.

Belize

14.

Bermuda

15.

Bolivia

16.

Bosnia and Herzegovina

17.

Brazil

18.

Burma

19.

Cambodia

20.

Canada

21.

Caribbean

22.

Chile

23.

China

24.

Colombia

25.

Costa Rica

26.

Cuba

27.

Czech Republic

28.

Czechoslovakia

29.

Denmark

30.

Dominica

31.

Dominican Republic

32.

Ecuador

33.

Egypt

34.

El Salvador

35.

England

36.

Ethiopia

37.

Fiji

38.

Finland

39.

France

40.

Germany

41.

Ghana

42.

Great Britain

43.

Greece

44.

Grenada

45.

Guam

46.

Guatemala

47.

Guyana

48.

Haiti

49.

Honduras

50.

Hong Kong

51.

Hungary

52.

India

53.

Indonesia

54.

Iran

55.

Iraq

56.

Ireland

57.

Israel

58.

Italy

59.

Jamaica

60.

Japan

61.

Jordan

62.

Kenya

63.

Korea

64.

Laos

65.

Latvia

66.

Lebanon

67.

Lithuania

68.

Malaysia

69.

Mexico

70.

Morocco

71.

Netherlands

72.

New Zealand

73.

Nicaragua

74.

Nigeria

75.

Northern Marianas

76.

Norway

77.

Other

78.

Other Africa

79.

Other Asia

80.

Other Central America

81.

Other Europe

82.

Other Pacific Islands

83.

Other South America

84.

Pakistan

85.

Palestine

86.

Panama

87.

Peru

88.

Philippines

89.

Poland

90.

Portugal

91.

Puerto Rico

92.

Romania

93.

Russia

94.

Scotland

95.

Slovakia

96.

South Africa

97.

South Korea

98.

Spain

99.

Sweden

100.

Switzerland

101.

Syria

102.

Taiwan

103.

Thailand

104.

Trinidad and Tobago

105.

Turkey

106.

U.S. Virgin Islands

107.

Ukraine

108.

United Kingdom

109.

United States (US, USA)

110.

Uruguay

111.

USSR

112.

Venezuela

113.

Vietnam

114.

Yugoslavia



MOMNAT



In what country was ^PTEMPNAME mother born?





1.

Afghanistan

2.

Africa

3.

American Samoa

4.

Argentina

5.

Armenia

6.

Australia

7.

Austria

8.

Azores

9.

Bahamas

10.

Bangladesh

11.

Barbados

12.

Belgium

13.

Belize

14.

Bermuda

15.

Bolivia

16.

Bosnia and Herzegovina

17.

Brazil

18.

Burma

19.

Cambodia

20.

Canada

21.

Caribbean

22.

Chile

23.

China

24.

Colombia

25.

Costa Rica

26.

Cuba

27.

Czech Republic

28.

Czechoslovakia

29.

Denmark

30.

Dominica

31.

Dominican Republic

32.

Ecuador

33.

Egypt

34.

El Salvador

35.

England

36.

Ethiopia

37.

Fiji

38.

Finland

39.

France

40.

Germany

41.

Ghana

42.

Great Britain

43.

Greece

44.

Grenada

45.

Guam

46.

Guatemala

47.

Guyana

48.

Haiti

49.

Honduras

50.

Hong Kong

51.

Hungary

52.

India

53.

Indonesia

54.

Iran

55.

Iraq

56.

Ireland

57.

Israel

58.

Italy

59.

Jamaica

60.

Japan

61.

Jordan

62.

Kenya

63.

Korea

64.

Laos

65.

Latvia

66.

Lebanon

67.

Lithuania

68.

Malaysia

69.

Mexico

70.

Morocco

71.

Netherlands

72.

New Zealand

73.

Nicaragua

74.

Nigeria

75.

Northern Marianas

76.

Norway

77.

Other

78.

Other Africa

79.

Other Asia

80.

Other Central America

81.

Other Europe

82.

Other Pacific Islands

83.

Other South America

84.

Pakistan

85.

Palestine

86.

Panama

87.

Peru

88.

Philippines

89.

Poland

90.

Portugal

91.

Puerto Rico

92.

Romania

93.

Russia

94.

Scotland

95.

Slovakia

96.

South Africa

97.

South Korea

98.

Spain

99.

Sweden

100.

Switzerland

101.

Syria

102.

Taiwan

103.

Thailand

104.

Trinidad and Tobago

105.

Turkey

106.

U.S. Virgin Islands

107.

Ukraine

108.

United Kingdom

109.

United States (US, USA)

110.

Uruguay

111.

USSR

112.

Venezuela

113.

Vietnam

114.

Yugoslavia



DADNAT



In what country was ^PTEMPNAME father born?





1.

Afghanistan

2.

Africa

3.

American Samoa

4.

Argentina

5.

Armenia

6.

Australia

7.

Austria

8.

Azores

9.

Bahamas

10.

Bangladesh

11.

Barbados

12.

Belgium

13.

Belize

14.

Bermuda

15.

Bolivia

16.

Bosnia and Herzegovina

17.

Brazil

18.

Burma

19.

Cambodia

20.

Canada

21.

Caribbean

22.

Chile

23.

China

24.

Colombia

25.

Costa Rica

26.

Cuba

27.

Czech Republic

28.

Czechoslovakia

29.

Denmark

30.

Dominica

31.

Dominican Republic

32.

Ecuador

33.

Egypt

34.

El Salvador

35.

England

36.

Ethiopia

37.

Fiji

38.

Finland

39.

France

40.

Germany

41.

Ghana

42.

Great Britain

43.

Greece

44.

Grenada

45.

Guam

46.

Guatemala

47.

Guyana

48.

Haiti

49.

Honduras

50.

Hong Kong

51.

Hungary

52.

India

53.

Indonesia

54.

Iran

55.

Iraq

56.

Ireland

57.

Israel

58.

Italy

59.

Jamaica

60.

Japan

61.

Jordan

62.

Kenya

63.

Korea

64.

Laos

65.

Latvia

66.

Lebanon

67.

Lithuania

68.

Malaysia

69.

Mexico

70.

Morocco

71.

Netherlands

72.

New Zealand

73.

Nicaragua

74.

Nigeria

75.

Northern Marianas

76.

Norway

77.

Other

78.

Other Africa

79.

Other Asia

80.

Other Central America

81.

Other Europe

82.

Other Pacific Islands

83.

Other South America

84.

Pakistan

85.

Palestine

86.

Panama

87.

Peru

88.

Philippines

89.

Poland

90.

Portugal

91.

Puerto Rico

92.

Romania

93.

Russia

94.

Scotland

95.

Slovakia

96.

South Africa

97.

South Korea

98.

Spain

99.

Sweden

100.

Switzerland

101.

Syria

102.

Taiwan

103.

Thailand

104.

Trinidad and Tobago

105.

Turkey

106.

U.S. Virgin Islands

107.

Ukraine

108.

United Kingdom

109.

United States (US, USA)

110.

Uruguay

111.

USSR

112.

Venezuela

113.

Vietnam

114.

Yugoslavia



CITIZEN



^C_AREIS ^TEMPNAME a citizen of the United States?





1.

Yes

2.

No



NATCIT



? [F1]

How did ^TEMPNAME become a U.S. citizen?





1.

Naturalized

2.

Through ^HISHER or spouse's military service in the Armed Forces

3.

Adopted by U.S. citizen parent or parents

4.

Born in a U.S. Island Area or born in the United States

5.

Born abroad of U.S. citizen parent or parents



YRENTRY



When did ^TEMPNAME come to live in the United States?





IMSTAT



When ^TEMPNAME first moved to the United States to live, what was ^HISHER immigration status?





1.

Relative or family sponsored

2.

Employment-based

3.

Other permanent

4.

Refugee or asylum

5.

Non-immigrant (e.g., student, tourist, etc.)

6.

Other



HHSPEAK1



 Do not read to the respondent.

So far, has any part of this interview been conducted in a language other than English?
 

 Do not count American Sign Language as non-English Language.





1.

Yes

2.

No, all in English



HHSPEAK2



? [F1]

^INTROFIL_HHSPEAK2 speak a language other than English at home?

 Do not count American Sign Language as non-English Language.





1.

Yes

2.

No, only English



CTRLNUM



**NON-DISPLAYED ITEM**





LNO



**NON-DISPLAYED ITEM**





HHSPEAK3



? [F1]

C_DODOES ^TEMPNAME speak a language other than English at home?

 Do not count American Sign Language as non-English Language.





1.

Yes

2.

No



WHOSPEAK



? [F1]

Who ^OTHERTHANFIL_WHOSPEAK speaks a language other than English at home?  Anyone else?

 
Enter all that apply.





1.

^LNO ^ROST_FNAME ^ROST_LNAME where AGE >= 5

2.

^LNO ^ROST_FNAME ^ROST_LNAME where AGE >= 5

3.

^LNO ^ROST_FNAME ^ROST_LNAME where AGE >= 5

4.

^LNO ^ROST_FNAME ^ROST_LNAME where AGE >= 5

5.

^LNO ^ROST_FNAME ^ROST_LNAME where AGE >= 5

6.

^LNO ^ROST_FNAME ^ROST_LNAME where AGE >= 5

7.

^LNO ^ROST_FNAME ^ROST_LNAME where AGE >= 5

8.

^LNO ^ROST_FNAME ^ROST_LNAME where AGE >= 5

9.

^LNO ^ROST_FNAME ^ROST_LNAME where AGE >= 5

10.

^LNO ^ROST_FNAME ^ROST_LNAME where AGE >= 5

11.

^LNO ^ROST_FNAME ^ROST_LNAME where AGE >= 5

12.

^LNO ^ROST_FNAME ^ROST_LNAME where AGE >= 5

13.

^LNO ^ROST_FNAME ^ROST_LNAME where AGE >= 5

14.

^LNO ^ROST_FNAME ^ROST_LNAME where AGE >= 5

15.

^LNO ^ROST_FNAME ^ROST_LNAME where AGE >= 5

16.

^LNO ^ROST_FNAME ^ROST_LNAME where AGE >= 5

17.

^LNO ^ROST_FNAME ^ROST_LNAME where AGE >= 5

18.

^LNO ^ROST_FNAME ^ROST_LNAME where AGE >= 5

19.

^LNO ^ROST_FNAME ^ROST_LNAME where AGE >= 5

20.

^LNO ^ROST_FNAME ^ROST_LNAME where AGE >= 5

21.

^LNO ^ROST_FNAME ^ROST_LNAME where AGE >= 5

22.

^LNO ^ROST_FNAME ^ROST_LNAME where AGE >= 5

23.

^LNO ^ROST_FNAME ^ROST_LNAME where AGE >= 5

24.

^LNO ^ROST_FNAME ^ROST_LNAME where AGE >= 5

25.

^LNO ^ROST_FNAME ^ROST_LNAME where AGE >= 5



CTRLNUM



**NON-DISPLAYED ITEM**





LNO



**NON-DISPLAYED ITEM**





LANG1



? [F1]

What language ^DODOES ^TEMPNAME speak at home?

 
If more than one, mark the 'main' other language.





1.

Spanish or Spanish Creole

2.

Chinese

3.

French (including French Creole, Patois, Cajun)

4.

Tagalog, Philipino

5.

Vietnamese

6.

German

7.

Korean

8.

Russian

9.

Italian

10.

Hindi, Urdu

11.

Arabic

12.

Portuguese or Portuguese Creole

13.

Polish

14.

Other



HOWWELL



^INTROFIL_HOWWELL

How well ^DODOES ^TEMPNAME speak English  - would you say very well, well, not well, or not at all?





1.

Very well

2.

Well

3.

Not well

4.

Not at all



CTRLNUM



**NON-DISPLAYED ITEM**





LNO



**NON-DISPLAYED ITEM**





MARITAL_STATUS



? [F1]

^C_AREIS ^TEMPNAME currently married, widowed, divorced, separated or ^HAVHAS ^HESHE never married?





1.

Married

2.

Married, spouse absent -- DO NOT READ

3.

Widowed

4.

Divorced

5.

Separated

6.

Never Married



WHO_SPOUSE



 Ask if necessary.

Who is ^PTEMPNAME spouse?





0.

Person's spouse is not a member of the household

1.

^LNO ^ROST_FNAME ^ROST_LNAME where AGE >= 15

2.

^LNO ^ROST_FNAME ^ROST_LNAME where AGE >= 15

3.

^LNO ^ROST_FNAME ^ROST_LNAME where AGE >= 15

4.

^LNO ^ROST_FNAME ^ROST_LNAME where AGE >= 15

5.

^LNO ^ROST_FNAME ^ROST_LNAME where AGE >= 15

6.

^LNO ^ROST_FNAME ^ROST_LNAME where AGE >= 15

7.

^LNO ^ROST_FNAME ^ROST_LNAME where AGE >= 15

8.

^LNO ^ROST_FNAME ^ROST_LNAME where AGE >= 15

9.

^LNO ^ROST_FNAME ^ROST_LNAME where AGE >= 15

10.

^LNO ^ROST_FNAME ^ROST_LNAME where AGE >= 15

11.

^LNO ^ROST_FNAME ^ROST_LNAME where AGE >= 15

12.

^LNO ^ROST_FNAME ^ROST_LNAME where AGE >= 15

13.

^LNO ^ROST_FNAME ^ROST_LNAME where AGE >= 15

14.

^LNO ^ROST_FNAME ^ROST_LNAME where AGE >= 15

15.

^LNO ^ROST_FNAME ^ROST_LNAME where AGE >= 15

16.

^LNO ^ROST_FNAME ^ROST_LNAME where AGE >= 15

17.

^LNO ^ROST_FNAME ^ROST_LNAME where AGE >= 15

18.

^LNO ^ROST_FNAME ^ROST_LNAME where AGE >= 15

19.

^LNO ^ROST_FNAME ^ROST_LNAME where AGE >= 15

20.

^LNO ^ROST_FNAME ^ROST_LNAME where AGE >= 15

21.

^LNO ^ROST_FNAME ^ROST_LNAME where AGE >= 15

22.

^LNO ^ROST_FNAME ^ROST_LNAME where AGE >= 15

23.

^LNO ^ROST_FNAME ^ROST_LNAME where AGE >= 15

24.

^LNO ^ROST_FNAME ^ROST_LNAME where AGE >= 15

25.

^LNO ^ROST_FNAME ^ROST_LNAME where AGE >= 15



EVRWID



^C_HAVHAS ^TEMPNAME ever been widowed?





1.

Yes

2.

No



EVRDIV



? [F1]

^C_HAVHAS ^TEMPNAME ever been divorced?





1.

Yes

2.

No



CTRLNUM



**NON-DISPLAYED ITEM**





LNO



**NON-DISPLAYED ITEM**





COHAB



C_DODOES ^TEMPNAME have a boyfriend, girlfriend, or partner who lives in this household?





1.

Yes

2.

No



WHO_PARTNER



Who is ^PTEMPNAME boyfriend, girlfriend, or partner?





1.

^LNO ^ROST_FNAME ^ROST_LNAME where AGE >= 15

2.

^LNO ^ROST_FNAME ^ROST_LNAME where AGE >= 15

3.

^LNO ^ROST_FNAME ^ROST_LNAME where AGE >= 15

4.

^LNO ^ROST_FNAME ^ROST_LNAME where AGE >= 15

5.

^LNO ^ROST_FNAME ^ROST_LNAME where AGE >= 15

6.

^LNO ^ROST_FNAME ^ROST_LNAME where AGE >= 15

7.

^LNO ^ROST_FNAME ^ROST_LNAME where AGE >= 15

8.

^LNO ^ROST_FNAME ^ROST_LNAME where AGE >= 15

9.

^LNO ^ROST_FNAME ^ROST_LNAME where AGE >= 15

10.

^LNO ^ROST_FNAME ^ROST_LNAME where AGE >= 15

11.

^LNO ^ROST_FNAME ^ROST_LNAME where AGE >= 15

12.

^LNO ^ROST_FNAME ^ROST_LNAME where AGE >= 15

13.

^LNO ^ROST_FNAME ^ROST_LNAME where AGE >= 15

14.

^LNO ^ROST_FNAME ^ROST_LNAME where AGE >= 15

15.

^LNO ^ROST_FNAME ^ROST_LNAME where AGE >= 15

16.

^LNO ^ROST_FNAME ^ROST_LNAME where AGE >= 15

17.

^LNO ^ROST_FNAME ^ROST_LNAME where AGE >= 15

18.

^LNO ^ROST_FNAME ^ROST_LNAME where AGE >= 15

19.

^LNO ^ROST_FNAME ^ROST_LNAME where AGE >= 15

20.

^LNO ^ROST_FNAME ^ROST_LNAME where AGE >= 15

21.

^LNO ^ROST_FNAME ^ROST_LNAME where AGE >= 15

22.

^LNO ^ROST_FNAME ^ROST_LNAME where AGE >= 15

23.

^LNO ^ROST_FNAME ^ROST_LNAME where AGE >= 15

24.

^LNO ^ROST_FNAME ^ROST_LNAME where AGE >= 15

25.

^LNO ^ROST_FNAME ^ROST_LNAME where AGE >= 15



CTRLNUM



**NON-DISPLAYED ITEM**





LNO



**NON-DISPLAYED ITEM**





MOMHHLD



Is ^PTEMPNAME mother a member of this household?





1.

Yes

2.

No



WHO_MOM



Who Is ^PTEMPNAME mother?





1.

^LNO ^ROST_FNAME ^ROST_MNAME ^ROST_LNAME where SEX = 2 and AGE >= 15

2.

^LNO ^ROST_FNAME ^ROST_MNAME ^ROST_LNAME where SEX = 2 and AGE >= 15

3.

^LNO ^ROST_FNAME ^ROST_MNAME ^ROST_LNAME where SEX = 2 and AGE >= 15

4.

^LNO ^ROST_FNAME ^ROST_MNAME ^ROST_LNAME where SEX = 2 and AGE >= 15

5.

^LNO ^ROST_FNAME ^ROST_MNAME ^ROST_LNAME where SEX = 2 and AGE >= 15

6.

^LNO ^ROST_FNAME ^ROST_MNAME ^ROST_LNAME where SEX = 2 and AGE >= 15

7.

^LNO ^ROST_FNAME ^ROST_MNAME ^ROST_LNAME where SEX = 2 and AGE >= 15

8.

^LNO ^ROST_FNAME ^ROST_MNAME ^ROST_LNAME where SEX = 2 and AGE >= 15

9.

^LNO ^ROST_FNAME ^ROST_MNAME ^ROST_LNAME where SEX = 2 and AGE >= 15

10.

^LNO ^ROST_FNAME ^ROST_MNAME ^ROST_LNAME where SEX = 2 and AGE >= 15

11.

^LNO ^ROST_FNAME ^ROST_MNAME ^ROST_LNAME where SEX = 2 and AGE >= 15

12.

^LNO ^ROST_FNAME ^ROST_MNAME ^ROST_LNAME where SEX = 2 and AGE >= 15

13.

^LNO ^ROST_FNAME ^ROST_MNAME ^ROST_LNAME where SEX = 2 and AGE >= 15

14.

^LNO ^ROST_FNAME ^ROST_MNAME ^ROST_LNAME where SEX = 2 and AGE >= 15

15.

^LNO ^ROST_FNAME ^ROST_MNAME ^ROST_LNAME where SEX = 2 and AGE >= 15

16.

^LNO ^ROST_FNAME ^ROST_MNAME ^ROST_LNAME where SEX = 2 and AGE >= 15

17.

^LNO ^ROST_FNAME ^ROST_MNAME ^ROST_LNAME where SEX = 2 and AGE >= 15

18.

^LNO ^ROST_FNAME ^ROST_MNAME ^ROST_LNAME where SEX = 2 and AGE >= 15

19.

^LNO ^ROST_FNAME ^ROST_MNAME ^ROST_LNAME where SEX = 2 and AGE >= 15

20.

^LNO ^ROST_FNAME ^ROST_MNAME ^ROST_LNAME where SEX = 2 and AGE >= 15

21.

^LNO ^ROST_FNAME ^ROST_MNAME ^ROST_LNAME where SEX = 2 and AGE >= 15

22.

^LNO ^ROST_FNAME ^ROST_MNAME ^ROST_LNAME where SEX = 2 and AGE >= 15

23.

^LNO ^ROST_FNAME ^ROST_MNAME ^ROST_LNAME where SEX = 2 and AGE >= 15

24.

^LNO ^ROST_FNAME ^ROST_MNAME ^ROST_LNAME where SEX = 2 and AGE >= 15

25.

^LNO ^ROST_FNAME ^ROST_MNAME ^ROST_LNAME where SEX = 2 and AGE >= 15



TYPEMOM



^C_AREIS ^TEMPNAME ^MOMSFIL_TYPEMOM biological, step, adopted or foster child?





1.

Biological or natural child

2.

Stepchild

3.

Adopted child

4.

Foster child



TYPEMOM2



^C_AREIS ^TEMPNAME also ^MOMSFIL_TYPEMOM adopted child?





1.

Yes

2.

No



ADOPTMOM_MONTH



When did ^MOMSFIL_ADOPT adopt ^TEMPNAME?

 Enter month.





1.

January

2.

February

3.

March

4.

April

5.

May

6.

June

7.

July

8.

August

9.

September

10.

October

11.

November

12.

December



ADOPTMOM_YEAR



(When did ^MOMSFIL_ADOPT adopt ^TEMPNAME?)

 
Enter year.





CTRLNUM



**NON-DISPLAYED ITEM**





LNO



**NON-DISPLAYED ITEM**





DADHHLD



Is ^PTEMPNAME father a member of this household?





1.

Yes

2.

No



WHO_DAD



Who Is ^PTEMPNAME father?





1.

^LNO ^ROST_FNAME ^ROST_MNAME ^ROST_LNAME where SEX = 1 and AGE >= 15

2.

^LNO ^ROST_FNAME ^ROST_MNAME ^ROST_LNAME where SEX = 1 and AGE >= 15

3.

^LNO ^ROST_FNAME ^ROST_MNAME ^ROST_LNAME where SEX = 1 and AGE >= 15

4.

^LNO ^ROST_FNAME ^ROST_MNAME ^ROST_LNAME where SEX = 1 and AGE >= 15

5.

^LNO ^ROST_FNAME ^ROST_MNAME ^ROST_LNAME where SEX = 1 and AGE >= 15

6.

^LNO ^ROST_FNAME ^ROST_MNAME ^ROST_LNAME where SEX = 1 and AGE >= 15

7.

^LNO ^ROST_FNAME ^ROST_MNAME ^ROST_LNAME where SEX = 1 and AGE >= 15

8.

^LNO ^ROST_FNAME ^ROST_MNAME ^ROST_LNAME where SEX = 1 and AGE >= 15

9.

^LNO ^ROST_FNAME ^ROST_MNAME ^ROST_LNAME where SEX = 1 and AGE >= 15

10.

^LNO ^ROST_FNAME ^ROST_MNAME ^ROST_LNAME where SEX = 1 and AGE >= 15

11.

^LNO ^ROST_FNAME ^ROST_MNAME ^ROST_LNAME where SEX = 1 and AGE >= 15

12.

^LNO ^ROST_FNAME ^ROST_MNAME ^ROST_LNAME where SEX = 1 and AGE >= 15

13.

^LNO ^ROST_FNAME ^ROST_MNAME ^ROST_LNAME where SEX = 1 and AGE >= 15

14.

^LNO ^ROST_FNAME ^ROST_MNAME ^ROST_LNAME where SEX = 1 and AGE >= 15

15.

^LNO ^ROST_FNAME ^ROST_MNAME ^ROST_LNAME where SEX = 1 and AGE >= 15

16.

^LNO ^ROST_FNAME ^ROST_MNAME ^ROST_LNAME where SEX = 1 and AGE >= 15

17.

^LNO ^ROST_FNAME ^ROST_MNAME ^ROST_LNAME where SEX = 1 and AGE >= 15

18.

^LNO ^ROST_FNAME ^ROST_MNAME ^ROST_LNAME where SEX = 1 and AGE >= 15

19.

^LNO ^ROST_FNAME ^ROST_MNAME ^ROST_LNAME where SEX = 1 and AGE >= 15

20.

^LNO ^ROST_FNAME ^ROST_MNAME ^ROST_LNAME where SEX = 1 and AGE >= 15

21.

^LNO ^ROST_FNAME ^ROST_MNAME ^ROST_LNAME where SEX = 1 and AGE >= 15

22.

^LNO ^ROST_FNAME ^ROST_MNAME ^ROST_LNAME where SEX = 1 and AGE >= 15

23.

^LNO ^ROST_FNAME ^ROST_MNAME ^ROST_LNAME where SEX = 1 and AGE >= 15

24.

^LNO ^ROST_FNAME ^ROST_MNAME ^ROST_LNAME where SEX = 1 and AGE >= 15

25.

^LNO ^ROST_FNAME ^ROST_MNAME ^ROST_LNAME where SEX = 1 and AGE >= 15



TYPEDAD



^C_AREIS ^TEMPNAME ^DADSFIL_TYPEDAD biological, step, adopted or foster child?





1.

Biological or natural child

2.

Stepchild

3.

Adopted child

4.

Foster child



TYPEDAD2



^C_AREIS ^TEMPNAME also ^DADSFIL_TYPEDAD adopted child?





1.

Yes

2.

No



ADOPTDAD_MONTH



When did ^DADSFIL_ADOPT adopt ^TEMPNAME?

 Enter month.





1.

January

2.

February

3.

March

4.

April

5.

May

6.

June

7.

July

8.

August

9.

September

10.

October

11.

November

12.

December



ADOPTDAD_YEAR



(When did ^DADSFIL_ADOPT adopt ^TEMPNAME?)

 
Enter year.





CTRLNUM



**NON-DISPLAYED ITEM**





LNO



**NON-DISPLAYED ITEM**





CURENROLL



^C_AREIS ^TEMPNAME attending school or college?

 Read if necessary.  Include any regular school, such as elementary, high school, or college, or vocational, technical, or business school beyond high school.





1.

Yes

2.

No



CURLEVEL



What level of school AREIS ^TEMPNAME attending?





21.

Nursery school

22.

Kindergarten

1.

1st

2.

2nd

3.

3rd

4.

4th

5.

5th

6.

6th

7.

7th

8.

8th

9.

9th

10.

10th

11.

11th

12.

12th

13.

College year 1 (Freshman)

14.

College year 2 (Sophomore)

15.

College year 3 (Junior)

16.

College year 4 (Senior)

17.

College year 5 (First year graduate or professional school)

18.

College year 6 or more (Second year or higher in graduate or professional school)

19.

Enrolled in college, but not working towards degree

20.

Vocational, technical, or business school beyond high school level



CTRLNUM



**NON-DISPLAYED ITEM**





LNO



**NON-DISPLAYED ITEM**





EDUC



 D

What is the highest level of school ^TEMPNAME ^HAVHAS completed or the highest degree ^HESHE ^HAVHAS received?





31.

Less than 1st grade

32.

1st, 2nd, 3rd or 4th grade

33.

5th or 6th grade

34.

7th or 8th grade

35.

9th grade

36.

10th grade

37.

11th grade

38.

12th grade, no diploma

39.

HIGH SCHOOL GRADUATE (diploma or GED or equivalent)

40.

Some college credit, but less than 1 year

41.

1 or more years of college, no degree (regular Jr.coll./coll./univ.)

42.

Associate's degree (2-year college)

43.

Bachelor's degree (for example: BA, AB, BS)

44.

Master's degree (for example: MA, MS, MBA, MSW)

45.

Professional School degree (for example: MD (doctor), DDS (dentist), JD (lawyer))

46.

Doctorate degree (for example: Ph.D., Ed.D.)



GED_TEST



^C_HAVHAS ^TEMPNAME completed high school by means of a GED or other equivalency test or program? 





1.

Yes

2.

No



HSGRAD_GED



 Ask or verify.

Did ^TEMPNAME get a high school diploma by graduating from high school, or by passing a GED exam (or other equivalent)?





1.

Graduated from high school

2.

GED or other test

3.

No diploma or GED



VOCAT



^C_HAVHAS ^TEMPNAME ever attended a vocational, technical, trade, or business school beyond high school?

 "Business schools" teach skills or trades such as secretarial training, bookkeeping, computer programming, etc.  Do not include business programs in colleges and universities leading to academic degrees.





1.

Yes

2.

No



VOCAT_DIPLOMA



^C_HAVHAS ^TEMPNAME received a diploma or certificate from a vocational, technical, trade, or business school?





1.

Yes

2.

No



CTRLNUM



**NON-DISPLAYED ITEM**





LNO



**NON-DISPLAYED ITEM**





VERIFY_DEMO



? [F1]

 Please verify that the personal information displayed is correct.  This information cannot be changed after this point in the interview.

I would like to verify some of the personal characteristics that I have collected for 
 Read name(s).  Is all of this information correct?

  See the help screen for a definition of the abbreviations.

Display LNO, ROST_FNAME, ROST_LNAME, SEX, RACE, and ORIGIN





1.

Yes

2.

No



CTRLNUM



**NON-DISPLAYED ITEM**





LNO



**NON-DISPLAYED ITEM**





CHANGE_WHOD



Whose information needs to be changed? 





1.

^LNO, ^ROST_FNAME, ^ROST_LNAME, ^SEX, ^RACE, ^ORIGIN

2.

^LNO, ^ROST_FNAME, ^ROST_LNAME, ^SEX, ^RACE, ^ORIGIN

3.

^LNO, ^ROST_FNAME, ^ROST_LNAME, ^SEX, ^RACE, ^ORIGIN

4.

^LNO, ^ROST_FNAME, ^ROST_LNAME, ^SEX, ^RACE, ^ORIGIN

5.

^LNO, ^ROST_FNAME, ^ROST_LNAME, ^SEX, ^RACE, ^ORIGIN

6.

^LNO, ^ROST_FNAME, ^ROST_LNAME, ^SEX, ^RACE, ^ORIGIN

7.

^LNO, ^ROST_FNAME, ^ROST_LNAME, ^SEX, ^RACE, ^ORIGIN

8.

^LNO, ^ROST_FNAME, ^ROST_LNAME, ^SEX, ^RACE, ^ORIGIN

9.

^LNO, ^ROST_FNAME, ^ROST_LNAME, ^SEX, ^RACE, ^ORIGIN

10.

^LNO, ^ROST_FNAME, ^ROST_LNAME, ^SEX, ^RACE, ^ORIGIN

11.

^LNO, ^ROST_FNAME, ^ROST_LNAME, ^SEX, ^RACE, ^ORIGIN

12.

^LNO, ^ROST_FNAME, ^ROST_LNAME, ^SEX, ^RACE, ^ORIGIN

13.

^LNO, ^ROST_FNAME, ^ROST_LNAME, ^SEX, ^RACE, ^ORIGIN

14.

^LNO, ^ROST_FNAME, ^ROST_LNAME, ^SEX, ^RACE, ^ORIGIN

15.

^LNO, ^ROST_FNAME, ^ROST_LNAME, ^SEX, ^RACE, ^ORIGIN

16.

^LNO, ^ROST_FNAME, ^ROST_LNAME, ^SEX, ^RACE, ^ORIGIN

17.

^LNO, ^ROST_FNAME, ^ROST_LNAME, ^SEX, ^RACE, ^ORIGIN

18.

^LNO, ^ROST_FNAME, ^ROST_LNAME, ^SEX, ^RACE, ^ORIGIN

19.

^LNO, ^ROST_FNAME, ^ROST_LNAME, ^SEX, ^RACE, ^ORIGIN

20.

^LNO, ^ROST_FNAME, ^ROST_LNAME, ^SEX, ^RACE, ^ORIGIN

21.

^LNO, ^ROST_FNAME, ^ROST_LNAME, ^SEX, ^RACE, ^ORIGIN

22.

^LNO, ^ROST_FNAME, ^ROST_LNAME, ^SEX, ^RACE, ^ORIGIN

23.

^LNO, ^ROST_FNAME, ^ROST_LNAME, ^SEX, ^RACE, ^ORIGIN

24.

^LNO, ^ROST_FNAME, ^ROST_LNAME, ^SEX, ^RACE, ^ORIGIN

25.

^LNO, ^ROST_FNAME, ^ROST_LNAME, ^SEX, ^RACE, ^ORIGIN



WHAT_DEMO



What information about ^PTEMPNAME personal characteristics needs to be changed?

 Read items available to be changed.





0.

Selected in error, no corrections required

1.

Sex (SEX)

2.

Race (RACE)

3.

Hispanic origin (ORIGIN)



VERIFY_EDUC



? [F1]

 Please verify that the information about educational attainment displayed is correct.  This information cannot be changed after this point in the interview.

I would like to verify the highest level of school completed that I have collected for  
Read name(s).  Is all of this information correct?

 
 See the help screen for a definition of the abbreviations.

Display LNO, ROST_FNAME, ROST_LNAME, EDUC





1.

Yes

2.

No



CTRLNUM



**NON-DISPLAYED ITEM**





LNO



**NON-DISPLAYED ITEM**





CHANGE_WHOE



Whose information needs to be changed? 





1.

^LNO, ^ROST_FNAME, ^ROST_LNAME, ^EDUC

2.

^LNO, ^ROST_FNAME, ^ROST_LNAME, ^EDUC

3.

^LNO, ^ROST_FNAME, ^ROST_LNAME, ^EDUC

4.

^LNO, ^ROST_FNAME, ^ROST_LNAME, ^EDUC

5.

^LNO, ^ROST_FNAME, ^ROST_LNAME, ^EDUC

6.

^LNO, ^ROST_FNAME, ^ROST_LNAME, ^EDUC

7.

^LNO, ^ROST_FNAME, ^ROST_LNAME, ^EDUC

8.

^LNO, ^ROST_FNAME, ^ROST_LNAME, ^EDUC

9.

^LNO, ^ROST_FNAME, ^ROST_LNAME, ^EDUC

10.

^LNO, ^ROST_FNAME, ^ROST_LNAME, ^EDUC

11.

^LNO, ^ROST_FNAME, ^ROST_LNAME, ^EDUC

12.

^LNO, ^ROST_FNAME, ^ROST_LNAME, ^EDUC

13.

^LNO, ^ROST_FNAME, ^ROST_LNAME, ^EDUC

14.

^LNO, ^ROST_FNAME, ^ROST_LNAME, ^EDUC

15.

^LNO, ^ROST_FNAME, ^ROST_LNAME, ^EDUC

16.

^LNO, ^ROST_FNAME, ^ROST_LNAME, ^EDUC

17.

^LNO, ^ROST_FNAME, ^ROST_LNAME, ^EDUC

18.

^LNO, ^ROST_FNAME, ^ROST_LNAME, ^EDUC

19.

^LNO, ^ROST_FNAME, ^ROST_LNAME, ^EDUC

20.

^LNO, ^ROST_FNAME, ^ROST_LNAME, ^EDUC

21.

^LNO, ^ROST_FNAME, ^ROST_LNAME, ^EDUC

22.

^LNO, ^ROST_FNAME, ^ROST_LNAME, ^EDUC

23.

^LNO, ^ROST_FNAME, ^ROST_LNAME, ^EDUC

24.

^LNO, ^ROST_FNAME, ^ROST_LNAME, ^EDUC

25.

^LNO, ^ROST_FNAME, ^ROST_LNAME, ^EDUC



WHAT_EDUC



What information about ^PTEMPNAME educational attainment needs to be changed?

 Read items available to be changed.





0.

Selected in error, no corrections required

1.

Higest level of school completed (EDUC)



VERIFY_RELSHP



? [F1]

 Please verify that the relationship information displayed is correct.  This information cannot be changed after this point in the interview.

I would like to verify that the information about the relationships of people in this household that I have collected for
 Read name(s).  Is this information correct?

 See the help screen for a definition of the abbreviations.

Display LNO, ROST_FNAME, ROST_LNAME, and RELRP





1.

Yes

2.

No



CTRLNUM



**NON-DISPLAYED ITEM**





LNO



**NON-DISPLAYED ITEM**





CHANGE_WHOR



Whose relationship information needs to be changed?  





1.

^LNO, ^ROST_FNAME, ^ROST_LNAME, ^RELRP

2.

^LNO, ^ROST_FNAME, ^ROST_LNAME, ^RELRP

3.

^LNO, ^ROST_FNAME, ^ROST_LNAME, ^RELRP

4.

^LNO, ^ROST_FNAME, ^ROST_LNAME, ^RELRP

5.

^LNO, ^ROST_FNAME, ^ROST_LNAME, ^RELRP

6.

^LNO, ^ROST_FNAME, ^ROST_LNAME, ^RELRP

7.

^LNO, ^ROST_FNAME, ^ROST_LNAME, ^RELRP

8.

^LNO, ^ROST_FNAME, ^ROST_LNAME, ^RELRP

9.

^LNO, ^ROST_FNAME, ^ROST_LNAME, ^RELRP

10.

^LNO, ^ROST_FNAME, ^ROST_LNAME, ^RELRP

11.

^LNO, ^ROST_FNAME, ^ROST_LNAME, ^RELRP

12.

^LNO, ^ROST_FNAME, ^ROST_LNAME, ^RELRP

13.

^LNO, ^ROST_FNAME, ^ROST_LNAME, ^RELRP

14.

^LNO, ^ROST_FNAME, ^ROST_LNAME, ^RELRP

15.

^LNO, ^ROST_FNAME, ^ROST_LNAME, ^RELRP

16.

^LNO, ^ROST_FNAME, ^ROST_LNAME, ^RELRP

17.

^LNO, ^ROST_FNAME, ^ROST_LNAME, ^RELRP

18.

^LNO, ^ROST_FNAME, ^ROST_LNAME, ^RELRP

19.

^LNO, ^ROST_FNAME, ^ROST_LNAME, ^RELRP

20.

^LNO, ^ROST_FNAME, ^ROST_LNAME, ^RELRP

21.

^LNO, ^ROST_FNAME, ^ROST_LNAME, ^RELRP

22.

^LNO, ^ROST_FNAME, ^ROST_LNAME, ^RELRP

23.

^LNO, ^ROST_FNAME, ^ROST_LNAME, ^RELRP

24.

^LNO, ^ROST_FNAME, ^ROST_LNAME, ^RELRP

25.

^LNO, ^ROST_FNAME, ^ROST_LNAME, ^RELRP



WHAT_RELSHP



What information about ^PTEMPNAME relationships need to be changed?

 Read items available to be changed.





0.

Selected in error, no corrections required

1.

Relationship to the reference person (RELRP)

2.

Spouse (LNSP)

3.

Partner (LNPT)

4.

Mother (LNMOM)

5.

Type of maternal relationship (TYPEMOM)

6.

Father (LNDAD)

7.

Type of paternal relationship (TYPEDAD)



AF_HHLD



Did ^YOUANYONE ever serve on active duty in the U.S. Armed Forces?





1.

Yes

2.

No



AF_WHO



Who?

 Enter all that apply. 





1.

^LNO ^ROST_FNAME ^ROST_LNAME where AGE >= 18

2.

^LNO ^ROST_FNAME ^ROST_LNAME where AGE >= 18

3.

^LNO ^ROST_FNAME ^ROST_LNAME where AGE >= 18

4.

^LNO ^ROST_FNAME ^ROST_LNAME where AGE >= 18

5.

^LNO ^ROST_FNAME ^ROST_LNAME where AGE >= 18

6.

^LNO ^ROST_FNAME ^ROST_LNAME where AGE >= 18

7.

^LNO ^ROST_FNAME ^ROST_LNAME where AGE >= 18

8.

^LNO ^ROST_FNAME ^ROST_LNAME where AGE >= 18

9.

^LNO ^ROST_FNAME ^ROST_LNAME where AGE >= 18

10.

^LNO ^ROST_FNAME ^ROST_LNAME where AGE >= 18

11.

^LNO ^ROST_FNAME ^ROST_LNAME where AGE >= 18

12.

^LNO ^ROST_FNAME ^ROST_LNAME where AGE >= 18

13.

^LNO ^ROST_FNAME ^ROST_LNAME where AGE >= 18

14.

^LNO ^ROST_FNAME ^ROST_LNAME where AGE >= 18

15.

^LNO ^ROST_FNAME ^ROST_LNAME where AGE >= 18

16.

^LNO ^ROST_FNAME ^ROST_LNAME where AGE >= 18

17.

^LNO ^ROST_FNAME ^ROST_LNAME where AGE >= 18

18.

^LNO ^ROST_FNAME ^ROST_LNAME where AGE >= 18

19.

^LNO ^ROST_FNAME ^ROST_LNAME where AGE >= 18

20.

^LNO ^ROST_FNAME ^ROST_LNAME where AGE >= 18

21.

^LNO ^ROST_FNAME ^ROST_LNAME where AGE >= 18

22.

^LNO ^ROST_FNAME ^ROST_LNAME where AGE >= 18

23.

^LNO ^ROST_FNAME ^ROST_LNAME where AGE >= 18

24.

^LNO ^ROST_FNAME ^ROST_LNAME where AGE >= 18

25.

^LNO ^ROST_FNAME ^ROST_LNAME where AGE >= 18



CTRLNUM



**NON-DISPLAYED ITEM**





LNO



**NON-DISPLAYED ITEM**





AFWHEN



When did ^TEMPNAME serve on active duty?  Any other times?

 Enter all that apply.





1.

September 2001 to present

2.

August 1990 to August 2001 (including Persian Gulf War)

3.

September 1980 to July 1990

4.

May 1975 to August 1980

5.

Vietnam Era (August 1964 to April 1975)

6.

Other service (All other periods)



AFNOW



^C_AREIS ^TEMPNAME now on active duty?





1.

Yes

2.

No



AFHHLD_ALL



 Do not read to respondent.

All of the adults in this household are members of the Armed Forces.  The household is classified as a Type B noninterview

 
Press 1 to continue.





1.

Enter 1 to continue



CTRLNUM



**NON-DISPLAYED ITEM**





LNO



**NON-DISPLAYED ITEM**





DISABL



C_DODOES ^TEMPNAME have a physical, mental or other health condition that limits the kind and amount of work he/she can do at a job or business?





1.

Yes

2.

No



CTRLNUM



**NON-DISPLAYED ITEM**





LNO



**NON-DISPLAYED ITEM**





EVERET



^C_HAVHAS ^TEMPNAME ever retired, for any reason, from a job or business?





1.

Yes

2.

No







CLUMPALL



Did ^TEMPNAME and  Read name(s) ^BOTHALL live together ^DURATION_REFPERDFIL?

Display the first and last name of all people on the final household roster





1.

Yes

2.

No



CLUMPANY



Did ^TEMPNAME live together ^ENTIRE_TIMEFIL with ^EITHERANY of the people ^HESHE currently ^LIVE_LIVESFIL with?





1.

Yes

2.

No



CLUMPWHO



Who was that?  (Which of these people did ^TEMPNAME live with the entire time between ^MONTH1 1st. and the end of ^LASTMONTH ^CALENDAR_YRFIL?)





1.

^LNO ^ROST_FNAME ^ROST_LNAME

2.

^LNO ^ROST_FNAME ^ROST_LNAME

3.

^LNO ^ROST_FNAME ^ROST_LNAME

4.

^LNO ^ROST_FNAME ^ROST_LNAME

5.

^LNO ^ROST_FNAME ^ROST_LNAME

6.

^LNO ^ROST_FNAME ^ROST_LNAME

7.

^LNO ^ROST_FNAME ^ROST_LNAME

8.

^LNO ^ROST_FNAME ^ROST_LNAME

9.

^LNO ^ROST_FNAME ^ROST_LNAME

10.

^LNO ^ROST_FNAME ^ROST_LNAME

11.

^LNO ^ROST_FNAME ^ROST_LNAME

12.

^LNO ^ROST_FNAME ^ROST_LNAME

13.

^LNO ^ROST_FNAME ^ROST_LNAME

14.

^LNO ^ROST_FNAME ^ROST_LNAME

15.

^LNO ^ROST_FNAME ^ROST_LNAME

16.

^LNO ^ROST_FNAME ^ROST_LNAME

17.

^LNO ^ROST_FNAME ^ROST_LNAME

18.

^LNO ^ROST_FNAME ^ROST_LNAME

19.

^LNO ^ROST_FNAME ^ROST_LNAME

20.

^LNO ^ROST_FNAME ^ROST_LNAME

21.

^LNO ^ROST_FNAME ^ROST_LNAME

22.

^LNO ^ROST_FNAME ^ROST_LNAME

23.

^LNO ^ROST_FNAME ^ROST_LNAME

24.

^LNO ^ROST_FNAME ^ROST_LNAME

25.

^LNO ^ROST_FNAME ^ROST_LNAME



CTRLNUM



**NON-DISPLAYED ITEM**





LNO



**NON-DISPLAYED ITEM**





T2_ALLYR



Did ^TEMPNAME ^READNAMEFIL move to this address before or after ^MONTH1 1, ^CALENDAR_YEAR?

Display the first and last name of all people selected in CLUMPWHO





1.

Before ^MONTH1 1, ^CALENDAR_YEAR

2.

On or after ^MONTH1, ^CALENDAR_YEAR

3.

All other responses



T2_YN



^OTHERWAS there anyone else who lived with ^TEMPNAME for one month or more at any time between ^MONTH1 1st. and the end of ^LASTMONTH ^CALENDAR_YRFIL^OTHERADD?

 
Read if necessary.  This is a survey about people's economic situation between ^MONTH1 1st. and the end of ^LASTMONTH ^CALENDAR_YRFIL.  The picture would be incomplete if we didn't get a little information about people ^TEMPNAME used to live with. 

 
'One month or more' must be CONTINUOUS time, not a day or week here or there.





1.

Yes

2.

No



CTRLNUM



**NON-DISPLAYED ITEM**





LNO



**NON-DISPLAYED ITEM**





T2_ROST_NUM



Can ^TEMPNAME tell me who that was, please?  (That is, the people who lived with ^TEMPNAME^OTHERADD_COMMA at any time between ^MONTH1 1st. and the end of ^LASTMONTH ^CALENDAR_YRFIL.)

 
Read if necessary.  We don't need full names, a first name and last intial is fine.  I only need a name so ^TEMPNAME and I can be clear about who we're talking about.

 As each name is added, consider whether this is a duplicate name to one previously entered and probe to make sure the responses are consistent.

 
Enter 0 to add a new person.

 
Enter 151 for none/no more.

Display the fist and last name of the people aready entered





T2_ROST



(Can ^TEMPNAME tell me who that was, please?  That is, the people who lived with ^TEMPNAME^OTHERADD_COMMA at any time between ^MONTH1 1st. and the end of ^LASTMONTH ^CALENDAR_YRFIL?)

 
Read if necessary.  We don't need full names, a first name and last intial is fine.  I only need a name so ^TEMPNAME and I can be clear about who we're talking about.





T2_MORE



That's ten other people who lived with ^TEMPNAME between ^MONTH1 1st. and the end of ^LASTMONTH ^CALENDAR_YRFIL, which is all this questionnaire has room for.   How many more were there?

Enter 0 for none.





CTRLNUM



**NON-DISPLAYED ITEM**





LNO



**NON-DISPLAYED ITEM**





T2_REL



^T2_REL_RELATIONSHIPQFILL

Text to fill when limiting to only the first five type 2 people identified

 If more than one relationship is applicable, enter the relationship that applied for most of the time spent living together between ^MONTH1 1st. and the end of ^LASTMONTH ^CALENDAR_YRFIL.

If the exact relationship is unknown, mark 'Other Relatives' if the person is related or mark 'Friends, Roommates, or Other Non-Relatives' if the person is not related.






1.

Husband-Wife

2.

Unmarried Partners

3.

Parent-Child

4.

Grandparent-Grandchild

5.

Siblings (e.g. brother-sister)

6.

Other Relatives (e.g., aunt/uncle, niece/nephew, cousins, parent-child-in-laws, etc.)

7.

Foster Parent-Child

8.

Friends, Roommates or Other Non-Relatives



CTRLNUM



**NON-DISPLAYED ITEM**





LNO



**NON-DISPLAYED ITEM**





T2_1_MONTHS



In which months, between ^MONTH1 1st. and the end of ^LASTMONTH ^CALENDAR_YRFIL, did ^TEMPNAME and ^T2_ROSTNAMEFIL live together?

Mark all that apply.

Mark all months in which these people lived together for at least half of the month.





1.

January

2.

February

3.

March

4.

April

5.

May

6.

June

7.

July

8.

August

9.

September

10.

October

11.

November

12.

December



CTRLNUM



**NON-DISPLAYED ITEM**





LNO



**NON-DISPLAYED ITEM**





T2_SEX



 Ask if necessary.

Is ^T2_ROSTNAMEFIL male or female?





1.

Male

2.

Female



T2_AGE



Next are a few questions about ^T2_ROSTNAMEFIL.  What was ^HISHER age as of ^MONTH1 1, ^CALENDAR_YEAR?

 Read if necessary.  Your best guess is fine.





T2_AGERANGE



Was ^HESHE...





1.

Under 5 years old?

2.

5 - 14 years old?

3.

15 - 19 years old?

4.

20 - 29 years old?

5.

30 - 49 years old?

6.

50 - 69 years old?

7.

70 years old or over?



T2_HIED



What is the highest level of school that ^T2_ROSTNAMEFIL has completed, or the highest degree ^T2HESHE has received?





1.

Did NOT graduate from high school

2.

Graduated from high school (Dilploma or GED)

3.

College graduate (Bachelors degree or higher)



T2_WORK



Did ^T2_ROSTNAMEFIL work for pay during the time ^TEMPNAME lived together (that is, between ^MONTH1 and the end of ^LASTMONTH ^CALENDAR_YRFIL)?





1.

Yes

2.

Yes, some of the time (volunteered - do not read)

3.

No



T2_INC



Including all income sources, what would ^TEMPNAME guess was ^T2HISHER annual income?

 
Read if necessary.  We don't expect an exact amount.  ^PTEMPNAME best guess is fine. 

 If a specific time is asked for, use ^MONTH1 1, ^CALENDAR_YEAR.

 
If the person's income is $1 million or more, enter 999,999.

 Round the amount to the nearest dollar.





T2_INCDK1



Was it more than $25,000?

 If a specific time is asked for, use ^MONTH1 1, ^CALENDAR_YEAR.





1.

Yes, more than $25,000

2.

No



T2_INCDK2A



Was it more than $50,000?

 If a specific time is asked for, use ^MONTH1 1, ^CALENDAR_YEAR.





1.

Yes, more than $50,000

2.

No



T2_INCDK2B



Was it more than $10,000?

  If a specific time is asked for, use ^MONTH1 1, ^CALENDAR_YEAR.





1.

Yes, more than $10,000

2.

No










































LNDMK_INTRO



Today it is Interview month of Interview year.  In this section of the interview we are interested in events that have occurred between between ^MONTH1 and ^LASTMONTH  ^CALENDAR_YRFIL.  We are especially interested in where and with whom you have lived, your employment and unemployment history, and your income from work and from programs.  First, though, are there any events that occurred between ^MONTH1 and ^LASTMONTH  ^CALENDAR_YRFIL, that stand out in your mind that you are able to date exactly or approximately?  These might be family, financial, job, social or health related events.  (Some examples include births or deaths, divorces or marriages, a vacation, health-related events such as an accident, major purchases that you have made, a job promotion or pay raise, a residence or job change.)  Enter "YES" to proceed with this section.





SCREENER



Proceed?





1.

Yes

2.

No

3.

Don't Know

4.

Refuse



BMONTH



When did this event begin?





UNSUREFROM



Unsure





EMONTH



What month did this event stop?





UNSURETO



Unsure





LANDMARK



Please provide a short description of the event so that we can use it to help recall when other events occurred.







RES_INTRO



Now I am going to ask you questions about where ^TEMPNAME lived between ^MONTH1 and ^LASTMONTH ^CALENDAR_YRFIL. Lets start with this address and think about any additional addresses ^TEMPNAME lived at between ^MONTH1 and ^LASTMONTH ^CALENDAR_YRFIL?" Enter YES to proceed.





SCREENER



Proceed?





1.

Yes

2.

No

3.

Don't Know

4.

Refuse



BMONTH



When did ^TEMPNAME begin living at this address?





1.

January

2.

February

3.

March

4.

April

5.

May

6.

June

7.

July

8.

August

9.

September

10.

October

11.

November

12.

December



UNSUREFROM



Unsure





EMONTH



When did ^TEMPNAME stop living at this address?





1.

January

2.

February

3.

March

4.

April

5.

May

6.

June

7.

July

8.

August

9.

September

10.

October

11.

November

12.

December



UNSURETO



Unsure





PICK_ADDRESS








EHC_CNTRY_(1...5)



What is the country of this address?





1.

Afghanistan

2.

Africa

3.

American Samoa

4.

Argentina

5.

Armenia

6.

Australia

7.

Austria

8.

Azores

9.

Bahamas

10.

Bangladesh

11.

Barbados

12.

Belgium

13.

Belize

14.

Bermuda

15.

Bolivia

16.

Bosnia and Herzegovina

17.

Brazil

18.

Burma

19.

Cambodia

20.

Canada

21.

Caribbean

22.

Chile

23.

China

24.

Colombia

25.

Costa Rica

26.

Cuba

27.

Czech Republic

28.

Czechoslovakia

29.

Denmark

30.

Dominica

31.

Dominican Republic

32.

Ecuador

33.

Egypt

34.

El Salvador

35.

England

36.

Ethiopia

37.

Fiji

38.

Finland

39.

France

40.

Germany

41.

Ghana

42.

Great Britain

43.

Greece

44.

Grenada

45.

Guam

46.

Guatemala

47.

Guyana

48.

Haiti

49.

Honduras

50.

Hong Kong

51.

Hungary

52.

India

53.

Indonesia

54.

Iran

55.

Iraq

56.

Ireland

57.

Israel

58.

Italy

59.

Jamaica

60.

Japan

61.

Jordan

62.

Kenya

63.

Korea

64.

Laos

65.

Latvia

66.

Lebanon

67.

Lithuania

68.

Malaysia

69.

Mexico

70.

Morocco

71.

Netherlands

72.

New Zealand

73.

Nicaragua

74.

Nigeria

75.

Northern Marianas

76.

Norway

77.

Other

78.

Other Africa

79.

Other Asia

80.

Other Central America

81.

Other Europe

82.

Other Pacific Islands

83.

Other South America

84.

Pakistan

85.

Palestine

86.

Panama

87.

Peru

88.

Philippines

89.

Poland

90.

Portugal

91.

Puerto Rico

92.

Romania

93.

Russia

94.

Scotland

95.

Slovakia

96.

South Africa

97.

South Korea

98.

Spain

99.

Sweden

100.

Switzerland

101.

Syria

102.

Taiwan

103.

Thailand

104.

Trinidad and Tobago

105.

Turkey

106.

U.S. Virgin Islands

107.

Ukraine

108.

United Kingdom

109.

United States (US, USA)

110.

Uruguay

111.

USSR

112.

Venezuela

113.

Vietnam

114.

Yugoslavia



EHC_HNO_(1...5)



What is the house number of this address?
House Number _____________________





EHC_HNOSUF_(1...5)



What is the house number suffix of this address?

House No. Suffix  _______________________





EHC_STRNAME_(1...5)



What is the street name of this address?

Street Address_______________________







EHC_NONCITYADD_(1...5)



What is the (non-city) address of this residence?





EHC_PO_(1...5)



What is the city of this address?





EHC_CNTY_(1...5)



What is the county of this address?





EHC_ST_(1...5)



What is the state of this address?





1.

Alabama

2.

Alaska

3.

American Samoa

4.

Arizona

5.

Arkansas

6.

California

7.

Colorado

8.

Connecticut

9.

Delaware

10.

District of Columbia

11.

Florida

12.

Georgia

13.

Guam

14.

Hawaii

15.

Idaho

16.

Illinois

17.

Indiana

18.

Iowa

19.

Kansas

20.

Kentucky

21.

Louisiana

22.

Maine

23.

Maryland

24.

Massachusetts

25.

Michigan

26.

Minnesota

27.

Mississippi

28.

Missouri

29.

Montana

30.

Nebraska

31.

Nevada

32.

New Hampshire

33.

New Jersey

34.

New Mexico

35.

New York

36.

North Carolina

37.

North Dakota

38.

Northern Marianas

39.

Ohio

40.

Oklahoma

41.

Oregon

42.

Other place of birth

43.

Pennsylvania

44.

Puerto Rico

45.

Rhode Island

46.

South Carolina

47.

South Dakota

48.

Tennessee

49.

Texas

50.

U.S. Virgin Islands

51.

Utah

52.

Vermont

53.

Virginia

54.

Washington

55.

West Virginia

56.

Wisconsin

57.

Wyoming



EHC_ZIP5_(1...5)



What is the 5-digit zip code for this area?





EHC_ZIP4_(1...5)



What is the 4-digit zip code for this area?





PRVLVQRT_(1...5)



What is the type of living quarters for this address?

Response choices 1 through 7 correspond to HOUSING UNITS and 8 through 15 correspond to GROUP QUARTERS





1.

House, apartment, flat

2.

HU in in nontransient hotel, motel, etc.

3.

HU permanent, in transient hotel, motel, etc

4.

HU in rooming house

5.

Mobile home or trailer with no permanent room added

6.

Mobile home or trailer with one or more permanent rooms added

7.

HU not specified above

8.

Correctional Institution or Juvenile Correctional Facility

9.

Nursing Facilities/ Skilled Nursing Facility

10.

Student Quarters/ College or University Housing

11.

Military Quarters (Barracks, Ship at Sea)

12.

Group Home

13.

Emergency or Transitional Shelter

14.

Other institutions (hospital, residential school for people w/disabilities)

15.

Other noninstitutional group quarters



EHC_TEN_(1...5)



Was this address owned, rented, or occupied without payment of rent?





1.

Owned or being bought by you or someone in your household?

2.

Rented?

3.

Occupied without payment of rent?



EHC_RENTSUB_(1...5)



Was the rent amount lower for this address because ^TEMPNAME ^WEREWAS in a Federal, State, or local government housing program?





1.

Yes

2.

No



EHC_VOUCHER_(1...5)



Did your household receive a housing voucher for this address? (A housing voucher gives a renter the right to choose where they live AND it helps pay the rent.)





1.

Yes

2.

No



EHC_MVMO



Thinking about This fill is for 'your' or the person's name who is being refered to. January ^CALENDAR_YRFIL address, what month did ^TEMPNAME move in?





1.

January

2.

February

3.

March

4.

April

5.

May

6.

June

7.

July

8.

August

9.

September

10.

October

11.

November

12.

December



EHC_MVYR



Thinking about This fill is for 'your' or the person's name who is being refered to. January ^CALENDAR_YRFIL address, what year did ^TEMPNAME move in?





EHC_PVCNTY



Thinking about This fill is for 'your' or the person's name who is being refered to. January ^CALENDAR_YRFIL address, what county did ^TEMPNAME live in before that?





EHC_PVCTY



Thinking about This fill is for 'your' or the person's name who is being refered to. January ^CALENDAR_YRFIL address, what city did ^TEMPNAME live in before that?





EHC_PVST



Thinking about This fill is for 'your' or the person's name who is being refered to. January ^CALENDAR_YRFIL address, what state did ^TEMPNAME live in before that?





1.

Alabama

2.

Alaska

3.

American Samoa

4.

Arizona

5.

Arkansas

6.

California

7.

Colorado

8.

Connecticut

9.

Delaware

10.

District of Columbia

11.

Florida

12.

Georgia

13.

Guam

14.

Hawaii

15.

Idaho

16.

Illinois

17.

Indiana

18.

Iowa

19.

Kansas

20.

Kentucky

21.

Louisiana

22.

Maine

23.

Maryland

24.

Massachusetts

25.

Michigan

26.

Minnesota

27.

Mississippi

28.

Missouri

29.

Montana

30.

Nebraska

31.

Nevada

32.

New Hampshire

33.

New Jersey

34.

New Mexico

35.

New York

36.

North Carolina

37.

North Dakota

38.

Northern Marianas

39.

Ohio

40.

Oklahoma

41.

Oregon

42.

Other place of birth

43.

Pennsylvania

44.

Puerto Rico

45.

Rhode Island

46.

South Carolina

47.

South Dakota

48.

Tennessee

49.

Texas

50.

U.S. Virgin Islands

51.

Utah

52.

Vermont

53.

Virginia

54.

Washington

55.

West Virginia

56.

Wisconsin

57.

Wyoming



EHC_PVCNTRY



Thinking about This fill is for 'your' or the person's name who is being refered to. January ^CALENDAR_YRFIL address, what country did ^TEMPNAME live in before that?





1.

Afghanistan

2.

Africa

3.

American Samoa

4.

Argentina

5.

Armenia

6.

Australia

7.

Austria

8.

Azores

9.

Bahamas

10.

Bangladesh

11.

Barbados

12.

Belgium

13.

Belize

14.

Bermuda

15.

Bolivia

16.

Bosnia and Herzegovina

17.

Brazil

18.

Burma

19.

Cambodia

20.

Canada

21.

Caribbean

22.

Chile

23.

China

24.

Colombia

25.

Costa Rica

26.

Cuba

27.

Czech Republic

28.

Czechoslovakia

29.

Denmark

30.

Dominica

31.

Dominican Republic

32.

Ecuador

33.

Egypt

34.

El Salvador

35.

England

36.

Ethiopia

37.

Fiji

38.

Finland

39.

France

40.

Germany

41.

Ghana

42.

Great Britain

43.

Greece

44.

Grenada

45.

Guam

46.

Guatemala

47.

Guyana

48.

Haiti

49.

Honduras

50.

Hong Kong

51.

Hungary

52.

India

53.

Indonesia

54.

Iran

55.

Iraq

56.

Ireland

57.

Israel

58.

Italy

59.

Jamaica

60.

Japan

61.

Jordan

62.

Kenya

63.

Korea

64.

Laos

65.

Latvia

66.

Lebanon

67.

Lithuania

68.

Malaysia

69.

Mexico

70.

Morocco

71.

Netherlands

72.

New Zealand

73.

Nicaragua

74.

Nigeria

75.

Northern Marianas

76.

Norway

77.

Other

78.

Other Africa

79.

Other Asia

80.

Other Central America

81.

Other Europe

82.

Other Pacific Islands

83.

Other South America

84.

Pakistan

85.

Palestine

86.

Panama

87.

Peru

88.

Philippines

89.

Poland

90.

Portugal

91.

Puerto Rico

92.

Romania

93.

Russia

94.

Scotland

95.

Slovakia

96.

South Africa

97.

South Korea

98.

Spain

99.

Sweden

100.

Switzerland

101.

Syria

102.

Taiwan

103.

Thailand

104.

Trinidad and Tobago

105.

Turkey

106.

U.S. Virgin Islands

107.

Ukraine

108.

United Kingdom

109.

United States (US, USA)

110.

Uruguay

111.

USSR

112.

Venezuela

113.

Vietnam

114.

Yugoslavia



EHC_TENURE



Thinking about This fill is for 'your' or the person's name who is being refered to. January ^CALENDAR_YRFIL address, did ^TEMPNAME own, rent, or occupy without payment of rent the address before that?





1.

Owned or being bought by you or someone in your household?

2.

Rented?

3.

Occupied without payment of rent?


































INTROTEXTMS



THIS SECTION DOES NOT APPLY FOR THOSE UNDER AGE 15.
Now I'd like to talk with you about ^APTEMPNAME marital status during ^CALENDAR_YEAR.  I have recorded that ^ATEMPNAME AREIS ^MARITAL_STATUSFILL.  Enter YES to proceed.





SCREENER



Proceed?





BMONTH



What month did this marital status spell begin?





UNSUREFROM



Unsure





EMONTH



What is the last month of this marital status spell?





UNSURETO



Unsure





MS_EHC



What was ^PTEMPNAME marital status during this period?





1.

Married

2.

Married, spouse absent -- DO NOT READ

3.

Widowed

4.

Divorced

5.

Separated

6.

Never Married

8.

Don't Know

9.

Refused



WHO_SPOUSE_EHC



Who was ^PTEMPNAME spouse during this period?





1.

^LNO ^ROST_FNAME ^ROST_LNAME where AGE >= 15 and it isn't the current respondent

2.

^LNO ^ROST_FNAME ^ROST_LNAME where AGE >= 15 and it isn't the current respondent

3.

^LNO ^ROST_FNAME ^ROST_LNAME where AGE >= 15 and it isn't the current respondent

4.

^LNO ^ROST_FNAME ^ROST_LNAME where AGE >= 15 and it isn't the current respondent

5.

^LNO ^ROST_FNAME ^ROST_LNAME where AGE >= 15 and it isn't the current respondent

6.

^LNO ^ROST_FNAME ^ROST_LNAME where AGE >= 15 and it isn't the current respondent

7.

^LNO ^ROST_FNAME ^ROST_LNAME where AGE >= 15 and it isn't the current respondent

8.

^LNO ^ROST_FNAME ^ROST_LNAME where AGE >= 15 and it isn't the current respondent

9.

^LNO ^ROST_FNAME ^ROST_LNAME where AGE >= 15 and it isn't the current respondent

10.

^LNO ^ROST_FNAME ^ROST_LNAME where AGE >= 15 and it isn't the current respondent

11.

^LNO ^ROST_FNAME ^ROST_LNAME where AGE >= 15 and it isn't the current respondent

12.

^LNO ^ROST_FNAME ^ROST_LNAME where AGE >= 15 and it isn't the current respondent

13.

^LNO ^ROST_FNAME ^ROST_LNAME where AGE >= 15 and it isn't the current respondent

14.

^LNO ^ROST_FNAME ^ROST_LNAME where AGE >= 15 and it isn't the current respondent

15.

^LNO ^ROST_FNAME ^ROST_LNAME where AGE >= 15 and it isn't the current respondent

16.

^LNO ^ROST_FNAME ^ROST_LNAME where AGE >= 15 and it isn't the current respondent

17.

^LNO ^ROST_FNAME ^ROST_LNAME where AGE >= 15 and it isn't the current respondent

18.

^LNO ^ROST_FNAME ^ROST_LNAME where AGE >= 15 and it isn't the current respondent

19.

^LNO ^ROST_FNAME ^ROST_LNAME where AGE >= 15 and it isn't the current respondent

20.

^LNO ^ROST_FNAME ^ROST_LNAME where AGE >= 15 and it isn't the current respondent

21.

^LNO ^ROST_FNAME ^ROST_LNAME where AGE >= 15 and it isn't the current respondent

22.

^LNO ^ROST_FNAME ^ROST_LNAME where AGE >= 15 and it isn't the current respondent

23.

^LNO ^ROST_FNAME ^ROST_LNAME where AGE >= 15 and it isn't the current respondent

24.

^LNO ^ROST_FNAME ^ROST_LNAME where AGE >= 15 and it isn't the current respondent

25.

^LNO ^ROST_FNAME ^ROST_LNAME where AGE >= 15 and it isn't the current respondent

26.

^LNO ^ROST_FNAME ^ROST_LNAME where AGE >= 15 and it isn't the current respondent

27.

^LNO ^ROST_FNAME ^ROST_LNAME where AGE >= 15 and it isn't the current respondent

28.

^LNO ^ROST_FNAME ^ROST_LNAME where AGE >= 15 and it isn't the current respondent

29.

^LNO ^ROST_FNAME ^ROST_LNAME where AGE >= 15 and it isn't the current respondent

30.

^LNO ^ROST_FNAME ^ROST_LNAME where AGE >= 15 and it isn't the current respondent

31.

^LNO ^ROST_FNAME ^ROST_LNAME where AGE >= 15 and it isn't the current respondent

32.

^LNO ^ROST_FNAME ^ROST_LNAME where AGE >= 15 and it isn't the current respondent

33.

^LNO ^ROST_FNAME ^ROST_LNAME where AGE >= 15 and it isn't the current respondent

34.

^LNO ^ROST_FNAME ^ROST_LNAME where AGE >= 15 and it isn't the current respondent

35.

^LNO ^ROST_FNAME ^ROST_LNAME where AGE >= 15 and it isn't the current respondent

36.

DK

37.

R

38.

no one eligible (display when there is no one on hh roster or T2 roster where age ge 15 and it isn't the current respondent

39.

someone not listed



YR_CURR_MARR



In what year did ^HESHE enter ^HISHER current marriage?





TIMES_MARRIED



How many times ^HAVHAS_EHC ^TEMPNAME been married?





1.

Once

2.

Twice

3.

Three times

4 or more.

Four or more times

8.

Don't Know

9.

Refused



YR_FIRST_MARR



In what year did ^TEMPNAME get married for the first time?





GOT_PARTNER



During this time, did ^TEMPNAME have a boyfriend, girlfriend or partner in the household?





1.

Yes

2.

No

3.

Don't Know

4.

Refuse



WHO_PARTNER_EHC



Who was ^PTEMPNAME boyfriend, girlfriend, or partner?





1.

^LNO ^ROST_FNAME ^ROST_LNAME where AGE >= 15 and it isn't the current respondent

2.

^LNO ^ROST_FNAME ^ROST_LNAME where AGE >= 15 and it isn't the current respondent

3.

^LNO ^ROST_FNAME ^ROST_LNAME where AGE >= 15 and it isn't the current respondent

4.

^LNO ^ROST_FNAME ^ROST_LNAME where AGE >= 15 and it isn't the current respondent

5.

^LNO ^ROST_FNAME ^ROST_LNAME where AGE >= 15 and it isn't the current respondent

6.

^LNO ^ROST_FNAME ^ROST_LNAME where AGE >= 15 and it isn't the current respondent

7.

^LNO ^ROST_FNAME ^ROST_LNAME where AGE >= 15 and it isn't the current respondent

8.

^LNO ^ROST_FNAME ^ROST_LNAME where AGE >= 15 and it isn't the current respondent

9.

^LNO ^ROST_FNAME ^ROST_LNAME where AGE >= 15 and it isn't the current respondent

10.

^LNO ^ROST_FNAME ^ROST_LNAME where AGE >= 15 and it isn't the current respondent

11.

^LNO ^ROST_FNAME ^ROST_LNAME where AGE >= 15 and it isn't the current respondent

12.

^LNO ^ROST_FNAME ^ROST_LNAME where AGE >= 15 and it isn't the current respondent

13.

^LNO ^ROST_FNAME ^ROST_LNAME where AGE >= 15 and it isn't the current respondent

14.

^LNO ^ROST_FNAME ^ROST_LNAME where AGE >= 15 and it isn't the current respondent

15.

^LNO ^ROST_FNAME ^ROST_LNAME where AGE >= 15 and it isn't the current respondent

16.

^LNO ^ROST_FNAME ^ROST_LNAME where AGE >= 15 and it isn't the current respondent

17.

^LNO ^ROST_FNAME ^ROST_LNAME where AGE >= 15 and it isn't the current respondent

18.

^LNO ^ROST_FNAME ^ROST_LNAME where AGE >= 15 and it isn't the current respondent

19.

^LNO ^ROST_FNAME ^ROST_LNAME where AGE >= 15 and it isn't the current respondent

20.

^LNO ^ROST_FNAME ^ROST_LNAME where AGE >= 15 and it isn't the current respondent

21.

^LNO ^ROST_FNAME ^ROST_LNAME where AGE >= 15 and it isn't the current respondent

22.

^LNO ^ROST_FNAME ^ROST_LNAME where AGE >= 15 and it isn't the current respondent

23.

^LNO ^ROST_FNAME ^ROST_LNAME where AGE >= 15 and it isn't the current respondent

24.

^LNO ^ROST_FNAME ^ROST_LNAME where AGE >= 15 and it isn't the current respondent

25.

^LNO ^ROST_FNAME ^ROST_LNAME where AGE >= 15 and it isn't the current respondent

26.

^LNO ^ROST_FNAME ^ROST_LNAME where AGE >= 15 and it isn't the current respondent

27.

^LNO ^ROST_FNAME ^ROST_LNAME where AGE >= 15 and it isn't the current respondent

28.

^LNO ^ROST_FNAME ^ROST_LNAME where AGE >= 15 and it isn't the current respondent

29.

^LNO ^ROST_FNAME ^ROST_LNAME where AGE >= 15 and it isn't the current respondent

30.

^LNO ^ROST_FNAME ^ROST_LNAME where AGE >= 15 and it isn't the current respondent

31.

^LNO ^ROST_FNAME ^ROST_LNAME where AGE >= 15 and it isn't the current respondent

32.

^LNO ^ROST_FNAME ^ROST_LNAME where AGE >= 15 and it isn't the current respondent

33.

^LNO ^ROST_FNAME ^ROST_LNAME where AGE >= 15 and it isn't the current respondent

34.

^LNO ^ROST_FNAME ^ROST_LNAME where AGE >= 15 and it isn't the current respondent

35.

^LNO ^ROST_FNAME ^ROST_LNAME where AGE >= 15 and it isn't the current respondent

36.

DK

37.

R

38.

no one eligible (display when there is no one on hh roster or T2 roster where age ge 15 and it isn't the current respondent

39.

someone not listed





























INTROTEXTMOM



Did ^TEMPNAME live with ^HISHER mother between ^MONTH1 and ^LASTMONTH ^CALENDAR_YRFIL?





SCREENER



Lived with mom?





1.

YES, lived with mother during ^CALENDAR_YRFIL

2.

NO, did not live with mother during ^CALENDAR_YRFIL

8.

Don't Know

9.

Refused



BMONTH



What month (of the reference year) did you begin living with your mother?





UNSUREFROM



Unsure





EMONTH



What is the last month (during the reference year) that you lived with your mother?





UNSURETO



Unsure





WHOMOM_EHC



Who was ^PTEMPNAME mother?





1.

^LNO ^ROST_FNAME ^ROST_MNAME ^ROST_LNAME where SEX = 2 and AGE >= 15 and is not the current respondent

2.

^LNO ^ROST_FNAME ^ROST_MNAME ^ROST_LNAME where SEX = 2 and AGE >= 15 and is not the current respondent

3.

^LNO ^ROST_FNAME ^ROST_MNAME ^ROST_LNAME where SEX = 2 and AGE >= 15 and is not the current respondent

4.

^LNO ^ROST_FNAME ^ROST_MNAME ^ROST_LNAME where SEX = 2 and AGE >= 15 and is not the current respondent

5.

^LNO ^ROST_FNAME ^ROST_MNAME ^ROST_LNAME where SEX = 2 and AGE >= 15 and is not the current respondent

6.

^LNO ^ROST_FNAME ^ROST_MNAME ^ROST_LNAME where SEX = 2 and AGE >= 15 and is not the current respondent

7.

^LNO ^ROST_FNAME ^ROST_MNAME ^ROST_LNAME where SEX = 2 and AGE >= 15 and is not the current respondent

8.

^LNO ^ROST_FNAME ^ROST_MNAME ^ROST_LNAME where SEX = 2 and AGE >= 15 and is not the current respondent

9.

^LNO ^ROST_FNAME ^ROST_MNAME ^ROST_LNAME where SEX = 2 and AGE >= 15 and is not the current respondent

10.

^LNO ^ROST_FNAME ^ROST_MNAME ^ROST_LNAME where SEX = 2 and AGE >= 15 and is not the current respondent

11.

^LNO ^ROST_FNAME ^ROST_MNAME ^ROST_LNAME where SEX = 2 and AGE >= 15 and is not the current respondent

12.

^LNO ^ROST_FNAME ^ROST_MNAME ^ROST_LNAME where SEX = 2 and AGE >= 15 and is not the current respondent

13.

^LNO ^ROST_FNAME ^ROST_MNAME ^ROST_LNAME where SEX = 2 and AGE >= 15 and is not the current respondent

14.

^LNO ^ROST_FNAME ^ROST_MNAME ^ROST_LNAME where SEX = 2 and AGE >= 15 and is not the current respondent

15.

^LNO ^ROST_FNAME ^ROST_MNAME ^ROST_LNAME where SEX = 2 and AGE >= 15 and is not the current respondent

16.

^LNO ^ROST_FNAME ^ROST_MNAME ^ROST_LNAME where SEX = 2 and AGE >= 15 and is not the current respondent

17.

^LNO ^ROST_FNAME ^ROST_MNAME ^ROST_LNAME where SEX = 2 and AGE >= 15 and is not the current respondent

18.

^LNO ^ROST_FNAME ^ROST_MNAME ^ROST_LNAME where SEX = 2 and AGE >= 15 and is not the current respondent

19.

^LNO ^ROST_FNAME ^ROST_MNAME ^ROST_LNAME where SEX = 2 and AGE >= 15 and is not the current respondent

20.

^LNO ^ROST_FNAME ^ROST_MNAME ^ROST_LNAME where SEX = 2 and AGE >= 15 and is not the current respondent

21.

^LNO ^ROST_FNAME ^ROST_MNAME ^ROST_LNAME where SEX = 2 and AGE >= 15 and is not the current respondent

22.

^LNO ^ROST_FNAME ^ROST_MNAME ^ROST_LNAME where SEX = 2 and AGE >= 15 and is not the current respondent

23.

^LNO ^ROST_FNAME ^ROST_MNAME ^ROST_LNAME where SEX = 2 and AGE >= 15 and is not the current respondent

24.

^LNO ^ROST_FNAME ^ROST_MNAME ^ROST_LNAME where SEX = 2 and AGE >= 15 and is not the current respondent

25.

^LNO ^ROST_FNAME ^ROST_MNAME ^ROST_LNAME where SEX = 2 and AGE >= 15 and is not the current respondent

26.

^LNO ^ROST_FNAME ^ROST_MNAME ^ROST_LNAME where SEX = 2 and AGE >= 15 and is not the current respondent

27.

^LNO ^ROST_FNAME ^ROST_MNAME ^ROST_LNAME where SEX = 2 and AGE >= 15 and is not the current respondent

28.

^LNO ^ROST_FNAME ^ROST_MNAME ^ROST_LNAME where SEX = 2 and AGE >= 15 and is not the current respondent

29.

^LNO ^ROST_FNAME ^ROST_MNAME ^ROST_LNAME where SEX = 2 and AGE >= 15 and is not the current respondent

30.

^LNO ^ROST_FNAME ^ROST_MNAME ^ROST_LNAME where SEX = 2 and AGE >= 15 and is not the current respondent

31.

^LNO ^ROST_FNAME ^ROST_MNAME ^ROST_LNAME where SEX = 2 and AGE >= 15 and is not the current respondent

32.

^LNO ^ROST_FNAME ^ROST_MNAME ^ROST_LNAME where SEX = 2 and AGE >= 15 and is not the current respondent

33.

^LNO ^ROST_FNAME ^ROST_MNAME ^ROST_LNAME where SEX = 2 and AGE >= 15 and is not the current respondent

34.

^LNO ^ROST_FNAME ^ROST_MNAME ^ROST_LNAME where SEX = 2 and AGE >= 15 and is not the current respondent

35.

^LNO ^ROST_FNAME ^ROST_MNAME ^ROST_LNAME where SEX = 2 and AGE >= 15 and is not the current respondent

36.

no one eligible (display when there is no one on hh roster or T2 roster where sex=2 and age ge 15

37.

DK

38.

R

39.

someone not listed



TYPMOM_EHC



C_AREIS ^TEMPNAME her biological, step, adopted or foster child?





1.

Biological child

2.

Stepchild

3.

Adopted child

4.

Foster child

8.

Don't Know

9.

Refused































INTROTEXTDAD



Did ^TEMPNAME live with ^HISHER father between ^MONTH1 and ^LASTMONTH ^CALENDAR_YRFIL?





SCREENER



Lived with dad?





1.

YES, lived with father during ^CALENDAR_YRFIL

2.

NO, did not live with father during ^CALENDAR_YRFIL

8.

Don't Know

9.

Refused



BMONTH



What month (of the reference year) did you begin living with your father?





UNSUREFROM



Unsure





EMONTH



What is the last month (during the reference year) that you lived with your father?





UNSURETO



Unsure





WHODAD_EHC



Who was ^PTEMPNAME father?





1.

^LNO ^ROST_FNAME ^ROST_MNAME ^ROST_LNAME where SEX = 1 and AGE >= 15 and is not the current respondent

2.

^LNO ^ROST_FNAME ^ROST_MNAME ^ROST_LNAME where SEX = 1 and AGE >= 15 and is not the current respondent

3.

^LNO ^ROST_FNAME ^ROST_MNAME ^ROST_LNAME where SEX = 1 and AGE >= 15 and is not the current respondent

4.

^LNO ^ROST_FNAME ^ROST_MNAME ^ROST_LNAME where SEX = 1 and AGE >= 15 and is not the current respondent

5.

^LNO ^ROST_FNAME ^ROST_MNAME ^ROST_LNAME where SEX = 1 and AGE >= 15 and is not the current respondent

6.

^LNO ^ROST_FNAME ^ROST_MNAME ^ROST_LNAME where SEX = 1 and AGE >= 15 and is not the current respondent

7.

^LNO ^ROST_FNAME ^ROST_MNAME ^ROST_LNAME where SEX = 1 and AGE >= 15 and is not the current respondent

8.

^LNO ^ROST_FNAME ^ROST_MNAME ^ROST_LNAME where SEX = 1 and AGE >= 15 and is not the current respondent

9.

^LNO ^ROST_FNAME ^ROST_MNAME ^ROST_LNAME where SEX = 1 and AGE >= 15 and is not the current respondent

10.

^LNO ^ROST_FNAME ^ROST_MNAME ^ROST_LNAME where SEX = 1 and AGE >= 15 and is not the current respondent

11.

^LNO ^ROST_FNAME ^ROST_MNAME ^ROST_LNAME where SEX = 1 and AGE >= 15 and is not the current respondent

12.

^LNO ^ROST_FNAME ^ROST_MNAME ^ROST_LNAME where SEX = 1 and AGE >= 15 and is not the current respondent

13.

^LNO ^ROST_FNAME ^ROST_MNAME ^ROST_LNAME where SEX = 1 and AGE >= 15 and is not the current respondent

14.

^LNO ^ROST_FNAME ^ROST_MNAME ^ROST_LNAME where SEX = 1 and AGE >= 15 and is not the current respondent

15.

^LNO ^ROST_FNAME ^ROST_MNAME ^ROST_LNAME where SEX = 1 and AGE >= 15 and is not the current respondent

16.

^LNO ^ROST_FNAME ^ROST_MNAME ^ROST_LNAME where SEX = 1 and AGE >= 15 and is not the current respondent

17.

^LNO ^ROST_FNAME ^ROST_MNAME ^ROST_LNAME where SEX = 1 and AGE >= 15 and is not the current respondent

18.

^LNO ^ROST_FNAME ^ROST_MNAME ^ROST_LNAME where SEX = 1 and AGE >= 15 and is not the current respondent

19.

^LNO ^ROST_FNAME ^ROST_MNAME ^ROST_LNAME where SEX = 1 and AGE >= 15 and is not the current respondent

20.

^LNO ^ROST_FNAME ^ROST_MNAME ^ROST_LNAME where SEX = 1 and AGE >= 15 and is not the current respondent

21.

^LNO ^ROST_FNAME ^ROST_MNAME ^ROST_LNAME where SEX = 1 and AGE >= 15 and is not the current respondent

22.

^LNO ^ROST_FNAME ^ROST_MNAME ^ROST_LNAME where SEX = 1 and AGE >= 15 and is not the current respondent

23.

^LNO ^ROST_FNAME ^ROST_MNAME ^ROST_LNAME where SEX = 1 and AGE >= 15 and is not the current respondent

24.

^LNO ^ROST_FNAME ^ROST_MNAME ^ROST_LNAME where SEX = 1 and AGE >= 15 and is not the current respondent

25.

^LNO ^ROST_FNAME ^ROST_MNAME ^ROST_LNAME where SEX = 1 and AGE >= 15 and is not the current respondent

26.

^LNO ^ROST_FNAME ^ROST_MNAME ^ROST_LNAME where SEX = 1 and AGE >= 15 and is not the current respondent

27.

^LNO ^ROST_FNAME ^ROST_MNAME ^ROST_LNAME where SEX = 1 and AGE >= 15 and is not the current respondent

28.

^LNO ^ROST_FNAME ^ROST_MNAME ^ROST_LNAME where SEX = 1 and AGE >= 15 and is not the current respondent

29.

^LNO ^ROST_FNAME ^ROST_MNAME ^ROST_LNAME where SEX = 1 and AGE >= 15 and is not the current respondent

30.

^LNO ^ROST_FNAME ^ROST_MNAME ^ROST_LNAME where SEX = 1 and AGE >= 15 and is not the current respondent

31.

^LNO ^ROST_FNAME ^ROST_MNAME ^ROST_LNAME where SEX = 1 and AGE >= 15 and is not the current respondent

32.

^LNO ^ROST_FNAME ^ROST_MNAME ^ROST_LNAME where SEX = 1 and AGE >= 15 and is not the current respondent

33.

^LNO ^ROST_FNAME ^ROST_MNAME ^ROST_LNAME where SEX = 1 and AGE >= 15 and is not the current respondent

34.

^LNO ^ROST_FNAME ^ROST_MNAME ^ROST_LNAME where SEX = 1 and AGE >= 15 and is not the current respondent

35.

^LNO ^ROST_FNAME ^ROST_MNAME ^ROST_LNAME where SEX = 1 and AGE >= 15 and is not the current respondent

36.

no one eligible (display when there is no one on the hh roster or T2 roster where sex=1 and age ge 15

37.

DK

38.

R

39.

someone not listed



TYPDAD_EHC



C_AREIS ^TEMPNAME his biological, step, adopted or foster child?





1.

Biological child

2.

Stepchild

3.

Adopted child

4.

Foster child

8.

Don't Know

9.

Refused






























Name: ENROLL_INTRO

SAS Name:

Universe Description:

Question Text: Next we are going to talk about school enrollment. At any time in ^CALENDAR_YEAR

did ^TEMPNAME attend school or college? Read if necessary: include only nursery

or preschool, kindergarten, elementary school, home school, and schooling that leads

to a high school diploma or a college degree.

Name: SCREENER

SAS Name: ENROLL_SCREEN

Universe Description: Each household member age 3 and over

Question Text: Enrolled in school?

Answer List: TYES/NO

Value: Mnemonic: Description:

1 Y Yes

2 N No

Name: BMONTH

SAS Name:

Universe Description:

Page 1 of 4

Question Text: In which month did this period of enrollment begin?

Name: UNSUREFROM

SAS Name: UNSURFR_ED

Universe Description:

Question Text: Unsure

Name: EMONTH

SAS Name:

Universe Description:

Question Text: In which month did this period of enrollment end?

Name: UNSURETO

SAS Name: UNSURTO_ED

Universe Description:

Question Text: Unsure

Name: TYPE

SAS Name:

Universe Description:

Question Text: What type of school ^WEREWAS ^TEMPNAME enrolled in during this period: public,

private, or home school?

Answer List: TTYPE_SCHOOL

Value: Mnemonic: Description:

1 Public

2 Private

3 Home school

Name: GRADE

SAS Name:

Universe Description: Household member age 3 and over who reports at least one spell of enrollment for

the reference year.

Question Text: What level of school ^WEREWAS ^TEMPNAME enrolled in during this period?

Page 2 of 4

Answer List: TGRADE

Value: Mnemonic: Description:

1 1st

2 2nd

3 3rd

4 4th

5 5th

6 6th

7 7th

8 8th

9 9th

10 10th

11 11th

12 12th

13 College year 1 (Freshman)

14 College year 2 (Sophomore)

15 College year 3 (Junior)

16 College year 4 (Senior)

17 College year 5 (First year graduate or professional school)

18 College year 6+ (Second year or higher in graduate or professional school)

19 Enrolled in college, but not working towards degree

20 Vocational, technical, or business school beyond high school level

21 Nursery school

22 Kindergarten

Name: GRADEREP

SAS Name:

Universe Description: Respondents who report a spell of enrollment in grades 1 through 12 during the first

half of the reference year who also report current enrollment at the same grade level.

Question Text: The grade you reported for this period is the same as the current grade

of enrollment. Is this because ^TEMPNAME had to repeat a grade or was held back

for any other reason?

Name: FTPT

SAS Name:

Universe Description: Household member age 3 and over who reports at least one spell of enrollment for

the reference year who are not enrolled in grades 1-12.

Question Text: ^C_WASWERE ^TEMPNAME enrolled full-time or part-time?

Answer List: TFULLPART

Page 3 of 4

Value: Mnemonic: Description:

1 Full-time

2 Part-time
















SSI_INTRO



Now I am going to ask you questions about Supplemental Security Income, also known as SSI.  This program mainly assists aged, blind, and disabled people who have little or no income.  I want to know about SSI received by ^TEMPNAME or SSI received by ^TEMPNAME on behalf of a child. 

Did ^TEMPNAME receive SSI between ^MONTH1 and ^LASTMONTH ^CALENDAR_YRFIL?





SCREENER



SSI receipt?





1.

Yes

2.

No

3.

Don't Know

4.

Refuse



SSI_HELP








BMONTH



What month did ^TEMPNAME begin receiving SSI?





UNSUREFROM



Unsure





EMONTH



What month did ^TEMPNAME stop receiving SSI?





UNSURETO



Unsure





SSI_LC_MONTH



Prior to ^MONTH1, what MONTH did ^TEMPNAME first start receiving SSI continuously?





1.

January

2.

February

3.

March

4.

April

5.

May

6.

June

7.

July

8.

August

9.

September

10.

October

11.

November

12.

December



SSI_LC_YEAR



Prior to ^MONTH1, what YEAR did ^TEMPNAME first start receiving SSI continuously?





SSI_WHY



Now I'm going to ask questions about the months of receipt that you just reported for the year ^ CALENDAR_YRFIL.  Why did ^TEMPNAME receive SSI?





1.

On behalf of a child who has a disability

2.

On behalf of a child who is blind

3.

Because of a disability

4.

Because of blindness

5.

Other

6.

Don't Know

7.

Refuse



SSI_KID_COV



Which child or children did the SSI payments cover?





SSI_KID_COV_TIME



Was the child or children selected covered at the same time as ^TEMPNAME and no other time?





1.

Yes

2.

No

3.

Don't Know

4.

Refuse



SSI_STOP



What were the reasons ^TEMPNAME stopped receiving SSI?





1.

Became ineligible because of increased income

2.

Because of family changes

3.

Still eligible but could not/chose not to collect

4.

The money is not worth it

5.

Other

6.

Don't Know

7.

Refuse



SSI_STOP_OTHER



What was that reason?





SSI_SRC



Did ^TEMPNAME receive SSI payments from the Federal government, the State government, or both?





1.

Federal

2.

State

3.

Both

4.

Don't Know

5.

Refuse



SSI_TYPE



Did ^TEMPNAME receive separate Federal and state payments, or were they combined?





1.

Separate

2.

Combined

3.

Don't Know

4.

Refuse



SSI_AMT_FED



Did ^TEMPNAME receive the same Federal SSI amount in each month?





1.

Yes

2.

No

3.

Don't Know

4.

Refuse



SSI_AMT_STATE



Did ^TEMPNAME receive the same state SSI amount in each month?





1.

Yes

2.

No

3.

Don't Know

4.

Refuse



SSI_AMT_FED_STATE



Did ^TEMPNAME receive the same combined Federal and state SSI amount in each month?





1.

Yes

2.

No

3.

Don't Know

4.

Refuse



SSI_AMT_FED_SAME



What was the Federal SSI amount?  If you are not certain, can you estimate a usual monthly amount?





SSI_AMT_STATE_SAME



What was the state SSI amount?  If you are not certain, can you estimate a usual monthly amount?





SSI_AMT_FED_STATE_SAME



What was the combined Federal and state SSI amount?  If you are not certain, can you estimate a usual monthly amount?





SSI_AMT_FED_DIF



What was the Federal SSI amount?





SSI_AMT_STATE_DIF



What was the state SSI amount?





SSI_AMT_FED_STATE_DIF



What was the combined Federal and state SSI amount?








FS_INTRO



Now I'm going to ask  ^TEMPNAME questions about Food Stamp benefits.  Food Stamp benefits are typically dispensed through a plastic electronic card called an Electronic Benefit Transfer (EBT).   Did ^TEMPNAME receive Food Stamp benefits between ^MONTH1 and ^LASTMONTH ^CALENDAR_YRFIL?





SCREENER



Food Stamp receipt?





1.

Yes

2.

No



BMONTH



What month did ^TEMPNAME begin receiving Food Stamps?





1.

January

2.

February

3.

March

4.

April

5.

May

6.

June

7.

July

8.

August

9.

September

10.

October

11.

November

12.

December



UNSUREFROM



Unsure





EMONTH



What month did ^TEMPNAME stop receiving Food Stamps?





1.

January

2.

February

3.

March

4.

April

5.

May

6.

June

7.

July

8.

August

9.

September

10.

October

11.

November

12.

December



UNSURETO



Unsure





FS_LC_MONTH



Prior to ^MONTH1, what MONTH did ^TEMPNAME first start receiving Food Stamps continuously?





1.

January

2.

February

3.

March

4.

April

5.

May

6.

June

7.

July

8.

August

9.

September

10.

October

11.

November

12.

December



FS_LC_YEAR



Prior to ^MONTH1, what YEAR did ^TEMPNAME first start receiving Food Stamps continuously?





FS_BEGIN



Now I'm going to ask questions about the months of receipt that ^TEMPNAME just reported for the year of ^CALENDAR_YEAR.  What changed in ^PTEMPNAME life to cause ^TEMPNAME to need assistance?





1.

New Child (or other dependent) or pregnancy

2.

Separation, divorced or widowed

3.

Job loss / layoff or wages reduced

4.

Loss or reduction of other income

5.

Became disabled or otherwise unable to work

6.

No change - just decided it was time

7.

No change - just heard about the program

8.

Needed to re-certify

9.

Other



FS_BEGIN_OTHER



What was that reason? 





FS_STOP



What were the reasons ^TEMPNAME stopped receiving Food Stamps?





1.

Became ineligible because of an increase in income

2.

Became ineligible because of family changes (family member left, over age limit, etc)

3.

Still eligible but could not / chose not to collect

4.

Became ineligible because program requirements were not met (did not attend school, job training, etc)

5.

Eligibility ran out because of time limits

6.

The money/benefits were not worth the trouble to continue enrollment

7.

Other



FS_STOP_OTHER



What was that reason? 





FS_AMT_TYPE



Did ^TEMPNAME receive the same amount each month?





1.

Yes

2.

No



FS_AMT_SAME



What was the amount?  If you are not certain, can you estimate a usual monthly amount?





FS_AMT_DIFF



What was the amount?





FS_ADULT_COV



Other than ^TEMPNAME, which adults did ^PTEMPNAME benefits cover?





1.

^LNO ^FNAME ^LNAME of all people on final household roster 15 years and older, excluding respondent

2.

^LNO ^FNAME ^LNAME of all people on final household roster 15 years and older, excluding respondent

3.

^LNO ^FNAME ^LNAME of all people on final household roster 15 years and older, excluding respondent

4.

^LNO ^FNAME ^LNAME of all people on final household roster 15 years and older, excluding respondent

5.

^LNO ^FNAME ^LNAME of all people on final household roster 15 years and older, excluding respondent

6.

^LNO ^FNAME ^LNAME of all people on final household roster 15 years and older, excluding respondent

7.

^LNO ^FNAME ^LNAME of all people on final household roster 15 years and older, excluding respondent

8.

^LNO ^FNAME ^LNAME of all people on final household roster 15 years and older, excluding respondent

9.

^LNO ^FNAME ^LNAME of all people on final household roster 15 years and older, excluding respondent

10.

^LNO ^FNAME ^LNAME of all people on final household roster 15 years and older, excluding respondent

11.

^LNO ^FNAME ^LNAME of all people on final household roster 15 years and older, excluding respondent

12.

^LNO ^FNAME ^LNAME of all people on final household roster 15 years and older, excluding respondent

13.

^LNO ^FNAME ^LNAME of all people on final household roster 15 years and older, excluding respondent

14.

^LNO ^FNAME ^LNAME of all people on final household roster 15 years and older, excluding respondent

15.

^LNO ^FNAME ^LNAME of all people on final household roster 15 years and older, excluding respondent

16.

^LNO ^FNAME ^LNAME of all people on final household roster 15 years and older, excluding respondent

17.

^LNO ^FNAME ^LNAME of all people on final household roster 15 years and older, excluding respondent

18.

^LNO ^FNAME ^LNAME of all people on final household roster 15 years and older, excluding respondent

19.

^LNO ^FNAME ^LNAME of all people on final household roster 15 years and older, excluding respondent

20.

^LNO ^FNAME ^LNAME of all people on final household roster 15 years and older, excluding respondent

21.

^LNO ^FNAME ^LNAME of all people on final household roster 15 years and older, excluding respondent

22.

^LNO ^FNAME ^LNAME of all people on final household roster 15 years and older, excluding respondent

23.

^LNO ^FNAME ^LNAME of all people on final household roster 15 years and older, excluding respondent

24.

^LNO ^FNAME ^LNAME of all people on final household roster 15 years and older, excluding respondent

25.

^LNO ^FNAME ^LNAME of all people on final household roster 15 years and older, excluding respondent

26.

^LNO ^FNAME ^LNAME of all people on final household roster 15 years and older, excluding respondent

27.

^LNO ^FNAME ^LNAME of all people on final household roster 15 years and older, excluding respondent

28.

^LNO ^FNAME ^LNAME of all people on final household roster 15 years and older, excluding respondent

29.

^LNO ^FNAME ^LNAME of all people on final household roster 15 years and older, excluding respondent

30.

^LNO ^FNAME ^LNAME of all people on final household roster 15 years and older, excluding respondent

31.

^LNO ^FNAME ^LNAME of all people on final household roster 15 years and older, excluding respondent

32.

^LNO ^FNAME ^LNAME of all people on final household roster 15 years and older, excluding respondent

33.

^LNO ^FNAME ^LNAME of all people on final household roster 15 years and older, excluding respondent

34.

^LNO ^FNAME ^LNAME of all people on final household roster 15 years and older, excluding respondent

35.

^LNO ^FNAME ^LNAME of all people on final household roster 15 years and older, excluding respondent

36.

No adults were covered



FS_KID_COV



Which child or children did ^PTEMPNAME benefits cover?





FS_ADULT_COV_TIME



Were the adults selected covered this entire time?





1.

Yes

2.

No

3.

No adults were covered



FS_KID_COV_TIME



Was the child or children selected covered at the same time as ^TEMPNAME and no other time?





1.

Yes

2.

No

3.

No children were covered



FS_OWNER



Whose name are the benefits under? 





1.

^LNO ^FNAME ^LNAME of all people on final household roster regardless of age

2.

^LNO ^FNAME ^LNAME of all people on final household roster regardless of age

3.

^LNO ^FNAME ^LNAME of all people on final household roster regardless of age

4.

^LNO ^FNAME ^LNAME of all people on final household roster regardless of age

5.

^LNO ^FNAME ^LNAME of all people on final household roster regardless of age

6.

^LNO ^FNAME ^LNAME of all people on final household roster regardless of age

7.

^LNO ^FNAME ^LNAME of all people on final household roster regardless of age

8.

^LNO ^FNAME ^LNAME of all people on final household roster regardless of age

9.

^LNO ^FNAME ^LNAME of all people on final household roster regardless of age

10.

^LNO ^FNAME ^LNAME of all people on final household roster regardless of age

11.

^LNO ^FNAME ^LNAME of all people on final household roster regardless of age

12.

^LNO ^FNAME ^LNAME of all people on final household roster regardless of age

13.

^LNO ^FNAME ^LNAME of all people on final household roster regardless of age

14.

^LNO ^FNAME ^LNAME of all people on final household roster regardless of age

15.

^LNO ^FNAME ^LNAME of all people on final household roster regardless of age

16.

^LNO ^FNAME ^LNAME of all people on final household roster regardless of age

17.

^LNO ^FNAME ^LNAME of all people on final household roster regardless of age

18.

^LNO ^FNAME ^LNAME of all people on final household roster regardless of age

19.

^LNO ^FNAME ^LNAME of all people on final household roster regardless of age

20.

^LNO ^FNAME ^LNAME of all people on final household roster regardless of age

21.

^LNO ^FNAME ^LNAME of all people on final household roster regardless of age

22.

^LNO ^FNAME ^LNAME of all people on final household roster regardless of age

23.

^LNO ^FNAME ^LNAME of all people on final household roster regardless of age

24.

^LNO ^FNAME ^LNAME of all people on final household roster regardless of age

25.

^LNO ^FNAME ^LNAME of all people on final household roster regardless of age

26.

^LNO ^FNAME ^LNAME of all people on final household roster regardless of age

27.

^LNO ^FNAME ^LNAME of all people on final household roster regardless of age

28.

^LNO ^FNAME ^LNAME of all people on final household roster regardless of age

29.

^LNO ^FNAME ^LNAME of all people on final household roster regardless of age

30.

^LNO ^FNAME ^LNAME of all people on final household roster regardless of age

31.

^LNO ^FNAME ^LNAME of all people on final household roster regardless of age

32.

^LNO ^FNAME ^LNAME of all people on final household roster regardless of age

33.

^LNO ^FNAME ^LNAME of all people on final household roster regardless of age

34.

^LNO ^FNAME ^LNAME of all people on final household roster regardless of age

35.

^LNO ^FNAME ^LNAME of all people on final household roster regardless of age













































TANF_INTRO



Now I am going to ask you questions about receipt of cash assistance from a state or local welfare program, such as TANF FIL1 or TANF FILL or TANF FILL (PACASH1, PATANF) and pass through child support (also called bonus child support and disregard payments).   I want to know about assistance received by ^TEMPNAME or assistance received by ^TEMPNAME on behalf of a child. 

Did ^TEMPNAME receive this type of assistance between ^MONTH1 and ^LASTMONTH ^CALENDAR_YRFIL?





SCREENER



TANF receipt?





1.

Yes

2.

No

3.

Don't Know

4.

Refuse



BMONTH



What month did ^TEMPNAME begin receiving TANF?





UNSUREFROM



Unsure





EMONTH



What month did ^TEMPNAME stop receiving TANF?





UNSURETO



Unsure





TANF_LC_MONTH



Prior to ^MONTH1, what MONTH did ^TEMPNAME first start receiving payments continuously?





1.

January

2.

February

3.

March

4.

April

5.

May

6.

June

7.

July

8.

August

9.

September

10.

October

11.

November

12.

December



TANF_LC_YEAR



Prior to ^MONTH1, what YEAR did ^TEMPNAME first start receiving payments continuously?





TANF_BEG



Now I'm going to ask questions about the months of receipt that you just reported for the year ^ CALENDAR_YRFIL.  What changed in ^PTEMPNAME life to cause ^TEMPNAME to need assistance?





1.

New child (or other dependent) or pregnancy

2.

Separation, divorce, or widowed

3.

Job loss or wages reduced

4.

Loss or reduction of other income

5.

Became disabled or otherwise unable to work

6.

No change - just decided it was time

7.

No change - just heard about the program

8.

Needed to re-certify

9.

Other

10.

Don't Know

11.

Refuse



TANF_BEG_OTHER



What was that reason?





TANF_STOP



What were the reasons ^TEMPNAME stopped receiving payments?





1.

Got a job or earnings increased

2.

Family situation changed

3.

Others in the household earned enough money

4.

Penalized or sanctioned for non cooperation

5.

Time limit expired

6.

Didn't want to use up time limit

7.

Chose not to participate

8.

The money is not worth it

9.

Other

10.

Don't Know

11.

Refuse



TANF_STOP_OTHER



What was that reason?





TANF_AMT_TYPE



Did ^TEMPNAME receive the same amount in each month?





1.

Yes

2.

No

3.

Don't Know

4.

Refuse



TANF_AMT_SAME



What was the amount?  If you are not certain, can you estimate a usual monthly amount?





TANF_AMT_DIF



What was the amount?





TANF_ADULT_KID



Were the payments for both adults and children in the household, or just the children?





1.

Both adults and children

2.

Children only

3.

Don't Know

4.

Refuse



TANF_ADULT_COV



Other than ^TEMPNAME, which adults did the benefits cover?





TANF_ADULT_COV_TIME



Were the adults selected covered this entire time?





1.

Yes

2.

No

3.

Don't Know

4.

Refuse



TANF_KID_COV



Which child or children did ^PTEMPNAME benefits cover?





TANF_KID_COV_TIME



Was the child or children selected covered at the same time as ^TEMPNAME and no other time? 





1.

Yes

2.

No

3.

Don't Know

4.

Refuse



TANF_OWNER



Whose name are the payments in?





PASSTHRU_YN



Now I am going to ask you questions about receipt of pass through child support.  Did ^TEMPNAME receive any child support as a bonus or  pass through from a state or county welfare program, or any disregard payment?






1.

Yes

2.

No

3.

Don't Know

4.

Refuse



PASSTHRU_KID_COV



Which child or children were covered by the pass through child support payments?





PASSTHRU_TYPE



Were the pass through child support payments included in the program amounts ^TEMPNAME just gave me?






1.

Yes, bonus/pass through amounts are included

2.

No, amounts do not include bonus/pass through

3.

Did not receive any bonus/pass through income

4.

Don't Know

5.

Refuse



PASSTHRU_AMT_TYPE



Did ^TEMPNAME receive the same amount  of pass through child support in each month?





1.

Yes

2.

No

3.

Don't Know

4.

Refuse



PASSTHRU_AMT_SAME



How much pass through child support did ^TEMPNAME receive?  If you are not certain, can you estimate a usual monthly amount?





PASSTHRU_AMT_DIF



How much pass through child support did ^TEMPNAME receive?





PASSTHRU_AGENCY_AMT_TYPE



Now I am going to ask you about the child support that the welfare agency collected on your behalf.  Did the agency receive the same amount of child support in each month?





1.

Yes

2.

No

3.

Don't Know

4.

Refuse



PASSTHRU_AGENCY_AMT_SAME



How much child support was collected by the agency on ^PTEMPNAME behalf?  If you are not certain, can you estimate a usual monthly amount?





PASSTHRU_AGENCY_AMT_DIF



How much child support was collected by the agency on ^PTEMPNAME behalf?

GA_INTRO



Now I am going to ask ^TEMPNAME questions about General Assistance, which may be known by specific state or local names.  This program is for people who do not qualify for Federal assistance.  It may help disabled, elderly, and unemployed individuals, as well as families with children.  Assistance may be cash or non-cash and may be a one time emergency payment or regular monthly maintenance payments.  I want to know about assistance received by ^TEMPNAME or assistance received by ^TEMPNAME on behalf of a child. 

Did ^TEMPNAME receive this type of assistance between ^MONTH1 and ^LASTMONTH ^CALENDAR_YRFIL?





SCREENER



General Assistance receipt?





1.

Yes

2.

No

3.

Don't Know

4.

Refuse



BMONTH



What month did ^TEMPNAME begin receiving General Assistance?





UNSUREFROM



Unsure





EMONTH



What month did ^TEMPNAME stop receiving General Assistance?





UNSURETO



Unsure





GA_LC_MONTH



Prior to ^MONTH1, what MONTH did ^TEMPNAME first start receiving General Assistance continuously?





1.

January

2.

February

3.

March

4.

April

5.

May

6.

June

7.

July

8.

August

9.

September

10.

October

11.

November

12.

December



GA_LC_YEAR



Prior to ^MONTH1, what YEAR did ^TEMPNAME first start receiving General Assistance continuously?





GA_BEG



Now I'm going to ask questions about the months of receipt that ^TEMPNAME just reported for the year ^CALENDAR_YRFIL.  What changed in ^PTEMPNAME life to cause ^TEMPNAME to need assistance?





1.

New child (or other dependent) or pregnancy

2.

Separation, divorce, or widowed

3.

Job loss or wages reduced

4.

Loss or reduction of other income

5.

Became disabled or otherwise unable to work

6.

No change - just decided it was time

7.

No change - just heard about the program

8.

Needed to re-certify

9.

Other

10.

Don't Know

11.

Refuse



GA_BEG_OTHER



What was that reason?





GA_STOP



What were the reasons ^TEMPNAME stopped receiving General Assistance?





1.

Got a job or earnings increased

2.

Family situation changed

3.

Others in the household earned enough money

4.

Penalized or sanctioned for non cooperation

5.

Time limit expired

6.

Didn't want to use up time limit

7.

Chose not to participate

8.

The money is not worth it

9.

Other

10.

Don't Know

11.

Refuse



GA_STOP_OTHER



What was that reason?





GA_AMT_TYPE



Did ^TEMPNAME receive the same amount in each month?





1.

Yes

2.

No

3.

Don't Know

4.

Refuse



GA_AMT_SAME



What was the amount?  If you are not certain, can you estimate a usual monthly amount?





GA_AMT_DIF



What was the amount?





GA_ADULT_KID



Were the payments for both adults and children in the household, just adults, or just children?





1.

Both adults and children

2.

Children only

3.

Adults only

4.

Don't Know

5.

Refuse



GA_ADULT_COV



Other than ^TEMPNAME, which adults did the benefits cover?





GA_ADULT_COV_TIME



Were the adults selected covered this entire time?





1.

Yes

2.

No

3.

Don't Know

4.

Refuse



GA_KID_COV



Which child or children did ^PTEMPNAME benefits cover?





GA_KID_COV_TIME



Was the child or children selected covered at the same time as ^TEMPNAME and no other time?





1.

Yes

2.

No

3.

Don't Know

4.

Refuse



GA_OWNER



Whose name are the benefits under?























WIC_INTRO



Now I'm going to ask ^TEMPNAME questions about WIC benefits.  The WIC program serves to safeguard the health of low-income pregnant or nursing women, infants, & children up to age 5 who are at nutritional risk by providing nutritious foods to supplement diets.  Did ^TEMPNAME receive WIC benefits between ^MONTH1 and ^LASTMONTH ^CALENDAR_YRFIL?





SCREENER



WIC receipt?





1.

Yes

2.

No



BMONTH



What month did ^TEMPNAME begin receiving WIC? 





1.

January

2.

February

3.

March

4.

April

5.

May

6.

June

7.

July

8.

August

9.

September

10.

October

11.

November

12.

December



UNSUREFROM



Unsure





EMONTH



What month did ^TEMPNAME stop receiving WIC?





1.

January

2.

February

3.

March

4.

April

5.

May

6.

June

7.

July

8.

August

9.

September

10.

October

11.

November

12.

December



UNSURETO



Unsure





WIC_LC_MONTH



Prior to ^MONTH1, what MONTH did ^TEMPNAME first start receiving WIC continously?





1.

January

2.

February

3.

March

4.

April

5.

May

6.

June

7.

July

8.

August

9.

September

10.

October

11.

November

12.

December



WIC_LC_YEAR



Prior to ^MONTH1, what YEAR did ^TEMPNAME first start receiving WIC continuously?





WIC_BEGIN



Now I'm going to ask questions about the months of receipt that ^TEMPNAME just reported for the year ^CALENDAR_YRFIL.  What changed in ^PTEMPNAME life to cause ^TEMPNAME to need assistance?





1.

New Child (or other dependent) or pregnancy

2.

Separation, divorced or widowed

3.

Job loss / layoff or wages reduced

4.

Loss or reduction of other income

5.

Became disabled or otherwise unable to work

6.

No change - just decided it was time

7.

No change - just heard about the program

8.

Needed to re-certify

9.

Other



WIC_BEGIN_OTHER



What was that reason? 





WIC_STOP



What were the reasons ^TEMPNAME stopped receiving WIC?





1.

Became ineligible because of an increase in income

2.

Became ineligible because of family changes (family member left, over age limit, etc)

3.

Still eligible but could not / chose not to collect

4.

Became ineligible because program requirements were not met (did not attend school, job training, etc)

5.

Eligibility ran out because of time limits

6.

The money/benefits were not worth the trouble to continue enrollment

7.

Other



WIC_STOP_OTHER



What was the reason? 





WIC_ADULT_COV



Did ^PTEMPNAME benefits cover any pregnant women or those who have recently given birth?





1.

^LNO ^FNAME ^LNAME of all women on final household roster 15 years and older

2.

^LNO ^FNAME ^LNAME of all women on final household roster 15 years and older

3.

^LNO ^FNAME ^LNAME of all women on final household roster 15 years and older

4.

^LNO ^FNAME ^LNAME of all women on final household roster 15 years and older

5.

^LNO ^FNAME ^LNAME of all women on final household roster 15 years and older

6.

^LNO ^FNAME ^LNAME of all women on final household roster 15 years and older

7.

^LNO ^FNAME ^LNAME of all women on final household roster 15 years and older

8.

^LNO ^FNAME ^LNAME of all women on final household roster 15 years and older

9.

^LNO ^FNAME ^LNAME of all women on final household roster 15 years and older

10.

^LNO ^FNAME ^LNAME of all women on final household roster 15 years and older

11.

^LNO ^FNAME ^LNAME of all women on final household roster 15 years and older

12.

^LNO ^FNAME ^LNAME of all women on final household roster 15 years and older

13.

^LNO ^FNAME ^LNAME of all women on final household roster 15 years and older

14.

^LNO ^FNAME ^LNAME of all women on final household roster 15 years and older

15.

^LNO ^FNAME ^LNAME of all women on final household roster 15 years and older

16.

^LNO ^FNAME ^LNAME of all women on final household roster 15 years and older

17.

^LNO ^FNAME ^LNAME of all women on final household roster 15 years and older

18.

^LNO ^FNAME ^LNAME of all women on final household roster 15 years and older

19.

^LNO ^FNAME ^LNAME of all women on final household roster 15 years and older

20.

^LNO ^FNAME ^LNAME of all women on final household roster 15 years and older

21.

^LNO ^FNAME ^LNAME of all women on final household roster 15 years and older

22.

^LNO ^FNAME ^LNAME of all women on final household roster 15 years and older

23.

^LNO ^FNAME ^LNAME of all women on final household roster 15 years and older

24.

^LNO ^FNAME ^LNAME of all women on final household roster 15 years and older

25.

^LNO ^FNAME ^LNAME of all women on final household roster 15 years and older

26.

^LNO ^FNAME ^LNAME of all women on final household roster 15 years and older

27.

^LNO ^FNAME ^LNAME of all women on final household roster 15 years and older

28.

^LNO ^FNAME ^LNAME of all women on final household roster 15 years and older

29.

^LNO ^FNAME ^LNAME of all women on final household roster 15 years and older

30.

^LNO ^FNAME ^LNAME of all women on final household roster 15 years and older

31.

^LNO ^FNAME ^LNAME of all women on final household roster 15 years and older

32.

^LNO ^FNAME ^LNAME of all women on final household roster 15 years and older

33.

^LNO ^FNAME ^LNAME of all women on final household roster 15 years and older

34.

^LNO ^FNAME ^LNAME of all women on final household roster 15 years and older

35.

^LNO ^FNAME ^LNAME of all women on final household roster 15 years and older

36.

No women were covered



WIC_KID_COV



Which child or children did ^PTEMPNAME benefits cover?





1.

^LNO ^FNAME ^LNAME of all people on final household roster 14 years and under

2.

^LNO ^FNAME ^LNAME of all people on final household roster 14 years and under

3.

^LNO ^FNAME ^LNAME of all people on final household roster 14 years and under

4.

^LNO ^FNAME ^LNAME of all people on final household roster 14 years and under

5.

^LNO ^FNAME ^LNAME of all people on final household roster 14 years and under

6.

^LNO ^FNAME ^LNAME of all people on final household roster 14 years and under

7.

^LNO ^FNAME ^LNAME of all people on final household roster 14 years and under

8.

^LNO ^FNAME ^LNAME of all people on final household roster 14 years and under

9.

^LNO ^FNAME ^LNAME of all people on final household roster 14 years and under

10.

^LNO ^FNAME ^LNAME of all people on final household roster 14 years and under

11.

^LNO ^FNAME ^LNAME of all people on final household roster 14 years and under

12.

^LNO ^FNAME ^LNAME of all people on final household roster 14 years and under

13.

^LNO ^FNAME ^LNAME of all people on final household roster 14 years and under

14.

^LNO ^FNAME ^LNAME of all people on final household roster 14 years and under

15.

^LNO ^FNAME ^LNAME of all people on final household roster 14 years and under

16.

^LNO ^FNAME ^LNAME of all people on final household roster 14 years and under

17.

^LNO ^FNAME ^LNAME of all people on final household roster 14 years and under

18.

^LNO ^FNAME ^LNAME of all people on final household roster 14 years and under

19.

^LNO ^FNAME ^LNAME of all people on final household roster 14 years and under

20.

^LNO ^FNAME ^LNAME of all people on final household roster 14 years and under

21.

^LNO ^FNAME ^LNAME of all people on final household roster 14 years and under

22.

^LNO ^FNAME ^LNAME of all people on final household roster 14 years and under

23.

^LNO ^FNAME ^LNAME of all people on final household roster 14 years and under

24.

^LNO ^FNAME ^LNAME of all people on final household roster 14 years and under

25.

^LNO ^FNAME ^LNAME of all people on final household roster 14 years and under

26.

^LNO ^FNAME ^LNAME of all people on final household roster 14 years and under

27.

^LNO ^FNAME ^LNAME of all people on final household roster 14 years and under

28.

^LNO ^FNAME ^LNAME of all people on final household roster 14 years and under

29.

^LNO ^FNAME ^LNAME of all people on final household roster 14 years and under

30.

^LNO ^FNAME ^LNAME of all people on final household roster 14 years and under

31.

^LNO ^FNAME ^LNAME of all people on final household roster 14 years and under

32.

^LNO ^FNAME ^LNAME of all people on final household roster 14 years and under

33.

^LNO ^FNAME ^LNAME of all people on final household roster 14 years and under

34.

^LNO ^FNAME ^LNAME of all people on final household roster 14 years and under

35.

^LNO ^FNAME ^LNAME of all people on final household roster 14 years and under

36.

No children were covered



WIC_KID_COV_TIME



Was the child or children selected covered at the same time as ^TEMPNAME and no other time?





1.

Yes

2.

No

























SCREENER



Private health insurance?





1.

Yes

2.

No



Priv1_intro



Now I am going to ask about private health insurance coverage. Private health insurance includes comprehensive medical insurance plans provided through an employer or union, as well as plans purchased directly from an insurance company individually or as part of a group. Since people may be covered by more than one private health insurance plan at a given time, we will try to collect information about each one at a time. 

At any time between ^MONTH1 and ^LASTMONTH ^CALENDAR_YRFIL, ^WEREWAS ^TEMPNAME covered by a private health insurance plan? 

(This does not involve plans that contain only one type of coverage, like dental-only or vision-only plans. Please do not include these types of health insurance plans.)





Priv2_intro



Sometimes people have health insurance coverage from more than one private health insurance plan at a given time. Did ^TEMPNAME have a second source of private health insurance during the same period as a coverage already included above? (Remember, this does not include plans that cover only one thing, like a dental policy or vision policy. Please do not include these types of health insurance plans.)





BMONTH








1.

January

2.

February

3.

March

4.

April

5.

May

6.

June

7.

July

8.

August

9.

September

10.

October

11.

November

12.

December



UNSUREFROM



Unsure





EMONTH








1.

January

2.

February

3.

March

4.

April

5.

May

6.

June

7.

July

8.

August

9.

September

10.

October

11.

November

12.

December



UNSURETO



Unsure





Priv1type



What type of health insurance plan did ^HESHE have during this spell: employer-provided, purchased directly, or something else? - READ ANSWER CATEGORIES -





1.

Current employer or work (of this person or another family member)

2.

Former employer (of this person or another family member)

3.

Union or Association (of this person or another family member)

4.

School (including students attending college or university)

5.

Privately purchased (by this person or another family member)

6.

Something else



Priv1oth



You said ^TEMPNAME had some other type of coverage.  Please explain -





Priv1unit



Other than ^TEMPNAME, who else was covered by this plan during this period? 





Ownins1



Is this through This fill is for 'your' or the person's name who is being refered to. OWN current or former employer or union?





1.

Yes

2.

No



Hicost1



Did ^HISHER current or former employer or union pay all, part, or none of the premium of the plan?





1.

All

2.

Part

3.

None































SCREENER



Medicare coverage?





1.

Yes

2.

No



medicare_intro



Now I am going to ask about Medicare coverage, the government health insurance program for people 65 and older and people with certain disabilities. WASWERECAP ^TEMPNAME covered by Medicare between ^MONTH1 and ^LASTMONTH ^CALENDAR_YRFIL?

Note: Respondents may confuse Medicaid, the health insurance program for low-income people, with Medicare. Medicare is uncommon for people under age 65.





BMONTH



What was the first month in which ^TEMPNAME WASWERE covered by Medicare?





1.

January

2.

February

3.

March

4.

April

5.

May

6.

June

7.

July

8.

August

9.

September

10.

October

11.

November

12.

December



UNSUREFROM



Unsure





EMONTH



What was the last month in which ^TEMPNAME WASWERE covered by Medicare?





1.

January

2.

February

3.

March

4.

April

5.

May

6.

June

7.

July

8.

August

9.

September

10.

October

11.

November

12.

December



UNSURETO



Unsure





































SCREENER



Medicaid or SCHIP?





1.

Yes

2.

No



medicaid_intro



Now I am going to ask about government assistance programs that pay for health care for people with low incomes. Medicaid is a national program, you might recognize. You might also know it by another name.  ^STATEFIL uses ^MCAIDFIL.

We would also like to know about other programs offered by the government, such as programs covering children and families often called SCHIP (or State Children's Health Insurance Program). ^STATEFIL uses ^CHIPFIL.

WASWERECAP ^TEMPNAME covered by medicaid or another government program between ^MONTH1 and ^LASTMONTH ^CALENDAR_YRFIL?






BMONTH








1.

January

2.

February

3.

March

4.

April

5.

May

6.

June

7.

July

8.

August

9.

September

10.

October

11.

November

12.

December



UNSUREFROM



Unsure





EMONTH








1.

January

2.

February

3.

March

4.

April

5.

May

6.

June

7.

July

8.

August

9.

September

10.

October

11.

November

12.

December



UNSURETO



Unsure

































SCREENER



TRICARE, CHAMPUS, VA?





1.

Yes

2.

No



Mili_intro



Now, I am going to ask about some other sources of health insurance and medical coverage including sources related to the military, the Department of Veteran's Affairs, and Indian Health Services.
At any time between ^MONTH1 and ^LASTMONTH ^CALENDAR_YRFIL, ^WEREWAS ^TEMPNAME covered by TRICARE, CHAMPUS, CHAMPVA, VA, military health care, or Indian Health Service?

Note:  "CHAMPVA" is the civilian health and medical program of the department of veteran's affairs.





BMONTH








1.

January

2.

February

3.

March

4.

April

5.

May

6.

June

7.

July

8.

August

9.

September

10.

October

11.

November

12.

December



UNSUREFROM



Unsure





EMONTH








1.

January

2.

February

3.

March

4.

April

5.

May

6.

June

7.

July

8.

August

9.

September

10.

October

11.

November

12.

December



UNSURETO



Unsure





Militype



What type of health coverage did ^HESHE have during this spell? - READ ANSWER CATEGORIES -





1.

TRICARE, CHAMPUS or military health care

2.

CHAMPVA

3.

VA

4.

Indian Health Service

5.

Other



Milioth



You said ^TEMPNAME had some other type of coverage.  Please explain -





Miliunit



Other than ^TEMPNAME, who else was covered by this plan during this period? 















SCREENER



Other sources of health insurance?





1.

Yes

2.

No



Othcov_intro



Other than the plans described, at any time between ^MONTH1 and ^LASTMONTH ^CALENDAR_YRFIL, ^WEREWAS ^TEMPNAME covered by any other type of health insurance plan? Perhaps a government program ^MEDASSISTFIL in ^STATEFIL or a policy through a parent, foreign government, or another source?

(This does not involve plans that contain only one type of coverage, like dental-only or vision-only plans. Please do not include these types of health insurance plans.)





BMONTH








1.

January

2.

February

3.

March

4.

April

5.

May

6.

June

7.

July

8.

August

9.

September

10.

October

11.

November

12.

December



UNSUREFROM



Unsure





EMONTH








1.

January

2.

February

3.

March

4.

April

5.

May

6.

June

7.

July

8.

August

9.

September

10.

October

11.

November

12.

December



UNSURETO



Unsure





Othcovtype



What type of health coverage did ^HESHE have during this spell? - READ ANSWER CATEGORIES -





1.

Government/public assistance

2.

Through someone else (parent, relative)

3.

Foreign government/country

4.

Other



Othcovoth



You said ^TEMPNAME had some other type of coverage.  Please explain -






















SCREENER



Have any time with no coverage?





1.

Yes

2.

No



Nocov_intro



FR: If it looks like the respondent had one or more months without any coverage of any type, confirm this. For example, if the person had no coverage at all -
“It looks like ^tempname had no health insurance of any type between ^MONTH1 and ^LASTMONTH ^CALENDAR_YRFIL. Is that correct?”

If they had some months covered, mention the months for which no coverage has been reported.





BMONTH








1.

January

2.

February

3.

March

4.

April

5.

May

6.

June

7.

July

8.

August

9.

September

10.

October

11.

November

12.

December



UNSUREFROM



Unsure





EMONTH








1.

January

2.

February

3.

March

4.

April

5.

May

6.

June

7.

July

8.

August

9.

September

10.

October

11.

November

12.

December



UNSURETO



Unsure





HINONE



Which ONE OR MORE of these reasons describe why ^TEMPNAME WASWERE not covered?





1.

Too expensive, could not afford health insurance.

2.

No health insurance offered by (employer of self, spouse, or parent)

3.

Not working at a job long enough to qualify

4.

Job layoff, job loss, or any reason related to unemployment

5.

Not eligible because working part time or temporary job

6.

Couldn’t obtain insurance because of poor health, illness, age, or a pre-existing condition

7.

Dissatisfied with previous insurance OR don’t believe in insurance

8.

Have been healthy, not much sickness in the family, haven’t needed health insurance

9.

Able to go to VA or military hospital for medical care

10.

Other

















PREROST



First I need to make a list of all the people who live or stay here at this address.

Be sure to include:

-  People who stay here only some of the time,
-  non-relatives who live here,
-  and of course, any babies and small children.

Please mention someone even if you're not sure they should be included.





1.

Enter 1 to continue



CTRLNUM



**NON-DISPLAYED ITEM**





LNO



**NON-DISPLAYED ITEM**





ROST_FNAME



^QSTNTXT_ROSTER

 Enter first name.

 
Enter 999 if no more people.

^MAX30





ROST_MNAME



^QSTNTXT_ROSTER

 Enter middle name.





ROST_LNAME



^QSTNTXT_ROSTER

 Enter last name.





ROST_ONAME



^QSTNTXT_ROSTER

 Enter other/maiden name.





USUAL



? [F1]

^QSTNTXT_USUAL





1.

Yes

2.

No



CTRLNUM



**NON-DISPLAYED ITEM**





LNO



**NON-DISPLAYED ITEM**





NOTHERE



Who doesn't live or sleep here most of the time?  Anyone else?

 Enter all that apply.

 If there is only one person in the household, do not read the question text, select that person and proceed with the interview.





1.

^LNO ^ROST_FNAME ^ROST_LNAME

2.

^LNO ^ROST_FNAME ^ROST_LNAME

3.

^LNO ^ROST_FNAME ^ROST_LNAME

4.

^LNO ^ROST_FNAME ^ROST_LNAME

5.

^LNO ^ROST_FNAME ^ROST_LNAME

6.

^LNO ^ROST_FNAME ^ROST_LNAME

7.

^LNO ^ROST_FNAME ^ROST_LNAME

8.

^LNO ^ROST_FNAME ^ROST_LNAME

9.

^LNO ^ROST_FNAME ^ROST_LNAME

10.

^LNO ^ROST_FNAME ^ROST_LNAME

11.

^LNO ^ROST_FNAME ^ROST_LNAME

12.

^LNO ^ROST_FNAME ^ROST_LNAME

13.

^LNO ^ROST_FNAME ^ROST_LNAME

14.

^LNO ^ROST_FNAME ^ROST_LNAME

15.

^LNO ^ROST_FNAME ^ROST_LNAME

16.

^LNO ^ROST_FNAME ^ROST_LNAME

17.

^^LNO ^ROST_FNAME ^ROST_LNAME

18.

^LNO ^ROST_FNAME ^ROST_LNAME

19.

^LNO ^ROST_FNAME ^ROST_LNAME

20.

^LNO ^ROST_FNAME ^ROST_LNAME

21.

^LNO ^ROST_FNAME ^ROST_LNAME

22.

^LNO ^ROST_FNAME ^ROST_LNAME

23.

^LNO ^ROST_FNAME ^ROST_LNAME

24.

^LNO ^ROST_FNAME ^ROST_LNAME

25.

^LNO ^ROST_FNAME ^ROST_LNAME



CTRLNUM



**NON-DISPLAYED ITEM**





LNO



**NON-DISPLAYED ITEM**





URE_NUM



**NON-DISPLAYED ITEM**





NITESTAY



During a typical week over the last month or so, how many nights did ^NAME_NOTHERE stay here overnight, or was there no usual pattern?





11.

Three or fewer

12.

Four or more

13.

No usual pattern

14.

Other



NITESTAY_SP



What 'other' living arrangement?





ASKURE



Is there another place where ^NAME_NOTHERE ^LIVES_ASKURE and ^SLEEPS_ASKURE most of the time?





1.

Yes

2.

No



AWAYSCH



 Ask if necessary.

Is ^NAME_NOTHERE...
... a student away attending school,
... non-married,
... whose permanent residence is here?





1.

Yes to all 3

2.

No



AWAYTRV



 Ask if necessary.

Does ^NAME_NOTHERE usually live here but is away traveling for work, or on vacation, or in the hospital?





1.

Yes

2.

No



MSNGSTAY



? [F1]

Sometimes we miss people when it's not totally clear where they live or stay.  Just to make sure, ^OTHERTHANFIL have I missed...

... Anyone who is staying here until they find a place to live?  E
(... (Have I missed) Any lodgers, boarders or persons you employ who live here?)
(... (Have I missed) Anyone who may have another place to live, but who stays here often or has some space or a room here?)






1.

Yes

2.

No



MSNGLODGE



? [F1]

(Sometimes we miss people when it's not totally clear where they live or stay.  Just to make sure, ^OTHERTHANFIL have I missed...)

(... Anyone who is staying here until they find a place to live?)
...
(Have I missed) Any lodgers, boarders or persons you employ who live here?  E
(... (Have I missed) Anyone who may have another place to live, but who stays here often or has some space or a room here?)





1.

Yes

2.

No



MSNGOTH



? [F1]

(Sometimes we miss people when it's not totally clear where they live or stay.  Just to make sure, ^OTHERTHANFIL have I missed...)

(... Anyone who is staying here until they find a place to live?)
(... (Have I missed) Any lodgers, boarders or persons you employ who live here?)
... (Have I missed) Anyone who may have another place to live, but who stays here often or has some space or a room here?  E





1.

Yes

2.

No



USUAL1



Is this the address where   Read name(s) lives and sleeps most of the time?

Display the names of the people added to the household roster via MSNGSTAY, MSNGLODGE, and MSNGOTH





1.

Yes

2.

No



CTRLNUM



**NON-DISPLAYED ITEM**





LNO



**NON-DISPLAYED ITEM**





NOTHERE1



Who doesn't live or sleep here most of the time?  Anyone else?

Enter all that apply.





1.

^LNO ^ROST_FNAME ^ROST_LNAME

2.

^LNO ^ROST_FNAME ^ROST_LNAME

3.

^LNO ^ROST_FNAME ^ROST_LNAME

4.

^LNO ^ROST_FNAME ^ROST_LNAME

5.

^LNO ^ROST_FNAME ^ROST_LNAME

6.

^LNO ^ROST_FNAME ^ROST_LNAME

7.

^LNO ^ROST_FNAME ^ROST_LNAME

8.

^LNO ^ROST_FNAME ^ROST_LNAME

9.

^LNO ^ROST_FNAME ^ROST_LNAME

10.

^LNO ^ROST_FNAME ^ROST_LNAME

11.

^LNO ^ROST_FNAME ^ROST_LNAME

12.

^LNO ^ROST_FNAME ^ROST_LNAME

13.

^LNO ^ROST_FNAME ^ROST_LNAME

14.

^LNO ^ROST_FNAME ^ROST_LNAME

15.

^LNO ^ROST_FNAME ^ROST_LNAME

16.

^LNO ^ROST_FNAME ^ROST_LNAME

17.

^LNO ^ROST_FNAME ^ROST_LNAME

18.

^LNO ^ROST_FNAME ^ROST_LNAME

19.

^LNO ^ROST_FNAME ^ROST_LNAME

20.

^LNO ^ROST_FNAME ^ROST_LNAME

21.

^LNO ^ROST_FNAME ^ROST_LNAME

22.

^LNO ^ROST_FNAME ^ROST_LNAME

23.

^LNO ^ROST_FNAME ^ROST_LNAME

24.

^LNO ^ROST_FNAME ^ROST_LNAME

25.

^LNO ^ROST_FNAME ^ROST_LNAME



CTRLNUM



**NON-DISPLAYED ITEM**





LNO



**NON-DISPLAYED ITEM**





URE_NUM



**NON-DISPLAYED ITEM**





CTRLNUM



**NON-DISPLAYED ITEM**





LNO



**NON-DISPLAYED ITEM**





CHECKPT



According to the rules of this survey,  Read name(s) will be included in this interview.

Display the ROST_FNAME, and ROST_LNAME of all non-deleted people on the final household roster.  If everyone on the household is deleted, display the following text 'No one in this household is eligible to be included in this interview'





1.

Enter 1 to continue



NOHHRESP



Since you do not stay or live here most of the time, who can answer the remaining questions?

 Read name(s).





1.

^LNO ^ROST_FNAME ^ROST_LNAME

2.

^LNO ^ROST_FNAME ^ROST_LNAME

3.

^LNO ^ROST_FNAME ^ROST_LNAME

4.

^LNO ^ROST_FNAME ^ROST_LNAME

5.

^LNO ^ROST_FNAME ^ROST_LNAME

6.

^LNO ^ROST_FNAME ^ROST_LNAME

7.

^LNO ^ROST_FNAME ^ROST_LNAME

8.

^LNO ^ROST_FNAME ^ROST_LNAME

9.

^LNO ^ROST_FNAME ^ROST_LNAME

10.

^LNO ^ROST_FNAME ^ROST_LNAME

11.

^LNO ^ROST_FNAME ^ROST_LNAME

12.

^LNO ^ROST_FNAME ^ROST_LNAME

13.

^LNO ^ROST_FNAME ^ROST_LNAME

14.

^LNO ^ROST_FNAME ^ROST_LNAME

15.

^LNO ^ROST_FNAME ^ROST_LNAME

16.

^LNO ^ROST_FNAME ^ROST_LNAME

17.

^LNO ^ROST_FNAME ^ROST_LNAME

18.

^LNO ^ROST_FNAME ^ROST_LNAME

19.

^LNO ^ROST_FNAME ^ROST_LNAME

20.

^LNO ^ROST_FNAME ^ROST_LNAME

21.

^LNO ^ROST_FNAME ^ROST_LNAME

22.

^LNO ^ROST_FNAME ^ROST_LNAME

23.

^LNO ^ROST_FNAME ^ROST_LNAME

24.

^LNO ^ROST_FNAME ^ROST_LNAME

25.

^LNO ^ROST_FNAME ^ROST_LNAME



OTHRRP



 All people listed have another residence where they usually live.  They will not be included in this interview.  Take one of the following actions:

Enter 0 if the residence information is incorrect.
Enter a 1 if no other adult maintains this address as his/her usual place of residence.  This designates this address as a Type B noninterview.






0.

The information about usual residence is incorrect

1.

No other adult maintains this address as his/her usual residence



OTHRRP_WHO



Whose information is incorrect?





1.

^LNO ^ROST_FNAME, ROST_LNAME where UREFLAG = 1

2.

^LNO ^ROST_FNAME, ROST_LNAME where UREFLAG = 1

3.

^LNO ^ROST_FNAME, ROST_LNAME where UREFLAG = 1

4.

^LNO ^ROST_FNAME, ROST_LNAME where UREFLAG = 1

5.

^LNO ^ROST_FNAME, ROST_LNAME where UREFLAG = 1

6.

^LNO ^ROST_FNAME, ROST_LNAME where UREFLAG = 1

7.

^LNO ^ROST_FNAME, ROST_LNAME where UREFLAG = 1

8.

^LNO ^ROST_FNAME, ROST_LNAME where UREFLAG = 1

9.

^LNO ^ROST_FNAME, ROST_LNAME where UREFLAG = 1

10.

^LNO ^ROST_FNAME, ROST_LNAME where UREFLAG = 1

11.

^LNO ^ROST_FNAME, ROST_LNAME where UREFLAG = 1

12.

^LNO ^ROST_FNAME, ROST_LNAME where UREFLAG = 1

13.

^LNO ^ROST_FNAME, ROST_LNAME where UREFLAG = 1

14.

^LNO ^ROST_FNAME, ROST_LNAME where UREFLAG = 1

15.

^LNO ^ROST_FNAME, ROST_LNAME where UREFLAG = 1

16.

^LNO ^ROST_FNAME, ROST_LNAME where UREFLAG = 1

17.

^LNO ^ROST_FNAME, ROST_LNAME where UREFLAG = 1

18.

^LNO ^ROST_FNAME, ROST_LNAME where UREFLAG = 1

19.

^LNO ^ROST_FNAME, ROST_LNAME where UREFLAG = 1

20.

^LNO ^ROST_FNAME, ROST_LNAME where UREFLAG = 1

21.

^LNO ^ROST_FNAME, ROST_LNAME where UREFLAG = 1

22.

^LNO ^ROST_FNAME, ROST_LNAME where UREFLAG = 1

23.

^LNO ^ROST_FNAME, ROST_LNAME where UREFLAG = 1

24.

^LNO ^ROST_FNAME, ROST_LNAME where UREFLAG = 1

25.

^LNO ^ROST_FNAME, ROST_LNAME where UREFLAG = 1



CTRLNUM



**NON-DISPLAYED ITEM**





LNO



**NON-DISPLAYED ITEM**





OTHRRP_FIX



What information about ^HISHER residence needs to be corrected?

 Mark all that apply.

 Read response choices.





1.

Is this the place where ^TEMPNAME ^LIVESLEEPFIL most of the time?

2.

How many night ^DODOES ^TEMPNAME stay here overnight?

3.

Is there another place where ^TEMPNAME ^LIVESLEEPFIL most of the time?

4.

^C_AREIS ^TEMPNAME a non-married student away attending school whose permanent residence is here?

5.

^C_DODOES ^TEMPNAME usually live here but is away traveling for work , or on vacation, or in a hospital?



JOBNUM



**NON-DISPLAYED ITEM**





CTRLNUM



**NON-DISPLAYED ITEM**





LNO



**NON-DISPLAYED ITEM**





PVWORKTRAN



^PVWORKTRAN_INTRO

Let's talk about ^PTEMPNAME job with JOB NAME.  During a typical week, how did ^TEMPNAME get to work?  Did ^HESHE drive, ride in someone else's vehicle, take public transportation, use some combination, or some other way?

Enter all that apply.





1.

Drove own vehicle

2.

Rider in somone else's vehicle/van pool

3.

Public Transportation (bus, train, subway, etc.)

4.

Walked or bicycled

5.

Other



PVMILE



Altogether, about how many miles per week did ^TEMPNAME usually drive ^HISHER vehicle as part of ^HISHER work commute?





PVPARK



Did ^TEMPNAME have to pay for parking or tolls as a part of ^HISHER work-commuting expenses?





1.

Yes

2.

No



PVPARKC



Typically, how much did ^TEMPNAME spend per week for parking or tolls?





PVOTHRC



In a typical week,PVOTHRCFILL, about how much ^WEREWAS ^PTEMPNAME PVOTHRCFILL2 work commuting expensesPVOTHRCFILL3?

Enter 0 for none.





JOBNUM



**NON-DISPLAYED ITEM**





CTRLNUM



**NON-DISPLAYED ITEM**





LNO



**NON-DISPLAYED ITEM**





PVOEXPNS



Not counting expenses ^PTEMPNAME employer paid, ^DODOES ^TEMPNAME have any work-related expenses such as licenses, permits, union dues, special tools or other uniforms for ^HISHER work?





1.

Yes

2.

No



PVOEXPNSC



Altogether, how much ^WASWERE ^PTEMPNAME annual expenses for such items?





JOBNUM



**NON-DISPLAYED ITEM**





CTRLNUM



**NON-DISPLAYED ITEM**





LNO



**NON-DISPLAYED ITEM**





WSHRS



How many hours per day did ^TEMPNAME work that week for JOB NAME?

  Round partial hours to the nearest whole hour.





WSWHDY



Which days of the week were these?

Enter all that apply.





1.

Monday through Friday

2.

Sunday

3.

Monday

4.

Tuesday

5.

Wednesday

6.

Thursday

7.

Friday

8.

Saturday

9.

All seven days (every day in a typical week)



WSBEG



During that week, at what time of day did ^TEMPNAME begin work most days for that job?

Enter the time followed by a.m. or p.m.
12:00 a.m. is midnight and 12:00 p.m. is noon.





WSEND



At what time of day did ^TEMPNAME end work most days?

Enter the time as well as a.m. or p.m.
12:00 a.m. is midnight and 12:00 p.m. is noon.






WSHMWRK



As part of the work schedule for that week, were there any days when ^TEMPNAME worked only at home for that job?





1.

Yes

2.

No



WSHOMDY



Which days of the week were these?

Enter all that apply.





1.

Monday through Friday

2.

Sunday

3.

Monday

4.

Tuesday

5.

Wednesday

6.

Thursday

7.

Friday

8.

Saturday

9.

All seven days (every day in a typical week)



WSJOB



Book x

Which of the following best describes ^PTEMPNAME work schedule at this job?






1.

Regular daytime schedule

2.

Regular evening shift

3.

Regular night shift

4.

Rotating shift (regularly from days to evenings to nights)

5.

Split shift (one consisting of two distinct periods each day)

6.

Irregular schedule (one that changes from day to day)

7.

Other - specify



WSOTH



What 'other' type of work schedule?





WSMNR



What is the MAIN reason ^TEMPNAME worked this type of schedule?

 
Do not read answer categories





1.

Better child care arrangements

2.

Better pay

3.

Better arrangements for care of other family members

4.

Allows time for school

5.

Other voluntary reasons

6.

Could not get any other job

7.

Requirement of the job

8.

Other involuntary reasons








Social Insurance, Annual Programs, Child Support


Universe Description: New or returning household members who are at least 15 years old and who have been in the U.S. Armed Forces at some point but are not currently in the U.S. Armed

Forces.

Question Text: Between ^MONTH1 1st. and the end of ^LASTMONTH ^CALENDAR_YRFIL, did

^TEMPNAME receive any payments from the VA - that is, the Department of

Veterans Affairs?

Answer List: YES/NO

Value: Mnemonic: Description:

1 Y Yes

2 N No


Name: VAYNTYPE

SAS Name: VAYNTYPE

Universe Description: New or returning household members who are at least 15 years old, who have been in the U.S. Armed Forces at some point but are not currently in the U.S. Armed

Forces, and who received payments from the Department of Veterans Affairs during the reference period.

Question Text: What type of payment did ^TEMPNAME receive?

 Enter all that apply.

 Do not read response choice 4 or 5.

Answer List: TVATYPE

Value: Mnemonic: Description:

1 Service-connected disability compensation

2 Veterans' pension

3 Other VA payments

4 G.I. Bill benefits

5 Insurance proceeds


Name: VADISRATE

SAS Name: VADISRATE

Universe Description: New or returning household members who are at least 15 years old, who have been in the U.S. Armed Forces at some point but are not currently in the U.S. Armed

Forces, who received payments from the Department of Veterans Affairs during the reference period, and who reported the type of VA payment received as service-connected disability compensation.

Question Text: What is ^PTEMPNAME total service-connected disability rating?

Answer List: TVARATING

Value: Mnemonic: Description:

1 0 percent

2 10 - 20 percent

3 30 - 40 percent

4 50 - 60 percent

Page 4 of 48

5 70+ percent


Name: VAYNTYPE_SP

SAS Name: VAYNTYPE_SP

Universe Description: New or returning household members who are at least 15 years old, who have been in the U.S. Armed Forces at some point but are not currently in the U.S. Armed Forces, who received payments from the Department of Veterans Affairs during the reference period, and who reported the type of VA payment received as 'other'.

Question Text: What other type of VA payments?

Skip Instructions: GOTO VAQUES

Name: VAQUES

SAS Name: VAQUES

Universe Description: New or returning household members who are at least 15 years old, who have been in the U.S. Armed Forces at some point but are not currently in the U.S. Armed

Forces, and who received any or the following types of payments from the

Department of Veterans Affairs: Service-connected disability compensation,

Veterans' pension, Other VA payments, G.I. Bill benefits, or Insurance proceeds.

Question Text: ^C_AREIS ^TEMPNAME required to fill out an annual income questionnaire in order to receive VA benefits?

Answer List: TYES/NO

Value: Mnemonic: Description:

1 Y Yes

2 N No

Skip Instructions: GOTO VA_RECEIPT


Name: VA_RECEIPT

SAS Name: VA_RECEIPT1, VA_RECEIPT2, ..., VA_RECEIPT12

Universe Description: New or returning household members who are at least 15 years old, who have been in the U.S. Armed Forces at some point but are not currently in the U.S. Armed

Forces, and who received payments from the Department of Veterans Affairs during the reference period.

Question Text: In which month(s), between ^MONTH1 1st. and the end of

^LASTMONTHÂ ^CALENDAR_YRFIL, did ^TEMPNAME receive ^TYPEVAPMTFIL?

 Enter all that apply.

Answer List: TMONTHS_OF_YEAR

Value: Mnemonic: Description:

1 January

2 February

3 March

4 April

5 May

6 June

7 July

8 August

9 September

10 October

11 November

12 December


Name: VA_AMOUNT

SAS Name: VA_AMOUNT1, VA_AMOUNT2, ..., VA_AMOUNT12

Universe Description: New or returning household members who are at least 15 years old, who have been in the U.S. Armed Forces at some point but are not currently in the U.S. Armed

Forces, and who received payments from the Department of Veterans Affairs during the reference period.

Question Text: How much ^TYPEVAPMTFIL did ^TEMPNAME receive in ^VAMONTH_RECFIL?


Name: SS_SELFYN

SAS Name: SS_SELFYN

Universe Description: New or returning household members who are at least 18 years old.

Question Text: Between ^MONTH1 1st. and the end of ^LASTMONTH ^CALENDAR_YRFIL, did

^TEMPNAME receive any Social Security income for ^HIMHERSELF?

Answer List: TYES/NO

Value: Mnemonic: Description:

1 Y Yes

2 N No

Name: REASON_SELF

SAS Name: REASON_SELF

Universe Description: New or returning household members who are at least 18 years old and who received Social Security income for himself/herself during the reference period.

Question Text: What is the reason ^HESHE ^AREIS getting Social Security (for ^HIMHERSELF)?

Any other reason?

 Enter all that apply.

Answer List: TREASON_SELF

Value: Mnemonic: Description:

1 Retired

2 Disabled

3 Widowed

4 Spouse

5 Other reason


Name: REASONSS_SP

SAS Name: REASONSS_SP

Universe Description: New or returning household members who are at least 18 years old, who received Social Security income for himself/herself during the reference period, and who

reported 'other' as the reason why he/she received Social Security.

Question Text: What other reason?


Name: AGESS

SAS Name: AGESS

Universe Description: New or returning household members who are at least 18 years old and who received Social Security income for himself/herself during the reference period because of a disability.

Question Text: At what age did ^TEMPNAME begin receiving Social Security (for ^HIMHERSELF) because of ^HISHER disability?

 Report age in years.


Name: JNTSSYN

SAS Name: JNTSSYN

Universe Description: New or returning household members who are at least 18 years old, who are currently married, and who received Social Security income for himself/herself during the reference period.

Question Text: (Between ^MONTH1 1st. and the end of ^LASTMONTH ^CALENDAR_YRFIL,) Did

^TEMPNAME receive Social Security jointly with ^HISHER spouse?

Answer List: TYES/NO


Value: Mnemonic: Description:

1 Y Yes

2 N No


Name: SS_REC_SELF

SAS Name: SS_REC_SELF1, SS_REC_SELF2, ..., SS_REC_SELF12

Universe Description: New or returning household members who are at least 18 years old and who received Social Security income for himself/herself during the reference period.

Question Text: In which month(s), between ^MONTH1 1st. and the end of

^LASTMONTHÂ ^CALENDAR_YRFIL, did ^TEMPNAME receive Social Security for

^HIMHERSELF?

 Enter all that apply.

Answer List: TMONTHS_OF_YEAR

Value: Mnemonic: Description:

1 January

2 February

3 March

4 April

5 May

Page 13 of 48

6 June

7 July

8 August

9 September

10 October

11 November

12 December


Name: SS_AMT_SELF

SAS Name: SS_AMT_SELF1, SS_AMT_SELF2, ..., SS_AMT_SELF12

Universe Description: New or returning household members who are at least 18 years old and who received Social Security income for himself/herself during the reference period.

Question Text: How much Social Security income (for ^HIMHERSELF) did ^TEMPNAME receive


Name: SS_CHILDYN

SAS Name: SS_CHILDYN

Universe Description: New or returning household members who are the parent or guardian of at least one child under the age of 18.

Question Text: Between ^MONTH1 1st. and the end of ^LASTMONTH ^CALENDAR_YRFIL, did

^TEMPNAME receive any Social Security income on behalf of any of the following

children: Read name(s)?

Display the first and last name of all children under the age of 18 where the

Respondent is the mother, father, or guardian.

Answer List: TYES/NO

Value: Mnemonic: Description:

1 Y Yes

2 N No


Name: SSKIDCOV

SAS Name: SSKIDCOV

Universe Description: New or returning household members who are the parent or guardian of at least one child under the age of 18 and who received Social Security income on behalf of at least one of those children during the reference period.

Question Text: Who did the Social Security income cover?

Enter all that apply.

Answer List: TSSKIDCOV

Value: Mnemonic: Description:

1 ^LNO, ^FNAME, ^LNAME where AGE<18 and the resondent is the child's

Page 18 of 48

parent or guardian

2 ^LNO, ^FNAME, ^LNAME where AGE<18 and the resondent is the child's

parent or guardian

3 ^LNO, ^FNAME, ^LNAME where AGE<18 and the resondent is the child's

parent or guardian

4 ^LNO, ^FNAME, ^LNAME where AGE<18 and the resondent is the child's

parent or guardian

5 ^LNO, ^FNAME, ^LNAME where AGE<18 and the resondent is the child's

parent or guardian

6 ^LNO, ^FNAME, ^LNAME where AGE<18 and the resondent is the child's

parent or guardian

7 ^LNO, ^FNAME, ^LNAME where AGE<18 and the resondent is the child's

parent or guardian

8 ^LNO, ^FNAME, ^LNAME where AGE<18 and the resondent is the child's

parent or guardian

9 ^LNO, ^FNAME, ^LNAME where AGE<18 and the resondent is the child's

parent or guardian

10 ^LNO, ^FNAME, ^LNAME where AGE<18 and the resondent is the child's

parent or guardian

11 ^LNO, ^FNAME, ^LNAME where AGE<18 and the resondent is the child's

parent or guardian

12 ^LNO, ^FNAME, ^LNAME where AGE<18 and the resondent is the child's

parent or guardian

13 ^LNO, ^FNAME, ^LNAME where AGE<18 and the resondent is the child's

parent or guardian

14 ^LNO, ^FNAME, ^LNAME where AGE<18 and the resondent is the child's

parent or guardian

15 ^LNO, ^FNAME, ^LNAME where AGE<18 and the resondent is the child's

parent or guardian

16 ^LNO, ^FNAME, ^LNAME where AGE<18 and the resondent is the child's

parent or guardian

17 ^LNO, ^FNAME, ^LNAME where AGE<18 and the resondent is the child's

parent or guardian

18 ^LNO, ^FNAME, ^LNAME where AGE<18 and the resondent is the child's

parent or guardian

19 ^LNO, ^FNAME, ^LNAME where AGE<18 and the resondent is the child's

parent or guardian

20 ^LNO, ^FNAME, ^LNAME where AGE<18 and the resondent is the child's

parent or guardian

21 ^LNO, ^FNAME, ^LNAME where AGE<18 and the resondent is the child's

parent or guardian

Page 19 of 48

22 ^LNO, ^FNAME, ^LNAME where AGE<18 and the resondent is the child's

parent or guardian

23 ^LNO, ^FNAME, ^LNAME where AGE<18 and the resondent is the child's

parent or guardian

24 ^LNO, ^FNAME, ^LNAME where AGE<18 and the resondent is the child's

parent or guardian

25 ^LNO, ^FNAME, ^LNAME where AGE<18 and the resondent is the child's

parent or guardian

Skip Instructions: GOTO REASON_CHILD

Name: REASON_CHILD

SAS Name: REASON_CHILD

Universe Description: New or returning household members who are the parent or guardian of at least one

child under the age of 18 and who received Social Security income on behalf of at

least one of those children during the reference period.

Question Text: What is the reason ^TEMPNAMEÂ ^AREIS getting Social Security on behalf of

 Read name(s)? Anything else?

 Enter all that apply.

Display the first and last name of the children who the person received Social

Security on behalf of

Answer List: TREASON_CHILD

Value: Mnemonic: Description:

1 Surviving child

2 Dependent child

Skip Instructions: GOTO KIDCOVBEG_MO

Name: KIDCOVBEG_MO

SAS Name: KIDCOVBEG_MO

Universe Description: New or returning household members who are the parent or guardian of at least one child under the age of 18 and who received Social Security income on behalf of at

least one of those children during the reference period.

Question Text: When did ^TEMPNAME begin receiving coverage?

 Enter the month.

Answer List: TMONTHS_OF_YEAR


Value: Mnemonic: Description:

1 January

2 February

3 March

4 April

5 May

6 June

7 July

8 August

9 September

10 October

11 November

12 December

Skip Instructions: IF KIDCOVBEG_MO = (1, 2, ..., 12)

THEN GOTO KIDCOVBEG_YR

ELSE

GOTO SS_REC_CHILD

Name: KIDCOVBEG_YR

SAS Name: KIDCOVBEG_YR

Universe Description: New or returning household members who are the parent or guardian of at least one child under the age of 18, who received Social Security income on behalf of at least

one of those children during the reference period, and who provided valid month(s) of receipt.

Question Text: (When did ^TEMPNAME begin receiving coverage?)

 Enter the year.


Name: SS_REC_CHILD

SAS Name: SS_REC_CHILD1, SS_REC_CHILD2, ..., SS_REC_CHILD12

Universe Description: New or returning household members who are the parent or guardian of at least one child under the age of 18 and who received Social Security income on behalf of at

least one of those children during the reference period.

Question Text: In which month(s), between ^MONTH1 1st. and the end of

^LASTMONTHÂ ^CALENDAR_YRFIL, did ^TEMPNAME receive Social Security?

 Enter all that apply.

Answer List: TMONTHS_OF_YEAR

Value: Mnemonic: Description:

1 January

2 February

3 March

4 April

5 May

6 June

7 July

8 August

9 September

10 October

11 November

12 December


Name: SS_AMT_CHILD

SAS Name: SS_AMT_CHILD1, SS_AMT_CHILD2, ..., SS_AMT_CHILD12

Universe Description: New or returning household members who are the parent or guardian of at least one child under the age of 18 and who received Social Security income on behalf of at

least one of those children during the reference period.

Question Text: How much Social Security income did ^TEMPNAME receive in

^SS_CHILD_MONTH_RECFIL?


Name: SSPARTB

SAS Name: SSPARTB

Universe Description: New or returning household members who reported receiving Social Security income during the reference period and who were either age 65 or over or who received

Social Security due to retirement or disability.


Question Text: Some people have what is called a 'Medicare Part B' premium taken out of their

Social Security benefit before it reaches them. ^C_DODOES ^TEMPNAME?

Answer List: TYES/NO

Value: Mnemonic: Description:

1 Y Yes

2 N No


Name: SSPARTBAMT

SAS Name: SSPARTBAMT

Universe Description: New or returning household members who reported receiving Social Security income during the reference period, who were either age 65 or over or who received Social Security due to retirement or disability, and who have Medicare Part B premiums

taken out of their Social Security.

Question Text: ^C_DODOES ^TEMPNAMEÂ know how much is deducted from ^HISHER monthly

Social Security benefits?

Answer List: TYES/NO

Value: Mnemonic: Description:

1 Y Yes

2 N No


Name: SSPARTBAMT_SP

SAS Name: SSPARTBAMT_SP

Universe Description: New or returning household members who reported receiving Social Security income during the reference period, who were either age 65 or over or who received Social Security due to retirement or disability, who have Medicare Part B premiums taken

out of their Social Security, and who know the amount that is deducted.

Question Text: What is the DEDUCTED AMOUNT?


Name: SSPARTD

SAS Name: SSPARTD

Universe Description: New or returning household members who reported receiving Social Security income during the reference period and who were either age 65 or over or who received

Social Security due to retirement or disability.

Question Text: Some people have what is called 'Medicare Part D'.  ^C_DODOES ^TEMPNAME have a montly premium taken out of ^HISHER Social Security benefit before it

reaches ^TEMPNAME for this coverage?

Answer List: TYES/NO

Value: Mnemonic: Description:

1 Y Yes

2 N No


Name: SSPARTDAMT

SAS Name: SSPARTDAMT

Universe Description: New or returning household members who reported receiving Social Security income during the reference period, who were either age 65 or over or who received Social Security due to retirement or disability, and who have Medicare Part D premiums

taken out of their Social Security.

Question Text: ^C_DODOES ^TEMPNAMEÂ know how much is deducted from ^HISHER monthly

Social Security benefits?

Answer List: TYES/NO

Value: Mnemonic: Description:

1 Y Yes

2 N No


Name: SSPARTDAMT_SP

SAS Name: SSPARTDAMT_SP

Universe Description: New or returning household members who reported receiving Social Security income during the reference period, who were either age 65 or over or who received Social Security due to retirement or disability, who have Medicare Part D premiums taken

out of their Social Security, and who know the amount that is deducted.

Question Text: What is the DEDUCTED AMOUNT?


Name: WRKCOMP_REC

SAS Name: WRKCOMP_REC1, WRKCOMP_REC2, ..., WRKCOMP_REC12

Universe Description: New or returning household members who are at least 15 years old and who received Workers' Compensation for any employment spell during the reference period.

Question Text: In which month(s), between ^MONTH1 1st. and the end of

^LASTMONTH ^CALENDAR_YRFIL, did ^TEMPNAME receive Workers'

Compensation?

 Enter all that apply.

Answer List: TMONTHS_OF_YEAR

Value: Mnemonic: Description:

1 January

2 February

3 March

4 April

5 May

6 June

7 July

8 August

9 September

10 October

11 November

12 December



Name: WRKCOMP_AMT

SAS Name: WRKCOMP_AMT1, WRKCOMP_AMT2, ..., WRKCOMP_AMT12

Universe Description: New or returning household members who are at least 15 years old and who received Workers' Compensation for any employment spell during the reference period.

Question Text: How much Workers' Compendation did ^TEMPNAME receive in

^WCMONTH_RECFIL?



Name: UEMPCOMP_REC

SAS Name: UEMPCOMP_REC1, UEMPCOMP_REC2, ..., UEMPCOMP_REC12

Universe Description: New or returning household members who are at least 15 years old and who received Unemployment Compensation during the reference period.

Question Text: In which month(s), between ^MONTH1 1st. and the end of

^LASTMONTH ^CALENDAR_YRFIL, did ^TEMPNAME receive Unemployment

Compensation?

 Enter all that apply.

Answer List: TMONTHS_OF_YEAR

Value: Mnemonic: Description:

1 January

2 February

3 March

4 April

5 May

6 June

7 July

8 August

9 September

10 October

11 November

12 December


Name: UEMPCOMP_AMT

SAS Name: UEMPCOMP_AMT1,UEMPCOMP_AMT2, ..., UEMPCOMP_AMT12

Universe Description: New or returning household members who are at least 15 years old and who received Unemployment Compensation during the reference period.

Question Text: How much Unemployment Compensation did ^TEMPNAME receive in

^UCMONTH_RECFIL?


Name: UTILITIES

SAS Name: UTILITIES

Universe Description: New or returning household members who are at least 15 years old, living in housing units that are either rented or occupied without payment of rent, and whose rent is lower because the housing unit is in either a Federal, State, or Local housing program

(asked of the household respondent or his/her spouse).

Question Text: ^DIDFIL_UTILYN pay ^SEPARATE_UTILYN for water, electricity, gas, or oil?

Answer List: TYES/NO

Value: Mnemonic: Description:

1 Y Yes

2 N No


Name: ENERGY_ASST

SAS Name: ENERGY_ASST

Universe Description: New or returning household members who are at least 15 years old, living in housing units that are either rented or occupied without payment of rent, and whose rent is lower because the housing unit is in either a Federal, State, or Local housing program

(asked of the household respondent or his/her spouse).

Question Text: ? [F1]

^HAVEYOUFIL_EGYASSYN received any energy assistance from the Federal, State,

or Local government at any time between ^MONTH1 1st. and the end of

^LASTMONTH ^CALENDAR_YRFIL?

Answer List: TYES/NO

Value: Mnemonic: Description:

1 Y Yes

2 N No


Name: ENERGY_PMT1

SAS Name: ENERGY_PMT1

Universe Description: New or returning household members who are at least 15 years old, living in housing units that are either rented or occupied without payment of rent, whose rent is lower because the housing unit is in either a Federal, State, or Local housing program, and

who received energy assistance during the reference period (asked of the household respondent or his/her spouse).

Question Text: ? [F1]Was this assistance received in the form of......checks sent to the

household?(...coupons or vouchers sent to the household?)(...payments sent directly

to the utility company, fuel dealer, or landlord?)

Answer List: TYES/NO

Value: Mnemonic: Description:

1 Y Yes

2 N No

Skip Instructions: GOTO ENERGY_PMT2

Name: ENERGY_PMT2

SAS Name: ENERGY_PMT2

Universe Description: New or returning household members who are at least 15 years old, living in housing units that are either rented or occupied without payment of rent, whose rent is lower because the housing unit is in either a Federal, State, or Local housing program, and

who received energy assistance during the reference period (asked of the household respondent or his/her spouse).

Question Text: ? [F1]

(Was this assistance received in the form of...)

(...checks sent to the household?)

...coupons or vouchers sent to the household?

(...payments sent directly to the utility company, fuel dealer, or landlord?)

Answer List: TYES/NO

Value: Mnemonic: Description:

1 Y Yes

2 N No

Name: ENERGY_PMT3

SAS Name: EGYPAYMT3


Universe Description: New or returning household members who are at least 15 years old, living in housing units that are either rented or occupied without payment of rent, whose rent is lower because the housing unit is in either a Federal, State, or Local housing program, and

who received energy assistance during the reference period (asked of the household respondent or his/her spouse).

Question Text: ? [F1]

(Was this assistance received in the form of...)

(...checks sent to the household?)

(...coupons or vouchers sent to the household?)

...payments sent directly to the utility company, fuel dealer, or landlord?

Answer List: TYES/NO

Value: Mnemonic: Description:

1 Y Yes

2 N No


Name: SCHOOL_LUNCH

SAS Name: SCHOOL_LUNCH

Universe Description: New or returning household members who are at least 15 years old and who are the mother, father, or guardian of at least one child living in households who is between

the age of 5 and 18 who has not yet graduated from high school.

Question Text: ? [F1]

Between ^MONTH1 1st. and the end of ^LASTMONTH

^CALENDAR_YRFIL, ^DIDFIL_SCHOOLMEALS usually get the lunch that

^THEIRFIL_SCHOOLMEALS school provides?

Display the first and last name(s) of all children between the ages of 5 and 18 living in

the household who have not yet graduated from high school.

Answer List: TYES/NO

Value: Mnemonic: Description:

1 Y Yes

2 N No


Name: WHO_LUNCH

SAS Name: WHO_LUNCH

Universe Description: New or returning household members who are at least 15 years old, who are the mother, father, or guardian of at least one child living in households who is between

the age of 5 and 18 who has not yet graduated from high school, and who got the

lunch provided by his/her school.

Question Text: ? [F1]

If there is only one child living in the household who is between the age of 5 and 18

who has not yet graduated from high school, select that child without reading the

question and proceed with the interview.

Which children usually got the school lunch?

Answer List: TCHILD_SCHOOLMEALS


Name: FREE_LUNCH

SAS Name: FREE_LUNCH

Universe Description: New or returning household members who are at least 15 years old, who are the mother, father, or guardian of at least one child living in households who is between

the age of 5 and 18 who has not yet graduated from high school, and who got the

lunch provided by his/her school.

Question Text: ? [F1]

Were any of the lunches free or reduced-price because ^CHILDFIL_SCHOOLMEALS

qualified for the National School Lunch Program?

Answer List: TYES/NO

Value: Mnemonic: Description:

1 Y Yes

2 N No

Skip Instructions: IF FREE_LUNCH = 1

THEN GOTO TYPE_LUNCH

ELSE

GOTO SCHOOL_BREAKFAST

Name: TYPE_LUNCH

SAS Name: TYPE_LUNCH

Universe Description: New or returning household members who are at least 15 years old and who are the mother, father, or guardian of at least one child living in households who is between

the age of 5 and 18 who has not yet graduated from high school, who got the lunch

provided by his/her school, and whose lunch was free or reduced-price because the

child(ren) qualified for the National School Lunch Program.

Question Text: ? [F1]

 Ask or verify.

Were they free or reduced-price?

Answer List: TFREE_REDPRICE_LUNCH

Value: Mnemonic: Description:

1 Free lunch

2 Reduced-price lunch


Name: SCHOOL_BREAKFAST


SAS Name: SCHOOL_BREAKFAST

Universe Description: New or returning household members who are at least 15 years old and who are the mother, father, or guardian of at least one child living in households who is between

the age of 5 and 18 who has not yet graduated from high school, who didn't get the

lunch provided by his/her school or didn't know/refused to answer the question, or

who got the lunch provided by his/her school, but the lunch was not free or reduced

price or they didn't know/refused to answer the question, or who got the lunch

provided by his/her school and the lunch was free or reduced price because the

child(ren) qualified for the National School Lunch Program.

Question Text: ? [F1]

Between ^MONTH1 1st. and the end of ^LASTMONTH

^CALENDAR_YRFIL, ^DIDFIL_SCHOOLMEALS usually get the breakfast that

^THEIRFIL_SCHOOLMEALS school provides?

Display the first and last name(s) of all children between the ages of 5 and 18 living in

the household who have not yet graduated from high school.

Answer List: TYES/NO

Value: Mnemonic: Description:

1 Y Yes

2 N No


Name: WHO_BREAKFAST

SAS Name: WHO_BREAKFAST

Universe Description: New or returning household members who are at least 15 years old and who are the mother, father, or guardian of at least one child living in households who is between

the age of 5 and 18 who has not yet graduated from high school and who got the

breakfast provided by his/her school.

Question Text: ? [F1]

If there is only one child living in the household who is between the age of 5 and 18

who has not yet graduated from high school, select that child without reading the

question and proceed with the interview.

Which children usually got the school breakfast?

Answer List: TCHILD_SCHOOLMEALS


Name: FREE_BREAKFAST

SAS Name: FREE_BREAKFAST

Universe Description: New or returning household members who are at least 15 years old and who are the mother, father, or guardian of at least one child living in households who is between

the age of 5 and 18 who has not yet graduated from high school and who got the

breakfast provided by his/her school.

Question Text: ? [F1]

Were any of the breakfasts free or reduced-price because

^CHILDFIL_SCHOOLMEALS qualified for the School Breakfast Program?

Answer List: TYES/NO

Value: Mnemonic: Description:

1 Y Yes

2 N No


Name: TYPE_BREAKFAST

SAS Name: TYPE_BREAKFAST

Universe Description: New or returning household members who are at least 15 years old and who are the mother, father, or guardian of at least one child living in households who is between

the age of 5 and 18 who has not yet graduated from high school, who got the

breakfast provided by his/her school, and whose breakfast was free or reduced-price

because the child(ren) qualified for the School Breakfast Program.

Question Text: ? [F1]

 Ask or verify.

Were they free or reduced-price?

Answer List: TFREE_REDPRICE_BREAKFAST

Value: Mnemonic: Description:

1 Free breakfast

2 Reduced-price breakfast



















































AST1B



? [F1]

Next are a couple of questions about retirement accounts.  At any time between ^MONTH1 1st. and the end of ^LASTMONTH ^CALENDAR_YRFIL, ^HAVHAS ^TEMPNAME owned an Individual Retirement Account (IRA) or a Keogh account?





1.

Yes

2.

No



AST1C



? [F1]

(Between ^MONTH1 1st. and the end of ^LASTMONTH ^CALENDAR_YRFIL,) Did ^TEMPNAME ^ALSOFIL participate in a 401k, 403b, or thrift plan?





1.

Yes

2.

No



AST1D



(Between ^MONTH1 1st. and the end of ^LASTMONTH ^CALENDAR_YRFIL,) Did ^TEMPNAME participate in a defined-benefit pension or cash balance plan through ^HISHER employer?





1.

Yes

2.

No



ASSETDRAW



Between ^MONTH1 1st. and the end of ^LASTMONTH ^CALENDAR_YRFIL, ^HAVHAS ^TEMPNAME received any lump sum or regular distribution payments from ^ANYOFFIL ^HISHER ^IRA401FIL?





1.

Yes, lump sum

2.

Yes, regular distribution

3.

Yes, both

4.

No, no payments received



AST1A



Book F, ? [F1]

The next few questions are about assets and other investments, either individually or jointly owned INCLCHILDFIL.  Between ^MONTH1 1st. and the end of ^LASTMONTH ^CALENDAR_YRFIL, did ^TEMPNAME own, either individually or jointly...

...any U.S. Government savings bonds or U.S. Government securities?
(...an interest-earning checking account?)
(...a regular (non-interest earning) checking account?)
(...a savings account?)

(^RETIRE_FIL)
(...a money market (MM) deposit account or MM fund?)
(...any certificates of deposit (that is, CDs)?)

(...an educational or college savings account?)
(...mutual funds?)
(...stocks?)






1.

Yes

2.

No



AST2A



Book F, ? [F1]

(The next few questions are about assets and other investments, either individually or jointly owned INCLCHILDFIL.  Between ^MONTH1 1st. and the end of ^LASTMONTH ^CALENDAR_YRFIL, did ^TEMPNAME own, either individually or jointly...)

(...any U.S. Government savings bonds or U.S. Government securities?)
...an interest-earning checking account?
(...a regular (non-interest earning) checking account?)
(...a savings account?)

(^RETIRE_FIL)
(...a money market (MM) deposit account or MM fund?)
(...any certificates of deposit (that is, CDs)?)
(...an educational or college savings account?)

(...mutual funds?)
(...stocks?)






1.

Yes

2.

No



AST2E



Book F, ? [F1]

(The next few questions are about assets and other investments, either individually or jointly owned INCLCHILDFIL.  Between ^MONTH1 1st. and the end of ^LASTMONTH ^CALENDAR_YRFIL, did ^TEMPNAME own, either individually or jointly...)

(...any U.S. Government savings bonds or U.S. Government securities?)
(...an interest-earning checking account?)
...a regular (non-interest earning) checking account?
(...a savings account?)

(^RETIRE_FIL)
(...a money market (MM) deposit account or MM fund?)
(...any certificates of deposit (that is, CDs)?)
(...an educational or college savings account?)

(...mutual funds?)
(...stocks?)





1.

Yes

2.

No



AST2B



Book F, ? [F1]

(The next few questions are about assets and other investments, either individually or jointly owned INCLCHILDFIL.  Between ^MONTH1 1st. and the end of ^LASTMONTH ^CALENDAR_YRFIL, did ^TEMPNAME own, either individually or jointly...)

(...any U.S. Government savings bonds or U.S. Government securities?)
(...an interest-earning checking account?)

(...a regular (non-interest earning) checking account?)
...a savings account?

(^RETIRE_FIL)
(...a money market (MM) deposit account or MM fund?)
(...any certificates of deposit (that is, CDs)?)
(...an educational or college savings account?)

(...mutual funds?)
(...stocks?)






1.

Yes

2.

No



AST2C



Book F, ? [F1]

(The next few questions are about assets and other investments, either individually or jointly owned INCLCHILDFIL.  Between ^MONTH1 1st. and the end of ^LASTMONTH ^CALENDAR_YRFIL, did ^TEMPNAME own, either individually or jointly...)

(...any U.S. Government savings bonds or U.S. Government securities?)
(...an interest-earning checking account?)

(...a regular (non-interest earning) checking account?)
(...a savings account?)

^RETIRE_FIL
...a money market (MM) deposit account or MM fund?
(...any certificates of deposit (that is, CDs)?)
(...an educational or college savings account?)

(...mutual funds?)
(...stocks?)






1.

Yes

2.

No



AST2D



Book F, ? [F1]

(The next few questions are about assets and other investments, either individually or jointly owned INCLCHILDFIL.  Between ^MONTH1 1st. and the end of ^LASTMONTH ^CALENDAR_YRFIL, did ^TEMPNAME own, either individually or jointly...)

(...any U.S. Government savings bonds or U.S. Government securities?)
(...an interest-earning checking account?)

(...a regular (non-interest earning) checking account?)
(...a savings account?)

^RETIRE_FIL
(...a money market (MM) deposit account or MM fund?)
...any certificates of deposit (that is, CDs)?
(...an educational or college savings account?)
(...mutual funds?)
(...stocks?)






1.

Yes

2.

No



AST2F



Book F, ? [F1]

(The next few questions are about assets and other investments, either individually or jointly owned INCLCHILDFIL.  Between ^MONTH1 1st. and the end of ^LASTMONTH ^CALENDAR_YRFIL, did ^TEMPNAME own, either individually or jointly...)

(...any U.S. Government savings bonds or U.S. Government securities?)
(...an interest-earning checking account?)

(...a regular (non-interest earning) checking account?)
(...a savings account?)

^RETIRE_FIL
(...a money market (MM) deposit account or MM fund?)
(...any certificates of deposit (that is, CDs)?)
...an educational or college savings account?
(...mutual funds?)
(...stocks?)





1.

Yes

2.

No



AST3A



Book F, ? [F1]

(The next few questions are about assets and other investments, either individually or jointly owned INCLCHILDFIL.  Between ^MONTH1 1st. and the end of ^LASTMONTH ^CALENDAR_YRFIL, did ^TEMPNAME own, either individually or jointly...)

(...any U.S. Government savings bonds or U.S. Government securities?)
(...an interest-earning checking account?)

(...a regular (non-interest earning) checking account?)
(...a savings account?)

^RETIRE_FIL
(...a money market (MM) deposit account or MM fund?)
(...any certificates of deposit (that is, CDs)?)

(...an educational or college savings account?)
...mutual funds?
(...stocks?)





1.

Yes

2.

No



AST3B



Book F, ? [F1]

(The next few questions are about assets and other investments, either individually or jointly owned INCLCHILDFIL.  Between ^MONTH1 1st. and the end of ^LASTMONTH ^CALENDAR_YRFIL, did ^TEMPNAME own, either individually or jointly...)

(...any U.S. Government savings bonds or U.S. Government securities?)
(...an interest-earning checking account?)

(...a regular (non-interest earning) checking account?)
(...a savings account?)

^RETIRE_FIL
(...a money market (MM) deposit account or MM fund?)
(...any certificates of deposit (that is, CDs)?)
(...an educational or college savings account?)

(...mutual funds?)
...stocks?





1.

Yes

2.

No



AST3C



? [F1]

 Read (or verify) all response options.

^ASSET2_QSTNTXT

...any municipal or corporate bonds?
(...any life insurance policies?)
(...mortgages from which ^HESHE received payments?)
(...rental property?)
(...other real estate such as a vacation home or an undeveloped lot?)
(...any cars, vans, or trucks?)
(...any motorcycles, boats, or recreational vehicles (RVs)?)
(...royalties?)

(...annuities and trusts?)
(...businesses as an investment only?)
(...or any other financial investments?)





1.

Yes

2.

No



MUNCOR



Are these municipal/corporate bonds separate from the mutual funds you just told me about?





1.

Yes

2.

No



AST5A



? [F1]

 
Read (or verify) all response options.

^ASSET2_QSTNTXT

(...any municipal or corporate bonds?)
...any life insurance policies?
(...mortgages from which ^HESHE received payments?)
(...rental property?)
(...other real estate such as a vacation home or an undeveloped lot?)
(...any cars, vans, or trucks?)
(...any motorcycles, boats, or recreactional vehicles (RVs)?)
(...royalties?)

(...annuities and trusts?)
(...businesses as an investment only?)
(...or any other financial investments?)






1.

Yes

2.

No



AST3E



? [F1]

 Read (or verify) all response options.

^ASSET2_QSTNTXT

(...any municipal or corporate bonds?)
(...any life insurance policies?)

...mortgages from which ^HESHE received payments?
(...rental property?)
(...other real estate such as a vacation home or an undeveloped lot?)
(...any cars, vans, or trucks?)
(...any motorcycles, boats, or recreactional vehicles (RVs)?)
(...royalties?)

(...annuities and trusts?)
(...businesses as an investment only?)
(...or any other financial investments?)






1.

Yes

2.

No



AST4A



? [F1]

 
Read (or verify) all response options.

^ASSET2_QSTNTXT

(...any municipal or corporate bonds?)
(...any life insurance policies?)
(...mortgages from which ^HESHE received payments?)

...rental property?
(...other real estate such as a vacation home or an undeveloped lot?)
(...any cars, vans, or trucks?)
(...any motorcycles, boats, or recreactional vehicles (RVs)?)
(...royalties?)

(...annuities and trusts?)
(...businesses as an investment only?)
(...or any other financial investments?)






1.

Yes

2.

No



AST5B



? [F1]

 
Read (or verify) all response options.

^ASSET2_QSTNTXT

(...any municipal or corporate bonds?)
(...any life insurance policies?)
(...mortgages from which ^HESHE received payments?)
(...rental property?)
...other real estate such as a vacation home or an undeveloped lot?
(...any cars, vans, or trucks?)
(...any motorcycles, boats, or recreactional vehicles (RVs)?)
(...royalties?)

(...annuities and trusts?)
(...businesses as an investment only?)
(...or any other financial investments?)






1.

Yes

2.

No



AST5C



? [F1]

 
Read (or verify) all response options.

^ASSET2_QSTNTXT

(...any municipal or corporate bonds?)
(...any life insurance policies?)
(...mortgages from which ^HESHE received payments?)
(...rental property?)
(...other real estate such as a vacation home or an undeveloped lot?)
...any cars, vans, or trucks?
(...any motorcycles, boats, or recreactional vehicles (RVs)?)
(...royalties?)

(...annuities and trusts?)
(...businesses as an investment only?)
(...or any other financial investments?)






1.

Yes

2.

No



AST5D



? [F1]

 
Read (or verify) all response options.

^ASSET2_QSTNTXT

(...any municipal or corporate bonds?)
(...any life insurance policies?)
(...mortgages from which ^HESHE received payments?)
(...rental property?)
(...other real estate such as a vacation home or an undeveloped lot?)
(...any cars, vans, or trucks?)
...any motorcycles, boats, or recreactional vehicles (RVs)?
(...royalties?)
(...annuities and trusts?)
(...businesses as an investment only?)
(...or any other financial investments?)






1.

Yes

2.

No



AST4B



? [F1]

 
Read (or verify) all response options.

^ASSET2_QSTNTXT

(...any municipal or corporate bonds?)
(...any life insurance policies?)
(...mortgages from which ^HESHE received payments?)
(...rental property?)
(...other real estate such as a vacation home or an undeveloped lot?)
(...any cars, vans, or trucks?)
(...any motorcycles, boats, or recreactional vehicles (RVs)?)
...royalties?
(...annuities and trusts?)
(...businesses as an investment only?)
(...or any other financial investments?)





1.

Yes

2.

No



AST5E



? [F1]

 
Read (or verify) all response options.

^ASSET2_QSTNTXT

(...any municipal or corporate bonds?)
(...any life insurance policies?)
(...mortgages from which ^HESHE received payments?)
(...rental property?)
(...other real estate such as a vacation home or an undeveloped lot?)
(...any cars, vans, or trucks?)
(...any motorcycles, boats, or recreactional vehicles (RVs)?)
(...royalties?)
...annuities and trusts?
(...businesses as an investment only?)
(...or any other financial investments?)






1.

Yes

2.

No



AST5F



? [F1]

 
Read (or verify) all response options.

^ASSET2_QSTNTXT

(...any municipal or corporate bonds?)
(...any life insurance policies?)
(...mortgages from which ^HESHE received payments?)
(...rental property?)
(...other real estate such as a vacation home or an undeveloped lot?)
(...any cars, vans, or trucks?)
(...any motorcycles, boats, or recreactional vehicles (RVs)?)
(...royalties?)
(...annuities and trusts?)
...businesses as an investment only?
(...or any other financial investments?)





1.

Yes

2.

No



AST4C



? [F1]

 Read (or verify) all response options.

^ASSET2_QSTNTXT

(...any municipal or corporate bonds?)
(...any life insurance policies?)
(...mortgages from which ^HESHE received payments?)
(...rental property?)
(...other real estate such as a vacation home or an undeveloped lot?)
(...any cars, vans, or trucks?)
(...any motorcycles, boats, or recreactional vehicles (RVs)?)
(...royalties?)

(...annuities and trusts?)
(...businesses as an investment only?)
...or any other financial investments?





1.

Yes

2.

No



AST4C_SP



What 'other' type of financial investment(s)?

 Please separate individual 'other' financial investments by the use of a comma.





VERIFY_ASSETS



^QSTNTXT_VERIFYASSETS

Display all of the assets reported by the respondent as defined in the special instructions





1.

Yes

2.

No



FIX_ASSETS



Which assets should not be included on the list?





1.

IRA or Keogh account

2.

401k, 403b, or thrift plan

3.

Defined benefit pension or cash balance plan

4.

U.S. Govt. savings bonds/securities

5.

Interest-earning checking account

6.

Regular (non-interest earning) checking account

7.

Savings account

8.

Money market deposit account

9.

Certificates of deposit

10.

Educational or college savings account

11.

Mutual funds

12.

Stocks

13.

Municipal or corporate bonds

14.

Life insurance

15.

Mortgages

16.

Rental property

17.

Real estate

18.

Motor vehicles

19.

Recreactional vehicles

20.

RoyaltiesAST5C - Motor vehicles

21.

Annuities and trusts

22.

Businesses as an investment only

23.

^Fill with response to item AST4C_SP













AST1B



? [F1]

Next are a couple of questions about retirement accounts.  At any time between ^MONTH1 1st. and the end of ^LASTMONTH ^CALENDAR_YRFIL, ^HAVHAS ^TEMPNAME owned an Individual Retirement Account (IRA) or a Keogh account?





1.

Yes

2.

No



AST1C



? [F1]

(Between ^MONTH1 1st. and the end of ^LASTMONTH ^CALENDAR_YRFIL,) Did ^TEMPNAME ^ALSOFIL participate in a 401k, 403b, or thrift plan?





1.

Yes

2.

No



AST1D



(Between ^MONTH1 1st. and the end of ^LASTMONTH ^CALENDAR_YRFIL,) Did ^TEMPNAME participate in a defined-benefit pension or cash balance plan through ^HISHER employer?





1.

Yes

2.

No



ASSETDRAW



Between ^MONTH1 1st. and the end of ^LASTMONTH ^CALENDAR_YRFIL, ^HAVHAS ^TEMPNAME received any lump sum or regular distribution payments from ^ANYOFFIL ^HISHER ^IRA401FIL?





1.

Yes, lump sum

2.

Yes, regular distribution

3.

Yes, both

4.

No, no payments received



AST1A



Book F, ? [F1]

The next few questions are about assets and other investments, either individually or jointly owned INCLCHILDFIL.  Between ^MONTH1 1st. and the end of ^LASTMONTH ^CALENDAR_YRFIL, did ^TEMPNAME own, either individually or jointly...

...any U.S. Government savings bonds or U.S. Government securities?
(...an interest-earning checking account?)
(...a regular (non-interest earning) checking account?)
(...a savings account?)

(^RETIRE_FIL)
(...a money market (MM) deposit account or MM fund?)
(...any certificates of deposit (that is, CDs)?)

(...an educational or college savings account?)
(...mutual funds?)
(...stocks?)






1.

Yes

2.

No



AST2A



Book F, ? [F1]

(The next few questions are about assets and other investments, either individually or jointly owned INCLCHILDFIL.  Between ^MONTH1 1st. and the end of ^LASTMONTH ^CALENDAR_YRFIL, did ^TEMPNAME own, either individually or jointly...)

(...any U.S. Government savings bonds or U.S. Government securities?)
...an interest-earning checking account?
(...a regular (non-interest earning) checking account?)
(...a savings account?)

(^RETIRE_FIL)
(...a money market (MM) deposit account or MM fund?)
(...any certificates of deposit (that is, CDs)?)
(...an educational or college savings account?)

(...mutual funds?)
(...stocks?)






1.

Yes

2.

No



AST2E



Book F, ? [F1]

(The next few questions are about assets and other investments, either individually or jointly owned INCLCHILDFIL.  Between ^MONTH1 1st. and the end of ^LASTMONTH ^CALENDAR_YRFIL, did ^TEMPNAME own, either individually or jointly...)

(...any U.S. Government savings bonds or U.S. Government securities?)
(...an interest-earning checking account?)
...a regular (non-interest earning) checking account?
(...a savings account?)

(^RETIRE_FIL)
(...a money market (MM) deposit account or MM fund?)
(...any certificates of deposit (that is, CDs)?)
(...an educational or college savings account?)

(...mutual funds?)
(...stocks?)





1.

Yes

2.

No



AST2B



Book F, ? [F1]

(The next few questions are about assets and other investments, either individually or jointly owned INCLCHILDFIL.  Between ^MONTH1 1st. and the end of ^LASTMONTH ^CALENDAR_YRFIL, did ^TEMPNAME own, either individually or jointly...)

(...any U.S. Government savings bonds or U.S. Government securities?)
(...an interest-earning checking account?)

(...a regular (non-interest earning) checking account?)
...a savings account?

(^RETIRE_FIL)
(...a money market (MM) deposit account or MM fund?)
(...any certificates of deposit (that is, CDs)?)
(...an educational or college savings account?)

(...mutual funds?)
(...stocks?)






1.

Yes

2.

No



AST2C



Book F, ? [F1]

(The next few questions are about assets and other investments, either individually or jointly owned INCLCHILDFIL.  Between ^MONTH1 1st. and the end of ^LASTMONTH ^CALENDAR_YRFIL, did ^TEMPNAME own, either individually or jointly...)

(...any U.S. Government savings bonds or U.S. Government securities?)
(...an interest-earning checking account?)

(...a regular (non-interest earning) checking account?)
(...a savings account?)

^RETIRE_FIL
...a money market (MM) deposit account or MM fund?
(...any certificates of deposit (that is, CDs)?)
(...an educational or college savings account?)

(...mutual funds?)
(...stocks?)






1.

Yes

2.

No



AST2D



Book F, ? [F1]

(The next few questions are about assets and other investments, either individually or jointly owned INCLCHILDFIL.  Between ^MONTH1 1st. and the end of ^LASTMONTH ^CALENDAR_YRFIL, did ^TEMPNAME own, either individually or jointly...)

(...any U.S. Government savings bonds or U.S. Government securities?)
(...an interest-earning checking account?)

(...a regular (non-interest earning) checking account?)
(...a savings account?)

^RETIRE_FIL
(...a money market (MM) deposit account or MM fund?)
...any certificates of deposit (that is, CDs)?
(...an educational or college savings account?)
(...mutual funds?)
(...stocks?)






1.

Yes

2.

No



AST2F



Book F, ? [F1]

(The next few questions are about assets and other investments, either individually or jointly owned INCLCHILDFIL.  Between ^MONTH1 1st. and the end of ^LASTMONTH ^CALENDAR_YRFIL, did ^TEMPNAME own, either individually or jointly...)

(...any U.S. Government savings bonds or U.S. Government securities?)
(...an interest-earning checking account?)

(...a regular (non-interest earning) checking account?)
(...a savings account?)

^RETIRE_FIL
(...a money market (MM) deposit account or MM fund?)
(...any certificates of deposit (that is, CDs)?)
...an educational or college savings account?
(...mutual funds?)
(...stocks?)





1.

Yes

2.

No



AST3A



Book F, ? [F1]

(The next few questions are about assets and other investments, either individually or jointly owned INCLCHILDFIL.  Between ^MONTH1 1st. and the end of ^LASTMONTH ^CALENDAR_YRFIL, did ^TEMPNAME own, either individually or jointly...)

(...any U.S. Government savings bonds or U.S. Government securities?)
(...an interest-earning checking account?)

(...a regular (non-interest earning) checking account?)
(...a savings account?)

^RETIRE_FIL
(...a money market (MM) deposit account or MM fund?)
(...any certificates of deposit (that is, CDs)?)

(...an educational or college savings account?)
...mutual funds?
(...stocks?)





1.

Yes

2.

No



AST3B



Book F, ? [F1]

(The next few questions are about assets and other investments, either individually or jointly owned INCLCHILDFIL.  Between ^MONTH1 1st. and the end of ^LASTMONTH ^CALENDAR_YRFIL, did ^TEMPNAME own, either individually or jointly...)

(...any U.S. Government savings bonds or U.S. Government securities?)
(...an interest-earning checking account?)

(...a regular (non-interest earning) checking account?)
(...a savings account?)

^RETIRE_FIL
(...a money market (MM) deposit account or MM fund?)
(...any certificates of deposit (that is, CDs)?)
(...an educational or college savings account?)

(...mutual funds?)
...stocks?





1.

Yes

2.

No



AST3C



? [F1]

 Read (or verify) all response options.

^ASSET2_QSTNTXT

...any municipal or corporate bonds?
(...any life insurance policies?)
(...mortgages from which ^HESHE received payments?)
(...rental property?)
(...other real estate such as a vacation home or an undeveloped lot?)
(...any cars, vans, or trucks?)
(...any motorcycles, boats, or recreational vehicles (RVs)?)
(...royalties?)

(...annuities and trusts?)
(...businesses as an investment only?)
(...or any other financial investments?)





1.

Yes

2.

No



MUNCOR



Are these municipal/corporate bonds separate from the mutual funds you just told me about?





1.

Yes

2.

No



AST5A



? [F1]

 
Read (or verify) all response options.

^ASSET2_QSTNTXT

(...any municipal or corporate bonds?)
...any life insurance policies?
(...mortgages from which ^HESHE received payments?)
(...rental property?)
(...other real estate such as a vacation home or an undeveloped lot?)
(...any cars, vans, or trucks?)
(...any motorcycles, boats, or recreactional vehicles (RVs)?)
(...royalties?)

(...annuities and trusts?)
(...businesses as an investment only?)
(...or any other financial investments?)






1.

Yes

2.

No



AST3E



? [F1]

 Read (or verify) all response options.

^ASSET2_QSTNTXT

(...any municipal or corporate bonds?)
(...any life insurance policies?)

...mortgages from which ^HESHE received payments?
(...rental property?)
(...other real estate such as a vacation home or an undeveloped lot?)
(...any cars, vans, or trucks?)
(...any motorcycles, boats, or recreactional vehicles (RVs)?)
(...royalties?)

(...annuities and trusts?)
(...businesses as an investment only?)
(...or any other financial investments?)






1.

Yes

2.

No



AST4A



? [F1]

 
Read (or verify) all response options.

^ASSET2_QSTNTXT

(...any municipal or corporate bonds?)
(...any life insurance policies?)
(...mortgages from which ^HESHE received payments?)

...rental property?
(...other real estate such as a vacation home or an undeveloped lot?)
(...any cars, vans, or trucks?)
(...any motorcycles, boats, or recreactional vehicles (RVs)?)
(...royalties?)

(...annuities and trusts?)
(...businesses as an investment only?)
(...or any other financial investments?)






1.

Yes

2.

No



AST5B



? [F1]

 
Read (or verify) all response options.

^ASSET2_QSTNTXT

(...any municipal or corporate bonds?)
(...any life insurance policies?)
(...mortgages from which ^HESHE received payments?)
(...rental property?)
...other real estate such as a vacation home or an undeveloped lot?
(...any cars, vans, or trucks?)
(...any motorcycles, boats, or recreactional vehicles (RVs)?)
(...royalties?)

(...annuities and trusts?)
(...businesses as an investment only?)
(...or any other financial investments?)






1.

Yes

2.

No



AST5C



? [F1]

 
Read (or verify) all response options.

^ASSET2_QSTNTXT

(...any municipal or corporate bonds?)
(...any life insurance policies?)
(...mortgages from which ^HESHE received payments?)
(...rental property?)
(...other real estate such as a vacation home or an undeveloped lot?)
...any cars, vans, or trucks?
(...any motorcycles, boats, or recreactional vehicles (RVs)?)
(...royalties?)

(...annuities and trusts?)
(...businesses as an investment only?)
(...or any other financial investments?)






1.

Yes

2.

No



AST5D



? [F1]

 
Read (or verify) all response options.

^ASSET2_QSTNTXT

(...any municipal or corporate bonds?)
(...any life insurance policies?)
(...mortgages from which ^HESHE received payments?)
(...rental property?)
(...other real estate such as a vacation home or an undeveloped lot?)
(...any cars, vans, or trucks?)
...any motorcycles, boats, or recreactional vehicles (RVs)?
(...royalties?)
(...annuities and trusts?)
(...businesses as an investment only?)
(...or any other financial investments?)






1.

Yes

2.

No



AST4B



? [F1]

 
Read (or verify) all response options.

^ASSET2_QSTNTXT

(...any municipal or corporate bonds?)
(...any life insurance policies?)
(...mortgages from which ^HESHE received payments?)
(...rental property?)
(...other real estate such as a vacation home or an undeveloped lot?)
(...any cars, vans, or trucks?)
(...any motorcycles, boats, or recreactional vehicles (RVs)?)
...royalties?
(...annuities and trusts?)
(...businesses as an investment only?)
(...or any other financial investments?)





1.

Yes

2.

No



AST5E



? [F1]

 
Read (or verify) all response options.

^ASSET2_QSTNTXT

(...any municipal or corporate bonds?)
(...any life insurance policies?)
(...mortgages from which ^HESHE received payments?)
(...rental property?)
(...other real estate such as a vacation home or an undeveloped lot?)
(...any cars, vans, or trucks?)
(...any motorcycles, boats, or recreactional vehicles (RVs)?)
(...royalties?)
...annuities and trusts?
(...businesses as an investment only?)
(...or any other financial investments?)






1.

Yes

2.

No



AST5F



? [F1]

 
Read (or verify) all response options.

^ASSET2_QSTNTXT

(...any municipal or corporate bonds?)
(...any life insurance policies?)
(...mortgages from which ^HESHE received payments?)
(...rental property?)
(...other real estate such as a vacation home or an undeveloped lot?)
(...any cars, vans, or trucks?)
(...any motorcycles, boats, or recreactional vehicles (RVs)?)
(...royalties?)
(...annuities and trusts?)
...businesses as an investment only?
(...or any other financial investments?)





1.

Yes

2.

No



AST4C



? [F1]

 Read (or verify) all response options.

^ASSET2_QSTNTXT

(...any municipal or corporate bonds?)
(...any life insurance policies?)
(...mortgages from which ^HESHE received payments?)
(...rental property?)
(...other real estate such as a vacation home or an undeveloped lot?)
(...any cars, vans, or trucks?)
(...any motorcycles, boats, or recreactional vehicles (RVs)?)
(...royalties?)

(...annuities and trusts?)
(...businesses as an investment only?)
...or any other financial investments?





1.

Yes

2.

No



AST4C_SP



What 'other' type of financial investment(s)?

 Please separate individual 'other' financial investments by the use of a comma.





VERIFY_ASSETS



^QSTNTXT_VERIFYASSETS

Display all of the assets reported by the respondent as defined in the special instructions





1.

Yes

2.

No



FIX_ASSETS



Which assets should not be included on the list?





1.

IRA or Keogh account

2.

401k, 403b, or thrift plan

3.

Defined benefit pension or cash balance plan

4.

U.S. Govt. savings bonds/securities

5.

Interest-earning checking account

6.

Regular (non-interest earning) checking account

7.

Savings account

8.

Money market deposit account

9.

Certificates of deposit

10.

Educational or college savings account

11.

Mutual funds

12.

Stocks

13.

Municipal or corporate bonds

14.

Life insurance

15.

Mortgages

16.

Rental property

17.

Real estate

18.

Motor vehicles

19.

Recreactional vehicles

20.

RoyaltiesAST5C - Motor vehicles

21.

Annuities and trusts

22.

Businesses as an investment only

23.

^Fill with response to item AST4C_SP













HLTHSTS



These next few questions are about ^PTEMPNAME health.  Would you say ^HISHER health in general is excellent, very good, good, fair, or poor?





1.

Excellent

2.

Very good

3.

Good

4.

Fair

5.

Poor



CTRLNUM



**NON-DISPLAYED ITEM**





LNO



**NON-DISPLAYED ITEM**





HOSPNGHT



Between ^MONTH1 1st. and the end of ^LASTMONTH ^CALENDAR_YRFIL, ^WEREWAS ^TEMPNAME a patient in a hospital overnight or longer?





1.

Yes

2.

No



HOSPNMNGT



How many nights in all did ^HESHE spend in a hospital of any type (between ^MONTH1 1st. and the end of ^LASTMONTH ^CALENDAR_YRFIL)?





HOSPRSNNGT



Which of the following best describes why ^HESHE entered the hospital ^RECENT_STAYFIL

 Read response choices.

 Enter all that apply.





1.

for diagnostic test to determine what was wrong.

2.

for a birth (either to be born, or to give birth, including C-section).

3.

to have an operation or surgery.

4.

for some other treatment or therapy not including surgery.

5.

for any other reason.



CTRLNUM



**NON-DISPLAYED ITEM**





LNO



**NON-DISPLAYED ITEM**





PRESCRIPYR



Between ^MONTH1 1st. and the end of ^LASTMONTH ^CALENDAR_YRFIL, did ^TEMPNAME take any prescription medication(s)?





1.

Yes

2.

No



PRESCRIP



C_DODOES ^HESHE take prescription medicine(s) on a daily basis?





1.

Yes

2.

No



CTRLNUM



**NON-DISPLAYED ITEM**





LNO



**NON-DISPLAYED ITEM**





DENTALVIS



Between ^MONTH1 1st. and the end of ^LASTMONTH ^CALENDAR_YRFIL, how many visits did ^TEMPNAME make to a dentist or other dental professional?

 Enter 0 for none.





DENTTHLS



^C_HAVHAS ^TEMPNAME lost any of ^HISHER permanent adult teeth?





1.

Yes

2.

No



DENTALTH



^C_HAVHAS ^HESHE lost ALL of ^HISHER permanent adult teeth?





1.

Yes

2.

No



CTRLNUM



**NON-DISPLAYED ITEM**





LNO



**NON-DISPLAYED ITEM**





HLTHPRVD



^HLTHPROV_QSTNTXTFIL

 Enter 0 for none.





HLTHDR



Did that visit or call include contact with a physician?





1.

Yes

2.

No



HLTHDR_NO



How many of the ^NUM_VISITFIL visits or calls included contact with a physician?





MEDSUPL



^MEDSUPL_QSTNTXTFIL





1.

Yes

2.

No



DAYSICK



^DAYSICK_QSTNTXTFIL

 Enter 0 for none.

 If the person can't provide the exact number of days, ask for an estimate.





CTRLNUM



**NON-DISPLAYED ITEM**





LNO



**NON-DISPLAYED ITEM**





MEDCRPAY



^HLTHINSPREM_QSTNTXTFIL

 Enter 0 for none (or no payments) if the person paid no costs for anyone's health insurance.

 If someone else pays for this person's insurance, do NOT report those costs here -- report those costs in the interview for the person who pays them.






MEDCRPAY_RANGE



Was it ...

 Enter 0 for none.

 Read answer categories.





0.

None

1.

$1 to $10

2.

$11 to $50

3.

$51 to $100

4.

$101 to $200

5.

$201 to $300

6.

$301 to $500

7.

$501 to $1,000

8.

$1,001 to $5,000

9.

$5,001 or more



MDPAY



Between ^MONTH1 1st. and the end of ^LASTMONTH ^CALENDAR_YRFIL, how much was paid for ^PTEMPNAME own medical care, including payments for hospital visitis, dentists, medical providers, medicine, or medical supplies?  ^PCNTGE1FIL

 Enter 0 for none.

 Exclude any costs for health insurance premiums.





MDPAY_RANGE



Was it ...

 Enter 0 for none.

 Read answer categories.





0.

None

1.

$1 to $10

2.

$11 to $50

3.

$51 to $100

4.

$101 to $200

5.

$201 to $300

6.

$301 to $500

7.

$501 to $1,000

8.

$1,001 to $5,000

9.

$5,001 or more



TOTCOST_REIMB



^TOTREIMB_QSTNTXTFIL





1.

Total cost

2.

Got reimbursed

3.

Expects to get reimbursed, but has not yet



AMTREIMB



How much of ^THISTHESE_EXPFIL ^WASWERE_AMTREIMB reimbursed?





CTRLNUM



**NON-DISPLAYED ITEM**





LNO



**NON-DISPLAYED ITEM**





NOINDNT



Earlier ^TEMPNAME said that ^HESHE ^WEREWAS not covered by any health insurance in  Read month(s).  During ^THATTHOSE_MOFIL did ^TEMPNAME go to a dentist or other dental professional?

Display the name of the months of no health insurance coverage as reported in the EHC.





1.

Yes

2.

No



NOINDOC



Earlier ^TEMPNAME said that ^HESHE ^WEREWAS not covered by any health insurance in  Read month(s).  During ^THATTHOSE_MOFIL did ^TEMPNAME go to a doctor, nurse, or other medical provider?

Display the name of the months of no health insurance coverage as reported in the EHC.





1.

Yes

2.

No



CTRLNUM



**NON-DISPLAYED ITEM**





LNO



**NON-DISPLAYED ITEM**





NOINCLN



Where did ^TEMPNAME go to get those health care services?

 Read response choices.

 Enter all that apply.





1.

Clinic or Public Health Department

2.

Emergency room

3.

Hospital, excluding emergency room

4.

VA Hospital

5.

Doctor's office

6.

Dentist's office

7.

Someplace else



NOININC



Did anyone ask what ^PTEMPNAME income was before they set a price for the services?





1.

Yes

2.

No



NOINTRT



Did ^TEMPNAME receive treatment for an illness or injury?





1.

Yes

2.

No



NOINCHK



Did ^TEMPNAME receive any routine or preventative care, ^TYPECAREFIL?





1.

Yes

2.

No
























DINMOMA



^INTROCHILDWB
In a typical week in September ^CALENDAR_YRFIL, how many days did ^MOMNAME eat dinner with ^CHILD05_NAMEFILL?





0.

None

1.

One day

2.

Two days

3.

Three days

4.

Four days

5.

Five days

6.

Six days

7.

Seven days



DINDADA



^INTROCHILDWB
In a typical week in September ^CALENDAR_YRFIL, how many days did ^DADNAME eat dinner with ^CHILD05_NAMEFILL?





0.

None

1.

One day

2.

Two days

3.

Three days

4.

Four days

5.

Five days

6.

Six days

7.

Seven days



READA



In a typical week in September ^CALENDAR_YRFIL, about how many days did any family member read stories to ^CHILD05_NAMEFILL?





0.

None

1.

One day

2.

Two days

3.

Three days

4.

Four days

5.

Five days

6.

Six days

7.

Seven days



CTRLNUM



**NON-DISPLAYED ITEM**





LNO



**NON-DISPLAYED ITEM**





DINMOMB



^INTROCHILDWB In a typical week in September ^CALENDAR_YRFIL, how many days did ^MOMNAME eat dinner with ^CHILD614_NAMEFILL?






0.

None

1.

One day

2.

Two days

3.

Three days

4.

Four days

5.

Five days

6.

Six days

7.

Seven days



DINDADB



^INTROCHILDWB In a typical week in September ^CALENDAR_YRFIL, how many days did ^DADNAME eat dinner with ^CHILD614_NAMEFILL?





0.

None

1.

One day

2.

Two days

3.

Three days

4.

Four days

5.

Five days

6.

Six days

7.

Seven days



CARESB



Now I would like to ask you about ^CHILD614_NAMEFILL's school experience.

For each of the following statements, please tell me if you think it describes ^CHILD614_NAMEFILL all of the time, most of the time, some of the time, or none of the time.
 
Would you say ^CHILD614_NAMEFILL

.......cares about doing well in school?
(.......only works on schoolwork when forced to?)
(.......does just enough schoolwork to get by?)
(.......always does homework?)






1.

All of the time

2.

Most of the time

3.

Some of the time

4.

None of the time

5.

Not Applicable because in home school

6.

Not Enrolled



WORKSB



(For each of the following statements, please tell me if you think it describes ^CHILD614_NAMEFILL all of the time, most of the time, some of the time, or none of the time.
Would you say ^CHILD614_NAMEFILL)
 
(.......cares about doing well in school?)
.......only works on schoolwork when forced to?
(.......does just enough schoolwork to get by?)
(.......always does homework?)






1.

All of the time

2.

Most of the time

3.

Some of the time

4.

None of the time

5.

Not Applicable because in home school

6.

Not Enrolled



GETBYB



(For each of the following statements, please tell me if you think it describes ^CHILD614_NAMEFILL all of the time, most of the time, some of the time, or none of the time.
Would you say ^CHILD614_NAMEFILL)
 
(.......cares about doing well in school?)
(.......only works on schoolwork when forced to?)
.......does just enough schoolwork to get by?
(.......always does homework?)






1.

All of the time

2.

Most of the time

3.

Some of the time

4.

None of the time

5.

Not Applicable because in home school

6.

Not Enrolled



HMWRKB



(For each of the following statements, please tell me if you think it describes ^CHILD614_NAMEFILL all of the time, most of the time, some of the time, or none of the time.
Would you say ^CHILD614_NAMEFILL)
 
(.......cares about doing well in school?)
(.......only works on schoolwork when forced to?)
(.......does just enough schoolwork to get by?)
.......always does homework?





1.

All of the time

2.

Most of the time

3.

Some of the time

4.

None of the time

5.

Not Applicable because in home school

6.

Not Enrolled



REPGRDB



^INTROREPEATWB





1.

Yes

2.

No



GRDRPTB



What grade did ^CHILD614_NAMEFILL repeat most recently?





0.

Kindergarten

1.

First grade

2.

Second grade

3.

Third grade

4.

Fourth grade

5.

Fifth grade

6.

Sixth grade

7.

Seventh grade

8.

Eighth grade

9.

Ninth grade

10.

Tenth grade

11.

Eleventh grade

12.

Twelfth grade



EXPSCHB



^INTROEXPWB





1.

Yes

2.

No



GIFTEDB



In ^CALENDAR_YEAR did ^CHILD614_NAMEFILL go to any special classes for gifted students, or do advanced work in any subjects?





1.

Yes

2.

No



SPORTB



In ^CALENDAR_YEAR was ^CHILD614_NAMEFILL on a sports team either in or out of school?





1.

Yes

2.

No



LESSONB



In ^CALENDAR_YEAR did ^CHILD614_NAMEFILL take lessons after school or on weekends in subjects like music, dance, language, computers, or religion?





1.

Yes

2.

No



CLUBB



In ^CALENDAR_YEAR did ^CHILD614_NAMEFILL participate in any clubs or organizations after school or on weekends, such as Scouts, a religious group, or a Girl's or Boy's club?





1.

Yes

2.

No



RELIGB



In the past year, how often did ^CHILD614_NAMEFILL go to a religious service, a religious social event, or to a religious education such as Sunday school?





1.

Never

2.

Several times a year

3.

About once a month

4.

About once a week

5.

Everyday or almost everyday



CTRLNUM



**NON-DISPLAYED ITEM**





LNO



**NON-DISPLAYED ITEM**





DINMOMC



^INTROCHILDWB
In a typical week in September ^CALENDAR_YRFIL, how many days did ^MOMNAME eat dinner with ^CHILD1517_NAMEFILL?






0.

None

1.

One day

2.

Two days

3.

Three days

4.

Four days

5.

Five days

6.

Six days

7.

Seven days



DINDADC



^INTROCHILDWB
In a typical week in September ^CALENDAR_YRFIL, how many days did ^DADNAME eat dinner with ^CHILD1517_NAMEFILL?





0.

None

1.

One day

2.

Two days

3.

Three days

4.

Four days

5.

Five days

6.

Six days

7.

Seven days



CARESC



Now I would like to ask you about ^CHILD1517_NAMEFILL's school experience.

For each of the following statements, please tell me if you think it describes ^CHILD1517_NAMEFILL all of the time, most of the time, some of the time, or none of the time.
 
Would you say ^CHILD1517_NAMEFILL

.......cares about doing well in school?
(.......only works on schoolwork when forced to?)
(.......does just enough schoolwork to get by?)
(.......always does homework?)






1.

All of the time

2.

Most of the time

3.

Some of the time

4.

None of the time

5.

Not Applicable because in home school

6.

Not Enrolled



WORKSC



(For each of the following statements, please tell me if you think it describes ^CHILD1517_NAMEFILL all of the time, most of the time, some of the time, or none of the time.
Would you say ^CHILD1517_NAMEFILL)
 
(.......cares about doing well in school?)
.......only works on schoolwork when forced to?
(.......does just enough schoolwork to get by?)
(.......always does homework?)






1.

All of the time

2.

Most of the time

3.

Some of the time

4.

None of the time

5.

Not Applicable because in home school

6.

Not Enrolled



GETBYC



(For each of the following statements, please tell me if you think it describes ^CHILD1517_NAMEFILL all of the time, most of the time, some of the time, or none of the time.
Would you say ^CHILD1517_NAMEFILL)
 
(.......cares about doing well in school?)
(.......only works on schoolwork when forced to?)
.......does just enough schoolwork to get by?
(.......always does homework?)






1.

All of the time

2.

Most of the time

3.

Some of the time

4.

None of the time

5.

Not Applicable because in home school

6.

Not Enrolled



HMWRKC



(For each of the following statements, please tell me if you think it describes ^CHILD1517_NAMEFILL all of the time, most of the time, some of the time, or none of the time.
Would you say ^CHILD1517_NAMEFILL)
 
(.......cares about doing well in school?)
(.......only works on schoolwork when forced to?)
(.......does just enough schoolwork to get by?)
.......always does homework?





1.

All of the time

2.

Most of the time

3.

Some of the time

4.

None of the time

5.

Not Applicable because in home school

6.

Not Enrolled



REPGRDC




^INTROREPEATWB1517
  





1.

Yes

2.

No



GRDRPTC



What grade did ^CHILD1517_NAMEFILL repeat most recently?





0.

Kindergarten

1.

First grade

2.

Second grade

3.

Third grade

4.

Fourth grade

5.

Fifth grade

6.

Sixth grade

7.

Seventh grade

8.

Eighth grade

9.

Ninth grade

10.

Tenth grade

11.

Eleventh grade

12.

Twelfth grade



EXPSCHC



^INTROEXPWB1517





1.

Yes

2.

No



GIFTEDC



In ^CALENDAR_YEAR did ^CHILD1517_NAMEFILL go to any special classes for gifted students, or do advanced work in any subjects?





1.

Yes

2.

No



SPORTC



In ^CALENDAR_YEAR was ^CHILD1517_NAMEFILL on a sports team either in or out of school?





1.

Yes

2.

No



LESSONC



In ^CALENDAR_YEAR did ^CHILD1517_NAMEFILL take lessons after school or on weekends in subjects like music, dance, language, computers, or religion?





1.

Yes

2.

No



CLUBC



In ^CALENDAR_YEAR did ^CHILD1517_NAMEFILL participate in any clubs or organizations after school or on weekends, such as Scouts, a religious group, or a Girl's or Boy's club?





1.

Yes

2.

No



RELIGC



In the past year, how often did ^CHILD1517_NAMEFILL go to a religious service, a religious social event, or to a religious education such as Sunday school?





1.

Never

2.

Several times a year

3.

About once a month

4.

About once a week

5.

Everyday or almost everyday



CTRLNUM



**NON-DISPLAYED ITEM**





LNO



**NON-DISPLAYED ITEM**





ADULT_CONDITION



I have some questions about the place where you were living in ^YEAR.  If you lived in more than one place, think of the place where you lived the longest or spent the most time.  Were any of the following conditions present:

 Mark all that apply.





1.

Holes in the walls or ceiling, or cracks wider than the edge of a dime

2.

Holes in the floor big enough for someone to catch their foot on

3.

Problems with pests such as rats, mice roaches or other insects

4.

A toilet, hot water heater or other plumbing that doesn't work

5.

None of the above



ADULT_PROBLEM



Do you think any of the following conditions were problems in the neighborhood where you lived in ^YEAR?

 Mark all that apply.





1.

Street noise or heavy street traffic

2.

Trash, litter, or garbage in the streets or lots

3.

None of the above



ADULT_STAYHOME



Did you stay in your home at certain times during ^YEAR because you thought you might be unsafe?





1.

Yes

2.

No



ADULT_SAFE



Was your neighborhood in ^YEAR very safe from crime, somewhat safe, somewhat unsafe, or very unsafe?





1.

Very safe

2.

Somewhat safe

3.

Somewhat unsafe

4.

Very unsafe



ADULT_EXPENSES



Next are questions about difficulties people sometimes have in meeting their essential household expenses for such things as mortgage or rent payments, utility bills, or important medical care.  During ^YEAR, was there any time when ^YOUYOURHOUSEHOLD_ADULT_WB did not meet all of your essential expenses?





1.

Yes

2.

No



ADULT_GAS



A specific difficulty people experience is not paying the full amount of the gas, oil, or electricity bills.  Was there a time in ^YEAR when that happened to ^YOUYOURHOUSEHOLD_ADULT_WB?





1.

Yes

2.

No



CTRLNUM



**NON-DISPLAYED ITEM**





LNO



**NON-DISPLAYED ITEM**





FOODF1



These next questions are about the food eaten in your household in ^YEAR and whether you were able to afford the food you needed.

I'm going to read you several statements that people have made about their food situations.  For these staements, please tell me whether the statement was often true, sometimes true, or never true for ^YOUYOURHOUSEHOLD_ADULT_WB in ^YEAR.

The first statement is "The food that ^IWE_FOOD bought just didn't last, and ^IWE_FOOD didn't have money to get more."  Was that often, sometimes, or never true for ^YOUYOURHOUSEHOLD_ADULT_WB in ^CALENDAR_YRFIL?





1.

Often true

2.

Sometimes true

3.

Never true



FOODF2



^C_IWE_FOOD couldn't afford to eat balanced meals."  Was that often, sometimes, or never true for ^YOUYOURHOUSEHOLD_ADULT_WB in ^YEAR?





1.

Often true

2.

Sometimes true

3.

Never true



FOODF3



In ^YEAR, did ^YOUOTHERADULTS_FOOD ever cut the size of your meals or skip meals because there wasn't enough money for food? 





1.

Yes

2.

No



FOODF4



How often did this happen---almost every month, some months but not every month, or in only 1 or 2 months?





1.

Almost every month

2.

Some months but not every month

3.

Only 1 or 2 months



FOODF5



In ^YEAR, did you ever eat less than you felt you should because there wasn't enough money to buy food?





1.

Yes

2.

No



FOODF6



In ^YEAR, were you ever hungry but didn't eat because there wasn't enough money for food?





1.

Yes

2.

No













































LTRADDR



To whom should future correspondence be addressed?

 You may only select original sample people to receive future correspondence.

 Read names if necessary.





1.

^LNO, ^FNAME, ^LNAME, where AGE >= 15

2.

^LNO, ^FNAME, ^LNAME, where AGE >= 15

3.

^LNO, ^FNAME, ^LNAME, where AGE >= 15

4.

^LNO, ^FNAME, ^LNAME, where AGE >= 15

5.

^LNO, ^FNAME, ^LNAME, where AGE >= 15

6.

^LNO, ^FNAME, ^LNAME, where AGE >= 15

7.

^LNO, ^FNAME, ^LNAME, where AGE >= 15

8.

^LNO, ^FNAME, ^LNAME, where AGE >= 15

9.

^LNO, ^FNAME, ^LNAME, where AGE >= 15

10.

^LNO, ^FNAME, ^LNAME, where AGE >= 15

11.

^LNO, ^FNAME, ^LNAME, where AGE >= 15

12.

^LNO, ^FNAME, ^LNAME, where AGE >= 15

13.

^LNO, ^FNAME, ^LNAME, where AGE >= 15

14.

^LNO, ^FNAME, ^LNAME, where AGE >= 15

15.

^LNO, ^FNAME, ^LNAME, where AGE >= 15

16.

^LNO, ^FNAME, ^LNAME, where AGE >= 15

17.

^LNO, ^FNAME, ^LNAME, where AGE >= 15

18.

^LNO, ^FNAME, ^LNAME, where AGE >= 15

19.

^LNO, ^FNAME, ^LNAME, where AGE >= 15

20.

^LNO, ^FNAME, ^LNAME, where AGE >= 15

21.

^LNO, ^FNAME, ^LNAME, where AGE >= 15

22.

^LNO, ^FNAME, ^LNAME, where AGE >= 15

23.

^LNO, ^FNAME, ^LNAME, where AGE >= 15

24.

^LNO, ^FNAME, ^LNAME, where AGE >= 15

25.

^LNO, ^FNAME, ^LNAME, where AGE >= 15

99.

No one



VERIFY_TELE_NO



During our last visit, I recorded that the telephone number for reaching this household is:

^TELEPHONENOFIL ^TYPETELEPHONE

Is this still correct?





1.

Yes

2.

No



TELEPHONE_HHLD



Since households included in this survey are interviewed again in ^REFPD_BACK, we may attempt to conduct the followup interview by telephone.  Is there a telephone in this house/apartment?





1.

Yes

2.

No



TELEPHONE_AVAIL



Is there a telephone elsewhere on which people in this household can be contacted?





1.

Yes

2.

No



TELEPHONE_WHERE



Where is this telephone located?





TELEPHONE_NO



What is the telephone number where you would like to be called?





TELEPHONE_TYPE



What type of telephone is it?





1.

Home

2.

Work

3.

Cellular or Digital

4.

Beeper/Pager/Answering Service

5.

Public (pay phone)

6.

Toll Free

7.

Other



TEL_TYPE_SPECIFY



What other type of telephone?





VERIFY_2NDTELE_NO



I also recorded that the second telephone number where you would like to be called is:

^2NDTELEPHONENOFIL ^TYPETELEPHONE

Is this still correct?





1.

Yes

2.

No



2ND_TELEPHONE



Is there a second telephone number where you can be contacted?





1.

Yes

2.

No



2ND_TELEPHONE_NO



What is the second telephone number where you would like to be called?





2ND_TELEPHONE_TYPE



What type of telephone is it?





1.

Home

2.

Work

3.

Cellular or Digital

4.

Beeper/Pager/Answering Service

5.

Public (pay phone)

6.

Toll Free

7.

Other



2NDTEL_TYPE_SPECIFY



What other type of telephone?





VERIFY_BEST_TIME



During our last visit, I recorded that ^BESTTIMEFIL was the best time to contact this household.  Is that still correct?





1.

Yes

2.

No



BEST_TIME_CONTACT



When is the best time to contact you?

 Do not read answer categories.





1.

Morning (9am - 12 noon)

2.

Noon/lunchtime (11:00am - 1pm)

3.

Afternoon (12 noon - 4pm)

4.

Suppertime/early evening/dinner time (4pm - 7pm)

5.

Evening (6pm - 9pm)

6.

Anytime (9am - 9pm)

7.

Late evening/night (7pm - 9pm)

8.

Daytime (9am - 4pm)

9.

After 5pm

10.

Other



CONTACT_SPECIFY



What other time?





PHONE_INT



Is a telephone interview acceptable?





1.

Yes

2.

No



WHO_SPEAK_WITH



 Do not read to the respondent.

 Select the person (based on his/her line number) you are speaking with right now.






1.

^LNO, ^FNAME, ^LNAME, where AGE >= 15

2.

^LNO, ^FNAME, ^LNAME, where AGE >= 15

3.

^LNO, ^FNAME, ^LNAME, where AGE >= 15

4.

^LNO, ^FNAME, ^LNAME, where AGE >= 15

5.

^LNO, ^FNAME, ^LNAME, where AGE >= 15

6.

^LNO, ^FNAME, ^LNAME, where AGE >= 15

7.

^LNO, ^FNAME, ^LNAME, where AGE >= 15

8.

^LNO, ^FNAME, ^LNAME, where AGE >= 15

9.

^LNO, ^FNAME, ^LNAME, where AGE >= 15

10.

^LNO, ^FNAME, ^LNAME, where AGE >= 15

11.

^LNO, ^FNAME, ^LNAME, where AGE >= 15

12.

^LNO, ^FNAME, ^LNAME, where AGE >= 15

13.

^LNO, ^FNAME, ^LNAME, where AGE >= 15

14.

^LNO, ^FNAME, ^LNAME, where AGE >= 15

15.

^LNO, ^FNAME, ^LNAME, where AGE >= 15

16.

^LNO, ^FNAME, ^LNAME, where AGE >= 15

17.

^LNO, ^FNAME, ^LNAME, where AGE >= 15

18.

^LNO, ^FNAME, ^LNAME, where AGE >= 15

19.

^LNO, ^FNAME, ^LNAME, where AGE >= 15

20.

^LNO, ^FNAME, ^LNAME, where AGE >= 15

21.

^LNO, ^FNAME, ^LNAME, where AGE >= 15

22.

^LNO, ^FNAME, ^LNAME, where AGE >= 15

23.

^LNO, ^FNAME, ^LNAME, where AGE >= 15

24.

^LNO, ^FNAME, ^LNAME, where AGE >= 15

25.

^LNO, ^FNAME, ^LNAME, where AGE >= 15



CONT_PSN1_VERIFY



During our last visit, we recorded the following information about some to contact if we couldn't reach.^YOUREFPERFIL.  We were told to contact:

Display  CONT_PSN1_NAME, CONT_PSN1_ADDR, CONT_PSN1_PO, CONT_PSN1_ST, CONT_PSN1_ZIP, CONT_PSN1_TELENO

Is this still correct?





1.

Yes

2.

No



CONT_PSN1_YN



Is there a close relative or friend who would know how to reach ^YOUREFPERFIL if we are unable to contact HIMHER?





1.

Yes

2.

No



CONTACT_NUM



**NON-DISPLAYED ITEM**





CTRLNUM



**NON-DISPLAYED ITEM**





CONT_PSN1_NAME



What is this person's first and last name?





CONT_PSN1_REL



What is ^PSN1NAMEFIL relationship to ^YOUREFPERFIL ?





CONT_PSN1_ADDR



What is ^PSN1NAMEFIL street address?





CONT_PSN1_PO



In what city is this?





CONT_PSN1_ST



What state is this in?





1.

Alabama

2.

Alaska

3.

American Samoa

4.

Arizona

5.

Arkansas

6.

California

7.

Colorado

8.

Connecticut

9.

Delaware

10.

District of Columbia

11.

Florida

12.

Georgia

13.

Guam

14.

Hawaii

15.

Idaho

16.

Illinois

17.

Indiana

18.

Iowa

19.

Kansas

20.

Kentucky

21.

Louisiana

22.

Maine

23.

Maryland

24.

Massachusetts

25.

Michigan

26.

Minnesota

27.

Mississippi

28.

Missouri

29.

Montana

30.

Nebraska

31.

Nevada

32.

New Hampshire

33.

New Jersey

34.

New Mexico

35.

New York

36.

North Carolina

37.

North Dakota

38.

Northern Marianas

39.

Ohio

40.

Oklahoma

41.

Oregon

42.

Other place of birth

43.

Pennsylvania

44.

Puerto Rico

45.

Rhode Island

46.

South Carolina

47.

South Dakota

48.

Tennessee

49.

Texas

50.

U.S. Virgin Islands

51.

Utah

52.

Vermont

53.

Virginia

54.

Washington

55.

West Virginia

56.

Wisconsin

57.

Wyoming



CONT_PSN1_ZIP



What is the zip code?

 Prompt the person to provide both the 5- and 4-digit zip codes if necessary.





CONT_PSN1_TELENO



What is ^PSN1NAMEFIL  telephone number?

 Include the area code, prefix, suffix, and the extension (if one exists).





CONT_PSN1_TELETYP



What  type of telephone is it?





1.

Home

2.

Work

3.

Cellular or Digital

4.

Beeper/Pager/Answering Service

5.

Public (pay phone)

6.

Toll Free

7.

Other



PSN1_TELETYP_SPECIFY



What other type of telephone?





CONT_PSN2_VERIFY



I also recorded the following information about a second close relative or  friend to be contacted if we couldn't reach ^YOUREFPERFIL.  We were told to contact:

Display  CONT_PSN2_NAME, CONT_PSN2_ADDR, CONT_PSN2_PO, CONT_PSN2_ST, CONT_PSN2_ZIP, CONT_PSN2_TELENO

Is this still correct?





1.

Yes

2.

No



CONT_PSN2_YN



Is there another person who would know how to reach ^YOUREFPERFIL?





1.

Yes

2.

No



CONTACT_NUM



**NON-DISPLAYED ITEM**





CTRLNUM



**NON-DISPLAYED ITEM**





CONT_PSN3_VERIFY



During our last visit, we recorded the following information about someone to contact if we couldn't reach ^YOUREFPERFIL.  We were told to contact:

Display  CONT_PSN3_NAME, CONT_PSN3_ADDR, CONT_PSN3_PO, CONT_PSN3_ST, CONT_PSN3_ZIP, CONT_PSN3_TELENO

Is this still correct?





1.

Yes

2.

No



CONT_PSN3_YN



Is there a close relative or friend who would know how to reach ^YOUREFPERFIL if we are unable to contact HIMHER?





1.

Yes

2.

No



CONTACT_NUM



**NON-DISPLAYED ITEM**





CTRLNUM



**NON-DISPLAYED ITEM**





LNO



**NON-DISPLAYED ITEM**





CTRLNUM



**NON-DISPLAYED ITEM**





FIN



 This case is not completed.

 Enter 1 to continue.





1.

Enter 1 to continue



CALLBACK_TODAY



I'd like to schedule a return visit to finish conducting the interview.  May I come back later today?





1.

Yes

2.

No



TODAY_TIME



What time today?





CALLBACK_DATE



What DATE and TIME would be best to visit again to conduct the interview?

 Enter the date (month, day, and year).





CALLBACK_TIME



(What DATE and TIME would be best to visit again to conduct the inteview?)

 
Enter the time (hour, minutes, and am/pm).





THANKYOU_CALLBACK



Thank you for your help.  I will come back at the time suggested.

^CALLBACKAPPTFIL

 Enter 1 to continue.





1.

Enter 1 to continue



CTRLNUM



**NON-DISPLAYED ITEM**





BCINFO



 Was the noninterview status determined by observation only or did someone provide you with information about the housing unit?





1.

By observation only

2.

Information provided by someone else



BCINFO2_MONTH



 Enter the month in which the household left the sample.





1.

January

2.

February

3.

March

4.

April

5.

May

6.

June

7.

July

8.

August

9.

September

10.

October

11.

November

12.

December



BCINFO2_DAY



 Enter the day in which the household left the sample.





BCINFO2_FN



 Enter the first name of the person providing the noninterview status.





BCINFO2_LN



 Enter the last name of the person providing the noninterview status.





BCINFO2_CPREL



 Enter the title of the contact person (relative, neighbor, etc.).





BCINFO2_STRNUM



 Enter the street number (including any unit designation) of the contact person's address.





BCINFO2_STRNME



 Enter the street name of the contact person's address.





BCINFO2_PO



 Enter the city of the contact person's address.





BCINFO2_ST



 Enter the state of the contact person's address.





AL.

Alabama

AK.

Alaska

AZ.

Arizona

AR.

Arkansas

CA.

California

CO.

Colorado

CT.

Conneticut

DC.

District of Columbia

DE.

Deleware

FL.

Flordia

HI.

Hawaii

ID.

Idaho

IL.

Illinois

IN.

Indiana

IA.

Iowa

KS.

Kansas

KY.

Kentuck

LA.

Louisana

ME.

Maine

MD.

Maryland

MA.

Massachusetts

MI.

Michigan

MN.

Minnesota

MS.

Mississippi

MO.

Missouri

MT.

Montana

NE.

Nebraska

NV.

Nevada

NH.

New Hampshire

NJ.

New Jersey

NM.

New Mexico

NY.

New York

NC.

North Carolina

ND.

North Dakota

OH.

Ohio

OK.

Oklahoma

OR.

Oregon

PA.

Pennsylvania

RI.

Rhode Island

SC.

South Carolina

SD.

South Dakota

TN.

Tennessee

TX.

Texas

UT.

Utah

VT.

Vermont

VA.

Virginia

WA.

Washington

WV.

West Virginia

WI.

Wisconsin

WY.

Wyoming



BCINFO2_ZIP



 Enter the zip code of the contact person's address.





BCINFO2_ZIP4



 Enter the 4-digit zip code of the contact person's address.





BCINFO2_AR



 Enter the area code of the contact person's telephone number.





BCINFO2_NO



 Enter the contact person's telephone number.





BCINFO2_EXT



 Enter any extension to the contact person's telephone number (if applicable).





CTRLNUM



**NON-DISPLAYED ITEM**





TRANSMIT



 Do not read to the respondent.

Are you ready to transmit the case?





1.

Yes

2.

No



NOW_TYPEA



 Do not read to the respondent.

This is now a Type A noninterview for ^REASONFIL.

 Enter 1 to continue.





1.

Enter 1 to continue



CTRLNUM



**NON-DISPLAYED ITEM**





WHY_TYPEZ_HHLD



^TYPEZHHLDQSTNTXTFIL





1.

Person was ill or in the hospital

2.

Person was temporarily away from home

3.

Other



TYPEZ_SPECIFY



What is the other reason?





CTRLNUM



**NON-DISPLAYED ITEM**





THANKYOU



Thank you for your cooperation.  since this is a suvey that measures the economic changes of people over time, we recontact respondents periodically from one to three years.  I will call you again in ^REFERENCE_PERIOD.  Also, my office may check to see if I have done my job properly.  Therefore, you may receive a call in the next several weeks checking on my work.  Thank you again.

 Enter 1 to continue.





1.

Enter 1 to continue



INCENTV_YN



 Mark without asking.

At the beginning of the interview you did not give the respondent a debit card.  Has the respondent now accepted the debit card?





1.

Yes

2.

No



INCENTV_NUMBER



 Enter the 4-digit cash card number from the debit card.  Enter 9999 for don't know.





CHECKOUT



**NON-DISPLAYED ITEM**





VISIT_COUNT



 Do not read to the respondent.

How many times have you attempted person contact (actually visited the address)?





INT_MODE



 Do not read to the respondent.

Was the majority of this interview done by telephone interview or by personal interview?





1.

Telephone interview

2.

Personal interview



OTHER_NAME



 Do no read to the respondent.

Identify the person who responded to the majority of this interview.





1.

^LNO ^ROST_FNAME ^ROST_LNAME

2.

^LNO ^ROST_FNAME ^ROST_LNAME

3.

^LNO ^ROST_FNAME ^ROST_LNAME

4.

^LNO ^ROST_FNAME ^ROST_LNAME

5.

^LNO ^ROST_FNAME ^ROST_LNAME

6.

^LNO ^ROST_FNAME ^ROST_LNAME

7.

^LNO ^ROST_FNAME ^ROST_LNAME

8.

^LNO ^ROST_FNAME ^ROST_LNAME

9.

^LNO ^ROST_FNAME ^ROST_LNAME

10.

^LNO ^ROST_FNAME ^ROST_LNAME

11.

^LNO ^ROST_FNAME ^ROST_LNAME

12.

^LNO ^ROST_FNAME ^ROST_LNAME

13.

^LNO ^ROST_FNAME ^ROST_LNAME

14.

^LNO ^ROST_FNAME ^ROST_LNAME

15.

^LNO ^ROST_FNAME ^ROST_LNAME

16.

^LNO ^ROST_FNAME ^ROST_LNAME

17.

^LNO ^ROST_FNAME ^ROST_LNAME

18.

^LNO ^ROST_FNAME ^ROST_LNAME

19.

^LNO ^ROST_FNAME ^ROST_LNAME

20.

^LNO ^ROST_FNAME ^ROST_LNAME

21.

^LNO ^ROST_FNAME ^ROST_LNAME

22.

^LNO ^ROST_FNAME ^ROST_LNAME

23.

^LNO ^ROST_FNAME ^ROST_LNAME

24.

^LNO ^ROST_FNAME ^ROST_LNAME

25.

^LNO ^ROST_FNAME ^ROST_LNAME



SPANISH_INT



 Do not read to the respondent.

Did you conduct any of this household's interview in Spanish?





1.

Yes

2.

No



SHOWFINAL



MODE:  ^INT_MODEFIL

OUTCOME:  ^OUTCOMEFIL

MARK:  ^MARKFIL
MARKTWO:  ^MARKTWOFIL

 Enter 1 to continue.





1.

Enter 1 to continue






File Typeapplication/msword
File TitleRe-SIPP
Authorlong0339
Last Modified Bylong0339
File Modified2009-07-27
File Created2009-07-23

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