Cognitive Interviews for New Items to Measure Professional Certifications and Educational Certificates among Adults in the United States

System Clearance for Cognitive, Pilot and Field Test Studies

Cog Int Questionnaire Round 3

Cognitive Interviews for New Items to Measure Professional Certifications and Educational Certificates among Adults in the United States

OMB: 1850-0803

Document [pdf]
Download: pdf | pdf
2010 Adult Training and Education Survey Pilot:
Certifications, Licensure, and Certificates
Topical Questionnaire
June 1, 2010

Contents [Ctrl +Click to follow link]

Introduction...................................................................................................................................... 1
Certification and Licensure ............................................................................................................... 2
Certificates........................................................................................................................................ 6
Additional Background and Labor Force Participation (From CPS and NHES) ................................. 9

June 1, 2010
Introduction
IN1.

Hello. My name is ________________ from Westat. I’m calling about a research study sponsored by the
U.S. Department of Education. Your household recently filled out a short survey for us and I am calling to
ask some additional questions about [RNAME’s] training and education. May I please speak to [RNAME]
[the SEX in your household who is age AGE]?
YES, R SPEAKING ....................................................................................
YES, R AVAILABLE ...................................................................................
NO, R NOT AVAILABLE* ............................................................................
NO, R DOES NOT LIVE HERE ......................................................................
NO, DOES NOT KNOW R ............................................................................

1
2
3
4
5

(GOTO IN3)
(GOTO IN2)
(GOTO IN2A)
(GOTO RESULT)
(GOTO RESULT)

* For some cases (number still to be determined), we will conduct a proxy interview so there we
will need to change “your” to [NAME] or [HIS/HER] for proxy interviews. We will consider all
suggestions for making this efficient.
IN2.

Hi [RNAME]. My name is ________________ from Westat. I’m calling about a research study
sponsored by the U.S. Department of Education. Your household recently filled out a short survey for
us and I am calling to ask some additional questions about your training and education. (GOTO IN3)

IN2A.

When would be a good time to reach [RNAME] [this person]? SET APPOINTMENT

IN2B.

Is this the best phone number to reach [RNAME] [this person]?
YES ...................................................................................................... 1
NO........................................................................................................ 2

IN3.

(GO TO RESULT)
(RECORD NEW NUMBER)

On average, this interview takes about 10 minutes [40 for the cognitive interview] and your participation is
voluntary and confidential. Is this a good time for you to continue?

YES
NO

..................................................................................................... 1
..................................................................................................... 2

(CONTINUE)
(SET CALLBACK)

IN4.

First, I have a few questions about your work experience

IN5.

Did you work at a job for pay or income at any time in the past 12 months, including self-employment?
YES
NO

..................................................................................................... 1
..................................................................................................... 2

Page 1

(GOTO CNINTRO)

June 1, 2010

IN6.

Were you employed by government, by a private company, a nonprofit organization, or were you selfemployed? [MARK ALL THAT APPLY – PEOPLE EMPLOYED BY A PERSON OR IN A PRIVATE HOME = PRIVATE
BUSINESS
GOVERNMENT ....................................................................................... 1
PRIVATE COMPANY ................................................................................ 2
NON PROFIT ORGANIZATION ................................................................... 3
SELF EMPLOYED .................................................................................... 4

IN6A.

(GOTO IN6A)

Would that be the federal, state, or local government?
FEDERAL .............................................................................................. 1
STATE................................................................................................... 2
LOCAL (COUNTY, CITY, TOWNSHIP) ......................................................... 3

IN7.

Are you currently employed?
YES
NO

..................................................................................................... 1
..................................................................................................... 2

Certification and Licensure

CNINTRO. Now I’d like to ask you about professional certification and licensure. A professional certification or
license shows you are qualified to perform a specific job and includes things like Licensed Realtor,
Certified Medical Assistant, Certified Construction Manager, a PMP certification, or an IT
certification.
CN1.

Do you have a professional certification or a state or industry license?
YES
NO

..................................................................................................... 1
..................................................................................................... 2

(GOTO CN1A)
(GOTO EDINTRO)

CN1A. Do you have more than one certification or license?
YES
NO

CN1B.
CN2.

..................................................................................................... 1
..................................................................................................... 2

How many do you have? TWO DIGITS
Let’s start with your most recent certification or license.
LOOP: ASK CN3 TO CN5 FOR EACH CERTIFICATION/LICENSE. TAKE UP TO FIVE.
IF CN1A=2, FILL CN3 WITH “YOUR” INSTEAD OF “THIS”

CN3.

What is the major occupational field for this (your) certification or license?
VERBATIM TEXT STRING

CN3A. What is the name of this certification or license?

Page 2

(GOTO CN1B)
(GOTO CN3)

June 1, 2010
VERBATIM TEXT STRING [USE LENGTH OF NHES 2005 OR 2007 ADULT ED STRING]

CN4.

Is that a certification, a license, or both? IF CLEAR FROM NAME, DON’T ASK
CERTIFICATION ............................................................................... 1
LICENSE ........................................................................................ 2
(FILL CN5-CN16 WITH “LICENSE”, ELSE USE “CERTIFICATION”)
BOTH ............................................................................................. 3

CN5.

In what year did you get it?
[YYYY]

CN6.

Did you get this [certification] [license] mainly for work or career-related reasons or mainly for personal
interest?
MAINLY WORK-RELATED ......................................................................... 1
MAINLY PERSONAL INTEREST ................................................................. 2
IF CN1A>1: GOTO CN6B TO ASK ABOUT MOST RECENT CERTIFICATION AT CN5 (IF MORE THAN ONE IN A YEAR,
TAKE FIRST LISTED AT CN3) THAT IS WORK-RELATED (CN6=1). IF NONE ARE WORK-RELATED, ASK
ABOUT MOST RECENT PERSONAL INTEREST (CN6=2).

CN6B. These next questions are about the training and education you took in order to earn the
[CERTIFICATION NAME].
CN7.

Did you take courses or training to earn the [certification] [license]?
YES
NO

CN7A.

(GOTO CN7A)
(GOTO CN9A)

Was the coursework or training for the [certification] [license] part of a college or university
degree program?
YES
NO

CN7B.

..................................................................................................... 1
..................................................................................................... 2

..................................................................................................... 1
..................................................................................................... 2

Was the coursework or training mainly self-study or mainly classes or courses with an
instructor?
MAINLY SELF-STUDY .............................................................................. 1
MAINLY INSTRUCTOR ............................................................................. 2

CN8.

How many weeks or months did it take you to earn the [certification] [license]?
TWO DIGITS -- ENTER ‘00’ IF LESS THAN 1 WEEK.
UNIT

1=WEEK
2=MONTH

CN9A. About how many hours per week or per month did it take you to get the certification? TWO DIGITS
UNIT

1=WEEK
2=MONTH

Page 3

June 1, 2010

CN9.

About how many hours per week or per month did you spend with an instructor? TWO DIGITS (IF > 0
GOTO CN10, ELSE GOTO CN9A) NOTE TO INTERVIEWER: ONLINE INSTRUCTOR IS ACCEPTABLE.

CN10. Did you have to do any of the following to get this [certification] [license]…
a.
b.

demonstrate skills while you were on-the-job?........................
pass a test or exam? ...............................................................

YES NO
YES NO

CN11. Do you have to take…
a.
periodic tests to maintain it? ....................................................
b.
what about continuing education classes, or earning CEUs? .

YES NO
YES NO

IF IN7=1 (CURRENTLY EMPLOYED) GOTO CN12, ELSE GOTO CN14

CN12. Is this [certification] [license] related to your current job?
YES
NO

..................................................................................................... 1
..................................................................................................... 2

(GOTO CN14)

CN13. Is it required for your current job?
YES
NO

..................................................................................................... 1
..................................................................................................... 2

CN14. Were you [certified] [licensed] by your state, industry, a company, a professional association, or some
other organization? MARK ALL THAT APPLY
STATE................................................................................................... 1
INDUSTRY ............................................................................................. 2
COMPANY ............................................................................................. 3
PROFESSIONAL ASSOCIATION ................................................................. 4
OTHER ................................................................................................. 6
SPECIFY__________________________

CN15. Can this [certification] [license] be…
a.
b.

revoked or suspended for any reason? ..................................
used if you wanted to get a job with any employer
in that field? .............................................................................

YES NO
YES NO

CN16. What benefits did you receive from earning the [certification] [license]? MARK ALL THAT APPLY
PROMOTION ......................................................................................... 1
HIGHER PAY OR BONUS .......................................................................... 2
CAREER ADVANCEMENT ......................................................................... 3
IS JUST MANDATORY OR REQUIRED FOR JOB ........................................... 4
IMPROVED JOB PERFORMANCE ............................................................... 5
HELPED ME STAY CURRENT WITH NEW REGULATIONS,

Page 4

June 1, 2010
LAWS, OR TECHNOLOGIES ................................................................. 6
TO CHANGE JOB OR CAREER FIELD, ENTER THE WORKFORCE, .................. 7
OR START OWN BUSINESS
OTHER .................................................................................................. 8
SPECIFY _______________

EDINTRO. Now I have some questions about your education and training.
ED1.

Are you attending or enrolled in school?
YES
NO

ED2.

..................................................................................................... 1
..................................................................................................... 2

(GOTO ED2)
(GOTO ED3)

What grade or year of school are you attending?
ELEMENTARY GRADES 1-8 ..................................................................... 1
HIGH SCHOOL GRADES 9-12 .................................................................. 2
VOCATIONAL, TECHNICAL, OR BUSINESS SCHOOL BEYOND HIGH SCHOOL
LEVEL ............................................................................................ 3
ENROLLED IN COLLEGE, BUT NOT WORKING TOWARDS DEGREE ................ 4
COLLEGE YEAR 1 (FRESHMAN) ............................................................... 5
COLLEGE YEAR 2 (SOPHOMORE) ............................................................ 6
COLLEGE YEAR 3 (JUNIOR) ..................................................................... 7
COLLEGE YEAR 4 (SENIOR) .................................................................... 8
FIRST YEAR GRADUATE OR PROFESSIONAL SCHOOL ................................ 9
SECOND YEAR OR HIGHER IN GRADUATE OR PROFESSIONAL SCHOOL ..... 10

ED3.

What is the highest degree or level of school you have completed?
NO SCHOOLING ..................................................................................... 0
NURSERY SCHOOL................................................................................. N
KINDERGARTEN ..................................................................................... K
GRADE 1-11.......................................................................................... 1
12TH GRADE NO DIPLOMA ...................................................................... 2
REGULAR HIGH SCHOOL DIPLOMA ........................................................... 3
GED OR ALTERNATIVE CREDENTIAL......................................................... 4
SOME COLLEGE CREDIT, BUT LESS THAN 1 YEAR OF COLLEGE CREDIT ...... 5
1 OR MORE YEARS OF COLLEGE CREDIT, NO DEGREE .............................. 6
ASSOCIATE’S DEGREE (FOR EXAMPLE: AA, AS) ........................................ 7
BACHELOR’S DEGREE (FOR EXAMPLE: BA, BS) ......................................... 8
MASTER’S DEGREE (FOR EXAMPLE: MA, MS, MENG, MED, MSW , MBA) ........ 9
PROFESSIONAL DEGREE BEYOND A BACHELOR’S DEGREE ...................... 10
(FOR EXAMPLE: MD, DVS, DDM, LLB, JD)
DOCTORATE DEGREE (FOR EXAMPLE: PHD, EDD) ................................... 11

ED4.

INTERVIEWER ONLY: DID THE RESPONDENT SAY THEY HAD A “CERTIFICATE” OR SOME TYPE OF TRADE OR
VOCATIONAL DIPLOMA?
YES, CERTIFICATE ...................................................................................
YES, TRADE OR VOCATIONAL DIPLOMA ......................................................
NO .......................................................................................................

1 (GOTO ED5C)
2 (GOTO ED5A)
3 (GOTO CTINTRO)

ED5A. Is that diploma the equivalent of a high school diploma or something else?
HS DIPLOMA EQUIVALENT .........................................................................
SOMETHING ELSE ....................................................................................

Page 5

1 (GOTO CTINTRO)
2 (GOTO ED5B)

June 1, 2010

ED5B. We will refer to these types of vocational or trade diplomas as certificates in the next set of questions.
ED5C. These next questions are about certificates.

Wording experiment 1:

CTINTRO1. Some people decide to enroll at a college, university, community college, or trade school to earn a
certificate rather than a degree.
CTINTRO2. Next I’d like to ask you about educational certificates that some people earn. An educational
certificate is typically earned by completing a program of study offered by a college or university, a community
college, or a trade school, but it does not lead to an associate’s, bachelor’s, or graduate degree.
Interviewer probe: Sometimes these are also called vocational diplomas, e.g., a cosmetology diploma, which
differs from a high school diploma.
Certificates
CT1.

Have you ever earned this type of certificate?
YES
NO

CT2.

(GOTO CT2)
(GOTO AL1)

Do you have more than one certificate?
YES
NO

CT2A.

..................................................................................................... 1
..................................................................................................... 2

..................................................................................................... 1
..................................................................................................... 2

(GOTO CT2A)
(GOTO CT3)

How many do you have? TWO DIGITS

CT2B. Let’s start with the most recent certificate.
LOOP: ASK CT3 TO CT5 FOR EACH CERTIFICATE. TAKE UP TO FIVE CERTIFICATES.

CT3.

What is the major subject or field of study for this certificate?
VERBATIM TEXT STRING

CT4.

What is the name of this [your next] certificate?
VERBATIM TEXT STRING [USE LENGTH OF NHES 2005 OR 2007 ADULT ED QUEX STRING]

CT5.

Did you complete this certificate program? [Verification for cognitive testing for potential deletion]
YES
NO

..................................................................................................... 1
..................................................................................................... 2

Page 6

June 1, 2010
CT6.

In what year did you complete it?
[YYYY]
IF CT2=1: GOTO CT7A TO ASK ABOUT MOST RECENT CERTIFICATE (CT6) THAT IS COMPLETED (CT5=1)

CT7A. These next questions are about the [CERTIFICATE NAME] certificate.
[IF IN7=2 GOTO CT10]
CT8.

Is this certificate related to your current job?
YES
NO

CT9.

..................................................................................................... 1
..................................................................................................... 2

(GOTO CT10)

Is it required for your current job?
YES
NO

..................................................................................................... 1
..................................................................................................... 2

CT10. What type of school or organization provided the certificate program?
PROBE FOR CATEGORY
A COMMUNITY COLLEGE ......................................................................... 1
ANOTHER UNIVERSITY OR COLLEGE ........................................................ 2
A TRADE SCHOOL .................................................................................. 3
BUSINESS OR COMPANY......................................................................... 4
PROFESSIONAL ASSOCIATION ................................................................. 5
TRADE UNION ........................................................................................ 6
NON-PROFIT ORGANIZATION .................................................................. 7
A FEDERAL, STATE, OR LOCAL GOVERNMENT........................................... 8
SOMEPLACE ELSE:................................................................................. 9
SPECIFY____________________

CT11. Was the training mainly self-study or mainly classes or courses with an instructor?
MAINLY SELF-STUDY .............................................................................. 1
MAINLY INSTRUCTOR ............................................................................. 2

CT12. How many credits or hours were required to complete the certificate program?
TWO DIGITS

............................................................ (IF ZERO GOTO CT15)

CT12A. Is that credits or actual hours?
CREDITS/CREDIT HOURS ........................................................... 1
HOURS .................................................................................... 2

Note we will correct question number when the questionnaire is final.

Page 7

June 1, 2010

CT15. What benefits did you receive from earning the certificate? MARK ALL THAT APPLY
PROMOTION ......................................................................................... 1
HIGHER PAY OR BONUS .......................................................................... 2
CAREER ADVANCEMENT ......................................................................... 3
IS JUST MANDATORY OR REQUIRED FOR JOB ........................................... 4
IMPROVED JOB PERFORMANCE ............................................................... 5
HELPED ME STAY CURRENT WITH NEW REGULATIONS,
LAWS, OR TECHNOLOGIES ................................................................. 6
TO CHANGE JOB OR CAREER FIELD, ENTER THE WORKFORCE, .................. 7
OR START OWN BUSINESS
OTHER .................................................................................................. 8
SPECIFY _______________

CT16. Did you take the education or training for the certificate to earn continuing education units or CEUs?
YES
NO

..................................................................................................... 1
..................................................................................................... 2

Page 8

June 1, 2010
Additional Background and Labor Force Participation (From CPS and NHES)

AL1.

Now I would like to ask you a few more questions about your background. In what year were
you born?
YEAR

19

ADOBYY

AL3.
AHISPANI

AL4.

Are you of Spanish, Hispanic, or Latino origin?
YES ......................................................................................... 1
NO .......................................................................................... 2

Which of the following races do you consider yourself to be? You may name more than
one.
[IF” HISPANIC” PROBE: Is that White Hispanic, Black Hispanic, both, or something else?]
[CODE ALL THAT APPLY]
Are you…

AWHITE
ABLACK
AAMIND
AASIAN
APACI

AL5.
AMARSTAT

AL6.
ALIVWITH

AL8.
ABORNUS

ATERROS/R
ACONTOS/R

AL8OV.

AMOVEAGE

White,..................................................................................... 1
Black or African American, .................................................... 2
American Indian or Alaska Native, ........................................ 3
Asian, or................................................................................. 4
Native Hawaiian or other Pacific Islander?............................ 5
Are you currently…
Married or in a civil union,...................................................... 1
Separated, ............................................................................. 2
Divorced,................................................................................ 3
Widowed, or ........................................................................... 4
Never married? ...................................................................... 5

(GO TO AL7)
(GO TO AL6)
(GO TO AL6)
(GO TO AL6)
(GO TO AL6)

Are you currently living with a partner?
YES ......................................................................................... 1
NO .......................................................................................... 2

In what state, country, or territory were you born?
ONE OF 50 STATES OR THE DISTRICT OF COLUMBIA .................... 1
ONE OF THE U.S. TERRITORIES [PUERTO RICO, GUAM,
AMERICAN SAMOA, U.S. VIRGIN ISLANDS, MARIANA ISLANDS,
MIDWAY ISLANDS, OR SOLOMON ISLANDS] .................................. 2
SPECIFY
SOME OTHER COUNTRY ............................................................ 3
SPECIFY

(GO TO BOX
BEFORE AL11)
(GO TO AL8OV)
(GO TO AL8OV)

How old were you when you first moved to the (United States/50 states or the District of
Columbia)?
AGE .....................................................................................

Page 9

June 1, 2010

If AL8OV ≥ 6, go to AL9. Else, go to box before AL11.
AL9.

What is the highest degree or level of school you completed before moving to the U.S?
NO SCHOOLING ..................................................................................... 0
NURSERY SCHOOL................................................................................ N
KINDERGARTEN ..................................................................................... K
GRADE 1-11.......................................................................................... 1
12TH GRADE NO DIPLOMA ...................................................................... 2
REGULAR HIGH SCHOOL DIPLOMA ........................................................... 3
GED OR ALTERNATIVE CREDENTIAL......................................................... 4
SOME COLLEGE CREDIT, BUT LESS THAN 1 YEAR OF COLLEGE CREDIT ...... 5
1 OR MORE YEARS OF COLLEGE CREDIT, NO DEGREE .............................. 6
ASSOCIATE’S DEGREE (FOR EXAMPLE: AA, AS) ........................................ 7
BACHELOR’S DEGREE (FOR EXAMPLE: BA, BS) ......................................... 8
MASTER’S DEGREE (FOR EXAMPLE: MA, MS, MENG, MED, MSW , MBA) ........ 9
PROFESSIONAL DEGREE BEYOND A BACHELOR’S DEGREE ...................... 10
(FOR EXAMPLE: MD, DVS, DDM, LLB, JD)
DOCTORATE DEGREE (FOR EXAMPLE: PHD, EDD) ................................... 11

If IN5 = 2 (did not work in the past 12 months),
autocode AL11 = 2 and AL12 = 2 and go to box before
AL14. Else, go to AL11.
AL11. During the pas t w eek, di d you work at a j ob f or pa y or i ncome, i ncluding s elfemployment?
IBWORK

AL12.
IBLEAVE

AL13.

PAYHRS

YES ......................................................................................... 1
NO .......................................................................................... 2
RETIRED .................................................................................. 3
DISABLED/UNABLE TO WORK ..................................................... 4

(GO TO AL13)
(GO TO AL12)
(GO TO AL14)
(GO TO AL14)

Were you on leave or vacation from a job during the past week?
YES ......................................................................................... 1
NO .......................................................................................... 2

(GO TO AL13)
(GO TO AL14)

About how many total hours per week do you usually work for pay or income?
[IF HOURS VARY, PROBE FOR AVERAGE PER WEEK.]
|___|___|

WEEKLY HOURS

If IN5 = 2 (did not work in the past 12 months), then
autocode AL14 = 0 and go to AL15. Else, go to AL14.
AL14.
IBWORKMO

In the past 12 months, how many months have you worked for pay or income?
|___|___|
MONTHS

Page 10

June 1, 2010

If AL11 = 1 (worked last week) or AL12 = 1 (on leave or
vacation), go to AL21. Else if AL11 = 3 (retired), then
autocode AL17 = 3 and go to AL21. Else if AL11 = 4
(unable to work), then autocode AL17 = 5 and go to AL21.
Else, go to AL15.
AL15.

Have you been actively looking for work in the past 4 weeks?
YES ......................................................................................... 1
NO .......................................................................................... 2

JOBLOOK

(GO TO AL16)
(GO TO AL17)

AL16.

What have you been doing in the past 4 weeks to find work? Have you…

JOBAGN
JOBEMPL
JOBREL
JOBANSAD

a.
b.
c.
d.

Checked with an employment agency? .................................
Checked with an employer directly or sent a resume? ..........
Checked with friends or relatives? .........................................
Placed or answered job ads? .................................................

YES

1
1
1
1

NO

2
2
2
2

If any of AL16 a-d = 1 (actively looking for work), go to box
after AL17. Else, go to AL17.
AL17.
JOBACTY

JOBACTOS/R

What were you doing most of last week? Would you say . . .
Keeping house or caring for children or other
dependents, ................................................................
Going to school, .................................................................
Retired, ..............................................................................
Volunteering, .....................................................................
Unable to work, or .............................................................
Something else? ................................................................
What was that? _____________________________

1
2
3
4
5
91

If IN5 = 2 (not worked in past 12 months), then go to AL18.
Else, go to AL21.
AL18.
JOBEVER

AL19.
JOBLSTYY

AL20.
JOBNXTYR

Have you ever worked at a job for pay or income?
YES ......................................................................................... 1
NO .......................................................................................... 2

In what year did you last work for pay or income?
|___|___|___|___|
YEAR
Do you plan to work at a job for pay or income in the next year?
YES ......................................................................................... 1
NO .......................................................................................... 2

Page 11

(GO TO AL19)
(GO TO AL20)

June 1, 2010
AL21 A.
EMPLNAME/R

AL21 B.

INDUSTRY/R

For whom did you work at your longest job during the past 12 months?
NAME OF COMPANY

What kind of business or industry is this?
[BUSINESS/INDUSTRY PROBE: For example, TV and radio manufacturing, retail shoe
store, state labor department, or farm.] [IF MORE THAN ONE JOB, COLLECT JOB WHERE R
WORKS MOST HOURS.]
TYPE OF INDUSTRY

If IN6 = 4 only (self-employed in the past 12 months), go to
AL22. Else, go to AL23.
AL22.
AOWNBUS

AL23.

[IS THIS RESPONDENT’S OWN BUSINESS?]
YES ......................................................................................... 1
NO .......................................................................................... 2

What kind of work (are/were) you doing and what (are/were) your most important activities or
duties?
[JOB PROBE: For example, electrical engineer, stock clerk, typist, or farmer.]
[IMPORTANT DUTY PROBE: For example, typing, keeping account books, filing, selling cars,
operating printing press, or finishing concrete.]
[IF MORE THAN ONE JOB, COLLECT JOB WHERE R WORKS MOST HOURS.]

PROFESSN/R

KIND OF WORK

DUTIES/R
DUTIES2/R

IMPORTANT DUTY
IMPORTANT DUTY

AL25.
CONREQ05

AL26.

EARNAMT
EARNAMTU/R
EARNUNT
EARNUNTU/R

EARNUNOS/R

Does your oc cupation h ave legal or pr ofessional r equirements f or c ontinuing t raining or
education?
YES ......................................................................................... 1
NO .......................................................................................... 2

(If you had worked for all 12 months this past year,) About how much (would/do) you (have
earned/earn) before taxes and other deductions at (EMPLOYER/your business)?
AMOUNT .............................................................. $,

Per

HOUR ...................................................................................... 1
DAY ......................................................................................... 2
WEEK ...................................................................................... 3
BI WEEKLY ............................................................................... 4
MONTH .................................................................................... 5
YEAR ....................................................................................... 6
OTHER ................................................................................... 91

What (is/was) that?

Page 12

June 1, 2010

AM3.

Do you...
Own your home, .................................................................... 1
Rent your home, or ................................................................ 2
Have some other arrangement? ............................................ 3

HOWNHOME

AM4.
Was it....

What was the total income of all persons in your household over the past year, including
salaries or other earnings, interest, retirement, and so on for all household members?
$25,000 or less, or ................................................................ 1
More than $25,000? .............................................................. 2

HINCMRNG

AM120V.
HINCM50K

HINCOME

Was it....
$50,000 or less, or ................................................................ 1
More than $50,000? .............................................................. 2
Was it.…
[SET 1]
$5,000 or less ........................................................................ 1
$5,001 to $10,000 .................................................................. 2
$10,001 to $15,000 ................................................................ 3
$15,001 to $20,000, or .......................................................... 4
$20,001 to $25,000?.............................................................. 5
[SET 2]

[SET 3]

CLOSE.

$25,001 to $30,000 ................................................................ 6
$30,001 to $35,000 ................................................................ 7
$35,001 to $40,000 ................................................................ 8
$40,001 to $45,000, or .......................................................... 9
$45,001 to $50,000?............................................................ 10
$50,001 to $60,000, ............................................................. 11
$60,001 to $75,000, ............................................................. 12
$75,001 to $100,000, or
............................................ 13
Over $100,000? ................................................................... 14

Those are all the questions I have for you. Thank you for your time.

Page 13

(READ SET 1)
(GO TO AM12OV)
(READ SET 2)
(READ SET 3)


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