GATE II follow-up survey

SECTION A: INTRODUCTION/SCREENER

A1. Hello, may I please speak to (SAMPLE MEMBER). My name is (NAME) and I’m calling from IMPAQ International. Is this (SAMPLE MEMBER)?

SAMPLE MEMBER AVAILABLE 01

SAMPLE MEMBER NOT AVAILABLE 00

A2. Hello, my name is (NAME), and I’m calling from IMPAQ International in Columbia, Maryland. We are conducting a survey on behalf of the U.S. Department of Labor with people who applied to Project GATE. I would like to ask you some questions about your experiences with self-employment and self-employment services.

Your opinions and experiences are extremely important. We would appreciate your participation in this study, and in return can offer you $15 for your time.

Your responses are private and will not be shared with the U.S. Department of Labor, Staff at Project GATE, or any other agency, except as required by law.

May we begin?

PROBE: You may remember that you became a participant in this study between 2009 and 2011.

OK TO CONTINUE 01

NOT A GOOD TIME FOR SM 00

REFUSED r

R. HESITATES TO DO SURVEY h

R. HAS QUESTIONS ABOUT THE STUDY q

A3. I just need to verify that I am speaking with the correct person. What is your date of birth?

(01-12) (01-31) (1900-1990)

| | | / | | | / | | | | |

MONTH DAY YEAR

REFUSED r

DON’T KNOW d

A4.	PROGRAMMER: CHECK DOB. DOES THE DOB IN A3 MATCH THE DOB IN THE SAMPLE FILE? YES 01 GO TO B1 NO/NO DOB 00

A5. And what are the last 4-digits of your Social Security number?

| | | | |

DON’T KNOW d

REFUSED r

A6.	PROGRAMMER: CHECK SSN. DO THE LAST 4 DIGITS OF THE SSN IN A5 MATCH THE SSN IN THE SAMPLE FILE? YES 01 GO TO B1 NO/NO SSN 00 GO TO A7

A7. I’m sorry. I need to check my records before I can interview you. Is this the best time to reach you in the future?

THANK SM AND TERMINATE. RECORD TIME AND DATE ON CONTACT SHEET.

YES 01

NO 00

INFORMATION SCREEN. READ ONLY IF SAMPLE MEMBER REQUESTS MORE INFORMATION.

Answers to Commonly Asked Questions¹

“I didn’t participate in GATE. I’m no longer in the GATE Program.”

We are calling individuals who applied for the GATE program, even if they never participated or are no longer participating. Your responses and views are important in that they help us gain perspective from those who no longer or never participated.

“I did not like the GATE Program.”

I understand. Your comments will be especially important to the study. The United States Department of Labor wants to have feedback from individuals who were both satisfied and not satisfied with their experiences in the GATE Program.

“I didn’t start my own business.”

That’s OK. Your responses and views are important to the study. The United States Department of Labor wants to have feedback from individuals who did not start their own business as well as those that did.

“How did you get my name?”

We are calling everyone who applied for the GATE Program. You might remember that the application materials you signed mentioned that we would be calling you for an interview.

“What happens if I don’t participate?”

Your participation is voluntary and will not affect your eligibility to receive any services or benefits. However, your experiences and opinions are very important to the success and improvement of programs like GATE.

“I don’t have the time.”

We can do the survey in more than one call, if necessary. I’d like to begin now and do as much as we can. Then, if you need to stop, I can call you back at your convenience to finish. Or, I can schedule a more convenient time to call you back. Which do you prefer?

“I’m not interested.”

Let me reassure you that we are not selling anything. We’re interested in your opinions and experiences. The information you provide will help address the special needs of individuals who want to start their own business. There are no right or wrong answers. Any information you give me will be held in the strictest confidence.

“Are my answers confidential?”

Any information you give me will be held in the strictest confidence and will be used only for the purposes of the study. Your answers will be combined with those of others and your name will never be used in reporting the results of the study. All personally identifiable data will be kept private except as required by law. Your answer to questions will not affect your eligibility for any public program.

“How long will this take?”

The length of the interview is different for different people, but it usually takes 30 minutes.

“What is the purpose of the study?”

Our goal is to assess whether programs like GATE are successful in meeting the needs of individuals who want to start their own business. If the GATE Program is successful, the U.S. Department of Labor may decide to expand the program.

“What information do you intend to collect?

We will collect information about your experiences in receiving self-employment services, your experiences with self-employment and other employment, and your receipt of unemployment insurance and public assistance.

SECTION B: SELF-EMPLOYMENT SERVICES

This first series of questions is about self-employment services.

B0. [FOR CONTROL GROUP MEMBERS ONLY] Have you, a business partner, or a family member received any GATE services?

YES 01

NO 00

GO TO B3

DON’T KNOW 08

REFUSED 07

B1. Prior to when you applied for the Growing America Through Entrepreneurship (GATE) program on (RANDOM ASSIGNMENT DATE), did you participate in any self-employment services or programs to help you start or grow your own business? Services or programs could include classes, workshops, seminars, one-on-one counseling or technical assistance, a peer support or networking group, or mentoring.

YES 01

NO 00

GO TO B3

DON’T KNOW 08

REFUSED 07

B2. Prior to applying for the GATE program on (RANDOM ASSIGNMENT DATE), what types of self–employment services or programs did you participate in? Did you participate in . . .

		YES	NO	DON’T KNOW	REFUSED
a.	classes, workshops or seminars?	01	00	08	07
b.	one-on-one counseling or technical assistance?	01	00	08	07
c.	a peer support/networking group?	01	00	08	07
d.	mentoring?	01	00	08	07
e.	Any other types of self-employment programs? (SPECIFY)	01	00	08	07

B3. Since (RANDOM ASSIGNMENT DATE), have you attended any classes, workshops, or seminars on topics related to your business?

YES 01

NO 00

DON’T KNOW 08

REFUSED 07

B4. How many individual sessions of these classes, workshops, or seminars did you attend?

| | | NUMBER OF CLASSES/SESSIONS

DON’T KNOW 98

REFUSED 97

B5. On average, how long were the individual sessions of these classes, workshops, or seminars?

| | | | LENGTH

MINUTES 01

HOURS 02

DON’T KNOW 08

REFUSED 07

B5a. What organizations provided these classes, workshops, or seminars?

(Code all that apply) (Options/Drop down list for other responses work force centers)

NAME(S)

Other Specify………………………………………………..94

DON’T KNOW………………………………………………98

REFUSED…………………………………………………...97

B6. Since applying to the GATE Program in (RANDOM ASSIGNMENT DATE), have you received any one-on-one counseling or technical assistance on starting or expanding your business?

YES 01

NO 00

DON’T KNOW 08

REFUSED 07

B7. How many one-on-one counseling or technical assistance sessions have you attended since (RANDOM ASSIGNMENT DATE)?

| | | NUMBER OF SESSIONS

DON’T KNOW 98

REFUSED 97 GO TO B8a

B8. On average, how long did each one-on-one counseling or technical assistance session last?

| | | LENGTH

MINUTES 01

HOURS 02

DON’T KNOW 08

REFUSED 07

B8a. What organizations provided you with one-on-one counseling or technical assistance?

(Code all that apply) (Options/Drop down list for other responses)

NAME(S)

Other Specify…………………………………………………...94

DON’T KNOW………………………………………………….98

REFUSED………………………………………………………97

B9. Since (RANDOM ASSIGNMENT DATE), have you attended any peer support group for self-employed persons or persons interested in becoming self-employed?

PROBE: By this we mean groups of individuals who are self-employed or trying to start a business who meet to share ideas, strategies, and information.

YES 01

NO 00

DON’T KNOW 08

REFUSED 07

B10. How many support group sessions have you attended since (RANDOM ASSIGNMENT DATE)?

| | | NUMBER OF SESSIONS

DON’T KNOW 98

REFUSED 97 GO TO B11a

B11. On average, how long did each of these sessions last?

| | | LENGTH

MINUTES 01

HOURS 02

DON’T KNOW 08

REFUSED 07

B11a. What organizations provided a peer support group?

(Code all that apply) (Options/Drop down list for other organizations for peer pressure groups)

NAME(S)

Other Specify……………………………………………….94

DON’T KNOW……………………………………………...98

REFUSED…………………………………………………..97

B12. Since (RANDOM ASSIGNMENT DATE), have you worked with an experienced business-owner or someone else who could act as your mentor?

YES 01

NO 00

DON’T KNOW 08

REFUSED 07

B13. About how many meetings, in total, have you had with a mentor since (RANDOM ASSIGNMENT DATE)?

| | | NUMBER OF MEETINGS

DON’T KNOW 98

REFUSED 97 GO TO B14a

B14. On average, how long did each of these meetings last?

| | | LENGTH

MINUTES 01

HOURS 02

DON’T KNOW 08

REFUSED 07

B14a. What organizations provided you with a mentor?

(Code all that apply) (Options/Drop down list for other organizations that could provide mentor)

NAME(S)

Other Specify………………………………………………..94

DON’T KNOW………………………………………………98

REFUSED…………………………………………………...97

B15. Since (RANDOM ASSIGNMENT DATE), have you received any other types of self-employment services that we haven’t already talked about?

YES 01

NO 00

DON’T KNOW 08

REFUSED 07

B16. What were they?

RECORD VERBATIM

B16a. What organizations provided you with these other services?

(Code all that apply) (Options/Drop down list for other organizations that could provide services)

NAME(S)

Other Specify ……………………………………………....94

DON’T KNOW .98

REFUSED…………………………………………………...97

B16b.

PROGRAMMER: IF B3, B6, B9, B12 or B15 = 1, GO TO B17. OTHERWISE GO TO B20.

B17. Thinking about all the services you have received since applying to the GATE Program (RANDOM ASSIGNMENT DATE), about how much did you pay in total for these services?

$ | | |,| | | |.| | | TOTAL AMOUNT

Services were free 01

Paid for services…………………………………………...02

DON’T KNOW 08

REFUSED 07

B18. NO B18 IN THIS VERSION

B19. NO B19 IN THIS VERSION

B20. PROGRAMMER: IF B3, B6, B9, B12 and B15 = 0, GO TO B21.

OTHERWISE GO TO B22.

B21. Why didn’t you participate in any self-employment services or programs?

CODE ALL THAT APPLY

DIDN’T THINK SERVICES WOULD

BE HELPFUL 01

SERVICES LOCATED TOO FAR AWAY 02

TIMES INCONVENIENT 03

DIDN’T WANT TO WAIT FOR CLASSES

TO BEGIN 04

DECIDED TO POSTPONE SELF-EMPLOYMENT 05

DECIDED NOT TO PURSUE SELF-EMPLOYMENT

AT ALL 06

TOO BUSY 07

OTHER (SPECIFY) 08

B22. Since (RANDOM ASSIGNMENT DATE), have you developed or revised a written business plan?

YES 01

NO 00

DON’T KNOW 08

REFUSED 07

B23. Did you receive help writing your business plan from someone in a self-employment program? Please include a counselor, a mentor, or someone in a support group or workshop.

YES 01

NO 00

DON’T KNOW 08

REFUSED 07

B24.	PROGRAMMER: IF SAMPLE MEMBER IS IN TREATMENT GROUP, GO TO B25. IF SAMPLE MEMBER IS IN CONTROL GROUP, GO TO B26.

B25. Did the GATE Program provide any help writing your business plan since (RANDOM ASSIGNMENT DATE)?

YES 01

NO 00

DON’T KNOW 08

REFUSED 07

B26. Since (RANDOM ASSIGNMENT DATE), have you applied for a business loan?

YES 01

NO 00

DON’T KNOW 08

REFUSED 07

B27. To how many different institutions or programs have you applied for loans since (RANDOM ASSIGNMENT DATE)?

| | | NUMBER OF INSTITUTIONS

DON’T KNOW 98

REFUSED 97

B29. When applying for loans, did you receive any help from someone in a self-employment program?

YES 01

NO 00

DON’T KNOW 08

REFUSED 07

B30.	PROGRAMMER: IF SAMPLE MEMBER IS TREATMENT GROUP, GO TO B31. IF SAMPLE MEMBER IS NOT IN TREATMENT GROUP, GO TO B31a.

B31. Did the GATE Program provide any of this help?

YES 01

NO 00

DON’T KNOW 08

REFUSED 07

B31a.

PROGRAMMER: IF B3, B6, B9, B12 AND B15 = 0, d OR r, GO TO B36. OTHERWISE CONTINUE.

PROGRAMMER NOTE: IF B23 = YES SKIP B32a

B32. I am going to read a list of ways self-employment services may have helped you. Did self employment services help you a lot, somewhat, or not at all in . . .

		A LOT	SOME- WHAT	NOT AT ALL	DON’T KNOW	REFUSED
a.	Developing a business plan	01	02	03	08	07
b.	Applying for loans	01	02	03	08	07
c.	Deciding whether to pursue self-employment	01	02	03	08	07
d.	Refining your business idea	01	02	03	08	07
e.	Dealing with credit issues	01	02	03	08	07
f.	Developing your marketing strategy	01	02	03	08	07
g.	Dealing with legal issues	01	02	03	08	07
h.	Dealing with accounting issues	01	02	03	08	07
i.	Hiring and dealing with employees	01	02	03	08	07
j.	Networking	01	02	03	08	07
k.	Using computers and other technology	01	02	03	08	07
l.	Dealing with clients	01	02	03	08	07
m.	Providing psychological support	01	02	03	08	07

B33. Did self-employment services help you in any other ways?

YES 01

NO 00

DON’T KNOW 08

REFUSED 07

B33a. In what other ways did these services help you?

RECORD VERBATIM:

B34. Thinking about all of the self-employment services that you have received since (RANDOM ASSIGNMENT DATE), how would you rate the overall usefulness of the services you have received? Were they . . .

Very useful, 01

Somewhat useful, 02

Not very useful, or 03

Not at all useful 04

DON’T KNOW 08

REFUSED 07

B34a.

PROGRAMMER: HAS RESPONDENT RECEIVED MORE THAN ONE TYPE OF SELF-EMPLOYMENT SERVICE? DO AT LEAST TWO OF THE FOLLOWING QUESTIONS EQUAL “01” (B3, B6, B9, B12, OR B15)? IF SO, INSERT NAMES OF SERVICES INTO B35. IF NONE OR ONLY ONE SERVICE RECEIVED, GO TO B36.

B35. You mentioned previously that since applying to the GATE Program (RANDOM ASSIGNMENT DATE), you had received (NAMES OF SELF-EMPLOYMENT SERVICES RECEIVED – REFER TO QUESTIONS B3, B6, B9, B12 AND B 15). Please tell me which one service has been most useful to you.

CLASSES OR WORKSHOPS 01

ONE-ON-ONE COUNSELING OR TECHNICAL

ASSISTANCE 02

PEER SUPPORT/NETWORKING GROUP 03

MENTORING 04

OTHER (SPECIFY) 05

DON’T KNOW 08

REFUSED 07

B36. Are there any services that you didn’t receive or didn’t receive enough of that could have helped you in starting or growing your own business?

YES 01

NO 00

DON’T KNOW 08

REFUSED 07

B37. What services would have been useful to you?

CODE ALL THAT APPLY

CLASSES OR WORKSHOPS 01

ONE-ON-ONE COUNSELING OR

TECHNICAL ASSISTANCE 02

PEER SUPPORT/NETWORKING GROUP 03

MENTORING 04

LOANS 05

OTHER (SPECIFY) 06

DON’T KNOW 08

REFUSED 07

SECTION C: SELF-EMPLOYMENT EXPERIENCE

C1. The next series of questions are about your experiences with self-employment. Why were you interested in being self-employed?

PROBE: Were there any other reasons?

CODE ALL THAT APPLY

TO INCREASE INCOME 01

COULD NOT GET A JOB WORKING FOR

SOMEONE ELSE 02

WANTED TO BE MY OWN BOSS/

TIRED OF WORKING FOR SOMEONE ELSE 03

TO GET WORK NOT AVAILABLE ELSEWHERE

IN THE JOB MARKET 04

FLEXIBILITY IN DAILY SCHEDULE 05

POTENTIAL TO CAPITALIZE ON ONE’S

EXISTING SKILLS 06

TO HAVE MORE FREEDOM TO MEET FAMILY

RESPONSIBILITIES 07

TO BRING NEW IDEAS TO THE MARKETPLACE/

TO MEET A NEED IN THE COMMUNITY 08

BEING SELF-EMPLOYED WAS ALWAYS

MY DREAM 09

EARLY RETIREMENT 10

OTHER (SPECIFY) 11

DON’T KNOW 98

REFUSED 97

C2. Prior to applying for the GATE Program in (RANDOM ASSIGNMENT DATE), had you been self-employed, that is, owned your own business?

YES 01

NO 00

DON’T KNOW 08

REFUSED 07

C2a. Prior to applying for the GATE Program in (RANDOM ASSIGNMENT DATE), how many businesses had you owned?

|__|__| NUMBER OF BUSINESSES

NONE 00

DON’T KNOW 98

REFUSED 97

C3. Thinking about the time you were self-employed before (RANDOM ASSIGNMENT DATE), about how long, in total, were you self-employed?

RECORD LENGTH AND CODE TIME UNIT.

|__|__| LENGTH

WEEKS 01

MONTHS 02

YEARS 03

DON’T KNOW 08

REFUSED 07

C4. Since applying to the GATE Program in (RANDOM ASSIGNMENT DATE) have you been self-employed, that is, owned your own business?

YES 01

NO 00

DON’T KNOW 08

REFUSED 07

C4a. Are you currently self-employed?

YES 01 ==> GO TO C4d

NO 00

DON’T KNOW 08

REFUSED 07

C4b. Would you like to start your own business?

YES 01

NO 00 ==> GO TO C4d

DON’T KNOW 08

REFUSED 07

C4c. Are you taking any specific actions to start your own business?

YES 01

NO 00

DON’T KNOW 08

REFUSED 07

C4d. How many businesses have you owned since (RANDOM ASSIGNMENT DATE)? Please include all businesses owned prior to (RANDOM ASSIGNMENT DATE) that you still own and also include all businesses that you have owned since (RANDOM ASSIGNMENT DATE)

|__|__| NUMBER OF BUSINESSES

NONE 00

DON’T KNOW 98

REFUSED 97

	CURRENT/MOST RECENT BUSINESS	SECOND BUSINESS
C5. The next questions are about the business(es) you have owned since (RANDOM ASSIGNMENT DATE). Please tell me about your (most recent/) self-employment experience. What was the name of the business? RECORD NAME OF BUSINESS ACROSS THE TOP OF THE GRID FIRST. THEN ASK C6-C20a DOWN FOR EACH BUSINESS. PROGRAMMER: IF C4a=01 DON’T ASK C7-C9 FOR EACH BUSINESS	___________________________________ NAME OF BUSINESS DON’T KNOW 08 REFUSED 07	___________________________________ NAME OF BUSINESS DON’T KNOW 08 REFUSED 07
C5a. What other businesses have you owned since (RANDOM ASSIGNMENT DATE)? RECORD AS NEXT BUSINESS IN COLUMN HEADER
C6. In what month and year did you start operating (THIS BUSINESS) as the owner? If DK PROBE FOR BEST ESTIMATE	| | | / | | | | | MONTH YEAR DON’T KNOW…………………………..98/9998 REFUSED……………………………….97/9997	| | | / | | | | | MONTH YEAR DON’T KNOW………………………..…98/9998 REFUSED……………………………….97/9997
C7. In what month and year did you stop operating (THIS BUSINESS) as the owner? IF DK, PROBE FOR ESTIMATE	| | | / | | | | | MONTH YEAR STILL OPERATING BUSINESS……………(GO TO C10)……….96 DON’T KNOW…………………………………98/9998 REFUSED……………………………………...97/9997	| | | / | | | | | MONTH YEAR STILL OPERATING BUSINESS……………(GO TO C10)……….96 DON’T KNOW…………………………………98/9998 REFUSED……………………………………...97/9997
C8. Why did you stop operating (THIS BUSINESS) as the owner?	CODE ALL THAT APPLY BUSINESS DID NOT MAKE ENOUGH INCOME 01 GOT A BETTER OPPORTUNITY 02 HOURS TOO LONG 03 INCOME TOO UNCERTAIN 04 ILLNESS/DISABILITY 05 PERSONAL REASONS 06 OTHER (SPECIFY) 07 DON’T KNOW……………………………………....98 REFUSED……………………………………………97	CODE ALL THAT APPLY BUSINESS DID NOT MAKE ENOUGH INCOME 01 GOT A BETTER OPPORTUNITY 02 HOURS TOO LONG 03 INCOME TOO UNCERTAIN 04 ILLNESS/DISABILITY 05 PERSONAL REASONS 06 OTHER (SPECIFY) 07 DON’T KNOW……………………………………....98 REFUSED……………………………………………97
C9. What did you do when you stopped operating (THIS BUSINESS) as the owner?	CODE ALL THAT APPLY TOOK JOB WORKING FOR SOMEONE ELSE 01 STARTED ANOTHER BUSINESS 02 LOOKED FOR WORK 03 PARTICIPATED IN EDUCATION/ TRAINING PROGRAM 04 TOOK CARE OF CHILD, FAMILY MEMBER, OR SICK RELATIVE 05 RETIRED 06 WAS SICK 07 OTHER (SPECIFY) 08 DON’T KNOW…………………………..…………..98 REFUSED……………………………….…………..97	CODE ALL THAT APPLY TOOK JOB WORKING FOR SOMEONE ELSE 01 STARTED ANOTHER BUSINESS 02 LOOKED FOR WORK 03 PARTICIPATED IN EDUCATION/ TRAINING PROGRAM 04 TOOK CARE OF CHILD, FAMILY MEMBER, OR SICK RELATIVE 05 RETIRED 06 WAS SICK 07 OTHER (SPECIFY) 08 DON’T KNOW…………………………………..…..98 REFUSED……………………………………………97

THIRD BUSINESS	FOURTH BUSINESS	FIFTH BUSINESS
___________________________________ NAME OF BUSINESS DON’T KNOW 08 REFUSED 07	___________________________________ NAME OF BUSINESS DON’T KNOW 08 REFUSED 07	___________________________________ NAME OF BUSINESS DON’T KNOW 08 REFUSED 07
| | | / | | | | | MONTH YEAR DON’T KNOW…………………………..98/9998 REFUSED……………………………….97/9997	| | | / | | | | | MONTH YEAR DON’T KNOW………………………..…98/9998 REFUSED……………………………….97/9997	| | | / | | | | | MONTH YEAR DON’T KNOW………………………..…98/9998 REFUSED……………………………….97/9997
| | | / | | | | | MONTH YEAR STILL OPERATING BUSINESS……………(GO TO C10)……….96 DON’T KNOW…………………………………98/9998 REFUSED……………………………………..97/9997	| | | / | | | | | MONTH YEAR STILL OPERATING BUSINESS……………(GO TO C10)……….96 DON’T KNOW…………………………………98/9998 REFUSED……………………………………..97/9997	| | | / | | | | | MONTH YEAR STILL OPERATING BUSINESS……………(GO TO C10)……….96 DON’T KNOW…………………………………98/9998 REFUSED……………………………………..97/9997
CODE ALL THAT APPLY BUSINESS DID NOT MAKE ENOUGH INCOME 01 GOT A BETTER OPPORTUNITY 02 HOURS TOO LONG 03 INCOME TOO UNCERTAIN 04 ILLNESS/DISABILITY 05 PERSONAL REASONS 06 OTHER (SPECIFY) 07 DON’T KNOW……………………………………....98 REFUSED……………………………………………97	CODE ALL THAT APPLY BUSINESS DID NOT MAKE ENOUGH INCOME 01 GOT A BETTER OPPORTUNITY 02 HOURS TOO LONG 03 INCOME TOO UNCERTAIN 04 ILLNESS/DISABILITY 05 PERSONAL REASONS 06 OTHER (SPECIFY) 07 DON’T KNOW……………………………………....98 REFUSED……………………………………………97	CODE ALL THAT APPLY BUSINESS DID NOT MAKE ENOUGH INCOME 01 GOT A BETTER OPPORTUNITY 02 HOURS TOO LONG 03 INCOME TOO UNCERTAIN 04 ILLNESS/DISABILITY 05 PERSONAL REASONS 06 OTHER (SPECIFY) 07 DON’T KNOW……………………………………....98 REFUSED……………………………………………97
CODE ALL THAT APPLY TOOK JOB WORKING FOR SOMEONE ELSE 01 STARTED ANOTHER BUSINESS 02 LOOKED FOR WORK 03 PARTICIPATED IN EDUCATION/ TRAINING PROGRAM 04 TOOK CARE OF CHILD, FAMILY MEMBER, OR SICK RELATIVE 05 RETIRED 06 WAS SICK 07 OTHER (SPECIFY) 08 DON’T KNOW…………………………..…………..98 REFUSED……………………………….…………..97	CODE ALL THAT APPLY TOOK JOB WORKING FOR SOMEONE ELSE 01 STARTED ANOTHER BUSINESS 02 LOOKED FOR WORK 03 PARTICIPATED IN EDUCATION/ TRAINING PROGRAM 04 TOOK CARE OF CHILD, FAMILY MEMBER, OR SICK RELATIVE 05 RETIRED 06 WAS SICK 07 OTHER (SPECIFY) 08 DON’T KNOW…………………………………..…..98 REFUSED……………………………………………97	CODE ALL THAT APPLY TOOK JOB WORKING FOR SOMEONE ELSE 01 STARTED ANOTHER BUSINESS 02 LOOKED FOR WORK 03 PARTICIPATED IN EDUCATION/ TRAINING PROGRAM 04 TOOK CARE OF CHILD, FAMILY MEMBER, OR SICK RELATIVE 05 RETIRED 06 WAS SICK 07 OTHER (SPECIFY) 08 DON’T KNOW…………………………………..…..98 REFUSED……………………………………………97

	CURRENT/MOST RECENT BUSINESS	SECOND BUSINESS
C10. What is/was the main product or activity (OF THIS BUSINESS)? RECORD VERBATIM	___________________________________ ___________________________________ DON’T KNOW d REFUSED r	___________________________________ ___________________________________ DON’T KNOW d REFUSED r
C11. Do/Did you work for just one client when you owned (THIS BUSINESS)?	YES 01 NO 00 DON’T KNOW……………………………………08 REFUSED………………………………………...07	YES 01 NO 00 DON’T KNOW……………………………………08 REFUSED………………………………………...07
C12. On average, how much are/were the monthly receipts or sales for (THIS BUSINESS)? IF DK, PROBE FOR ESTIMATE	$ | | | |,| | | | AMOUNT GIVEN (LESS THAN OR EQUAL TO $999,999……………………………………….01 MORE THAN 999,999………………………..02 DON’T KNOW…………………………………..08 REFUSED……………………………………….07	$ | | | |,| | | | AMOUNT GIVEN (LESS THAN OR EQUAL TO $999,999……………………………………….01 MORE THAN 999,999………………………..02 DON’T KNOW…………………………………..08 REFUSED……………………………………….07
C13. On average, how much are/were the monthly expenses for (THIS BUSINESS)? Please include any payments to yourself or your family members. IF DK, PROBE FOR ESTIMATE	$ | | | |,| | | | AMOUNT GIVEN (LESS THAN OR EQUAL TO $999,999……………………………………….01 MORE THAN 999,999………………………..02 DON’T KNOW…………………………………..08 REFUSED……………………………………….07	$ | | | |,| | | | AMOUNT GIVEN (LESS THAN OR EQUAL TO $999,999……………………………………….01 MORE THAN 999,999………………………..02 DON’T KNOW…………………………………..08 REFUSED……………………………………….07
C14. How many hours do/did you usually work in an average week at (THIS BUSINESS)? Please include any time you spend/spent working at home.	| | | | NUMBER OF HOURS DON’T KNOW……………………………998 REFUSED…………………………………997	| | | | NUMBER OF HOURS DON’T KNOW………………………………998 REFUSED……………………………………997
C15. What percent of your total household income is/was produced as a result of (THIS BUSINESS)? When thinking about your total household income please consider income from your spouse or other immediate family members living with you.	| | | PERCENT ALL………………………………………………100 DON’T KNOW………………………………….998 REFUSED………………………………………997	| | | PERCENT ALL………………………………………………100 DON’T KNOW………………………………….998 REFUSED………………………………………997
C16. Do/Did you pay yourself a regular salary from (THIS BUSINESS)?	YES 01 NO (GO TO C18) 00 DON’T KNOW (GO TO C18)………….08 REFUSED (GO TO C18)………….07	YES 01 NO (GO TO C18) 00 DON’T KNOW (GO TO C18)………….08 REFUSED (GO TO C18)………….07
C17. Before taxes and other deductions, how much do/did you pay yourself from (THIS BUSINESS)? Do not include bonuses, profit distributions or any owner draws you may have taken. If R does not volunteer ASK: Was that per month, per year, or some other time period?	$ | | | |,| | | |.| | | WEEK 01 MONTHLY 02 YEAR 03 EVERY TWO WEEKS 04 TWICE A MONTH (BI-MONTHLY) 05 DAY……………………………………………… 06 HOUR 07 OTHER (SPECIFY) 08 DON’T KNOW 98 REFUSED……………………………………………97	$ | | | |,| | | |.| | | WEEK 01 MONTHLY 02 YEAR 03 EVERY TWO WEEKS 04 TWICE A MONTH 05 DAY……………………………………………… 06 HOUR 07 OTHER (SPECIFY) 08 DON’T KNOW 98 REFUSED……………………………………………97

THIRD BUSINESS	FOURTH BUSINESS	FIFTH BUSINESS
___________________________________ ___________________________________ DON’T KNOW d REFUSED r	___________________________________ ___________________________________ DON’T KNOW d REFUSED r	___________________________________ ___________________________________ DON’T KNOW d REFUSED r
YES 01 NO 00 DON’T KNOW……………………………………08 REFUSED………………………………………...07	YES 01 NO 00 DON’T KNOW……………………………………08 REFUSED………………………………………...07	YES 01 NO 00 DON’T KNOW……………………………………08 REFUSED………………………………………...07
$ | | | |,| | | | AMOUNT GIVEN (LESS THAN OR EQUAL TO $999,999……………………………………….01 MORE THAN 999,999………………………..02 DON’T KNOW…………………………………..08 REFUSED……………………………………….07	$ | | | |,| | | | AMOUNT GIVEN (LESS THAN OR EQUAL TO $999,999……………………………………….01 MORE THAN 999,999………………………..02 DON’T KNOW…………………………………..08 REFUSED……………………………………….07	$ | | | |,| | | | AMOUNT GIVEN (LESS THAN OR EQUAL TO $999,999……………………………………….01 MORE THAN 999,999………………………..02 DON’T KNOW…………………………………..08 REFUSED……………………………………….07
$ | | | |,| | | | AMOUNT GIVEN (LESS THAN OR EQUAL TO $999,999……………………………………….01 MORE THAN 999,999………………………..02 DON’T KNOW…………………………………..08 REFUSED……………………………………….07	$ | | | |,| | | | AMOUNT GIVEN (LESS THAN OR EQUAL TO $999,999……………………………………….01 MORE THAN 999,999………………………..02 DON’T KNOW…………………………………..08 REFUSED……………………………………….07	$ | | | |,| | | | AMOUNT GIVEN (LESS THAN OR EQUAL TO $999,999……………………………………….01 MORE THAN 999,999………………………..02 DON’T KNOW…………………………………..08 REFUSED……………………………………….07
| | | | NUMBER OF HOURS DON’T KNOW…………………………………..998 REFUSED……………………………………….997	| | | | NUMBER OF HOURS DON’T KNOW…………………………………..998 REFUSED……………………………………….997	| | | | NUMBER OF HOURS DON’T KNOW…………………………………..998 REFUSED……………………………………….997
| | | PERCENT ALL 100 DON’T KNOW……………………………998 REFUSED…………………………………997	| | | PERCENT ALL 100 DON’T KNOW……………………………998 REFUSED…………………………………997	| | | PERCENT ALL 100 DON’T KNOW……………………………998 REFUSED…………………………………997
YES 01 NO (GO TO C18) 00 DON’T KNOW (GO TO C18)………….08 REFUSED (GO TO C18)………….07	YES 01 NO (GO TO C18) 00 DON’T KNOW (GO TO C18)………….08 REFUSED (GO TO C18)………….07	YES 01 NO (GO TO C18) 00 DON’T KNOW (GO TO C18)………….08 REFUSED (GO TO C18)………….07
$ | | | |,| | | |.| | | WEEK 01 MONTHLY 02 YEAR 03 EVERY TWO WEEKS 04 TWICE A MONTH 05 DAY……………………………………………… 06 HOUR 07 OTHER (SPECIFY) 08 ______________________________________ DON’T KNOW 98 REFUSED……………………………………………97	$ | | | |,| | | |.| | | WEEK 01 MONTHLY 02 YEAR 03 EVERY TWO WEEKS 04 TWICE A MONTH 05 DAY……………………………………………… 06 HOUR 07 OTHER (SPECIFY) 08 ______________________________________ DON’T KNOW 98 REFUSED……………………………………………97	$ | | | |,| | | |.| | | WEEK 01 MONTHLY 02 YEAR 03 EVERY TWO WEEKS 04 TWICE A MONTH 05 DAY……………………………………………… 06 HOUR 07 OTHER (SPECIFY) 08 ______________________________________ DON’T KNOW 98 REFUSED……………………………………………97

	MOST RECENT BUSINESS	SECOND BUSINESS
C18. Have you taken or received any other income payments from (THIS BUSINESS), including bonuses, profit distribution, or owners draw?	YES 01 NO (GO TO C18b) 00 DON’T KNOW (GO TO C18b) 08 REFUSED (GO TO C18b) 07	YES 01 NO (GO TO C18b) 00 DON’T KNOW (GO TO C18b) 08 REFUSED (GO TO C18b) 07
C18a. Before taxes and other deductions, what was the total amount of these payments? IF DK, PROBE FOR ESTIMATE	$ | | | |,| | | |.| | | AMOUNT GIVEN (LESS THAN OR EQUAL TO $999,999……………………………………….01 MORE THAN 999,999………………………..02 DON’T KNOW…………………………………..08 REFUSED……………………………………….07	$ | | | |,| | | |.| | | AMOUNT GIVEN (LESS THAN OR EQUAL TO $999,999……………………………………….01 MORE THAN 999,999………………………..02 DON’T KNOW…………………………………..08 REFUSED……………………………………….07
C18b. Do/Did you pay a spouse, domestic partner, or other relative living in your household a regular salary from (THIS BUSINESS)?	YES 01 NO (GO TO C18d) 00 DON’T KNOW (GO TO C18d) 08 REFUSED (GO TO C18d) 07	YES 01 NO (GO TO C18d) 00 DON’T KNOW (GO TO C18d) 08 REFUSED (GO TO C18d) 07
C18c. Before taxes and other deductions, how much do/did you pay them from (THIS BUSINESS)? Do not include bonuses, profit distributions, or any draws you may have given them. If R does not volunteer ask: Is/Was that per week, per month, per year, or some other time period?	$ | | | |,| | | |.| | | WEEK 01 MONTHLY 02 YEAR 03 EVERY TWO WEEKS 04 TWICE A MONTH 05 DAY……………………………………………… 06 HOUR 07 OTHER (SPECIFY) 08 DON’T KNOW……………………………………….98 REFUSED……………………………………………97	$ | | | |,| | | |.| | | WEEK 01 MONTHLY 02 YEAR 03 EVERY TWO WEEKS 04 TWICE A MONTH 05 DAY……………………………………………… 06 HOUR 07 OTHER (SPECIFY) 08 DON’T KNOW……………………………………….98 REFUSED……………………………………………97
C18d. Has a spouse, domestic partner, or other close relative living in your household received any other income payments from your business, including bonuses, profit distributions or owner’s draw?	YES 01 NO (GO TO C18f) 00 DON’T KNOW (GO TO C18f) 08 REFUSED (GO TO C18f) 07	YES 01 NO (GO TO C18f) 00 DON’T KNOW (GO TO C18f) 08 REFUSED (GO TO C18f) 07
C18e. Before taxes and other deductions, what was the total amount of these payments? IF DK, PROBE FOR ESTIMATE	$ | | | |,| | | | AMOUNT GIVEN (LESS THAN OR EQUAL TO $999,999……………………………………….01 MORE THAN 999,999………………………..02 DON’T KNOW…………………………………..08 REFUSED……………………………………….07	$ | | | |,| | | | AMOUNT GIVEN (LESS THAN OR EQUAL TO $999,999……………………………………….01 MORE THAN 999,999………………………..02 DON’T KNOW…………………………………..08 REFUSED……………………………………….07

THIRD BUSINESS	FOURTH BUSINESS	FIFTH BUSINESS
YES 01 NO (GO TO C18b) 00 DON’T KNOW (GO TO C18b) 08 REFUSED (GO TO C18b) 07	YES 01 NO (GO TO C18b) 00 DON’T KNOW (GO TO C18b) 08 REFUSED (GO TO C18b) 07	YES 01 NO (GO TO C18b) 00 DON’T KNOW (GO TO C18b) 08 REFUSED (GO TO C18b) 07
$ | | | |,| | | |.| | | AMOUNT GIVEN (LESS THAN OR EQUAL TO $999,999……………………………………….01 MORE THAN 999,999………………………..02 DON’T KNOW…………………………………..08 REFUSED……………………………………….07	$ | | | |,| | | |.| | | AMOUNT GIVEN (LESS THAN OR EQUAL TO $999,999……………………………………….01 MORE THAN 999,999………………………..02 DON’T KNOW…………………………………..08 REFUSED……………………………………….07	$ | | | |,| | | |.| | | AMOUNT GIVEN (LESS THAN OR EQUAL TO $999,999……………………………………….01 MORE THAN 999,999………………………..02 DON’T KNOW…………………………………..08 REFUSED……………………………………….07
YES 01 NO (GO TO C18d) 00 DON’T KNOW (GO TO C18d) 08 REFUSED (GO TO C18d) 07	YES 01 NO (GO TO C18d) 00 DON’T KNOW (GO TO C18d) 08 REFUSED (GO TO C18d) 07	YES 01 NO (GO TO C18d) 00 DON’T KNOW (GO TO C18d) 08 REFUSED (GO TO C18d) 07
$ | | | |,| | | |.| | | WEEK 01 MONTHLY 02 YEAR 03 EVERY TWO WEEKS 04 TWICE A MONTH 05 DAY……………………………………………… 06 HOUR 07 OTHER (SPECIFY) 08 ______________________________________ DON’T KNOW……………………………………….98 REFUSED……………………………………………97	$ | | | |,| | | |.| | | WEEK 01 MONTHLY 02 YEAR 03 EVERY TWO WEEKS 04 TWICE A MONTH 05 DAY……………………………………………… 06 HOUR 07 OTHER (SPECIFY) 08 ______________________________________ DON’T KNOW……………………………………….98 REFUSED……………………………………………97	$ | | | |,| | | |.| | | WEEK 01 MONTHLY 02 YEAR 03 EVERY TWO WEEKS 04 TWICE A MONTH 05 DAY……………………………………………… 06 HOUR 07 OTHER (SPECIFY) 08 ______________________________________ DON’T KNOW……………………………………….98 REFUSED……………………………………………97
YES 01 NO (GO TO C18f) 00 DON’T KNOW (GO TO C18f) 08 REFUSED (GO TO C18f) 07	YES 01 NO (GO TO C18f) 00 DON’T KNOW (GO TO C18f) 08 REFUSED (GO TO C18f) 07	YES 01 NO (GO TO C18f) 00 DON’T KNOW (GO TO C18f) 08 REFUSED (GO TO C18f) 07
$ | | | |,| | | | AMOUNT GIVEN (LESS THAN OR EQUAL TO $999,999……………………………………….01 MORE THAN 999,999…………………………..02 DON’T KNOW……………………………………08 REFUSED………………………………………...07	$ | | | |,| | | | AMOUNT GIVEN (LESS THAN OR EQUAL TO $999,999……………………………………….01 MORE THAN 999,999…………………………..02 DON’T KNOW……………………………………08 REFUSED………………………………………...07	$ | | | |,| | | | AMOUNT GIVEN (LESS THAN OR EQUAL TO $999,999……………………………………….01 MORE THAN 999,999…………………………..02 DON’T KNOW……………………………………08 REFUSED……………………………………….. 07

	MOST RECENT BUSINESS	SECOND BUSINESS
C18f. PROGRAMMER: CHECK QUESTION C7, P. 15. IS SM STILL OPERATING BUSINESS?	YES (GO TO C20a) 01 NO 00	YES (GO TO C20a) 01 NO 00
C19. Did you sell (THIS BUSINESS?	YES 01 NO (GO TO C20a) 00 DON’T KNOW (GO TO C20a) 08 REFUSED (GO TO C20a) 07	YES 01 NO (GO TO C20a) 00 DON’T KNOW (GO TO C20a) 08 REFUSED (GO TO C20a) 07
C20. How much did you sell (THIS BUSINESS) for?	$| | |,| | | |,| | | | AMOUNT GIVEN (LESS THAN OR EQUAL TO $99,999,999……………………………………….01 MORE THAN $99,999,999………………………02 DON’T KNOW……………………………………..08 REFUSED………………………………………….07	$| | |,| | | |,| | | | AMOUNT GIVEN (LESS THAN OR EQUAL TO $99,999,999……………………………………….01 MORE THAN $99,999,999………………………02 DON’T KNOW…………………………………….08 REFUSED…………………………………………07
C20a. PROGRAMMER: CHECK QUESTION C4b, IS THERE ANOTHER PERIOD OF SELF-EMPLOYMENT?	YES (GO TO C6, P.15, COLUMN 2) 01 NO (CONTINUE) 00	YES (GO TO C6, P. 16, COLUMN 3) 01 NO (CONTINUE) 00

THIRD BUSINESS	FOURTH BUSINESS	FIFTH BUSINESS
YES……(GO TO C20a)…………….01 NO……………………………………..00	YES……(GO TO C20a)…………….01 NO……………………………………..00	YES……(GO TO C20a)…………….01 NO……………………………………..00
YES……………………………………01 NO……(GO TO C20a)………………00 DON’T KNOW…(GO TO C20a)……08 REFUSED…..(GO TO C20a)……….07	YES……………………………………01 NO……(GO TO C20a)………………00 DON’T KNOW…(GO TO C20a)……08 REFUSED…..(GO TO C20a)……….07	YES……………………………………01 NO……(GO TO C20a)………………00 DON’T KNOW…(GO TO C20a)……08 REFUSED…..(GO TO C20a)……….07
$| | | |,| | | | AMOUNT GIVEN (LESS THAN OR EQUAL TO $99,999,999………………………….01 MORE THAN $99,999,999………...02 DON’T KNOW………………………………..08 REFUSED……………………………07	$| | | |,| | | | AMOUNT GIVEN (LESS THAN OR EQUAL TO $99,999,999………………………….01 MORE THAN $99,999,999………...02 DON’T KNOW………………………………..08 REFUSED……………………………07	$| | | |,| | | | AMOUNT GIVEN (LESS THAN OR EQUAL TO $99,999,999………………………….01 MORE THAN $99,999,999………...02 DON’T KNOW………………………………..08 REFUSED……………………………07
CONTINUE YES (GO TO C6, P. 16, COLUMN 4) 01 NO (CONTINUE) 00	YES (GO TO C6, P. 16, COLUMN 5) 01 NO (CONTINUE) 00

C21. The next questions are about your most recent business that is [NAME OF BUSINESS IN C5, P. 15, FIRST COLUMN]. Is/Was your business structured as a sole proprietorship, a partnership, a corporation, or a cooperative?

SOLE PROPRIETORSHIP 01 GO TO C23

PARTNERSHIP 02

CORPORATION 03

COOPERATIVE 04

OTHER (SPECIFY) 05

DON’T KNOW 08

REFUSED 07

C22. What percent of (THIS BUSINESS) do/did you own?

| | | PERCENT

ALL 100 GO TO C23

DON’T KNOW 998

REFUSED 997

C22a. Do/Did any members of your immediate family own part of (THIS BUSINESS)?

YES 01

NO 00

DON’T KNOW 08

REFUSED 07

C22b. What percent of (THIS BUSINESS) do/did they own?

| | | PERCENT

DON’T KNOW 998

REFUSED 997

C23. Did you start (THIS BUSINESS) from scratch, or did you acquire it from someone else?

STARTED FROM SCRATCH 01 GO TO C27

ACQUIRED FROM SOMEONE ELSE/

OTHER ENTITY 02

DON’T KNOW 08

REFUSED 07

C24. Did you buy (THIS BUSINESS)?

YES 01

NO 00

DON’T KNOW 08

REFUSED 07

C25. How much did you pay for it?

$| | |, | | | |,| | | |

Amount Given (Less THAN OR EQUAL TO $99,999,999.)………………01

More than $99,999,999.)……………………………………………………...02

Don’t Know…………………………………………………………………..08

Refused…………………………….…………………………………………07

GO TO C27

C26. How did you acquire ownership of (THIS BUSINESS)?

RECEIVED TRANSFER OF

OWNERSHIP/GIFT 01

INHERITED 02

OTHER (SPECIFY) 03

DON’T KNOW 08

REFUSED 07

C27. Have you invested any of your own money into (THIS BUSINESS) since (RANDOM ASSIGNMENT DATE)? Please do not include money borrowed or otherwise received from relatives.

YES 01

NO 00

DON’T KNOW 08

REFUSED 07

C28. Since (RANDOM ASSIGNMENT DATE), how much of your own money have you invested in (THIS BUSINESS)?

IF DK, PROBE FOR ESTIMATE

$ | | |,| | | |,| | | |

Amount Given (Less THAN OR EQUAL TO $99,999,999.)……………..01

More than $99,999,999.)……………………………………………………..02

Don’t Know……………………………..…………………………………..08

Refused………………………………………………………………………07

C29. Since (RANDOM ASSIGNMENT DATE), did you borrow any money for (THIS BUSINESS)?

YES 01

NO 00

DON’T KNOW 08

REFUSED 07

C30. How much have you borrowed for (THIS BUSINESS)?

$| | |, | | | |,| | | |

Amount Given (Less THAN OR EQUAL TO $99,999,999.)……………..01

More than $99,999,999.)……………………………………………………..02

Don’t Know……………..…………………………………………………..08

Refused…………………………………...…………………………………07

C31. Did you obtain a personal loan, a business loan, or both?

PERSONAL LOAN 01

BUSINESS LOAN 02 GO TO C33

BOTH 03

DON’T KNOW 08

REFUSED 07

C32. What was the source of your personal loan? Was it . . .(READ CATEGORIES)

CODE ALL THAT APPLY

A credit card, 01

A home mortgage or home equity line of credit, 02

A family member, or 03

A friend? 04

OTHER (SPECIFY) 05

DON’T KNOW 08

REFUSED 07

C32a. What was the total amount of (this personal loan/these personal loans)?

$ | | |,| | | |,| | | | AMOUNT

Amount Given (Less THAN OR EQUAL TO $99,999,999.)……………..01

More than $99,999,999.)……………………………………………………..02

Don’t Know…………………………..……………………………………..08

Refused……………………………………...………………………………07

C32b. What was the interest rate for (this loan/the largest loan you obtained)?

| | |.| | | PERCENT (ALLOW ZERO)

DON’T KNOW 98

REFUSED 97

C32c. What was the length of (this loan/the largest loan you obtained)? RECORD LENGTH AND CODE TIME UNIT.

| | | | LENGTH

WEEKS 01

MONTHS 02

YEARS 03

Don’t Know ……………………………………………..08

Refused………………………………………………….07

C32d.

IF C31=01 GO TO C36a; OTHERWISE CONTINUE

C33. From what source did you receive your business loan?

CODE ALL THAT APPLY

A BANK OR CREDIT UNION 01

SMALL BUSINESS ADMINISTRATION (SBA) 02

ANOTHER GOVERNMENT LOAN 03

INVESTMENT COMPANY 04

OTHER (SPECIFY) 05

DON’T KNOW 08

REFUSED 07

C33a.

PROGRAMMER: IF C33=02, CONTINUE; OTHERWISE, GO TO C34a.

C34. Was the Small Business Administration loan an SBA Microloan, an SBA-guaranteed loan, a 504 Certified Development Company loan, or a Small Business Investment Companies loan?

SBA MICROLOAN 01

SBA-GUARANTEED LOAN 02

504 CERTIFIED DEVELOPMENT

COMPANY LOAN 03

SMALL BUSINESS INVESTMENT

COMPANIES LOAN 04

OTHER (SPECIFY) 05

DON’T KNOW 08

REFUSED 07

C34.0.

PROGRAMMER: IF C31 ≠ 3 then skip to C35. OTHERWISE CONTINUE.

C34a. What was the total amount of this business loan or these loans?

(IF MULTIPLE LOANS FOR THIS BUSINESS, REPORT SUM OF ALL LOANS BELOW.)

$| | |, | | | |,| | | | AMOUNT

Amount Given (Less THAN OR EQUAL TO $99,999,999.)……………..01

More than $99,999,999.)……………………………………………………..02

Don’t Know………………………..………………………………………..08

Refused………………………………………………………………………07

C35. What was the interest rate for (this loan/the largest loan you obtained)?

| | |.| | | PERCENT (ALLOW ZERO)

DON’T KNOW 98

REFUSED 97

C36. What was the length of (the loan/the largest loan you obtained)? RECORD LENGTH AND CODE TIME UNIT.

| | | LENGTH

WEEKS 01

MONTHS 02

YEARS 03

DON’T KNOW 08

REFUSED 07

C36a. Did you receive any grants to start your business?

YES 01

NO 00

DON’T KNOW 08

REFUSED 07

C36b. What was the total amount of these grants?

$ | | |,| | | |,| | | |

Amount Given (Less THAN OR EQUAL TO $99,999,999.)……………..01

More than $99,999,999.)……………………………………………………..02

Don’t Know…………………………..……………………………………..08

Refused……………………………………………………………………..07

C36c. What was the source of these grants?

RECORD VERBATIM:

C37. Apart from any of your own money, money you borrowed, or grants you received since (RANDOM ASSIGNMENT DATE), did you use any other sources of capital, such as gifts from family members or friends, or the sale of another business, to start or grow (THIS BUSINESS)?

YES 01

NO 00

DON’T KNOW 08

REFUSED 07

C38. Altogether, how much did you receive from these sources since (RANDOM ASSIGNMENT DATE)?

$ | | |,| | | |,| | | |

Amount Given (Less THAN OR EQUAL TO $99,999,999.)……………...01

More than $99,999,999.)……………………………………………………..02

Don’t Know………………………………………..………………………..08

Refused………………………………...…………………………………...07

C39. What were these other sources of capital?

CODE ALL THAT APPLY

Gifts from family members 01

Gifts from friends 02

SALE OF ANOTHER BUSINESS 03

OTHER (SPECIFY) 04

DON’T KNOW 08

REFUSED 07

C40. Where is your (current/most recent) business located, in your home, an incubator, a commercially available space, or some other place?

(IF ASKED): An incubator is space provided to start-up young entrepreneurs by self-employment assistance organizations.

HOME 01

INCUBATOR 02

COMMERCIALLY AVAILABLE SPACE 03

SOME OTHER PLACE (SPECIFY) 04

DON’T KNOW 08

REFUSED 07

C41. What is the zip code where your business, (THIS BUSINESS), is/was located?

| | | | | |

DON’T KNOW 99998 REFUSED 99997

C42.	PROGRAMMER: IF C4a=01, P. 14, CONTINUE; OTHERWISE, GO TO C52.

C43. The next questions, are about (all of) the business(es) that you currently own. What is the total number of employees that currently work in your business(es)? Please exclude yourself, but include paid family members.

| | | NUMBER OF EMPLOYEES

NONE 00

DON’T KNOW 98

REFUSED 97

C44. How many of these employees are working 35 or more hours per week, and how many are working less than 35 hours per week in (this business/these businesses)?

IF RESPONDENT SAYS “NONE,” CODE 00.

| | | NUMBER OF FULL-TIME EMPLOYEES

| | | NUMBER OF PART-TIME EMPLOYEES

DON’T KNOW 98

REFUSED 97

C45. How many of your immediate family members work in this business? Please do not include yourself.

| | | NUMBER

NONE 00

DON’T KNOW 98

REFUSED 97

C46. What is this business’s current monthly payroll?

$ | | | |,| | | | PAYROLL AMOUNT

Amount Given (Less THAN OR EQUAL TO $999,999.)……………..01

More than $999,999.)……………………………………………………..02

Don’t Know……………………………………………………………..08

Refused…………………………………………………………………07

C47. Does this amount include payments to yourself?

YES 01

NO 00

DON’T KNOW 08

REFUSED 07

C48. Next, I will read a list of benefits that some people get through their jobs. Do all of your employees, some of your employees, or none of your employees currently receive . . .

		CODE ALL, SOME, OR NONE FOR EACH
		ALL	SOME	NONE	DON’T KNOW	REFUSED
a.	paid sick leave?	01	02	03	08	07
b.	paid vacation?	01	02	03	08	07
c.	paid holidays?	01	02	03	08	07
d.	health insurance or membership in an HMO or PPO plan?	01	02	03	08	07
e.	retirement or pension benefits, a 401K plan?	01	02	03	08	07
f.	life insurance?	01	02	03	08	07
g.	any other benefits? (SPECIFY)	01	02	03	08	07

C49. Now, please tell me if you receive these benefits through your business . . .

		CODE YES OR NO FOR EACH
		YES	NO	DON’T KNOW	REFUSED
a.	paid sick leave?	01	00	08	07
b.	paid vacation?	01	00	08	07
c.	paid holidays?	01	00	08	07
d.	health insurance or membership in an HMO or PPO plan?	01	00	08	07
e.	retirement or Pension benefits, a 401K plan?	01	00	08	07
f.	life insurance?	01	00	08	07
g.	any other benefits? (SPECIFY)	01	00	08	07

C50.	PROGRAMMER: IF C49d=00 GO TO C51. OTHERWISE, GO TO C52

C51. Do you have health insurance?

YES 01

NO 00

DON’T KNOW 08

REFUSED 07

C51a. What is the source of that insurance?

THROUGH SPOUSE’S INSURER 01

THROUGH YOUR EMPLOYER’S

INSURER 02

THROUGH TRADE ASSOCIATION’S

INSURER 03

THROUGH MEDICAID OR OTHER

PUBLIC HEALTH INSURANCE 04

THROUGH A PRIVATE INSURER 05

THROUGH SOME OTHER

SOURCE (SPECIFY) 06

DON’T KNOW 08

REFUSED 07

C52. When you started this business, did you have health insurance coverage?

YES 01

NO 00

DON’T KNOW 98

REFUSED 97

C53. When you started this business, did other household members have any earnings?

YES 01

NO 00

DON’T KNOW 08

REFUSED 07

C54. What would you say were the most difficult challenges you faced when you started this business?

CODE ALL THAT APPLY

PROBE: Any others?

LACK OF CAPITAL OR START-UP FUNDS 01

AMOUNT OF TIME/WORK INVOLVED 02

INSUFFICIENT SALES 03

INSUFFICIENT CASH FLOW 04

DIFFICULTIES HIRING QUALIFIED STAFF 05

LOCAL COMPETITION 06

BECOMING KNOWN/GETTING EXPOSURE 07

TAXES 08

INSURANCE 09

REGULATIONS/LICENSES 10

DEALING WITH CLIENTS 11

UNCERTAINTY/CHANGING ECONOMY 12

FINDING A LOCATION 13

PROBLEMS WITH SUPPLY OF PRODUCT

OR MATERIAL AVAILABILITY 14

PERSONAL/FAMILY BARRIERS 15

FINDING CLIENTS 16

OTHER (SPECIFY) 17

DON’T KNOW 98

REFUSED 97

GO TO D0a

C55. At any time since (RANDOM ASSIGNMENT DATE) have you tried to start a business?

YES 01

NO 00

DON’T KNOW 08

REFUSED 07

C56. What would you say were the most difficult challenges you faced trying to start your own business?

CODE ALL THAT APPLY

LACK OF CAPITAL OR START-UP FUNDS 01

AMOUNT OF TIME/WORK INVOLVED 02

INSUFFICIENT SALES 03

INSUFFICIENT CASH FLOW 04

DIFFICULTIES HIRING QUALIFIED STAFF 05

LOCAL COMPETITION 06

BECOMING KNOWN/GETTING EXPOSURE 07

TAXES 08

INSURANCE 09

REGULATIONS/LICENSES 10

DEALING WITH CLIENTS 11

UNCERTAINTY/CHANGING ECONOMY 12

FINDING A LOCATION 13

PROBLEMS WITH SUPPLY OF PRODUCT

OR MATERIAL AVAILABILITY 14

PERSONAL/FAMILY BARRIERS 15

FINDING CLIENTS 16

OTHER (SPECIFY) 17

DON’T KNOW 98

REFUSED 97

SECTION D: EMPLOYMENT, WORKING FOR SOMEONE ELSE

D0a. The next questions are about jobs you have had where you worked for someone else.

Prior to (RANDOM ASSIGNMENT DATE), did you ever have a job where you worked for someone else? Please include part-time and full-time jobs, and military service.

YES 01

NO 00

DON’T KNOW 08

REFUSED 07

D1. Prior to (RANDOM ASSIGNMENT DATE), approximately, how long did you work, in total, on all jobs where you worked for someone else?

RECORD LENGTH AND CODE TIME UNIT

| | | LENGTH

WEEKS 01

MONTHS 02

YEARS 03

DON’T KNOW 08

REFUSED 07

D2. How much of the (TIME IN D1) you worked for someone else prior to (RANDOM ASSIGNMENT DATE) were you working as a manager?

IF Asked: By manager we mean anyone who supervises other staff or oversees parts of a business. RECORD LENGTH AND CODE TIME UNIT.

| | | LENGTH

NONE 00

WEEKS 01

MONTHS 02

YEARS 03

DON’T KNOW 08

REFUSED 07

D3. The next questions are about full and part-time jobs, including military service, that you may have held since (RANDOM ASSIGNMENT DATE) where you were working for someone else.

Are you currently working for someone else?

YES 01 GO TO D6

NO 00

DON’T KNOW 08

REFUSED 07

D3a. Do you want to have a job where you work for someone else?

YES 01

NO 00 GO TO D4

DON’T KNOW 08

REFUSED 07

D3b. Are you actively looking for a job where you work for someone else?

YES 01

NO 00

DON’T KNOW 08

REFUSED 07

D4. Are you currently doing any of the following? Are you…

A.Participating in an education or

training program Y / N

B. Taking care of a relative Y / N

C. Retired Y / N

D. Currently ill Y / N

DON’T KNOW 98

REFUSED 97

D5. Since (RANDOM ASSIGNMENT DATE) have you had a job that lasted two weeks or longer? Please include part-time and full-time jobs, and military service.

YES 01 GO TO D7

NO 00

DON’T KNOW 08

REFUSED 07

D6. Currently, how many different full- and part-time jobs do you have where you work for someone else?

ONE 01

TWO OR MORE 02

DON’T KNOW 08

REFUSED 07

	CURRENT/MOST RECENT JOB | 01 |	SECOND MOST RECENT JOB | 02 |
D7. What is the name of the employer for whom you work the most hours/for whom you worked more than two weeks since (RANDOM ASSIGNMENT DATE)? INTERVIEWER: RECORD EMPLOYER/BUSINESS NAME FOR THIS JOB IN D7, COLUMN 1, AS JOB 1. THEN GO TO D7a. RECORD EMPLOYER NAME(S) ACROSS THE TOP OF THE GRID FIRST. THEN ASK D8-D21 DOWN FOR EACH JOB.	_________________________________ _________________________________	_________________________________ _________________________________
D7a. Where else have you worked since (RANDOM ASSIGNMENT DATE)? Please include any (other current jobs whether), part-time or full-time jobs. PROBE: Where did you work before (LAST JOB)? MANDATORY PROBE: Where else have you worked? RECORD AS NEXT JOB IN COLUMN HEADER.
D8. In what month and year did you start working for (EMPLOYER)? RECORD MONTH AND YEAR. START DATE CAN BE BEFORE (RANDOM ASSIGNMENT DATE)	START: | | |/| | | | | MONTH YEAR DON’T KNOW…………………………….98/9998 REFUSED…………………………………97/9997	START: | | |/| | | | | MONTH YEAR DON’T KNOW…………………………….98/9998 REFUSED…………………………………97/9997
D9. In what month and year did you stop working for (EMPLOYER)? RECORD MONTH AND YEAR. STOP DATE MUST COME AFTER (RANDOM ASSIGNMENT DATE).	STOP: | | |/| | | | | MONTH YEAR STILL AT JOB 96 DON’T KNOW…………………………….98/9998 REFUSED…………………………………97/9997	STOP: | | /| | | | | MONTH YEAR STILL AT JOB 96 DON’T KNOW…………………………….98/9998 REFUSED…………………………………97/9997

JOB | 03 |	JOB | 04 |	JOB | 05 |
_________________________________ _________________________________	_________________________________ _________________________________	_________________________________ _________________________________
START: | | /| | | | | MONTH YEAR DON’T KNOW…………………………….98/9998 REFUSED…………………………………97/9997	START: | | |/| | | | | MONTH YEAR DON’T KNOW…………………………….98/9998 REFUSED…………………………………97/9997	START: | | /| | | | | MONTH YEAR DON’T KNOW…………………………….98/9998 REFUSED…………………………………97/9997
STOP: | | /| | | | | MONTH YEAR STILL AT JOB 96 DON’T KNOW…………………………….98/9998 REFUSED…………………………………97/9997	STOP: | | |/| | | | | MONTH YEAR STILL AT JOB 96 DON’T KNOW…………………………….98/9998 REFUSED…………………………………97/9997	STOP: | | |/| | | | | MONTH YEAR STILL AT JOB 96 DON’T KNOW…………………………….98/9998 REFUSED…………………………………97/9997

	CURRENT/MOST RECENT JOB | 01 |	SECOND MOST RECENT JOB | 02 |
D10. What kind of company is/was (EMPLOYER)? What do/did they make, sell, or do? PROBE FOR TYPE OF PRODUCT OR SERVICE	_________________________________ _________________________________ _________________________________ DON’T KNOW D REFUSED R	_________________________________ _________________________________ _________________________________ DON’T KNOW D REFUSED R
D11. What do/did you do there? PROBE: What is/was your job title? PROBE FOR CLEAR AND DESCRIPTIVE ACTIVITIES AND JOB TITLE	_________________________________ _________________________________ _________________________________ DON’T KNOW D REFUSED R	_________________________________ _________________________________ _________________________________ DON’T KNOW D REFUSED R
D12. Which of the following best describes your employment status at this job? Are/Were you . . . READ CATEGORIES	an employee, working for pay at a private company, 01 a local, state, federal government employee, 02 on active military duty, or 03 working without pay 04 OTHER (SPECIFY) 05 DON’T KNOW 08 REFUSED 07	an employee, working for pay at a private company, 01 a local, state, federal government employee, 02 on active military duty, or 03 working without pay 04 OTHER (SPECIFY) 05 DON’T KNOW 08 REFUSED 07
D13. How many hours do/did you usually work in an average week at (EMPLOYER)? IF DK, PROBE FOR ESTIMATE	| | | | HOURS PER WEEK DON’T KNOW 998 REFUSED 997	| | | | HOURS PER WEEK DON’T KNOW 998 REFUSED 997

JOB | 03 |	JOB | 04 |	JOB | 05 |
_________________________________ _________________________________ _________________________________ DON’T KNOW D REFUSED R	_________________________________ _________________________________ _________________________________ DON’T KNOW D REFUSED R	_________________________________ _________________________________ _________________________________ DON’T KNOW D REFUSED R
_________________________________ _________________________________ _________________________________ DON’T KNOW D REFUSED R	_________________________________ _________________________________ _________________________________ DON’T KNOW D REFUSED R	_________________________________ _________________________________ _________________________________ DON’T KNOW D REFUSED R
an employee, working for pay at a private company, 01 a local, state, federal government employee, 02 on active military duty, or 03 working without pay 04 OTHER (SPECIFY) 05 DON’T KNOW 08 REFUSED 07	an employee, working for pay at a private company, 01 a local, state, federal government employee, 02 on active military duty, or 03 working without pay 04 OTHER (SPECIFY) 05 DON’T KNOW 08 REFUSED 07	an employee, working for pay at a private company, 01 a local, state, federal government employee, 02 on active military duty, or 03 working without pay 04 OTHER (SPECIFY) 05 DON’T KNOW 08 REFUSED 07
| | | | HOURS PER WEEK DON’T KNOW 998 REFUSED 997	| | | | HOURS PER WEEK DON’T KNOW 998 REFUSED 997	| | | | HOURS PER WEEK DON’T KNOW 998 REFUSED 997

	CURRENT/MOST RECENT JOB | 01 |	SECOND MOST RECENT JOB | 02 |
D14. INTERVIEWER: CHECK D12. IS CODE 04, “WORKING WITHOUT PAY,” CODED?	YES (GO TO D18) 01 NO 00	YES (GO TO D18) 01 NO 00
D15a. Not counting tips, bonuses, or commissions, how often are/were you usually paid?	ONCE A DAY 01 ONCE A WEEK 02 ONCE EVERY TWO WEEKS 03 TWICE A MONTH 04 ONCE A MONTH 05 ONCE A YEAR 06 DON’T KNOW 08 REFUSED 07	ONCE A DAY 01 ONCE A WEEK 02 ONCE EVERY TWO WEEKS 03 TWICE A MONTH 04 ONCE A MONTH 05 ONCE A YEAR 06 DON’T KNOW 08 REFUSED 07
D15b. Not counting tips, bonuses, or commissions, how much are/were you usually paid each time you receive/received payment?	$ | || | |,| | | |.| || |	$ | || | |,| | | |.| || |
D16a. Do/did you receive any additional payment as tips? [IF NO, GO TO D16c]	YES 01 NO 00	YES 01 NO 00
D16b. How much do you think those tips add/added up to in a year?	$ | || | |,| | | |.| || |	$ | || | |,| | | |.| || |
D16c. Do/did you receive any additional payment as bonuses? [IF NO, GO TO D16e]	YES 01 NO 00	YES 01 NO 00
D16d. Usually, how much is/was the total amount of those bonuses each year?	$ | || | |,| | | |.| || |	$ | || | |,| | | |.| || |
D16e. Do/did you receive any additional payment as commissions? [IF NO, GO TO D17]	YES 01 NO 00	YES 01 NO 00
D16f. Usually, how much is/was the total amount of those commissions each year?	$ | || | |,| | | |.| || |	$ | || | |,| | | |.| || |
D17. Are/Were the following benefits available to you on your job at (EMPLOYER)? READ CATEGORIES. CODE YES OR NO FOR EACH.	YES NO a. Paid sick leave? 01 00 b. Paid vacation? 01 00 c. Paid holidays? 01 00 d. Health insurance, or membership in an HMO or PPO plan? 01 00 e. Retirement, or pension benefits or a 401K plan? 01 00 f. Life insurance? 01 00 g. Any other benefits? (SPECIFY) 01 00 DON’T KNOW 08 REFUSED 07	YES NO a. Paid sick leave? 01 00 b. Paid vacation? 01 00 c. Paid holidays? 01 00 d. Health insurance, or membership in an HMO or PPO plan? 01 00 e. Retirement, or pension benefits or a 401K plan? 01 00 f. Life insurance? 01 00 g. Any other benefits? (SPECIFY) 01 00 DON’T KNOW 08 REFUSED 07

JOB | 03 |			JOB | 04 |		JOB | 05 |
YES (GO TO D18) 01 NO 00			YES (GO TO D18) 01 NO 00		YES (GO TO D18) 01 NO 00
ONCE A DAY 01 ONCE A WEEK 02 ONCE EVERY TWO WEEKS 03 TWICE A MONTH 04 ONCE A MONTH 05 ONCE A YEAR 06 DON’T KNOW 08 REFUSED 07			ONCE A DAY 01 ONCE A WEEK 02 ONCE EVERY TWO WEEKS 03 TWICE A MONTH 04 ONCE A MONTH 05 ONCE A YEAR 06 DON’T KNOW 08 REFUSED 07		ONCE A DAY 01 ONCE A WEEK 02 ONCE EVERY TWO WEEKS 03 TWICE A MONTH 04 ONCE A MONTH 05 ONCE A YEAR 06 DON’T KNOW 08 REFUSED 07
$ | || | |,| | | |.| || |			$ | || | |,| | | |.| || |		$ | || | |,| | | |.| || |
YES 01 NO 00			YES 01 NO 00		YES 01 NO 00
$ | || | |,| | | |.| || |			$ | || | |,| | | |.| || |		$ | || | |,| | | |.| || |
YES 01 NO 00			YES 01 NO 00		YES 01 NO 00
	$ | || | |,| | | |.| || |	$ | || | |,| | | |.| || |		$ | || | |,| | | |.| || |
	YES 01 NO 00	YES 01 NO 00		YES 01 NO 00
	$ | || | |,| | | |.| || |	$ | || | |,| | | |.| || |		$ | || | |,| | | |.| || |
	YES NO a. Paid sick leave?...........................01 00 b. Paid vacation?.............................01 00 c. Paid holidays?.............................01 00 d. Health insurance, or membership in an HMO or PPO plan?......................01 00 e. Retirement, or pension benefits or a 401K plan?.............01 00 f. Life insurance?............................01 00 g. Any other benefits? (SPECIFY)..01 00 DON’T KNOW 08 REFUSED 07	YES NO a. Paid sick leave? 01 00 b. Paid vacation? 01 00 c. Paid holidays? 01 00 d. Health insurance, or membership in an HMO or PPO plan? 01 00 e. Retirement, or pension benefits or a 401K plan? 01 00 f. Life insurance? 01 00 g. Any other benefits? (SPECIFY) 01 00 DON’T KNOW 08 REFUSED 07		YES NO a. Paid sick leave? 01 00 b. Paid vacation? 01 00 c. Paid holidays? 01 00 d. Health insurance, or membership in an HMO or PPO plan? 01 00 e. Retirement, or pension benefits or a 401K plan? 01 00 f. Life insurance? 01 00 g. Any other benefits? (SPECIFY) 01 00 DON’T KNOW 08 REFUSED 07

		CURRENT/MOST RECENT JOB | 01 |	SECOND MOST RECENT JOB | 02 |
D18. INTERVIEWER: CHECK D9. IS CODE, “STILL AT THIS JOB,” CODED?		YES (GO TO D21a) 01 NO 00	YES (GO TO D21a) 01 NO 00
D19. Why did you stop working at (EMPLOYER)? Did you quit, retire, were you laid off or fired, or did the period you were scheduled to work there end? PROBE: What reason were you given by your employer? SELECT ONE CODE ONLY.		QUIT 01 RETIRE 02 LAID OFF 03 FIRED 04 WORK PERIOD/TEMPORARY JOB ENDED 05 OTHER (SPECIFY) 06 DON’T KNOW 08 REFUSED 07	QUIT 01 RETIRE 02 LAID OFF 03 FIRED 04 WORK PERIOD/TEMPORARY JOB ENDED 05 OTHER (SPECIFY) 06 DON’T KNOW 08 REFUSED 07
	D20. When that job ended, did you receive severance pay?	YES 01 NO 00 DON’T KNOW 08 REFUSED 07	YES 01 NO 00 DON’T KNOW 08 REFUSED 07
	D21. When that job ended, what did you do? CODE ALL THAT APPLY.	TOOK ANOTHER JOB WORKING FOR SOMEONE ELSE 01 STARTED A BUSINESS 02 WORKED ON STARTING MY OWN BUSINESS 03 LOOKED FOR WORK 04 PARTICIPATED IN EDUCATION/ TRAINING PROGRAM 05 TOOK CARE OF CHILD/FAMILY MEMBER/SICK RELATIVE 06 RETIRED 07 WAS SICK 08 OTHER (SPECIFY) 09 DON’T KNOW 98 REFUSED 97	TOOK ANOTHER JOB WORKING FOR SOMEONE ELSE 01 STARTED A BUSINESS 02 WORKED ON STARTING MY OWN BUSINESS 03 LOOKED FOR WORK 04 PARTICIPATED IN EDUCATION/ TRAINING PROGRAM 05 TOOK CARE OF CHILD/FAMILY MEMBER/SICK RELATIVE 06 RETIRED 07 WAS SICK 08 OTHER (SPECIFY) 09 DON’T KNOW 98 REFUSED 97
	D21a. INTERVIEWER: IS THERE ANOTHER JOB? CHECK D7.	YES (GO TO D8, COLUMN 2) 01 NO 00	YES (GO TO D8, COLUMN 3) 01 NO 00

JOB | 03 |	JOB | 04 |	JOB | 05 |
YES (GO TO D21a) 01 NO 00	YES (GO TO D21a) 01 NO 00	YES (GO TO D21a) 01 NO 00
QUIT 01 RETIRE 02 LAID OFF 03 FIRED 04 WORK PERIOD/TEMPORARY JOB ENDED 05 OTHER (SPECIFY) 06 DON’T KNOW 98 REFUSED 97	QUIT 01 RETIRE 02 LAID OFF 03 FIRED 04 WORK PERIOD/TEMPORARY JOB ENDED 05 OTHER (SPECIFY) 06 DON’T KNOW 98 REFUSED 97	QUIT 01 RETIRE 02 LAID OFF 03 FIRED 04 WORK PERIOD/TEMPORARY JOB ENDED 05 OTHER (SPECIFY) 06 DON’T KNOW 98 REFUSED 97
YES 01 NO 00 DON’T KNOW 08 REFUSED 07	YES 01 NO 00 DON’T KNOW 08 REFUSED 07	YES 01 NO 00 DON’T KNOW 08 REFUSED 07
TOOK ANOTHER JOB WORKING FOR SOMEONE ELSE 01 STARTED A BUSINESS 02 WORKED ON STARTING MY OWN BUSINESS 03 LOOKED FOR WORK 04 PARTICIPATED IN EDUCATION/ TRAINING PROGRAM 05 TOOK CARE OF CHILD/FAMILY MEMBER/SICK RELATIVE 06 RETIRED 07 WAS SICK 08 OTHER (SPECIFY) 09 DON’T KNOW 98 REFUSED 97	TOOK ANOTHER JOB WORKING FOR SOMEONE ELSE 01 STARTED A BUSINESS 02 WORKED ON STARTING MY OWN BUSINESS 03 LOOKED FOR WORK 04 PARTICIPATED IN EDUCATION/ TRAINING PROGRAM 05 TOOK CARE OF CHILD/FAMILY MEMBER/SICK RELATIVE 06 RETIRED 07 WAS SICK 08 OTHER (SPECIFY) 09 DON’T KNOW 98 REFUSED 97	TOOK ANOTHER JOB WORKING FOR SOMEONE ELSE 01 STARTED A BUSINESS 02 WORKED ON STARTING MY OWN BUSINESS 03 LOOKED FOR WORK 04 PARTICIPATED IN EDUCATION/ TRAINING PROGRAM 05 TOOK CARE OF CHILD/FAMILY MEMBER/SICK RELATIVE 06 RETIRED 07 WAS SICK 08 OTHER (SPECIFY) 09 DON’T KNOW 98 REFUSED 97
YES (GO TO D8, COLUMN 4) 01 NO 00	YES (GO TO D8, COLUMN 5) 01 NO 00	CONTINUE

D22. Thinking about all the work you do, whether for yourself or for someone else, how would you rate your overall satisfaction with your work? Would you say you are very satisfied, somewhat satisfied, somewhat dissatisfied or very dissatisfied with your work?

VERY SATISFIED 01

SOMEWHAT SATISFIED 02

SOMEWHAT DISSATISFIED 03

VERY DISSATISFIED 04

DON’T KNOW 08

REFUSED 07

D23. Thinking about all aspects of your life, how would you rate your overall satisfaction with your life? Would you say you are very satisfied, somewhat satisfied, somewhat dissatisfied or very dissatisfied with your life?

VERY SATISFIED 01

SOMEWHAT SATISFIED 02

SOMEWHAT DISSATISFIED 03

VERY DISSATISFIED 04

DON’T KNOW 08

REFUSED 07

D24. Next, I’d like you to look back to before you applied for the GATE program to when you first lost your job. How long did you think it would take to find a job in your same line of work?

RECORD LENGTH AND CODE TIME UNIT

| | | LENGTH

WEEKS 01

MONTHS 02

YEARS 03

DON’T KNOW 08

REFUSED 07

D25. At that time, how long did you think it would take to find any job at all?

RECORD LENGTH AND CODE TIME UNIT

| | | LENGTH

WEEKS 01

MONTHS 02

YEARS 03

DON’T KNOW 08

REFUSED 07

D26. Now, please think about the six months after you first lost your job. Did you have any trouble making payments on any of your monthly bills or loan payments during that period?

YES 01

NO 00 GO TO D28a

DON’T KNOW 08

REFUSED 07

D27. Which bills or payments did you have trouble making in the six months following your job loss? Did you have trouble paying (READ a-g)…CODE ONE FOR EACH

D27	YES	NO	DON’T HAVE	DON’T KNOW	REFUSED
Your rent or mortgage?	01	00	03	08	07
. b. utility bills?	01	00	03	08	07
. c. credit card bills?	01	00	03	08	07
d. automobile loans?	01	00	03	08	07
e. school loans?	01	00	03	08	07
f. medical bills?	01	00	03	08	07
g. some other bills or loans? (SPECIFY)	01	00	03	08	07

D28a. During this period of unemployment prior to the GATE program, did you move to a new place to live because you were unable to pay your rent, mortgage or other bills?

YES 01

NO 00

DON’T KNOW 08

REFUSED 07

D28b. Did this occur in the first six months of your unemployment?

YES 01

NO 00

DON’T KNOW 08

REFUSED 07

SECTION E: INCOME SOURCES AND AMOUNTS

E1. Now I’d like you to think about your household’s total income during the past twelve months. When answering these next questions please include income from self-employment, regular jobs and odd jobs, under-the-table jobs, Social Security, pensions, rent, interest, dividends, unemployment compensation, welfare, from food stamps, child support, and money from any other sources.

What was the total income of all members of your household, including yourself, from all sources before taxes and deductions during the past twelve months?

IF DK, PROBE FOR ESTIMATE

$ | | | |,| | | | GO TO E5a

DON’T KNOW 08

REFUSED 07

E2. During the past twelve months, would you say your household income was less than $30,000, or $30,000 or more?

LESS THAN $30,000 01 GO TO E4

$30,000 OR MORE 02

DON’T KNOW 08

REFUSED 07

E3. Would you say it was . . .

from $30,000 to under $45,000 01

$45,000 to under $60,000 02

$60,000 to under $75,000 03

$75,000 to under $90,000 04

$90,000 to under $105,000 05

more than $105,000 06

DON’T KNOW 08

REFUSED 07

GO TO E5a

E4. Would you say it was . . .

less than $5,000 01

$5,000 to under $10,000 02

$10,000 to under $15,000 03

$15,000 to under $20,000 04

$20,000 to under $25,000 05

$25,000 to under $30,000 06

DON’T KNOW 08

REFUSED 07

E5a. Since (RANDOM ASSIGNMENT DATE), have you or anyone else in your household received Unemployment Compensation benefits?

YES 01

NO 00

DON’T KNOW 08

REFUSED 07

E5b. When was the first date you received those Unemployment Compensation benefits, after (RANDOM ASSIGNMENT DATE)?

Month: __________

Day: __________

Year: __________

DON’T KNOW 08

REFUSED 07

E5c. When you first applied for those benefits, you were determined to be eligible to receive a certain total amount of benefits, spread out over a period of a certain number of weeks. Did you eventually receive that entire total amount of benefit payments?

YES 01

NO 00

DON’T KNOW 08

REFUSED 07

E5d. After receiving the total amount of benefits allowed, some people are eligible to receive additional Unemployment Compensation benefits for additional weeks. These are called “Extended Benefits”. Did you receive any Extended Benefits?

YES 01

NO 00

DON’T KNOW 08

REFUSED 07

E5e. Are you currently receiving Unemployment Compensation benefits?

YES 01 GO TO E5g

NO 00

DON’T KNOW 08

REFUSED 07

E5f. When was the last date you received Unemployment Compensation benefits?

Month: __________

Day: __________

Year: __________

DON’T KNOW 08

REFUSED 07

E5g. Between the first date after [RANDOM ASSIGNMENT DATE] that you received benefits and the last date after [RANDOM ASSIGNMENT DATE] that you received benefits, were there any periods when you did not receive any benefits?

YES 01

NO 00

DON’T KNOW 08

REFUSED 07

E5h. How many weeks did those periods last, altogether?

Weeks: __________

DON’T KNOW 08

REFUSED 07

E5i. On average, since (RANDOM ASSIGNMENT DATE), when your household received Unemployment Compensation benefits, how much did your household receive each week?

$ | | | |,| | | |

DON’T KNOW 08

REFUSED 07

E6a. Since (RANDOM ASSIGNMENT DATE), have you or anyone else in your household received Trade Readjustment Allowances or Trade Adjustment Assistance?

YES 01

NO 00

DON’T KNOW 08

REFUSED 07

E6b. Altogether, since (RANDOM ASSIGNMENT DATE), how many weeks has your household received Trade Readjustment Allowances or Trade Adjustment Assistance?

| | | | NUMBER OF WEEKS

DON’T KNOW 08

REFUSED 07

E6c. On average, since (RANDOM ASSIGNMENT DATE), how much Trade Readjustment Allowances or Trade Adjustment Assistance did your household receive each week?

$ | | | |,| | | |

DON’T KNOW 08

REFUSED 07

E7. Next I am going to ask you if you or your household have received income from a variety of sources since (RANDOM ASSIGNMENT DATE).

Have you or has anyone in your household received income since (RANDOM ASSIGNMENT DATE)?

ASK AND RECORD RESPONSES. THEN ASK E7b-E7c FOR EACH “YES” RESPONSE IN E7a. If E7a=2 (ONE TIME PAYMENT ASK E7d. GO TO NEXT PAGE.

E7a. OTHER SOURCES OF HOUSEHOLD INCOME	YES	NO	ONE TIME PAYMENT	DON’T KNOW	REFUSED	E7b. Since (RANDOM ASSIGNMENT DATE), how many months did you or your household receive (SOURCE)?	E7c. On average, how much (SOURCE) per month did you or your household receive since (RANDOM ASSIGNMENT DATE)? PLEASE ENTER WHOLE DOLLAR AMOUNT ONLY	E7d. How much did you or someone In your household receive in (source) payments? PLEASE ENTER WHOLE DOLLAR AMOUNT ONLY
Social Security Retirement, Disability, or Survivors’ benefits?	01	00	02	08	07	| | | NUMBER OF MONTHS DON’T KNOW………………..98 REFUSED……..…….97	If E7b=0 or Refused then skip $ | | | |,| | | | DON’T KNOW ………..999998 REFUSED……………..999997	$ | | | |,| | | | DON’T KNOW ………..999998 REFUSED……………..999997
. Since applying to the GATE program in (RA Date) Other pensions, annuities, or other disability or retirement programs?	01	00	02	08d	07	| | | NUMBER OF MONTHS DON’T KNOW………………..98 REFUSED……..…….97	If E7b=0 or Refused then skip $ | | | |,| | | | DON’T KNOW ………..999998 REFUSED……………..999997	$ | | | |,| | | | DON’T KNOW ………..999998 REFUSED……………..999997
. Cash welfare, including TANF (Minnesota Family Investment Program [MFIP]) benefits, General Assistance and Supplemental Security Income (SSI)?	01	00	02	08d	07	| | | NUMBER OF MONTHS DON’T KNOW………………..98 REFUSED……..…….97	If E7b=0 or Refused then skip $ | | | |,| | | | DON’T KNOW ………..999998 REFUSED……………..999997	$ | | | |,| | | | DON’T KNOW ………..999998 REFUSED……………..999997
Veteran’s payments?	01	00	02	08	07	| | | NUMBER OF MONTHS DON’T KNOW………………..98 REFUSED………..….97	If E7b=0 or Refused then skip $ | | | |,| | | | DON’T KNOW ………..999998 REFUSED……………..999997	$ | | | |,| | | | DON’T KNOW ………..999998 REFUSED……………..999997
Food Stamps?	01	00	02	08	07	| | | NUMBER OF MONTHS DON’T KNOW………………..98 REFUSED…..……….97	If E7b=0 or Refused then skip $ | | | |,| | | | DON’T KNOW ………..999998 REFUSED……………..999997	$ | | | |,| | | | DON’T KNOW ………..999998 REFUSED……………..999997

SECTION F: HOUSEHOLD COMPOSITION, MARITAL

STATUS, AND SPOUSE EMPLOYMENT

F1. Now, we’d like to ask a few general questions. What is your marital status?

MARRIED/COMMON LAW 01

LIVING TOGETHER UNMARRIED 02

SEPARATED 03

DIVORCED 04

WIDOWED 05

NEVER MARRIED 06

DON’T KNOW 08

REFUSED 07

F2. Is your (husband/wife/partner) currently working, either part-time or full-time, for pay? Please exclude any work (he/she) does for your business.

YES 01

NO 00

DON’T KNOW 08

REFUSED 07

F3. How much does (he/she) usually make per week before taxes and other deductions? Please include tips, commissions, and regular overtime.

INTERVIEWER: ACCEPT MOST CONVENIENT PAY PERIOD. IF NECESSARY, CONFIRM PAY PERIOD. ENTER AMOUNT, THEN CODE TIME PERIOD.

$| | | | ,| | | |.| | | AMOUNT

PER WEEK 01

ONCE EVERY TWO WEEKS 02

TWICE A MONTH 03

PER MONTH 04

PER YEAR 05

IN-KIND ONLY 06

DON’T KNOW 08

REFUSED 07

F4. How many hours a week on average does (she/he) work?

| | | | HOURS

DON’T KNOW 998

REFUSED 997

F5. Including yourself, how many people are currently living in your household? Please include babies, small children, people who are not related to you and people who are temporarily away.

| | | NUMBER OF PEOPLE

LIVES ALONE 95 Finish: GO TO SECTION G

DON’T KNOW 98

REFUSED 97

F5a. Do you have any children under 18 years of age who live with you over half the time? Please include your own and adopted children, foster-step-, or grandchildren.

YES 01

NO 00

DON’T KNOW 08

REFUSED 07

F5b. How many children under 18 years of age live with you?

| | | NUMBER

DON’T KNOW 98

REFUSED 97

SECTION G: CONTACT INFORMATION

Thank you very much for your help. That completes the interview. Your answers, together with the answers of other participants, will be used to study self-employment programs.

So that we can send you a $15 check for your participation, I would like to confirm your contact information.

G1. First, just to make sure I have it right, the correct spelling of your name and address is . . .

YES, NAME AND ADDRESS CORRECT 01

NO 00

RECORD CORRECT NAME AND/OR ADDRESS:

NAME:

ADDRESS:

G2a. Do you have an e-mail address?

YES 01

NO 00 GO TO G3

G2b. Please spell your e-mail address for me.

G3. Is there another number where you usually can be reached?

YES 01

RECORD OTHER NUMBER:

|___|___|___|-|___|___|___|-|___|___|___|___|

NO 00

G4. In whose name is that phone listed?

G4a. And where is that (e.g., neighbor, work)?

G5. That completes the survey. Thank you for your time and cooperation.

1 Programmer: These questions and answers should be available to interviewers any point in the questionnaire

1