Attachment A
2012 SIPP CARI Instrument
Selected Questions for Audio Recording
This interview may be recorded for quality control purposes. Is this okay? (This question is asked after the introduction of the survey. It is also asked of each adult household member.) |
What is the first name of all of the people living or staying here? |
The last name of all of the people living or staying here. |
Is ... Spanish, Hispanic, or Latino? |
What is ... race? |
Has...earned a professional certification or license? |
What is ... relationship to the reference person? |
Did
... receive Social Security income for himself/herself at any
time during the |
How much did ... receive in the most recent month (last month) he/she received payments? |
Did ... file a federal income tax return for the previous calendar year? |
Verification of ... assets. |
What is ... health status? |
This is the question that asks whether all of the woman's children have the same father. |
This is the question that asks whether all of the man's children have the same mother. |
What type of VA payment did ... receive? |
Did
... own any U.S. Government savings bonds/U.S. Government
securities, |
Did ... receive child support payments at any time during the reference period? |
Did
... receive Workers' Compensation payments as a result of
job-related |
Did ... receive Unemployment Compensation payments at any time during the reference period? |
How many days did illness or injury keep ... in bed more than half of the day? |
Are there cracks in the ceiling or walls? |
How much did ... pay for basic utilities in December of the reference year? |
Is street noise or traffic a problem? |
Verification of the sample units address. |
Are there any mortgages, home equity loans, or other debt on this home? |
Is ... able to pay rent or mortgage? |
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| File Type | application/vnd.openxmlformats-officedocument.wordprocessingml.document |
| Author | walsh005 |
| File Modified | 0000-00-00 |
| File Created | 2021-01-31 |