MEPS FAMES P12R5/P13R3/P14R1 Assets (AS) Section
December 8, 2008
Assets (AS) Section
BOX_00
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| THE AS SECTION IS ASKED IN ROUND 5 ONLY. IF IT IS |
| ROUND 1, 2, 3, OR 4, CONTINUE TO THE NEXT SECTION.|
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AS01
====
Savings and investments are an important part of family
finances.
In these next questions, we are going to be asking about a
number of different kinds of savings or investments the
members of this family may have.
The information you provide us is confidential, and will be
analyzed in combination with information from other
households.
PRESS ENTER OR SELECT NEXT PAGE TO CONTINUE.
AS02
====
Does anyone in the family own this home?
IF NECESSARY READ: By ‘own’ we mean that someone in the
family living here now has their name on the title, even if
mortgage or loan payments are still being made.
YES .................................... 1 {AS03}
NO ..................................... 2 {AS09}
REF ................................... -7 {AS09}
DK .................................... -8 {AS09}
AS03
====
Who in the family owns this home?
PROBE: Does anyone else in the family own this home?
[1. First Name,[Middle Name],Last Name-65] ...
[2. First Name,[Middle Name],Last Name-65] ...
[3. First Name,[Middle Name],Last Name-65] ...
[Code All That Apply]
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| DISPLAY ‘PERSON DECEASED’ AND ‘PERSON NOT IN RU’ |
| AS THE LAST TWO OPTIONS ON THE ROSTER. |
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| CONTINUE WITH AS04 |
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| ROSTER DETAILS: |
| TITLE: RU_MEMBERS_1 |
| |
| COL # 1 HEADER: NAME |
| INSTRUCTIONS: DISPLAY RU MEMBER’S FIRST, MIDDLE, |
| AND LAST NAMES (PERS.FULLNAME) |
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----------------------------------------------------
| ROSTER DEFINITION: |
| DISPLAY THE RU-MEMBERS-ROSTER FOR SELECTION. |
----------------------------------------------------
----------------------------------------------------
| ROSTER BEHAVIOR: |
| 1. MULTIPLE SELECT ALLOWED. |
| |
| 2. ADD, EDIT, AND DELETE DISALLOWED. |
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----------------------------------------------------
| ROSTER FILTER: |
| NONE. DISPLAY ALL. |
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AS04
====
About how much is the current value of this home? That is,
what would it sell for if sold today?
IF RESPONDENT IS NOT SURE, DO NOT PROBE. SELECT 'DON'T KNOW'.
IF VALUE IS NOTHING, CODE ‘0’.
[Enter Whole $ Value] ................. {AS06}
REF ................................... -7 {AS05}
DK .................................... -8 {AS05}
HELP AVAILABLE FOR DEFINITION OF VALUE.
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| HARD CHECK: |
| AMOUNT SHOULD BE 0 OR A WHOLE DOLLAR AMOUNT |
| $1 - $9,999,999 |
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AS05
====
SHOW CARD AS-1.
Which category on the card best indicates the current value of
this home if sold today?
0 – 10,000 ............................. 1 {AS06}
10,001 – 25,000 ........................ 2 {AS06}
25,001 – 50,000 ........................ 3 {AS06}
50,001 - 100,000 ....................... 4 {AS06}
100,001 - 250,000 ...................... 5 {AS06}
250,001 - 500,000 ...................... 6 {AS06}
500,001 - 1,000,000 .................... 7 {AS06}
1,000,001 OR MORE ...................... 8 {AS06}
REF ................................... -7 {AS06}
DK .................................... -8 {AS06}
[Code One]
AS06
====
Are there any mortgages or other loans outstanding on this home?
YES .................................... 1 {AS07}
NO ..................................... 2 {AS09}
REF ................................... -7 {AS09}
DK .................................... -8 {AS09}
HELP AVAILABLE FOR DEFINITION OF MORTGAGES AND OUTSTANDING LOANS.
AS07
====
How much is currently owed on these mortgages or loans?
IF RESPONDENT IS NOT SURE, DO NOT PROBE. SELECT 'DON'T KNOW'.
[Enter Whole $ Amount Owed] ........... {AS09}
REF ................................... -7 {AS08}
DK .................................... -8 {AS08}
HELP AVAILABLE FOR DEFINITION OF ‘CURRENTLY OWED’.
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| HARD RANGE CHECK: |
| AMOUNT SHOULD BE A WHOLE DOLLAR AMOUNT $1 – |
| $9,999,999 |
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AS08
====
SHOW CARD AS-1.
Which category on the card best indicates the total current
amount owed?
0 – 10,000 ............................. 1 {AS09}
10,001 – 25,000 ........................ 2 {AS09}
25,001 – 50,000 ........................ 3 {AS09}
50,001 - 100,000 ....................... 4 {AS09}
100,001 - 250,000 ...................... 5 {AS09}
250,001 - 500,000 ...................... 6 {AS09}
500,001 - 1,000,000 .................... 7 {AS09}
1,000,001 OR MORE ...................... 8 {AS09}
REF ................................... -7 {AS09}
DK .................................... -8 {AS09}
[Code One]
AS09
====
Does anyone in the family own any transportation vehicles, such
as cars, trucks, vans, or motorcycles? Please do not include
leased vehicles or recreational vehicles, such as trailers, motor
homes, boats, or airplanes.
IF NECESSARY READ: By ‘own’ we mean that someone in the family
living here now has their name on the title(s), even if loan
payments are still being made.
YES .................................... 1 {AS10}
NO ..................................... 2 {AS16}
REF ................................... -7 {AS16}
DK .................................... -8 {AS16}
AS10
====
Who in the family owns the transportation vehicles (such as
cars, trucks, vans, or motorcycles)?
PROBE: Does anyone else in the family own the transportation
vehicles (such as cars, trucks, vans, or motorcycles)?
[1. First Name,[Middle Name],Last Name-65] ...
[2. First Name,[Middle Name],Last Name-65] ...
[3. First Name,[Middle Name],Last Name-65] ...
[Code All That Apply]
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| DISPLAY ‘PERSON DECEASED’ AND ‘PERSON NOT IN RU’ |
| AS THE LAST TWO OPTIONS ON THE ROSTER. |
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| CONTINUE WITH AS11 |
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| ROSTER DETAILS: |
| TITLE: RU_MEMBERS_1 |
| |
| COL # 1 HEADER: NAME |
| INSTRUCTIONS: DISPLAY RU MEMBER’S FIRST, MIDDLE, |
| AND LAST NAMES (PERS.FULLNAME) |
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----------------------------------------------------
| ROSTER DEFINITION: |
| DISPLAY THE RU-MEMBERS-ROSTER FOR SELECTION. |
----------------------------------------------------
----------------------------------------------------
| ROSTER BEHAVIOR: |
| 1. MULTIPLE SELECT ALLOWED. |
| |
| 2. ADD, EDIT, AND DELETE DISALLOWED. |
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| ROSTER FILTER: |
| NONE. DISPLAY ALL. |
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AS11
====
Altogether, what is the current value of the transportation
vehicles (such as cars, trucks, vans, or motorcycles) if they
were sold today?
IF RESPONDENT IS NOT SURE, DO NOT PROBE. SELECT 'DON'T KNOW'.
IF VALUE IS NOTHING, CODE ‘0’.
[Enter Whole $ Value] ................. {AS13}
REF ................................... -7 {AS12}
DK .................................... -8 {AS12}
HELP AVAILABLE FOR DEFINITION OF VALUE.
----------------------------------------------------
| HARD CHECK: |
| AMOUNT SHOULD BE 0 OR A WHOLE DOLLAR AMOUNT |
| $1 - $9,999,999 |
----------------------------------------------------
AS12
====
SHOW CARD AS-2.
Which category on the card best indicates the total current
value of these transportation vehicles (such as cars, trucks,
vans, or motorcycles) if they were sold today?
0 - 100 ................................ 1 {AS13}
101 - 500 .............................. 2 {AS13}
501 - 1,000 ............................ 3 {AS13}
1,001 - 5,000 .......................... 4 {AS13}
5,001 - 10,000 ......................... 5 {AS13}
10,001 - 25,000 ........................ 6 {AS13}
25,001 - 50,000 ........................ 7 {AS13}
50,001 – 100,000 ....................... 8 {AS13}
100,001 OR MORE ....................... 9 {AS13}
REF ................................... -7 {AS13}
DK .................................... -8 {AS13}
[Code One]
AS13
====
Is any money owed or are there any loans outstanding on
these transportation vehicles (such as cars, trucks, vans, or
motorcycles)?
YES .................................... 1 {AS14}
NO ..................................... 2 {AS16}
REF ................................... -7 {AS16}
DK .................................... -8 {AS16}
HELP AVAILABLE FOR DEFINITION OF MONEY OWED AND OUTSTANDING LOANS.
AS14
====
How much is currently owed on these transportation vehicles
(such as cars, trucks, vans, or motorcycles)?
IF RESPONDENT IS NOT SURE, DO NOT PROBE. SELECT 'DON'T KNOW'.
[Enter Whole $ Amount Owed] ........... {AS16}
REF ................................... -7 {AS15}
DK .................................... -8 {AS15}
HELP AVAILABLE FOR DEFINITION OF ‘CURRENTLY OWED’.
----------------------------------------------------
| HARD RANGE CHECK: |
| AMOUNT SHOULD BE A WHOLE DOLLAR AMOUNT $1 – |
| $9,999,999 |
----------------------------------------------------
AS15
====
SHOW CARD AS-2.
Which category on the card best indicates the total current
amount owed?
0 - 100 ................................ 1 {AS16}
101 - 500 .............................. 2 {AS16}
501 - 1,000 ............................ 3 {AS16}
1,001 - 5,000 .......................... 4 {AS16}
5,001 - 10,000 ......................... 5 {AS16}
10,001 - 25,000 ........................ 6 {AS16}
25,001 - 50,000 ........................ 7 {AS16}
50,001 – 100,000 ....................... 8 {AS16}
100,001 OR MORE ....................... 9 {AS16}
REF ................................... -7 {AS16}
DK .................................... -8 {AS16}
[Code One]
AS16
====
Does anyone in the family have any Individual Retirement
Accounts often referred to as IRAs, or other retirement accounts
(such as 401K, 403(b) or Keogh accounts)?
YES .................................... 1 {AS17}
NO ..................................... 2 {AS20}
REF ................................... -7 {AS20}
DK .................................... -8 {AS20}
HELP AVAILABLE FOR DEFINITION OF RETIREMENT ACCOUNTS.
AS17
====
Who in the family has Individual Retirement Accounts (IRAs)
or other retirement accounts (such as 401K, 403(b) or Keogh
accounts)?
PROBE: Does anyone else in the family have these retirement
accounts?
[1. First Name,[Middle Name],Last Name-65] ...
[2. First Name,[Middle Name],Last Name-65] ...
[3. First Name,[Middle Name],Last Name-65] ...
[Code All That Apply]
----------------------------------------------------
| DISPLAY ‘PERSON DECEASED’ AND ‘PERSON NOT IN RU’ |
| AS THE LAST TWO OPTIONS ON THE ROSTER. |
----------------------------------------------------
----------------------------------------------------
| CONTINUE WITH AS18 |
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----------------------------------------------------
| ROSTER DETAILS: |
| TITLE: RU_MEMBERS_1 |
| |
| COL # 1 HEADER: NAME |
| INSTRUCTIONS: DISPLAY RU MEMBER’S FIRST, MIDDLE, |
| AND LAST NAMES (PERS.FULLNAME) |
----------------------------------------------------
----------------------------------------------------
| ROSTER DEFINITION: |
| DISPLAY THE RU-MEMBERS-ROSTER FOR SELECTION. |
----------------------------------------------------
----------------------------------------------------
| ROSTER BEHAVIOR: |
| 1. MULTIPLE SELECT ALLOWED. |
| |
| 2. ADD, EDIT, AND DELETE DISALLOWED. |
----------------------------------------------------
----------------------------------------------------
| ROSTER FILTER: |
| NONE. DISPLAY ALL. |
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AS18
====
Altogether, what is the current value of these retirement
accounts?
IF RESPONDENT IS NOT SURE, DO NOT PROBE. SELECT 'DON'T KNOW'.
[Enter Whole $ Value] ................. {AS20}
REF ................................... -7 {AS19}
DK .................................... -8 {AS19}
HELP AVAILABLE FOR DEFINITION OF VALUE.
----------------------------------------------------
| HARD CHECK: |
| AMOUNT SHOULD BE A WHOLE DOLLAR AMOUNT |
| $1 - $9,999,999 |
----------------------------------------------------
AS19
====
SHOW CARD AS-3.
Which category on the card best indicates the total current
value of these retirement accounts?
0 - 1,000 .............................. 1 {AS20}
1,001 - 5,000 .......................... 2 {AS20}
5,001 - 10,000 ......................... 3 {AS20}
10,001 - 25,000 ........................ 4 {AS20}
25,001 - 50,000 ........................ 5 {AS20}
50,001 - 100,000 ....................... 6 {AS20}
100,001 - 250,000 ...................... 7 {AS20}
250,001 - 500,000 ...................... 8 {AS20}
500,001 OR MORE ........................ 9 {AS20}
REF ................................... -7 {AS20}
DK .................................... -8 {AS20}
[Code One]
AS20
====
Does anyone in the family have any bank accounts, including
checking accounts, savings accounts, or money market accounts?
Please do not include any bank accounts that we have already
talked about.
YES .................................... 1 {AS21}
NO ..................................... 2 {AS24}
REF ................................... -7 {AS24}
DK .................................... -8 {AS24}
HELP AVAILABLE FOR DEFINITION OF BANK ACCOUNTS.
AS21
====
Who in the family has bank accounts, including checking
accounts, savings accounts, or money market accounts?
PROBE: Does anyone else in the family have bank accounts,
including checking accounts, savings accounts, or money
market accounts?
[1. First Name,[Middle Name],Last Name-65] ...
[2. First Name,[Middle Name],Last Name-65] ...
[3. First Name,[Middle Name],Last Name-65] ...
[Code All That Apply]
----------------------------------------------------
| DISPLAY ‘PERSON DECEASED’ AND ‘PERSON NOT IN RU’ |
| AS THE LAST TWO OPTIONS ON THE ROSTER. |
----------------------------------------------------
----------------------------------------------------
| CONTINUE WITH AS22 |
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----------------------------------------------------
| ROSTER DETAILS: |
| TITLE: RU_MEMBERS_1 |
| |
| COL # 1 HEADER: NAME |
| INSTRUCTIONS: DISPLAY RU MEMBER’S FIRST, MIDDLE, |
| AND LAST NAMES (PERS.FULLNAME) |
----------------------------------------------------
----------------------------------------------------
| ROSTER DEFINITION: |
| DISPLAY THE RU-MEMBERS-ROSTER FOR SELECTION. |
----------------------------------------------------
----------------------------------------------------
| ROSTER BEHAVIOR: |
| 1. MULTIPLE SELECT ALLOWED. |
| |
| 2. ADD, EDIT, AND DELETE DISALLOWED. |
----------------------------------------------------
----------------------------------------------------
| ROSTER FILTER: |
| NONE. DISPLAY ALL. |
----------------------------------------------------
AS22
====
Altogether, what is the current value of these bank accounts?
IF RESPONDENT IS NOT SURE, DO NOT PROBE. SELECT 'DON'T KNOW'.
IF VALUE IS NOTHING, CODE ‘0’.
[Enter Whole $ Value] ................. {AS24}
REF ................................... -7 {AS23}
DK .................................... -8 {AS23}
HELP AVAILABLE FOR DEFINITION OF VALUE.
----------------------------------------------------
| HARD CHECK: |
| AMOUNT SHOULD BE 0 OR A WHOLE DOLLAR AMOUNT |
| $1 - $9,999,999 |
----------------------------------------------------
AS23
====
SHOW CARD AS-2.
Which category on the card best indicates the total current
value of these bank accounts?
0 – 100 ................................ 1 {AS24}
101 - 500 .............................. 2 {AS24}
501 - 1,000 ............................ 3 {AS24}
1,001 - 5,000 .......................... 4 {AS24}
5,001 - 10,000 ......................... 5 {AS24}
10,001 - 25,000 ........................ 6 {AS24}
25,001 - 50,000 ........................ 7 {AS24}
50,001 – 100,000 ....................... 8 {AS24}
100,001 OR MORE ....................... 9 {AS24}
REF ................................... -7 {AS24}
DK .................................... -8 {AS24}
[Code One]
AS24
====
Now think about the approximate value of some other financial
assets your family may own. Does anyone in the family have any
of the following assets: certificates of deposit (CDs),
government savings bonds, individual development accounts,
treasury bills, bonds, bond mutual funds, shares of stock, stock
mutual funds, education savings accounts, annuities, trusts to
which they are beneficiaries, or other financial assets?
Please do not include any accounts or assets that we have already
talked about.
YES .................................... 1 {AS25}
NO ..................................... 2 {AS28}
REF ................................... -7 {AS28}
DK .................................... -8 {AS28}
HELP AVAILABLE FOR DEFINITION OF OTHER ACCOUNTS OR FINANCIAL ASSETS.
AS25
====
Who in the family owns these other financial assets [such as
certificates of deposit (CDs), government savings bonds,
individual development accounts, treasury bills, bonds, bond
mutual funds, shares of stock, stock mutual funds, education
savings accounts, annuities, trusts to which they are
beneficiaries, or other financial assets]?
PROBE: Does anyone else in the family own these other financial
assets?
[1. First Name,[Middle Name],Last Name-65] ...
[2. First Name,[Middle Name],Last Name-65] ...
[3. First Name,[Middle Name],Last Name-65] ...
[Code All That Apply]
----------------------------------------------------
| DISPLAY ‘PERSON DECEASED’ AND ‘PERSON NOT IN RU’ |
| AS THE LAST TWO OPTIONS ON THE ROSTER. |
----------------------------------------------------
----------------------------------------------------
| CONTINUE WITH AS26 |
----------------------------------------------------
----------------------------------------------------
| ROSTER DETAILS: |
| TITLE: RU_MEMBERS_1 |
| |
| COL # 1 HEADER: NAME |
| INSTRUCTIONS: DISPLAY RU MEMBER’S FIRST, MIDDLE, |
| AND LAST NAMES (PERS.FULLNAME) |
----------------------------------------------------
----------------------------------------------------
| ROSTER DEFINITION: |
| DISPLAY THE RU-MEMBERS-ROSTER FOR SELECTION. |
----------------------------------------------------
----------------------------------------------------
| ROSTER BEHAVIOR: |
| 1. MULTIPLE SELECT ALLOWED. |
| |
| 2. ADD, EDIT, AND DELETE DISALLOWED. |
----------------------------------------------------
----------------------------------------------------
| ROSTER FILTER: |
| NONE. DISPLAY ALL. |
----------------------------------------------------
AS26
====
Altogether, what is the current value of these accounts or
other financial assets?
IF RESPONDENT IS NOT SURE, DO NOT PROBE. SELECT 'DON'T KNOW'.
IF VALUE IS NOTHING, CODE ‘0’.
[Enter Whole $ Value] ................. {AS28}
REF ................................... -7 {AS27}
DK .................................... -8 {AS27}
HELP AVAILABLE FOR DEFINITION OF VALUE.
----------------------------------------------------
| HARD CHECK: |
| AMOUNT SHOULD BE 0 OR A WHOLE DOLLAR AMOUNT |
| $1 - $9,999,999 |
----------------------------------------------------
AS27
====
SHOW CARD AS-3.
Which category on the card best indicates the total current
value of these accounts or other financial assets?
0 - 1,000 .............................. 1 {AS28}
1,001 - 5,000 .......................... 2 {AS28}
5,001 - 10,000 ......................... 3 {AS28}
10,001 - 25,000 ........................ 4 {AS28}
25,001 - 50,000 ........................ 5 {AS28}
50,001 - 100,000 ....................... 6 {AS28}
100,001 - 250,000 ...................... 7 {AS28}
250,001 - 500,000 ...................... 8 {AS28}
500,001 OR MORE ........................ 9 {AS28}
REF ................................... -7 {AS28}
DK .................................... -8 {AS28}
[Code One]
AS28
====
Now please think about the approximate value of all other
property and assets your family may own. Does anyone in the
family have any of the following assets: second homes, rental
real estate, a business or farm, money owed to you by persons
outside of the family, boats or other recreational vehicles, or
other significant assets such as jewelry, art work or antiques?
Please do not include any property or assets we have already
talked about.
YES .................................... 1 {AS29}
NO ..................................... 2 {AS35}
REF ................................... -7 {AS35}
DK .................................... -8 {AS35}
HELP AVAILABLE FOR DEFINITION OF ALL OTHER PROPERTY AND ASSETS.
AS29
====
Who in the family owns these other properties and assets
[such as second homes, rental real estate, a business or farm,
money owed to you by persons outside of the family, boats or
other recreational vehicles, or other significant assets such
as jewelry, art work or antiques]?
PROBE: Does anyone else in the family own other properties
or assets?
[1. First Name,[Middle Name],Last Name-65] ...
[2. First Name,[Middle Name],Last Name-65] ...
[3. First Name,[Middle Name],Last Name-65] ...
[Code All That Apply]
----------------------------------------------------
| DISPLAY ‘PERSON DECEASED’ AND ‘PERSON NOT IN RU’ |
| AS THE LAST TWO OPTIONS ON THE ROSTER. |
----------------------------------------------------
----------------------------------------------------
| CONTINUE WITH AS30 |
----------------------------------------------------
----------------------------------------------------
| ROSTER DETAILS: |
| TITLE: RU_MEMBERS_1 |
| |
| COL # 1 HEADER: NAME |
| INSTRUCTIONS: DISPLAY RU MEMBER’S FIRST, MIDDLE, |
| AND LAST NAMES (PERS.FULLNAME) |
----------------------------------------------------
----------------------------------------------------
| ROSTER DEFINITION: |
| DISPLAY THE RU-MEMBERS-ROSTER FOR SELECTION. |
----------------------------------------------------
----------------------------------------------------
| ROSTER BEHAVIOR: |
| 1. MULTIPLE SELECT ALLOWED. |
| |
| 2. ADD, EDIT, AND DELETE DISALLOWED. |
----------------------------------------------------
----------------------------------------------------
| ROSTER FILTER: |
| NONE. DISPLAY ALL. |
----------------------------------------------------
AS30
====
Altogether, what is the current value of these other properties
and assets if sold today?
IF RESPONDENT IS NOT SURE, DO NOT PROBE. SELECT 'DON'T KNOW'.
IF VALUE IS NOTHING, CODE ‘0’.
[Enter Whole $ Value] ................. {AS32}
REF ................................... -7 {AS31}
DK .................................... -8 {AS31}
HELP AVAILABLE FOR DEFINITION OF VALUE.
----------------------------------------------------
| HARD CHECK: |
| AMOUNT SHOULD BE 0 OR A WHOLE DOLLAR AMOUNT |
| $1 - $9,999,999 |
----------------------------------------------------
AS31
====
SHOW CARD AS-3.
Which category on the card best indicates the total current
value of these other properties and assets if sold today?
0 - 1,000 .............................. 1 {AS32}
1,001 - 5,000 .......................... 2 {AS32}
5,001 - 10,000 ......................... 3 {AS32}
10,001 - 25,000 ........................ 4 {AS32}
25,001 - 50,000 ........................ 5 {AS32}
50,001 - 100,000 ....................... 6 {AS32}
100,001 - 250,000 ...................... 7 {AS32}
250,001 - 500,000 ...................... 8 {AS32}
500,001 OR MORE ........................ 9 {AS32}
REF ................................... -7 {AS32}
DK .................................... -8 {AS32}
[Code One]
AS32
====
Is any money owed or are there any loans outstanding on these
other properties and assets [such as second homes, rental real
estate, a business or farm, boats or other recreational vehicles,
or other significant assets]?
YES .................................... 1 {AS33}
NO ..................................... 2 {AS35}
REF ................................... -7 {AS35}
DK .................................... -8 {AS35}
HELP AVAILABLE FOR DEFINITION OF MONEY OWED AND OUTSTANDING LOANS.
AS33
====
How much is currently owed for these other properties and assets
[such as second homes, rental real estate, a business or farm,
boats or other recreational vehicles, or other significant
assets]?
IF RESPONDENT IS NOT SURE, DO NOT PROBE. SELECT 'DON'T KNOW'.
[Enter Whole $ Amount Owed] ........... {AS35}
REF ................................... -7 {AS34}
DK .................................... -8 {AS34}
HELP AVAILABLE FOR DEFINITION OF ‘CURRENTLY OWED’.
----------------------------------------------------
| HARD RANGE CHECK: |
| AMOUNT SHOULD BE A WHOLE DOLLAR AMOUNT $1 – |
| $9,999,999 |
----------------------------------------------------
AS34
====
SHOW CARD AS-3.
Which category on the card best indicates the total current
amount owed?
0 - 1,000 .............................. 1 {AS35}
1,001 - 5,000 .......................... 2 {AS35}
5,001 - 10,000 ......................... 3 {AS35}
10,001 - 25,000 ........................ 4 {AS35}
25,001 - 50,000 ........................ 5 {AS35}
50,001 - 100,000 ....................... 6 {AS35}
100,001 - 250,000 ...................... 7 {AS35}
250,001 - 500,000 ...................... 8 {AS35}
500,001 OR MORE ........................ 9 {AS35}
REF ................................... -7 {AS35}
DK .................................... -8 {AS35}
[Code One]
AS35
====
Does anyone in the family have any debts that we haven’t asked
about, such as credit card balances, debts owed to medical
providers, life insurance policy loans, loans from relatives,
and so forth?
Please exclude any debts we have already discussed, such as
debts related to your home, vehicles, second homes, rental real
estate, a business or farm, boats or other recreational vehicles,
and other significant assets.
YES .................................... 1 {AS36}
NO ..................................... 2 {BOX_01}
REF ................................... -7 {BOX_01}
DK .................................... -8 {BOX_01}
HELP AVAILABLE FOR DEFINITION OF DEBTS.
AS36
====
Who in the family has these debts [such as credit card balances,
debts owed to medical providers, life insurance policy loans,
loans from relatives and so forth]?
PROBE: Does anyone else in the family have these debts?
[1. First Name,[Middle Name],Last Name-65] ...
[2. First Name,[Middle Name],Last Name-65] ...
[3. First Name,[Middle Name],Last Name-65] ...
[Code All That Apply]
----------------------------------------------------
| DISPLAY ‘PERSON DECEASED’ AND ‘PERSON NOT IN RU’ |
| AS THE LAST TWO OPTIONS ON THE ROSTER. |
----------------------------------------------------
----------------------------------------------------
| CONTINUE WITH AS37 |
----------------------------------------------------
----------------------------------------------------
| ROSTER DETAILS: |
| TITLE: RU_MEMBERS_1 |
| |
| COL # 1 HEADER: NAME |
| INSTRUCTIONS: DISPLAY RU MEMBER’S FIRST, MIDDLE, |
| AND LAST NAMES (PERS.FULLNAME) |
----------------------------------------------------
----------------------------------------------------
| ROSTER DEFINITION: |
| DISPLAY THE RU-MEMBERS-ROSTER FOR SELECTION. |
----------------------------------------------------
----------------------------------------------------
| ROSTER BEHAVIOR: |
| 1. MULTIPLE SELECT ALLOWED. |
| |
| 2. ADD, EDIT, AND DELETE DISALLOWED. |
----------------------------------------------------
----------------------------------------------------
| ROSTER FILTER: |
| NONE. DISPLAY ALL. |
----------------------------------------------------
AS37
====
How much do these debts amount to?
IF RESPONDENT IS NOT SURE, DO NOT PROBE. SELECT 'DON'T KNOW'.
[Enter Whole $ Amount Owed] ........... {BOX_01}
REF ................................... -7 {AS38}
DK .................................... -8 {AS38}
HELP AVAILABLE FOR DEFINITION OF ‘DEBTS AMOUNT TO’.
----------------------------------------------------
| HARD RANGE CHECK: |
| AMOUNT SHOULD BE A WHOLE DOLLAR AMOUNT $1 – |
| $9,999,999 |
----------------------------------------------------
AS38
====
SHOW CARD AS-3.
Which category on the card best indicates the total current
amount owed?
0 - 1,000 .............................. 1 {BOX_01}
1,001 - 5,000 .......................... 2 {BOX_01}
5,001 - 10,000 ......................... 3 {BOX_01}
10,001 - 25,000 ........................ 4 {BOX_01}
25,001 - 50,000 ........................ 5 {BOX_01}
50,001 - 100,000 ....................... 6 {BOX_01}
100,001 - 250,000 ...................... 7 {BOX_01}
250,001 - 500,000 ...................... 8 {BOX_01}
500,001 OR MORE ........................ 9 {BOX_01}
REF ................................... -7 {BOX_01}
DK .................................... -8 {BOX_01}
[Code One]
BOX_01
======
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| GO TO NEXT QUESTIONNAIRE SECTION. |
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| File Type | application/msword |
| File Title | MEPS Assets - P12R5/P13R3/P14R1 |
| Subject | AS Supplemental Section Item Specifications |
| Author | Agency for Healthcare Research and Quality |
| Last Modified By | wcarroll |
| File Modified | 2009-07-08 |
| File Created | 2009-07-08 |