Evaluation of the Veterans Homelessness Prevention Demonstration
VHPD FOLLOW-UP INTERVIEW
Interviewer: Please fill out any blanks on this page before you begin the interview. CATI will already have filled in the site and R ID number [delete if CATI fills it all in]
Interviewer Name: _______________________________
VHPD Site |
R ID Number |
Interview Date |
Start Time |
End Time |
1 – Utica/NY 2 – Tampa/FL 3 – Austin/TX 4 – San Diego/CA 5 – Tacoma/WA |
__________ |
___ / ___ / ___ |
____: _____ |
____: _____ |
CATI insert the following information in the right places in the follow-up, based on answers to baseline interview
Date of baseline interview
Date that VHPD rent subsidy ended
Type of place at baseline—own place, someone else’s place, homeless
R lived alone at baseline, or with others (if homeless w/o family, then “alone”)
Whether R was working at baseline (Baseline E7 = 1)
Instructions to interviewer are in pink
Instructions pertaining to CATI programming are in yellow
[READ ALOUD] Hi, my name is ______________. I’m calling from Silber & Associates, a research firm based in Baltimore. As you’ll recall, we talked on [INSERT DATE of baseline interview], just as you were enrolling in the Veterans Homelessness Prevention Demonstration (VHPD), about your situation and your housing needs. I’m talking to people such as yourself who have participated in a program to help veterans keep their housing, or get back into housing if they have lost it. We are interested in learning about how things are for you now, and how VHPD may have helped, or may still be helping, you and your family.
As before, I’ll be asking you a series of questions about your living situation (housing, who lives with you), income and employment, housing cost, health and well-being, and anything that may be making it hard at present for you to stay stably housed. I’ll also be asking you about the VHPD program you participated in, and the ways you think the program has affected your current situation.
HUD, the VA, and the Department of Labor, the federal partners sponsoring VHPD, are very interested in helping veterans avoid homelessness. They hope to learn from your experiences with the VHPD program about the ways they might be able to help veterans who find themselves in need of help keep their housing. Your participation in this study will help the VA and HUD to improve programs for veterans like you across the country. Your participation is voluntary; you may stop the interview at any time. If any question makes you feel uncomfortable, you can refuse to answer that question. The information you provide will be kept confidential and only used for this study to the extent allowed by the Privacy Act of 1974.. The collection of this information has been approved by the Office of Management and Budget.
SECTION A. HOUSING NOW AND SINCE BASELINE
A1. Are you living in the same place you were when we last talked, which was in [INSERT MONTH AND YEAR OF BASELINE INTERVIEW]?
YES (ASK A2) 1
NO (SKIP TO BOX 1) 0
DON’T KNOW (SKIP TO BOX 1) 7
REFUSED (SKIP TO BOX 1) 8
A2. Have you and your family been living here the whole time since we last talked, which was in__[ INSERT MONTH AND YEAR OF BASELINE INTERVIEW]?
YES (GO TO BOX 1) 1
NO (GO TO BOX 1) 0
DON’T KNOW (GO TO BOX 1) 7
REFUSED (GO TO BOX 1) 8
BOX 1
01 R LIVING IN SAME PLACE AS AT BASELINE AND HAS LIVED THERE THE ENTIRE TIME SINCE BASELINE
[(A1 = 1) AND (A2 = 1)]
[GO TO A9]
02 R LIVING IN SAME PLACE AS AT BASELINE BUT HAS NOT LIVED THERE THE ENTIRE TIME SINCE BASELINE
[(A1 = 1) AND (A2 = 0, 7, 8)]
[GO TO A3]
03 R LIVING SOMEWHERE DIFFERENT THAN AT BASELINE
[(A1 = 2)]
[GO TO A3]
04 OTHERWISE
[A1 = 7 OR 8]
[GO TO A3]
A3. How long have you lived or stayed in the place you are living now?
Less than 1 month 1
1 to 3 months 2
3 to 6 months 3
6 to 12 months 4
More than 12 months 5
Don’t Know 7
Refused 8
A4 Please describe the place you are living now. Is that your own place—that is, a house or apartment that you rent, and the lease is in your name or you and your spouse/partner’s names jointly.
YES (ASK A4a) 1
NO (SKIP TO A5) 0
DON’T KNOW (SKIP TO A5) 7
REFUSED (SKIP TO A5) 8
A4a. Do you own that place, or do you rent it?
Own it (SKIP TO A7) 1
Rent it (SKIP TO A7) 2
DON’T KNOW (SKIP TO A7) 7
REFUSED (SKIP TO A7) 8
A5. Is it someone else’s place, for instance, the place of your parents, other relatives, or friends?
YES (SKIP TO A7)) 1
NO (ASK A6) 0
DON’T KNOW (ASK A6) 7
REFUSED (ASK A6) 8
A6 Could you tell me, then, which one of the following best describes where you are living at the now? I’ll start reading some possibilities – stop when I read the one where you are living now [INTERVIEWER: start reading options, stop when R indicates the right one, and mark that answer]
An emergency shelter or domestic violence shelter |
01 |
A voucher hotel or motel (paid for by a homeless or government program) |
02 |
Housing paid for by the VA’s Grant & Per Diem program |
03 |
A transitional housing program |
04 |
Anywhere not meant for habitation—e.g., a car, truck, RV, or trailer; an abandoned building, in parks, on the streets, in camping grounds, anywhere outside |
05 |
A hotel or motel you paid for yourself |
06 |
A VA residential drug or alcohol treatment program—only for vets |
07 |
A residential drug or alcohol treatment program for anyone—not just for vets |
08 |
A VA hospital |
09 |
Any other hospital—i.e., not a hospital run by the VA |
10 |
Jail or prison |
11 |
A permanent housing program for people with disabilities who have been homeless, with services and caseworkers to help you keep your housing |
12 |
OTHER SPECIFY: __________________________ |
13 |
Don’t Know |
97 |
Refused |
98 |
SKIP TO A8
A7. Can you tell me about the house, apartment, or living space you live in now. Overall, how would you describe the condition of your current house, apartment, or living space? Would you say it was in excellent, good, fair, or poor condition?
EXCELLENT 1
GOOD 2
FAIR 3
POOR 4
DON’T KNOW 7
REFUSED 8
A8 Including the place you lived when we last talked that is, since [INSERT DATE] and the place you are living now, how many different places have you lived?
2 places 1
3 places 2
4 places 3
5 or more places 4
Don’t Know 7
Refused 8
A8a. Other than the place you are living now, we’d like to know all the types of places you lived or stayed since we last talked, that is, since [INSERT DATE] During that time, did you live or stay in any of the following places? [READ RESPONSES AND MARK “YES” OR “NO” FOR ALL THAT APPLY.]
A6a1. In my own place (lease was in your name or you owned it) Y/N/DK/Ref
A8a2. In someone else’s place (relative, partner, or friend) Y/N/DK/Ref
A8a3. In a shelter for homeless people/victims of domestic violence Y/N/DK/Ref
A8a4. In my car/truck, abandoned building, somewhere outside, or a place not meant for habitation Y/N/DK/Ref
A8a5. In a hospital, treatment program, jail, prison, other institution Y/N/DK/Ref
A8a6. Some other type of place Y/N/DK/Ref
A9. Since you began participating in VHPD, have you received any of the following types of assistance from that program…? [INTERVIEWER: read each option, record answer]
A91a. Paying off rent arrears—back rent you owed Y/N/DK/Ref
A9b. Paying deposit on different apartment Y/N/DK/Ref
A9c. Paying one or more month’s rent going forward Y/N/DK/Ref
A9d. Helping negotiate with current or new landlord Y/N/DK/Ref
A9e. Paying utility bill arrears—what you owed for old utility bills Y/N/DK/Ref
A9f. Negotiating with utility companies to set up a repayment schedule I could
handle, and/or lower my rate for the future Y/N/DK/Ref
A11g. Paying some or all of the costs of moving into a new place Y/N/DK/Ref
A11h. Helping get furniture and furnishings Y/N/DK/Ref
A10. [ASK if any “yeses” to A9] Did you get what you needed from the services you’ve just mentioned?
Yes, helped very much 2
Yes, helped somewhat 1
No, did not help 0
DON’T KNOW 7
REFUSED 8
A11. Some people are able to get help during a housing crisis from family, friends, or other people they know in the community. Did you get any help with rent, utilities, moving costs, or finding a new place from any of these types of people? [INTERVIEWER: IF NECESSARY, CLARIFY THAT YOU MEAN PEOPLE OTHER THAN THE VHPD PROGRAMS]
YES (ASK A11a) 1
NO (SKIP TO SECTION B) 0
DON’T KNOW (SKIP TO SECTION B) 7
REFUSED (SKIP TO SECTION B) 8
A11a. Would you say that the help you received from [PN-HL], [PN-VA] or [PH-DOL] for your housing needs was more useful than the help you got from your family, friends, and other people in your community less useful, or about equally useful?
MORE USEFUL 3
ABOUT EQUALLY USEFUL 2
LESS USEFUL 1
DON’T KNOW 7
REFUSED 8
SECTION B. HOUSEHOLD COMPOSITION
Now I’d like to ask you some questions about the people you live with now.
B1. Please tell me all the people you live with now. [Mark all that apply]
B1a. You live by yourself, no one else lives with you (enter “1” in B1k1 and skip to B2)... y/n/dk/r
B1b. Your children (if asked, “including someone else’s children
you are responsible for”) Y/N/DK/Ref
B1b1. (ASKI IF B1b = Y) How Many? ____________
B1c. Someone else’s children (not your responsibility) Y/N/DK/Ref
B1c1. (ASK IF B1c = Y) How Many? ____________
B1d. Your spouse Y/N/DK/Ref
B1e. Your boy/girlfriend/partner Y/N/DK/Ref
B1f. Your parent(s) or your spouse/partner/boy/girlfriend’s parent(s) Y/N/DK/Ref
B1g. Other relatives of yours or your spouse/partner/boy/girlfriend’s Y/N/DK/Ref
B1h. Friends Y/N/DK/Ref
B1i. Roommates Y/N/DK/Ref
B1j. Lodger(s), Boarder(s), anyone else Y/N/DK/Ref
B1k. How many adults and how many children would that be, in total, counting yourself?
B1k1. Number of adults (18 and older) _______________
B1k2. Number of children (17 and younger) ___________
B2. Are these the same people as you were living with since we last talked, that is, since [INSERT DATE]?
Yes 1
No 0
DON’T KNOW 7
REFUSED 8
B3. (IF B1b = Y) Thinking about the children who live with you now and for whom you have responsibility, how many of them are
B3a. Aged 0 (newborn) through 5?
NUMBER OF CHILDREN ______________
DON’T KNOW -1
REFUSED -2
B3b. Aged 6 through 17?
NUMBER OF CHILDREN ______________
DON’T KNOW -1
REFUSED -2
B3c. Adults—that is, aged 18 or older?
NUMBER OF CHILDREN ______________
DON’T KNOW -1
REFUSED -2
BOX 2
01 R has school aged children (age 6 through 17)
[B3b >0]
GO TO B4
02 R does not have school aged children (age 6 through 17)
[B3b = 0, -1, OR -2]
GO TO SECTION C
B4. You just told me that [CATI FILL IN NUMBER GIVEN IN B3b] of the children living with you are aged 6 to 17. I’d like to ask you a few questions about them. Before you enrolled in VHPD, were all of these children attending school regularly, or did some of them have trouble attending regularly?
All of them attended regularly 3
Some had problems attending school, mainly because of our housing situation 2
Some had problems attending school, but not mainly because of our housing situation 1
DON’T KNOW 7
REFUSED 8
B5. During the time since you enrolled in VHPD until the present, , have all of your school-age children attended school regularly, or have some of them had trouble attending regularly?
All of them have been attending regularly 3
Some had problems attending school, mainly because of our housing situation 2
Some had problems attending school, but not mainly because of our housing situation 1
DON’T KNOW 7
REFUSED 8
SECTION C: HOUSING BARRIERS
C1: Since we last talked, that is since [INSERT MONTH AND YEAR], have you had trouble keeping the housing you had, or have you had to move?
No (SKIP TO SECTION D) 0
Yes, had trouble keeping the housing I had (ASK C2) 1
Yes, had to move (ASK C2) 2
Yes, both, I had trouble keeping my old housing, and I had to move (ASK C2) 3
DON’T KNOW (ASK C2) 7
REFUSED (ASK C2) 8
C2. Many things may make it difficult for people to keep the housing they have or to find new housing if they need to. I’m going to read a number of reasons why people might have trouble keeping their housing or finding new housing. Please tell me if you think this has been a big problem, a small problem, or no problem for you since we last talked---that would be in [insert month and year].
When trying to keep the housing you have/had, is/was … |
Big |
Small problem |
No problem at all |
DON’T KNOW |
REF |
C2a. Not having enough income to pay rent or utilities a... |
3 |
2 |
1 |
7 |
8 |
C2b. Not having enough money to pay a security or utility deposit or first/last month’s rent a… |
3 |
2 |
1 |
7 |
8 |
C2c. Owing too much back rent or utilities a … |
3 |
2 |
1 |
7 |
8 |
C2d. Not being currently employed a… |
3 |
2 |
1 |
7 |
8 |
C2e. Sudden loss of income because you lost a job or got sick and couldn’t work a … |
3 |
2 |
1 |
7 |
8 |
C2f. Sudden loss of income because another household member lost a job, got sick and couldn’t work, or let the household (e.g. because of divorce, etc.) a … |
3 |
2 |
1 |
7 |
8 |
C2g. Having conflicts with people you live with a … |
3 |
2 |
1 |
7 |
8 |
C2h. Having trouble with drugs or alcohol a … |
3 |
2 |
1 |
7 |
8 |
C2i. Having emotional problems, depression a … |
3 |
2 |
1 |
7 |
8 |
C2j. Violence among the people you live(d) with a … |
3 |
2 |
1 |
7 |
8 |
C2k. Poor credit history and/or no rent history a … |
3 |
2 |
1 |
7 |
8 |
C2l. History of trouble with landlords, evictions, lease violations a… |
3 |
2 |
1 |
7 |
8 |
C2m. Being a veteran or the type of discharge you have a… |
3 |
2 |
1 |
7 |
8 |
C2n. Having a criminal record a … |
3 |
2 |
1 |
7 |
8 |
SECTION D. EDUCATION AND TRAINING
D1. Have you completed any school since we last talked---that would be in [insert month and year, or “about ____ months ago”]. If yes, what grade or school did you complete and get credit for? [MARK ONLY NEW COMPLETIONS. IF NONE, MARK “DID NOT COMPLETE ANY MORE EDUCATION]
Did not complete any more education 0
GED 1
High school diploma 2
Some college or 2-year degree 3
Finished 4-year degree 4
Master’s degree or equivalent 5
Other 6
DON’T KNOW 7
REFUSED 8
D2. Since we last talked, have you completed a vocational, trade, or business program?
Yes (ask D3) 1
No (skip to D5) 0
DON’T KNOW (SKIP TO D5) 7
REFUSED (SKIP TO D5) 8
D3. What kind of schooling or training was that? [INTERVIEWER: MARK ALL THAT APPLY]
D3a. Regular schooling leading to a degree (AA, BA, etc.) Y/N/DK/Ref
D3b. Regular schooling leading to a vocational or professional
license or certification Y/N/DK/Ref
D3c. General equivalency diploma (GED) Y/N/DK/Ref
D3d. English as a second language (ESL) Y/N/DK/Ref
D3e. Computer training Y/N/DK/Ref
D3f. Apprenticeship / on-the-job training Y/N/DK/Ref
D3g. Vocational rehabilitation Y/N/DK/Ref
D3h. OTHER Y/N/DK/Ref
D4. Did _________________ help you get that schooling / training? [Insert each program name in turn]
D4a. [PN-HL] Y/N/DK/Ref
D4b. [PN-VA] Y/N/DK/Ref
D4c. [PN-DOL] Y/N/DK/Ref
D4d. Other agency Y/N/DK/Ref
D4e. Some people are able to get help with education and training from family, friends, or other people they know in the community. Did you get any help with school or training from these types of people? [INTERVIEWER: IF NECESSARY, CLARIFY THAT YOU MEAN PEOPLE OTHER THAN THE VHPD PROGRAMS]
YES (ASK D4f) 1
NO (SKIP TO D5) 0
DON’T KNOW (SKIP TO D5) 7
REFUSED (SKIP TO D58) 8
D4f. Would you say that the help you received from [PN-HL], [PN-VA] and [PH-DOL] for school or training was more useful than the help you got from your family, friends, or other people in your community less useful, or about equally useful?
MORE USEFUL 3
ABOUT EQUALLY USEFUL 2
LESS USEFUL 1
DON’T KNOW 7
REFUSED 8
D5. Are you now participating in any additional schooling or training program that (has) lasted at least two weeks that was designed to help you find a job, improve your job skills, or learn a new job [INTERVIEWER: if R is usually in school or training but at time of interview is not – e.g. because no summer school is offered – record answer as “Yes”]?
YES (ASK D6) 1
NO (SKIP TO D8) 0
DON’T KNOW (SKIP TO D8) 7
REFUSED (SKIP TO D8) 8
D6. What kind of schooling or training is that? [MARK ALL THAT APPLY]
D6a. Regular schooling leading to a degree (AA, BA, etc.) Y/N/DK/Ref
D6b. Regular schooling leading to a vocational or professional
license or certification Y/N/DK/Ref
D6c. General equivalency diploma (GED) Y/N/DK/Ref
D6d. English as a second language (ESL) Y/N/DK/Ref
D6e. Computer training Y/N/DK/Ref
D6f. Apprenticeship / on-the-job training Y/N/DK/Ref
D6g. Vocational rehabilitation Y/N/DK/Ref
D6h. OTHER Y/N/DK/Ref
DON’T KNOW 7
REFUSED 8
D7. Did _________________ help you get that schooling / training? [Insert each program name in turn]
D7a. [PN-HL] Y/N/DK/Ref
D7b. [PN-VA] Y/N/DK/Ref
D7c. [PN-DOL] Y/N/DK/Ref
D7d. [Other agency] Y/N/DK/Ref
D8. Did the Post 9/11 GI Bill help to pay your tuition and/or other school costs, or is it still doing so?
YES 1
NO 0
DON’T KNOW 7
REFUSED 8
SECTION E. INCOME AND EMPLOYMENT
E1. Have you or anyone in your household received any income from any source in past 30 days?
YES (ASK E2) 1
NO (SKIP TO E3) 0
REFUSED (SKIP TO E3) 7
DON’T KNOW (SKIP TO E3) 8
E2. In the past 30 days, have you or anyone in your household received any income from … ?
|
NO |
YES |
DK |
Ref |
E2a. Income from a job |
0 |
1 |
-2 |
-1 |
E2b. Unemployment Insurance |
0 |
1 |
-2 |
-1 |
E2c. Supplemental Security Income (SSI) |
0 |
1 |
-2 |
-1 |
E2d. Social Security Disability Income (SSDI) |
0 |
1 |
-2 |
-1 |
E2e. Veterans pension/payment from the VA |
0 |
1 |
-2 |
-1 |
E2f. Temporary Assistance for Needy Families (TANF) (or use local program name) |
0 |
1 |
-2 |
-1 |
E2g. General Assistance (GA) (or use local program name) |
0 |
1 |
-2 |
-1 |
E2h. Money from family or friends |
0 |
1 |
-2 |
-1 |
E2i. Other source |
0 |
1 |
-2 |
-1 |
E3. In the past 30 days, did the Post 9/11 GI Bill, an education or training allowance from the VA, or a scholarship or grant provide you with income or resources that you could use to cover expenses?
YES 1
USUALLY YES, BUT NO CLASSES RIGHT NOW 2
NO 0
REFUSED 7
DON’T KNOW 8
E4. Since you began participating in [PN-HL], have you received any of the following types of assistance from that program…? [INTERVIEWER: read each option, record answer]
E4a. Helping to get food stamps, child care, TANF, other public benefits Y/N/DK/Ref
E4b. Connecting to [PN-DOL] to help with employment Y/N/DK/Ref
E4c. Help from [PN-VA] to get any allowances, grants, or other support that
the VA has for veterans Y/N/DK/Ref
E4d. Any other help to increase your income or resources Y/N/DK/Ref
E5. [If any “yeses” to E4] Did you get what you needed from the services you’ve just mentioned?
Yes, helped very much 2
Yes, helped somewhat 1
No, did not help 0
DON’T KNOW 7
REFUSED 8
E6. What was your household’s total income in the past 30 days?
PER MONTH: $____________.00 (FOUR DIGITS, ROUNDED TO THE DOLLAR) (SKIP TO E7)
(EXPECTED RANGE = $1 – 3000)
DON’T KNOW (ASK E6a) -1
REFUSED (ASK E6a) -2
E6a. [ASK IF E6 = -1 or -2], Can you give me range? Was your total household income last month:
Under $500 1
$500 - < $750 2
$750 - < $1000 3
$1000 - < $1500 4
$1500 - < $2000 5
More than $2000 per month 6
DON’T KNOW 7
REFUSED 8
E7. In the past 30 days, did you or anyone in the household receive (or are you on) any of the following benefits: …
|
NO |
YES |
DK |
REF |
E7a. Food Stamps (officially called Supplemental Nutrition Assistance Program (SNAP) |
0 |
1 |
-1 |
-2 |
E7b. Medicaid health insurance program (or Medi-Cal for San Diego) |
0 |
1 |
-1 |
-2 |
E7c. Medicare health insurance program |
0 |
1 |
-1 |
-2 |
E7d. State Children’s Health Insurance Program (or use local name) |
0 |
1 |
-1 |
-2 |
E7e. Temporary rental assistance from VHPD |
0 |
1 |
-1 |
-2 |
E7f. Temporary rental assistance from some other program |
0 |
1 |
-1 |
-2 |
E7g. Other source |
0 |
1 |
-1 |
-2 |
Now I’d like to ask a few questions about any jobs you may have.
E8. Last week, did you do any work for pay?
YES (SKIP TO E16) 1
NO (ASK E9) 0
DON’T KNOW (ASK E9) 7
REFUSED (ASK E9) 8
E9. Have you been doing anything to find work during the past four weeks?
YES 1
NO 0
DON’T KNOW 7
REFUSED 8
E10. What is the main reason that you did not work for pay or look for work in the past four weeks? [Mark only one-- INTERVIEWER: Allow R to respond spontaneously and Mark ONLY ONE response. If R mentions multiple response options, INTERVIEWER repeat response options that the R indicated “Would that be… (response A, response B, response C)? And ask them to choose the main reason]
Unable to work because of housing problems 01
Unable to work for health reasons related to military service 02
Unable to work for health reasons unrelated to military service 03
Has job but temporarily absent/seasonal work 04
Couldn’t find any work 05
Couldn’t find a job that pays enough 06
Child care problems 07
Family responsibilities 08
In school or other training 09
Waiting for a new job to begin 10
Had enough money from other sources 11
Retired 12
Disabled 13
Other (specify): ______________________________ 95
DON’T KNOW 97
REFUSED 98
E11. Do you have a disability that limits or prevents you from working?
YES (ASK E11a) 1
NO (SKIP TO E12) 0
DON’T KNOW (SKIP TO E12) 7
REFUSED (SKIP TO E12) 8
E11a. Is this disability related to your military service?
YES 1
NO 0
DON’T KNOW 7
REFUSED 8
E12. When we last talked, you were [working / not working – CATI insert]. Since that time,
E12a. [ASK IF R WAS NOT WORKING AT BASELINE INTERVIEW] Have you done any work for pay?
YES (ASK E13) 1
NO (SKIP TO E14) 0
DON’T KNOW (SKIP TO E14) 7
REFUSED (SKIP TO E14) 8
E12b. [ASK IF R WAS WORKING AT BASELINE INTERVIEW] How long has it been since you last worked for pay?
Number of months ______ (IF NUMBER OF MONTHS > MONTHS SINCE BASELINE INTER SKIP TO E14, ELSE ASK E13)
DON’T KNOW (ASK E13) 7
REFUSED (ASK E13) 8
E13. Since we last talked, how much of the time have you had a job or done some work for pay?
All or almost all of the time 5
Most of the time 4
About half of the time 3
Some of the time 2
Almost none or none of the time 1
DON’T KNOW 7
REFUSED 8
E14. Since you began participating in VHPD, have you received any of the following types of assistance from any of the agencies that participate in the program…? [INTERVIEWER: read each option, record answer]
E14a. Helping with resume writing, presenting self to potential employers Y/N/DK/Ref
E14b. Job counseling—what would be good jobs for me, what skills I need
to develop, etc. Y/N/DK/Ref
E14c. Helping with specific skills or training needed for jobs (e.g., computers,
job training) Y/N/DK/Ref
E14d. Making job lists available to me, referring me to specific jobs Y/N/DK/Ref
E14e. Clothing, uniforms, equipment needed for specific jobs Y/N/DK/Ref
E14f. Referrals to specific jobs Y/N/DK/Ref
E14g. Anything else job-related Y/N/DK/Ref
E14h.. (ASK IF YES TO ANY OF E14a-E14g)Has _________________ provided that assistance? [Insert each program name in turn]
E14h1. [PN-HL] Y/N/DK/Ref
E14h2. [PN-VA] Y/N/DK/Ref
E14h3. [PN-DOL] Y/N/DK/Ref
E14h4. Other agency Y/N/DK/Ref
E15. [If any “yeses” to E14] Did you get what you needed from the services you’ve just mentioned?
Yes, helped very much 2
Yes, helped somewhat 1
No, did not help 0
DON’T KNOW 7
REFUSED 8
E15a. Some people are able to get help to find work from family, friends, or other people they know in the community. Did you get any help to find a job from these types of people? [INTERVIEWER: IF NECESSARY, CLARIFY THAT YOU MEAN PEOPLE OTHER THAN THE VHPD PROGRAMS]
YES (ASK E15b) 1
NO (SKIP TO SECTION F) 0
DON’T KNOW (SKIP TO SECTION F) 7
REFUSED (SKIP TO SECTION F) 8
E15b. Would you say that the help you received from [PN-HL], [PN-VA] and [PH-DOL] to help you find work was more useful than the help you got from your family, friends, and other people in your community, less useful, or about equally useful?
MORE USEFUL (SKIP TO SECTION F) 3
ABOUT EQUALLY USEFUL (SKIP TO SECTION F) 2
LESS USEFUL (SKIP TO SECTION F) 1
DON’T KNOW (SKIP TO SECTION F) 7
REFUSED (SKIP TO SECTION F) 8
E16. About how long have you been working at that job?
Number of months ______
Number of years _______
DON’T KNOW 7
REFUSED 8
E17. How many hours per week do you usually work at your main job? By main job, I mean the one at which you usually work the most hours.
NUMBER OF HOURS________________ 1-84
DON’T KNOW 97
REFUSED 98
E17a. Do you usually work 35 hours or more per week at your [main] job?
YES 1
NO 0
DON’T KNOW 7
REFUSED 8
If E16 indicates that current job started AFTER baseline interview, ASK E18
Otherwise, SKIP to SECTION F.
E18. Did _________________ help you get your current job, or any job you have had since we last talked? [INTERVIEWER: Insert each program name in turn, record answer]
D19a. [PN-HL] Y/N/DK/Ref
D19b. [PN-VA] Y/N/DK/Ref
D19c. [PN-DOL] Y/N/DK/Ref
D19d. Other agency Y/N/DK/Ref
E19. Some people are able to get help to find work from family, friends, or other people they know in the community. Did you get any help to find work from these types of people? [INTERVIEWER: IF NECESSARY, CLARIFY THAT YOU MEAN PEOPLE OTHER THAN THE VHPD PROGRAMS]
YES (ASK E19a) 1
NO (SKIP TO SECTION F) 0
DON’T KNOW (SKIP TO SECTION F) 7
REFUSED (SKIP TO SECTION F) 8
E19a. Would you say that the help you received from [PN-HL], [PN-VA] and [PH-DOL] to help you find work was more useful than the help you got from your family, friends, and other people in your community, less useful, or about equally useful?
MORE USEFUL 3
ABOUT EQUALLY USEFUL 2
LESS USEFUL 1
DON’T KNOW 7
REFUSED 8
SECTION F. HOUSING COSTS
Now I’d like to talk about how much you pay each month for housing.
BOX 3
01 R LIVES IN HIS/HER OWN PLACE
[A4 = 1]
[GO TO F2]
02 R ANSWERED DON’T KNOW OR REFUSED TO BEING IN HIS/HER OWN PLACE
[A4 = 7 OR 8]
[GO TO F1]
03 OTHERWISE (STAYING WITH SOMEONE ELSE, HOMELESS, INSTITUTIONALIZED)
[A4 = 0]
[GO TO SECTION G]
F1. Are you living in your own place now?
YES (ASK F1a) 1
NO (SKIP TO SECTION G) 0
DON’T KNOW (SKIP TO SECTION G) 7
REFUSED (SKIP TO SECTION G) 8
F1a. Do you rent it or do you own it?
Rent it (ASK F2) 1
Own it (ASK F2) 2
DON’T KNOW (SKIP TO SECTION G) 7
REFUSED (SKIP TO SECTION G) 8
F2. What is the total rent or mortgage on the place you are staying—the rent on the lease or the monthly mortgage payment, not just what you and your household pay?
PER MONTH: $__ __ __ __ .00 (FOUR DIGITS, ROUNDED TO DOLLAR) (SKIP TO F3)
(EXPECTED RANGE = $1-3000)
DON’T KNOW (ASK F2a) -2
REFUSED (ASK F2a) -1
F2a. Can you give me a range? Is the full monthly rent or mortgage payment:
Under $500 per month 1
$500 - < $750 2
$750 - < $1000 3
$1000 - < $1500 4
$1500 - < $2000 5
More than $2000 per month 6
DON’T KNOW 7
REFUSED 8
F3. In the month just past, what did you and your family pay in rent or for your mortgage? We are interested only in knowing the amount of the rent payment that you and your family paid, not any amount that may have been paid by other people or by a government agency.
PER MONTH: $__ __ __ __ .00 (FOUR DIGITS, ROUNDED TO DOLLAR) (SKIP TO F4)
(EXPECTED RANGE = $1-3000)
DON’T KNOW (ASK F3a) -2
REFUSED (ASK F3a) -1
F3a. Can you give me a range? Is your own family’s monthly rent or mortgage payment:
Under $500 per month 1
$500 - < $750 2
$750 - < $1000 3
$1000 - < $1500 4
$1500 - < $2000 5
More than $2000 per month 6
DON’T KNOW 7
REFUSED 8
F4. Do you receive any assistance to pay rent from the government or from some other program?
YES 1
NO 0
DON’T KNOW 7
REFUSED 8
F5. Since we last talked, has there been a time when you (and your immediate family) were unable to pay rent?
YES (ASK F5a) 1
NO (SKIP TO F6) 0
DON’T KNOW (SKIP TO F6) 7
REFUSED (SKIP TO F6) 8
F5a. How often did this happen?
Once 1
Twice 2
Three or more times 3
DON’T KNOW 7
REFUSED 8
F6. Do you pay for any utilities that are not included as part of your rent or mortgage payment? By utilities, I mean electricity, heating oil, gas or propane, and water, but NOT telephone and cable services.
YES (ASK F7) 1
NO (SKIP TO Section G) 0
DON’T KNOW (SKIP TO SECTION G) 7
REFUSED (SKIP TO SECTION G) 8
F7. Since we last talked, has there been a time when you (and your immediate family) were unable to pay utility bills —that is, electricity, heating oil, gas or propane, and water, but NOT telephone and cable services. [INTERVIEWER—if asked, clarify—“ by two weeks after it was due”]
YES (ASK F7a) 1
NO (SKIP TO SECTION G) 0
DON’T KNOW (SKIP TO SECTION G) 7
REFUSED (SKIP TO SECTION G) 8
F7a. How often did this happen?
Once 1
Twice 2
Three or more times 3
DON’T KNOW 7
REFUSED 8
SECTION G. FAMILY HEALTH AND WELL-BEING
G1. Overall, how would you rate your health during the past month (that is the past 30 days)?
Excellent 1
Very good 2
Good 3
Fair 4
Poor 5
DON’T KNOW 7
REFUSED 8
G2. Please tell me about any health problems you may be experiencing at this time (read and check all that apply)
G2a. Serious depression, anxiety, and/or tension Y/N/DK/Ref
G2b. Being easily startled, not being able to relax your guard Y/N/DK/Ref
G2c, Trouble understanding, concentrating, or remembering Y/N/DK/Ref
G2d. Trouble controlling anger or violent behavior Y/N/DK/Ref
G2e. Symptoms of post-traumatic stress disorder (PTSD) Y/N/DK/Ref
G2f. Trouble with use of alcohol or drugs Y/N/DK/Ref
G2g.. Problems dealing with the results of head injury / traumatic
brain injury (TBI) Y/N/DK/Ref
G2h. Experiencing serious thoughts of suicide Y/N/DK/Ref
G2i. OTHER 95
G3. Since you began participating in VHPD, have you received any of the following types of help for these health problems from any of the agencies that participate in the program…? [INTERVIEWER: read each option, record answer]
G3a. Treatment for specific physical health conditions Y/N/DK/Ref
G3b. Counseling for emotional issues Y/N/DK/Ref
G3c. Counseling, treatment, group supports for substance abuse problems Y/N/DK/Ref
G3d. Help with family relationships Y/N/DK/Ref
G3e. Help with adjustments to civilian life Y/N/DK/Ref
G3f. Help or counseling for/with children, about family relationships,
school, other issues related to your children Y/N/DK/Ref
G3g. Other Y/N/DK/Ref
G4. Has _________________ been helping you with any of these health problems? [Insert each program name in turn]
G4a. [PN-HL] Y/N/DK/Ref
G4b. [PN-VA] Y/N/DK/Ref
G4c. [PN-DOL] Y/N/DK/Ref
G4d. [Other agency] Y/N/DK/Ref
G5. (ASK IF R ANSWERED Y TO ANY OF H3) Are you getting or did you get what you needed from the service?
Yes, very much 2
Yes, somewhat 1
No 0
DON’T KNOW 7
REFUSED 8
G6. Some people are able to get help with health problems from family, friends, or other people they know in the community. Did you get any help with your health problems from these types of people? [INTERVIEWER: IF NECESSARY, CLARIFY THAT YOU MEAN PEOPLE OTHER THAN THE VHPD PROGRAMS]
YES (ASKG6a) 1
NO (SKIP TO G7) 0
DON’T KNOW (SKIP TO G7) 7
REFUSED (SKIP TO G7) 8
G6a. Would you say that the help you received from [PN-HL], [PN-VA] and [PH-DOL] for your health problems was more useful than the help you got from your family, friends, and other people in your community, less useful, or about equally useful?
MORE USEFUL 3
ABOUT EQUALLY USEFUL 2
LESS USEFUL 1
DON’T KNOW 7
REFUSED 8
G7. Do you have health insurance that helps pay for health care when you need it?
YES (ASK G6a) 1
NO (SKIP TO SECTION H) 0
DON’T KNOW (SKIP TO SECTION H) 7
REFUSED (SKIP TO SECTION H) 8
G7a. Is your health insurance from the VA or the military, or is it some other kind of health insurance?
VA or military (e.g., CHAMPUS) 1
Some other type of health insurance 2
DON’T KNOW 7
REFUSED 8
SECTION H: DEMOGRAPHICS AND CLOSING
I have only a few more questions for you.
H1. Has your marital status changed since we last talked?
YES (ask H1a) 1
NO (SKIP TO H2) 0
DON’T KNOW (SKIP TO H2) 7
REFUSED (SKIP TO H2) 8
H1a. What is your marital status now?
Now married 5
Widowed 4
Divorced 3
Separated 2
Never married 1
DON’T KNOW 7
H2. Before we end, let me make sure I know the address where you are currently living…
________________________________________________________
________________________________________________________
H3. Is that the address we should use to send you the $30 we will pay you for your participation in this interview?
YES (SKIP TO CLOSING) 1
NO (ASK H3a) 0
I3a. (ASK IF H3 = 0) To what address should we send payment?
________________________________________________________
________________________________________________________
------------------------------------------------------------------------------------------------------------------------
CLOSING: Thank you very much for your time today. Do you have any questions for me about the study or what happens next?
S&A and Urban Institute
VHPD Baseline Interview.
OMB NO.: _____________ Exp. Date: _______2014
| File Type | application/vnd.openxmlformats-officedocument.wordprocessingml.document |
| File Title | Abt Single-Sided Body Template |
| Author | NicholsonJ |
| File Modified | 0000-00-00 |
| File Created | 2021-01-31 |