The Diary

Consumer Expenditure Surveys: Quarterly Interview and Diary

Attachment B - 2018 Diary CAPI Instrument Specifications

The Diary

OMB: 1220-0050

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2018 Diary CAPI Instrument Specifications


Section

Variable Name

Question Text

Skip Instructions


H_STATUS

STATUS OF INTERVIEW (X=Section Complete)

Section 1 (Household Roster)..............................fill_XStatus[1]
Section 1 (Week 1 Pickup item 17)......................fill_XStatus[2]
Section 1 (Week 2 Pickup item 17)......................fill_XStatus[3]
Section 2 Consumer Unit Characteristics..............fill_XStatus[4]
Section 3 Work Experience & Income..................fill_XStatus[5]


F10

F10_ST1

Instruct the respondent on how to complete the Week 1 and Week 2 Diaries, and attempt to leave the Diary forms with the respondent.


RO Survey PSU PSU Frame Sample Sequence #1 Sequence #2 HH CU Spinoff
Code State County Designation No. No.
-------------------------------------------------------------------------------------------------------------------------------------------
SITE (1-2) (3-4) (5-7) (8) (9-11) (12-15) (16-17) (18) (19-21) (22-23)


Were the Diaries placed?

1. Yes
2. No

go to F10APPT

F10

F10APPT

[fill: *DO NOT place Diaries. Roster section not complete]

* Missing Sections: Press shift-F5 to view the status table

I'd like to schedule a DATE to [Fill: conduct/complete] the interview. May I return on

* Diary must be picked up within this range.

0. Battery problem
1. [fill: DayName] [fill: PLCEDAT1+15]
2. [fill: DayName] fill: PLCEDAT1+16]
3. [fill: DayName] [fill: PLCEDAT1+17]
4. [fill: DayName] [fill: PLCEDAT1+18]
5. [fill: DayName] [fill: PLCEDAT1+19]
6. [fill: DayName] [fill: PLCEDAT1+20]
7. [fill: DayName] [fill: PLCEDAT1+21]

<1-7> [goto F10BSTI]
<0,R> [goto DONE]

F10

F10BSTI

When is the best time to contact you? * Do not read categories 0. BATTERY problem 1. Morning (9am-12 noon) 6. Anytime (9am-9pm) 2. Noon/lunchtime (11am-1pm) 7. Late evening/night (7pm-9pm) 3. Afternoon (12 noon-4pm) 8. Daytime (9am-4pm) 4. Suppertime/early 9. After 5pm evening/dinnertime(4pm-7pm) 5. Evening (6pm-9pm)

<1-9> [goto F10BSTSP]
<0> [goto DONE]

F10

F10BSTSP

* Enter specific best time to contact

<30 characters, empty> [goto F10SUN]

F10

F10SUN

Would a Sunday interview be acceptable? 0. Battery problem 1. Yes 2. No

<0,1,2> [goto F10VRINF]

F10

F10VRINF

* Verify/change any of the information listed below? Phone Number: [fill: (AREA) PREFIX - SUFFIX] 1. Enter 1 to Continue 2. Change

<1> [goto F10THANK]
<2> [goto F10VPHN]

F10

F10VPHN

What is your telephone number?*Enter zero for none.

<15 Characters, 0, Empty,R> [goto F10THANK]

F10

F10THANK

Thank you. I'll come back at the time suggested. 1. Enter 1 to Continue

<1> [goto DONE]

FRONT

DATAMODEL_CK

** CHECK ITEM AT THE DATA MODEL LEVEL **

[goto SETBASIC]

FRONT

SETBASIC

** CHECK ITEM **

[goto START]

FRONT

DATE_CHK

*CHECK ITEM*

IF [current date before EPD (too early to place)] OR [current date after LPD AND PLACED_FLAG ne 1 (late placement)] OR
[PLACED_FLAG=1 and current date gt PLCEDAT1+21 (late pickup)] goto PLPRDERR

ELSE goto START

FRONT

PLPRDERR

PLACEMENT/PICKUP ERROR Diary Survey

Diaries Placed: [Fill: ^YES_NO] Earliest Placement Date: [Fill: 2500.EPD]
Date is: [Fill: current date] Latest Placement Date: [Fill: 2500.LPD]


^PLACEDATE


1. Enter 1 to Continue

IF PLACED_FLAG ne 1 AND current date after LPD, goto RACRF_W1
ELSE goto DONE

FRONT

START

CENSUS CATI/CAPI SYSTEM [Date instrument changed]

Consumer Expenditure Surveys
Diary Survey

Case status is: ^STATUS
Placement Period Begins: [Fill: 2500.EPD]
Placement Period Ends: [Fill: 2500.LPD]

Date is: [Fill: current date] Time is: [Fill: time]

Diaries Placed: [^YES_NO]


1. Enter 1 to Continue
2. Skip Notes
3. Quit: Do not attempt now
4. Noninterview
5. Transmit for reassignment

1: IF PLACED_FLAG=1 AND current date less than PLCEDAT1+15, goto PICK_CHK
ELSEIF PLACED_FLAG=1 goto SHOW_NOTES
ELSEIF PLACED_FLAG ne 1 and NEWCU=1 goto SHOWROS
ELSE goto GENINTRO

2: IF PLACED_FLAG=1, goto VISIT_SHOW
ELSE goto GENINTRO

3: IF PLACED_FLAG=1, goto VERIFY_INFO
ELSE goto PHONENUM

4: IF PLACED_FLAG=1 goto NTYP_PK1 (pickup)
ELSE goto NTYPE_W1 (placement)

5: goto VERRSGN

FRONT

VERRSGN

You are about to transmit this case for reassignment.

Are you sure want to reassign this case?


1. Yes
2. No

<1> [goto DONE]
<2> [goto START]

FRONT

PICK_CHK

The 7-day pickup period for the Diaries is from ^PLCEDAT1+15 to ^PLCEDAT1+21.

The Diaries should not be picked up prior to this period.
^Earlyweek2

 Do you want to continue with early pickup?


1. Enter 1 to Continue
2. Quit

<1> [goto PICKREAS]
<2> [goto DONE]

FRONT

PICKREAS

Why is early pickup being performed?


1. CU will be away during regular pick-up date.
2. CU is moving.
3. CU refuses to keep diaries any longer.
4. Weather/natural disaster.
5. Other-specify

1-4> [goto VISIT_SHOW]
<5> [goto PICKSP]

FRONT

PICKSP

Specify:

<30 char> [goto SHOW_NOTES]

FRONT

SHOW_NOTES

INFORMATION FROM PREVIOUS VISIT

BEST TIME TO CALL: ^BESTTIME
[Fill: BESTTM2]

SUNDAY INTERVIEW: ^NOSUNDAY


Use CNTRL-F7 to view case level notes


1. Enter 1 to Continue

<1> [goto VISIT_SHOW]

FRONT

VISIT_SHOW

Diary Placement Status:

Placement Date: ^PLCEDAT1
Week 1 Status: ^INSTAT1
Week 2 Status: ^INSTAT2
Pick up Date: ^PICKDTE1

Use CNTRL+F7 to view case level notes.

Enter 1 to continue


1. Enter 1 to Continue

<1> [goto SHOWROS]

FRONT

SHOWROS

STATUS OF HOUSEHOLD COMPOSITION AS OF LAST VISIT

Resp. LN NAME MEMBER RELATION CU SEX AGE
(Person 1)
(Person 2)


1. Enter 1 to Continue

<1> [goto GENINTRO]

FRONT

GENINTRO

o ^GENINTRO
If unavailable use Shift-F1 for HH roster.
o Introduce survey - adjust introduction to last interview's status and respondent
o The Household address is:
^GENADDRS
^GENADDRS2

Read if necessary

I am (your name) from the US Census Bureau. Here is my identification card. We are conducting a Consumer Expenditure Survey for the Bureau of Labor Statistics. I have some questions I would like to ask you.

^LETTER

^GENINTRO2

<1> [goto INTRO]
<2> [goto GIVE_LETTER]

FRONT

GIVE_LETTER

Hand the respondent the letter

Allow time to read


1. Enter 1 to Continue

<1> [goto INTROB]

FRONT

INTROB

Is Respondent ready to complete the interview?


1. Enter 1 to Continue
2. Reluctant Respondent
3. Non-Interview
4. Other Outcome
5. Wrong address
6. Inconvient time

1: IF PLACED_FLAG ne 1 and Newly spawned CU, goto MAILAD
ELSE goto VERDADD
2,4: IF PLACED_FLAG=1, goto VERIFY_INFO
ELSE goto PHONENUM
3: If PLACED_FLAG=1, goto NTYP_PK1 (pickup)
ELSE goto NTYPE_W1 (placement)
5: goto DONE
6: goto APPTOTH

FRONT

VERADD

^VDDEND

I have your address listed as * READ ADDRESS BELOW. Is this your exact address?

[Fill: HNO HNOSUF STRNAME]
[Fill: UNITDES]
[Fill: PO, ST, ZIP5-ZIP4]
Phys des: [Fill: PHYSDES]
GQ unit: [Fill GQUNITINFO]
Non-City : [Fill NONCITYADD]
Building: [Fill BLDGNAME]


1. Yes, address is EXACTLY correct as listed.
2. Address is mostly correct, needs minor changes.
3. INCORRECT ADDRESS

1: goto MAILAD
2: goto NADDST1
3: goto DONE
R: goto PHONENUM

FRONT

NADDST1

* Enter correction in space below

Press ‘ENTER' for same/ no change
OLD ADDRESS:
^HNO ^HNOSUF ^STRNAME
^UNITDES
^PHYSDES
[Fill: PO, ST ZIP5]
GQ unit: ^GQUNITINFO
Non-City: ^NONCITYADD
Building: ^BLDGNAME

<10 Characters> [goto NADDST2]

FRONT

NADDST2

* Enter change

Press ‘ENTER' for same/ no change
OLD ADDRESS:
^HNO ^HNOSUF ^STRNAME
^UNITDES]
[Fill: PO, ST ZIP5-Z4]
^PHYSDES
GQ unit: ^GQUNITINFO
Non-City : ^NONCITYADD
Building: ^BLDGNAME

<3 characters, Empty> [goto NADDST3]

FRONT

NADDST3

* Enter change

Press ‘ENTER' for same/ no change
OLD ADDRESS:
^HNO ^HNOSUF ^STRNAME
[Fill: PO, ST ZIP5-ZIP4]
^UNITDES
^PHYSDES]
GQ unit: ^GQUNITINFO
Non-City : ^NONCITYADD
Building: ^BLDGNAME

<49 characters, empty> [goto NADDST4]]

FRONT

NADDST4

* Enter change

Press ‘ENTER' for same/ no change
OLD ADDRESS:
^HNO ^HNOSUF ^STRNAME
[Fill: PO, ST ZIP5-ZP4]
^UNITDES
^PHYSDES
GQ unit: ^GQUNITINFO
Non-City : ^NONCITYADD
Building: ^BLDGNAME

<20 characters, empty> [If FRAME = 3 or RT2501.GQUNITINAREA = 1 goto NMAILST5] [goto NMAILST6]

FRONT

NADDST5

* Enter corrections for Group Quarters Unit Description or Press ‘ENTER' for Same/No Change

^HNO ^HNOSUF ^STRNAME
^UNITDES
[Fill: PO, ST ZIP5 -ZIP4]
Phy des: ^PHYSDES
GQ unit: ^GQUNITINFO
Non-City: ^NONCITYADD
Building: ^BLDGNAME

<allow 43 characters, empty> [goto NADDST6]

FRONT

NADDST6

* Enter corrections for Non City Style Address or Press ENTER for Same/No Change

^HNO- ^HNOSUF ^STRNAME ^UNITDES]
[Fill: PO, ST ZIP5 -ZIP4]
Phy des: ^PHYSDES
GQ unit: ^GQUNITINFO
Non-City: ^NONCITYADD
Building: ^BLDGNAME]

<allow 27, empty> [goto NADDPHYS]

FRONT

NADDPHYS

* Enter change

Press ‘ENTER' for same/ no change
OLD ADDRESS:
^HNO ^HNOSUF ^STRNAME
[Fill: PO, ST ZIP5-ZP4]
^UNITDES
^PHYSDES
GQ unit: ^GQUNITINFO
Non-City : ^NONCITYADD
Building: ^BLDGNAME

<99 characters, Empty> [goto NADDCT]

FRONT

NADDCT

* Enter change

Press ‘ENTER' for same/ no change

OLD ADDRESS:
^HNO ^HNOSUF ^STRNAME
[Fill: PO, ST ZIP5-ZP4]
^UNITDES
^PHYSDES
GQ unit: ^GQUNITINFO
Non-City : ^NONCITYADD
Building: ^BLDGNAME

<22 Characters>

FRONT

SNADDST

* Enter change

Press ‘ENTER' for same/ no change
OLD ADDRESS:
^HNO ^HNOSUF ^STRNAME
[Fill: PO, ST ZIP5-ZP4]
^UNITDES
^PHYSDES
GQ unit: ^GQUNITINFO
Non-City : ^NONCITYADD
Building: ^BLDGNAME

<AL, AK, AZ, AR, CA, CO, CT, DE, DC, FL, GA, HI, ID, IL, IN, IA, KS, KY, LA, ME, MD, MA, MI, MN, MS, MO, MT, NE, NV, NH, NJ, NM, NY, NC, ND, OH, OK, OR, PA, RI, SC, SD, TN, TX, UT, VT, VA, WA, WV, WI, WY, D, R>>[goto NADDZP]

FRONT

NADDZP

* Enter change

Press ENTER' for same/ no change
OLD ADDRESS:
^HNO HNOSUF STRNAME
[Fill: PO, ST ZIP5-ZP4]
^UNITDES
^PHYSDES
GQ unit: ^GQUNITINFO
Non-City : ^NONCITYADD
Building: ^BLDGNAME

<9 characters, D,R> [goto NADDBUIL]

FRONT

MAILAD

Is this your mailing address?

^MAILAD
[Fill: MHNO MHNOSUF MSTRNAME]MUNITDESC
MPO MST MZIP5-MZIP4
GQ unit : [MGQUNITINFO] Non-city: ^NONCITYADD
Building: ^BLDGNAME


1. Yes
2. No

<1> [goto PHONENUM]
<2> [goto NMAILST1]

FRONT

NMAILST1

Enter change to Mailing address - House # or Press ENTER for Same/No Change

Mailing Address: Address:
[fill: MHNO-MHNOSUF MSTRNAME] ^HNO ^HNOSUF ^STRNAME
[fill: MUNITDESC] ^UNITDES
[fill: MPO, MST MZIP5-MZIP4] [Filll: PO, ST ZIP5-ZIP4]
Phys des: [fill PHYSDES] Phys des: ^PHYSDES
GQ unit: [fill: MGQUNITINFO] GQ unit: ^GQUNITINFO
Non-City: [fill: MNONCITYADD] Non-city: ^NONCITYADD
Building: [fill BLDGNAME] Building: ^BLDGNAME

<10 characters,empty> [goto NMAILST2]

FRONT

NMAILST2

Enter change to Mailing address - House # suffix or Press ENTER for Same/No Change

Mailing Address: Address:
[fill: MHNO-MHNOSUF MSTRNAME] ^HNO ^HNOSUF ^STRNAME
[fill: MUNITDESC] ^UNITDES
[fill: MPO, MST MZIP5-MZIP4] fill: PO, ST ZIP5-ZIP4]
Phys des: [fill PHYSDES] Phys des: ^PHYSDES
GQ unit: [fill: MGQUNITINFO] GQ unit: ^GQUNITINFO
Non-City: [fill: MNONCITYADD] Non-city: ^NONCITYADD
Building: [fill BLDGNAME] Building: ^BLDGNAME

<3 Characters, Empty> [goto NMAILST3]

FRONT

NMAILST3

Enter change to Mailing address &ndash; Street Name or Press ENTER for Same/No Change

Mailing Address: Address:
[fill: MHNO-MHNOSUF MSTRNAME] ^HNO ^HNOSUF STRNAME
[fill: MUNITDESC] ^UNITDES
[fill: MPO, MST MZIP5-MZIP4] [fill: PO, ST ZIP5-ZIP4]
Phys des: [fill PHYSDES] Phys des: ^PHYSDES
GQ unit: [fill: MGQUNITINFO] GQ unit: ^GQUNITINFO
Non-City: [fill: MNONCITYADD] Non-city: ^NONCITYADD
Building: [fill BLDGNAME] Building: ^BLDGNAME

<49 Characters> [goto NMAILST4]

FRONT

NMAILST4

Enter change to Mailing address &ndash; Street Name or Press ENTER for Same/No Change

Mailing Address: Address:
[fill: MHNO-MHNOSUF MSTRNAME] ^HNO ^HNOSUF STRNAME
[fill: MUNITDESC] ^UNITDES
[fill: MPO, MST MZIP5-MZIP4] [fill: PO, ST ZIP5-ZIP4]
Phys des: [fill PHYSDES Phys des: ^PHYSDES
GQ unit: [fill: MGQUNITINFO] GQ unit: ^GQUNITINFO
Non-City: [fill: MNONCITYADD] Non-city: ^NONCITYADD
Building: [fill BLDGNAME] Building: ^BLDGNAME

<20 characters, empty> [If FRAME = 3 or RT2501.GQUNITINAREA = 1 goto NMAILST5] [goto NMAILST6]

FRONT

NMAILST5

Enter change to Mailing address - GQ Unit Description or Press ENTER for Same/No Change

Mailing Address: Address:
[fill: MHNO-MHNOSUF MSTRNAME] ^HNO ^HNOSUF ^STRNAME
[fill: MUNITDESC] [fill: UNITDES]
[fill: MPO, MST MZIP5-MZIP4] [fill: PO, ST ZIP5-ZIP4]
Phys des: [fill PHYSDES] Phys des: ^PHYSDES
GQ unit: [fill: MGQUNITINFO] GQ unit: ^GQUNITINFO
Non-City: [fill: MNONCITYADD Non-city: ^NONCITYADD
Building: [fill BLDGNAME] Building: ^BLDGNAME

<allow 43 characters, empty> [goto NMAILST6]

FRONT

NMAILST6

Enter change to Mailing address &ndash; Non-City Style Address or Press ENTER for Same/No Change

Mailing Address: Address:
[fill: MHNO-MHNOSUF MSTRNAME] ^HNO ^HNOSUF ^STRNAME
[fill: MUNITDESC] ^UNITDES
[fill: MPO, MST MZIP5-MZIP4] [fill: PO, ST ZIP5-ZIP4]
Phys des: [fill PHYSDES] Phys des: ^PHYSDES
GQ unit: [fill: MGQUNITINFO] GQ unit: ^GQUNITINFO
Non-City: [fill: MNONCITYADD] Non-city: ^NONCITYADD
Building: [fill BLDGNAME] Building: ^BLDGNAME

<allow 27 characters> [goto NMAILCT]

FRONT

NMAILCT

* Enter change or press ENTER for same/no change ADDRESS: [Fill: HNO HNOSUF STRNAME] [Fill: UNITDES] [Fill: PO, ST ZIP5][Fill: MAILING ADDRESS MHNO MHNOSUF MSTRNAME MUNITDES MPO, MST MZIP5 ]

<22 Characters> [goto NMAILST]

FRONT

NMAILZP

* Enter change or press ENTER for same/no change ADDRESS: [Fill: HNO HNOSUF STRNAME] [Fill: UNITDES] [Fill: PO, ST ZIP5][Fill: MAILING ADDRESS MHNO MHNOSUF MSTRNAME MUNITDES MPO, MST MZIP5 ]

<5 Characters,D,R> [goto PHONENUM]

FRONT

NMAILST

* Enter change or press ENTER for same/no change ADDRESS: [Fill: HNO HNOSUF STRNAME] [Fill: UNITDES] [Fill: PO, ST ZIP5][Fill: MAILING ADDRESS MHNO MHNOSUF MSTRNAME MUNITDES MPO, MST MZIP5 ]

<AL, AK, AZ, AR, CA, CO, CT, DE, DC, FL, GA, HI, ID, IL, IN, IA, KS, KY, LA, ME, MD, MA, MI, MN, MS, MO, MT, NE, NV, NH, NJ, NM, NY, NC, ND, OH, OK, OR, PA, RI, SC, SD, TN, TX, UT, VT, VA, WA, WV, WI, WY, D, R>

FRONT

PHONENUM

What is your telephone number?

Enter 0 for none.

15 characters: goto PHONENUMBER2
0, D, R goto EMAILADDRESS

FRONT

PHONENUMBER2

Ask or verify, if necessary.

Do you have another phone number where I can reach you?

Enter 0 for none.

goto EMAILADDRESS

FRONT

EMAILADDRESS

Ask or verify, if necessary.

Can I have your e-mail address?

 Enter E-Mail or press ENTER for None/Same

go to BCOVERAGE

FRONT

VERIFY_INFO

Verify/change any of the information listed below.

Phone Number: ^VFYINFO


1. Enter 1 to Continue
2. Change something

1: goto END_FRONT
2: goto V_PHONE

FRONT

V_PHONE

What is your telephone number?

<10 Characters, Empty> [If LANGUAGE=1-3, END_FRONT]

FRONT

END_FRONT

** CHECK ITEM **

IF (PLACED_FLAG=1 AND NONINT_FLAG ne "yes") goto FM_SALES
ELSEIF [PLACED_FLAG=1 AND (RT2500.URRAL is R AND RT2500.GQTYPE is 901 or 902) AND (FRAME is 2] goto FM_SALES
ELSEIF PLACED_FLAG=1 goto ANYENTR1
ELSE goto DONE

FRONT

STATE_REF

REFERENCE: PERMISSIBLE STATE CODES AL =Alabama IA =Iowa NJ =New Jersey VT =Vermont AK =Alaska KS =Kansas NM =New Mexico VA =Virginia AZ =Arizona KY =Kentucky NY =New York WA =Washington AR =Arkansas LA =Louisiana NC =N. Carolina WV =W. Virginia CA =California ME =Maine ND =N. Dakota WI =Wisconsin CO =Colorado MD =Maryland OH =Ohio WY =Wyoming CT =Connecticut MA =Massachusetts OK =Oklahoma DE =Delaware MI =Michigan OR =Oregon DC =Dist. Colum. MN =Minnesota PA =Pennsylvania FL =Florida MS =Mississippi RI =Rhode Island GA =Georgia MO =Missouri SC=S. Carolina HI =Hawaii MT =Montana SD=S. Dakota ID =Idaho NE =Nebraska TN =Tennessee IL =Illinois NV =Nevada TX =Texas IN =Indiana NH =New Hampshire UT =Utah

<Empty> [return from help]

FRONT

H_HEYS

Function Keys Description:


F1 Question Help
F2 (Unassigned)
F3 (Unassigned)
F4 Jump Menu
F5 Show Status
F6 (Unassigned)
F7 Item Notes/Remarks
F8 Return
F9 Skip to next person/Sec (Currently Unavailable)
F10 Exit
F11 Calculator
F12 Repeat

Shift-F1 Show HH
Shift-F2 FAQ
Shift-F3 (Unassigned)
Shift-F4 (Unassigned)
Shift-F5 Language
Shift-F6 (Unassigned)
Shift-F7 Show Notes/Remarks

Shift-F9 Change Respondent
Shift-F10 Show Function Keys
Shift-F11 Show Standard Abbr. (Currently Unavailable)
Shift-F12 (Unassigned)

Ctrl-D Don't Know
Ctrl-F3 Show Question Text
Ctrl-E Blaise Report Error (Currently Unavailable)
Ctrl-F Search Tag
Ctrl-F7 Case Level Notes
Ctrl-H Info
Ctrl-K Show Function Keys
Ctrl-M Show DK & Refused
Ctrl-R Refused

<Esc> [Return to interview]

FRONT

H_HHROS

RESP LN NAME MEMBER RELATIONSHIP CU SEX AGE


1. Continue with interview

<1> [return to interview]

FRONT

H_CHGRESP

Ask if necessary:

With whom am I speaking?

Enter line number


^HCHGRESP
95. Proxy respondent

<1-30, 95> [Return to interview]

FRONT

H_PURPOSE

FREQUENTLY ASKED QUESTIONS


1. What is this survey all about?
2. Who uses this information? What good is it?
3. How is the data collected? How many times will I be interviewed?
4. I hesitate to tell some things about myself, what protection do I have?
5. Is this survey authorized by law?
6. Proceed with the interview

<1> [goto H_PURPOSE1]
<2> [goto H_PURPOSE2]
<3> [goto H_PURPOSE3]
<4> [goto H_PURPOSE4]
<5> [goto H_PURPOSE5]
<6> [return to interview]

FRONT

H_PURPOSE1

WHAT IS THIS SURVEY ALL ABOUT?
The Consumer Expenditure Diary Survey collects information from households and families on their buying habits. It helps us to understand what products and services are bought and how much is spent.


1. Enter 1 to Continue

<1> [return to interview]

FRONT

H_PURPOSE2

WHO USES THIS INFORMATION?

This survey has a number of uses. The most important is the periodic revision of the Consumer Price Index. The Consumer Price Index provides cost of living and wage adjustments, social security payment adjustments, and helps determine the cost of school lunches.

Government and private agencies use the data to study the welfare of particular segments of the population. Economic policymakers use the data to study the impact of policy changes
in the welfare of different socioeconomic groups. Researchers use the data in a variety of studies, including those that focus on the spending behavior of different family types and historical spending trends.


1. Continue with interview

<1> [return to interview]

FRONT

H_PURPOSE3

HOW IS THE DATA COLLECTED?
HOW MANY TIMES WILL YOU I BE INTERVIEWED?

I will be here a short time today to ask a few questions about your household. I will also drop off your diaries. How long it will take to write your expenses each day depends on how many things you buy. Some days, you may have nothing to record, other days may have a lot to record. It averages out to about 15 minutes a day.

After today, I will return in two weeks to pick up your completed diaries and ask a few final questions.


1. Continue with interview

<1> [return to interview]

FRONT

H_PURPOSE4

WHAT PROTECTION DO I HAVE?

Your names and addresses are removed from what you report in the diaries. All Census Bureau employees take an oath of confidentiality and are subject to fines and imprisonment, if they improperly disclose information provided by people like you. All information collected is used for statistical purposes only.


1. Continue with interview

<1> [return to interview]

FRONT

H_PURPOSE5

IS THIS SURVEY AUTHORIZED BY LAW?

Yes. The Bureau of Labor Statistics conducts the Consumer Expenditure Diary Survey under the authority of Title 29 of the U.S. Code. Congress authorizes the financial support for the CE survey through Public Laws 94-439 and 95-205.

The Census Bureau collects the CE data under the authority of Title 13, U.S. Code, Section 8b, which allows the Census Bureau to undertake surveys for other government agencies. Participation in the survey is voluntary. Under Title 13, the Census Bureau holds all information in strict confidence. We will not release information reported in the survey which would permit the identification of a household or any of its members to anyone outside of the Census Bureau.


1. Continue with interview

<1> [return to interview]

Coverage

ANYENTR1

Were there any expenditures recorded in the Week 1 Diary at pick up?

1. Yes
2. No

<1,2> [goto ANYRECAL1]

Coverage

ANYRECAL1

Were any expenditures added to the Week 1 Diary at pickup through recall?


1. Yes
2. No

<1> [goto ANYRECP1]
<2> [If ANYENTR1=2, goto ANYBUY1]
[else, goto RESPONS1]

Coverage

ANYBUY1

Did (you/you or any of the people on your list) have any expenses or purchases during the first week (^PLCEDAT1+1 through ^PLCEDAT1+7)?

 Do not include any expenses while away overnight.
 If NO, make sure all 7 'none' boxes are checked in the Diary.


1. Yes
2. No

<1,2,D,R> [goto RESPONS1]

Coverage

ANYRECP1

Were receipts used for the majority of these recalled items?


1. Yes
2. No

<1,2> [goto RESPONS1]

Coverage

RESPONS1

**CHECK ITEM**

<1> [goto INFORULE1]

Coverage

INFORULE1

^INFORULE1

1. Enter 1 to Continue

If RESPONS1=5 goto RFRN_PK1
else if RESPONS1=6 goto CP1NAM_PK1
else if current date less than PLCEDAT1+8 goto INFORULE2
else goto ANYENTR2

Coverage

NTYP_PK1

What type of non-interview do you have?

Type A = No one home, Refusal, Temporarily Absent
Type B = Vacant, under construction, occupied by persons with URE
Type C = Demolished, House moved, Merged, Condemned, Located on base, CU moved


1. TYPE A
2. TYPE B
3. TYPE C

<1> [goto TYPA_PK1]
<2> [goto TYPB_PK1]
<3> [goto TYPC_PK1]

Coverage

TYPA_PK1

Enter TYPE A noninterview


1. No one home
2. Refused
3. Temporarily Absent
4. Other Type A - specify

<1,3> [goto END_PICKUP]
<2> [goto RFRN_PK1]
<4> [goto TPAS_PK1]

Coverage

TPAS_PK1

Specify other TYPE A

<30 characters> [goto END_PICKUP]

Coverage

RFRN_PK1

Enter type of refusal


1. Hostile Respondent
2. Time Related Excuses
3. Language Problems
4. Other Refusal - specify

<1-3> If TYPA_PK1=2 goto END_PICKUP
else If current date < PLCEDAT1+8 goto INFORULE2
else goto ANYENTR2

<4> [goto RSNS_PK1]

Coverage

RSNS_PK1

Specify type of refusal

<45 characters> If TYPA_PK1=2 goto END_PICKUP
else if current date < PLCEDAT1+8 goto INFORULE2
else goto ANYENTR2

Coverage

TYPB_PK1

Enter TYPE B noninterview


1. Vacant (for rent)
2. Vacant (for sale)
3. Vacant (other)
4. Occupied by persons with URE
5. Under construction, not ready
6. All persons under 16
7. Unfit or to be demolished
8. Unoccupied tent or trailer site
9. Permit granted, construction not started
10. Other Type B - specify

<1-9> [goto BYOBS_PK1]
<10> [goto TPBS_PK1]

Coverage

TPBS_PK1

Specify other TYPE B

<45 characters> [goto BYOBS_PK1]

Coverage

TYPC_PK1

Enter TYPE C noninterview


1. Demolished
2. House or Mobile Home moved
3. Converted to permanent nonresidential use
4. Merged with units in the same structure
5. Condemned
6. Located on military base (post)
7. Unused serial # on listing sheet
8. CU Moved
9. CUmerge
10. SpawnInErr
11. Unit does not exist or unit is out of scope
12. Unlocatable sample address
13. Other Type C-Specify

<1-12> [goto BYOBS_PK1]
<13> [goto TPCS_PK1]

Coverage

TPCS_PK1

Specify other TYPE C

<45 characters> [goto BYOBS_PK1]

Coverage

BYOBS_PK1

Did you classify this unit by observation only?


1. Yes
2. No

<1> [goto END_PICKUP]
<2> [goto CP1NAME_PK1]

Coverage

CP1NAME_PK1


Enter contact person's name

<42 characters> [goto CP1TITL_PK1]

Coverage

CP1TITL_PK1

Enter Contact person's title

<43 characters> [goto CP1PHON_PK1]

Coverage

CP1PHON_PK1

Enter contact person's phone number

<10 digits> [goto CP1EXT_PK1]
<Empty, D, R> [goto CP1ADD1_PK1]

Coverage

CP1EXT_PK1

Enter contact person's phone number extension

<0000-9999, D, R, Empty> [goto CP1ADD1_PK1]

Coverage

CP1ADD1_PK1

Enter contact person's street address

<54 characters> [goto CP1ADD2_PK1]

Coverage

CP1ADD2_PK1

Enter second line of address if necessary

<54 characters> [goto CP1PO_PK1]

Coverage

CP1PO_PK1

Enter city

<20 characters> [goto CP1ST_PK1]

Coverage

CP1ST_PK1

Enter state

<2 Digit State codes, D, R> [goto CP1ZIP5_PK1]

Coverage

CP1ZIP5_PK1

Enter zipcode

<5 characters,D,R> [goto END_PICKUP]

Coverage

ANYENTR2

Were there any expenditures recorded in the Week 2 Diary at pickup?

1. Yes
2. No

<1,2> [goto ANYRECAL2]

Coverage

ANYRECAL2

Were any expenditures added to the Week 2 Diary at pickup through recall?


1. Yes
2. No

<1> [goto ANYRECP2]
<2> [if ANYENTR2=2, goto ANYBUY2]
[else, goto RESPONS2]

Coverage

ANYBUY2

Did (you/you or any of the people on your list) have any expenses or purchases during the second week (^PLCEDAT1+8 through ^PLCEDAT1+14)?

Do not include any expenses while away overnight.
If NO, make sure all 7 'none' boxes are checked in the Diary.


1. Yes
2. No

<1,2,D,R> [goto RESPONS2]

Coverage

ANYRECP2

Were receipts used for the majority of these recalled items?


1. Yes
2. No

<1,2> [goto RESPONS2]

Coverage

RESPONS2

**CHECK ITEM**

<1> [goto INFORULE2]

Coverage

INFORULE2

^INFORULE2

1. Enter 1 to Continue

If RESPONS2=5, goto RFRN_PK2
else RESPONS2=6, goto CP1NAM_PK
else goto END_PICKUP

Coverage

RFRN_PK2

Enter type of refused


1. Hostile Respondent
2. Time Related Excuses
3. Language Problems
4. Other Refusal - specify

<1-3> [goto END_PICKUP]
<4> [goto RSNS_PK2]

Coverage

RSNS_PK2

Specify type of refusal

<45 characters> [goto END_PICKUP]

Coverage

BYOBS_PK2

Did you classify this unit by observation only?


1. Yes
2. No

<1> [goto END_PICKUP]
<2> [goto CP1NAME_PK2]

Coverage

CP1NAME_PK2


Enter contact person's name

<42 characters> [goto CP1TITL_PK2]

Coverage

CP1TITL_PK2

Enter Contact person's title

<20 characters> [goto CP1PHON_PK2]

Coverage

CP1PHON_PK2

Enter contact person's phone number

<10 digits> [goto CP1EXT_PK2]
<Empty, D, R> [goto CP1ADD1_PK2]

Coverage

CP1EXT_PK2

Enter contact person's phone number extension

<0000-9999, D, R, Empty> [goto CP1ADD1_PK2]

Coverage

CP1ADD1_PK2

Enter contact person's street address

<54 characters> [goto CP1ADD2_PK2]

Coverage

CP1ADD2_PK2

Enter second line of address if necessary

<54 characters> [goto CP1PO_PK2]

Coverage

CP1PO_PK2

Enter city

<20 characters> [goto CP1ST_PK2]

Coverage

CP1ST_PK2

Enter state

<2 Digit State codes, D, R> [goto CP1ZIP5_PK2]

Coverage

CP1ZIP5_PK2

Enter zipcode

<5 characters,D,R> [goto END_PICKUP]

Coverage

END_PICKUP

** CHECK ITEM **

If (PICK_UP1=201 or PICK_UP2=201) goto PRE_01
Else if PICK_UP2 = 240, 241, 243, 244, 245, 247, 248, 252, 256, 257, 258, 259, 290,or 341 goto DONE
Else goto THANKYOU

Coverage

PRE_FM_SALES

** CHECK ITEM **

If TYPEC_W1=1-8 then go to END_COVERAGE

If PLACED_FLAG <> 1 AND (RT2501.URRAL is U) AND (NONINT_FLAG ne "yes")] goto GQ_UNIT

If [[PLACED_FLAG <> 1] AND (RT2501.URRAL is R) AND (FRAME is 3) AND (RT2501.GQTYPE = 901 or 902) AND (NONINT_FLAG ne "yes")], then store 2 in FM_SALES, go to GQ_UNIT

If [[PLACED_FLAG <> 1] AND (RT2501.URRAL is R) AND [(RT2501.GQTYPE ne 901 or 902) OR (FRAME is 2)] AND NONINT_FLAG ne "yes"] , then goto FM_SALES]

Coverage

FM_SALES

During the past 12 months did sales of crops, livestock, and other farm products from this place amount to $1,000 or more?


1. Yes
2. No

<1, 2> [goto GQ_UNIT]

Coverage

GQ_UNIT

Indicate if the unit is:


1. In a Group Quarters
2. NOT in a Group Quarters

<1> [goto DESCRIP]
<2, D> [goto DIRACC]

Coverage

DIRACC

Indicate if access to the household is:


1. Direct
2. Through another unit

<1> [goto DESCRIP]
<2, D> [goto MERGUA]

Coverage

MERGUA

? [F1]

Is this a merged unit?


1. Merged
2. Not Merged

<1,D> [goto DESCRIP]
<2> [goto ERR_MERGE]

Coverage

ERR_MERGE

---------------------------------------------------------------------------------------------------------------------------------Hard Edit--------------------------------------------------------------------------------------------------------------------------------- * You have entered that the access to this unit is through another unit AND that it is not a merged unit -------------------------------------------------------------------------------------------------------------------------------- Question involved | Value--------------------------------------------------------------------------------------------------------------------------------- DIRACCMERGUA--------------------------------------------------------------------------------------------------------------------------------- | Close | | Goto |---------------------------------------------------------------------------------------------------------------------------------


Coverage

H_MERGUA

DEFINITION OF A MERGED UNIT A merger is a unit that is the result of combining two or more unit addresses to form one unit address. A merger could involve two single family homes or two or more apartments in a multi-unit structure. For more information please refer to your Listing and Coverage Manual.

<Esc Key> [return to MERGUA]

Coverage

DESCRIP


Enter type of Housing Unit.


1. House, apartment, flat
2. HU in non-transient hotel, motel, etc.
3. HU Permanent in transient hotel, motel, etc.
4. HU in rooming house
5. Mobile home or trailer with no permanent room added
6. Mobile home or trailer with one or more permanent rooms added
7. HU not specified above
8. Quarters not HU in rooming or boarding house
9. Student quarters in college dormitory
10. Group Quarters unit not specified above

<1-6,8,9, D> [goto UNITQ]
<7,10> [goto DESCRSP]

Coverage

DESCRSP

Enter other type of housing unit

<45 characters> [goto UNITQ]

Coverage

UNITQ

Ask if not apparent

How many housing units, both occupied and
vacant, are there in this structure?


1. Only Group Quarters units
2. Mobile home or trailer
3. One, detached
4. One, Attached
5. 2
6. 3 - 4
7. 5 - 9
8. 10 - 19
9. 20 - 49
10. 50 or more

goto END_COVERAGE

Coverage

END_COVERAGE

** CHECK ITEM **

[if PLACED_FLAG <> 1 AND NTYPE_W1 <> EMPTY, goto THANKYOU]
[else, goto PRE_01] {Section 1}

01

PRE_01

** CHECK ITEM **

If PLACED_FLAG = 1 goto MEMAWYW1
ELSE goto FNAME

01

PERSTAT

Use up/down arrows to move to the correct row for membership change.

Use left/right arrows to move to REVIEW/Update demographics.

When done, REVIEW/Update demographics and Press END key.


7. Delete person
8. CU Member deceased
9. Reinstate person
99. Error - Person should not have been listed

<7,8,9,99>

01

FNAME

^FNAME

 Enter 999 if no more persons

<16 characters> [goto LNAME]
<999> [goto CHECKS]

01

LNAME

Enter Last Name

<16 characters> [goto CU_CODE1]

01

CU_CODE1

Ask if not apparent

What is (your/name's) relationship to (you/name of reference person/the owner/renter)?

 If this is the Reference Person, Enter 1
(The Reference person is one of the persons who owns or rents this home.)


1. Reference Person
2. Spouse (Husband/Wife)
3. Child or adopted child
4. Grandchild
5. In-Law
6. Brother or Sister
7. Mother or Father
8. Other related person (Aunt, Uncle, etc)
9. Unrelated Person (Lodger, Lodger's spouse, foster child, etc)
10. Unmarried Partner

goto SEX

01

SEX

Ask if not apparent

(Are you/Is Name) male or female?


1. Male
2. Female

goto AWAY_COL

01

AWAY_COL

Ask if not apparent

(Are you/Is Name) living away at college?


1. Yes
2. No

<1> If CU_CODE1 = 1 goto AWAY_COL_CK
ELSE goto FNAME for next person on grid
<2, D, R> [goto HH_MEM]

01

HH_MEM

(Do you/Does NAME) usually live here?

 Probe if usual place of residence elsewhere.


1. Yes
2. No

goto next line of grid

01

CHECKS

** CHECK ITEM **

1. Check to make sure all appropriate fields have been entered. If not display hard edit identifying the item that has been missed.

Once the grid has been completed through hh_mem for all "active" members, do the following checks.

2. If no reference person (CU_CODE1 = 1) has been selected display hard edit message
" * No reference person has been selected.
A reference person MUST be selected before you can continue. "

(List CU_CODE1 for row 1 and Fname = 999 as the jumping point)

3. If more than 1 reference person (CU_CODE1 =1) has been selected then display hard edit message
" * More than 1 reference person has been selected.
There can only be 1 reference person
Please verify and correct. "
(List CU_CODE1 for row 1 as the jumping point)

4. All others go to HHRESP

01

HHRESP

* Ask if necessary

With whom am I speaking?

Enter line number


1. NAME only[1]
2. NAME only[2]
3. NAME only[3]
4. NAME only[4]
5. NAME only[5]
6. NAME only[6]
7. NAME only[7]
8. NAME only[8]
9. NAME only[9]
10. NAME only[10]
11. NAME only[11]
12. NAME only[12]
13. NAME only[13]
14. NAME only[14]
15. NAME only[15]
16. NAME only[16]
17. NAME only[17]
18. NAME only[18]
19. NAME only[19]
20. NAME only[20]
21. NAME only[21]
22. NAME only[22]
23. NAME only[23
24. NAME only[24]
25. NAME only[25]
26. NAME only[26]
27. NAME only[27]
28. NAME only[28]
29. NAME only[29]
30. NAME only[30]
95. Proxy Respondent

<1-30, 95> go to MCHILD

01

HHCHECK

So I have (number of people listed on roster ) ^PEOPLEPERSON living or staying here now.

[Fill names from roster screen]

Is there anyone else living or staying here now -- any babies, small children, non-relatives or anyone else?

 Please verify that the information on the screen is correct. You will not be able to alter the list of household members after this screen.

1. Yes
2. No

<1> go to ADD_PERSON
<2, D, R> go to CK_SUBFAMILY

01

ADD_PERSON

hard Edit
-----------------------------------------------------------------------------------------------------------------------------

* Go back to grid to add person

-----------------------------------------------------------------------------------------------------------------------------
Question involved | Value
-----------------------------------------------------------------------------------------------------------------------------
Fname: First Name 999
Mchild/maway/ . . Yes, add new person
________________________________________________________________________________
| Close | | Goto |
-----------------------------------------------------------------------------------------------------------------------------

[goto the field where Fname is 999]

01

CK_SUBFAMILY

*CHECK ITEM*

1. If there are no non-rels is the household who are cu/household members then, store line numbers in SUBFAM2(1,X) and goto SET_CUNUMBER

2. If there are more than 1 non-rel who are CU/household members in the household (CU_CODE1 = 9) then goto SUBFAM1

3. All others go to SET_SUBFAMS

01

SUBFAM1

Earlier you said that ^WasYouWere not related to ^NAME.
^AREYOU_ISNAME related to anyone else in this household?


1. Yes
2. No

<1> [goto SUBFAM2]
<2> [goto SUBFAM1 for next unassigned non-rel]
[if no more non-rels, goto SET_SUBFAMS]

01

SUBFAM2

Who (Are you/Is Name) related to?

PROBE: Anyone else?

Enter line number(s), separate with commas

1. ^NAME only[1]
2. ^NAME only[2]
3. ^NAME only[3]
4. ^NAME only[4]
5. ^NAME only[5]
6. ^NAME only[6]
7. ^NAME only[7]
8. ^NAME only[8]
9. ^NAME only[9]
10. ^NAME only[10]
11. ^NAME only[11]
12. ^NAME only[12]
13. ^NAME only[13]
14. ^NAME only[14]
15. ^NAME only[15]
16. ^NAME only[16]
17. ^NAME only[17]
18. ^NAME only[18]
19. ^NAME only[19]
20. ^NAME only[20]
21. ^NAME only[21]
22. ^NAME only[22]
23. ^NAME only[23]
24. ^NAME only[24]
25. ^NAME only[25]
26. ^NAME only[26]
27. ^NAME only[27]
28. ^NAME only[28]
29. ^NAME only[29]
30. ^NAME only[30]

<1-30,D,R> [goto SUBFAM, for next unassigned non-rel]
[If no more non-rels, goto SET_SUBFAMS]

01

SET_SUBFAMS

** CHECK ITEM **

[goto OWNMONEY]

01

MEMLN

FR Instruction:Enter the line number(s) separated by commas

<1-30> go to OWNMONEY

01

OWNMONEY

^OWNMON

[fill: Do/Does] [fill: (name(s) of persons in this subfamily)] pay for all [Fill: your/his/her/their] housing
expenses with [fill: your/his/her/their] own money?


1. Yes
2. No

<1,2,D,R> [goto OWNFOOD]

01

OWNFOOD

fill: Do/Does] [fill: (name(s) of persons in this subfamily)] pay for all [fill: your/his/her/their] food
expenses with [fill: your/his/her/their] own money?



1. Yes
2. No

<1>[if OWNMONEY is 1, goto OWNMONEY for next subfam;
if no more subfams then goto UPDATE_SUBFAM]

<2,D,R> [goto OWNEXP]

01

OWNEXP

[Fill: Do/Does] [fill: (name(s) of persons in this subfamily)] pay for all [fill: (your/his/her/their)] other
living expenses such as clothing, transportation,
etc., with [fill: your/his/her/their] own money?



1. Yes
2. No

<1> [If OWNMONEY is 1 OR OWNFOOD is 1, goto OWNMONEY
for next subfamily: if no more subfamiles, goto
UPDATE_SUBFAM]
<2,D,R> [goto INHOUSE]

01

INHOUSE

Does all or part of the money to pay for
^HOUSNAM come from someone
in this household?


1. Yes
2. No

<1> [goto SUPRT]
<2,D,R> [goto OWNMONEY for next subfamily]
[if no more subfamilies, goto UPDATE_SUBFAM]

01

SUPRT

Who is that person(s)?

Enter line number(s), separate with commas

1. ^NAME only[1]
2. ^NAME only[2]
3. ^NAME only[3]
4. ^NAME only[4]
5. ^NAME only[5]
6. ^NAME only[6]
7. ^NAME only[7]
8. ^NAME only[8]
9. ^NAME only[9]
10. ^NAME only[10]
11. ^NAME only[11]
12. ^NAME only[12]
13. ^NAME only[13]
14. ^NAME only[14]
15. ^NAME only[15]
16. ^NAME only[16]
17. ^NAME only[17]
18. ^NAME only[18]
19. ^NAME only[19]
20. ^NAME only[20]
21. ^NAME only[21]
22. ^NAME only[22]
23. ^NAME only[23]
24. ^NAME only[24]
25. ^NAME only[25]
26. ^NAME only[26]
27. ^NAME only[27]
28. ^NAME only[28]
29. ^NAME only[29]
30. ^NAME only[30]

<1-30,D,R> [goto OWNMONEY for next subfamily]
[if no more, goto UPDATE_SUBFAM]

01

UPDATE_SUBFAM

** CHECK ITEM **

[goto CONSUMER_UNITS]

01

CONSUMER_UNITS

HOUSEHOLD MEMBERS BROKEN INTO APPROPRIATE CU's

[Fill: TOTAL_CU] have been determined.


1. Enter 1 to Continue

<1> [goto CU_INTRO]

01

CU_INTRO

[fill: *Read if necessary]
During this interview, I will refer to the (fill: person/people) on your list.
(If household has more than one CU, read: This is the person or group of related people in this household who are independent of everyone else in the household for payment of their major expenses.)

The (fill: person/people I'm including on your list is/are (READ NAME(S))


[Fill: CU LIST ]

*Transcribe the name(s) to the Diaries.


1. Enter 1 to Continue

<1> [goto AGE]

01

AGE


Screen 1----------------------------------------------------------------------------------
As of today, how old Fill for is_are ^YOU_NAME?

<00-200> [goto HORIGIN]
<D,R> [goto AGE2]

01

AGE2

* Ask if necessary

[Fill: Are/Is] [Fill: you/he/she] under 16?


1. Yes
2. No

<1,2,D,R> [goto HORIGIN]

01

HORIGIN


(Are you/Is Name) Hispanic, Latino, or Spanish?


1. Yes
2. No

<1> [goto HISPANIC]
<2, D, R> [goto RACE]

01

HISPANIC

(Book) 3

[Fill: Are/Is] [Fill: you/name] -

 Examples of "other" include - Argentinean, Colombian, Dominican, Nicaraguan, Salvadoran, Spaniard

1. Mexican?
2. Mexican-American?
3. Chicano?
4. Puerto Rican?
5. Cuban?
6. Other?

<1-5, D, R> [goto RACE]
<6> [goto HISPOTH]

01

HISPOTH

* Specify:

<30 characters> [goto RACE]

01

RACE

3

What is (your/name's) race?

 Probe if necessary

 Enter all that apply, separate with commas

 Examples of "Other Pacific Islander" include - Fijian, Tongan


1. White?
2. Black or African American?
3. American Indian or Alaska Native?
4. Asian?
5. Native Hawaiian?
6. Guamanian or Chamorro?
7. Samoan?
8. Other Pacific Islander?
9. Other
10. Don't Know

<1-3, 5-8, R> [goto MARITAL1]
<4> [goto ASIAN]
<9> [goto RACESP]

01

ASIAN

3

[fill: Are/Is] [Fill: you/name] -

 Examples of "other" include - Hmong, Laotian, Thai, Pakistani, Cambodian

1. Chinese?
2. Filipino?
3. Japanese?
4. Korean?
5. Vietnamese?
6. Asian Indian?
7. Other?

<1-6, D, R> [goto MARITAL1]
<7> [goto ASIANOTH]

01

ASIANOTH

* Specify:

<30 characters> [goto MARITAL1]

01

RACESP

* Specify other race

<40 characters> [goto MARITAL1]

01

MARITAL1

* Ask if not apparent

(Are you/Is Name) now -


1. Married?
2. Widowed?
3. Divorced?
4. Separated?
5. Never married?

<1-5,D,R> [if AGE ge 14 or Agerng is 8 or 9 goto EDUCA]
[goto AGE for next member]

01

EDUCA

4

What is the highest level of school ^EDUCA completed or the highest
degree ^EDUCA received?


1. No schooling completed, or less than 1 year
2. Nursery, kindergarten, and elementary (grades 1-8)
3. High school (9-12, no degree)
4. High school graduate -- high school diploma or the equivalent (GED)
5. Some college but no degree
6. Associate's degree in college
7. Bachelor's degree (BA, AB, BS, etc.)
8. Master's, professional, or doctorate degree (MA, MS, MBA, MD, JD, PhD, etc.)

<1-3,D,R> [if AGE 16-65 or AGERNG is 8 or 9, goto ARM_FORC]
[else goto AGE1 for next member]
<4-8> [goto IN_COLL]

01

IN_COLL

(Are you/Is Name) currently enrolled in a college or university either -


1. Full Time?
2. Part Time?
3. Not at all?

<1-3,D,R> [If AGE is 16 - 65 or agerng is 8 or 9, goto ARM_FORC]
[goto AGE for next member]

01

ARM_FORC

4
(Are you/Is Name) now in the Armed Forces?


1. Yes
2. No

<1,2,D,R> [If this is the last person, goto CHECK2]
[Else goto AGE for the next person]

01

CHECK2

** CHECK ITEM **


01

CONTRIB

Does more than one person in this household regularly contribute to the expense of items such as food, cleaning supplies, or paper products?


1. Yes
2. No

<1> [ go to PURCH]
<2> [go to BSNS_YN]

01

PURCH

Does one person usually make the purchase?

1. Yes
2. No

<1> [go to PURCHSR]
<2, D, R> [go to BSNS_YN]

01

PURCHASR

Who?

Enter line number

NOTE: Ask the person who usually makes the purchases to record the expenses for the shared items.

<1-30, D,R> go to BSNS_YN

01

BSNS_YN

Are these living quarters used partly for business or rented to others?


1. Yes
2. No

<1> go to BSNSTYPE
<2,D,R> If PLACED_FLAG = 1 goto MEMAWYW1, else goto SEC01FLG

01

BSNSTYPE

*Ask if not apparent

Is it for business, or rented to others, or both?


1. Part Business
2. Rented to others
3. Both business and rented to others

<1,2,3> go to BUS_EXPN

01

BUS_EXPN

What percent of the expenses is counted as a business expense?

Enter percentage

<"range" (000 -100)> [if PLACED_FLAG = 1 goto MEMAWYW1,
Else goto SEC01FLG]

01

SEC01FLG

End of Section 1

Go to Section 2

02

S2_INTRO

Now I am going to ask about expenditures for your living quarters, food expenses and vehicles.


1. Enter 1 to Continue

<1> [goto ST_HOUS]

02

ST_HOUS

Ask if not apparent

Are these living quarters presently used as student housing by a
college or university?


1. Yes
2. No

<1> [goto GROCERYX]
<2, D, R> [goto OWNED]

02

OWNED

Do you own this home?

 Include Cus with a mortgage as owners.


1. Yes
2. No

<1> [goto TYPOWND]
<2, D, R> [goto RENTED]

02

TYPOWND

Are these quarters owned by regular ownership or as a condominium or cooperative?
In this survey, we consider a cooperative to be a property which is owned by a corporation. Each shareholder is entitled to occupy an individual unit. Is this what you mean?

If the respondent answers "No" to the probe try to determine whether the ownership is "regular" or
"condominium" and mark the appropriate box.


1. Regular ownership
2. Condominium
3. Cooperative

<1-3, D, R> [goto MORT]

02

RENTED

Are your living quarters rented for cash rent or occupied without payment of cash rent?


1. Rented for cash
2. Occupied without payment of cash rent

<1,2,D,R> [ goto GROCERYX ]

02

MORT

Do you have a mortgage on this property?


1. Yes
2. No

<1, 2, D, R> [ goto GROCERYX ]

02

GROCERYX

Since the first of (reference month), what has been you/your household's usual WEEKLY expense for grocery shopping?

 Include grocery home delivery service fees and drinking water delivery fees.

<0> [goto OTHFOOD]
<1-999999> If gt 300 the goto GROCERYX_ERR1
ESLE goto NONFOODX
<D,R> [goto OTHFOOD]

02

NONFOODX

About how much of this amount was for nonfood items, such as paper products, detergents, home cleaning supplies, pet foods, and alcoholic beverages?

<0-999999,D,R> If NONFOODX gt GROCERYX goto CK_NONFOODX
If NONFOODX gt 60 goto NONFOODX_ERR1
ELSE goto OTHFOOD

02

OTHFOOD

Other than your regular grocery shopping already reported, have (you/you or any of the people on your list) purchased any food or nonalcoholic beverages from places such as grocery stores, convenience stores, specialty stores, home delivery, or farmer's markets?


1. Yes
2. No

<1> [goto OTHFOODX]
<2,D,R> [goto PURCMEAL]

02

OTHFOODX

What was your usual WEEKLY expense at these places?

<0-999999,D,R> If OTHFOODX lt 3 or gt 100 goto OTHFOODX_ERR1
ELSEIf any CU members AGE is lt 22 goto
PURCMEAL, else goto OWN_VEH

02

PURCMEAL

During the previous 30 days, have you (or or any of the people on your list) purchased any meals at school or in a preschool program for preschool or school age children?


1. Yes
2. No

<1> [goto MEMB_SM]
<2,D,R> [goto OWN_VEH]

02

MEMB_SM


What are the names of all the people on your list who purchased meals at school?

 Enter line numbers for all that apply, separate with commas.

<1-30> [goto 02_CREATE]
<D,R> [goto OWN_VEH]

02

SCHLNCHX

What has been the usual weekly expense for the meals (Name) purchased at school?

<0-9999,D,R> If SCHLNCHX is lt 1 or gt 35 goto SCHLNCHX_ERR1
ELSE goto SCHLNCHQ

02

SCHLNCHQ

How many weeks in the past 30 days did (Name) purchase meals?

<1-5,D,R> [goto SCHLNCHQ for next person]
[if no more persons goto OWN_VEH]

02

OWN_VEH

Do (you/you or any of the people on your list) list own an automobile, truck, or other vehicle?

 Do not include any vehicle which is used entirely for business purposes.


1. Yes
2. No

<1> [goto VEHQ]
<2, D, R> [goto SEC2FLAG]

02

VEHQ

How many?

<1-99, D, R> If VEHQ gt 20 goto VEHQ_ERR1
ELSE goto VEH_BUS]

02

SEC2FLAG


<1> [goto FOUR_CK]

03

FOUR_CK

This is the end of the first visit. The income questions are normally asked at the final visit, but you may continue with those questions now if needed.

1. Continue with income
2. Place Diaries

<1> [goto S3A_INTRO]
<2> [goto AFTERMID]

03

S3A_INTRO

The next few questions are about income. We know people aren't used to discussing their income, but please be assured that, like all other information you have provided, these answers will be kept strictly confidential.

1. Enter 1 to Continue

<1> [goto WKS_WRKD]

03

WKS_WRKD

[fill:Now I am going to ask about ^NAME's work experience and income.]

In the past 12 months, including paid vacation and sick leave, how many weeks did ^YOU_NAME work?

 If CU member did not work, enter zero.

<0> [goto WHYNOWRK ]
<1-52, D,R > [goto HRSPERWK]

03

HRSPERWK

In the weeks that ^YOU_NAME worked, how many hours did Fill for YOUHESHE usually work per week?

<1-168 D,R> [goto OCCULIST]

03

OCCULIST

5 ? [F1]

Which of the following categories best describes the job in which ^YOU_NAME received the most earnings during the last 12 months?

 Enter one code.


1. Adminstrator, manager
2. Teacher
3. Professional
4. Administrative support, including clerical
5. Sales, retail
6. Sales, business goods and services
7. Technician
8. Protective service
9. Private household service
10. Other service
11. Machine or transportation operator, laborer
12. Construction workers, mechanics
13. Farming
14. Forestry, fishing, groundskeeping
15. Armed Forces

<1-15 D,R> [goto EMPLTYPE ]

03

EMPLTYPE

^WERE_WAS ^YOU_NAME:


1. An employee of a PRIVATE company, business, or individual working for wages or salary?
2. A FEDERAL government employee?
3. A STATE government employee?
4. A LOCAL government employee?
5. Self-employed in ^YOURHISHER OWN business, partnership, professional practice, or farm?
6. Working WITHOUT PAY in family business or farm?

<1-6, D, R> go to HAVEWAGE

03

WHYNOWRK

What was the main reason ^YOU_NAME did not work during the last 12 months?
^WERE_WAS [fill: you/he/she] -


1. Retired?
2. Taking care of home/family?
3. Going to school?
4. Ill, disabled, unable to work?
5. Unable to find work?
6. Doing something else?

<1-6, D, R> go to HAVEWAGE

03

HAVEWAGE

? [F1]

The next few questions are about income DURING THE PAST 12 MONTHS, that is from ^DATE1 TO ^DATE2...

Did ^YOU_NAME receive any wages, salary, tips, bonuses, or commissions?


1. Yes
2. No

<1> [goto WAGEX]
<2,D,R> [goto SEMPFRM]

03

WAGEX

? [F1]

How much did ^YOU_NAME receive before taxes?

<1-99999999> [goto GROSPAYX]
<D,R> [goto WAGEB]

03

WAGEB

6 ? [F1]

Could you tell me which range on CARD A best reflects total wages and salaries for ALL JOBS during the PAST 12 MONTHS?


1. $1-$4,999
2. $5,000-$9,999
3. $10,000-$14,999
4. $15,000-$19,999
5. $20,000-$29,999
6. $30,000-$39,999
7. $40,000-$49,999
8. $50,000-$69,999
9. $70,000-$89,999
10. $90,000-$119,999
11. $120,000 and over

<1-11,D,R> [goto GROSPAYX]

03

GROSPAYX

What was the amount of (your/name's) last pay before any deductions?

<1-99999999,D,R> [goto PAYPERD]

03

PAYPERD

What period of time did this cover?


1. One week
2. Two weeks
3. Month
4. Quarter
5. Year
6. Twice a month
7. Other

<1-6,D,R> [goto PAYSTUB]
<7> [goto PAYPRDOT]

03

PAYPRDOT

Specify:

<40 characters> [goto PAYSTUB]

03

PAYSTUB

Does the respondent have a paper or electronic pay check record present for ^HISHERNAMES last paycheck?

1. Yes
2. No

<1,2,D,R> goto PVT

03

PVT

Was there any money deducted from (your/name's) pay for-

Private pension fund?


1. Yes
2. No

<1> [goto PVTX]
<2,D,R> [goto GV]

03

PVTX

How much?

<1-99999999 D,R> [goto GV]

03

GV

Was there any money deducted from (your/name's) pay for-

Government retirement?


1. Yes
2. No

<1> [goto GVX]
<2,D,R> [goto RR]

03

GVX

How much?

<1-99999999 D,R> [goto RR]

03

RR

Was there any money deducted from (your/name's) pay for-

Railroad retirement?


1. Yes
2. No

<1> [goto RRX]
<2,D,R> [goto SSDED]

03

RRX

How much?

<1-99999999 D,R> [goto SSDED]

03

SSDED

Was there any money deducted from (your/name's) pay for-

Social Security including Medicare?


1. Yes
2. No

<1> [goto MEDICOV]
<2,D,R> [goto SSNORM]

03

SSNORM

Are Social Security payments NORMALLY deducted from (your/name's) pay?


1. Yes
2. No

<1> [goto MEDICOV]
<2,D,R> [goto EMPLCONT]

03

MEDICOV

Does the money deducted for Social Security cover only the Medicare portion of Social Security?


1. Yes
2. No

<1,2,D,R> [goto EMPLCONT]

03

EMPLCONT

Other than Social Security, did any employer or union contribute to (your/name's) pension or retirement plan in the last 12 months?


1. Yes
2. No

<1, 2, D, R> go to SEMPFRM

03

SEMPFRM

? [F1]

DURING THE PAST 12 MONTHS -

Did ^YOU_NAME receive any self-employment income or have a loss?

(Report income from own businesses (farm or non-farm) including proprietorships and partnerships.)


1. Yes
2. No

<1> go to SEMPFRMX
<2, D, R> go to SOCSRRET

03

SEMPFRMX

? [F1]

What was the amount?

(Report net income after operating expenses. Include earnings as a tenant farmer or sharecropper.)

* If net income was a loss, precede amount with a &lsquo;-&lsquo;.
* Breakeven = 1.

(-999999999 <= SEMPFRMX <= -1) OR (1 <= SEMPFRMX <= 999999999) go to SOCSRRET
<D, R> go to SMPFRMB

03

SEMPFRMB

6 ? [F1]

Could you tell me which range on CARD A best reflects (your/name's) income or loss from self-employment during the PAST 12 MONTHS?

0. Loss
1. $1-$4,999
2. $5,000-$9,999
3. $10,000-$14,999
4. $15,000-$19,999
5. $20,000-$29,999
6. $30,000-$39,999
7. $40,000-$49,999
8. $50,000-$69,999
9. $70,000-$89,999
10. $90,000-$119-999
11. $120,000 and over

<0-11, D, R> go to SOCSRRET

03

SOCSRRET

? [F1]

DURING THE PAST 12 MONTHS -

Did ^YOU_NAME receive any Social Security or Railroad Retirement benefits?

1. Yes
2. No

<1> go to SSRRTX
<2, D, R> go to US_SUPP

03

SS_RRX

? [F1]

What was the amount of the last Social Security or Railroad Retirement payment received?

<1-99999999> [goto MEDICARE]
<D,R> [goto SS_RRB]

03

SS_RRB

7 ? [F1]

Could you tell me which range on CARD B best reflects the amount of (your/name's) last Social Security or Railroad Retirement payment during the PAST 12 MONTHS?


1. Less than $500
2. $500-$699
3. $700-$999
4. $1,000-$1,299
5. $1,300-$1,699
6. $1,700 and over

<1-6, D, R> go to MEDICARE

03

MEDICARE

Is this amount AFTER the deduction for a Medicare premium?


1. Yes
2. No

<1,2,D,R> [goto SS_RRQ]

03

SS_RRQ

During the past 12 months, how many Social Security or Railroad Retirement payments did ^YOU_NAME receive?

<1-52,D,R> [goto US_SUPP]

03

US_SUPP

? [F1]

DURING THE PAST 12 MONTHS -

Did ^YOU_NAME receive any Supplemental Security Income (SSI) payments?

1. Yes
2. No

<1> go to SUPPX
<2, D, R> go to IRA

03

SUPPX

? [F1]

What was the amount?

<1-99999999> go to IRA
<D, R> go to SUPPB

03

SUPPB

8 ? [F1]

Could you tell me which range on CARD C best reflects the amount ^YOU_NAME received in Supplemental Security Income during the past 12 months?


1. $1-$999
2. $1,000-$1,999
3. $2,000-$2,999
4. $3,000-$3,999
5. $4,000-$4,999
6. $5,000-$9,999
7. $10,000-$14,999
8. $15,000-$19,999
9. $20,000-$29,999
10. $30,000-$39,999
11. $40,000-$49,999
12. $50,000 and over

Skip instructions:
<1-12, D, R> go to IRA

03

IRA

DURING THE PAST 12 MONTHS -

Did ^YOU_NAME place any money in a retirement plan such as an Individual Retirement Account (IRA) or Keogh? Do not include rollovers.

1. Yes
2. No

<1> go to IRAX
<2, D, R> go to S04A_CHECK

03

IRAX

How much?

<1-99999999,D,R> [goto S04A_CHECK]

03

S03A_CHECK

**CHECK ITEM**

If no more persons with AGE gt or equal to 14, goto Section 3B.

Else, goto WKS_WRKD for the next person

03

INTERDIV

? [F1]

INTERDIVINTRO

DURING THE PAST 12 MONTHS -

Did (you/you or any of the people on your list) receive any interest or dividends? Report even small amounts credited to an account.

1. Yes
2. No

<1> go to INTRDVX
<2, D, R> go to NETRENT

03

INTRDVX

? [F1]

What was the amount?

<1-999999999> go to NETRENT
<D, R> go to INTRDVB

03

INTRDVB

8 ? [F1]

Could you tell me which range on CARD C best reflects the amount (you/you or any of the people on your list) received in interest or dividends during the PAST 12 MONTHS?

1. $1-$999
2. $1,000-$1,999
3. $2,000-$2,999
4. $3,000-$3,999
5. $4,000-$4,999
6. $5,000-$9,999
7. $10,000-$14,999
8. $15,000-$19,999
9. $20,000-$29,999
10. $30,000-$39,999
11. $40,000-$49,999
12. $50,000 and over

<1-12, D, R> go to NETRENT

03

NETRENT

? [F1]

DURING THE PAST 12 MONTHS -

Did (you/you or any of the people on your list) receive any net rental income or a loss?

* Net rental income is the total amount after expenses.

1. Yes
2. No

<1> go to NETRENTX
<2, D, R> go to ROYEST

03

NETRENTX

? [F1]

What was the amount?

* The net amount is the total amount after expenses.
* If income was a loss, precede amount with a &lsquo;-&lsquo;.
* Breakeven=1.

(-999999999 <= NETRENTX <= -1) OR (1 <=NETRENTX <=999999999) go to ROYEST
<D, R> go to NETRENTB

03

NETRENTB

8 ? [F1]

Could you tell me which range on CARD C best reflects the total net rental income or loss during the PAST 12 MONTHS?

0. Loss
1. $1-$999
2. $1,000-$1,999
3. $2,000-$2,999
4. $3,000-$3,999
5. $4,000-$4,999
6. $5,000-$9,999
7. $10,000-$14,999
8. $15,000-$19,999
9. $20,000-$29,999
10. $30,000-$39,999
11. $40,000-$49,999
12. $50,000 and over

<0-12, D, R> go to ROYEST

03

ROYEST

? [F1]

DURING THE PAST 12 MONTHS -

Did (you/you or any of the people on your list) receive any royalty income or income from estates and trusts?

1. Yes
2. No

<1> go to ROYESTX
<2, D, R> go to RETSURV

03

ROYESTX

? [F1]

What was the amount?

<1-99999999> go to RETSURV
<D, R> go to ROYESTB

03

ROYESTB

8 ? [F1]

Could you tell me which range on CARD C best reflects the total amount received in royalty income or income from estates and trusts during the PAST 12 MONTHS?

1. $1-$999
2. $1,000-$1,999
3. $2,000-$2,999
4. $3,000-$3,999
5. $4,000-$4,999
6. $5,000-$9,999
7. $10,000-$14,999
8. $15,000-$19,999
9. $20,000-$29,999
10. $30,000-$39,999
11. $40,000-$49,999
12. $50,000 and over

<1-12, D, R> go to RETSURV

03

RETSURV

? [F1]

DURING THE PAST 12 MONTHS -

Did (you/you or any of the people on your list) receive any retirement, survivor, or disability pensions?

1. Yes
2. No

<1> go to RETSURVX
<2, D, R> go to OTHREG

03

RETSURVX

? [F1]

What was the amount?

(Do not include Social Security.)

<1-99999999> go to OTHREG
<D, R> go to RETSURVB

03

RETSURVB

8 ? [F1]

Could you tell me which range on CARD C best reflects the total amount received in retirement, survivor, or disability pensions during the PAST 12 MONTHS?

1. $1-$999
2. $1,000-$1,999
3. $2,000-$2,999
4. $3,000-$3,999
5. $4,000-$4,999
6. $5,000-$9,999
7. $10,000-$14,999
8. $15,000-$19,999
9. $20,000-$29,999
10. $30,000-$39,999
11. $40,000-$49,999
12. $50,000 and over

<1-12, D, R> go to OTHREG

03

OTHREG

? [F1]

DURING THE PAST 12 MONTHS -

Did (you/you or any of the people on your list) receive income on a REGULAR basis from any other source such as Veteran's Administration (VA) payments, unemployment compensation, child support, or alimony?

1. Yes
2. No

<1> go to OTHREGX
<2, D, R> go to LUMP

03

OTHREGX

? [F1]

What was the amount from all sources?

(Do not include lump sum payments such as money from an inheritance or sale of a home.)

<1-99999999> go to LUMP
<D, R> go to OTHREGB

03

OTHREGB

8 ? [F1]

Could you tell me which range on CARD C best reflects the total amount received in Veteran's Administration (VA) payments, unemployment compensation, child support, or alimony during the PAST 12 MONTHS?

1. $1-$999
2. $1,000-$1,999
3. $2,000-$2,999
4. $3,000-$3,999
5. $4,000-$4,999
6. $5,000-$9,999
7. $10,000-$14,999
8. $15,000-$19,999
9. $20,000-$29,999
10. $30,000-$39,999
11. $40,000-$49,999
12. $50,000 and over

<1-12, D, R> go to LUMP

03

LUMP

? [F1]

DURING THE PAST 12 MONTHS -

Did (you/you or any of the people on your list) receive any lump sum payments from insurance, estates, trusts, royalties, child support, alimony, prizes or games of chance, or from people who are not on your list?


1. Yes
2. No

<1> go to LUMPX
<2, D, R> go to OTHIN

03

LUMPX

? [F1]

What was the total amount received ^BY_ALL?

<1-9999999> go to OTHIN
<D, R> go to LUMPB

03

LUMPB

8 ? [F1]

Could you tell me which range on CARD C best reflects the total lump sum payments during the PAST 12 MONTHS?


1. $1-$999
2. $1,000-$1,999
3. $2,000-$2,999
4. $3,000-$3,999
5. $4,000-$4,999
6. $5,000-$9,999
7. $10,000-$14,999
8. $15,000-$19,999
9. $20,000-$29,999
10. $30,000-$39,999
11. $40,000-$49,999
12. $50,000 and over

<1-12, D, R> go to OTHIN

03

OTHIN

? [F1]

DURING THE PAST 12 MONTHS -

Did (you/you or any of the people on your list) receive any other money income, including money received from cash scholarship and fellowship, stipends not based on working, or from the care of foster children, not already reported?

1. Yes
2. No

<1> [goto OTHINX]
<2,D,R> [goto ADDOTH]

03

OTHINX

? [F1]

What was the total amount received ^BY_ALL?

<1-99999999> [goto FEDREF]
<D,R> [goto ADDOTH]

03

OTHINB

8 ? [F1]

Could you tell me which range on CARD C best reflects the total amount of other money income received during the PAST 12 MONTHS?

1. $1-$999
2. $1,000-$1,999
3. $2,000-$2,999
4. $3,000-$3,999
5. $4,000-$4,999
6. $5,000-$9,999
7. $10,000-$14,999
8. $15,000-$19,999
9. $20,000-$29,999
10. $30,000-$39,999
11. $40,000-$49,999
12. $50,000 and over

<1-12, D,R> [goto ADDOTH]

03

ADDOTH

DURING THE PAST 12 MONTHS -

Did (you/you or any of the people on your list) PAY any -

Other taxes such as inheritance or estate taxes?


1. Yes
2. No

<1> go to ADDTHX
<2, D, R> go to OCCEXPN

03

ADDOTHX

What was the total amount PAID ^BY_ALL?

<1-99999999,D,R> [goto OCCEXPN]

03

OCCEXPN

DURING THE PAST 12 MONTHS -

Did fill_YOU_ANY have any occupational expenses such as union dues, tools, uniforms, business or professional association dues, licenses, or permits?

1. Yes
2. No

<1> [goto OCCEXPNX]
<2,D,R> [goto REC_FS]

03

OCCEXPNX

What was the total amount of these occupational expenses?

<1-99999999,D,R> [goto REC_FS]

03

REC_FS

DURING THE PAST 12 MONTHS -

Did you or anyone in this household receive Food Stamps or a Food Stamp benefit card? Include government benefits from the Supplemental Nutritional Assistance Program (SNAP). Do NOT include WIC or the National School Lunch Program.

1. Yes
2. No

<1> [goto FS_MTHI]
<2,D,R> [goto PAWELFAR]

03

FS_MTHI

In how many of the last 12 months were food stamps or EBTs received?

<1-12, D, R> go to FS_AMT

03

FS_AMT

What was the dollar value of the last food stamps or EBT received?

<1-99999999,D,R> [goto PAWELFAR]

03

PAWELFAR

? [F1]

DURING THE PAST 12 MONTHS -

Did [fill: you/you or any members of this household, including any children,] receive any welfare payments or cash assistance from the state or local welfare office?

Please include even if only for one month. Do NOT include benefits from food, energy, or rental assistance programs.

1. Yes
2. No

<1> go to WELFRX
<2, D, R> go to FREEMEAL

03

WELFRX

? [F1]

What was the amount for the PAST 12 MONTHS?

<1-99999999> go to FREEMEAL
<D, R> go to WELFRB

03

WELFRB

8 ? [F1]

Could you tell me which range on CARD C best reflects the total amount of income from cash assistance from state or local government welfare programs during the PAST 12 MONTHS?


1. $1-$999
2. $1,000-$1,999
3. $2,000-$2,999
4. $3,000-$3,999
5. $4,000-$4,999
6. $5,000-$9,999
7. $10,000-$14,999
8. $15,000-$19,999
9. $20,000-$29,999
10. $30,000-$39,999
11. $40,000-$49,999
12. $50,000 and over

<1-12, D, R> go to FREEMEAL

03

FREEMEAL

DURING THE PAST 12 MONTHS -

Have (you/you or any of the people on your list) received any free meals at work as part of your pay?


1. Yes
2. No

<1> [goto FREEMLX]
<2,D,R> [goto RTASPAY]

03

FREEMLX

About what was the weekly dollar value of such meals?

<1-999999,D,R> [goto MEALWKI]

03

MEALWKI

How many weeks did (you/you or any of the people on your list) receive such meals during the last 12 months?

<01-52,D,R> [goto RTASPAY]

03

RTASPAY

DURING THE PAST 12 MONTHS -

Did (you/you or any of the people on your list) receive any free or reduced rent for this unit as a form of pay?


1. Yes
2. No

<1> [goto RTCOMPX]
<2,D,R> [goto SEC4BFLG]

03

RTCOMPX

What is the rental charge to another tenant for a similar unit?

<0-999999,D,R> [goto RTCMPPD]

03

RTCMPPD

What period of time does this cover?


1. Week
2. 2 Weeks
3. Month
4. Other

<1-3,D,R> [goto SEC4BFLG]
<4> [goto RTCM_SP]

03

RTCM_SP

* Specify:

<30 characters> [goto SEC3BFLG]

03

SEC3BFLG

**CHECK ITEM**

[goto AFTERMID]

Back

AFTERMID

** CHECK ITEM **


Back

WK1_ST1

Instruct the respondent on how to complete the Week 1 and Week 2 Diaries, and attempt to leave the Diaries with the respondent.


RO Survey PSU PSU Frame Sample Sequence #1 Sequence #2 HH CU Spinoff
Code State County Designation No. No.
-------------------------------------------------------------------------------------------------------------------------------------------
SITE (1-2) (3-4) (5-7) (8) (9-11) (12-15) (16-17) (18) (19-21) (22-23)


Were the Diaries placed?

1. Yes
2. No

<1> [goto THANK_W1]
<2> [goto NTYPE_W1]

Back

NTYPE_W1


What type of non-interview do you have?

Type A = No one home, Refusal, Temporarily Absent
Type B = Vacant, under construction, occupied by persons with URE
Type C = Demolished, House moved, Merged, Condemned, Located on base, CU moved



1. TYPE A
2. TYPE B
3. TYPE Q

<1> [goto TYPEA_W1]
<2> [goto TYPEB_W1]
<3> [goto TYPEC_W1]

Back

TYPEA_W1

Enter TYPE A noninterview


1. No one home
2. Refused
3. Temporarily Absent
4. Other Type A - specify

<1,3> [goto RACRF_W1]
<2> [goto RFRSN_W1]
<4> [goto TYPAS_W1]

Back

TYPAS_W1

Specify other TYPE A

<30 characters> [goto RACRF_W1]

Back

RFRSN_W1

Enter type of refused


1. Hostile Respondent
2. Time Related Excuses
3. Language
4. Other Refusal - specify

<1-3> [goto RACRF_W1]
<4> [goto RSN_S_W1]

Back

RSN_S_W1

Specify type of refusal

<45 characters> [goto RACRF_W1]

Back

TYPEB_W1

Enter TYPE B noninterview


1. Vacant (for rent)
2. Vacant (for sale)
3. Vacant (other)
4. Occupied by persons with URE
5. Under construction, not ready
6. All persons under 16
7. Unfit or to be demolished
8. Unoccupied tent or trailer site
9. Permit granted, construction not started
10. Other Type B - specify

<1-9> [goto BYOBS_W1]
<10> [goto TYPBS_W1]

Back

TYPBS_W1

Specify other TYPE B

<45 characters> [goto BYOBS_W1]

Back

TYPEC_W1

Enter TYPE C noninterview


1. Demolished
2. House or Mobile Home moved
3. Converted to permanent nonresidential use
4. Merged with units in the same structure
5. Condemned
6. Located on military base (post)
7. Unused serial # on listing sheet
8. CU Moved
9. ^TYPEMRGE
10. ^TYPECSPWN
11. Unit does not exist or unit is out of scope
12. Unlocatable sample address
13. Other Type C - specify

<1-12> [ goto BYOBS_W1]
<13> [goto TYPCS_W1]

Back

TYPCS_W1

Specify other TYPE C

<45 characters> [goto BYOBS_W1]

Back

BYOBS_W1

Did you classify this unit by observation only?


1. Yes
2. No

<1> [goto DONE]
<2> [CP1NAM_W1]

Back

CP1NAM_W1


Enter contact person's name

<42 characters> [goto CP1TITL_W1]

Back

CP1TITL_W1

Enter Contact person's title

<43 characters> [goto CP1PHON_W1]

Back

CP1PHON_W1

Enter contact person's phone number

Enter 0 for none.

<10 digits> [goto CP1EXT_W1]
<Empty, D, R> [goto CP1ADD1_W1]

Back

CP1EXT_W1

Enter contact person's phone number extension

<0000-9999, D, R, Empty> [goto CP1ADD1_W1]

Back

CP1ADD1_W1

Enter contact person's street address

<54 characters> [goto CP1ADD2_W1]

Back

CP1ADD2_W1

Enter second line of address if necessary

<54 characters, empty> [goto CP1PO_W1]

Back

CP1PO_W1

Enter city

<20 characters> [goto CP1ST_W1]

Back

CP1ST_W1

Enter state

<2 Digit State codes, D, R> [goto CP1ZIP5_W1]

Back

CP1ZIP5_W1

Enter zip code

<goto THANKYOU]

Back

RACRF_W1

Race of individual


1. White
2. Black or African American
3. American Indian or Alaska Native
4. Asian
5. Native Hawaiian
6. Guamanian or Chamorro
7. Samoan
8. Other Pacific Islander

<1-8,D> [goto HH_MM_W1]

Back

HH_MM_W1

Number of household members:

<1-30,D> [goto TENUR_W1]

Back

TENUR_W1

Tenure code


1. Owned
2. Rented

goto THANKYOU

Back

TYPAS_W2

Specify other TYPE A


Back

RSN_S_W2

Specify type of refusal


Back

TYPBS_W2

Specify other TYPE B


Back

TYPCS_W2

Specify other TYPE C


Back

RACRF_W2

Race of individual


1. White
2. Black or African American
3. American Indian or Alaska Native
4. Asian
5. Native Hawaiian
6. Guamanian or Chamorro
7. Samoan
8. Other Pacific Islander


Back

HH_MM_W2

Number of household members:


Back

TENUR_W2

Tenure code


1. Owned
2. Rented


Back

THANK_W1

^THANK_INSTRUCT
^THANK_DATE
Thank you.
^THANK_RETURN
 [fill: 2. Select another date]
Enter 1 to continue


1. Enter 1 to Continue

1: IF INSTAT1 ne 201, goto DONE
ELSE goto BSTTI
2: goto APPTOTH

Back

APPTOTH

[fill: *DO NOT place Diaries. Roster section not complete]

* Missing Sections: Press shift-F5 to view the status table

I'd like to schedule a DATE to [Fill: conduct/complete] the interview. May I return on

* Diaries must be picked up within this range.
0. Battery problem
1. [fill: DayName] [fill: PLCEDAT1+15]
2. [fill: DayName] fill: PLCEDAT1+16]
3. [fill: DayName] [fill: PLCEDAT1+17]
4. [fill: DayName] [fill: PLCEDAT1+18]
5. [fill: DayName] [fill: PLCEDAT1+19]
6. [fill: DayName] [fill: PLCEDAT1+20]
7. [fill: DayName] [fill: PLCEDAT1+21]

1-7: goto BSTTI
0,R: goto DONE

Back

BSTTI

When is the best time to contact you?

Do not read categories


0. Battery problem
1. Morning (9am-12noon)
2. Noon/Lunchtime (11am-1pm)
3. Afternoon(12noon-4pm)
4. Suppertime/Early evening (4pm-7pm)
5. Evening (6pm-9pm)
6. Anytime(9am-9pm)
7. Late evening/Night(7pm-9pm)
8. Daytime(9am-4pm)
9. After 5pm

1-9: goto BSTTI_SP
0: goto DONE

Back

BSTTI_SP

Enter specific best time to contact

<30 characters, empty> [goto DONE]

Back

NOSUN


Would a Sunday interview be acceptable?


0. BATTERY problem
1. Yes
2. No

<0, 1,2> [goto DONE]

Back

THANKYOU

^THANKYOU


* NOTE: Inform the respondent that a supervisor may call them to conduct re-interview.
Explain re-interview as needed.


1. Enter 1 to Continue

<1> [PICK_UP1=201 or PICK_UP2 =201, goto TELPV]
[Else, goto NUMCALL]

Back

TELPV


How did you collect MOST of the data for this case?
(Include follow-ups)


1. By Personal Visit
2. By Phone

<1,2> [goto CONVREF]

Back

CONVREF


Was this a converted refusal?


1. Yes
2. No

<1, 2> [goto RESPON]

Back

RESPON


Enter the line number of the MAIN respondent.
[Display household roster]

<1-30,95> [goto OTHRESP]

Back

OTHRESP


Enter the line number of ALL OTHER respondents.

[display household roster]

Enter 0 For NONE

<0-30,95> [goto INFOBOOK]

Back

INFOBOOK


Was the information booklet used during the interview?

1. Yes
2. No

<1,2> [goto LANGUAGE]

Back

LANGUAGE


In what language was the interview conducted?

1. English
2. Spanish
3. Other

<1,2> [goto NUMVISIT]
<3> [goto LANG_SP]

Back

LANG_SP


Specify:

<30 characters> [goto NUMVISIT]

Back

NUMVISIT

Enter the total number of visits that were made to pick-up or place diary.

<1-30> [goto OTHVISIT]

Back

OTHVISIT

Enter the number of other visits that were made.

<0-30> [goto NUMCALL]

Back

NUMCALL


Enter the number of phone calls that were made to collect data.

<0> [goto OTHCALL]
<1-30> [goto CALLRESN]

Back

CALLRESN


What was the reason for collecting data by telephone?

Enter all that apply, separate with commas


1. Collected missed items
2. Additional respondents
3. Other

<1,2> [goto OTHCALL]
<3> [goto CALLSP]

Back

CALLSP


Specify:

<30 characters> [goto OTHCALL]

Back

OTHCALL


Enter the number of other Phone calls that were made?

<0-30> [goto DONE]

Back

DONE

** CHECK ITEM **

[Goto SHOFINAL]

Back

SHOFINAL

OUTCOME: [Fill: OUTCOME] WEEK CODES
Week 1 Placement: [Fill: INSTAT1]
Week 1 Pick up: [Fill: PICK_UP1]
Week 2 Placement: [Fill: INSTAT2]
Week 2 Pick up: [Fill: PICK_UP2]

DATES
Place Date [fill: PLCEDAT1]
Pick up Date [fill: PICKDTE1]


1. Enter 1 to Continue

<1>

Back

SET_REINT

** CHECK ITEM **

[EXIT INSTRUMENT]

Back

PLACED_FLAG



BACK

LANGUAGE

* LANGUAGE
* Select the categories that describe this language situation.
* Enter all that apply, separate with commas.

1. Specify language or dialect.
2. No household member able to translate
3. Contact RO about language problem
4. Unable to find translator
5. No time left to find translator

If LANGUAGE = 1 goto SPECLANG
else goto RSPNDENT

CHAI

CTATEMPT

*CONTACT HISTORY INSTRUMENT
*Are you making a contact attempt or just looking at a case?

1. Contact attempt
2. Looking at a case - exit CHI

<1> goto TIMEOFCT
<2> exit CHI

CHAI

TIMEOFCT

* TIME OF CONTACT
* Are you entering the Contact History Instrument at the time of a contact attempt?

1. Yes
2. No

<1> goto PERORTEL
<2> goto FR_DATE

CHAI

MODE

PERSONAL OR TELEPHONE
 Was this a personal or telephone contact attempt?

1. Personal
2. Telephone

Goto to CTSTATUS

CHAI

FRDATE

DATE OF CONTACT
 Enter the date of the contact attempt in MM/DD/YYYY format

Goto FR_TIME

CHAI

FRTIME

TIME OF CONTACT
 Enter the time of the contact attempt in HH:MM am/pm format.

Goto PERORTEL

CHAI

CTSTATUS

CONTACT OR NONCONTACT
 Select the category that best describes this attempt.


1. Contact with SAMPLE unit member
2. Contact with NON-SAMPLE unit member
3. Noncontact

<1> goto CTTYPE
<2> If PERORTEL =1, goto NCTPER
If PERORTEL =2, goto NCTTEL

CHAI

CTTYPE

CONTACT
 Select the category that best describes this contact attempt.


1. Completed case - ready to transmit
2. Partial interview - follow-up required
3. Unable to conduct interview

<1> goto RSPNDENT
<2> goto NONINTER

CHAI

NONINTER

PARTIAL INTERVIEW OR UNABLE TO CONDUCT INTERVIEW
 Select the categories that describe why you were not able to conduct the interview during this contact attempt.
 Enter all that apply, separate with commas.

1. Eligible person not available
2. Inconvenient time
3. Respondent is reluctant
4. Language problem -specify
5. Health problem
6. Specify whom you talk with
7. Successful paper questionnaire placement
8. Other - specify

<4> goto LANGUAGE
<6> goto TALKEDTO
<7> goto CTOTHER
<else> goto RSPNDENT

CHAI

LANGUAG

LANGUAGE
 Select the categories that describe this language situation.
 Enter all that apply, separate with commas.

1. Specify language or dialect
2. No household member able to translate
3. Contact RO about language problem
4. Unable to find translator
5. No time left fo find translator

If LANGUAGE =1 goto SPECLANG
else goto RSPNDENT

CHAI

SPECLANG

SPECIFY LANGUAGE OR DIALECT.

goto RSPNDENT

CHAI

TALKEDTO

SPECIFY WHOM YOU TALKED TO
Specify with whom you talked.

Goto RSPNDENT

CHAI

CTOTHER

OTHER Contact Category
 Specify the reason for not completing the interview during this contact attempt.

goto RSPNDENT

CHAI

RSPNDENT

CONCERN/BEHAVIOR/RELUCTANCE
 Select the categories that describe respondent concerns, behaviors, or reluctance during this contact attempt.
 Enter all that apply, separate with commas.

1. Not interested/Does not want to be bothered
2. Too busy
3. Interview takes too much time
4. Breaks appointments (puts off FR indefinitely)
5. Scheduling difficulties
6. Survey is voluntary
7. Privacy concerns
8. Anti-govenment concerns
9. Does not understand survey/Asks questions about the survey
10. Survey content does not apply (retired, healthy, no crimes to report)
11. Hang-up/slams door on FR
12. Hostile or threatens FR
13. Other household members tell respondent not to participate
14. Talk only to specific household member
15. Family issues
16. Respondent requests same FR as last time
17. Gave that information last time
18. Asked too many personal questions last time
19. Too many interviews
20. Last interview took too long
21. Intends to quit survey
22. No concerns
23. Other - specify

<23> goto RSPNDOTH
<else> goto STRATEGS

CHAI

RSPNDOTH

OTHER CONCERNS/BEHAVIORS/RELUCTANCE
 Specify other concerns/behaviors/reluctance during this contact attempt.

goto STRATEGS

CHAI

NCTTEL

NONCONTACT / TELPHONE
 Select the categories that describe this telephone noncontact.
 Enter all that apply, separate with commas.

1. Got answering machine/service
2. No answer
3. Busy Signal
4. Disconnected
5. Wrong number
6. FAX number
7. Other - specify

<7> goto NCTTELOT
<else> goto STRATEGS

CHAI

NCTTELOT

OTHER Noncontact Telphone Attempt Category
 Specify the details about this telephone noncontact.

Goto STRATEGS

CHAI

NCTPER

NONCONTACT / PERSONAL VISIT
 Select the categories that describe this personal visit noncontact.
 Enter all that apply, separate with commas.

1. No one home
2. No one home - - appointment broken
3. No one home -- previous note / letter taken
4. Household does not answer door - - evidence someone is home
5. Drive-by
6. Multiple drive-bys - specify
7. Unable to reach / locked gate / buzzer entry
8. Address does not exist/unable to locate
9. On vacation, away from home / at second home
10. Spoke with neighbor
11. Building management / doorman contact
12. Completed case (Type B or C)
13. Sample respondent moved - specify
14. Other - specify

<6> goto MRNDRIVE
<13> goto NCTMOVED
<14> goto NCTPEROT
<else> goto STRATEGS

CHAI

NCTPEROT

OTHER Noncontact Personal Visit Category
 Specify the details about this personal visit noncontact.

goto STRATEGS

CHAI

MRNDRIVE

DRIVE-BYS ATTEMPTED TODAY
 How many drive bys were:
 Morning (12:00 - 11:59am)?
 Afternoon (12:00pm - 4:59pm)?
Evening (5:00pm - 11:59pm)?

Goto AFTDRIVE

CHAI

AFTDRIVE

DRIVE-BYS ATTEMPTED TODAY
 How many drive bys were:
 Morning (12:00am - 11:59am)?
 Afternoon (12:00pm - 4:59pm)?
Evening (5:00pm - 11:59pm)?

Goto EVNDRIVE

CHAI

EVNDRIVE

DRIVE-BYS ATTEMPTED TODAY
 How many drive bys were:

 Morning (12:00am - 11:59am)?
 Afternoon (12:00pm - 4:59pm)?
 Evening (5:00pm - 11:59pm)?

Goto CONTINUE

CHAI

CONTINUE

CONTINUE
 Is ^TOTDRVBY the correct number of drive-bys attempted today?
 Enter 1 to continue or correct entry below.

1. Enter 1 to Continue


CHAI

NCTMOVED

MOVED
 Select the categories that describe this move situation.
 Enter all that apply, separate with commas.

1. Address unknown
2. New address in FR's area
3. New address - transfer to different RO/FR
4. Further work need to get address
5. Other - specify

<5> goto MOVEDOTH
<else> goto STRATEGS

CHAI

MOVEDOTH

OTHER Non Contact Moved Category
 Specify the details about this move situation.

goto STRATEGS

CHAI

STRATEGS

CONTACT STRATEGIES ATTEMPTED
 Select the categories that describe the strategies used on this contact attempt.
 Enter all that apply, separate with commas.

1. Advance letter given
2. Scheduled appointment
3. Left Note/appointment card
4. Left promotional packet / informational brochure
5. Called household
6. Left message on answering machine
7. FR will request No One Home Letter
8. FR will request Refusal Letter
9. FR will request Better Understanding Letter
10. Called Contact Person
11. Stake-Out
12. Check with neighbors
13. Contacted other family members
14. Contacted property manager
15. Visited country assessor/post office/permit office
16. On-line tracking database
17. Sought help from SFR/RO
18. Reassignment
19. Offered incentive
20. Used MAF or ALMI
21. None
22. Other - specify

if STRATEGS =22 goto STRATOTH
else exit CHAI

CHAI

STRATOTH

OTHER STRATEGY
 Specify the strategy used on this contact attempt.

exit CHI



Page 14 of 14


File Typeapplication/vnd.openxmlformats-officedocument.wordprocessingml.document
AuthorBrattland, Janel - BLS
File Modified0000-00-00
File Created2021-01-21
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