-
-
-
-
-
-
-
-
-
-
-
-
-
-
-
-
-
-
-
-
-
-
-
-
-
Q-START [] |
Section: Household Interview |
NATIONAL LONGITUDINAL SURVEY OF
YOUTH79
NLSY79.RND27.TEST_QUEX.1.05
LAST UPDATED: 06-01-2016 TIME 8:00 AM
EDT
CASE_VERIFICATION [] |
Section: Household Interview |
INTERVIEWER: YOU HAVE
OPENED A QUESTIONNAIRE FOR THE FOLLOWING PERSON:
[r's first name] [r's last name]
LOCATED IN [Respondent City] ON [Date of last
interview] (THE DATE OF LAST INTERVIEW).
IF
THIS IS NOT CORRECT, PLEASE CLOSE THIS QUESTIONNAIRE USING
THE DISKETTE ICON AT THE TOP OF THE SCREEN AND OPEN A QUESTIONNAIRE
FOR THE CORRECT RESPONDENT.
Q1-3_A [] |
Section: Household Interview |
For verification purposes, please tell me your date of
birth?
BDATE-COMPARE [] |
Section: Household Interview |
([birthdate_rept] == [Respondent's date of
birth])
If Answer = 1 Then Go To FEE-1-PRETEST
BDATE_NONMATCH1 [] |
Section: Household Interview |
INTERVIEWER: THE
BIRTHDATE YOU HAVE ENTERED DOES NOT MATCH THE BIRTHDATE IN OUR RECORDS. PLEASE
BACK UP, VERIFY THE BIRTHDATE WITH THE RESPONDENT AND MAKE ANY CORRECTIONS
NECESSARY.
IF RESPONDENT VERIFIES DATE AND DATE WAS ENTERED ACCURATELY,
PLEASE BREAK-OFF INTERVIEW TEMPORARILY TO CHECK THE RECORDS.
FEE-1-PRETEST [] |
Section: Household Interview |
[NORC id number] >= 200000 && [NORC id number]
<= 299999
If Answer = 0 Then Go To FEE-1
FEE-1 [] |
Section: Household Interview |
[Early Bird wave/replicate] == 1001 || [Early Bird
wave/replicate] == 1011 || [Early Bird wave/replicate] == 1021 || [Early Bird
wave/replicate] == 1041 || [Early Bird wave/replicate] == 1051 || [Early Bird
wave/replicate] == 1061 || [Early Bird wave/replicate] == 1081 || [Early Bird
wave/replicate] == 1091 || [Early Bird wave/replicate] == 1101 || [Early Bird
wave/replicate] == 1111 || [Early Bird wave/replicate] == 1121 || [Early Bird
wave/replicate] == 1131 || [Early Bird wave/replicate] == 1141 || [Early Bird
wave/replicate] == 1191 || [Early Bird wave/replicate] == 1201 || [Early Bird
wave/replicate] == 1221 || [Early Bird wave/replicate] == 1231 || [Early Bird
wave/replicate] == 2001 || [Early Bird wave/replicate] == 2201 || [Early Bird
wave/replicate] == 2301 || [Early Bird wave/replicate] == 2401 || [Early Bird
wave/replicate] == 3001 || [Early Bird wave/replicate] == 3101 || [Early Bird
wave/replicate] == 3201 || [Early Bird wave/replicate] == 4001 || [Early Bird
wave/replicate] == 4201 || [Early Bird wave/replicate] == 4301 || [Early Bird
wave/replicate] == 4401 || [Early Bird wave/replicate] == 5001 || [Early Bird
wave/replicate] == 5201 || [Early Bird wave/replicate] == 5301 || [Early Bird
wave/replicate] == 5401 || [Early Bird wave/replicate] == 5501 || [Early Bird
wave/replicate] == 5601 || [Early Bird wave/replicate] == 5801 || [Early Bird
wave/replicate] == 5901 || [Early Bird wave/replicate] == 5911 || [Early Bird
wave/replicate] == 6001 || [Early Bird wave/replicate] == 6101 || [Early Bird
wave/replicate] == 6201 || [Early Bird wave/replicate] == 6301 || [Early Bird
wave/replicate] == 6401 || [Early Bird wave/replicate] == 7001 || [Early Bird
wave/replicate] == 7201 || [Early Bird wave/replicate] == 7301 || [Early Bird
wave/replicate] == 7401 || [Early Bird wave/replicate] == 7501 || [Early Bird
wave/replicate] == 8001 || [Early Bird wave/replicate] == 8201 || [Early Bird
wave/replicate] == 8301 || [Early Bird wave/replicate] == 8401 || [Early Bird
wave/replicate] == 8601 || [Early Bird wave/replicate] == 8701 || [Early Bird
wave/replicate] == 8801 || [Early Bird wave/replicate] == 8901 || [Early Bird
wave/replicate] == 9201 || [Early Bird wave/replicate] == 9401
If Answer = 1 Then Go To FEE-2A
FEE-2 [] |
Section: Household Interview |
INTERVIEWER: CHECK IF
RESPONDENT'S EARLY BIRD WINDOW IS STILL OPEN.
IF RESPONDENT IS STILL
ELIGIBLE FOR EARLY BIRD FEE, SELECT "YES". IF NO LONGER ELIGIBLE FOR EARLY BIRD
FEE, CHECK "NO".
CONSULT CASE MANAGEMENT SYSTEM IF NECESSARY.
FEE-2A [] |
Section: Household Interview |
INTERVIEWER: CHECK IF
RESPONDENT'S EARLY BIRD WINDOW IS STILL OPEN.
IF RESPONDENT IS STILL
ELIGIBLE FOR EARLY BIRD FEE, SELECT "YES". IF NO LONGER ELIGIBLE FOR EARLY BIRD
FEE, CHECK "NO".
CONSULT CASE MANAGEMENT SYSTEM IF NECESSARY.
FINAL-PUSH-CHECK [] |
Section: Household Interview |
INTERVIEWER: HAS
RESPONDENT BEEN OFFERED THE FINAL PUSH INCENTIVE?
|
1 YES |
|
0 NO ...(Go To Q1-A) |
Q1-A [] |
Section: Household Interview |
([any hh members?] ==1) && ([# hh members from
dli] == 0) && ([any hh members to append?] == 1)
COMMENT: check if there are people on info sheet, the first time adding
people and append flag - should only happen one time
If
Answer = 1 Then Go To Q1-D
Q1-D [] |
Section: Household Interview |
[# hh members from dli] == 0
COMMENT: Check if no one transferred into roster
If
Answer = 1 Then Go To CONSENT-1200
CONSENT-1200 [] |
Section: Household Interview |
(INTERVIEWER READ TO
R:)
The U.S. Department of Labor, Bureau of Labor Statistics,
asks you to participate in the National Longitudinal Survey of Youth 1979, Round
27. This survey is conducted to understand your generation's career, labor
market, and family experiences.
Your participation remains vital to the
success of this study and is voluntary. As always, you may decline to answer
specific questions, or end the interview at any point. Personal identifiers will
be secured in confidence and will not be released to the public without your
consent. All personnel associated with this study are legally bound to protect
the security and confidentiality of information you provide. Parts of this
interview may be recorded for quality control purposes. This will not compromise
the confidentiality of your responses.
As in previous rounds of the
survey, we will ask about experiences you may have had with employment,
education and training, family life/household dynamics, health, income,
attitudes and preparation for retirement. The information will continue to help
researchers identify how to make important life transitions more
successful.
You will receive a cash gift of $[FINBASEFEEAMT] as a token
of appreciation for your participation.
|
1 R CONSENTS TO
PARTICIPATE IN THE SURVEY |
|
2 R DOES NOT
CONSENT TO PARTICIPATE IN THE SURVEY ...(Go To CONSENT-1210) |
|
3 R CONSENTS TO
PARTICIPATE IN THE INTERVIEW BUT DOES NOT WANT TO BE
RECORDED ...(Go To INTRO2) |
INTRO2 [] |
Section: Household Interview |
(READ IF PERSONAL INTERVIEW:
In order that your
answers to our questions are not biased by anyone else's presence, it is
necessary that we conduct the interview in private.)
(INTERVIEWER:
PLEASE INFORM RESPONDENT OF THE RESPONDENT FEE HE OR SHE IS ELIGIBLE
FOR.)
CONSENT-1210 [] |
Section: Household Interview |
INTERVIEWER: ATTEMPT TO GAIN R'S
CONSENT TO PROCEED WITH THE INTERVIEW. IF YOU ARE UNABLE TO GAIN CONSENT, BREAK
OFF THE INTERVIEW AT THIS POINT AND MAKE A RECORD OF ALL INFORMATION THAT COULD
BE USEFUL IN GAINING THE RESPONDENT'S COOPERATION AT A LATER
DATE.
CONSENT-1220 [] |
Section: Household Interview |
We appreciate your help in answering these questions. At
the end of this survey I will ask you some questions that may help us contact
you in the future. By sharing this contact information, you give your permission
for us to use it to try to contact you for future interviews. In attempting to
reach you, we will never reveal any of the answers you've provided to the survey
questions.
|
1 R AGREES WITH
PROVIDING CONTACT INFORMATION ...(Go To CONSENT-MILPRIS) |
|
2 R DISAGREES
WITH PROVIDING CONTACT INFORMATION |
CONSENT-MILPRIS [] |
Section: Household Interview |
[r consent to locating efforts in military]==1
COMMENT: The respondent falls into the odd sample group
If Answer = 0 Then Go To CONSENT-1250
CONSENT-1250 [] |
Section: Household Interview |
If you were to enter a residential care facility, a
correctional facility, or the Armed Forces, may we contact government or other
administrative officials to get their help in locating and interviewing you?
When attempting to locate and interview you, we may reveal the fact that you are
a participant in this survey. However, as stated earlier, we will never reveal
any of the answers you've provided to the survey questions.
EARLY_BIRD_1 [] |
Section: Household Interview |
INTERVIEWER: IS THIS
RESPONDENT PART OF THE EARLY BIRD SAMPLE?
Q2_000001 [] |
Section: Household Interview |
Now I would like to make sure that we have the correct
spelling of your name. Is this how you spell your name?
Q2_000002 [] |
Section: Household Interview |
Q2_000003 [] |
Section: Household Interview |
HH1-1 [] |
Section: Household Interview |
In what type of place are you currently
living?
(IF NECESSARY, READ:) For example, are you living in a
residence, such as a house or apartment, alone or with friends or immediate
family, or with other relatives, or something else?
(INTERVIEWER:
DO NOT READ CATEGORIES. “OWN RESIDENCE” CAN BE RENTED OR OWNED BY R OR
ANOTHER PERSON, WHERE R IS LIVING WITH IMMEDIATE FAMILY (SPOUSE/PARTNER,
CHILDREN, ETC) OR WITH FRIENDS OR ROOMATES.)
|
11 OWN
RESIDENCE SUCH AS HOUSE, APARTMENT, OR CONDO, ALONE OR WITH OTHERS |
|
19 RESPONDENT
IN PARENT HOUSEHOLD |
|
20 RESPONDENT
IN OTHER RELATIVE'S HOUSEHOLD |
|
21 RETIREMENT
COMMUNITY/FACILITY |
|
22 GROUP HOME,
RESIDENTIAL NURSING OR OTHER ASSISTED LIVING
FACILITY ...(Go To HH4-28Y) |
|
23 HALFWAY
HOUSE, RESIDENTIAL MENTAL HEALTH TREATMENT OR DRUG/ALCOHOL
REHAB ...(Go To HH4-28Y) |
|
24 HOTEL,
MOTEL, ROOMING, OR BOARDING HOUSE |
|
25 SHELTER (FOR
HOMELESS OR ABUSED) OR ON STREET ...(Go To HH4-28Y) |
|
5 JAIL/PRISON ...(Go To HH4-28Y) |
|
4 HOSPITAL ...(Go To HH4-28Y) |
|
26 OTHER
(SPECIFY) |
HH1-3 [] |
Section: Household Interview |
I'd like to ask you a few questions about the members of
your household. Things change from year to year, and we need to be sure that we
have accurate information for this year.
HH2-SKIP [] |
Section: Household Interview |
[HH member count]
If Answer
= 0 Then Go To HH2-1
HH2-1 [] |
Section: Household Interview |
Does anyone besides yourself usually live in your
household?
If Answer = -1 Then Go To HH4-28Y
HH2-1_A [] |
Section: Household Interview |
When we last spoke to you, the
following people were living in the same household as you were.
(INTERVIEWER: READ NAMES ONLY. USE RELATIONSHIP TO CLARIFY INDIVIDUALS WITH
SAME/SIMILAR NAMES.)
Do any of them now have a usual residence
elsewhere?
IF RESPONDENT INDICATES YES, ASK:
Who no longer lives in
the same household?
(DELETE ANY PERSONS WITH A USUAL RESIDENCE SOMEWHERE
ELSE BY CLICKING ON "DELETE ROW". WHEN ALL DELETIONS ARE DONE, CLICK "SUBMIT AND
CONTINUE" TO GO FORWARD.)
(INTERVIEWER: THERE WILL BE AN OPPORTUNITY LATER TO MAKE
CORRECTIONS TO INFORMATION FOR MEMBERS STILL IN THE HOUSEHOLD.)
HH2-2 [] |
Section: Household Interview |
May I please have the full names of
anyone else who is now living in this household who does not have a usual
residence elsewhere?
(ADD OTHER PERSONS ON NEXT AVAILABLE LINES AS THEY
ARE NAMED BY RESPONDENT. CLICK "ADD ROW" TO MOVE TO THE NEXT AVAILABLE LINE.
WHEN ALL NEW MEMBERS HAVE BEEN ADDED, CLICK "SUBMIT AND CONTINUE" TO
CONTINUE.)
HH2-2C [] |
Section: Household Interview |
[HH member count]
If Answer
= 0 Then Go To HH4-28Y
HH4-3A [] |
Section: Household Interview |
[# hh members] > 0
COMMENT: Is there at least one household member listed?
If Answer = 0 Then Go To HH4-28Y
HHMEM-LOOP2-BEGIN [] |
Section: Household Interview |
REPEAT
COMMENT: Begin loop collecting information about individual household members
5
HH4-3C [] |
Section: Household Interview |
[hh member from dli still in hh([hhmem-loop2
counter])]==99
COMMENT: Is this person deleted? if so then skip these questions
If Answer = 1 Then Go To HHMEM-LOOP2-END
HH4-4 [] |
Section: Household Interview |
ISVAREMPTY ([hh member name([hhmem-loop2
counter])])
COMMENT: check if there is a name to ask about
If
Answer = 1 Then Go To HHMEM-LOOP2-END
HH4-5 [] |
Section: Household Interview |
ISVAREMPTY ([hh member relationship to r
(text)([hhmem-loop2 counter])])
COMMENT: check if there is a relationship to ask about
If Answer = 1 Then Go To HH4-9
HH4-5A [] |
Section: Household Interview |
[hh member relationship to r (text)([hhmem-loop2
counter])]
COMMENT: Check to see if that relationship is spouse
If
Answer = 1 Then Go To HH4-5B
If Answer = 14 Then Go To HH4-7
If Answer = 15 Then Go To HH4-7
If Answer >= 28 AND Answer <= 31 Then Go To HH4-7
If Answer = 35 Then Go To HH4-5I
If Answer = 39 Then Go To HH4-7
If Answer = 40 Then Go To HH4-7
If Answer >= 47 AND Answer <= 49 Then Go To HH4-7
If Answer >= 57 AND Answer <= 58 Then Go To HH4-7
If Answer >= 62 AND Answer <= 65 Then Go To HH4-7
If Answer = 66 Then Go To HH4-5F
HH4-5B [] |
Section: Household Interview |
VAREXIST ([hh member gender code([hhmem-loop2
counter])])
COMMENT: check to see if gender of spouse exists
If
Answer = 1 Then Go To HH4-5C
HH4-5C [] |
Section: Household Interview |
[hh member gender code([hhmem-loop2 counter])]
COMMENT: Branch on gencode of spouse
If Answer = 1 Then
Go To HH4-7
If Answer = 2 Then Go To HH4-7
HH4-5F [] |
Section: Household Interview |
[hh member gender code([hhmem-loop2 counter])]
COMMENT: Branch on gencode of spouse
If Answer = 1 Then
Go To HH4-7
If Answer = 2 Then Go To HH4-7
HH4-5I [] |
Section: Household Interview |
[hh member gender code([hhmem-loop2 counter])]
COMMENT: Branch on gencode of spouse
If Answer = 1 Then
Go To HH4-7
If Answer = 2 Then Go To HH4-7
HH4-7 [] |
Section: Household Interview |
We have [hh member name([hhmem-loop2 counter])]'s
relationship to you as [hh member relationship to r (text)([hhmem-loop2
counter])].
Is this correct?
(INTERVIEWER: IF OTHER NONRELATIVE, AND PARTNER
LISTED IN HOUSEHOLD, PROBE FOR BLOOD OR MARRIAGE RELATIVE OF
PARTNER.)
|
1 CORRECT |
|
0 NOT
CORRECT ...(Go To HH4-9) |
Default Next: |
HH4-11A |
Lead-In: |
HH4-5A [14:14],
HH4-5A [15:15],
HH4-5A [28:31],
HH4-5A [39:39],
HH4-5A [40:40],
HH4-5A [47:49],
HH4-5A [57:58],
HH4-5A [62:65],
HH4-5C [1:1],
HH4-5C [2:2],
HH4-5F [1:1],
HH4-5F [2:2],
HH4-5I [1:1],
HH4-5I [2:2],
HH4-5A [Default] |
HH4-9 [] |
Section: Household Interview |
What is [hh member name([hhmem-loop2 counter])]'s
relationship to you?
|
75 HUSBAND |
76 WIFE |
2 SON |
|
3 DAUGHTER |
10 GRANDSON |
11 GRANDDAUGHTER |
|
33 PARTNER |
70 PARTNER'S
SON |
71 PARTNER'S
ADOPTIVE/STEP SON |
|
72 PARTNER'S
DAUGHTER |
73 PARTNER'S
ADOPTIVE/STEP DAUGHTER |
74 PARTNER'S
BLOOD/IN-LAW RELATIVE |
|
4 FATHER |
5 MOTHER |
6 BROTHER |
|
7 SISTER |
17 NEPHEW |
18 NIECE |
|
16 COUSIN |
8 GRANDFATHER |
9 GRANDMOTHER |
|
12 UNCLE |
13 AUNT |
19 OTHER BLOOD
RELATIVE |
|
20 ADOPTED OR
STEP-SON |
21 ADOPTED OR
STEP-DAUGHTER |
24 FATHER-IN-LAW |
|
25 MOTHER-IN-LAW |
22 SON-IN-LAW |
23 DAUGHTER-IN-LAW |
|
26 BROTHER-IN-LAW |
27 SISTER-IN-LAW |
32 OTHER IN-LAW
RELATIVE |
|
34 BOARDER |
36 OTHER
NON-RELATIVE |
37 STEP-FATHER |
|
38 STEP-MOTHER |
59 ADOPTED OR
STEP-BROTHER |
60 ADOPTED OR
STEP-SISTER |
|
43 STEP
GRANDSON |
44 STEP
GRANDDAUGHTER |
41 GREAT
GRANDSON |
|
42 GREAT
GRANDDAUGHTER |
45 FOSTER
SON |
46 FOSTER
DAUGHTER |
|
50 FOSTER
FATHER |
54 GUARDIAN |
HH4-11A [] |
Section: Household Interview |
[hh member relationship to r (code)([hhmem-loop2
counter])]
COMMENT: SKIP ACCORDING TO RELCODE TO FIX CHARACTER GENDER FOR HOUSEHOLD
MEMBER
If Answer = 2 Then Go To HH4-17
If Answer = 3 Then Go To HH4-17
If Answer = 4 Then Go To HH4-17
If Answer = 5 Then Go To HH4-17
If Answer = 6 Then Go To HH4-17
If Answer = 7 Then Go To HH4-17
If Answer = 8 Then Go To HH4-17
If Answer = 9 Then Go To HH4-17
If Answer = 10 Then Go To HH4-17
If Answer = 11 Then Go To HH4-17
If Answer = 12 Then Go To HH4-17
If Answer = 13 Then Go To HH4-17
If Answer = 16 Then Go To HH4-11A1
If Answer = 17 Then Go To HH4-17
If Answer = 18 Then Go To HH4-17
If Answer = 19 Then Go To HH4-11A1
If Answer = 20 Then Go To HH4-17
If Answer = 21 Then Go To HH4-17
If Answer = 22 Then Go To HH4-17
If Answer = 23 Then Go To HH4-17
If Answer = 24 Then Go To HH4-17
If Answer = 25 Then Go To HH4-17
If Answer = 26 Then Go To HH4-17
If Answer = 27 Then Go To HH4-17
If Answer >= 32 AND Answer <= 36 Then Go To HH4-11A1
If Answer = 37 Then Go To HH4-17
If Answer = 38 Then Go To HH4-17
If Answer = 41 Then Go To HH4-17
If Answer = 42 Then Go To HH4-17
If Answer = 43 Then Go To HH4-17
If Answer = 44 Then Go To HH4-17
If Answer = 45 Then Go To HH4-17
If Answer = 46 Then Go To HH4-17
If Answer = 50 Then Go To HH4-17
If Answer = 54 Then Go To HH4-11A1
If Answer = 59 Then Go To HH4-17
If Answer = 60 Then Go To HH4-17
If Answer >= 70 AND Answer <= 71 Then Go To HH4-17
If Answer >= 72 AND Answer <= 73 Then Go To HH4-17
If Answer = 74 Then Go To HH4-11A1
If Answer = 75 Then Go To HH4-17
If Answer = 76 Then Go To HH4-17
HH4-11A-CHECK1 [] |
Section: Household Interview |
VAREXIST ([hh member gender code([hhmem-loop2
counter])])
If Answer = 1 Then Go To HH4-11A-CHECK2
HH4-11A-CHECK2 [] |
Section: Household Interview |
[hh member gender code([hhmem-loop2 counter])]==1||[hh
member gender code([hhmem-loop2 counter])]==2
If
Answer = 1 Then Go To HH4-17
HH4-11A1 [] |
Section: Household Interview |
INTERVIEWER: IF NOT
OBVIOUS, ASK:
What sex is [hh member name([hhmem-loop2
counter])]?
HH4-17 [] |
Section: Household Interview |
How old is [hh member name([hhmem-loop2
counter])]?
Default Next: |
HH4-22 |
Lead-In: |
HH4-11A [2:2],
HH4-11A [3:3],
HH4-11A [4:4],
HH4-11A [5:5],
HH4-11A [6:6],
HH4-11A [7:7],
HH4-11A [8:8],
HH4-11A [9:9],
HH4-11A [10:10],
HH4-11A [11:11],
HH4-11A [12:12],
HH4-11A [13:13],
HH4-11A [17:17],
HH4-11A [18:18],
HH4-11A [20:20],
HH4-11A [21:21],
HH4-11A [22:22],
HH4-11A [23:23],
HH4-11A [24:24],
HH4-11A [25:25],
HH4-11A [26:26],
HH4-11A [27:27],
HH4-11A [37:37],
HH4-11A [38:38],
HH4-11A [41:41],
HH4-11A [42:42],
HH4-11A [43:43],
HH4-11A [44:44],
HH4-11A [45:45],
HH4-11A [46:46],
HH4-11A [50:50],
HH4-11A [59:59],
HH4-11A [60:60],
HH4-11A [70:71],
HH4-11A [72:73],
HH4-11A [75:75],
HH4-11A [76:76],
HH4-11A-CHECK2 [1:1],
HH4-11A1 [1:1],
HH4-11A1 [2:2],
HH4-11A1 [Default] |
HH4-22 [] |
Section: Household Interview |
[hh member age([hhmem-loop2 counter])]
COMMENT: CHECK AGE STORED IN SAVE INDEX
If Answer >=
5 AND Answer <= 24 Then Go To HH4-25
If Answer >= 25 AND Answer <= 99 Then Go To HH4-23
HH4-23 [] |
Section: Household Interview |
VAREXIST ([hh member highest grade completed
(text)([hhmem-loop2 counter])])
COMMENT: CHECK GRADE STORED IN SAVE INDEX
If Answer = 1
Then Go To HH4-23A0
HH4-23A0 [] |
Section: Household Interview |
ISVAREMPTY ([hh member highest grade completed
(text)([hhmem-loop2 counter])])
COMMENT: IS THERE A GRADE DESCRIPTION FOR THIS HOUSEHOLD MEMBER?
If Answer = 1 Then Go To HH4-25
HH4-23A [] |
Section: Household Interview |
[hh member highest grade completed (code)([hhmem-loop2
counter])] == 99
COMMENT: WAS A GRADE NOT REPORTED AT LAST INTERVIEW FOR THIS PERSON?
If Answer = 0 Then Go To HH4-24
HH4-24 [] |
Section: Household Interview |
Is [hh member highest grade completed (text)([hhmem-loop2
counter])] still the highest grade or year of regular school that [hh member
name([hhmem-loop2 counter])] has completed?
HH4-25 [] |
Section: Household Interview |
What is the highest grade or year of regular school [hh
member name([hhmem-loop2 counter])] has ever completed?
|
0 NONE |
93 PRE-KINDERGARTEN |
|
94 KINDERGARTEN |
1 1ST
GRADE |
|
2 2ND GRADE |
3 3RD
GRADE |
|
4 4TH GRADE |
5 5TH
GRADE |
|
6 6TH GRADE |
7 7TH
GRADE |
|
8 8TH GRADE |
9 9TH
GRADE |
|
10 10TH
GRADE |
11 11TH
GRADE |
|
12 12TH
GRADE |
13 1ST YEAR
COLLEGE |
|
14 2ND YEAR
COLLEGE |
15 3RD YEAR
COLLEGE |
|
16 4TH YEAR
COLLEGE |
17 5TH YEAR
COLLEGE |
|
18 6TH YEAR
COLLEGE |
19 7TH YEAR
COLLEGE |
|
20 8TH YEAR
COLLEGE OR MORE |
95 UNGRADED |
HH4-27 [] |
Section: Household Interview |
[hh member age([hhmem-loop2 counter])]
COMMENT: Skip according to age of household member
If
Answer >= 14 AND Answer <= 99 Then Go To HH4-28
HH4-28 [] |
Section: Household Interview |
At any time in [calendar year prior to survey year], did
[hh member name([hhmem-loop2 counter])] work either full- or part-time -- not
counting work around the house?
HHMEM-LOOP2-END [] |
Section: Household Interview |
UNTIL (([hhmem-loop2 counter]==[# hh members]) || ([# hh
members]==0) || ([# hh members from dli]==0))
COMMENT: End loop collecting information on individual household members
HH4-28Y [] |
Section: Household Interview |
[# hh members] > 0
COMMENT: Is there at least one household member listed?
If Answer = 0 Then Go To HH5-2
HH5-2 [] |
Section: Household Interview |
[spouse in hh?]==1 || [partner in hh?]==1
COMMENT: Is there a spouse listed on the household roster
If
Answer = 1 Then Go To SIBLING-CHK1
HH5-4D [] |
Section: Household Interview |
[any opposite sex hh member] >= 1
COMMENT: Is there at least one person unrelated to R listed in the
household
If Answer = 1 Then Go To HH5-6
HH5-6 [] |
Section: Household Interview |
(INTERVIEWER: IF ANY ADULTS NOT RELATED TO RESPONDENT ARE LISTED
BELOW, ASK:)
Are you currently living as a partner with
someone?
(IF YES, SELECT
LINE NUMBER OF CORRECT PERSON AND SELECT "YES" BELOW.
OTHERWISE, SELECT "NO".
SELECT <SUBMIT AND CONTINUE> TO
PROCEED.)
HH5-5 [] |
Section: Household Interview |
INTERVIEWER: SELECT
RESPONSE AND <SUBMIT AND CONTINUE> TO
PROCEED.
|
1 YES ...(Go To HH5-7) |
|
0 NO |
HH5-7 [] |
Section: Household Interview |
INTERVIEWER: YOU HAVE
SELECTED [partner's name] AS THE
RESPONDENT'S PARTNER.
IF THIS IS NOT CORRECT, PLEASE RETURN TO THE
PREVIOUS QUESTION BY USING THE BACK/LEFT ARROW AT TOP
OF SCREEN AND SELECT THE CORRECT NAME.
SIBLING-CHK1 [] |
Section: Migration History and Family
Background |
[last round R completed] >= 22
COMMENT: R interviewed in round 22 (2006) or subsequent survey year?
If Answer = 1 Then Go To MIGR-1
SIBLING-CNT [] |
Section: Migration History and Family
Background |
RECCOUNT ([SIBLING])
COMMENT: R report any siblings in round 15 (1993) interview?
If
Answer = 0 Then Go To MIGR-1
SIBLING-LOOP-BEGIN [] |
Section: Migration History and Family
Background |
REPEAT
SIBLING-1 [] |
Section: Migration History and Family
Background |
Do you and [sibling name([sibling loop counter])] have
the same biological mother?
(INTERVIEWER: WE ARE ASKING THIS BECAUSE SOME
RESEARCHERS ARE LOOKING AT HOW SIMILAR HEALTH IS AMONG FAMILY MEMBERS. TO DO THE
ANALYSIS CAREFULLY, THEY NEED US TO ASK THE FOLLOWING QUESTIONS.)
|
1 Yes |
|
0 No |
|
2 (IF
VOLUNTEERED - DO NOT READ:) NOT SURE |
SIBLING-2 [] |
Section: Migration History and Family
Background |
Do you and [sibling name([sibling loop counter])] have
the same biological father?
|
1 Yes |
|
0 No |
|
2 (IF
VOLUNTEERED - DO NOT READ:) NOT SURE |
SIBLING-LOOP-END [] |
Section: Migration History and Family
Background |
UNTIL ([sibling_cnt] == [sibling loop
counter])
MIGR-1 [] |
Section: Migration History and Family
Background |
Now I have some questions about where you've been living
since [Date of last interview]. At that time you were living at [r street
address at dli]. Since then, have you ever lived at a different
address?
MIGR-2 [] |
Section: Migration History and Family
Background |
Not including where you were living at the time of last
interview ([r street address at dli]), how many different addresses have you
lived at for more than a month?
MIGR-3 [] |
Section: Migration History and Family
Background |
Since [Date of last interview], have you moved from one
state, city, or county to another?
MIGR-LOOP-BEGIN [] |
Section: Migration History and Family
Background |
REPEAT
COMMENT: Begin loop asking about addresses since date of last interview
MIGR-5_000005 [] |
Section: Migration History and Family
Background |
MIGR-5_000006 [] |
Section: Migration History and Family
Background |
MIGR-5_000007 [] |
Section: Migration History and Family
Background |
MIGR-5_000009 [] |
Section: Migration History and Family
Background |
MIGR-6 [] |
Section: Migration History and Family
Background |
What month and year did you move to that
location?
MIGR-7 [] |
Section: Migration History and Family
Background |
Since that time, have you moved to another state, city or
county?
INTERVIEWER: CODE 'YES' IF R
MOVED BACK TO A PREVIOUSLY MENTIONED PLACE.
MIGR-8-LOOP-END [] |
Section: Migration History and Family
Background |
UNTIL ([Since that time, have you moved to another state,
city or county?] != 1 || [migr-loop counter]==[number of moves])
COMMENT: End loop when no more moves reported since date of last
interview.
MIGR-10 [] |
Section: Migration History and Family
Background |
[MIGR-3]==1
COMMENT: did R report moving to a different city or state
If
Answer = 0 Then Go To R_REL_LINT
R_REL_LINT [] |
Section: Migration History and Family
Background |
[last round R completed]<25
If
Answer = 1 Then Go To R_REL-2
R_REL-2 [] |
Section: Migration History and Family
Background |
What is your present religion, if any?
|
7 CATHOLIC/ROMAN CATHOLIC |
13 ORTHODOX
CHRISTIAN (GREEK, RUSSIAN, ETC) |
|
3 EPISCOPALIAN,
ANGLICAN/CHURCH OF ENGLAND |
2 BAPTIST |
|
4 LUTHERAN |
5 METHODIST |
|
6 PRESBYTERIAN |
12 NON-DENOMINATIONAL OR NO DENOMINATION
KNOWN |
|
14 PENTECOSTAL/EVANGELICAL |
15 JEHOVAH’S
WITNESS |
|
16 MORMON/LDS |
17 CHURCH OF
CHRIST |
|
18 UNITED
CHURCH OF CHRIST |
19 AME (AFRICAN
METHODIST EPISCOPAL)/AME ZION |
|
20 ASSEMBLY OF
GOD |
21 HOLINESS |
|
22 APOSTOLIC |
23 7TH DAY
ADVENTIST |
|
24 CHRISTIAN,
OTHER (SPECIFY) |
25 UNITARIAN/UNITARIAN UNIVERSALIST |
|
8 JEWISH |
26 MUSLIM,
MOSLEM |
|
27 BUDDHIST |
28 HINDU |
|
9 OTHER
(SPECIFY) |
10 NONE, NO
RELIGION |
R_REL-3 [] |
Section: Migration History and Family
Background |
In the past year, about how often have you attended
religious services? More than once a week, about once a week, two or three times
a month, about once a month, several times or less during the year, or not at
all?
|
1 More than
once a week |
|
2 About once a
week |
|
3 Two or three
times a month |
|
4 About once a
month |
|
5 Several times
a year or less |
|
6 Not at
all |
Q2-1 [] |
Section: Marital History |
When we last talked with you on [Date of last interview],
you said you were [marital status at dli (text)].
Is that
correct?
|
1 YES ...(Go To Q2-3A) |
|
0 NO |
Q2-2 [] |
Section: Marital History |
What was your marital status on [Date of last
interview]?
(INTERVIEWER: If the
respondent reports his/her status as "single" probe to find out if s/he has
never been married before, is divorced, or is widowed now.)
|
0 Never
Married |
|
1 Married |
|
2 Separated |
|
3 Divorced |
|
6 Widowed |
Q2-3-0A [] |
Section: Marital History |
[marital status at dli (code)]
If
Answer = 0 Then Go To Q2-3A
Q2-3-0B [] |
Section: Marital History |
When did that happen?
[marital status at dli
(text)]
Q2-3A [] |
Section: Marital History |
Have there been any changes in your marital status since
[Date of last interview]?
(INTERVIEWER: If the respondent reports his/her
status as "single" probe to find out if s/he has never been married before, is
divorced, or is widowed now.)
Q2-5A1-LOOP-BEGIN [] |
Section: Marital History |
REPEAT
COMMENT: Begin loop about marital history
Q2-5A1B [] |
Section: Marital History |
[marital status code([marhist-loop1 counter])]
COMMENT: R's marital status at each point in the loop
If Answer = 0 Then Go To Q2-5B1
If Answer = 1 Then Go To Q2-5A1
If Answer = 2 Then Go To Q2-5A1_A
If Answer = 3 Then Go To Q2-5B2
If Answer >= 4 AND Answer <= 5 Then Go To Q2-5A1
If Answer = 6 Then Go To Q2-5B2
Q2-5A1 [] |
Section: Marital History |
Since [date of last marital change([marhist-loop1
counter])~X], what was the [first/next([marhist-loop1 counter])] change in your
marital status?
[INTERVIEWER NOTE: MARITAL STATUS ON dli was " "/
INTERVIEWER NOTE: PREVIOUS MARITAL STATUS: last status listed([marhist-loop1
counter])]
|
2 Separated |
|
3 Divorced |
|
6 Widowed |
Q2-5A1_A [] |
Section: Marital History |
Since [date of last marital change([marhist-loop1
counter])~X], what was the [first/next([marhist-loop1 counter])] change in your
marital status?
[INTERVIEWER NOTE: MARITAL STATUS ON dli was " "/
INTERVIEWER NOTE: PREVIOUS MARITAL STATUS: last status listed([marhist-loop1
counter])]
|
3 Divorced |
|
4 Reunited |
|
6 Widowed |
Q2-5B1 [] |
Section: Marital History |
When were you married?
[INTERVIEWER NOTE: DATE OF
LAST INTERVIEW lintdate/ (INTERVIEWER NOTE: DATE OF FIRST MARITAL STATUS
CHANGE: date of change([marhist-loop1 counter])]
Q2-5B2 [] |
Section: Marital History |
When were you remarried?
[INTERVIEWER NOTE: DATE
OF LAST INTERVIEW lintdate/ (INTERVIEWER NOTE: DATE OF FIRST MARITAL STATUS
CHANGE: date of change([marhist-loop1 counter])]
Q2-5B3 [] |
Section: Marital History |
When did that happen?
[INTERVIEWER NOTE: DATE OF
LAST INTERVIEW lintdate/ (INTERVIEWER NOTE: DATE OF FIRST MARITAL STATUS
CHANGE: date of change([marhist-loop1 counter])]
Q2-5C1 [] |
Section: Marital History |
After that, was there any other change in your marital
status?
Q2-5D8-LOOP-END [] |
Section: Marital History |
UNTIL([any marital status changes since dli?] !=
1)
COMMENT: Loop until no more changes in marital status.
Q2-5E [] |
Section: Marital History |
Just to verify, your current marital status is
[Married/Unmarried]?
(INTERVIEWER: IF NO, A MARITAL STATUS CHANGE MAY
HAVE BEEN MISSED. PROBE TO CLARIFY AND BACK UP TO ADD CHANGE IF
POSSIBLE.)
|
1 YES |
|
0 NO ...(Go To Q2-5F) |
Q2-5F [] |
Section: Marital History |
What is your current marital status?
|
1 Married |
|
2 Separated |
|
3 Divorced |
|
6 Widowed |
Q2-MARKNOC-2 [] |
Section: Marital History |
[marital status change] == 0 && [marital status
at dli (code)]==1
COMMENT: No marital status change since DLI and R was married at
DLI?
If Answer = 1 Then Go To SPARMAR-1
Q2-MARKNOC-2A [] |
Section: Marital History |
[SAMEPARTNER]==1
COMMENT: No marital status change since DLI and R was married at
DLI?
If Answer = 1 Then Go To SPARMAR-1
Q2-5H_CHK_10 [] |
Section: Marital History |
[marital status change count] > 0
COMMENT: Are any marital changes reported?
If Answer =
1 Then Go To Q2-5I
Q2-5I [] |
Section: Marital History |
VAREXIST([marital status change code(1)])
COMMENT: Is there a first marital status change reported from DLI?
If Answer = 0 Then Go To Q2-CH-1
Q2-5J [] |
Section: Marital History |
VAREXIST([marhist-loop1 counter])
COMMENT: Did R go through the marhist changes loop?
If
Answer = 0 Then Go To Q2-CH-1
Q2-CH-1 [] |
Section: Marital History |
[# unmarried gaps 3 or more months] > 0
COMMENT: Are there any gaps of 3 months or more in the cohabitation
calendar?
If Answer = 1 Then Go To Q2-CH-1C
Q2-CH-1C [] |
Section: Marital History |
[flag for partner in hh at dli]==1 &&
[SAMEPARTNER]==0
If Answer = 1 Then Go To Q2-CH-LOOP-BEGIN
Q2-CH-2 [] |
Section: Marital History |
Since [Date of last interview], during the times that you
were not married, did you ever live with anyone as a domestic partner for a
period of 3 months or more?
[(READ IF NECESSARY:) Please include time
that you lived with your (husband/wife) when you were not married.]
Q2-CH-LOOP-BEGIN [] |
Section: Marital History |
REPEAT
COMMENT: Begin loop to collect information about periods of cohabitation
Q2-CH-3A [] |
Section: Marital History |
[cohabitation loop]==1
If
Answer = 1 Then Go To Q2-CH-3B
Q2-CH-3B [] |
Section: Marital History |
[flag for partner in hh at dli]==1 &&
[SAMEPARTNER]==0
If Answer = 1 Then Go To Q2-CH-6A
Q2-CH-3E [] |
Section: Marital History |
[# unmarried gaps]==1
If
Answer = 1 Then Go To Q2-CH-5
Q2-CH-4 [] |
Section: Marital History |
Did you live with any partner for at least three months
between [Start date of marriage gap([cohabitation loop])~X] and [End date of
marriage gap([cohabitation loop])~X]?
(INTERVIEWER: PLEASE NOTE THIS QUESTION ASKS ABOUT
THE SPECIFIC REFERENCE PERIOD OF BETWEEN [Start date of marriage
gap([cohabitation loop])~X] AND [End date of marriage gap([cohabitation
loop])~X], NOT SINCE [Date of last interview] AS IN Q2-CH-2.)
Q2-CH-5 [] |
Section: Marital History |
When did you start living with this
partner?
(INTERVIEWER: IF R WAS
LIVING WITH PARTNER AT LAST INTERVIEW, PLEASE ENTER DATE OF LAST
INTERVIEW.)
Q2-CH-6 [] |
Section: Marital History |
Since [q2-ch-5_date~X], [(have/did) you live(d)]
continuously with that partner until [End date of marriage gap([cohabitation
loop])~X], or did you ever stop living with that partner?
|
1 Stopped
living with that partner |
|
2 Have lived
with that partner continuously ...(Go To Q2-CH-LOOP-END) |
Q2-CH-6A [] |
Section: Marital History |
When did you stop living with [that_opname]?
|
1 SELECT TO
ENTER DATE |
|
2 RELATIONSHIP
IS STILL ONGOING ...(Go To Q2-CH-LOOP-END) |
If Answer = -1 Then Go To Q2-CH-LOOP-END
Q2-CH-7 [] |
Section: Marital History |
[firstpar]When did you stop living with
[that_opname]?[secondpar]
Q2-CH-7A [] |
Section: Marital History |
VAREXIST ([marital status change (code)([index for
subsequent cohab loop])])
COMMENT: Is there a subsequent marital status on the roster?
If
Answer = 1 Then Go To Q2-CH-7B
Q2-CH-7B [] |
Section: Marital History |
([marital status change (code)([index for subsequent
cohab loop])] == 1 || [marital status change (code)([index for subsequent cohab
loop])] == 5)
COMMENT: Is last marital status "married" or "remarried"?
If
Answer = 1 Then Go To Q2-CH-7C
Q2-CH-7C [] |
Section: Marital History |
Is this the same partner that you [marital status change
(text)([index for subsequent cohab loop])] in [mo/yr of unmarried gaps([index
for subsequent cohab loop])~X]?
Q2-CH-3_2G [] |
Section: Marital History |
DATE2DAY([End date of marriage gap([cohabitation loop])])
- DATE2DAY([mo/day/yr stopped living with partner]) >= 90
COMMENT: Is remainder of the gap greater than 3 months in duration?
If Answer = 1 Then Go To Q2-CH-4_2G
Q2-CH-4_2G [] |
Section: Marital History |
You said you stopped living with [that_opname] in
[q2-ch-7_date~X]. Between [q2-ch-7_date~X] and [End date of marriage
gap([cohabitation loop])~X], did you live with any other partner for at least
three months?
Q2-CH-5_2G [] |
Section: Marital History |
When did you start living with another partner between
[q2-ch-7_date~X] and [End date of marriage gap([cohabitation
loop])~X]?
Q2-CH-6_2G [] |
Section: Marital History |
Since [q2-ch-5_date2g~X], [(have/did) you live(d)]
continuously with that partner until [End date of marriage gap([cohabitation
loop])~X], or did you ever stop living with that partner?
|
1 Stopped
living with that partner |
|
2 Have lived
with that partner continuously ...(Go To Q2-CH-LOOP-END) |
Q2-CH-7_2G [] |
Section: Marital History |
When did you stop living with that partner between
[q2-ch-5_date2g~X] and [End date of marriage gap([cohabitation
loop])~X]?
Q2-CH-7A_2G [] |
Section: Marital History |
VAREXIST ([marital status change (code)([index for
subsequent cohab loop])])
COMMENT: Is there a subsequent marital status on roster?
If
Answer = 1 Then Go To Q2-CH-7B_2G
Q2-CH-7B_2G [] |
Section: Marital History |
([marital status change (code)([index for subsequent
cohab loop])] == 1 || [marital status change (code)([index for subsequent cohab
loop])] == 5)
COMMENT: Is last marital status "married" or "remarried"?
If
Answer = 1 Then Go To Q2-CH-7C_2G
Q2-CH-7C_2G [] |
Section: Marital History |
Is this the same partner that you [marital status change
(text)([index for subsequent cohab loop])] in [mo/yr of unmarried gaps([index
for subsequent cohab loop])~X]?
Q2-CH-LOOP-END [] |
Section: Marital History |
UNTIL ([cohabitation loop]==[# unmarried
gaps])
COMMENT: Execute loop until all gaps in marital cohabitation accounted
for
Default Next: |
Q2-6C |
Lead-In: |
Q2-CH-6 [2:2],
Q2-CH-6A [-1:-1],
Q2-CH-6A [2:2],
Q2-CH-6_2G [2:2],
Q2-CH-4 [Default],
Q2-CH-7B [Default],
Q2-CH-3_2G [Default],
Q2-CH-4_2G [Default],
Q2-CH-7A_2G [Default],
Q2-CH-7B_2G [Default],
Q2-CH-7C_2G [Default] |
Q2-6C [] |
Section: Marital History |
([r remarried since dli (new spouse)?]+[r married since
dli (new spouse)?]) > 0
COMMENT: R reported a new spouse sometime since DLI?
If
Answer = 1 Then Go To Q2-6H
Q2-6H [] |
Section: Marital History |
[Is the spouse in the household new since dli] == 1
&& [partner in hh?] == 0
COMMENT: New spouse was reported at some time since DLI, and R is not
currently living with a partner?
If Answer = 0 Then Go To
Q2-10A
Q2-7 [] |
Section: Marital History |
When was your (most recent) [husband_wife_noyour]
born?
Q2-10A [] |
Section: Marital History |
[partner in hh?] == 1 &&
[SAMEPARTNER]==0
COMMENT: There is a new partner listed on the household roster
If Answer = 1 Then Go To Q2-10B
Q2-10B [] |
Section: Marital History |
When was [partner's name] born?
SPARMAR-1 [] |
Section: Marital History |
([spouse in hh?] ==1 || [marital status code]==1 ||
[marital status code]==5 || [partner in hh?] == 1) &&
([SAMEPARTNER]==1)
COMMENT: Does R have new current spouse in or out of household or a partner
listed on the household roster?
If Answer = 0 Then Go To
Q2-48
SPARMAR-1_D [] |
Section: Marital History |
([spouse in hh?] ==1) || ([partner in hh?]== 1) ||
([marital status code]==1) || ([marital status code]==5)
COMMENT: Does R have current spouse or partner?
If
Answer = 0 Then Go To Q2-48
SPARMAR-1A [] |
Section: Marital History |
([spouse in hh?]==1) || ([marital status code]==1) ||
([marital status code]==5)
COMMENT: Check if R has a spouse to set up text subs
If
Answer = 0 Then Go To SPARMAR-1CA
SPARMAR-1CA [] |
Section: Marital History |
[marital status change] == 0 && [marital status
at dli (code)]==1 || [SAMEPARTNER]==1
If Answer = 1
Then Go To Q2-48
SP_REL-1 [] |
Section: Marital History |
Now, a few questions about [Spouse/partner's name]'s
religious background.
First, in what religion was [Spouse/partner's name]
raised?
|
7 CATHOLIC/ROMAN CATHOLIC |
13 ORTHODOX
CHRISTIAN (GREEK, RUSSIAN, ETC) |
|
3 EPISCOPALIAN,
ANGLICAN/CHURCH OF ENGLAND |
2 BAPTIST |
|
4 LUTHERAN |
5 METHODIST |
|
6 PRESBYTERIAN |
12 NON-DENOMINATIONAL OR NO DENOMINATION
KNOWN |
|
14 PENTECOSTAL/EVANGELICAL |
15 JEHOVAH’S
WITNESS |
|
16 MORMON/LDS |
17 CHURCH OF
CHRIST |
|
18 UNITED
CHURCH OF CHRIST |
19 AME (AFRICAN
METHODIST EPISCOPAL)/AME ZION |
|
20 ASSEMBLY OF
GOD |
21 HOLINESS |
|
22 APOSTOLIC |
23 7TH DAY
ADVENTIST |
|
24 CHRISTIAN,
OTHER (SPECIFY) |
25 UNITARIAN/UNITARIAN UNIVERSALIST |
|
8 JEWISH |
26 MUSLIM,
MOSLEM |
|
27 BUDDHIST |
28 HINDU |
|
9 OTHER
(SPECIFY) |
10 NONE, NO
RELIGION |
SP_REL-2 [] |
Section: Marital History |
What is [Spouse/partner's name]'s present religion, if
any?
|
7 CATHOLIC/ROMAN CATHOLIC |
13 ORTHODOX
CHRISTIAN (GREEK, RUSSIAN, ETC) |
|
3 EPISCOPALIAN,
ANGLICAN/CHURCH OF ENGLAND |
2 BAPTIST |
|
4 LUTHERAN |
5 METHODIST |
|
6 PRESBYTERIAN |
12 NON-DENOMINATIONAL OR NO DENOMINATION
KNOWN |
|
14 PENTECOSTAL/EVANGELICAL |
15 JEHOVAH’S
WITNESS |
|
16 MORMON/LDS |
17 CHURCH OF
CHRIST |
|
18 UNITED
CHURCH OF CHRIST |
19 AME (AFRICAN
METHODIST EPISCOPAL)/AME ZION |
|
20 ASSEMBLY OF
GOD |
21 HOLINESS |
|
22 APOSTOLIC |
23 7TH DAY
ADVENTIST |
|
24 CHRISTIAN,
OTHER (SPECIFY) |
25 UNITARIAN/UNITARIAN UNIVERSALIST |
|
8 JEWISH |
26 MUSLIM,
MOSLEM |
|
27 BUDDHIST |
28 HINDU |
|
9 OTHER
(SPECIFY) |
10 NONE, NO
RELIGION ...(Go To SPARMAR-1D) |
If Answer = -1 Then Go To SPARMAR-1D
SP_REL-3 [] |
Section: Marital History |
In the past year, about how often has [Spouse/partner's
name] attended religious services? More than once a week, about once a week, two
or three times a month, about once a month, several times or less during the
year, or not at all?
|
1 More than
once a week |
|
2 About once a
week |
|
3 Two or three
times a month |
|
4 About once a
month |
|
5 Several times
a year or less |
|
6 Not at
all |
SPARMAR-1D [] |
Section: Marital History |
[Is the spouse in the household new since dli]==1 ||
[partner in hh?]==1
COMMENT: Is the spouse in the household new since dli or partner in
household?
If Answer = 0 Then Go To Q2-48
SPARMAR-2 [] |
Section: Marital History |
Has [Spouse/partner's name] ever been married
before?
(INTERVIEWER: PLEASE RECORD
ONLY LEGALLY RECOGNIZED MARRIAGES.)
If Answer = -1 Then Go To SPARRACE-1
SPARMAR-3 [] |
Section: Marital History |
[Not including this (marriage/relationship)] many other
times has [S/HE] been married?
(INTERVIEWER: PLEASE RECORD ONLY LEGALLY RECOGNIZED
MARRIAGES. ENTER NUMBER. ENTER 0 FOR "NEVER MARRIED".)
|
0 0 ...(Go To Q2-48) |
|
1 1 |
|
2 2 |
|
3 3 |
|
4 4 |
|
5 5 |
|
6 6 |
|
7 7 |
|
8 8 |
|
9 9 |
|
10 10 |
SPARMAR-4 [] |
Section: Marital History |
How old was [spouse/partner] when [S/HE] first
married?
SPARMAR-5 [] |
Section: Marital History |
Thinking about [Spouse/partner's name]'s [previous/most
recent]marriage, how long did that marriage last?
(INTERVIEWER:
ENTER TIME UNIT OF ANSWER BELOW. PRESS <ENTER> TO ENTER NUMBER OF WEEKS,
MONTHS OR YEARS.)
SPARMAR-5A [] |
Section: Marital History |
(Thinking about [Spouse/partner's name]'s [previous/most
recent] marriage, how long did that marriage last?)
(INTERVIEWER:
ENTER NUMBER OF WEEKS.)
SPARMAR-5B [] |
Section: Marital History |
(Thinking about [Spouse/partner's name]'s [previous/most
recent] marriage, how long did that marriage last?)
(INTERVIEWER:
ENTER NUMBER OF MONTHS.)
SPARMAR-5C [] |
Section: Marital History |
(Thinking about [Spouse/partner's name]'s [previous/most
recent] marriage, how long did that marriage last?)
(INTERVIEWER:
ENTER NUMBER OF YEARS.)
SPARMAR-6 [] |
Section: Marital History |
How did that marriage end?
|
1 Divorce |
|
2 Widowed |
|
3 Annulment |
|
4 Has not
ended |
SPARRACE-1 [] |
Section: Marital History |
Is [Spouse/partner's name] Hispanic, Latino, or of
Spanish origin?
SPARRACE-2 [] |
Section: Marital History |
What race or races does [Spouse/partner's name] consider
[him/her]self to be?
(INTERVIEWER: PLEASE
SELECT ALL THAT APPLY. CODE ALL RESPONSES INTO THE FOLLOWING
CATEGORIES:)
|
1 White |
|
2 Black or
African American |
|
3 Asian |
|
4 Native
Hawaiian or other Pacific Islander |
|
5 American
Indian or Alaska Native |
|
6 Some other
race (specify) |
|
7 Respondent
refuses to classify spouse/partner race except as
Hispanic/Latino |
Q2-48 [] |
Section: Marital History |
INTERVIEWER: DID
RESPONDENT CONSULT WITH ANYONE ELSE WHEN ANSWERING ANY OF THE QUESTIONS IN THIS
SECTION?
|
1 R ANSWERED
ALL QUESTIONS ON OWN |
|
2 R ANSWERED IN
CONSULTATION WITH PARTNER/SPOUSE |
|
3 R USED
SPOUSE/PARTNER'S ANSWERS ONLY |
Q2-CHK-MOCK-ID [] |
Section: Marital History |
[NORC id number] >= 555501 && [NORC id number]
<= 555530
COMMENT: SKIP BASED ON R GENDER
If Answer = 1 Then Go
To Q2-GO2_FERT
Q2-GO2_FERT [] |
Section: Marital History |
INTERVIEWER: DO YOU
WANT TO GO STRAIGHT TO THE FERTILITY
SECTION?
Q3-B [] |
Section: Regular Schooling |
Now I would like to ask you some questions about
school.....
First I would like to ask you about regular school, such as
high school, college, or graduate school. By regular school we mean school which
can be counted toward a high school diploma or a bachelor or graduate degree.
Later in the interview I'll be asking about other types of schools and training
programs.
Q3-1 [] |
Section: Regular Schooling |
At any time since [Date of last interview], have you
attended or been enrolled in regular school?
(READ IF NECESSARY:)--that
is, in an elementary school, a middle school, a high school, a college, or a
graduate school?
|
1 YES ...(Go To Q3-1A) |
|
0 NO |
Default Next: |
Q3-4 |
Lead-In: |
Q3-B [Default] |
Q3-1A [] |
Section: Regular Schooling |
Since October 2014, in which months were you attending
regular school? (If you were attending regular school at all during the month,
count it as a month attending school.)
(SELECT
ALL THAT APPLY.)
|
1 OCTOBER
2014 |
2 NOVEMBER
2014 |
3 DECEMBER
2014 |
|
4 JANUARY
2015 |
5 FEBRUARY
2015 |
6 MARCH
2015 |
|
7 APRIL 2015 |
8 MAY 2015 |
9 JUNE
2015 |
|
10 JULY 2015 |
11 AUGUST
2015 |
12 SEPTEMBER
2015 |
|
13 OCTOBER
2015 |
14 NOVEMBER
2015 |
15 DECEMBER
2015 |
|
16 JANUARY
2016 |
17 FEBRUARY
2016 |
18 MARCH
2016 |
|
19 APRIL
2016 |
20 MAY 2016 |
21 JUNE
0216 |
|
22 JULY 2016 |
23 AUGUST
2016 |
24 SEPTEMBER
2016 |
|
25 OCTOBER
2016 |
26 NOVEMBER
2016 |
27 DECEMBER
2016 |
|
28 JANUARY
2017 |
29 FEBRUARY
2017 |
30 MARCH
2017 |
|
31 APRIL
2017 |
32 MAY 2017 |
33 JUNE
2017 |
|
34 JULY 2017 |
35 AUGUST
2017 |
36 SEPTEMBER
2017 |
|
37 OCTOBER
2017 |
Q3-1B [] |
Section: Regular Schooling |
Are you currently attending or enrolled in regular
school?
|
1 YES ...(Go To Q3-1C) |
|
0 NO |
Q3-1C [] |
Section: Regular Schooling |
What grade or year of regular school are you attending or
enrolled in?
|
1 1ST GRADE |
2 2ND
GRADE |
|
3 3RD GRADE |
4 4TH
GRADE |
|
5 5TH GRADE |
6 6TH
GRADE |
|
7 7TH GRADE |
8 8TH
GRADE |
|
9 9TH GRADE |
10 10TH
GRADE |
|
11 11TH
GRADE |
12 12TH
GRADE |
|
13 1ST YEAR
COLLEGE |
14 2ND YEAR
COLLEGE |
|
15 3RD YEAR
COLLEGE |
16 4TH YEAR
COLLEGE |
|
17 5TH YEAR
COLLEGE |
18 6TH YEAR
COLLEGE |
|
19 7TH YEAR
COLLEGE |
20 8TH YEAR
COLLEGE OR MORE |
|
95 UNGRADED |
Q3-2A_VERBATIM [] |
Section: Regular Schooling |
What is the main reason you left at that time?
(IF
MORE THAN ONE REASON GIVEN, PROBE:) What is the one main reason?
Q3-2A [] |
Section: Regular Schooling |
|
1 RECEIVED
DEGREE, COMPLETED COURSE WORK |
|
2 GETTING
MARRIED |
|
3 PREGNANCY |
|
4 OTHER REASONS
DIDN'T LIKE SCHOOL |
|
5 LACK OF
ABILITY, POOR GRADES |
|
6 HOME
RESPONSIBILITIES |
|
7 OFFERED GOOD
JOB, CHOSE TO WORK |
|
8 COULDN'T
AFFORD TO GO - FINANCIAL DIFFICULTIES |
|
9 ENTERED
MILITARY |
|
10 EXPELLED OR
SUSPENDED |
|
11 SCHOOL TOO
DANGEROUS |
|
12 MOVED AWAY
FROM SCHOOL |
|
13 OTHER
(SPECIFY) |
Q3-3 [] |
Section: Regular Schooling |
What is the highest grade of regular school you have ever
attended?
|
1 1ST GRADE |
2 2ND
GRADE |
|
3 3RD GRADE |
4 4TH
GRADE |
|
5 5TH GRADE |
6 6TH
GRADE |
|
7 7TH GRADE |
8 8TH
GRADE |
|
9 9TH GRADE |
10 10TH
GRADE |
|
11 11TH
GRADE |
12 12TH
GRADE |
|
13 1ST YEAR
COLLEGE |
14 2ND YEAR
COLLEGE |
|
15 3RD YEAR
COLLEGE |
16 4TH YEAR
COLLEGE |
|
17 5TH YEAR
COLLEGE |
18 6TH YEAR
COLLEGE |
|
19 7TH YEAR
COLLEGE |
20 8TH YEAR
COLLEGE OR MORE |
|
95 UNGRADED |
Q3-4 [] |
Section: Regular Schooling |
What is the highest grade or year of regular school that
you have completed and gotten credit for?
|
1 1ST GRADE |
2 2ND
GRADE |
|
3 3RD GRADE |
4 4TH
GRADE |
|
5 5TH GRADE |
6 6TH
GRADE |
|
7 7TH GRADE |
8 8TH
GRADE |
|
9 9TH GRADE |
10 10TH
GRADE |
|
11 11TH
GRADE |
12 12TH
GRADE |
|
13 1ST YEAR
COLLEGE |
14 2ND YEAR
COLLEGE |
|
15 3RD YEAR
COLLEGE |
16 4TH YEAR
COLLEGE |
|
17 5TH YEAR
COLLEGE |
18 6TH YEAR
COLLEGE |
|
19 7TH YEAR
COLLEGE |
20 8TH YEAR
COLLEGE OR MORE |
|
95 UNGRADED |
Q3-4A [] |
Section: Regular Schooling |
[R currently enrolled in school?]==1
COMMENT: Did r attend since DLI but not currently attending
If
Answer = 1 Then Go To Q3-7
Q3-5C [] |
Section: Regular Schooling |
[Highest grade completed?]
COMMENT: What is the highest grade R has attended since last
interview?
If Answer >= 1 AND Answer <= 8 Then Go To
Q3-10C_CHK0
If Answer >= 9 AND Answer <= 12 Then Go To Q3-7
If Answer = 13 Then Go To Q3-7
If Answer >= 14 AND Answer <= 20 Then Go To Q3-7
If Answer = 95 Then Go To Q3-10C_CHK0
Q3-7 [] |
Section: Regular Schooling |
[High school diploma or GED reported as of last
interview? (with possible update during survey)] ==1
COMMENT: Did R have a HS diploma or GED at the date of last
interview?
If Answer = 1 Then Go To Q3-9
Q3-8 [] |
Section: Regular Schooling |
Do you have a high school diploma or have you ever passed
a high school equivalency or GED test?
|
1 YES ...(Go To Q3-8A) |
|
0 NO |
Q3-8A [] |
Section: Regular Schooling |
Which do you have, a high school diploma or a
GED?
|
1 High school
diploma ...(Go To Q3-8C) |
|
2 GED ...(Go To Q3-8B) |
|
3 (IF
VOLUNTEERED:) BOTH ...(Go To Q3-8C) |
Q3-8B [] |
Section: Regular Schooling |
When did you receive your GED?
Q3-8C [] |
Section: Regular Schooling |
When did you receive your high school diploma?
Q3-9 [] |
Section: Regular Schooling |
(([R currently enrolled in school?]==1) && ([Is
respondent currently attending or enrolled in school? (not used in
text)]==0))
COMMENT: Did R attend since DLI but not currently attending
If
Answer = 1 Then Go To Q3-10A
Q3-10A [] |
Section: Regular Schooling |
Since [Date of last interview], have you obtained any
kind of academic degree, for example, an associate's degree or any other type of
college degree?
Q3-10B [] |
Section: Regular Schooling |
What is the name of the highest degree you have received
since [Date of last interview]?
|
0 None |
|
1 High school
diploma (or equivalent) |
|
2 Associate/Junior College (AA) |
|
3 Bachelor of
Arts Degree (BA) |
|
4 Bachelor of
Science (BS) |
|
5 Master's
Degree (MA, MBA, MS, MSW) |
|
6 Doctoral
Degree (PhD) |
|
7 Professional
Degree (MD, LLD, DDS) |
|
8 Other
(SPECIFY) |
Q3-10C [] |
Section: Regular Schooling |
In what month and year did you complete that
degree?
Q3-10C_CHK0 [] |
Section: Regular Schooling |
[last round R completed] >= 23 && [hgcever]
> 0
COMMENT: Did R attend since DLI but not currently attending
If
Answer = 1 Then Go To Q3-11
Q3-10D [] |
Section: Regular Schooling |
What is the name of the highest degree you have ever
received?
(INTERVIEWER: IF
NECESSARY, EXPLAIN THAT A HIGH SCHOOL DIPLOMA
IS CONSIDERED A DEGREE.)
|
0 None ...(Go To Q3-10E_CHK1) |
|
1 High school
diploma (or equivalent) |
|
2 Associate/Junior College (AA) |
|
3 Bachelor of
Arts Degree (BA) |
|
4 Bachelor of
Science (BS) |
|
5 Master's
Degree (MA, MBA, MS, MSW) |
|
6 Doctoral
Degree (PhD) |
|
7 Professional
Degree (MD, LLD, DDS) |
|
8 Other
(SPECIFY) |
Q3-10E [] |
Section: Regular Schooling |
In what month and year did you complete that
degree?
Q3-10E_CHK1 [] |
Section: Regular Schooling |
[r completed less than 9th grade and has not earned a
diploma or ged]==1
COMMENT: Did R attend since DLI but not currently attending
If
Answer = 1 Then Go To Q4-CHECK
Q3-11 [] |
Section: Regular Schooling |
(([R currently enrolled in school?] == 1) &&
([Grade or year of school respondent currently attending or enrolled in (not
used in text)] >= 13)) || (([R currently enrolled in school?] == 1)
&& ([Highest grade ever attended?] >= 13))
COMMENT: Has R attended grade 13 or higher since the date of last
interview?
If Answer = 1 Then Go To Q3-13
Q3-13 [] |
Section: Regular Schooling |
Now, I would like to ask you about all of the
degree-granting colleges or universities you have attended since [Date of last
interview].
Let's start with the most recent first.
Q3-13A [] |
Section: Regular Schooling |
VAREXIST([college attending at dli (initial on info
sheet)])
COMMENT: Is there a university on the info sheet to match against?
If Answer = 1 Then Go To Q3-13B
Q3-13B [] |
Section: Regular Schooling |
We have [college attending at dli (initial on info
sheet)] as the university you were attending on [Date of last interview]. Is
this correct?
Q3-13C [] |
Section: Regular Schooling |
INTERVIEWER: ENTER
THE CORRECT UNIVERSITY R ATTENDED ON [Date of last interview] BELOW. IF R
ATTENDED NO UNIVERSITY ON [Date of last interview],
PRESS <SPACE BAR> ONCE AND THEN SELECT <SUBMIT AND CONTINUE> TO PROCEED.
Q3-14A-LOOP-BEGIN [] |
Section: Regular Schooling |
REPEAT
COMMENT: Begin loop about schools attended
Q3-14BB [] |
Section: Regular Schooling |
VAREXIST([University or college attended at date of last
interview (with employer update during survey)])
COMMENT: Is there a university on the info sheet to match against?
If Answer = 1 Then Go To Q3-14C
Q3-14C [] |
Section: Regular Schooling |
Is [Name of college or university respondent
attended([sch-loop1 counter])] the same college or university that you (are
currently attending/have most recently attended)?
|
1 YES ...(Go To Q3-17) |
|
0 NO |
Q3-14CC [] |
Section: Regular Schooling |
What is the name of the [most recent/next most
recent([sch-loop1 counter])] college or university you attended since [Date of
last interview]?
Q3-17 [] |
Section: Regular Schooling |
Where is this school located? What is the town or
city?
(INTERVIEWER NOTE: ENTER TOWN OR CITY.)
Q3-18 [] |
Section: Regular Schooling |
(INTERVIEWER: IS THIS
SCHOOL LOCATED IN THE U.S.?)
|
1 YES |
|
0 NO ...(Go To Q3-20) |
Q3-19 [] |
Section: Regular Schooling |
What is the state?
|
1 ALABAMA |
2 ALASKA |
4 ARIZONA |
|
5 ARKANSAS |
6 CALIFORNIA |
8 COLORADO |
|
9 CONNECTICUT |
10 DELAWARE |
11 DISTRICT OF
COLUMBIA |
|
12 FLORIDA |
13 GEORGIA |
15 HAWAII |
|
16 IDAHO |
17 ILLINOIS |
18 INDIANA |
|
19 IOWA |
20 KANSAS |
21 KENTUCKY |
|
22 LOUISIANA |
23 MAINE |
24 MARYLAND |
|
25 MASSACHUSETTS |
26 MICHIGAN |
27 MINNESOTA |
|
28 MISSISSIPPI |
29 MISSOURI |
30 MONTANA |
|
31 NEBRASKA |
32 NEVADA |
33 NEW
HAMPSHIRE |
|
34 NEW
JERSEY |
35 NEW
MEXICO |
36 NEW
YORK |
|
37 NORTH
CAROLINA |
38 NORTH
DAKOTA |
39 OHIO |
|
40 OKLAHOMA |
41 OREGON |
42 PENNSYLVANIA |
|
44 RHODE
ISLAND |
45 SOUTH
CAROLINA |
46 SOUTH
DAKOTA |
|
47 TENNESSEE |
48 TEXAS |
49 UTAH |
|
50 VERMONT |
51 VIRGINIA |
53 WASHINGTON |
|
54 WEST
VIRGINIA |
55 WISCONSIN |
56 WYOMING |
|
60 AMERICAN
SAMOA |
61 CANAL
ZONE |
62 CANTON AND
ENDERBURY ISLANDS |
|
66 GUAM |
67 JOHNSTON
ATOLL |
71 MIDWAY
ISLANDS |
|
72 PUERTO
RICO |
73 RYUKYU
ISLANDS, SOUTHERN |
74 SWAN
ISLANDS |
|
75 TRUST
TERRITORIES OF PACIFIC |
76 U.S.
MISCELLANEOUS CARIBBEAN |
77 U.S.
MISCELLANEOUS PACIFIC ISLANDS |
|
78 VIRGIN
ISLANDS |
79 WAKE
ISLAND |
0 OTHER
(SPECIFY) |
Q3-20 [] |
Section: Regular Schooling |
What is the country?
Q3-21 [] |
Section: Regular Schooling |
(Is/Was) [Name of college or university respondent
attended([sch-loop1 counter])] a 2-year or 4-year school?
Q3-22 [] |
Section: Regular Schooling |
When did you first attend or enroll in this
(college/university)?
Q3-23 [] |
Section: Regular Schooling |
What (is/was) your field of study at [Name of college or
university respondent attended([sch-loop1 counter])]?
(PROBE IF
NECESSARY:) What (are/were) you majoring in?
Q3-24 [] |
Section: Regular Schooling |
(Does/Did) [Name of college or university respondent
attended([sch-loop1 counter])] consider you a full-time or part-time
student?
(IF DON'T KNOW, PROBE:) What (do/did) you consider
yourself?
Q3-25 [] |
Section: Regular Schooling |
What (is/was) the total number of credit hours you (have)
ever earned at [Name of college or university respondent attended([sch-loop1
counter])]?
Q3-26 [] |
Section: Regular Schooling |
Since [Date of last interview], did you receive a loan to
cover any of the costs for your college expenses at [Name of college or
university respondent attended([sch-loop1 counter])]?
|
1 YES ...(Go To Q3-27) |
|
0 NO |
Q3-27 [] |
Section: Regular Schooling |
How much was the total dollar value of all the loans you
have received for your college expenses at [Name of college or university
respondent attended([sch-loop1 counter])] since [Date of last
interview]?
Q3-28 [] |
Section: Regular Schooling |
Are you currently attending or enrolled in [Name of
college or university respondent attended([sch-loop1 counter])]?
|
1 YES |
|
0 NO ...(Go To Q3-29) |
Q3-29 [] |
Section: Regular Schooling |
When did you last attend [Name of college or university
respondent attended([sch-loop1 counter])]?
(INTERVIEWER: DATE FIRST ATTENDED: [Month/year
respondent first attended university or college, if different from that listed
at date of last interview([sch-loop1 counter])~X].)
Q3-30 [] |
Section: Regular Schooling |
Have you attended any other college or university since
[Date of last interview]?
Q3-31-LOOP-END [] |
Section: Regular Schooling |
UNTIL([Did R attend any other schools?] ==0)
Q4-CHECK [] |
Section: Military |
([EVERMIL] > 0)
COMMENT: Did R ever serve in the military?
If Answer =
1 Then Go To Q4-C
Q4-C [] |
Section: Military |
VAREXIST([military branch code at date of last interview
(initial on info sheet)])
COMMENT: Was R enlisted in the military at date of last interview?
If Answer = 1 Then Go To Q4-D
Q4-D [] |
Section: Military |
([military branch code at date of last interview (initial
on info sheet)] > 0)
COMMENT: Was R enlisted in the military at date of last interview?
If Answer = 1 Then Go To Q4-1B
Q4-1B [] |
Section: Military |
And now I'd like to ask some questions about military
service.
When we talked to you on [Date of last interview], you were
serving in the [military branch name at date of last interview (initial on info
sheet)]. Is that correct?
|
1 YES |
|
0 NO ...(Go To Q4-2) |
Q4-2 [] |
Section: Military |
What branch of the military were you serving in on [Date
of last interview]?
|
0 None ...(Go To Q4-8) |
|
1 Army |
|
2 Navy |
|
3 Air
Force |
|
4 Marine
Corps |
|
11 Coast
Guard |
|
5 Army
Reserves |
|
6 Navy
Reserves |
|
7 Air Force
Reserves |
|
8 Marine Corps
Reserves |
|
12 Coast Guard
Reserves |
|
9 Air National
Guard |
|
10 Army
National Guard |
|
13 Other
(SPECIFY) |
Q4-4 [] |
Section: Military |
Are you currently serving in the [branch of military name
at dli (possible update during survey)]?
|
1 YES ...(Go To Q4-4A) |
|
0 NO |
Q4-4A [] |
Section: Military |
[r enlisted in active military at dli?] ==1
COMMENT: Was R in active forces during this time? This save index also takes
into account a change in the military info sheet item.
If
Answer = 1 Then Go To Q4-4B
Q4-4B [] |
Section: Military |
INTERVIEWER: DRAW A
LINE ON ROW A OF CALENDAR FROM [Date of last interview] TO
[CURDATE~X].
Q4-5 [] |
Section: Military |
What is your current pay grade?
|
0 ENLISTED,
DON'T KNOW GRADE |
|
1 E01 |
|
2 E02 |
|
3 E03 |
|
4 E04 |
|
5 E05 |
|
6 E06 |
|
7 E07 |
|
8 E08 |
|
9 E09 |
|
10 OFFICER,
DON'T KNOW GRADE |
|
11 O01 |
|
12 O02 |
|
13 O03 |
|
14 O04 |
|
20 WARRANT
OFFICER, DON'T KNOW GRADE |
|
21 W01 |
|
22 W02 |
|
23 W03 |
|
24 W04 |
Q4-5A [] |
Section: Military |
([r enlisted in active military at dli?]==1) &&
([r currently serving in dli branch of military?]==1)
COMMENT: CHECK IF R CURRENTLY SERVING IN ACTIVE MILITARY FORCES
If Answer = 1 Then Go To Q4-5B
Q4-5B [] |
Section: Military |
Now I would like to get some information on any other
employers you may have worked for since [Date of last interview].
Q4-5C [] |
Section: Military |
([r currently serving in dli branch of military?]==0)
&& ([r enlisted in active military at dli?]==1)
COMMENT: Check if R was in active forces but is not currently
serving
If Answer = 1 Then Go To Q4-6A
Default Next: |
Q4-6 |
Lead-In: |
Q4-4 [Default] |
Q4-6 [] |
Section: Military |
We'd like to ask you a few questions about your service
in the [branch of military name at dli (possible update during survey)] since
[Date of last interview]. In what month and year did you separate from the
[branch of military name at dli (possible update during survey)]?
Q4-6A [] |
Section: Military |
We'd like to ask you a few questions about your service
in the [branch of military name at dli (possible update during survey)] since
[Date of last interview]. On what day did you separate?
(INTERVIEWER:
ENTER DATE HERE)
Q4-7 [] |
Section: Military |
What was your pay grade when you left the [branch of
military name at dli (possible update during survey)]?
|
0 ENLISTED,
DON'T KNOW GRADE |
|
1 E01 |
|
2 E02 |
|
3 E03 |
|
4 E04 |
|
5 E05 |
|
6 E06 |
|
7 E07 |
|
8 E08 |
|
9 E09 |
|
10 OFFICER,
DON'T KNOW GRADE |
|
11 O01 |
|
12 O02 |
|
13 O03 |
|
14 O04 |
|
20 WARRANT
OFFICER, DON'T KNOW GRADE |
|
21 W01 |
|
22 W02 |
|
23 W03 |
|
24 W04 |
Q4-8 [] |
Section: Military |
Since [Date of last interview] have you been sworn into
any (other) branch of the Armed Services, including the National Guard, the
Reserves, or a Delayed Entry Program?
|
1 YES ...(Go To Q4-9) |
|
0 NO |
Q4-9 [] |
Section: Military |
Which branch were you sworn into?
(IF MORE THAN
ONE, PROBE FOR MOST RECENT BRANCH.)
|
1 ARMY |
|
2 NAVY |
|
3 AIR
FORCE |
|
4 MARINE
CORPS |
|
11 COAST
GUARD |
|
5 ARMY
RESERVES |
|
6 NAVY
RESERVES |
|
7 AIR FORCE
RESERVES |
|
8 MARINE CORPS
RESERVES |
|
12 COAST GUARD
RESERVES |
|
9 AIR NATIONAL
GUARD |
|
10 ARMY
NATIONAL GUARD |
|
13 OTHER
(SPECIFY) |
Q4-9A-A [] |
Section: Military |
[Q4-9]
COMMENT: save answer as milcode
If Answer = 1 Then Go
To Q4-9A
If Answer = 2 Then Go To Q4-9B
If Answer = 3 Then Go To Q4-9A
If Answer = 4 Then Go To Q4-9B
If Answer = 11 Then Go To Q4-9B
Q4-9A [] |
Section: Military |
Was that the regular [Text of branch of military], the
[Text of branch of military] Reserves, or the [Text of branch of military]
National Guard?
Q4-9A1 [] |
Section: Military |
INTERVIEWER: PROBE
FOR AND SELECT THE MOST RECENT BRANCH OF THE [Text of branch of
military].
|
1 Regular ...(Go To Q4-10) |
|
2 Reserves ...(Go To Q4-10) |
|
3 Guard ...(Go To Q4-10) |
|
4 BOTH |
Q4-9B [] |
Section: Military |
Was that the regular [Text of branch of military] or the
[Text of branch of military] Reserves?
Q4-9B1 [] |
Section: Military |
INTERVIEWER: PROBE
FOR AND SELECT THE MOST RECENT BRANCH OF THE [Text of branch of
military].
|
1 Regular ...(Go To Q4-10) |
|
2 Reserves ...(Go To Q4-10) |
|
4 BOTH |
Q4-10 [] |
Section: Military |
Are you currently serving in the [Text of branch of
military]?
|
1 YES ...(Go To Q4-11) |
|
0 NO |
Default Next: |
Q4-12 |
Lead-In: |
Q4-9A [1:1],
Q4-9A [2:2],
Q4-9A [3:3],
Q4-9A1 [1:1],
Q4-9A1 [2:2],
Q4-9A1 [3:3],
Q4-9B [1:1],
Q4-9B [2:2],
Q4-9B1 [1:1],
Q4-9B1 [2:2],
Q4-9A-A [Default],
Q4-9A [Default],
Q4-9A1 [Default],
Q4-9B [Default],
Q4-9B1 [Default] |
Q4-11 [] |
Section: Military |
([r sworn into active military since dli?]==1)
COMMENT: check if R entered the active forces.
If
Answer = 1 Then Go To Q4-11B
Q4-11A [] |
Section: Military |
In what month and year did you enter the [Text of branch
of military]?
Q4-11B [] |
Section: Military |
On what day did you enter the [Text of branch of
military]?
(INTERVIEWER: ENTER DATE
HERE.)
Q4-12 [] |
Section: Military |
Did you serve any time on active duty in the [Text of
branch of military]?
Q4-12A [] |
Section: Military |
([r sworn into active military since dli?]
==1)
COMMENT: check if R entered the active forces.
If
Answer = 1 Then Go To Q4-12B
Q4-12B [] |
Section: Military |
On what date did you enter active duty in the [Text of
branch of military]?
Q4-12C [] |
Section: Military |
On what date did you enter active duty in the [Text of
branch of military]?
Q4-13 [] |
Section: Military |
And on what date did you separate from the [Text of
branch of military]?
Q4-13A [] |
Section: Military |
And on what date did you separate from the [Text of
branch of military]?
Q4-14 [] |
Section: Military |
What (is/was) your (current) pay grade (when you left the
[Text of branch of military])?
|
0 ENLISTED,
DON'T KNOW GRADE |
|
1 E01 |
|
2 E02 |
|
3 E03 |
|
4 E04 |
|
5 E05 |
|
6 E06 |
|
7 E07 |
|
8 E08 |
|
9 E09 |
|
10 OFFICER,
DON'T KNOW GRADE |
|
11 O01 |
|
12 O02 |
|
13 O03 |
|
14 O04 |
|
20 WARRANT
OFFICER, DON'T KNOW GRADE |
|
21 W01 |
|
22 W02 |
|
23 W03 |
|
24 W04 |
Q4-15 [] |
Section: Military |
([r sworn into active military since dli?] == 1)
&& ([Is R currently serving in military branch reported at DLI?]
==1)
COMMENT: Is R currently serving in active forces enlisted in since last
interview?
If Answer = 1 Then Go To Q4-15A
Q4-15A [] |
Section: Military |
Now I would like to get some information on any other
employers you may have worked for since [Date of last interview].
Q4-16 [] |
Section: Military |
(([Confirmation that r was not serving in any branch of
the milt at DLI] != 1) && ([military branch code at dli (possible update
during survey)] != 0) && ([r currently serving in dli branch of
military?] == 0) && ([r enlisted in active military at dli?] == 1)) ||
(([Was R sworn in since DLI?] == 1) && ([Is R currently serving in
military branch reported at DLI?] == 0) && ([Active duty time served?]
== 1))
COMMENT: HAS R SERVED IN AND LEFT THE ACTIVE FORCES?
If
Answer = 1 Then Go To Q4-17
Q4-17 [] |
Section: Military |
Have you worked at a civilian job for pay since leaving
the military?
|
1 YES ...(Go To Q4-18) |
|
0 NO |
Q4-18 [] |
Section: Military |
(Are/Were) you doing the same kind of work in your most
recent civilian job that you did while you were in the military?
|
1 YES |
|
0 NO ...(Go To Q4-19) |
Q4-19 [] |
Section: Military |
Have you used any of the job skills you learned while in
the military in any of the civilian jobs you held since leaving the
military?
DLI-1 [] |
Section: On Jobs |
[dliempiscnt]
COMMENT: Are there any DLI employers listed at date of last
interview?
If Answer = 1 Then Go To DLI-2A
If Answer >= 2 AND Answer <= 99 Then Go To DLI-2A
DLI-1A [] |
Section: On Jobs |
Our records show that you were not working for
any employers ON [Date of last interview]. Is that
correct?
(IF NECESSARY READ:) Right now, I am asking ONLY about
employers for whom you were actually working ON [Date of last interview].
I will ask about employers you might have worked for SINCE [Date of last
interview] next.
If
Answer >= -2 AND Answer <= -1 Then Go To DLI-5A
DLI-2A [] |
Section: On Jobs |
Our records show that you were working for ...(READ NAMES OF EMPLOYERS LISTED BELOW)...
ON [Date of last interview].
(IF
NECESSARY, READ:) Right now, I am asking ONLY about employers
for whom you were actually working ON [Date of last interview]. I will
ask about employers you might have worked for SINCE [Date of last interview]
shortly.
DLI-2A_1 [] |
Section: On Jobs |
Is this information correct?
Please tell me if you
were working for any other employers ON [Date of last interview] who we
do not have listed or if any employers ON [Date of last interview]
that I mentioned should not be listed above.
We also realize that
sometimes businesses change names, maybe because they change ownership or for
marketing purposes. If you were working for [this employer/these employers], but
under a different business name or if you need to correct a business name,
please tell me the (new/correct) business name.
(INTERVIEWER:
READ CHOICES CAREFULLY, THEN SELECT ALL THAT APPLY.)
|
1 YES, ALL
EMPLOYER INFORMATION CORRECT ON DATE OF LAST INTERVIEW |
|
2 NO, NEED TO
CHANGE THE NAME OF (AN) EMPLOYER(S) |
|
3 NO,
LEFT (AN) EMPLOYER(S) BEFORE LAST INTERVIEW |
|
4 NO, NEVER
WORKED FOR (AN) EMPLOYER(S) |
|
5 NO, NEED TO
ADD EMPLOYER(S) |
DLI-ROS-CHK1 [] |
Section: On Jobs |
INSELECTION([DLI-2A_1],3)
COMMENT: R indicate s/he left an employer before last interview?
If Answer = 1 Then Go To DLI-DEL-1
DLI-DEL-1 [] |
Section: On Jobs |
Please tell me which employers you were NOT
working for ON [Date of last interview] and should not be
listed below. (READ NAMES OF EMPLOYERS IF NECESSARY).
(INTERVIEWER:
SELECT <MODIFY ROW> FOR EACH EMPLOYER
FOR WHOM RESPONDENT WAS NOT WORKING ON [Date of last
interview] AND SHOULD NOT BE LISTED BELOW TO RECORD DATE AND REASON
STOPPED WORKING FOR EMPLOYER.
SELECT <SUBMIT
AND CONTINUE> TO PROCEED.)
DLI-ROS-CHK2 [] |
Section: On Jobs |
INSELECTION([DLI-2A_1],4)
COMMENT: R indicate s/he never worked for (an) employer(s)?
If
Answer = 1 Then Go To DLI-4A
DLI-4A [] |
Section: On Jobs |
For which employer(s) listed below have you never
worked?
(IF NECESSARY RE-READ EMPLOYER NAMES.)
(INTERVIEWER: SELECT ANY
EMPLOYERS TO DELETE ON ROSTER. WHEN FINISHED, SELECT <SUBMIT
AND CONTINUE> TO PROCEED.)
DLI-6A-COUNT1 [] |
Section: On Jobs |
RECCOUNT([Date of Last Interview Employers with
Updates])
COMMENT: COUNT NUMBER OF DLI EMPLOYERS FROM LAST INTERVIEW APPEARING ON THE
DLI ROSTER
If Answer = 0 Then Go To DLI-ROS-CHK4
DLI-ROS-CHK3 [] |
Section: On Jobs |
INSELECTION([DLI-2A_1],2)
COMMENT: R indicate employer name(s) needs to be changed?
If
Answer = 1 Then Go To DLI-FIXROSTER
DLI-FIXROSTER [] |
Section: On Jobs |
You mentioned that you worked for an employer, but under
a different name. Which employer name(s) need(s) to be updated or corrected. (IF
NECESSARY, READ NAMES OF EMPLOYERS.)
INTERVIEWER: SELECT <MODIFY ROW> TO CHANGE EMPLOYER
NAME.
IF ALL INFORMATION ON ROSTER IS CORRECT,
SELECT <SUBMIT AND CONTINUE> TO
PROCEED.
DLI-ROS-CHK3A [] |
Section: On Jobs |
[number of last interview employers listed so far] >
0
COMMENT: Any date of last interview employers listed so far?
If
Answer = 1 Then Go To DLI-CURWK-1
DLI-CURWK-1 [] |
Section: On Jobs |
[We will add the additional employer(s) in a minute. But
first I just have a question or two about (READ EMPLOYER NAMES
BELOW).]
DLI-CURWK-LOOP-BEGIN [] |
Section: On Jobs |
REPEAT
COMMENT: Begin Loop for adding new bio children.
DLI-CURWK-CHK1A [] |
Section: On Jobs |
VAREXIST([dli_upd1_dliflag([dlicurwk-loop])])
COMMENT: Last interview flag exist for this employer?
If Answer = 0 Then Go To DLI-CURWK-LOOP-END
Are you currently working for [date of last interview
employer name([DLICURWK-LOOP])]?
DLI-CURWK-CHK1B [] |
Section: On Jobs |
[dli_upd1_dliflag([dlicurwk-loop])]
COMMENT: Was this employer listed on roster of last interview
employers?
If Answer = 1 Then Go To DLI-CURWK-CHK2A
DLI-CURWK-CHK2A [] |
Section: On Jobs |
VAREXIST([currently working for dli
employer([dlicurwk-loop])])
COMMENT: Currently working flag exist for employer?
If
Answer = 0 Then Go To DLI-CURWK-LOOP-END
DLI-CURWK-CHK2B [] |
Section: On Jobs |
[currently working for dli
employer([dlicurwk-loop])]
COMMENT: Is R currently working for employer?
If Answer
= 0 Then Go To Q6-9
When did you last stop working for [date of last
interview employer name([dlicurwk-loop])]?
(INTERVIEWER: YOU MUST ENTER A VALID DATE IN THIS
QUESTION. REPORT ANY UNUSUAL ANSWERS IN A COMMENT.)
DLI-CURWK-LOOP-END [] |
Section: On Jobs |
UNTIL ([dlicurwk-loop] == [number of last interview
employers listed so far])
COMMENT: loop end about current working status with employer
DLI-ROS-CHK4 [] |
Section: On Jobs |
INSELECTION([DLI-2A_1],5)
COMMENT: R indicate need to add an employer?
If Answer
= 1 Then Go To DLI-5A
DLI-5A [] |
Section: On Jobs |
You mentioned that you were working for (an/another)
employer ON [Date of last interview] who we do not have listed. Please
tell me the name(s) of (that/the first/the next) employer who we do not have
listed?
IF NECESSARY, READ: Just as a reminder, I am asking ONLY
about employers for whom you were actually working ON [Date of last
interview]. I will ask about employers you might have worked for SINCE [Date of
last interview] shortly.
(INTERVIEWER: TO ADD
EMPLOYER, SELECT <ADD ROW>.
IF NO (MORE)
ADDITIONS, SELECT <SUBMIT AND
CONTINUE> TO PROCEED.)
DLI-7A [] |
Section: On Jobs |
RECCOUNT([Date of Last Interview Employers Add
Only])
COMMENT: COUNT NUMBER OF DLI EMPLOYERS FROM LAST INTERVIEW APPEARING ON THE
DLI ROSTER
If Answer = 0 Then Go To Q6-23C
Q6-23C [] |
Section: On Jobs |
[Q6-23A]==1 && [Q6-23BA]==1
COMMENT: Has R been in active military service AND employed in a civilian job
since last interview?
If Answer = 1 Then Go To Q6-23F
Q6-23D [] |
Section: On Jobs |
[Q6-23A]==1 && [Q6-23BA]==0
COMMENT: Has R been in active military service and NOT employed in a civilian
job since last interview?
If Answer = 1 Then Go To
Q6-23H
Q6-23E [] |
Section: On Jobs |
[Q6-23A]==0 && [Q6-23BA]==1
COMMENT: Has R NOT been in active military service but HAS been employed in a
civilian job since last interview?
If Answer = 1 Then Go
To Q6-23I
Q6-23F [] |
Section: On Jobs |
Besides your employment with (READ NAMES OF EMPLOYERS
LISTED)...
Q6-23G [] |
Section: On Jobs |
... and your military service, have you done any work for
pay since [Date of last interview]?
(INTERVIEWER: READ IF NECESSARY:) That is besides your
employment with the employers we have already talked about, for whom you were
working ON [Date of last interview].
Q6-23H [] |
Section: On Jobs |
Besides your military service, have you done any work for
pay since [Date of last interview]?
Q6-23I [] |
Section: On Jobs |
Besides your employment with (READ NAMES OF EMPLOYERS
LISTED)...
Q6-23J [] |
Section: On Jobs |
... have you done any other work for pay since [Date of
last interview]?
(INTERVIEWER: ADD IF
NEEDED:) That is besides your employment with the employers we have already
talked about, for whom you were working ON [Date of last
interview].
Q6-23K [] |
Section: On Jobs |
Since [Date of last interview], have you done any work at
all for which you were paid?
NEWEMP-NEWJOBLOOP-BEGIN [] |
Section: On Jobs |
REPEAT
COMMENT: BEGIN LOOPS TO UPDATE/VERIFY EMPLOYERS FROM DATE OF LAST INTERVIEW
NEWEMP-6 [] |
Section: On Jobs |
(Besides the employers we have already talked about), For
whom have you (also) worked since [Date of last interview]?
NEWEMP-6A [] |
Section: On Jobs |
When did you first start working for [Name of
employer([NEWJOBLOOP-1])]?
(ENTER
DATE)
INTERVIEWER: YOU MUST ENTER A
VALID YEAR IN THIS QUESTION. REPORT ANY UNUSUAL ANSWERS IN A
COMMENT.
NEWEMP-6D [] |
Section: On Jobs |
Are you currently working for [Name of
employer([NEWJOBLOOP-1])]?
(INTERVIEWER: IF R IS
UNDECIDED, CONTINUE WITH PROBING QUESTION BY SELECTING "DON'T
KNOW.")
NEWEMP-6F [] |
Section: On Jobs |
PROBE: IS RESPONDENT ON
LEAVE?
NEWEMP-6G [] |
Section: On Jobs |
PROBE: DOES R RECEIVE WAGES FROM
EMPLOYER FOR TIME NOT WORKING THERE?
NEWEMP-6H [] |
Section: On Jobs |
PROBE: IS THE RESPONDENT
CURRENTLY ON LAYOFF?
NEWEMP-6I [] |
Section: On Jobs |
PROBE: IS THERE A COMMITMENT ON
THE EMPLOYER'S PART AND RESPONDENT'S PART TO RETURN TO WORK IN THE
FUTURE?
NEWEMP-6K [] |
Section: On Jobs |
When did you last stop working for [Name of
employer([NEWJOBLOOP-1])]?
(ENTER
DATE)
(INTERVIEWER: R IS NOT
CURRENTLY WORKING FOR [Name of
employer([NEWJOBLOOP-1])].)
(INTERVIEWER: YOU MUST ENTER A VALID YEAR IN THIS QUESTION.
REPORT ANY UNUSUAL ANSWERS IN A COMMENT.)
Q6-23L [] |
Section: On Jobs |
... have you done any other work for pay since [Date of
last interview]?
(INTERVIEWER: ADD IF
NEEDED:) That is besides your employment with the employers we have already
talked about.
NEWEMP-NEWJOBLOOP-END [] |
Section: On Jobs |
UNTIL([any other employers to report?]==0)
COMMENT: loop end about previous employers R returned to
TEMPLOYER-CHK1A [] |
Section: On Jobs |
[employer count so far] - [count of date of last
interview employers]
COMMENT: R report more employers than those active at last
interview?
If Answer >= -99 AND Answer <= 0 Then Go
To TEMPLOYER-CHK1B
TEMPLOYER-CHK1B [] |
Section: On Jobs |
[count of date of last interview employers] == [employer
count so far]
COMMENT: All employers reported so far active at date of last
interview?
If Answer = 0 Then Go To TEMPLOYER-CHK2A
TEMPLOYER-CHK2A [] |
Section: On Jobs |
[employer count so far] == 0
COMMENT: Has R NOT been in active military service but HAS been employed in a
civilian job since last interview?
If Answer = 1 Then Go
To ONJS-7290
TEMPLOYER-CHK2B [] |
Section: On Jobs |
[count of date of last interview employers] == [employer
count so far]
COMMENT: Has R NOT been in active military service but HAS been employed in a
civilian job since last interview?
If Answer = 1 Then Go
To TEMPLOYER-VERIFY1
ONJS-1000E [] |
Section: On Jobs |
Thinking about (READ NAMES OF ADDED EMPLOYERS), have you ever worked for (that
employer/any of these employers) before, perhaps under a different
name?
(IF NECESSARY ASK:) Which (employer was that/employers were
those)?
(INTERVIEWER: PLEASE SELECT EACH
ADDED EMPLOYER RESPONDENT REPORTS WORKING
FOR BEFORE.)
ONJS-1000G [] |
Section: On Jobs |
INTERVIEWER: WERE ANY
ADDED EMPLOYERS SELECTED ON THE ABOVE
ROSTER?
ONJS-1000G-CHK1 [] |
Section: On Jobs |
SELECTEDINSELECTION([ONJS-1000E])
COMMENT: Did R return to previous employers?
If Answer
= 0 Then Go To DLI-LOOP1-BEGIN
ONJS-WKB4-LOOP-BEGIN [] |
Section: On Jobs |
REPEAT
COMMENT: BEGIN LOOPS TO UPDATE EMPLOYER RECORD WITH INFO FROM PREVIOUS TENURE
WITH EMPLOYER
ONJS-WKB4-CHK1A [] |
Section: On Jobs |
VAREXIST([ONJS-1000E])
COMMENT: R report returning to previous employer(s)?
If
Answer = 1 Then Go To ONJS-WKB4-CHK2
ONJS-WKB4-CHK2 [] |
Section: On Jobs |
INSELECTION([ONJS-1000E],[wkb4-loop])
COMMENT: Did R return to this employer?
If Answer = 0
Then Go To ONJS-WKB4-LOOP-END
ONJS-WKB4-1000C [] |
Section: On Jobs |
[pdliempiscnt] > 0
COMMENT: ARE THERE ANY EMPLOYERS PREVIOUS TO LAST INTERVIEW ON THE INFO
SHEET?
If Answer = 0 Then Go To ONJS-WKB4-1000H
ONJS-WKB4-1000F [] |
Section: On Jobs |
Is [Name of employer([wkb4-loop])] listed in this roster?
(READ NAMES OF EMPLOYERS FROM ROSTER LISTED BELOW.)
(INTERVIEWER:
IF EMPLOYER IS LISTED ON ROSTER, SELECT EMPLOYER NAME.)
ONJS-WKB4-1000F_1 [] |
Section: On Jobs |
INTERVIEWER: DID
RESPONDENT IDENTIFY AN EMPLOYER ON THE ROSTER ABOVE?
ONJS-WKB4-1000H [] |
Section: On Jobs |
[count of jobs previous to date of last interview] >
0
COMMENT: Are there any older previous employers listed on the info
sheet?
If Answer = 0 Then Go To ONJS-WKB4-LOOP-END
ONJS-WKB4-1000I [] |
Section: On Jobs |
Is [Name of employer([wkb4-loop])] listed in this roster?
(READ NAMES OF EMPLOYERS FROM ROSTER LISTED BELOW.)
(INTERVIEWER:
IF EMPLOYER IS LISTED ON ROSTER, SELECT EMPLOYER NAME.)
ONJS-WKB4-1000I_1 [] |
Section: On Jobs |
INTERVIEWER: DID
RESPONDENT IDENTIFY AN EMPLOYER ON THE ROSTER ABOVE?
ONJS-WKB4-LOOP-END [] |
Section: On Jobs |
UNTIL([wkb4-loop]==[employer count so far])
COMMENT: loop end about previous employers R returned to
TEMPLOYER-VERIFY1 [] |
Section: On Jobs |
INTERVIEWER: PLEASE
REVIEW LIST OF EMPLOYERS TO VERIFY ACCURACY. BACK UP TO MAKE ANY FURTHER
CORRECTIONS.
IMPORTANT: PLEASE
CHECK START AND STOP DATES TO MAKE SURE THEY ARE VALID. IF ANY DATES ARE NOT
VALID, PLEASE SELECT THE EMPLOYER LINE AND ASK THE RESPONDENT TO ESTIMATE A
DATE.
DO NOT PROCEED WITHOUT ENTERING A VALID
DATE! THIS WILL CAUSE PROBLEMS LATER IN THE SURVEY.
(IF
EMPLOYERS CORRECT, SELECT <SUBMIT AND
CONTINUE> TO PROCEED.)
TEMPLOYER-INTRO1 [] |
Section: On Jobs |
Next I have a few questions about your employment
situation(s) with (each of) your employer(s).
DLI-LOOP1-BEGIN [] |
Section: On Jobs |
REPEAT
COMMENT: BEGIN LOOPS TO UPDATE/VERIFY EMPLOYERS FROM DATE OF LAST INTERVIEW
Q6-8_JOBVER_0_A [] |
Section: On Jobs |
([last round R completed] >= 20 && [initial
job type assigned to employer([dli loop 1])] > 0)
COMMENT: R interviewed in 2002 and old jobtype has been assigned?
If Answer = 0 Then Go To Q6-8E-LOOP-BEGIN
Q6-8_JOBVER_0_B [] |
Section: On Jobs |
[initial job type assigned to employer([dli loop
1])]
If Answer = 2 Then Go To Q6-8_JOBVER_1B
If Answer = 3 Then Go To Q6-8_JOBVER_1C
Q6-8_JOBVER_1A [] |
Section: On Jobs |
When we last talked to you on [Date of last interview],
you were a regular worker with [employer name([dli loop 1])].
[Has/Did([dli
loop 1])] your employment situation with [employer name([dli loop 1])]
[remain(ed) the same([dli loop 1])] [since (date of last interview)/until you
left([dli loop 1])]?
(IF NECESSARY READ:) [Are/Were([dli loop 1])] you
still a regular worker with [employer name([dli loop 1])] [since (date of last
interview)/until you left([dli loop 1])]?
(INTERVIEWER: LEAVING THE
EMPLOYER IS NOT THE SAME AS A CHANGE IN EMPLOYMENT
SITUATION.
IF RESPONDENT'S EMPLOYMENT SITUATION CHANGED
FROM "REGULAR" TO "TEMPORARY/ON-CALL/CONTRACT" EMPLOYMENT OR "SELF-EMPLOYMENT",
SELECT <NO> TO CORRECT EMPLOYMENT
SITUATION.)
Q6-8_JOBVER_1B [] |
Section: On Jobs |
When we last talked to you on [Date of last interview],
you were a (temporary/contract/on-call) worker with [employer name([dli loop
1])]. [Has/Did([dli loop 1])] your employment situation with [employer name([dli
loop 1])] [remain(ed) the same([dli loop 1])] [since (date of last
interview)/until you left([dli loop 1])]?
(INTERVIEWER: LEAVING THE
EMPLOYER IS NOT THE SAME AS A CHANGE IN EMPLOYMENT SITUATION.
IF RESPONDENT'S EMPLOYMENT SITUATION CHANGED FROM "REGULAR" TO
"TEMPORARY/ON-CALL/CONTRACT" EMPLOYMENT OR "SELF-EMPLOYMENT", SELECT <NO> TO CORRECT EMPLOYMENT
SITUATION.)
Q6-8_JOBVER_1C [] |
Section: On Jobs |
When we last talked to you on [Date of last interview],
your employment situation with [employer name([dli loop 1])] was self-employed.
[Has/Did([dli loop 1])] your employment situation with [employer name([dli loop
1])] [remain(ed) the same([dli loop 1])] [since (date of last interview)/until
you left([dli loop 1])]?
(INTERVIEWER:
LEAVING THE EMPLOYER IS NOT THE SAME AS A CHANGE IN
EMPLOYMENT SITUATION.
IF RESPONDENT'S EMPLOYMENT
SITUATION CHANGED FROM "REGULAR" TO "TEMPORARY/ON-CALL/CONTRACT" EMPLOYMENT OR
"SELF-EMPLOYMENT", SELECT <NO> TO
CORRECT EMPLOYMENT SITUATION.)
Q6-8_JOBVER_2 [] |
Section: On Jobs |
How [has/did([dli loop 1])] your job situation with
[employer name([dli loop 1])] [changed([dli loop 1])] [since (date of last
interview)/while you were working there([dli loop 1])]?
(INTERVIEWER:
IF THE ONLY CHANGE BEING REPORTED IS THAT RESPONDENT LEFT THAT
EMPLOYER OR THE JOB ENDED, PLEASE USE BACK/LEFT ARROW
AT TOP OF SCREEN AND CHANGE ANSWER TO PREVIOUS QUESTION TO
"YES".)
|
1 SELF-EMPLOYED
COMPANY SOLD TO ANOTHER COMPANY |
|
2 TEMPORARY/CONTRACT/ON-CALL JOB BECAME
TRADITIONAL/REGULAR JOB |
|
3 TRADITIONAL/REGULAR JOB CHANGED TO
TEMPORARY/CONTRACT/ON-CALL STATUS |
|
4 TRADITIONAL/REGULAR EMPLOYEE BOUGHT THE
COMPANY - NOW SELF-EMPLOYED |
|
5 OTHER
(SPECIFY) |
Q6-8_JOBVER_3 [] |
Section: On Jobs |
What [is your current/was your([dli loop 1])] employment
situation with [employer name([dli loop 1])] [just before you left([dli loop
1])]? Would you characterize it as...
(INTERVIEWER: IF THE ONLY CHANGE BEING REPORTED
IS THAT RESPONDENT LEFT THAT EMPLOYER OR THE JOB ENDED, PLEASE USE
BACK/LEFT ARROW AT TOP OF SCREEN AND
CHANGE ANSWER TO PREVIOUS QUESTION TO "YES". )
|
1 TRADITIONAL/REGULAR EMPLOYMENT (EMPLOYEE
WORKING FOR EMPLOYER) |
|
2 NON-TRADITIONAL EMPLOYMENT
(TEMPORARY/CONTRACT/ON-CALL WORK) ...(Go To DLI-LOOP1-END) |
|
3 SELF-EMPLOYMENT ...(Go To
DLI-LOOP1-END) |
|
4 OTHER
(SPECIFY) |
Q6-8E-LOOP-BEGIN [] |
Section: On Jobs |
REPEAT
COMMENT: Begin loop to check job type for DLI job
Q6-8E_1A [] |
Section: On Jobs |
[loop to set dli emp job type]==1
COMMENT: Is this the first time through the loop?
If
Answer = 0 Then Go To Q6-8H_A1A
Q6-8H_A1 [] |
Section: On Jobs |
On this job with [employer name([dli loop 1])],
[are/were([dli loop 1])] you self-employed?
Q6-8H_A1A [] |
Section: On Jobs |
([r work on-call hrs only?] !=0 && [r work
on-call hrs only?] != 2)
COMMENT: Second pass through the loop and Q6-8H_C2 was answered and does not
equal 2?
If Answer = 1 Then Go To Q6-8H_A5
Q6-8H_A2 [] |
Section: On Jobs |
On this job, [are/were([dli loop 1])] you an independent
contractor, independent consultant, or freelancer? That is, someone who
[obtains/obtained([dli loop 1])] customers on [HISR/HERR] own to provide a
product or service.
Q6-8H_A3 [] |
Section: On Jobs |
On this job, [are/were([dli loop 1])] you paid by a
temporary help agency that [assigns/assigned([dli loop 1])] you to assist other
employers?
Q6-8H_A3A [] |
Section: On Jobs |
[loop to set dli emp job type]==1
COMMENT: Is this the first time through the loop?
If
Answer = 0 Then Go To Q6-8H_A4B
Q6-8H_A4A [] |
Section: On Jobs |
Some people are called on-call workers. They are called
to work only when they are needed, although they can be scheduled to work for
several days or weeks in a row. Some examples of on-call workers are substitute
teachers and construction workers.
On this job, [are/were([dli loop 1])]
you an on-call worker?
Q6-8H_A4B [] |
Section: On Jobs |
On this job, [are/were([dli loop 1])] you an on-call
worker?
Q6-8H_A5 [] |
Section: On Jobs |
[loop to set dli emp job type]==1
COMMENT: Is this the first time through the loop?
If
Answer = 0 Then Go To Q6-8H_A5B
Q6-8H_A5A [] |
Section: On Jobs |
Some companies provide employees or their services to
other companies under contract. A few examples of services that can be provided
under contract include private security services, landscaping, or computer
programming.
On this job, [do/did([dli loop 1])] you work for a company
that [provides/provided([dli loop 1])] your services to other companies under
contract?
Q6-8H_A5B [] |
Section: On Jobs |
On this job, [do/did([dli loop 1])] you work for a
company that [provides/provided([dli loop 1])] your services to other companies
under contract?
Q6-8H_A5C [] |
Section: On Jobs |
[are/were([dli loop 1])] you assigned to more than one
customer at a time?
Q6-8H_A5D [] |
Section: On Jobs |
[do/did([dli loop 1])] you usually work at the customer's
worksite?
Q6-8H_B1 [] |
Section: On Jobs |
[are/were([dli loop 1])] you the only owner of this
business? (READ IF NECESSARY:) [are/were([dli loop 1])] you the sole
owner?
Q6-8H_B1A [] |
Section: On Jobs |
[are/were([dli loop 1])] you a partner with (other)
people (other than your spouse) in owning this business?
Q6-8H_B1B [] |
Section: On Jobs |
[do/did([dli loop 1])] you own 50 percent or more of this
business?
Q6-8H_B1C [] |
Section: On Jobs |
[are/were([dli loop 1])] you a director or the Chief
Executive Officer, or principal managing partner of this
business?
(INTERVIEWER: SEE HELP
SCREEN FOR FURTHER INFORMATION.)
Q6-8H_B2A [] |
Section: On Jobs |
When you [file(d)([dli loop 1])] your federal income tax
return, [are/were([dli loop 1])] you supposed to file a form SE to report
self-employment income earned at this job?
Q6-8H_B2A1 [] |
Section: On Jobs |
VAREXIST ([file SE tax form?])
COMMENT: Is save array present?
If Answer = 1 Then Go
To Q6-8H_B2A2
Q6-8H_B2A2 [] |
Section: On Jobs |
[file SE tax form?]
COMMENT: R report having to file SE form in previous loop?
If
Answer = 1 Then Go To Q6-8H_C5A1
Q6-8H_B2B [] |
Section: On Jobs |
When you [file(d)([dli loop 1])] your federal income tax
return, [are/were([dli loop 1])] you supposed to file a form SE to report
self-employment income earned at this job?
Q6-8H_C1 [] |
Section: On Jobs |
(READ IF FIRST TIME OR IF NECESSARY:) For the purpose of
this survey, we consider the temporary help agency to be a single employer.
Until otherwise instructed, please answer all question about this job based on
your experience with the temporary help agency and not a specific client or
assignment.
[(is/was)([dli loop 1])] [employer name([dli loop 1])] the
name of the temporary help agency?
Q6-8H_C2 [] |
Section: On Jobs |
(READ IF FIRST TIME OR IF NECESSARY:) Some on-call
workers, such as doctors, nurses and some managers, have to work regularly
scheduled hours, but in addition must work other hours when called. Other
on-call workers, such as substitute teachers, work only when they are called.
Which type of on-call worker [are/were([dli loop 1])] you?
|
1 Work regular
hours but must be available to work when called |
|
2 Only work
when called ...(Go To Q6-8H_C3) |
Q6-8H_C3 [] |
Section: On Jobs |
(READ IF FIRST TIME OR IF NECESSARY:) For the purpose of
this survey, we consider an organization that lists you as an on-call worker to
be a single employer. Until otherwise instructed, please answer all question
about this job based on your experiences with the on-call organization and not a
specific client or assignment.
[(is/was)([dli loop 1])] [employer
name([dli loop 1])] the name of the organization where you are registered as an
on-call worker?
Q6-8H_C4 [] |
Section: On Jobs |
(READ IF FIRST TIME OR IF NECESSARY:) For the purpose of
this survey, we consider a company that contracts client services to be a single
employer. Until otherwise instructed, please answer all questions about this job
based on your experience with the organization that contracts out your services
and not a specific client or assignment.
[(is/was)([dli loop 1])]
[employer name([dli loop 1])] the name of the company that [contract(s/ed)([dli
loop 1])] out your services?
Q6-8H_C4B [] |
Section: On Jobs |
Please tell me the name of the ["temporary help
agency"/"organization for which you worked as an on-call worker"/"company that
contracts out your services"].
(READ IF NECESSARY FOR ON-CALL ONLY
WORKERS): Please report separately each organization you are registered with as
an on-call worker.
Q6-8H_C5A1 [] |
Section: On Jobs |
Is [employer name([dli loop 1])] either the name of your
business or a brief description of the job or type of work that you [do/did([dli
loop 1])]?
Q6-8H_C5A2 [] |
Section: On Jobs |
Please give me the name of your business, or a brief
description of the type of work you [do/did([dli loop 1])] in this
job.
(INTERVIEWER: IF BUSINESS HAS A
NAME, ENTER THAT NAME. OTHERWISE, ENTER SHORT DESCRIPTION OF JOB
ACTIVITIES/OCCUPATION. THIS DESCRIPTION WILL BE USED AS THE NAME OF THIS JOB IN
SUBSEQUENT QUESTIONS. SOME EXAMPLES INCLUDE: "FREELANCE WRITER", "CLEANING
HOUSES", " CONSULTING DESIGNER", OR "LANDSCAPING AND YARD WORK".)
Q6-8H_D1 [] |
Section: On Jobs |
[(is/was)([dli loop 1])] the person who
[supervises/supervised([dli loop 1])] you for [employer name([dli loop 1])]
employed by the same company or organization as you?
Q6-8H_D2 [] |
Section: On Jobs |
[does/did([dli loop 1])] [employer name([dli loop 1])]
provide the tools or equipment you [use(d)([dli loop 1])] when you
[are/were([dli loop 1])] working for them?
Q6-8H_D3 [] |
Section: On Jobs |
[do/did([dli loop 1])] you work primarily at home or from
your home, but you [are/were([dli loop 1])] otherwise a regular employee of the
company or organization that [pays/paid([dli loop 1])] you?
Q6-8H_D4 [] |
Section: On Jobs |
Well, this job does not seem to fit the usual patterns we
deal with. Could you briefly describe the sort of working arrangement you
[have/had([dli loop 1])] in terms of who [owns/owned([dli loop 1])] the
business, your relationship with that business, who [supervises/supervised([dli
loop 1])] you and [assigns/assigned([dli loop 1])] work and who [pays/paid([dli
loop 1])] you?
Q6-8H_D4B-LOOP-END [] |
Section: On Jobs |
UNTIL ([loop to set dli emp job type] == 2 || [final job
type assigned to employer([dli loop 1])] > 0)
COMMENT: Execute loop until job classification is set - maximum of 2
times
Default Next: |
Q6-8H_E2A |
Lead-In: |
Q6-8H_C1 [1:1],
Q6-8H_C3 [1:1],
Q6-8H_C4 [1:1],
Q6-8H_C5A1 [1:1],
Q6-8H_D1 [1:1],
Q6-8H_D2 [1:1],
Q6-8H_D3 [1:1],
Q6-8H_B1C [Default],
Q6-8H_B2A [Default],
Q6-8H_C4B [Default],
Q6-8H_C5A2 [Default],
Q6-8H_D4 [Default] |
Q6-8H_E2A [] |
Section: On Jobs |
[employer count so far] > 1
COMMENT: Is there more than one employer listed at DLI?
If Answer = 1 Then Go To Q6-8H_E3
Q6-8H_E3 [] |
Section: On Jobs |
[final job type assigned to employer([dli loop 1])] ==
2
COMMENT: Is this a non-traditional type employer?
If
Answer = 1 Then Go To Q6-8H_E4-LOOP-BEGIN
Q6-8H_E4-LOOP-BEGIN [] |
Section: On Jobs |
REPEAT
COMMENT: Begin loop to mark assignments reported as individual jobs
Q6-8H_E4 [] |
Section: On Jobs |
Were any of the (other) employers on this list assigned
through [employer name([dli loop 1])]? (READ NAMES OF EMPLOYERS FROM ROSTER
LISTED BELOW.)
(INTERVIEWER: IF
EMPLOYER LISTED ON ROSTER IS NAMED, SELECT EMPLOYER NAME ON ROSTER AND SELECT
<SUBMIT AND CONTINUE> TO PROCEED. IF
NO MORE EMPLOYERS WERE IDENTIFIED, SELECT "NO (OTHER) EMPLOYER" ON
ROSTER AND SELECT <SUBMIT AND
CONTINUE> TO PROCEED.)
Q6-8H_E4D-LOOP-END [] |
Section: On Jobs |
UNTIL ([line # dli assignment]==[employer count so
far]+1)
COMMENT: Execute the loop until no-more-employers chosen
DLI-LOOP1-END [] |
Section: On Jobs |
UNTIL ([dli loop 1] ==[employer count so far])
COMMENT: ARE ALL THE EMPLOYERS THAT NEED TO BE ERASED ACCOUNTED FOR?
ONJS-7290 [] |
Section: On Jobs |
VAREXIST ([employer name(1)])
COMMENT: IS THERE AT LEAST ONE EMPLOYER ON THE TEMPLOYER ROSTER?
If Answer = 0 Then Go To ONJS-9800
ONJS-7300 [] |
Section: On Jobs |
ISVAREMPTY ([employer name(1)])
COMMENT: IS THERE AT LEAST ONE EMPLOYER ON THE TEMPLOYER ROSTER?
If Answer = 1 Then Go To ONJS-9800
ONJS-7400 [] |
Section: On Jobs |
[currently serving active military?] == 1
COMMENT: IS R CURRENTLY SERVING IN THE ACTIVE MILITARY FORCES?
If Answer = 1 Then Go To ONJS-9700
ONJS-7500 [] |
Section: On Jobs |
ISVAREMPTY ([employer name(2)])
COMMENT: ARE THERE AT LEAST TWO EMPLOYERS REPORTED?
If
Answer = 1 Then Go To ONJS-9700
ONJS-7750 [] |
Section: On Jobs |
VAREXIST([employer stopdate(2)])
If
Answer = 1 Then Go To ONJS-7800
ONJS-7800 [] |
Section: On Jobs |
DATE2DAY([employer stopdate(1)]) == DATE2DAY([employer
stopdate(2)])
COMMENT: IS THE DATE MOST RECENTLY WORKED FOR THE FIRST JOB EQUAL TO THAT OF
THE SECOND JOB? IF SO, THIS INDICATES AT LEAST TWO DUAL JOBS THAT ARE THE MOST
RECENT AND COULD BE THE PRIMARY JOB. THE EMPLOYER FOR WHOM THE R WORKED THE
MOST HOURS NEEDS TO BE IDENTIFIED INDIVIDUALLY.
If Answer
= 1 Then Go To ONJS-8800
ONJS-8800 [] |
Section: On Jobs |
Between (READ ONLY
NAMES OF EMPLOYERS WITH SAME STOPDATE AS FIRST
JOB LISTED BELOW), for which employer did you work the most hours
(last week/the last week you worked)?
(INTERVIEWER: SELECT THE CORRECT EMPLOYER FROM THOSE
WITH SAME STOP DATE ON ROSTER BELOW. IF ALL STOPDATES
ARE DIFFERENT, SELECT FIRST EMPLOYER. SELECT <SUBMIT AND CONTINUE> TO PROCEED.)
ONJS-9700 [] |
Section: On Jobs |
INTERVIEWER: BELOW IS
YOUR CORRECTED EMPLOYER ROSTER. PLEASE VERIFY. IF ANY INFORMATION IS INCORRECT,
RETURN TO THE PREVIOUS QUESTIONS BY USING THE BACK/LEFT
ARROW AT TOP OF SCREEN AND ENTER THE CORRECT ANSWERS.
IF DUPLICATE EMPLOYERS
ARE LISTED, PLEASE DELETE NOW BY SELECTING <DELETE ROW> NEXT TO THE EMPLOYER NAME.
DUPLICATE EMPLOYERS WILL CAUSE DUPLICATE EMPLOYER
SUPPLEMENTS TO BE ADMINISTERED.
IF ROSTER IS CORRECT,
SELECT <SUBMIT AND CONTINUE> TO
PROCEED.
IMPORTANT: DO NOT CONTINUE
UNTIL THE EMPLOYER ROSTER IS CORRECT AND THE CPS EMPLOYER - IF ANY - IS
CORRECTLY IDENTIFIED.
PLEASE NOTE: IF RESPONDENT
CURRENTLY WORKING FOR EMPLOYER, STOPDATE WILL BE CURRENT DATE OF
INTERVIEW.
ONJS-9700A [] |
Section: On Jobs |
COUNTROSTER ([TEMPLOYERU],"ASSIGNMT","1")
If Answer >= 1 AND Answer <= 99 Then Go To ONJS-9700B
ONJS-9700B [] |
Section: On Jobs |
INTERVIEWER:
PLEASE DELETE ANY EMPLOYERS FOR WHICH THE "ASSIGNMT
OR JOB" FIELD IS
"YES" BY SELECTING <DELETE
ROW> NEXT TO THE EMPLOYER NAME. THESE EMPLOYERS HAVE BEEN
IDENTIFIED AS ASSIGNMENTS THROUGH OTHER ORGANIZATIONS AND WILL NOT BE ASKED
ABOUT INDIVIDUALLY.
IF NO ASSIGNMENT
FIELDS CODED "YES", ROSTER IS CORRECT. SELECT <SUBMIT
AND CONTINUE> TO PROCEED.
ONJS-9800 [] |
Section: On Jobs |
You have reported no work for pay (besides your military
service) since [Date of last interview]. Is that correct?
(INTERVIEWER: IMPORTANT: DO NOT CONTINUE UNTIL THE
RESPONDENT CONFIRMS REPORTS OF EMPLOYERS SINCE [Date of last interview].
IF RESPONSE IS "NO", PLEASE BACK UP AND ENTER EMPLOYER(S).
IF
RESPONSE IS "YES", SELECT <SELECT AND
CONTINUE> TO PROCEED.)
QES-BA [] |
Section: Employer Supplement |
[total number of employers reported] > 0
COMMENT: Check for at least one employer
If Answer = 1
Then Go To QES-LOOP-BEGIN
QES-LOOP-BEGIN [] |
Section: Employer Supplement |
REPEAT
COMMENT: Starting loop of Employer Supplement.
QES-0 [] |
Section: Employer Supplement |
[INTERVIEWER: NOW ENTERING THE EMPLOYER SUPPLEMENTS
SECTION/ " "]
Now I'd like to ask a few questions about [your
employer/business] with [(employer name)([QES-LOOP1 counter])].
QES-4A [] |
Section: Employer Supplement |
DATE2DAY([start date with employer([QES-LOOP1 counter])])
> DATE2DAY([Date of last interview])
COMMENT: compare dates
If Answer = 1 Then Go To
QES-9
QES-4B [] |
Section: Employer Supplement |
DATE2DAY([start date with employer([QES-LOOP1 counter])])
== DATE2DAY([Date of last interview])
COMMENT: compare dates
If Answer = 1 Then Go To
QES-9
QES-5 [] |
Section: Employer Supplement |
Between [start date with employer([QES-LOOP1 counter])~X]
and [Date of last interview], were there any periods of one month or more during
which you were [not working (at/for)/not available for assignment with]
[(employer name)([QES-LOOP1 counter])], not counting [paid vacation or paid sick
leave/time you took off for vacation or sick leave]?
[(READ IF
NECESSARY): Please do not include any periods in which there were no assignments
available or that you turned down an assignment which you were otherwise
available to work."]
|
1 Yes ...(Go To QES-6) |
|
0 No |
QES-6 [] |
Section: Employer Supplement |
What is the total number of months you [did work
(for/at)/were available for assignment with)] [(employer name)([QES-LOOP1
counter])] before [Date of last interview]?
QES-7 [] |
Section: Employer Supplement |
For all of the rest of the questions we have about
[(employer name)([QES-LOOP1 counter])], please think only of the time you worked
[at/for] since [Date of last interview].
QES-9 [] |
Section: Employer Supplement |
REFERENCE DATE IS: [employer start date/date of last
int([QES-LOOP1 counter])~X].
THIS DATE IS THE POINT FROM WHICH
INFORMATION WILL BE COLLECTED ABOUT THIS [employer/business].
QES-BUSOWN_CHK1 [] |
Section: Employer Supplement |
[(employer job type)([QES-LOOP1 counter])]
COMMENT: skip based on job type
If Answer = 3 Then Go
To QES-BUSOWN-1
QES-BUSOWN-1 [] |
Section: Employer Supplement |
Just to verify, [(is/was)] , [(employer name)([QES-LOOP1
counter])] your own formal or informal business that was operated with
regularity for the purpose of generating income or
profit?
(INTERVIEWER:
PLEASE SEE HELP
SCREEN FOR FURTHER
INFORMATION.)
QES-BUSOWN-2 [] |
Section: Employer Supplement |
Did you take an active role in the operation of
[(employer name)([QES-LOOP1 counter])]?
(READ IF NECESSARY:) We are not
interested in activities carried out purely as a hobby, or those in which you
were merely a shareholder or investor with no role in the operation of the
business.
(INTERVIEWER: PLEASE SEE HELP SCREEN FOR FURTHER INFORMATION.)
QES-BUSOWN-3 [] |
Section: Employer Supplement |
Just to verify, [(employer name)([QES-LOOP1 counter])]
[(is/was)] not your own business? Is that
correct?
(INTERVIEWER: PLEASE SEE HELP SCREEN FOR FURTHER INFORMATION.)
QES-BUSOWN-4 [] |
Section: Employer Supplement |
[(Is/Was)] [(employer name)([QES-LOOP1 counter])] a
business that you owned? By business, we mean any activity operated with
regularity for the purpose of generating income or
profit. We are interested in all incorporated companies and partnerships
in which you had any ownership share, as well as unincorporated businesses that
you may have operated as a sole proprietor, independent contractor, consultant,
or free-lancer. This even includes informal businesses such as cleaning
services, gardening services, and the selling of goods out of your home, as long
as they generated income and were operated on a regular basis. The only
businesses we are not interested in are those operated on a highly sporadic
basis, those carried out purely as a hobby, and those in which you were merely a
shareholder or investor with no role in the operation of the
company.
[(Is/Was)] [(employer name)([QES-LOOP1 counter])] a business
that would be of interest to us according to this description?
(INTERVIEWER: PLEASE
SEE HELP SCREEN FOR
FURTHER INFORMATION.)
QES-23 [] |
Section: Employer Supplement |
[is this job current?([QES-LOOP1 counter])]==1
COMMENT: Is R currently working for this employer?
If
Answer = 0 Then Go To QES-23-A
QES-23-A [] |
Section: Employer Supplement |
[(employer job type)([QES-LOOP1 counter])]
COMMENT: if this is a self-employed respondent, ask different questions about
why left job than non-trad or regular
If Answer = 3 Then
Go To SES-52A_CHK
QES-23A [] |
Section: Employer Supplement |
What is the main reason you [left your job with/stopped
taking assignments with/no longer work at] [(employer name)([QES-LOOP1
counter])]?
(INTERVIEWER: FOR
RESPONSES WHICH CAN NOT BE CODED IN THE CATEGORIES PROVIDED, PLEASE CHOOSE
"OTHER (SPECIFY)" AND RECORD COMPLETE VERBATIM. SELECT "COMMENT" BUTTON BESIDE QNAME TO ENTER ANY ADDITIONAL
COMMENTS IN AN INTERVIEWER COMMENT.)
(SELECT ONE ONLY)
|
1 Layoff, job
eliminated |
2 Company,
office or workplace closed |
|
3 End of
temporary or seasonal job |
4 Discharged or
fired |
|
5 Government
program ended |
6 Quit for
pregnancy, childbirth or adoption of a child |
|
7 Quit to look
for another job |
8 Quit to take
another job |
|
9 Other
(SPECIFY) |
10 Quit because
Rs ill health, disability, or medical problems |
|
11 Moved to
another geographic area |
12 Quit to
spend time with or take care of children, spouse, parents, or other family
members |
|
13 Quit because
didn't like job, boss, coworkers, pay or benefits |
14 Quit to
attend school or training |
|
15 Went to
jail, prison, had legal problems |
16 Transportation problems |
|
17 Retired |
18 No desirable
assignments available |
|
19 Job assigned
through a temp agency or a contract firm became permanent |
20 Dissatisfied
with job matching service |
|
21 Project
completed or job ended |
22 Business
failed or bankruptcy |
|
23 Sold
business to another person or firm |
24 Business
temporarily inactive |
|
25 Closed
business down or dissolved partnership |
QES-23A_1 [] |
Section: Employer Supplement |
[(employer job type)([QES-LOOP1 counter])]
COMMENT: Is this a non-traditional employer?
If Answer
= 2 Then Go To QES-25J
QES-23A_2 [] |
Section: Employer Supplement |
[QES-23A([QES-LOOP1 counter])]
COMMENT: Skip based on reason left traditional job
If
Answer = 1 Then Go To QES-25
If Answer = 2 Then Go To QES-24
If Answer >= 3 AND Answer <= 6 Then Go To QES-25
If Answer = 9 Then Go To QES-25
QES-24 [] |
Section: Employer Supplement |
About how many days notice did [(employer
name)([QES-LOOP1 counter])] give you before the plant closed - under 30 days or
30 days or more?
|
1 Under 30
days |
|
2 over 30
days |
QES-25 [] |
Section: Employer Supplement |
Did you have a new job lined up before you left this
one?
QES-25A [] |
Section: Employer Supplement |
When you left this job, did you receive any severance
pay?
QES-25B [] |
Section: Employer Supplement |
[Are you RECEIVING/Did you RECEIVE] your severance pay as
a lump sum, or as a certain number of weeks or months of full or partial
salary?
|
1 Lump
sum |
|
2 Weekly
payments |
|
3 Monthly
Payments |
|
4 Other
(SPECIFY) |
QES-25E [] |
Section: Employer Supplement |
How much [time unit of severence pay] did you or will you
receive in severance pay?
QES-25EE [] |
Section: Employer Supplement |
[how r rec'd severence pay]
COMMENT: CHECK TO SEE IF LUMP SUM WAS CHOSEN
If Answer
= 1 Then Go To QES-25I
QES-25F [] |
Section: Employer Supplement |
How many [time unit of severence pay] of severance pay
[are/were] you eligible for?
(ENTER TIME UNIT)
|
1 ANSWERED IN
WEEKS ...(Go To QES-25G) |
|
2 ANSWERED IN
MONTHS ...(Go To QES-25H) |
|
3 ANSWERED IN
YEARS |
QES-25G [] |
Section: Employer Supplement |
(How many weeks of severance pay [are/were] you eligible
for?)
(ENTER NUMBER OF WEEKS:)
QES-25H [] |
Section: Employer Supplement |
(How many months of severance pay [are/were] you eligible
for?)
(ENTER NUMBER OF MONTHS:)
QES-25I [] |
Section: Employer Supplement |
Did [(employer name)([QES-LOOP1 counter])] reduce the
amount of severance pay if you found a new job during the period you were
receiving severance pay?
QES-25J [] |
Section: Employer Supplement |
[(employer job type)([QES-LOOP1 counter])]
COMMENT: Is this a temp or non-traditional employer? Skip next series for
regular employers and self-employed
If Answer = 3 Then Go
To SES-52A_CHK
QES-51 [] |
Section: Employer Supplement |
[(READ IF NECESSARY:) The next questions refer to your
current or most recent assignment with (name of employer).]
How many
hours per day [do/did] you usually work at [(this job/current assignment or
on-call job/business)]?
(INTERVIEWER:
READ IF NECESSARY:) Usually is 50 percent of the time or more, or
your most frequent schedule during the past 4 or 5 months. Please use whole
numbers and count 30 minutes or more as a whole hour.
QES-52D [] |
Section: Employer Supplement |
Including hours that you [(work/worked)] at your place of
employment and any hours worked at home, altogether how many hours per
week [do/did] you usually work at [(this job/current assignment or on-call
job/business)]?
(PROBE: During the weeks when you [are/were]
working).
QES-52B [] |
Section: Employer Supplement |
How many of those [hours/wk usually worked for employer]
hours per week [do/did] you usually work at [(this job/current assignment or
on-call job/business)] at home?
(ENTER '0' FOR 'NONE'.)
SES-52A_CHK [] |
Section: Employer Supplement |
[(employer job type)([QES-LOOP1 counter])]
COMMENT: if this is a self-employer then ask next question, if not skip to
hours chk
If Answer = 3 Then Go To SES-52D
SES-52D [] |
Section: Employer Supplement |
Including hours that you [(work/worked)] at your place of
business and any hours usually worked at home, altogether how many hours
per week [do/did] you usually work for this business?
SES-52B [] |
Section: Employer Supplement |
How many of those [hours/wk usually worked for employer]
hours per week [do/did] you usually work at this business at
home?
(INTERVIEWER: ENTER '0' FOR
'NONE'.)
SES-52E [] |
Section: Employer Supplement |
Over the course of [DATE RESPONDENT STOPPED WORKING FOR
EMPLOYER([QES-LOOP1 counter])~Y], about how many weeks were you working actively
at your business?
SES-52F [] |
Section: Employer Supplement |
[employer industry([QES-LOOP1 counter])] !=""
COMMENT: is industry for employer present from date of last
interview
If Answer = 1 Then Go To SES-52G
SES-52G [] |
Section: Employer Supplement |
[employer occupation description([QES-LOOP1 counter])]
!=""
COMMENT: is occupation for employer present from date of last
interview
If Answer = 1 Then Go To SES-52H
SES-52H [] |
Section: Employer Supplement |
Is this business, a ranch or a farm?
QES-53B [] |
Section: Employer Supplement |
[Flag indicating whether worked at least 10 hours per
week for employer]
COMMENT: Check whether R worked at least 10 hours a week for this employer
(see previous question.)
If Answer = 0 Then Go To
SES-56E_CHK1
If Answer = 1 Then Go To QES-54B
QES-54B [] |
Section: Employer Supplement |
[Flag indicating whether worked 9 weeks or more for
employr since last interview]>=9 || [employer cps flag([QES-LOOP1
counter])]==1
COMMENT: Did R work at least 9 weeks for this employer since last interview
or is this the CPS employer?
If Answer = 1 Then Go To
QES-55A
QES-55A [] |
Section: Employer Supplement |
ISVAREMPTY ([employer industry([QES-LOOP1
counter])])
COMMENT: Is industry for first employer present from date of last
interview?
If Answer = 1 Then Go To QES-55E
QES-55B [] |
Section: Employer Supplement |
ISVAREMPTY ([employer occupation description([QES-LOOP1
counter])])
COMMENT: Is occupation for first employer present from date of last
interview?
If Answer = 1 Then Go To QES-55H
QES-55C [] |
Section: Employer Supplement |
[(READ IF NECESSARY:) Thinking of your current or most
recent assignment...]
[(Have/Had)] the usual activities and duties of
[(your job/current assignment/business)] changed since [employer start date/date
of last int([QES-LOOP1 counter])~X]?
QES-55DC [] |
Section: Employer Supplement |
On [Date of last interview], your occupation was reported
as [employer occupation description([QES-LOOP1 counter])] and your usual
activities were [employer occupation description([QES-LOOP1
counter])].....
[(READ IF NECESSARY:) Thinking of your current or most
recent assignment...]
Is this an accurate description of [(your
job/current assignment/business)] with [(employer name)([QES-LOOP1
counter])]?
(INTERVIEWER: READ IF
NECESSARY:) Please think of your [current/most recent] activities.
QES-55E [] |
Section: Employer Supplement |
[((READ IF NECESSARY:) Thinking of your current or most
recent assignment...)]
What kind of business or industry [(is/was)] [your
current or most recent assignment with employer]?
(READ IF NECESSARY:)
What do they make or do where you [(work/worked)]?
QES-55G [] |
Section: Employer Supplement |
[((READ IF NECESSARY:) Thinking of your current or most
recent assignment...)]
(ASK IF NECESSARY:)
[(Is/Was)] this business or
organization mainly manufacturing, retail trade, wholesale trade, or something
else?
|
1 Manufacturing |
|
2 Retail
Trade |
|
3 Wholesale
Trade |
|
4 Business or
government service |
|
5 OTHER
(SPECIFY) - Something else |
QES-55H [] |
Section: Employer Supplement |
[((READ IF NECESSARY:) Thinking of your current or most
recent assignment...)]
What kind of work [do/did] you do? That is, what
[(is/was)] your occupation? (For example: plumber, typist, farmer...)
QES-55J [] |
Section: Employer Supplement |
[((READ IF NECESSARY:) Thinking of your current or most
recent assignment...)]
What [are/were] your usual activities or duties at
[(this job/current assignment or on-call job/business)]?
(For example:
types, keeps account books, files, sells cars, operates printing press, lays
brick...)
QES-56AA_1 [] |
Section: Employer Supplement |
[(employer job type)([QES-LOOP1 counter])]
COMMENT: Is this job a self-employed situation?
If
Answer = 3 Then Go To QES-56E
QES-56B [] |
Section: Employer Supplement |
[((READ IF NECESSARY:) Thinking of your current or most
recent assignment...)]
[are/were] you employed by government, by a
private company, or a non-profit organization [or (are/were) you self employed
or working in a family business]?
|
1 Government |
|
2 Private for
profit |
|
3 Non-profit |
|
4 Self-Employed |
|
5 Family
Business |
QES-56B_1 [] |
Section: Employer Supplement |
[(employer job type)([QES-LOOP1 counter])]
COMMENT: What is job type for this employer?
If Answer
= 1 Then Go To QES-56B_2
If Answer = 2 Then Go To QES-56B_3
QES-56B_2 [] |
Section: Employer Supplement |
[QES-56B([QES-LOOP1 counter])]
COMMENT: Skip based on class of worker for non-traditional employee
If Answer = 1 Then Go To QES-56D
If Answer >= 4 AND Answer <= 5 Then Go To QES-56E
QES-56B_3 [] |
Section: Employer Supplement |
[QES-56B([QES-LOOP1 counter])]
COMMENT: Skip based on class of worker for traditional employee
If Answer = 1 Then Go To QES-56D
If Answer >= 4 AND Answer <= 5 Then Go To QES-56E
QES-56D [] |
Section: Employer Supplement |
Would that be the federal, state, or local
government?
|
1 Federal |
|
2 State |
|
3 Local
(county, city, township) |
QES-56EA [] |
Section: Employer Supplement |
[respondent owns business([QES-LOOP1
counter])]==1
If Answer = 1 Then Go To QES-56E
QES-56E [] |
Section: Employer Supplement |
[(Is/Was)] this business incorporated?
INTERVIEWER: READ IF NECESSARY: INCORPORATED
businesses are taxable entities with officers and by-laws registered with the
state, and have met with all state and/or federal regulations.
UNINCORPORATED
businesses are sole-proprietor (having only one owner) or partnerships, needing
only a business license to operate.
SES-56E_CHK1 [] |
Section: Employer Supplement |
[(employer job type)([QES-LOOP1 counter])]
COMMENT: If this employer is a business, ask next series fo questions about
pay
If Answer = 3 Then Go To SES-56EA_1A
SES-56EA_1A [] |
Section: Employer Supplement |
[(Is/Was)] your business based entirely in your home, or
[do/did] you have a place of business or office that is physically separate from
the place you live?
|
1 Business
based entirely in home |
|
2 Business or
office physically separate from home |
SES-56EA_2 [] |
Section: Employer Supplement |
[(Is/Was)] your business a partnership with at least one
person outside your family, or a sole proprietorship (having only one owner or
proprietor)?
|
1 Partnership |
|
2 Sole
proprietorship (only one owner or proprietor) ...(Go To
SES-56ED) |
SES-56EB [] |
Section: Employer Supplement |
How many partners [do/did] you have from outside your
family?
SES-56ED [] |
Section: Employer Supplement |
[Excluding (yourself/all owners and partners)], how many
paid employees does this business have?
(ENTER NUMBER OF
EMPLOYEES)
SES-56L [] |
Section: Employer Supplement |
Some businesses are sidelines - that is, businesses you
have part-time that you have in addition to a regular job. Other businesses are
regular jobs- that is, a business that is your main occupation or most important
job for making money. [(Is/Was)] this business more your sideline or more your
main job?
SES-56E_CHK2 [] |
Section: Employer Supplement |
[(employer job type)([QES-LOOP1 counter])] == 3 ||
[employer_busowner([QES-LOOP1 counter])] == 1
COMMENT: R SELF-EMPLOYED OR BUSINESS OWNER WITH THIS EMPLOYER?
If Answer = 1 Then Go To SES-56E_CHK4
SES-56E_CHK4 [] |
Section: Employer Supplement |
[Dli flag?([QES-LOOP1 counter])] == 1
COMMENT: EMPLOYER CONTINUING FROM LAST SURVEY YEAR?
If
Answer >= -2 AND Answer <= 0 Then Go To SES-BUSOWN-5
SES-BUSOWN-5 [] |
Section: Employer Supplement |
Now let's talk about how you established or acquired this
business.
In what year was [(employer name)([QES-LOOP1 counter])]
originally established?
SES-BUSOWN-6 [] |
Section: Employer Supplement |
In what month and year did you acquire an ownership share
in [(employer name)([QES-LOOP1 counter])]?
SES-BUSOWN-7 [] |
Section: Employer Supplement |
How did you acquire ownership in [(employer
name)([QES-LOOP1 counter])]? Did you establish the business either alone or with
partners, receive ownership as a gift, purchase ownership, inherit ownership,
acquire ownership through marriage, or was it something else?
|
1 Established
the business alone or with partners |
|
2 Received
ownership as a gift |
|
3 Purchased
ownership |
|
4 Inherited
ownership |
|
5 Received
ownership through marriage |
|
6 Other
(specify) |
SES-BUSOWN-8 [] |
Section: Employer Supplement |
What was your reason for establishing or acquiring this
business?
SES-BUSOWN-9 [] |
Section: Employer Supplement |
Prior to establishing or acquiring this business, had you
ever owned or worked for a related type of business?
SES-BUSOWN-10 [] |
Section: Employer Supplement |
What sources of money did you use to establish or acquire
this business?
(INTERVIEWER:
RESPONDENTS SHOULD REPORT ONLY THE SOURCES THAT THEY THEMSELVES
PROVIDED, AND NOT SOURCES USED BY PREVIOUS OWNERS AND/OR
CO-OWNERS.)
SELECT ALL THAT APPLY.
(INTERVIEWER: PLEASE SELECT ALL THAT APPLY.)
|
1 Personal or
family savings or assets |
|
2 Personal or
family home equity loan |
|
3 Personal or
business credit card |
|
4 Business loan
or investment from family or friends |
|
5 Business loan
from federal, state or local government |
|
6 Business loan
from a bank or financial institution |
|
7 Other
(specify) |
|
0 None
needed |
SES-BUSOWN-11 [] |
Section: Employer Supplement |
What was the total amount of money that you used to
establish or acquire the business?
If Answer >= -2 AND Answer <= -1 Then Go To SES-BUSOWN-11_UNF1
SES-BUSOWN-11_UNF1 [] |
Section: Employer Supplement |
Did you use $5,000 or less?
If
Answer >= -2 AND Answer <= -1 Then Go To SES-BUSOWN-12
SES-BUSOWN-11_UNF2 [] |
Section: Employer Supplement |
Did you use $10,000 or more?
If Answer >= -2 AND Answer <= -1 Then Go To SES-BUSOWN-12
SES-BUSOWN-11_UNF3 [] |
Section: Employer Supplement |
Did you use $25,000 or more?
If Answer >= -2 AND Answer <= -1 Then Go To SES-BUSOWN-12
SES-BUSOWN-11_UNF4 [] |
Section: Employer Supplement |
Did you use $50,000 or more?
If Answer >= -2 AND Answer <= -1 Then Go To SES-BUSOWN-12
SES-BUSOWN-11_UNF5 [] |
Section: Employer Supplement |
Did you use $100,000 or more?
If Answer >= -2 AND Answer <= -1 Then Go To SES-BUSOWN-12
SES-BUSOWN-11_UNF6 [] |
Section: Employer Supplement |
Did you use $250,000 or more?
If Answer >= -2 AND Answer <= -1 Then Go To SES-BUSOWN-12
SES-BUSOWN-11_UNF7 [] |
Section: Employer Supplement |
Did you use $1,000,000 or more?
SES-BUSOWN-11A [] |
Section: Employer Supplement |
Has the legal form of [(employer name)([QES-LOOP1
counter])] changed since [Date of last interview]?
SES-BUSOWN-12 [] |
Section: Employer Supplement |
What [(is/was)] the legal form of this business?
[(Is/Was)] it a...
|
1 Sole
proprietorship |
|
2 Partnership
or limited liability partnership (LLP) |
|
3 Limited
liability corporation (LLC) |
|
4 Sub-chapter S
corporation |
|
5 General
corporation |
|
6 Nonprofit
organization |
|
7 Other
(specify) |
Default Next: |
SES-BUSOWN-12A |
Lead-In: |
SES-BUSOWN-11_UNF1 [-2:-1],
SES-BUSOWN-11_UNF1 [1:1],
SES-BUSOWN-11_UNF2 [-2:-1],
SES-BUSOWN-11_UNF2 [0:0],
SES-BUSOWN-11_UNF3 [-2:-1],
SES-BUSOWN-11_UNF3 [0:0],
SES-BUSOWN-11_UNF4 [-2:-1],
SES-BUSOWN-11_UNF4 [0:0],
SES-BUSOWN-11_UNF5 [-2:-1],
SES-BUSOWN-11_UNF5 [0:0],
SES-BUSOWN-11_UNF6 [-2:-1],
SES-BUSOWN-11_UNF6 [0:0],
SES-BUSOWN-11 [Default],
SES-BUSOWN-11_UNF7 [Default],
SES-BUSOWN-11A [Default] |
SES-BUSOWN-12A [] |
Section: Employer Supplement |
VAREXIST([employer_businddescrip([QES-LOOP1
counter])])
COMMENT: is there a business description
If Answer = 1
Then Go To SES-BUSOWN-12B
SES-BUSOWN-12B [] |
Section: Employer Supplement |
Our records show that the type of business done by
[(employer name)([QES-LOOP1 counter])] is [employer_businddescrip([QES-LOOP1
counter])]. Is this still an accurate description?
SES-BUSOWN-13 [] |
Section: Employer Supplement |
What type of business [(is/was)] [(employer
name)([QES-LOOP1 counter])]? (IF NECESSARY, READ:) What [(does/did)] the company
make or do?
SES-BUSOWN-14 [] |
Section: Employer Supplement |
At its largest, how many people worked for this business,
including you? Please include part-time and temporary workers, and
exclude outside contractors.
(INTERVIEWER: PROBE FOR APPROXIMATE NUMBER IF
NECESSARY.)
SES-BUSOWN-15 [] |
Section: Employer Supplement |
At it's largest, did this business have one physical
location, multiple physical locations or no specific physical
location?
|
1 One physical
location |
|
2 Multiple
physical locations |
|
3 No specific
physical location |
SES-BUSOWN-16 [] |
Section: Employer Supplement |
Approximately how much [(does/did)] this business
generate in sales or revenue during a typical year?
(INTERVIEWER:
IF R HAS DIFFICULTY WITH "TYPICAL" YEAR, ASK ABOUT
REVENUE IN LAST CALENDAR YEAR OR THE LAST YEAR OF OWNERSHIP, AND ENTER A
COMMENT.)
SES-CHKA [] |
Section: Employer Supplement |
[is this job current?([QES-LOOP1 counter])] ==
1
COMMENT: R CURRENTLY WORKING AT THIS BUSINESS?
If
Answer >= -2 AND Answer <= 0 Then Go To SES-BUSOWN-23A
SES-BUSOWN-23A [] |
Section: Employer Supplement |
What is the main reason you no longer work at [(employer
name)([QES-LOOP1 counter])]?
(INTERVIEWER: FOR RESPONSES WHICH CAN NOT BE CODED IN
THE CATEGORIES PROVIDED, PLEASE CHOOSE "OTHER (SPECIFY)" AND RECORD COMPLETE
VERBATIM. SELECT "COMMENT" BUTTON BESIDE
QNAME TO ENTER ANY ADDITIONAL COMMENTS IN AN INTERVIEWER
COMMENT.)
(SELECT ONE ONLY)
|
1 Business
failed or bankruptcy |
|
2 Sold business
to another person or firm |
|
3 Business
temporarily inactive |
|
4 Closed
business down or dissolved partnership |
SES-BUSOWN-17 [] |
Section: Employer Supplement |
Do you still maintain an ownership share in this
business?
SES-BUSOWN-18 [] |
Section: Employer Supplement |
In what year did your ownership end?
SES-BUSOWN-19 [] |
Section: Employer Supplement |
How did your ownership end? Did you sell the business,
shut down the business or was it something else?
|
1 Sold the
business |
|
2 Shut down
business |
|
3 Other
(specify) |
SES-BUSOWN-20 [] |
Section: Employer Supplement |
At the time you (left/shut down) this business, what was
your ownership share?
If Answer >= 1 AND Answer <= 99 Then Go To SES-BUSOWN-24
SES-BUSOWN-24 [] |
Section: Employer Supplement |
After [sold/closed selling/closing] your business,
paying off the business's debts and selling your business's assets, did you come
away with some money after liquidation, or did you have to put some of your
personal funds into the business in order to shut it down?
|
1 Came away
with money after liquidation |
|
2 Had to use
personal funds in order to liquidate |
|
3 (IF
VOLUNTEERED) Neither |
SES-BUSOWN-24A [] |
Section: Employer Supplement |
How much money?
SES-BUSOWN-24-A [] |
Section: Employer Supplement |
[money left from liquidation]
COMMENT: if R made money after liquidation, then ask about future income,
otherwise skip past those questions
If Answer = 1 Then Go
To SES-BUSOWN-24B
SES-BUSOWN-24B [] |
Section: Employer Supplement |
Are you entitled to any future income, such as
royalities, profit sharing, or future payments from selling this
business?
SES-BUSOWN-24BB [] |
Section: Employer Supplement |
How much?
(INTERVIEWER: ENTER VERBATIM RESPONSE, FOR EXAMPLE,
$4000 PER YEAR OVER 10 YEARS, 20 PERCENT OF THE PROFITS FOR THE NEXT 5 YEARS,
ETC.)
SES-BUSOWN-24D [] |
Section: Employer Supplement |
Was there some property you had in the business that you
did not sell or dispose of, but kept for yourself?
SES-BUSOWN-24E [] |
Section: Employer Supplement |
How much would you say the property you kept was
worth?
SES-BUSOWN-25 [] |
Section: Employer Supplement |
Did you have a new job lined up before you closed your
business?
SES-BUSOWN-21 [] |
Section: Employer Supplement |
What is your current ownership share?
If Answer >= 1 AND Answer <= 99 Then Go To SES-BUSOWN-22
SES-BUSOWN-22 [] |
Section: Employer Supplement |
[(Is/Was)] this business [owns/owned] exclusively by
members of your family? (READ IF NECESSARY:) Please include spouses, domestic
partners, parents or guardians, brothers, sisters or other close
relatives.
QES-TEACH1 [] |
Section: Employer Supplement |
INTERVIEWER: IS R A
TEACHER OR SUBSTITUTE TEACHER IN [HISR/HERR] JOB WITH [(employer
name)([QES-LOOP1 counter])]?
IF "YES", RESPONDENT WILL BE ASKED QUESTIONS
SPECIFICALLY FOR TEACHERS IN THIS EMPLOYER SUPPLEMENT.
QES-TEACH1_A [] |
Section: Employer Supplement |
[(employer job type)([QES-LOOP1 counter])]
COMMENT: Is employer non-traditional?
If Answer = 2
Then Go To NTES-50A1
QES-TEACH1_B [] |
Section: Employer Supplement |
[(employer job type)([QES-LOOP1 counter])]
COMMENT: Is employer non-traditional?
If Answer = 2
Then Go To NTES-50A1
QES-TEACH2 [] |
Section: Employer Supplement |
Is this teaching job at a regular school, that is an
elementary school, a secondary school, a college, or a university?
QES-TEACH3 [] |
Section: Employer Supplement |
The next few questions ask about periods when you did not
work for [(employer name)([QES-LOOP1 counter])]. For most teachers this would
include summer vacation and periods of unpaid personal leave, but not shorter
breaks during the regular school year. If, during the summer, you work for
[(employer name)([QES-LOOP1 counter])], for example as a summer school teacher,
a coach or an advisor, please report only the weeks when you were not working at
any appointment.
NTES-50A1 [] |
Section: Employer Supplement |
Across all (on-call job) assignments through [(employer
name)([QES-LOOP1 counter])] (so far), about how much on average [do/did] you
usually earn per month, before taxes or other deductions?
NTES-50A2 [] |
Section: Employer Supplement |
About how many different assignments (or on-call
assignments) [haveyouhad_didyouhavelc] from [(employer name)([QES-LOOP1
counter])] between [employer start date/date of last int([QES-LOOP1 counter])~X]
and [DATE RESPONDENT STOPPED WORKING FOR EMPLOYER([QES-LOOP1
counter])~X]?
(INTERVIEWER: IF "DON'T
KNOW" PLEASE ENTER 995.)
NTES-50A2CHECK [] |
Section: Employer Supplement |
[is this job current?([QES-LOOP1 counter])]==1
COMMENT: Is R currently working for this employer?
If
Answer = 1 Then Go To NTES-50A3
NTES-50A3 [] |
Section: Employer Supplement |
Are you currently on an assignment or on-call with
[(employer name)([QES-LOOP1 counter])] or are you between
assignments?
|
1 Currently on
assignment |
|
2 Between
assignments |
|
3 NO LONGER
WORKING FOR TEMP/CONTRACTING/ON-CALL AGENCY |
NTES-50A4 [] |
Section: Employer Supplement |
Again, the next questions refer to your [current/most
recent] assignment with [(employer name)([QES-LOOP1 counter])].
NTES-50B1 [] |
Section: Employer Supplement |
About how many weeks [haveyoubeen_wereyoulc] working at
your [current/most recent] assignment?
(INTERVIEWER: IF LESS THAN ONE WEEK, PLEASE ENTER
'1' WEEK.)
NTES-50B2 [] |
Section: Employer Supplement |
[currently on assignment?]==1
COMMENT: IS the respondent currently on assignment?
If
Answer = 0 Then Go To QES-28
NTES-50C [] |
Section: Employer Supplement |
About how many more weeks do you expect to work at this
assignment (assuming that the job does not become permanent)?
(INTERVIEWER: IF LESS THAN ONE WEEK, PLEASE ENTER
'1' WEEK. IF THIS ASSIGNMENT IS FOR AN INDEFINITE PERIOD OF TIME, ENTER
995.)
QES-28 [] |
Section: Employer Supplement |
[For one reason or another people often do not work for a
week- a month- or even longer: For example- strikes- layoffs- and extended
illnesses can cause people to miss work for a week or longer./ "
"]
Between [employer start date/date of last int([QES-LOOP1 counter])~X]
and [DATE RESPONDENT STOPPED WORKING FOR EMPLOYER([QES-LOOP1 counter])~X], were
there any periods of a full week or more during which you did not work [(for/at)
(name of employer) - not counting (paid) vacations or (paid) sick leave?/at this
business- not counting vacations or sick leave?]
(INTERVIEWER:
IF R IS NOT SELF-EMPLOYED IN [HISR/HERR] JOB WITH [(employer name)([QES-LOOP1
counter])], RECORD ONLY UNPAID PERIODS NOT WORKING
HERE. IF R TOOK PAID LEAVE SPECIFICALLY FOR PREGNANCY, DO NOT
REPORT ANY PART OF THE LEAVE THAT WAS PAID HERE; IT WILL BE RECORDED LATER.
REPORT HERE ONLY ANY PART OF THE PREGNANCY LEAVE THAT WAS UNPAID.)
QES-28AA [] |
Section: Employer Supplement |
[(employer job type)([QES-LOOP1 counter])]
COMMENT: if this employer is non-traditional, go to series about
non-traditional gaps, otherwise go to regular gap collection series
If Answer = 1 Then Go To QES-29-LOOP-BEGIN
If Answer = 3 Then Go To QES-29-LOOP-BEGIN
NTES-28B [] |
Section: Employer Supplement |
Between [employer start date/date of last int([QES-LOOP1
counter])~X] and [DATE RESPONDENT STOPPED WORKING FOR EMPLOYER([QES-LOOP1
counter])~X], how many separate periods of a full week or more were you not on
assignment [(for/at) (name of employer) - not counting (paid) vacations or
(paid) sick leave?/at this business- not counting vacations or sick leave?] (IF
NECESSARY PROMPT:) Were there less than 5 or 5 or more?
(READ IF
NECESSARY:) This includes all periods including those when [(employer
name)([QES-LOOP1 counter])] did not have an assignment for you and those when
you chose to decline an assignment for [(employer name)([QES-LOOP1
counter])].
|
1 Less than
5 |
|
2 5 or
more ...(Go To NTES-28C1) |
NTES-28C1 [] |
Section: Employer Supplement |
About how many weeks were you without an assignment for
[(employer name)([QES-LOOP1 counter])] between [employer start date/date of last
int([QES-LOOP1 counter])~X] and [DATE RESPONDENT STOPPED WORKING FOR
EMPLOYER([QES-LOOP1 counter])~X]?
(READ IF NECESSARY:) Please tell me
about all periods including those when [(employer name)([QES-LOOP1 counter])]
did not have an assignment for you and those when you chose to decline an
assignment with them.
NTES-28C3 [] |
Section: Employer Supplement |
[total number of employers reported] > 1
COMMENT: did the respondent report more than one employer?
If
Answer = 1 Then Go To NTES-28C4
NTES-28C4 [] |
Section: Employer Supplement |
Earlier you mentioned that you worked for [(an)other
employer(s)] since [Date of last interview]. Between [employer start date/date
of last int([QES-LOOP1 counter])~X] and [DATE RESPONDENT STOPPED WORKING FOR
EMPLOYER([QES-LOOP1 counter])] about how many weeks were you not working for
[(employer name)([QES-LOOP1 counter])] and not working for any other
employer?
NTES-28D [] |
Section: Employer Supplement |
Now, please tell me the beginning and ending dates of the
most recent period between [employer start date/date of last int([QES-LOOP1
counter])~X] and [DATE RESPONDENT STOPPED WORKING FOR EMPLOYER([QES-LOOP1
counter])] during which you didn't work for [(employer name)([QES-LOOP1
counter])] for a full week or more.
(INTERVIEWER: ENTER BEGINNING DATE OF MOST RECENT
PERIOD BELOW. SELECT <SUBMIT AND CONTINUE> TO PROCEED AND ENTER ENDING
DATE.)
NTES-28E [] |
Section: Employer Supplement |
INTERVIEWER: ENTER
ENDING DATE OF MOST RECENT PERIOD BELOW.
NOTE: BEGINNING DATE OF THE MOST
RECENT PERIOD WAS [date began most recent gap (non-trad emps)([QES-LOOP1
counter])~X]
NTES-28F [] |
Section: Employer Supplement |
Now, please tell me the beginning and ending dates of the
longest period between [employer start date/date of last int([QES-LOOP1
counter])~X] and [DATE RESPONDENT STOPPED WORKING FOR EMPLOYER([QES-LOOP1
counter])~X] during which you didn't work for [(employer name)([QES-LOOP1
counter])] for a full week or more. (IF LONGEST GAP WAS ALSO MOST RECENT, READ:)
Please tell me about the next most recent period.
(INTERVIEWER: ENTER BEGINNING DATE OF LONGEST
PERIOD BELOW. SELECT <SUBMIT AND CONTINUE> TO PROCEED AND ENTER ENDING
DATE.)
NTES-28G [] |
Section: Employer Supplement |
INTERVIEWER: ENTER
ENDING DATE OF LONGEST (OR NEXT MOST RECENT) PERIOD BELOW.
NOTE:
BEGINNING DATE OF THE LONGEST (OR NEXT MOST RECENT) PERIOD WAS [date began
longest gap (non-trad emps)([QES-LOOP1 counter])]
QES-29-LOOP-BEGIN [] |
Section: Employer Supplement |
REPEAT
COMMENT: Begin Loop.
QES-30 [] |
Section: Employer Supplement |
Please tell me the [first/next] period between
[Month/day/year ended period not working([QES-LOOP1 counter]:[QES-LOOP3
counter])~X] and [DATE RESPONDENT STOPPED WORKING FOR EMPLOYER([QES-LOOP1
counter])~X] during which you didn't work for [(employer name)([QES-LOOP1
counter])] for a full week or more.
(INTERVIEWER: ENTER BEGINNING DATE OF PERIOD
BELOW.)
QES-31 [] |
Section: Employer Supplement |
INTERVIEWER: ENTER
ENDING DATE OF PERIOD 1 BELOW.
NOTE: BEGINNING DATE OF PERIOD 1 WAS
[Month/day/year began period not working([QES-LOOP1 counter]:[QES-LOOP3
counter])~X].
QES-31B [] |
Section: Employer Supplement |
(PROBE:) What other period was there during which you
didn't work for [(your job/current assignment/business)] for a full week or
more?
|
2 SELECT TO
ENTER DATES |
|
1 NO MORE
PERIODS |
QES-31C-LOOP-END [] |
Section: Employer Supplement |
UNTIL ([did r have another gap?]==1)
COMMENT: loop end
QES-31D [] |
Section: Employer Supplement |
[gap loop plus]-1
COMMENT: establish number of gaps for next loop
If
Answer >= 1 AND Answer <= 99 Then Go To QES-32-LOOP-BEGIN
QES-32-LOOP-BEGIN [] |
Section: Employer Supplement |
REPEAT
COMMENT: Begin Loop.
QES-33 [] |
Section: Employer Supplement |
You said that you were not working for [(employer
name)([QES-LOOP1 counter])] between [Month/day/year began period not
working([QES-LOOP1 counter]:[QES-LOOP4 counter])~X] and [Month/day/year ended
period not working([QES-LOOP1 counter]:[QES-LOOP4 counter])~X]. What was the
main reason why you were not working at [(your job/current assignment/business)]
for [(employer name)([QES-LOOP1 counter])] during this period of
time?
(PROBE IF NECESSARY:) What was the reason you were on vacation or
unpaid leave.
If Answer = 14 Then Go To QES-35
QES-35 [] |
Section: Employer Supplement |
What was the reason?
QES-35F [] |
Section: Employer Supplement |
[(employer job type)([QES-LOOP1 counter])]
COMMENT: What is job type for this employer?
If Answer
= 2 Then Go To QES-44B-LOOP-END
If Answer = 3 Then Go To QES-35I
QES-35G [] |
Section: Employer Supplement |
[QES-33([QES-LOOP1 counter]:[QES-LOOP4
counter])]
COMMENT: Skip based on reason for gap from traditional employer
If Answer >= 3 AND Answer <= 4 Then Go To QES-36
QES-35I [] |
Section: Employer Supplement |
[QES-33([QES-LOOP1 counter]:[QES-LOOP4
counter])]
COMMENT: Skip based on reason for gap from self-employment employer
If Answer = 1 Then Go To QES-36
If Answer = 3 Then Go To QES-36
If Answer = 4 Then Go To QES-36
QES-36 [] |
Section: Employer Supplement |
[During how many of those weeks were you (looking for
work/looking for a permanent regular employer/a different job or type of work/or
on layoff from this job) --during none - some or all of those
weeks?]
[(INTERVIEWER: READ IF NECEAARY: Looking for a job means looking
for employment at an entirely different business or with an entirely new
employer. It does not mean looking for new clients or jobs to bring to your
business.)]
QES-39 [] |
Section: Employer Supplement |
INT(DATE2WK ([Month/day/year ended period not
working([QES-LOOP1 counter]:[QES-LOOP4 counter])])-
DATE2WK ([Month/day/year
began period not working([QES-LOOP1 counter]:[QES-LOOP4 counter])]))
COMMENT: SUBTRACT WEEK GAP 1 BEGAN FROM WEEK GAP 1 ENDED. THIS IS THE ACTUAL
DURATION OF GAP 1 IN WEEKS.
If Answer = 0 Then Go To
QES-39A
QES-39A [] |
Section: Employer Supplement |
INTERVIEWER: THE GAP
DATES R GAVE WERE NOT A FULL WEEK APART. VERIFY THE GAP DATES WITH R. IF THE
DATES NEED TO BE CORRECTED, RETURN TO THE PREVIOUS QUESTIONS QES-30 AND QES-31
BY USING THE BACK/LEFT ARROW AT TOP OF
SCREEN AND CORRECT THE DATES. IF R CLAIMS THE DATES ARE CORRECT,
SELECT <SUBMIT AND CONTINUE> TO PROCEED.
(DATES: [Month/day/year
began period not working([QES-LOOP1 counter]:[QES-LOOP4 counter])~X]
[Month/day/year ended period not working([QES-LOOP1 counter]:[QES-LOOP4
counter])~X]).
QES-40 [] |
Section: Employer Supplement |
You were [not (working/on assignment)] from
[Month/day/year began period not working([QES-LOOP1 counter]:[QES-LOOP4
counter])~X] to [Month/day/year ended period not working([QES-LOOP1
counter]:[QES-LOOP4 counter])~X]. That would be about [Duration of first gap
(measured in weeks)([QES-LOOP4 counter])] weeks when you were not working. For
how many of these weeks were you [permanent job flag] [not (working/on
assignment)/or on layoff from this job]?
[(INTERVIEWER: READ IF NECEAARY:
Looking for a job means looking for employment at an entirely different business
or with an entirely new employer. It does not mean looking for new clients or
jobs to bring to your business.)]
QES-41 [] |
Section: Employer Supplement |
[Duration of first gap (measured in weeks)([QES-LOOP4
counter])] - [Number of weeks during first gap looking for work or on layoff
(unemployed)([QES-LOOP4 counter])]
COMMENT: SUBTRACT NUMBER OF WEEKS LOOKING FOR WORK OR ON LAYOFF FROM TOTAL
NUMBER OF WEEKS IN GAP 1. THIS LEAVES THE NUMBER OF WEEKS THAT R WAS NEITHER
WORKING NOR LOOKING FOR WORK.
If Answer = 0 Then Go To
QES-44B-LOOP-END
QES-43_VERBATIM [] |
Section: Employer Supplement |
That leaves [weeks during gap not looking for work or on
layoff (OLF)([QES-LOOP4 counter])] week(s) that you were [not (working/on
assignment)] or [looking for (work/a permanent regular employer/a different
job)].
What would you say was the main reason that you were not [looking
for (work/a permanent regular employer/a different job)] during that
period?
[(INTERVIEWER: READ IF NECEAARY: Looking for a job means looking
for employment at an entirely different business or with an entirely new
employer. It does not mean looking for new clients or jobs to bring to your
business.)]
QES-43 [] |
Section: Employer Supplement |
|
1 DID NOT WANT
TO WORK |
|
2 ILL,
DISABLED, UNABLE TO WORK |
|
3 SCHOOL
EMPLOYEES: SCHOOL WAS NOT IN SESSION FOR THIS PERIOD |
|
4 ARMED
FORCES |
|
5 PREGNANCY |
|
6 CHILD CARE
PROBLEMS |
|
7 PERSONAL/FAMILY REASONS |
|
8 VACATION |
|
9 LABOR
DISPUTE/STRIKE |
|
10 BELIEVED NO
WORK AVAILABLE |
|
11 COULD NOT
FIND WORK |
|
12 IN
SCHOOL |
|
13 HAD ANOTHER
JOB |
|
14 IN
JAIL |
|
15 TRANSPORTATION PROBLEMS |
|
16 OTHER
(SPECIFY) |
QES-44B-LOOP-END [] |
Section: Employer Supplement |
UNTIL([QES-LOOP4 counter]==[number of periods not working
for employer([QES-LOOP1 counter])])
COMMENT: loop end
QES-45 [] |
Section: Employer Supplement |
[RESPONDENT GENDER]
COMMENT: Is respondent a male or a female? This determines whether the paid
pregnancy leave questions which follow are asked.
If
Answer = 2 Then Go To QES-46
QES-46 [] |
Section: Employer Supplement |
[Between (employer start date/date of last int) and
(employer stop date) were there any periods of a full week or more during which
you took any (paid) leave from (work/your business) with (name of employer)
because of a pregnancy or the birth of a child (that you have not told me about
already)?]
(INTERVIEWER: RECORD ONLY
PAID PERIODS OF LEAVE SPECIFICALLY FOR PREGNANCY. DO NOT RE-RECORD ANY UNPAID
PERIODS REPORTED EARLIER.)
QES-47-LOOP-BEGIN [] |
Section: Employer Supplement |
REPEAT
COMMENT: Begin Loop.
QES-48 [] |
Section: Employer Supplement |
Please tell me the [first/next([QES-LOOP5 counter])]
period between [min date for end of pregnancy leave period([QES-LOOP5
counter])~X] and [DATE RESPONDENT STOPPED WORKING FOR EMPLOYER([QES-LOOP1
counter])~X] during which you didn't work for [(your job/current
assignment/business)] for a full week or more because of a pregnancy or the
birth of a child [and you received pay].
(INTERVIEWER: ENTER BEGINNING DATE OF PERIOD
[QES-LOOP5 counter] BELOW.)
QES-49 [] |
Section: Employer Supplement |
INTERVIEWER: ENTER
ENDING DATE OF PERIOD [QES-LOOP5 counter] BELOW.
NOTE: BEGINNING DATE OF
PERIOD [QES-LOOP5 counter] WAS [pregbeg~x].
QES-49B [] |
Section: Employer Supplement |
(PROBE:) What other period was there during which you
didn't work for [(your job/current assignment/business)] for a full week or more
because of pregnancy or the birth of a child [and you received pay/that you have
not already told me about]?
|
2 SELECT TO
ENTER DATES |
|
1 NO MORE
PERIODS |
QES-49C-LOOP-END [] |
Section: Employer Supplement |
UNTIL([Are there any other pregnancies?]==1)
COMMENT: pregnancy or child birth leave loop end
QES-56CHK [] |
Section: Employer Supplement |
[(employer job type)([QES-LOOP1 counter])]
COMMENT: If this employer is a business, ask next series of questions about
pay
If Answer = 1 Then Go To QES-TEACH4
If Answer = 3 Then Go To SES-71A
QES-TEACH4 [] |
Section: Employer Supplement |
[teach regular school([QES-LOOP1 counter])]==1
COMMENT: R teach in regular school
If Answer = 0 Then
Go To QES-71A
QES-TEACH5 [] |
Section: Employer Supplement |
Aside from your regular contract, do you have any
additional appointments with this school ([(employer name)([QES-LOOP1
counter])]), such as teaching summer school, coaching, or advising an
extracurricular activity?
QES-TEACH6 [] |
Section: Employer Supplement |
What is your annual salary for your regular teaching
contract, excluding extra pay for your additional appointments? We are looking
for the total amount before taxes and deductions.
(INTERVIEWER:
IF RESPONDENT IS PAID BY THE COURSE, ANSWER DK AND RECORD RESPONSE IN FOLLOWING
QUESTION WITHOUT ASKING.)
If Answer = -2 Then Go To QES-TEACH7
QES-TEACH7 [] |
Section: Employer Supplement |
[are/were] you paid a certain amount for each course you
teach on this job?
QES-TEACH8 [] |
Section: Employer Supplement |
How much [are/were] you paid for the [(course you are
currently teaching/most recent course you taught)] before taxes
deductions?
QES-TEACH9 [] |
Section: Employer Supplement |
How many weeks [(does/did)] this course last?
QES-TEACH10 [] |
Section: Employer Supplement |
During those weeks, how many hours per week [do/did] you
spend on that course, including teaching, time with students, grading and
instruction?
QES-TEACH11 [] |
Section: Employer Supplement |
How many courses [do/did] you usually teach at a time at
this school?
QES-TEACH11A [] |
Section: Employer Supplement |
How many separate courses [do/did] you teach in the past
calendar year at this school?
QES-TEACH12 [] |
Section: Employer Supplement |
Questions about teachers' earnings can be difficult to
answer. I would appreciate it if you could tell me how much you [are/were] paid
per pay period before taxes and other deductions. Then, please tell me how many
pay periods there are per year.
(INTERVIEWER: PLEASE ENTER VERBATIM RESPONSE FOR
AMOUNT AND PAY PERIOD.)
QES-TEACH13 [] |
Section: Employer Supplement |
In a typical week, about how many hours do you work at
school and at home on your regular teaching duties? [(In a moment we will ask
about time spent on additional appointments for which you are paid
extra.)]
QES-TEACH14 [] |
Section: Employer Supplement |
[any additional appointments]==1
COMMENT: Did R report additional assigments with school?
If
Answer = 1 Then Go To QES-TEACH15
QES-TEACH15 [] |
Section: Employer Supplement |
Now we are going to ask about the additional appointments
that you reported earlier, which might include teaching summer school, coaching
or advising. Do you hold more than one paid appointment for this school outside
of your regular contract?
|
1 Yes |
|
0 No |
|
2 (IF
VOLUNTEERED:) NO ADDITIONAL APPOINMENTS ...(Go To QES-80) |
QES-TEACH16-LOOP-BEG [] |
Section: Employer Supplement |
REPEAT
COMMENT: Begin loop for additional teaching appoinments
QES-TEACH17 [] |
Section: Employer Supplement |
What is your yearly stipend at this [first/next]
additional appointment, outside your regular contract at this school? We are
looking for the total amount before taxes and deductions.
QES-TEACH18 [] |
Section: Employer Supplement |
About how many weeks during the year do you work at this
additional appointment?
QES-TEACH19 [] |
Section: Employer Supplement |
During a typical week, about how many total hours
[do/did] you work at school and and home at this additional
appointment?
QES-TEACH20A [] |
Section: Employer Supplement |
[addtl school appts loop]==1
COMMENT: Is this the first time through the loop?
If
Answer = 1 Then Go To QES-TEACH20B
QES-TEACH20B [] |
Section: Employer Supplement |
[r hold multiple addtl school appts?]==1
COMMENT: Did R report additional assigments with school?
If
Answer = 0 Then Go To QES-TEACH22-LOOP-END
QES-TEACH21 [] |
Section: Employer Supplement |
[Do/Did] you hold another additional appointment outside
your regular teaching appointment at this school?
QES-TEACH22-LOOP-END [] |
Section: Employer Supplement |
UNTIL ([[Do/Did] you hold another additional appointment
outside your regular teaching appointment at this school?]==0 || [addtl school
appts loop]==3)
COMMENT: Did R report additional assigments with school?
SES-71A [] |
Section: Employer Supplement |
Now, we would like to ask you a few questions concerning
your earnings at your business. We appreciate these questions are sensitive and
difficult. Businesses are usually complex and business earnings hard to measure.
Sometimes growth in the value of the business is a very important part of the
financial return the owner gets from his or her work. I would like to ask you
about two things - income from this business and then value of the
business.
During [calendar year prior to survey year], how much did you
receive after expenses from this business?
SES-71G [] |
Section: Employer Supplement |
What is the total value of the land, assets in the
business, including tools and equipment, buildings (livestock, stored crops,
except crops held under commodity credit loans) and other assets for this
business?
SES-72 [] |
Section: Employer Supplement |
What is the total value of liabilities for this
business?
SES-72A [] |
Section: Employer Supplement |
[excluding (yourself/all owners and
partners)]==1
COMMENT: Is the respondent the sole owner of the business?
If
Answer = 1 Then Go To SES-73
SES-73 [] |
Section: Employer Supplement |
What percentage of the business [Do/Did] you [or]
[Spouse/partner's name] own?
(INTERVIEWER: PLEASE ENTER A NUMBER FROM 1 TO 100,
THE ANSWER WILL BE RECORDED AS A PERCENTAGE.)
QES-71A [] |
Section: Employer Supplement |
[Now we would like to ask you a few questions concerning
your earnings at (name of employer)] [(READ IF NECESSARY FOR TEACHERS): Please
report your earnings (over the number of months that you were (contracted
for/paid)./as you were paid over a (9/10) month period).]
For [(this
job/current assignment or on-call job/business)] with [(employer
name)([QES-LOOP1 counter])], what is the easiest way for you to report your
total earnings before taxes or other deductions: hourly, weekly, annually, or on
some other basis?
(READ IF NECESSARY:) We use this information to compare
the amount that people earn in different types of jobs.
|
1 per
hour |
|
2 per day |
|
3 per
week |
|
4 bi-weekly
(every 2 weeks) |
|
8 bi-monthly
(twice a month) |
|
5 per
month |
|
6 per
year |
|
7 other
(SPECIFY) |
QES-71B [] |
Section: Employer Supplement |
[Do/Did] you usually receive overtime pay, tips or
commissions at [(this job/current assignment or on-call job/business)] with
[(employer name)([QES-LOOP1 counter])]?
QES-71G [] |
Section: Employer Supplement |
[time unit code for rate of pay()([QES-LOOP1
counter])]
COMMENT: Branch according the time unit for rate of pay R reported.
If Answer = 1 Then Go To QES-71H
If Answer = 4 Then Go To QES-75X
If Answer = 5 Then Go To QES-74T
If Answer = 6 Then Go To QES-75I
If Answer = 8 Then Go To QES-74T
QES-71H [] |
Section: Employer Supplement |
[QES-71B([QES-LOOP1 counter])]==1
COMMENT: Did R receive overtime pay, tips or commissions?
If
Answer = 1 Then Go To QES-71I
QES-71I [] |
Section: Employer Supplement |
Excluding overtime pay, tips and commissions, what
[(is/was)] your hourly rate of pay, on [(this job/current assignment or on-call
job/business)]?
(ENTER AMOUNT)
If Answer = -2 Then Go To QES-71P
If Answer = -1 Then Go To QES-80
If Answer >= 0 AND Answer <= 1 Then Go To QES-71K
If Answer >= 30 AND Answer <= 1,000,000 Then Go To QES-71K
QES-71J [] |
Section: Employer Supplement |
What [(is/was)] your hourly rate of pay, on [(this
job/current assignment or on-call job/business)]?
(ENTER
AMOUNT)
If Answer = -2 Then Go To QES-71P
If Answer = -1 Then Go To QES-80
If Answer >= 0 AND Answer <= 1 Then Go To QES-71K
If Answer >= 0 AND Answer <= 1 Then Go To QES-71Q
If Answer >= 30 AND Answer <= 1,000,000 Then Go To QES-71Q
If Answer >= 30 AND Answer <= 1,000,000 Then Go To QES-71K
QES-71K [] |
Section: Employer Supplement |
([rate of pay([QES-LOOP1 counter])]>=[Default minimum
value hourly wages([QES-LOOP1 counter])]) && ([rate of pay([QES-LOOP1
counter])]<=[Default maximum value hourly wages([QES-LOOP1
counter])])
COMMENT: Is the reported hourly wage within the accepted range?
If Answer = 1 Then Go To QES-71T
QES-71P [] |
Section: Employer Supplement |
What is your best estimate of your hourly rate of pay on
[(this job/current assignment or on-call job/business)]?
(ENTER
AMOUNT)
If Answer = -1 Then Go To QES-80
If Answer >= 1 AND Answer <= 30 Then Go To QES-71PA
QES-71PA [] |
Section: Employer Supplement |
([pay rate amount unknown([QES-LOOP1
counter])]>=[Default minimum value hourly wages([QES-LOOP1 counter])])
&& ([pay rate amount unknown([QES-LOOP1 counter])]<=[Default maximum
value hourly wages([QES-LOOP1 counter])])
COMMENT: Is the reported hourly wage within the accepted range?
If Answer = 1 Then Go To QES-71T
QES-71Q [] |
Section: Employer Supplement |
INTERVIEWER: DO NOT
READ
EARNINGS RECORDED AS: $[hourly rate of pay for
verification([QES-LOOP1 counter])] HOURLY. IS THIS ENTRY CORRECT?
QES-71R [] |
Section: Employer Supplement |
INTERVIEWER: DO NOT
READ
INCORRECT ENTRY IS RECORDED AS: $[hourly rate of pay for
verification([QES-LOOP1 counter])] HOURLY. ENTER CORRECT AMOUNT:
QES-71T [] |
Section: Employer Supplement |
Just to verify, you usually [(work/worked)] [hours/wk
usually worked for employer] hours per week at this rate?
QES-71U [] |
Section: Employer Supplement |
How many hours [do/did] you usually work per week at this
rate?
(INTERVIEWER: READ IF
NECESSARY: Usually is 50 percent of the time or more, or your most frequent
schedule during the past 4 or 5 months. Please use whole numbers and count 30
minutes or more as a whole hour).
If Answer = -2 Then Go To QES-74C
If Answer = -1 Then Go To QES-80
QES-71W [] |
Section: Employer Supplement |
[QES-71B([QES-LOOP1 counter])]==1
COMMENT: Did R receive overtime pay, tips or commissions?
If
Answer = 1 Then Go To QES-71X
QES-71X [] |
Section: Employer Supplement |
On [(this job/current assignment or on-call
job/business)] with [(employer name)([QES-LOOP1 counter])], how much [do/did]
you usually receive just in overtime pay, tips or commissions, before taxes or
other deductions?
(INTERVIEWER: ENTER
TIME UNIT FOR OVERTIME PAY FIRST. SELECT <SUBMIT AND
CONTINUE> TO ENTER AMOUNT.)
|
1 HOURLY |
|
2 DAILY |
|
3 WEEKLY |
|
5 MONTHLY |
|
6 YEARLY |
|
7 OTHER
(SPECIFY) |
QES-71XB [] |
Section: Employer Supplement |
[time unit code for overtime pay rate([QES-LOOP1
counter])]
COMMENT: Translate time unit for rate of overtime pay
If Answer = 1 Then Go To QES-71XBB
If Answer = 2 Then Go To QES-71XF
If Answer = 3 Then Go To QES-71XC
If Answer = 5 Then Go To QES-71XD
If Answer = 6 Then Go To QES-71XE
If Answer = 7 Then Go To QES-71XG
QES-71XBB [] |
Section: Employer Supplement |
(On [(this job/current assignment or on-call
job/business)] with [(employer name)([QES-LOOP1 counter])], how much [do/did]
you usually receive just in overtime pay, tips or commissions, before taxes or
other deductions?)
(ENTER HOURLY AMOUNT)
If Answer = -2 Then Go To QES-72C
If Answer >= 1 AND Answer <= 30 Then Go To QES-72G
QES-71XC [] |
Section: Employer Supplement |
(On [(this job/current assignment or on-call
job/business)] with [(employer name)([QES-LOOP1 counter])], how much [do/did]
you usually receive just in overtime pay, tips or commissions, before taxes or
other deductions?)
(ENTER WEEKLY AMOUNT)
If Answer = -2 Then Go To QES-72C
If Answer >= 1 AND Answer <= 1,500 Then Go To QES-72X
QES-71XD [] |
Section: Employer Supplement |
(On [(this job/current assignment or on-call
job/business)] with [(employer name)([QES-LOOP1 counter])], how much [do/did]
you usually receive just in overtime pay, tips or commissions, before taxes or
other deductions?)
(ENTER MONTHLY AMOUNT)
If Answer = -2 Then Go To QES-72C
If Answer >= 1 AND Answer <= 6,000 Then Go To QES-72X
QES-71XE [] |
Section: Employer Supplement |
(On [(this job/current assignment or on-call
job/business)] with [(employer name)([QES-LOOP1 counter])], how much [do/did]
you usually receive just in overtime pay, tips or commissions, before taxes or
other deductions?)
(ENTER ANNUAL AMOUNT)
If Answer = -2 Then Go To QES-72C
If Answer >= 1 AND Answer <= 72,000 Then Go To QES-72X
QES-71XF [] |
Section: Employer Supplement |
(On [(this job/current assignment or on-call
job/business)] with [(employer name)([QES-LOOP1 counter])], how much [do/did]
you usually receive just in overtime pay, tips or commissions, before taxes or
other deductions?)
(ENTER AMOUNT)
If Answer = -2 Then Go To QES-72C
If Answer >= 1 AND Answer <= 240 Then Go To QES-72X
QES-71XG [] |
Section: Employer Supplement |
(On [(this job/current assignment or on-call
job/business)] with [(employer name)([QES-LOOP1 counter])], how much [do/did]
you usually receive just in overtime pay, tips or commissions, before taxes or
other deductions?)
(ENTER AMOUNT)
If Answer = -2 Then Go To QES-72C
If Answer >= 1 AND Answer <= 140,000 Then Go To QES-72X
QES-72C [] |
Section: Employer Supplement |
What is your best estimate of how much you usually
[earn/earned] weekly, just in overtime pay, tips or commissions, before taxes or
other deductions on [(this job/current assignment or on-call
job/business)]?
(ENTER AMOUNT)
If Answer >= 1 AND Answer <= 1,500 Then Go To QES-72X
QES-72D [] |
Section: Employer Supplement |
INTERVIEWER: DO NOT
READ:
USUAL [time unit text for overtime pay rate([QES-LOOP1 counter])]
EARNINGS IN OVERTIME PAY, TIPS OR COMMISSIONS RECORDED AS: $[overtime rate of
pay for verification([QES-LOOP1 counter])]. IS THIS ENTRY CORRECT?
QES-72E [] |
Section: Employer Supplement |
INTERVIEWER: DO NOT
READ
INCORRECT ENTRY IS RECORDED AS: $[overtime rate of pay for
verification([QES-LOOP1 counter])] [time unit text for overtime pay
rate([QES-LOOP1 counter])]. ENTER CORRECT AMOUNT:
QES-72F [] |
Section: Employer Supplement |
[time unit code for overtime pay rate([QES-LOOP1
counter])]
COMMENT: What time unit of overtime pay did R report?
If Answer = 1 Then Go To QES-72G
If Answer = 2 Then Go To QES-72X
If Answer = 7 Then Go To QES-72X
QES-72G [] |
Section: Employer Supplement |
How many hours [do/did] you usually work per week at this
rate?
(ENTER NUMBER OF HOURS)
QES-72X [] |
Section: Employer Supplement |
([rate of pay()([QES-LOOP1 counter])]>=0) &&
([Hours worked per week at hourly rate of pay([QES-LOOP1 counter])]>=0)
&& ([overtime pay amount([QES-LOOP1 counter])]>=0) && ([hours
per week at overtime rate of pay([QES-LOOP1 counter])]>=0) && ([time
unit for overtime pay rate([QES-LOOP1 counter])]>=0)
COMMENT: Do all elements of the overtime pay have a real value.
If Answer = 1 Then Go To QES-73D
Default Next: |
QES-73E |
Lead-In: |
QES-71XC [1:1,500],
QES-71XD [1:6,000],
QES-71XE [1:72,000],
QES-71XF [1:240],
QES-71XG [1:140,000],
QES-72C [1:1,500],
QES-72F [2:2],
QES-72F [7:7],
QES-71W [Default],
QES-72F [Default],
QES-72G [Default] |
QES-73D [] |
Section: Employer Supplement |
I have estimated your usual weekly earnings for [(this
job/current assignment or on-call job/business)] with [(employer
name)([QES-LOOP1 counter])] as $[earnings_wklydc([QES-LOOP1 counter])] before
taxes or other deductions. Does that sound correct?
QES-73E [] |
Section: Employer Supplement |
I have recorded:
1: [rate of pay()([QES-LOOP1
counter])] as your hourly rate of pay,
2: [Hours worked per week at hourly
rate of pay([QES-LOOP1 counter])] as the number of hours you usually
[(work/worked)] at this rate,
3: [calculated weekly overtime pay([QES-LOOP1
counter])] as the amount you usually [earn/earned] weekly in
overtime pay,
tips and commissions, and
4: [hours per week at overtime rate of
pay([QES-LOOP1 counter])] as the number of hours per week you usually
[(work/worked)] at this rate
Which piece of information does not seem to
be correct?
(SELECT ALL THAT APPLY)
|
1 Regular
hourly rate of pay |
|
2 Hours worked
at regular hourly rate of pay |
|
3 Overtime pay
rate |
|
4 Hours worked
at overtime pay rate |
|
5 Nothing seems
to be incorrect |
QES-73H [] |
Section: Employer Supplement |
INSELECTION([QES-73E([QES-LOOP1 counter])],5)
COMMENT: Did R indicate that none of the figures seemed incorrect?
If Answer = 1 Then Go To QES-73Q
QES-73I [] |
Section: Employer Supplement |
INSELECTION([QES-73E([QES-LOOP1 counter])],1)
COMMENT: Did R indicate that hourly rate of pay seemed incorrect?
If Answer = 1 Then Go To QES-73J
QES-73J [] |
Section: Employer Supplement |
What [(is/was)] your hourly rate of pay on [(this
job/current assignment or on-call job/business)], excluding overtime pay, tips
or commissions?
(INTERVIEWER: IF OVER
$30.00 OR UNDER $1.00, PLEASE VERIFY AMOUNT.)
QES-73K [] |
Section: Employer Supplement |
INSELECTION([QES-73E([QES-LOOP1 counter])],2)
COMMENT: Did R indicate that hours worked at hourly rate of pay seemed
incorrect?
If Answer = 1 Then Go To QES-73L
QES-73L [] |
Section: Employer Supplement |
How many hours [do/did] you usually work per week at the
rate of $[rate of pay()([QES-LOOP1 counter])]?
(ENTER NUMBER OF
HOURS)
QES-73M [] |
Section: Employer Supplement |
INSELECTION([QES-73E([QES-LOOP1 counter])],3)
COMMENT: Did R indicate that weekly overtime pay seemed incorrect?
If Answer = 1 Then Go To QES-73N
QES-73N [] |
Section: Employer Supplement |
How much [do/did] you usually earn weekly just in
overtime pay, tips or commissions?
(ENTER AMOUNT)
QES-73O [] |
Section: Employer Supplement |
INSELECTION([QES-73E([QES-LOOP1 counter])],4)
COMMENT: Did R indicate that hours worked at overtime rate of pay seemed
incorrect?
If Answer = 1 Then Go To QES-73P
QES-73P [] |
Section: Employer Supplement |
How many hours [do/did] you usually work per week at the
rate of $[calculated weekly overtime pay([QES-LOOP1 counter])]?
(ENTER
NUMBER OF HOURS)
QES-73Q [] |
Section: Employer Supplement |
Then including [(overtime pay-)([QES-LOOP1 counter])]
tips and commissions, what [are/were] your usual weeky earnings on [(this
job/current assignment or on-call job/business)], before taxes or other
deductions?
(INTERVIEWER: IF MORE
THAN $1500.00 OR LESS THAN $1.00, PLEASE VERIFY. ENTER AMOUNT)
QES-73ZC [] |
Section: Employer Supplement |
[QES-73Za([QES-LOOP1 counter])]==1 &&
[QES-73Zb([QES-LOOP1 counter])]==1
COMMENT: Are all elements of payrate and overtime pay valid values?
If Answer = 0 Then Go To QES-80
QES-74B [] |
Section: Employer Supplement |
I have estimated your total weekly earnings for [(this
job/current assignment or on-call job/business)] with [(employer
name)([QES-LOOP1 counter])] as $[calculated weekly earnings error([QES-LOOP1
counter])] before taxes or other deductions. Does that sound correct?
|
1 YES |
|
0 NO,
IRRECONCILABLE DIFFERENCE |
QES-74C [] |
Section: Employer Supplement |
[QES-71B([QES-LOOP1 counter])]==1
COMMENT: Did R report overtime, tips and/or commissions? Beginning series for
daily/weekly/other time unit ROP - see QES-71G
If Answer =
1 Then Go To QES-74E
QES-74D [] |
Section: Employer Supplement |
What [are/were] your usual weekly earnings on [(this
job/current assignment or on-call job/business)] with [(employer
name)([QES-LOOP1 counter])], before taxes or other deductions?
(ENTER
AMOUNT)
(INTERVIEWER: BEGINNING
SERIES FOR DAILY/WEEKLY/OTHER RATE OF PAY.)
If Answer = -2 Then Go To QES-74K
If Answer = -1 Then Go To QES-80
If Answer >= 1 AND Answer <= 1,500 Then Go To QES-74KA
QES-74E [] |
Section: Employer Supplement |
Including overtime pay, tips and commissions, what
[are/were] your usual weekly earnings on [(this job/current assignment or
on-call job/business)] with [(employer name)([QES-LOOP1 counter])], before taxes
or other deductions?
(ENTER AMOUNT)
If Answer = -2 Then Go To QES-74K
If Answer = -1 Then Go To QES-80
If Answer >= 1 AND Answer <= 1,500 Then Go To QES-74KA
QES-74K [] |
Section: Employer Supplement |
What is your best estimate of your usual weekly earnings
before taxes or other deductions?
(ENTER AMOUNT)
If Answer = -1 Then Go To QES-80
If Answer >= 1 AND Answer <= 1,500 Then Go To QES-74KB
QES-74KA [] |
Section: Employer Supplement |
([rate of pay([QES-LOOP1 counter])]>=[default minimum
value r's reported weekly wages([QES-LOOP1 counter])]) && ([rate of
pay([QES-LOOP1 counter])]<=[default maximum value r's reported weekly
wages([QES-LOOP1 counter])])
COMMENT: Is the reported weekly wage within the accepted range?
If Answer = 1 Then Go To QES-74N
QES-74KB [] |
Section: Employer Supplement |
([pay rate amount unknown([QES-LOOP1
counter])]>=[default minimum value r's reported weekly wages([QES-LOOP1
counter])]) && ([pay rate amount unknown([QES-LOOP1
counter])]<=[default maximum value r's reported weekly wages([QES-LOOP1
counter])])
COMMENT: Is the reported weekly wage within the accepted range?
If Answer = 1 Then Go To QES-74N
QES-74L [] |
Section: Employer Supplement |
INTERVIEWER: DO NOT
READ
EARNINGS RECORDED AS: $[weekly rate of pay for
verification([QES-LOOP1 counter])] WEEKLY. IS THIS ENTRY CORRECT?
QES-74M [] |
Section: Employer Supplement |
INTERVIEWER: DO NOT
READ
INCORRECT ENTRY IS RECORDED AS: $[weekly rate of pay for
verification([QES-LOOP1 counter])] WEEKLY. ENTER CORRECT AMOUNT:
QES-74N [] |
Section: Employer Supplement |
I have recorded your total earnings for [(this
job/current assignment or on-call job/business)] with [(employer
name)([QES-LOOP1 counter])] as $[weekly rate of pay for verification([QES-LOOP1
counter])] weekly before taxes or other deductions. Is that correct?
QES-74O [] |
Section: Employer Supplement |
[time unit code for rate of pay()([QES-LOOP1
counter])]==1
COMMENT: Did R report an hourly time unit for rate of pay? This shouldn't
happen in this part of the series.
If Answer = 1 Then Go
To QES-80
QES-74P [] |
Section: Employer Supplement |
[QES-71B([QES-LOOP1 counter])]==1
COMMENT: Did R report overtime, tips and/or commissions?
If
Answer = 1 Then Go To QES-74Q
QES-74Q [] |
Section: Employer Supplement |
Including overtime pay, tips and commissions, what
[are/were] your usual weekly earnings on [(this job/current assignment or
on-call job/business)] with [(employer name)([QES-LOOP1 counter])], before taxes
or other deductions?
(INTERVIEWER: IF MORE THAN $1500.00 OR LESS THAN
$1.00, PLEASE VERIFY AMOUNTS.)
QES-74R [] |
Section: Employer Supplement |
What [are/were] your usual weekly earnings on [(this
job/current assignment or on-call job/business)] with [(employer
name)([QES-LOOP1 counter])], before taxes or other
deductions?
(INTERVIEWER: IF MORE
THAN $1500.00 OR LESS THAN $1.00, PLEASE VERIFY AMOUNTS.)
QES-74S [] |
Section: Employer Supplement |
[time unit code for rate of pay()([QES-LOOP1
counter])]==1
COMMENT: Did R report an hourly time unit for rate of pay?
If
Answer = 1 Then Go To QES-80
QES-74T [] |
Section: Employer Supplement |
[QES-71B([QES-LOOP1 counter])]==1
COMMENT: Did R report overtime, tips and/or commissions? Beginning series for
monthly and bi-monthly time units for ROP
If Answer = 1
Then Go To QES-74V
QES-74U [] |
Section: Employer Supplement |
What [are/were] your usual monthly earnings on [(this
job/current assignment or on-call job/business)] with [(employer
name)([QES-LOOP1 counter])], before taxes or other deductions?
(ENTER
AMOUNT)
(INTERVIEWER: BEGINNING
SERIES FOR MONTHLY AND BI-MONTHLY TIME UNITS)
If Answer = -2 Then Go To QES-75B
If Answer = -1 Then Go To QES-80
QES-74V [] |
Section: Employer Supplement |
Including overtime pay, tips and commissions, what
[are/were] your usual monthly earnings on [(this job/current assignment or
on-call job/business)] with [(employer name)([QES-LOOP1 counter])], before taxes
or other deductions?
(ENTER AMOUNT)
If Answer = -2 Then Go To QES-75B
If Answer = -1 Then Go To QES-80
If Answer >= 1 AND Answer <= 6,000 Then Go To QES-75BA
QES-75B [] |
Section: Employer Supplement |
What is your best estimate of your usual monthly earnings
before taxes or other deductions?
(ENTER AMOUNT)
If Answer = -1 Then Go To QES-80
QES-75BA [] |
Section: Employer Supplement |
([rate of pay([QES-LOOP1 counter])]>=[Default minimum
value monthly wages([QES-LOOP1 counter])]) && ([rate of pay([QES-LOOP1
counter])]<=[Default maximum value monthly wages([QES-LOOP1
counter])])
COMMENT: Is the reported monthly wage within the accepted range?
If Answer = 1 Then Go To QES-75E
QES-75BB [] |
Section: Employer Supplement |
([pay rate amount unknown([QES-LOOP1
counter])]>=[Default minimum value monthly wages([QES-LOOP1 counter])])
&& ([pay rate amount unknown([QES-LOOP1 counter])]<=[Default maximum
value monthly wages([QES-LOOP1 counter])])
COMMENT: Is the reported monthly wage within the accepted range?
If Answer = 1 Then Go To QES-75E
QES-75C [] |
Section: Employer Supplement |
INTERVIEWER: DO NOT
READ
EARNINGS RECORDED AS: $[monthly rate of pay for
verification([QES-LOOP1 counter])] MONTHLY. IS THIS ENTRY CORRECT?
QES-75D [] |
Section: Employer Supplement |
INTERVIEWER: DO NOT
READ
INCORRECT ENTRY IS RECORDED AS: $[monthly rate of pay for
verification([QES-LOOP1 counter])] MONTHLY. ENTER CORRECT AMOUNT:
QES-75E [] |
Section: Employer Supplement |
I have recorded your total earnings for your job with
[(employer name)([QES-LOOP1 counter])] as $[monthly rate of pay for
verification([QES-LOOP1 counter])] monthly before taxes or other deductions. Is
that correct?
QES-75F [] |
Section: Employer Supplement |
[QES-71B([QES-LOOP1 counter])]==1
COMMENT: Did R report overtime, tips and/or commissions?
If
Answer = 1 Then Go To QES-75G
QES-75G [] |
Section: Employer Supplement |
Including overtime pay, tips and commissions, what
[are/were] your usual monthly earnings on [(this job/current assignment or
on-call job/business)] with [(employer name)([QES-LOOP1 counter])], before taxes
or other deductions?
(INTERVIEWER: IF
MORE THAN $6000.00 OR LESS THAN $1.00, PLEASE VERIFY AMOUNTS.)
QES-75H [] |
Section: Employer Supplement |
What [are/were] your usual monthly earnings on [(this
job/current assignment or on-call job/business)] with [(employer
name)([QES-LOOP1 counter])] before taxes or other deductions?
(INTERVIEWER: IF MORE THAN $6000.00 OR LESS THAN
$1.00, PLEASE VERIFY AMOUNTS.)
QES-75I [] |
Section: Employer Supplement |
[QES-71B([QES-LOOP1 counter])]==1
COMMENT: Did R report overtime, tips and/or commissions? Beginning series for
those reporting annual ROP. See QES-71G
If Answer = 1
Then Go To QES-75K
QES-75J [] |
Section: Employer Supplement |
What [are/were] your usual annual earnings on [(this
job/current assignment or on-call job/business)] with [(employer
name)([QES-LOOP1 counter])], before taxes or other deductions?
(ENTER
AMOUNT)
If Answer = -2 Then Go To QES-75Q
If Answer = -1 Then Go To QES-80
If Answer >= 1 AND Answer <= 72,000 Then Go To QES-75QA
QES-75K [] |
Section: Employer Supplement |
Including overtime pay, tips and commissions, what
[are/were] your usual annual earnings on [(this job/current assignment or
on-call job/business)] with [(employer name)([QES-LOOP1 counter])], before taxes
or other deductions?
(ENTER AMOUNT)
If Answer = -2 Then Go To QES-75Q
If Answer = -1 Then Go To QES-80
If Answer >= 1 AND Answer <= 72,000 Then Go To QES-75QA
QES-75Q [] |
Section: Employer Supplement |
What is your best estimate of your usual annual earnings
before taxes or other deductions?
(ENTER AMOUNT)
If Answer = -1 Then Go To QES-80
If Answer >= 1 AND Answer <= 72,000 Then Go To QES-75QA
QES-75QA [] |
Section: Employer Supplement |
([rate of pay([QES-LOOP1 counter])]>=[Default minimum
value annual wages([QES-LOOP1 counter])]) && ([rate of pay([QES-LOOP1
counter])]<=[Default maximum value annual wages([QES-LOOP1
counter])])
COMMENT: Is the reported annual wage within the accepted range?
If Answer = 1 Then Go To QES-75T
QES-75QB [] |
Section: Employer Supplement |
([pay rate amount unknown([QES-LOOP1
counter])]>=[Default minimum value annual wages([QES-LOOP1 counter])])
&& ([pay rate amount unknown([QES-LOOP1 counter])]<=[Default maximum
value annual wages([QES-LOOP1 counter])])
COMMENT: Is the reported annual wage within the accepted range?
If Answer = 1 Then Go To QES-75T
QES-75R [] |
Section: Employer Supplement |
INTERVIEWER: DO NOT
READ
EARNINGS RECORDED AS: $[annual rate of pay for
verification([QES-LOOP1 counter])] ANNUALLY. IS THIS ENTRY CORRECT?
QES-75S [] |
Section: Employer Supplement |
INTERVIEWER: DO NOT
READ
INCORRECT ENTRY IS RECORDED AS: $[annual rate of pay for
verification([QES-LOOP1 counter])] ANNUALLY. ENTER CORRECT AMOUNT:
QES-75T [] |
Section: Employer Supplement |
I have recorded your total earnings for [(this
job/current assignment or on-call job/business)] with [(employer
name)([QES-LOOP1 counter])] as $[annual rate of pay for verification([QES-LOOP1
counter])] annually before taxes or other deductions. Is that
correct?
QES-75U [] |
Section: Employer Supplement |
[QES-71B([QES-LOOP1 counter])]==1
COMMENT: Did R report overtime, tips and/or commissions?
If
Answer = 1 Then Go To QES-75V
QES-75V [] |
Section: Employer Supplement |
Including overtime pay, tips and commissions, what
[are/were] your usual annual earnings on [(this job/current assignment or
on-call job/business)] with [(employer name)([QES-LOOP1 counter])], before taxes
or other deductions?
(INTERVIEWER: IF
MORE THAN $72,000.00 OR LESS THAN $1.00, PLEASE VERIFY AMOUNTS.)
QES-75W [] |
Section: Employer Supplement |
What [are/were] your usual annual earnings on [(this
job/current assignment or on-call job/business)] with [(employer
name)([QES-LOOP1 counter])] before taxes or other deductions?
(INTERVIEWER: IF MORE THAN $72,000.00 OR LESS THAN
$1.00, PLEASE VERIFY AMOUNTS.)
QES-75X [] |
Section: Employer Supplement |
[QES-71B([QES-LOOP1 counter])]==1
COMMENT: Did R report overtime, tips and/or commissions? Beginning series for
R's that reported bi-weekly ROP in QES-71G
If Answer = 1
Then Go To QES-75Z
QES-75Y [] |
Section: Employer Supplement |
What [are/were] your usual bi-weekly earnings on [(this
job/current assignment or on-call job/business)] with [(employer
name)([QES-LOOP1 counter])], before taxes or other deductions?
(ENTER
AMOUNT)
If Answer = -2 Then Go To QES-76F
If Answer = -1 Then Go To QES-80
If Answer >= 1 AND Answer <= 3,000 Then Go To QES-76FA
QES-75Z [] |
Section: Employer Supplement |
Including overtime pay, tips and commissions, what
[are/were] your usual bi-weekly earnings on [(this job/current assignment or
on-call job/business)] with [(employer name)([QES-LOOP1 counter])], before taxes
or other deductions?
(ENTER AMOUNT)
If Answer = -2 Then Go To QES-76F
If Answer = -1 Then Go To QES-80
If Answer >= 1 AND Answer <= 3,000 Then Go To QES-76FA
QES-76F [] |
Section: Employer Supplement |
What is your best estimate of your usual bi-weekly
earnings before taxes or other deductions?
(ENTER AMOUNT)
If Answer = -1 Then Go To QES-80
If Answer >= 1 AND Answer <= 3,000 Then Go To QES-76FB
QES-76FA [] |
Section: Employer Supplement |
([rate of pay([QES-LOOP1 counter])]>=[Default minimum
value bi-weekly wages([QES-LOOP1 counter])]) && ([rate of pay([QES-LOOP1
counter])]<=[Default maximum value bi-weekly wages([QES-LOOP1
counter])])
COMMENT: Is the reported biweekly wage within the accepted range?
If Answer = 1 Then Go To QES-76I
QES-76FB [] |
Section: Employer Supplement |
([pay rate amount unknown([QES-LOOP1
counter])]>=[Default minimum value bi-weekly wages([QES-LOOP1 counter])])
&& ([pay rate amount unknown([QES-LOOP1 counter])]<=[Default maximum
value bi-weekly wages([QES-LOOP1 counter])])
COMMENT: Is the reported biweekly wage within the accepted range?
If Answer = 1 Then Go To QES-76I
QES-76G [] |
Section: Employer Supplement |
INTERVIEWER: DO NOT
READ
EARNINGS RECORDED AS: $[bi-weekly rate of pay for
verification([QES-LOOP1 counter])] BI-WEEKLY. IS THIS ENTRY CORRECT?
QES-76H [] |
Section: Employer Supplement |
INTERVIEWER: DO NOT
READ
INCORRECT ENTRY IS RECORDED AS: $[bi-weekly rate of pay for
verification([QES-LOOP1 counter])] BI-WEEKLY. ENTER CORRECT AMOUNT:
QES-76I [] |
Section: Employer Supplement |
I have recorded your total earnings for [(this
job/current assignment or on-call job/business)] with [(employer
name)([QES-LOOP1 counter])] as $[bi-weekly rate of pay for
verification([QES-LOOP1 counter])] bi-weekly before taxes or other deductions.
Is that correct?
QES-76J [] |
Section: Employer Supplement |
[QES-71B([QES-LOOP1 counter])]==1
COMMENT: Did R report overtime, tips and/or commissions?
If
Answer = 1 Then Go To QES-76K
QES-76K [] |
Section: Employer Supplement |
Including overtime pay, tips and commissions, what
[are/were] your usual bi-weekly earnings on [(this job/current assignment or
on-call job/business)] with [(employer name)([QES-LOOP1 counter])], before taxes
or other deductions?
(INTERVIEWER: IF
MORE THAN $3000.00 OR LESS THAN $1.00, PLEASE VERIFY AMOUNTS.)
QES-76L [] |
Section: Employer Supplement |
What [are/were] your usual bi-weekly earnings on [(this
job/current assignment or on-call job/business)] with [(employer
name)([QES-LOOP1 counter])] before taxes or other deductions?
(INTERVIEWER: IF MORE THAN $3000.00 OR LESS THAN
$1.00, PLEASE VERIFY AMOUNTS.)
QES-76M [] |
Section: Employer Supplement |
ISVAREMPTY ([Did R report overtime, tips and/or
commissions?([QES-LOOP1 counter])])
COMMENT: Is there an entry in QES-75I? Did R report ROP in annual time
unit?
If Answer = 1 Then Go To QES-76O
QES-76N [] |
Section: Employer Supplement |
How many weeks a year [do/did] you get paid for on [(this
job/current assignment or on-call job/business)]?
(ENTER NUMBER OF
WEEKS)
QES-76O [] |
Section: Employer Supplement |
[time unit code for rate of pay()([QES-LOOP1
counter])]==7 || [time unit code for rate of pay()([QES-LOOP1
counter])]==-2
COMMENT: Did R report "other" time unit for rate of pay, or R didn't know or
refused to report time unit for rate of pay?
If Answer = 1
Then Go To QES-76P
QES-76P [] |
Section: Employer Supplement |
[are/were] you paid at an hourly rate on [(this
job/current assignment or on-call job/business)] with [(employer
name)([QES-LOOP1 counter])]?
QES-76Q [] |
Section: Employer Supplement |
Even though you told me it is easier to report your
earnings [time unit text for rate of pay([QES-LOOP1 counter])], [are/were] you
paid at an hourly rate on [(this job/current assignment or on-call
job/business)] with [(employer name)([QES-LOOP1 counter])]?
QES-76R [] |
Section: Employer Supplement |
[QES-71B([QES-LOOP1 counter])]==1
COMMENT: Did R report overtime, tips and/or commissions?
If
Answer = 1 Then Go To QES-76S
QES-76S [] |
Section: Employer Supplement |
Excluding overtime pay, tips and commissions, what
[(is/was)] your hourly rate of pay on [(this job/current assignment or on-call
job/business)] with [(employer name)([QES-LOOP1 counter])]?
(INTERVIEWER: IF MORE THAN $30.00 OR LESS THAN $1.00,
PLEASE VERIFY AMOUNT.)
QES-76T [] |
Section: Employer Supplement |
What [(is/was)] your hourly rate of pay on [(this
job/current assignment or on-call job/business)] with [(employer
name)([QES-LOOP1 counter])]?
(INTERVIEWER: IF MORE THAN $30.00 OR LESS THAN
$1.00, PLEASE VERIFY AMOUNT.)
QES-80 [] |
Section: Employer Supplement |
(((([Dli flag?([QES-LOOP1 counter])] == 0) &&
([Pdli flag?([QES-LOOP1 counter])] == 0)) || ([employer roster
information([QES-LOOP1 counter])] >=201400)) && ([(employer job
type)([QES-LOOP1 counter])]==1))
COMMENT: Is this a newly reported employer (not a dli or pdli employer) or
one that was first reported during this interview?
If
Answer = 0 Then Go To QES-80A
Default Next: |
QES-81 |
Lead-In: |
QES-TEACH15 [2:2],
QES-71I [-1:-1],
QES-71J [-1:-1],
QES-71P [-1:-1],
QES-71U [-1:-1],
QES-73ZC [0:0],
QES-74D [-1:-1],
QES-74E [-1:-1],
QES-74K [-1:-1],
QES-74O [1:1],
QES-74S [1:1],
QES-74U [-1:-1],
QES-74V [-1:-1],
QES-75B [-1:-1],
QES-75J [-1:-1],
QES-75K [-1:-1],
QES-75Q [-1:-1],
QES-75Y [-1:-1],
QES-75Z [-1:-1],
QES-76F [-1:-1],
QES-TEACH14 [Default],
QES-TEACH22-LOOP-END [Default],
QES-73D [Default],
QES-73Q [Default],
QES-74B [Default],
QES-76P [Default],
QES-76Q [Default],
QES-76S [Default],
QES-76T [Default] |
QES-80A [] |
Section: Employer Supplement |
[(employer job type)([QES-LOOP1 counter])]
COMMENT: What job type is this employer?
If Answer = 1
Then Go To QES-CPSFLAGCHECK
QES-81 [] |
Section: Employer Supplement |
[(Have/Had)] your earnings or the hours you usually
[(work/worked)] per week changed at all since you first started working on
[(this job/current assignment or on-call job/business)] with [(employer
name)([QES-LOOP1 counter])]?
|
1 earnings
changed |
|
2 hours usually
worked per week changed |
|
3 NEITHER
earnings nor hours usually worked per week changed |
QES-81A [] |
Section: Employer Supplement |
INSELECTION([QES-81([QES-LOOP1 counter])],3)
COMMENT: Did R say neither hours nor earnings had changed?
If
Answer = 1 Then Go To QES-CPSFLAGCHECK
QES-81B [] |
Section: Employer Supplement |
INSELECTION([QES-81([QES-LOOP1 counter])],1)
COMMENT: Did R say earnings had changed?
If Answer = 1
Then Go To QES-82
QES-82 [] |
Section: Employer Supplement |
How much did you earn when you first started working for
[(employer name)([QES-LOOP1 counter])]?
(INTERVIEWER: THE <.> KEY SHOULD BE USED IN THE
ANSWER OF THIS QUESTION.)
QES-83 [] |
Section: Employer Supplement |
(PROBE IF NECESSARY:) Was that per hour, per day, per
week, or what?
|
1 per
hour |
|
2 per day |
|
3 per
week |
|
4 bi-weekly
(every 2 weeks) |
|
8 bi-monthly
(twice a month) |
|
5 per
month |
|
6 per
year |
|
7 other
(SPECIFY) |
QES-83A [] |
Section: Employer Supplement |
INSELECTION([QES-81([QES-LOOP1 counter])],2)
COMMENT: Did R say hours had changed?
If Answer = 0
Then Go To QES-83C
QES-83B [] |
Section: Employer Supplement |
How hours per week did you usually work when you first
started working for [(employer name)([QES-LOOP1 counter])]?
QES-83C [] |
Section: Employer Supplement |
[is this job current?([QES-LOOP1 counter])] ==
0
COMMENT: Is this employer current?
If Answer = 0 Then
Go To QES-CPSFLAGCHECK
QES-83D [] |
Section: Employer Supplement |
How much were you earning when you stopped working for
[(employer name)([QES-LOOP1 counter])] on [DATE RESPONDENT STOPPED WORKING FOR
EMPLOYER([QES-LOOP1 counter])~X]?
(INTERVIEWER: THE <.> KEY SHOULD BE USED IN THE
ANSWER OF THIS QUESTION.)
QES-83E [] |
Section: Employer Supplement |
(PROBE IF NECESSARY:) Was that per hour, per day, per
week, or what?
|
1 per
hour |
|
2 per day |
|
3 per
week |
|
4 bi-weekly
(every 2 weeks) |
|
8 bi-monthly
(twice a month) |
|
5 per
month |
|
6 per
year |
|
7 other
(SPECIFY) |
QES-CPSFLAGCHECK [] |
Section: Employer Supplement |
[employer cps flag([QES-LOOP1 counter])]==1
COMMENT: This is the CPS job
If Answer = 1 Then Go To
QES-PDII
QES-PDII [] |
Section: Employer Supplement |
Now, I would like to ask you a series of questions about
various aspects of your current/main job.
QES-PDIIA [] |
Section: Employer Supplement |
How much of your workday [involves_involvedlc]
|
- ...carrying out short,
repetitive tasks? |
|
- ...doing physical tasks such
as standing, handling objects, operating machinery or vehicles or making
or fixing things with your hands? |
|
- ...managing or supervising
other workers? |
|
1 Almost all
the time |
|
2 More than
half the time |
|
3 Less than
half the time |
|
4 Almost none
of the time |
QES-PDIIB [] |
Section: Employer Supplement |
Think of "problem solving" as what happens when you are
faced with a new or difficult situation that requires you to think about what to
do next. With this definition in mind, how often [do/did] you engage in the type
of problem solving on your job where the solution takes at least 30 minutes to
find? Would you say:
|
1 One or more
times every day |
|
2 At least once
a week |
|
3 At least once
a month |
|
4 Never |
QES-PDIIC [] |
Section: Employer Supplement |
How often [do/did] you solve problems at your jobs using
advanced mathematics such as algebra, geometry, trigonometry, probability, or
calculus? Would you say:
|
1 One or more
times every day |
|
2 At least once
a week |
|
3 At least once
a month |
|
4 Never |
QES_PDIID [] |
Section: Employer Supplement |
What [(is/was)] the longest document that you typically
read as part of your job? Would you say:
|
1 One page or
less |
|
2 2 to 5
pages |
|
3 6 to 10
pages |
|
4 11 to 25
pages |
|
5 More than 25
pages |
|
6 Never read at
job |
QES-PDIIE [] |
Section: Employer Supplement |
To what extent does the work you [do/did] in your job
involve face-to-face contact with people other than your co-workers or
supervisors? Would you say:
|
1 A lot |
|
2 A moderate
amount |
|
3 A
little |
|
4 None at
all |
QES-PDIIF [] |
Section: Employer Supplement |
I am going to read a list of four types of people with
whom you may have face-to-face contact on your job. As I read each one, please
tell me whether you [(have/had)] a lot of face-to-face contact with this type of
person, some contact or no contact at all.
|
- Customers or clients |
|
- Suppliers or contractors |
|
- Students or trainees |
|
- Patients |
|
1 a lot of
contact |
|
2 some
contact |
|
3 no contact at
all |
QES-FIRMSZ1 [] |
Section: Employer Supplement |
Many companies or organizations have employees at more
than one location. Besides the place where you [(work/worked)] ([(does/did)]
[(employer name)([QES-LOOP1 counter])]/[do/did] you) have any employees working
at any other locations, (as far as you know)?
QES-FIRMSZ2 [] |
Section: Employer Supplement |
At the place where you [(work/worked)], how many
employees ([(does/did)] [(employer name)([QES-LOOP1 counter])]/[do/did] you)
have?
(INTERVIEWER: IF VOLUNTEERED
"NUMBER VARIES", ENTER "99995".)
QES-FIRMSZ7 [] |
Section: Employer Supplement |
(([Class of Worker([QES-LOOP1 counter])]==5) || ([Class
of Worker([QES-LOOP1 counter])]==4) || ([employer class of worker([QES-LOOP1
counter])]==4) || ([employer class of worker([QES-LOOP1 counter])]==5)) || ([r
self-emp in unincorporated business at dli?([QES-LOOP1 counter])]==1)
COMMENT: Is respondent self employed in an unincorporated business?
If Answer = 1 Then Go To QES-BONUS_59A
QES-PROMO38 [] |
Section: Employer Supplement |
Since [employer start date/date of last int([QES-LOOP1
counter])~X], [(have/had)] you experienced a promotion, a demotion, or any other
type of position change?
(INTERVIEWER: IF MORE THAN ONE, ASK ABOUT MOST RECENT
CHANGE.)
QES-PROMO39 [] |
Section: Employer Supplement |
Was this a promotion, a demotion, or a position
change?
|
1 promotion |
|
2 demotion |
|
3 position
change |
QES-PROMO40 [] |
Section: Employer Supplement |
When did you experience this [promotion/demotion/position
change([QES-LOOP1 counter])]?
QES-PROMO41 [] |
Section: Employer Supplement |
What were the reasons for the change in position that
occurred on [Date of promotion([QES-LOOP1 counter])~X]?
(INTERVIEWER:
PLEASE RECORD DESCRIPTION VERBATIM BELOW AND CONTINUE TO RECORD
CODE.)
QES-PROMO41_A [] |
Section: Employer Supplement |
(INTERVIEWER: PLEASE
SELECT REASONS FOR CHANGE IN POSITION, THAT CORRESPOND TO DESCRIPTION RECORDED
ABOVE.)
(SELECT ALL THAT APPLY)
|
1 Reorganization of department, division or
section within company |
|
2 Change in
company ownership |
|
3 Company
growth |
|
4 Company
laying off others |
|
5 My job
performance |
|
6 I requested
it |
|
7 It was
automatic |
|
8 Other
(SPECIFY) |
QES-PROMO46 [] |
Section: Employer Supplement |
Did your supervisory responsibilities increase, decrease
or stay the same?
|
1 Increased |
|
2 Decreased |
|
3 Stayed the
same |
QES-PROMO48 [] |
Section: Employer Supplement |
[Do/Did] you report to a higher level of
supervisor?
QES-PROMO49 [] |
Section: Employer Supplement |
[QES-PROMO39([QES-LOOP1 counter])]
If
Answer >= 2 AND Answer <= 3 Then Go To QES-BONUS_59A
QES-PROMOPOS53 [] |
Section: Employer Supplement |
Do you believe [it is/it would have been] possible for
you to get (a/another) promotion with this employer in the next two
years?
(INTERVIEWER: IF NO LONGER
WITH EMPLOYER, SELECT "NOT APPLICABLE".)
QES-PROMOPOS59 [] |
Section: Employer Supplement |
What is the main reason it [(is/was)] not possible to get
(a/another) promotion with this employer?
|
1 NO FURTHER
PROMOTION POTENTIAL |
|
2 SOMEONE FROM
ABOVE MUST LEAVE |
|
3 ADDITIONAL
EDUCATION/TRAINING IS NEEDED |
|
4 COMPANY
REORGANIZATION |
|
5 CHANGE IN
COMPANY OWNERSHIP |
|
6 NOT
INTERESTED IN PROMOTION |
|
7 TOO CLOSE TO
RETIREMENT |
QES-BONUS_59A [] |
Section: Employer Supplement |
Some employees receive cash bonus pay in addition to
their regular earnings. For example, employees sometimes receive year-end
bonuses, profit-sharing bonuses, or payments for exceeding a production quota or
completing work ahead of schedule. Did you receive any cash bonuses on your job
in [calendar year prior to survey year]? Please do not consider tips or
commissions as bonus payments.
(INTERVIEWER: PLEASE RECORD ONLY CASH BONUSES.
SELECT "HELP" BUTTON NEXT TO QNAME TO ACCESS
HELP SCREEN WITH MORE INFORMATION ABOUT CASH BONUSES. IF YOU ARE UNCERTAIN ABOUT
A BONUS, PLEASE RECORD A DESCRIPTION AND APPROXIMATE VALUE IN AN INTERVIEWER
COMMENT BY SELECTING "COMMENT" BUTTON NEXT TO
QNAME.)
QES-BONUS_59B [] |
Section: Employer Supplement |
In [calendar year prior to survey year], how much did you
receive in cash bonuses on your job?
(INTERVIEWER: PLEASE RECORD ONLY CASH BONUSES.
SELECT "HELP" BUTTON NEXT TO QNAME TO ACCESS
HELP SCREEN WITH MORE INFORMATION ABOUT CASH BONUSES. IF YOU ARE UNCERTAIN ABOUT
A BONUS, PLEASE RECORD A DESCRIPTION AND APPROXIMATE VALUE IN AN INTERVIEWER
COMMENT BY SELECTING "COMMENT" BUTTON NEXT TO
QNAME.)
QES-BONUS_59B_CHK2 [] |
Section: Employer Supplement |
DATE2DAY([DATE RESPONDENT STOPPED WORKING FOR
EMPLOYER([QES-LOOP1 counter])]) > DATE2DAY(TEXT2DATE("20160101"))
||
DATE2DAY([DATE RESPONDENT STOPPED WORKING FOR EMPLOYER([QES-LOOP1
counter])]) == DATE2DAY(TEXT2DATE("20160101"))
COMMENT: compare dates
If Answer = 1 Then Go To
QES-BONUS_59B_1
QES-BONUS_59B_1 [] |
Section: Employer Supplement |
Did you receive any cash bonuses on your job in [current
year]? Please do not consider tips or commissions as bonus
payments.
(INTERVIEWER: PLEASE RECORD
ONLY CASH BONUSES. SELECT "HELP" BUTTON NEXT TO
QNAME TO ACCESS HELP SCREEN WITH MORE INFORMATION ABOUT CASH BONUSES.
IF YOU ARE UNCERTAIN ABOUT A BONUS, PLEASE RECORD A DESCRIPTION AND APPROXIMATE
VALUE IN AN INTERVIEWER COMMENT BY SELECTING "COMMENT"
BUTTON NEXT TO QNAME.)
QES-BONUS_59B_2 [] |
Section: Employer Supplement |
[bonus2015([QES-LOOP1 counter])] ==1 ||
[bonus2016([QES-LOOP1 counter])] ==1
COMMENT: R report receiving cash bonus in 2015 or 2016?
If Answer = 0 Then Go To QES-84A
QES-BONUS_59B_3 [] |
Section: Employer Supplement |
[teach regular school([QES-LOOP1 counter])] ==
1
COMMENT: Is R a teacher in a regular school system?
If
Answer = 1 Then Go To QES-BONUS_59C_1
QES-BONUS_59C [] |
Section: Employer Supplement |
Does the $[rate of pay([QES-LOOP1 counter])] [time unit
text for rate of pay([QES-LOOP1 counter])] you reported as your earnings on this
job include bonus pay? Please do not consider tips or commissions as bonus
payments.
QES-BONUS_59C_1 [] |
Section: Employer Supplement |
Did the amount you reported earlier as your earnings on
this job include bonus pay? Please do not consider tips or commissions as bonus
payments.
QES-BONUS_59D [] |
Section: Employer Supplement |
What would your earnings amount be on this job if you did
not include bonus payments?
QES-84A [] |
Section: Employer Supplement |
[hours/wk usually worked for employer]>19 || [Hours
per week usually worked for employer (including additional hours at
home)]>19
COMMENT: Did R work at least 20 hours per week at this job?
If
Answer = 1 Then Go To QES-84C
QES-84C [] |
Section: Employer Supplement |
[(employer job type)([QES-LOOP1 counter])]
COMMENT: check employer type -- if non-traditional or self-emp, check if any
benefits were available
If Answer >= 2 AND Answer <=
3 Then Go To QES-84D
QES-84D [] |
Section: Employer Supplement |
[(Does/Did) your (employer/temporary agency or contractor
or on-call organization) make any benefits available at all/(Do/Did) you receive
any fringe benefits at all from your business?]
QES-84E [] |
Section: Employer Supplement |
[Did your employer make available to you/ Do you have
available to you]...
|
- Medical, surgical or hospital
insurance that covers injuries or major illnesses off the job? |
|
- Life insurance that would
cover your death for reasons not connected to your job? |
|
- Dental benefits? |
|
- (Maternity/Paternity) leave
that will allow you to go back to your old job or one that pays the same
as your old one? |
|
- A retirement plan other than
social security? |
|
- Flexible hours or work
schedule? |
|
- Profit sharing? |
|
- Training or educational
opportunities including tuition reimbursement? |
|
- Company provided or subsidized
child care? |
QES-84N [] |
Section: Employer Supplement |
Which of the following [are/were] you entitled to from
this employer?
PLEASE SELECT ALL THAT
APPLY.
|
1 Sick
days |
|
2 Vacation
days |
|
3 Personal time
in addition to sick and/or vacation days |
|
4 All time off
is combined |
|
5 Other (Please
specify) |
|
6 None |
QES-84NCHECK1 [] |
Section: Employer Supplement |
INSELECTION([QES-84N([QES-LOOP1 counter])],6)
COMMENT: R selected no leave time
If Answer = 1 Then Go
To QES-84O_1
QES-84NCHECK2 [] |
Section: Employer Supplement |
INSELECTION([QES-84N([QES-LOOP1 counter])],5)
COMMENT: R selected other leave time
If Answer = 1 Then
Go To QES-84N_NEW
QES-84N_NEW [] |
Section: Employer Supplement |
How many total days of paid leave [are/were] you entitled
to each year?
INTERVIEWER: IF NO SPECIFIC LIMIT,
ENTER "365".
QES-84NCHECK3 [] |
Section: Employer Supplement |
INSELECTION([QES-84N([QES-LOOP1 counter])],4)
COMMENT: R selected combined leave time
If Answer = 1
Then Go To QES-84NA
QES-84NA [] |
Section: Employer Supplement |
How many total days of paid sick, vacation or personal
leave [are/were] you entitled to each year?
INTERVIEWER: IF NO SPECIFIC LIMIT, ENTER
"365".
QES-84NCHECK4 [] |
Section: Employer Supplement |
INSELECTION([QES-84N([QES-LOOP1 counter])],1)
COMMENT: R selected sick leave time
If Answer = 1 Then
Go To QES-84NB
QES-84NB [] |
Section: Employer Supplement |
How many days of paid sick leave [are/were] you entitled
to each year?
INTERVIEWER: IF NO SPECIFIC
LIMIT, ENTER "365".
QES-84NCHECK5 [] |
Section: Employer Supplement |
INSELECTION([QES-84N([QES-LOOP1 counter])],2)
COMMENT: R selected vacation leave time
If Answer = 1
Then Go To QES-84O
QES-84O [] |
Section: Employer Supplement |
How many days of paid vacation [are/were] you entitled to
each year?
INTERVIEWER: IF NO SPECIFIC LIMIT,
ENTER "365".
QES-84NCHECK6 [] |
Section: Employer Supplement |
INSELECTION([QES-84N([QES-LOOP1 counter])],3)
COMMENT: R selected personal leave time
If Answer = 1
Then Go To QES-84OA
QES-84OA [] |
Section: Employer Supplement |
How many days of paid personal leave [are/were] you
entitled to each year?
INTERVIEWER: IF NO
SPECIFIC LIMIT, ENTER "365".
QES-84O_1 [] |
Section: Employer Supplement |
On this job, [(does/did)] [(employer name)([QES-LOOP1
counter])] pay money into Social Security for you?
(READ IF NECESSARY:)
Social Security is not the same as Medicare.
(INTERVIEWER: SOCIAL SECURITY AND MEDICARE ARE NOT
THE SAME. IF THE R/EMPLOYER PAYS ONLY INTO MEDICARE, AND NOT INTO SOCIAL
SECURITY, OR R SAYS EMPLOYER IS EXEMPT FROM PAYING INTO SOCIAL SECURITY, PLEASE
SELECT "NO" AND CONTINUE.)
(INTERVIEWER: PLEASE SELECT "HELP" BUTTON NEXT TO QNAME TO ACCESS HELP
SCREEN WITH KNOWN PLAN NAMES.)
If
Answer = -2 Then Go To QES-84O_1_A
QES-84O_1_A [] |
Section: Employer Supplement |
[does/did] [(employer name)([QES-LOOP1 counter])] only
pay money into Medicare for you, and not into Social Security?
(INTERVIEWER: SOCIAL SECURITY AND MEDICARE ARE NOT THE
SAME. IF THE R/EMPLOYER PAYS ONLY INTO MEDICARE, AND NOT INTO SOCIAL SECURITY,
OR R SAYS EMPLOYER IS EXEMPT FROM PAYING INTO SOCIAL SECURITY, PLEASE SELECT
"NO" AND CONTINUE.)
QES-84O_1A [] |
Section: Employer Supplement |
([employer class of worker([QES-LOOP1 counter])] == 1
&& ([local, state or fed govt employer([QES-LOOP1 counter])] == 1 ||
[local, state or fed govt employer([QES-LOOP1 counter])] == 2))
COMMENT: Class of worker for this job indicate state government or federal
government?
If Answer = 1 Then Go To QES-84O_5
QES-84O_2 [] |
Section: Employer Supplement |
Is [(employer name)([QES-LOOP1 counter])] part of a state
government or the federal government?
(READ IF NECESSARY:) On [(this
job/current assignment or on-call job/business)] with [(employer
name)([QES-LOOP1 counter])], are you working for a state government or the
federal government?
QES-84O_3 [] |
Section: Employer Supplement |
Is [(employer name)([QES-LOOP1 counter])] a public
elementary school, a public high school, or a public college?
(READ IF
NECESSARY:)On [(this job/current assignment
or on-call job/business)] with [(employer name)([QES-LOOP1 counter])], are you
working for a public elementary school, a public high school, or a public
college?
QES-84O_4 [] |
Section: Employer Supplement |
Is [(employer name)([QES-LOOP1 counter])] a railroad
company?
(READ IF NECESSARY:) On [(this job/current assignment or on-call
job/business)] with [(employer name)([QES-LOOP1 counter])], are you working for
a railroad company?
QES-84O_5 [] |
Section: Employer Supplement |
Some public employers do not pay money into the Social
Security system, but instead pay money into a mandatory employee retirement plan
that replaces Social Security. [does/did] [(employer name)([QES-LOOP1 counter])]
contribute to a mandatory employee retirement plan for you instead of paying
money into Social Security?
QES-84O_6 [] |
Section: Employer Supplement |
What [(is/was)] the name of this plan?
QES-84O_7 [] |
Section: Employer Supplement |
Will you be eligible to receive benefits from
[nonsoc-security pension plan([QES-LOOP1 counter])] in the future?
QES-84P_1 [] |
Section: Employer Supplement |
[Many business owners set up pension or retirement plans
in addition to building up equity in the business or farm. Other than the
plan(s) that we just talked about - (do/does/did) (employer name offer any/you
have a) pension or retirement plan (from (employer name/to its employees)?] Do
not include Social Security, IRA or Keogh plans.
SES-84P_1A [] |
Section: Employer Supplement |
[(employer job type)([QES-LOOP1 counter])]
COMMENT: Skip based on job type
If Answer = 3 Then Go
To SES-84P_1B
SES-84P_1B [] |
Section: Employer Supplement |
We would like to ask some questions about each pension or
retirement plan you have through [(employer name)([QES-LOOP1 counter])]. Some
businesses have several different plans for their owners.
How many plans
[do/did] you have through [(employer name)([QES-LOOP1 counter])]?
QES-84P_2 [] |
Section: Employer Supplement |
[are/were] you eligible to participate in any of these
pension or retirement plans on your job with [(employer name)([QES-LOOP1
counter])]?
QES-84P_2A [] |
Section: Employer Supplement |
How many plans [(does/did)] [(employer name)([QES-LOOP1
counter])] have for which you [are/were] eligible? Please count plans for which
you are eligible, but choose not to participate in.
QES-84P_3 [] |
Section: Employer Supplement |
[Do/Did] you participate in [this plan/(any of) these
pension or retirement plans] on your job with [(employer name)([QES-LOOP1
counter])]?
QES-84SA [] |
Section: Employer Supplement |
How many (of these) plans [are/were] you participating
in?
(ENTER NUMBER OF PLANS)
If Answer >= -2 AND Answer <= 0 Then Go To QES-86A_0
QESP-1-LOOP-BEGIN [] |
Section: Employer Supplement |
REPEAT
COMMENT: Start loop.
QESP-84P_4 [] |
Section: Employer Supplement |
In some types of retirement plans, the amount of benefits
is based on a formula usually involving your years of service and salary when
you retire. In other plans, money is accumulated in a type of savings or
investment account for you until your retire. Is [(first/next)] plan a "formula"
plan, a "savings or investment account" plan, or something else?
|
1 Formula ...(Go To QESP-FA_6C) |
|
2 Savings |
|
3 Other -
something else - (specify) ...(Go To QESP-FA_6C) |
QESP-13 [] |
Section: Employer Supplement |
Roughly how much money is in your account at present?
Include both your and your [employer/business]'s contributions and
earnings.
(ENTER AMOUNT. IF NOTHING, ENTER "0").
QESP-FA_6C [] |
Section: Employer Supplement |
Have you withdrawn any money from this retirement plan
that you intend to pay back?
QESP-FA_6D [] |
Section: Employer Supplement |
What is the total amount you intend to pay back on
(that/those) withdrawal(s)?
QESP-FA_6E [] |
Section: Employer Supplement |
[if you were to pay back that/these withdrawal(s) today -
altogether what (is/would) be] the total value of this retirement plan
today?
QESP-84P_8 [] |
Section: Employer Supplement |
[is this job current?([QES-LOOP1 counter])] ==
1
COMMENT: Is R currently working for employer?
If Answer
= 0 Then Go To QESP-16B_1
QESP-16B_1 [] |
Section: Employer Supplement |
Were you entitled to get any money from this retirement
plan when you left [(employer name)([QES-LOOP1 counter])], or will you be
entitled to get any money in the future?
|
1 Yes, entitled
to take money when left employer ...(Go To QESP-16B_2A) |
|
2 Yes, will be
entitled to money in the future ...(Go To QESP-16B_5A) |
|
3 Yes, BOTH
entitled to money when left AND entitled to money in
future ...(Go To QESP-16B_2A) |
|
4 No,
neither |
QESP-16B_2A [] |
Section: Employer Supplement |
What did you do with the money you got from this
retirement plan?
(READ IF NECESSARY:) For example, transfer it to a
different retirement account, did you cash it out, leave the money in this plan,
or something else?
(INTERVIEWER:
RECORD VERBATIM AND SELECT <SUBMIT AND
CONTINUE> TO CODE.)
(SELECT ALL THAT APPLY)
QESP-16B_2B [] |
Section: Employer Supplement |
|
1 Transferred
it to another retirement or investment account (rolled over or reinvested)
- put the money into another retirement plan or investment account |
|
2 Took a cash
settlement |
|
3 Left the
money in this plan |
|
4 Currently
receiving repeated payments |
|
5 Haven't
received money yet/just left job |
|
6 Other
(Specify) |
QESP-16B_3_CHK1 [] |
Section: Employer Supplement |
INSELECTION ([QESP-16B_2B([QES-LOOP1 counter]:[QES-LOOP7
counter])],1)
COMMENT: R roll money over into anther retirement plan?
If Answer = 1 Then Go To QESP-16B_3B
QESP-16B_3_CHK2 [] |
Section: Employer Supplement |
INSELECTION ([QESP-16B_2B([QES-LOOP1 counter]:[QES-LOOP7
counter])],5)
COMMENT: R hasn't received money yet?
If Answer = 0
Then Go To QESP-16B_3_CHK3
QESP-16B_3_CHK3 [] |
Section: Employer Supplement |
INSELECTION ([QESP-16B_2B([QES-LOOP1 counter]:[QES-LOOP7
counter])],6)
COMMENT: R did something else with the money?
If Answer
= 0 Then Go To QESP-16B_3_CHK4
QESP-16B_3_CHK4 [] |
Section: Employer Supplement |
INSELECTION ([QESP-16B_2B([QES-LOOP1 counter]:[QES-LOOP7
counter])],-2)
COMMENT: R doesn't know what s/he did with the money?
If Answer = 0 Then Go To QESP-16B_4_CHK1
QESP-16B_3A [] |
Section: Employer Supplement |
(Did you/Do you plan to) put the money into another
retirement savings account - that is, reinvest it or roll it over?
QESP-16B_3B [] |
Section: Employer Supplement |
(Did you/Do you plan to) transfer the money yourself, or
(did/will) your old employer transfer it directly to your new
employer?
|
1 R transfer
money him/herself |
|
2 Old employer
transfer directly to new employer |
QESP-16B_4_CHK1 [] |
Section: Employer Supplement |
INSELECTION ([QESP-16B_2B([QES-LOOP1 counter]:[QES-LOOP7
counter])],2)
COMMENT: R cashed out the money?
If Answer = 1 Then Go
To QESP-16B_4B
QESP-16B_4_CHK2 [] |
Section: Employer Supplement |
INSELECTION ([QESP-16B_2B([QES-LOOP1 counter]:[QES-LOOP7
counter])],5)
COMMENT: R hasn't received money yet?
If Answer = 0
Then Go To QESP-16B_4_CHK3
QESP-16B_4_CHK3 [] |
Section: Employer Supplement |
INSELECTION ([QESP-16B_2B([QES-LOOP1 counter]:[QES-LOOP7
counter])],6)
COMMENT: R did something else with the money?
If Answer
= 0 Then Go To QESP-16B_4_CHK4
QESP-16B_4_CHK4 [] |
Section: Employer Supplement |
INSELECTION ([QESP-16B_2B([QES-LOOP1 counter]:[QES-LOOP7
counter])],-2)
COMMENT: R doesn't know what s/he did with the money?
If Answer = 0 Then Go To QESP-16B_5_CHK1
QESP-16B_4A [] |
Section: Employer Supplement |
(Did you/Do you plan to) take any or all of the money in
cash?
QESP-16B_4B [] |
Section: Employer Supplement |
What (did you do/do you plan to do) with the cash? (Did
you/Do you plan to) use it to pay off debts, transfer it to another retirement
or investment account or spend it or save it for some other
purpose?
(SELECT ALL THAT APPLY)
|
1 Pay off
debts |
|
2 Transfer it
to another retirement account |
|
3 Spend it for
some other purpose or save it |
QESP-16B_5_CHK1 [] |
Section: Employer Supplement |
INSELECTION ([QESP-16B_2B([QES-LOOP1 counter]:[QES-LOOP7
counter])],3)
COMMENT: R left the money in the plan?
If Answer = 0
Then Go To QESP-16B_5_CHK2
QESP-16B_5_CHK2 [] |
Section: Employer Supplement |
INSELECTION ([QESP-16B_2B([QES-LOOP1 counter]:[QES-LOOP7
counter])],5)
COMMENT: R hasn't received money yet?
If Answer = 0
Then Go To QESP-16B_5_CHK3
QESP-16B_5_CHK3 [] |
Section: Employer Supplement |
INSELECTION ([QESP-16B_2B([QES-LOOP1 counter]:[QES-LOOP7
counter])],6)
COMMENT: R did something else with the money?
If Answer
= 0 Then Go To QESP-16B_5_CHK4
QESP-16B_5_CHK4 [] |
Section: Employer Supplement |
INSELECTION ([QESP-16B_2B([QES-LOOP1 counter]:[QES-LOOP7
counter])],-2)
COMMENT: R doesn't know what s/he did with the money?
If Answer = 0 Then Go To QESP-17-LOOP-END
QESP-16B_5A [] |
Section: Employer Supplement |
(Did you/Do you plan to) leave the money in this
retirement plan with [(employer name)([QES-LOOP1 counter])], so that you will
receive money when you retire or reach a certain age?
QESP-16B_5B [] |
Section: Employer Supplement |
Can you still continue to contribute to this plan through
(your new/another) employer?
QESP-17-LOOP-END [] |
Section: Employer Supplement |
UNTIL([QES-LOOP7 counter]==[Number of pension plans R is
participating in])
COMMENT: loop end
QES-86A_0 [] |
Section: Employer Supplement |
At [(your job/current assignment/business)] [do/did] you
usually work a regular daytime schedule or some other schedule?
|
1 A regular day
schedule ...(Go To QES-86B_1) |
|
2 Some other
schedule |
QES-86A [] |
Section: Employer Supplement |
Which of the following best describes the hours you
usually [(work/worked)] at [(this job/current assignment or on-call
job/business)]?
|
2 A regular
evening shift ...(Go To QES-86B_1) |
|
3 A regular
night shift ...(Go To QES-86B_1) |
|
4 A rotating
shift (changes periodically from days to evenings or
nights) ...(Go To QES-86D_1) |
|
5 A split shift
(consists of two distinct periods each day) ...(Go To QES-86D_1) |
|
6 Irregular
schedule (arranged by employer) |
|
7 Other
(SPECIFY) |
QES-86B_1 [] |
Section: Employer Supplement |
[QES-LOOP1 counter] == 1
COMMENT: Is this the current/most recent employer?
If
Answer = 0 Then Go To QES-87
QES-86C [] |
Section: Employer Supplement |
What time of the day [do/did] you usually begin work at
[(this job/current assignment or on-call job/business)]?
(INTERVIEWER:
ENTER TIME OF DAY BELOW AND SELECT "AM/PM".)
QES-86D [] |
Section: Employer Supplement |
What time of the day [do/did] you usually end work at
[(this job/current assignment or on-call job/business)]?
(INTERVIEWER:
ENTER TIME OF DAY BELOW AND SELECT "AM/PM".)
QES-86D_1 [] |
Section: Employer Supplement |
[QES-LOOP1 counter] == 1
COMMENT: Is this the current/most recent employer?
If
Answer = 0 Then Go To QES-87
QES-86E [] |
Section: Employer Supplement |
What time of the day [do/did] you usually begin work at
[(this job/current assignment or on-call job/business)] [(last
week)]?
(INTERVIEWER: ENTER TIME OF
DAY BELOW AND SELECT "AM/PM".)
QES-86F [] |
Section: Employer Supplement |
What time of the day [do/did] you usually end work [(this
job/current assignment or on-call job/business)] [(last week)]?
(INTERVIEWER: ENTER TIME OF DAY BELOW AND SELECT
"AM/PM".)
QES-87 [] |
Section: Employer Supplement |
[(employer job type)([QES-LOOP1 counter])]
COMMENT: Is R self-employed on this job?
If Answer = 3
Then Go To QES-89
QES-88A [] |
Section: Employer Supplement |
On [(this job/current assignment or on-call
job/business)], [are/were] you a member of a labor union or of an employee
association similar to a union?
QES-88B [] |
Section: Employer Supplement |
On [(this job/current assignment or on-call
job/business)], [are/were] you covered by a union or employee
contract?
(INTERVIEWER: R COULD BE
COVERED BY A UNION CONTRACT WITHOUT BEING A MEMBER OF A UNION.)
QES-89 [] |
Section: Employer Supplement |
How [do/did] you feel about [(your job/current
assignment/business)] with [(employer name)([QES-LOOP1 counter])]? [Do/Did] you
like it very much, like it fairly well, dislike it somewhat, or dislike it very
much?
|
1 Like it very
much |
|
2 Like it
fairly well |
|
3 Dislike it
somewhat |
|
4 Dislike it
very much |
SES-89A [] |
Section: Employer Supplement |
[(employer job type)([QES-LOOP1 counter])]
COMMENT: Is R self-employed on this job?
If Answer = 3
Then Go To SES-89B
SES-89B [] |
Section: Employer Supplement |
We would like to know a little more about how you started
in this business. Did you start it up yourself, is it a family (farm/business)
you took over, did you buy it, did you start the (farm/business) in partnership
with someone outside the family, or was it something else?
|
1 Started it
myself |
|
2 Took over
family operation |
|
3 Bought
it |
|
4 Start the
(farm/business) in partnership with someone outside the family |
|
5 Made partner
by the firm |
|
6 Something
else |
QES-92-LOOP-END [] |
Section: Employer Supplement |
UNTIL ([QES-LOOP1 counter]==[total number of employers
reported])
COMMENT: END EMPLOYER LOOP WHEN ALL EMPLOYERS ACCOUNTED FOR
BUSOWN-LINT [] |
Section: Business Ownership |
[last round R completed]>=24
If
Answer = 1 Then Go To BUSOWN-MATCH-CHK1
BUSOWN-1 [] |
Section: Business Ownership |
We would like to know whether you have ever owned a
business. By business, we mean any activity operated with
regularity for the purpose of generating income or
profit. We are interested in all incorporated companies and partnerships
in which you had any ownership share, as well as unincorporated businesses that
you may have operated as a sole proprietor, independent contractor, consultant,
or free-lancer. This even includes informal businesses such as cleaning
services, gardening services, and the selling of goods out of your home, as long
as they generated income and were operated on a regular basis. The only
businesses we are not interested in are those operated on a highly sporadic
basis, those carried out purely as a hobby, and those in which you were merely a
shareholder or investor with no role in the operation of the
company.
Since you were 18 years old, have you ever owned a business that
would be of interest to us according to this description?
(INTERVIEWER: PLEASE
SEE HELP SCREEN FOR
FURTHER INFORMATION.)
BUSOWN-2 [] |
Section: Business Ownership |
[Not including the businesses that we have already talked
about, (READ LIST OF NAMES FROM ROSTER BELOW)] How many such businesses have you
owned?
If Answer = 0 Then Go To BUSOWN-23_CHK1
BUSOWN-LOOP1-BEGIN [] |
Section: Business Ownership |
REPEAT
COMMENT: BEGIN LOOPS TO UPDATE/VERIFY EMPLOYERS FROM DATE OF LAST INTERVIEW
BUSOWN-4 [] |
Section: Business Ownership |
[busown_text1([loop to collect information on businesses
r owned])] that you owned. What (is/was) the name of this
business?
(INTERVIEWER: IF BUSINESS
HAS A NAME, ENTER THAT NAME. OTHERWISE, ENTER SHORT DESCRIPTION OF JOB
ACTIVITIES/OCCUPATION. THIS DESCRIPTION WILL BE USED AS THE NAME OF THIS JOB IN
SUBSEQUENT QUESTIONS. SOME EXAMPLES INCLUDE: "FREELANCE WRITER", "CLEANING
HOUSES", " CONSULTING DESIGNER", OR "LANDSCAPING AND YARD
WORK".)
BUSOWN-5 [] |
Section: Business Ownership |
In what year was [name of business r owned([loop to
collect information on businesses r owned])] originally established?
BUSOWN-6 [] |
Section: Business Ownership |
In what month and year did you acquire an ownership share
in [name of business r owned([loop to collect information on businesses r
owned])]?
BUSOWN-7 [] |
Section: Business Ownership |
How did you acquire ownership in [name of business r
owned([loop to collect information on businesses r owned])]? Did you establish
the business either alone or with partners, receive ownership as a gift,
purchase ownership, inherit ownership, acquire ownership through marriage, or
was it something else?
|
1 Established
the business alone or with partners |
|
2 Received
ownership as a gift |
|
3 Purchased
ownership |
|
4 Inherited
ownership |
|
5 Received
ownership through marriage |
|
6 Other
(specify) |
BUSOWN-8 [] |
Section: Business Ownership |
What was your reason for establishing or acquiring this
business?
BUSOWN-9 [] |
Section: Business Ownership |
Prior to establishing or acquiring this business, had you
ever owned or worked for a related type of business?
BUSOWN-10 [] |
Section: Business Ownership |
What sources of money did you use to establish or acquire
this business?
(INTERVIEWER:
RESPONDENTS SHOULD REPORT ONLY THE SOURCES THAT THEY THEMSELVES
PROVIDED, AND NOT SOURCES USED BY PREVIOUS OWNERS AND/OR
CO-OWNERS.)
SELECT ALL THAT APPLY.
(INTERVIEWER: PLEASE SELECT ALL THAT APPLY.)
|
1 Personal or
family savings or assets |
|
2 Personal or
family home equity loan |
|
3 Personal or
business credit card |
|
4 Business loan
or investment from family or friends |
|
5 Business loan
from federal, state or local government |
|
6 Business loan
from a bank or financial institution |
|
7 Other
(specify) |
|
0 None
needed |
BUSOWN-11 [] |
Section: Business Ownership |
About how much money did you use to establish or acquire
the business?
If Answer >= -2 AND Answer <= -1 Then Go To BUSOWN-11_UNF1
BUSOWN-11_UNF1 [] |
Section: Business Ownership |
Did you use $50,000 or less?
If
Answer >= -2 AND Answer <= -1 Then Go To BUSOWN-12
BUSOWN-11_UNF2 [] |
Section: Business Ownership |
Did you use $100,000 or less?
If
Answer >= -2 AND Answer <= -1 Then Go To BUSOWN-12
BUSOWN-11_UNF3 [] |
Section: Business Ownership |
Did you use $250,000 or more?
If
Answer >= -2 AND Answer <= -1 Then Go To BUSOWN-12
BUSOWN-11_UNF4 [] |
Section: Business Ownership |
Did you use $1,000,000 or more?
BUSOWN-11_UNF5 [] |
Section: Business Ownership |
Did you use $25,000 or more?
If
Answer >= -2 AND Answer <= -1 Then Go To BUSOWN-12
BUSOWN-11_UNF6 [] |
Section: Business Ownership |
Did you use $10,000 or more?
If
Answer >= -2 AND Answer <= -1 Then Go To BUSOWN-12
BUSOWN-11_UNF7 [] |
Section: Business Ownership |
Did you use $5,000 or more?
BUSOWN-12 [] |
Section: Business Ownership |
What (is/was) the legal form of this business? (Is/Was)
it a...
|
1 Sole
proprietorship |
|
2 Partnership
or limited liability partnership (LLP) |
|
3 Limited
liability corporation (LLC) |
|
4 Sub-chapter S
corporation |
|
5 General
corporation |
|
6 Nonprofit
organization |
|
7 Other
(specify) |
Default Next: |
BUSOWN-13 |
Lead-In: |
BUSOWN-11_UNF1 [-2:-1],
BUSOWN-11_UNF2 [-2:-1],
BUSOWN-11_UNF2 [1:1],
BUSOWN-11_UNF3 [-2:-1],
BUSOWN-11_UNF3 [1:1],
BUSOWN-11_UNF5 [-2:-1],
BUSOWN-11_UNF5 [1:1],
BUSOWN-11_UNF6 [-2:-1],
BUSOWN-11_UNF6 [1:1],
BUSOWN-11 [Default],
BUSOWN-11_UNF4 [Default],
BUSOWN-11_UNF7 [Default] |
BUSOWN-13 [] |
Section: Business Ownership |
What type of business (is/was) [name of business r
owned([loop to collect information on businesses r owned])]? (IF NECESSARY,
READ:) What (does/did) the company make or do?
BUSOWN-14 [] |
Section: Business Ownership |
At its largest, how many people worked for this business,
including you? Please include part-time and temporary workers, and
exclude outside contractors.
(INTERVIEWER: PROBE FOR APPROXIMATE NUMBER IF
NECESSARY.)
BUSOWN-15 [] |
Section: Business Ownership |
At it's largest, did this business have one physical
location, multiple physical locations or no specific physical
location?
|
1 One physical
location |
|
2 Multiple
physical locations |
|
3 No specific
physical location |
BUSOWN-16 [] |
Section: Business Ownership |
Approximately how much did this business generate in
sales or revenue during a typical year?
(INTERVIEWER: IF R HAS DIFFICULTY
WITH "TYPICAL" YEAR, ASK ABOUT REVENUE IN LAST
CALENDAR YEAR OR
THE LAST YEAR OF OWNERSHIP, AND ENTER A
COMMENT.)
BUSOWN-17 [] |
Section: Business Ownership |
Do you still maintain an ownership share in this
business?
BUSOWN-18 [] |
Section: Business Ownership |
In what year did your ownership end?
BUSOWN-19 [] |
Section: Business Ownership |
How did your ownership end? Did you sell the business,
shut down the business or was it something else?
|
1 Sold the
business |
|
2 Shut down
business |
|
3 Other
(specify) |
BUSOWN-20 [] |
Section: Business Ownership |
At the time you (left/shut down) this business, what was
your ownership share?
If Answer >= 1 AND Answer <= 99 Then Go To BUSOWN-22
BUSOWN-21 [] |
Section: Business Ownership |
What is your current ownership share?
If Answer >= 1 AND Answer <= 99 Then Go To BUSOWN-22
BUSOWN-22 [] |
Section: Business Ownership |
(Is/Was) this business own(ed) exclusively by members of
your family. (READ IF NECESSARY:) Please include spouses, domestic partners,
parents or guardians, brothers, sisters of other close relatives.
BUSOWN-LOOP-END [] |
Section: Business Ownership |
UNTIL ([loop to collect information on businesses r
owned]==[busnum] || [loop to collect information on businesses r owned] == 10 ||
[busnum] == 0)
COMMENT: END EMPLOYER LOOP WHEN ALL EMPLOYERS ACCOUNTED FOR
BUSOWN-23_CHK1 [] |
Section: Business Ownership |
[busown-1] == 1 || [busnum] > 0 || [es-busnum] >
0
COMMENT: BEGIN LOOPS TO UPDATE/VERIFY EMPLOYERS FROM DATE OF LAST INTERVIEW
If Answer = 1 Then Go To BUSOWN-23A
BUSOWN-23A [] |
Section: Business Ownership |
Prior to acquiring your (first) business, had any of your
family members ever owned a business? (READ IF NECESSARY:) Please include
spouses, domestic partners, parents or guardians, brothers, sisters of other
close relatives.
BUSOWN-23B [] |
Section: Business Ownership |
Have any of your family members ever owned a business?
(READ IF NECESSARY:) Please include spouses, domestic partners, parents or
guardians, brothers, sisters of other close relatives.
BUSOWN-24A [] |
Section: Business Ownership |
Did you work for any of those family members prior to
acquiring your (first) business? (READ IF NECESSARY:) Please include spouses,
domestic partners, parents or guardians, brothers, sisters of other close
relatives.
BUSOWN-24B [] |
Section: Business Ownership |
Did you work for any of those family members? (READ IF
NECESSARY:) Please include spouses, domestic partners, parents or guardians,
brothers, sisters of other close relatives.
BUSOWN-25 [] |
Section: Business Ownership |
Has anyone, including yourself, ever applied for a U.S.
patent for work that you significantly contributed to?
BUSOWN-26 [] |
Section: Business Ownership |
[busown-1] == 1
COMMENT: BEGIN LOOPS TO UPDATE/VERIFY EMPLOYERS FROM DATE OF LAST INTERVIEW
If Answer = 0 Then Go To BUSOWN-28A
BUSOWN-27 [] |
Section: Business Ownership |
Was any of the work leading to a patent application
performed at or for a business that you owned?
BUSOWN-28A [] |
Section: Business Ownership |
How many U.S. patents have been obtained for work that
you significantly contributed to?
ENTER NUMBER:
|
1 SELECT TO
ENTER NUMBER |
|
2 IF
VOLUNTEERED: STILL PENDING ...(Go To BUSOWN-29) |
If Answer >= -2 AND Answer <= -1 Then Go To BUSOWN-29
BUSOWN-28B [] |
Section: Business Ownership |
(How many U.S. patents have been obtained for work that
you significantly contributed to?)
BUSOWN-29 [] |
Section: Business Ownership |
Do you consider yourself to be an
entrepreneur?
(INTERVIEWER: IF
NECESSARY EXPLAIN THAT AN "ENTREPRENEUR" IS SOMEONE WHO LAUNCHES A BUSINESS
ENTERPRISE, USUALLY WITH CONSIDERABLE INITIATIVE AND RISK.)
BUSOWN-MATCH-CHK1 [] |
Section: Business Match |
[busmatchflag] > 0
If
Answer = 0 Then Go To Q7-A
BUSOWN-MATCH-CHK1A [] |
Section: Business Match |
VAREXIST ([busmatch_fixflag(1)])
If
Answer = 1 Then Go To BUSOWN-MATCH-LOOP1-BEGIN
BUSOWN-MATCH-LOOP1-BEGIN [] |
Section: Business Match |
REPEAT
COMMENT: BEGIN LOOPS TO UPDATE/VERIFY EMPLOYERS FROM DATE OF LAST INTERVIEW
BUSOWN-MATCH-CHK2A [] |
Section: Business Match |
[busmatch_fixflag([busown-match-loop1])] == 0
COMMENT: DOES THIS BUSINESS NEED TO BE RECONCILED (NO MATCH MADE)?
If Answer = 0 Then Go To BUSOWN-MATCH-CHK2B
BUSOWN-MATCH-CHK2B [] |
Section: Business Match |
[busmatch_fixflag([busown-match-loop1])] == 1
COMMENT: DOES THIS BUSINESS NEED TO BE RECONCILED (POSSIBLE MATCH MADE)?
If Answer = 0 Then Go To BUSOWN-MATCH-LOOP-END
BUSOWN-MATCH-3A_1 [] |
Section: Business Match |
Our records show that you reported [busmatch_name([busown-match-loop1])] as a business you
once owned (between/in) [busmatch_startdate([busown-match-loop1])] and
[busmatch_stopdate([busown-match-loop1])]. Is [busmatch_name([busown-match-loop1])] the same as (any
of) these employers you have reported?
BUSOWN-MATCH-3A_2 [] |
Section: Business Match |
INTERVIEWER: READ
NAMES FROM ROSTER BELOW. SELECT ALL EMPLOYERS THAT APPLY AND RECORD ANY
EXPLANATION VERBATIM IN THE TEXT BOX BELOW.
IF
NO EMPLOYERS MATCH, CHOOSE "NO EMPLOYERS ON
ROSTER MATCH" BELOW
AND RECORD ANY EXPLANATION IN THE TEXT BOX.
BUSOWN-MATCH-3A_2A [] |
Section: Business Match |
|
0 NO EMPLOYERS
CHOSEN FROM ROSTER |
|
1 EMPLOYER(S)
CHOSEN FROM ROSTER |
BUSOWN-MATCH-3A_3 [] |
Section: Business Match |
RECORD EXPLANATION IF ANY:
BUSOWN-MATCH-3A_4 [] |
Section: Business Match |
SELECTEDINSELECTION([^BUSOWN-MATCH-3A_2([busown-match-loop1])^])
COMMENT: ANY BUSINESS MATCH ESTABLISHED?
If Answer
>= 1 AND Answer <= 99 Then Go To BUSOWN-MATCH-4
BUSOWN-MATCH-3B_1 [] |
Section: Business Match |
Our records show that you reported [busmatch_name([busown-match-loop1])] as a business you
once owned (between/in) [busmatch_startdate([busown-match-loop1])] and
[busmatch_stopdate([busown-match-loop1])]. Is [busmatch_name([busown-match-loop1])] the same as (any
of) these employers you have reported?
BUSOWN-MATCH-3B_2 [] |
Section: Business Match |
INTERVIEWER: READ
NAMES FROM ROSTER BELOW. SELECT ALL EMPLOYERS THAT APPLY AND RECORD ANY
EXPLANATION VERBATIM IN THE TEXT BOX BELOW.
IF
NO EMPLOYERS MATCH, CHOOSE "NO EMPLOYERS
CHOSEN FROM ROSTER" BELOW
AND RECORD ANY EXPLANATION IN THE TEXT BOX.
BUSOWN-MATCH-3B_2A [] |
Section: Business Match |
|
0 NO EMPLOYERS
CHOSEN FROM ROSTER |
|
1 EMPLOYER(S)
CHOSEN FROM ROSTER |
BUSOWN-MATCH-3B_3 [] |
Section: Business Match |
RECORD EXPLANATION IF ANY:
BUSOWN-MATCH-4 [] |
Section: Business Match |
Is there any other information that you would like to
report about [busmatch_name([busown-match-loop1])]?
(INTERVIEWER:
RECORD COMMENTS VERBATIM.)
BUSOWN-MATCH-LOOP-END [] |
Section: Business Match |
UNTIL
([busown-match-loop1]==[busmatch_chkflag])
[total number of between job gaps] == 0
COMMENT: SKIP ACCORDING TO THE NUMBER OF GAPS
If Answer
= 1 Then Go To Q8-1B
[total number of between job gaps] == 0
COMMENT: SKIP ACCORDING TO THE NUMBER OF GAPS
If Answer
= 1 Then Go To Q8-1B
Default Next: |
Q7-8 |
Lead-In: |
Q7-A [Default] |
INTERVIEWER: NOW
ENTERING GAPS SECTION - PERIODS WHEN R WAS NOT WORKING.
Q7-9A-LOOP-BEGIN [] |
Section: Gaps |
REPEAT
COMMENT: START LOOP TO GATHER INFORMATION ON BETWEEN JOB GAPS
[# days duration of gap([BJGAPS-LOOP13 counter])] >=
7
COMMENT: Check to see if the total number of days is 7 or more to see if gaps
should be asked about
If Answer = 1 Then Go To Q7-12
You said you were not working between [start date of
gap([BJGAPS-LOOP13 counter])~X] and [stop date of gap([BJGAPS-LOOP13
counter])~X]. During how many of those weeks were you looking for work or on
layoff from a job -- during none, some or all of those weeks?
You said you were not working from [start date of
gap([BJGAPS-LOOP13 counter])~X] and [stop date of gap([BJGAPS-LOOP13
counter])~X]. That would be about [calculated number of total weeks in b/t job
gap([BJGAPS-LOOP13 counter])] week(s) when you were not working.
For how
many of these weeks were you looking for work or on layoff from a
job?
[calculated number of total weeks in b/t job
gap([BJGAPS-LOOP13 counter])] - [Number of weeks r was looking for work while on
layoff from job([BJGAPS-LOOP13 counter])]
COMMENT: CALCULATE THE NUMBER OF WEEKS NOT WORKING AS AN EMPLOYEE AND NOT
WORKING FOR SELF
If Answer = 0 Then Go To Q7-37-LOOP-END
That leaves [Calculated number of weeks not working or
self-employed([BJGAPS-LOOP13 counter])] week(s) that you were not working,
looking for work.
Q7-19_VERBATIM [] |
Section: Gaps |
What would you say was the main reason that you were not
looking for work during that period?
(INTERVIEWER: RECORD VERBATIM AND SELECT
RESPONSE.)
|
1 BELIEVED NO
WORK AVAILABLE IN LINE OF WORK OR AREA |
|
2 COULDN'T FIND
ANY WORK |
|
3 LACKS
NECESSARY SCHOOLING, TRAINING, SKILLS OR EXPERIENCE |
|
4 EMPLOYERS
THINK TOO YOUNG OR TOO OLD |
|
5 OTHER TYPES
OF DISCRIMINATION |
|
6 CHILD CARE
PROBLEMS |
|
7 FAMILY
RESPONSIBILITIES |
|
8 IN SCHOOL OR
OTHER TRAINING |
|
9 ILL-HEALTH,
PHYSICAL DISABILITY |
|
10 TRANSPORTATION PROBLEMS |
|
11 OTHER
(SPECIFY) |
Q7-37-LOOP-END [] |
Section: Gaps |
UNTIL ([BJGAPS-LOOP13 counter] == [total number of
between job gaps])
COMMENT: END LOOP FOR BETWEEN JOB GAPS
Q8-1B [] |
Section: Training |
I would now like to ask you about other types of
schooling and training you may have had, excluding regular schooling we have
already talked about...
Some sources of occupational training programs
include government training programs, business schools, apprenticeship programs,
vocational or technical institutes, correspondence courses, company or military
training, seminars, and adult education courses.
Q8-1C-LOOP-BEGIN [] |
Section: Training |
REPEAT
COMMENT: start the loop through the
infosheet training programs.
COMMENT: start the loop through the infosheet training programs
Q8-1E [] |
Section: Training |
[TRAINING_LOOP1 counter] == 1
COMMENT: is this the first time in the loop
If Answer =
1 Then Go To Q8-2
Q8-2 [] |
Section: Training |
[Number of training programs coming in from info
sheet]
COMMENT: Are there any training programs on the information sheet?
If Answer = 0 Then Go To Q8-4
Q8-3 [] |
Section: Training |
When we talked with you on [Date of last interview], you
were (also) receiving training (in/from) (a) [name of dli training
program([TRAINING_LOOP1 counter])]. Is that correct?
|
1 Yes |
|
0 No ...(Go To Q8-5A) |
Q8-4 [] |
Section: Training |
When we talked with you on [Date of last interview], you
were not participating in any training programs.
Is that
correct?
|
1 Yes |
|
0 No ...(Go To Q8-5A) |
Q8-5A [] |
Section: Training |
(INTERVIEWER: IF R
WAS NOT RECEIVING TRAINING, SELECT "NO TRAINING PROGRAM AT LAST INTERVIEW".
OTHERWISE ASK:)
Which of the following best describes the training
program you were participating in on [Date of last interview]? Was it a training
program or seminar related to your work, an apprenticeship program, business
school, a vocational or technical institute, a correspondence course, a
government training program, or something else?
|
1 TRAINING
PROGRAM OR SEMINAR RELATED TO WORK |
|
2 APPRENTICESHIP
PROGRAM ...(Go To Q8-7-LOOP-END) |
|
3 BUSINESS
SCHOOL ...(Go To Q8-7-LOOP-END) |
|
4 VOCATIONAL OR
TECHNICAL INSTITUTE ...(Go To Q8-7-LOOP-END) |
|
5 CORRESPONDENCE
COURSE ...(Go To Q8-7-LOOP-END) |
|
6 GOVERNMENT
TRAINING PROGRAM ...(Go To Q8-5D) |
|
7 SOMETHING
ELSE (OTHER (SPECIFY)) |
|
0 NO TRAINING
PROGRAM AT LAST INTERVIEW ...(Go To Q8-7-LOOP-END) |
Q8-5B [] |
Section: Training |
Was that training program formal company training run by
your employer?
Q8-5C [] |
Section: Training |
Was that training program a seminar you received at your
work but was run by someone other than your employer?
Q8-5D [] |
Section: Training |
Was this a training program or seminar that took place
outside of work?
Q8-7-LOOP-END [] |
Section: Training |
UNTIL (([exit_loop1 counter] == 1) || ([TRAINING_LOOP1
counter] >= [Number of training programs coming in from info
sheet]))
Q8-7C [] |
Section: Training |
[check if value is 1 - 13 for training prg] >
0
COMMENT: check if any training value was between 1 and 13
If
Answer = 0 Then Go To Q8-19
Q8-7D_LOOP-BEGIN [] |
Section: Training |
REPEAT
COMMENT: check the second training loop
Q8-7A [] |
Section: Training |
([type of training dli (code)()([TRAINING_LOOP2
counter])] > 0) && ([type of training dli (code)()([TRAINING_LOOP2
counter])] < 13)
COMMENT: Is there a 1ST training program on the information sheet?
If Answer = 1 Then Go To Q8-8-CHK1
Q8-8-CHK1 [] |
Section: Training |
VAREXIST([name of dli training program([TRAINING_LOOP2
counter])])
COMMENT: r report new or correct old training program active at date of last
interview?
If Answer = 0 Then Go To Q8-9
Q8-8A [] |
Section: Training |
Now, we would like to ask you a few questions about the
training that you were receiving on [Date of last interview], (in/from) (a/the)
[name of dli training program([TRAINING_LOOP2 counter])].
Was this
training program paid for or provided by one of your employers?
INTERVIEWER: IF THE TRAINING
WAS PARTIALLY PAID FOR, ANSWER "YES" AND WRITE A BRIEF EXPLANATION IN
THE COMMENTS SCREEN.
|
1 Yes |
|
0 No ...(Go To Q8-9) |
Q8-8B [] |
Section: Training |
We have as your employer(s) at the date of the last
interview...(READ EMPLOYER NAMES BELOW). (Is this/Are any of these) the employer
that sponsored this training program?
(INTERVIEWER: SELECT THE MATCHING EMPLOYER FROM THE
ROSTER. IF NO MATCH, SELECT THE FIRST LINE "NO EMPLOYER
MATCH". SELECT <SUBMIT AND
CONTINUE>.)
If
Answer = 1 Then Go To Q8-8C
Q8-8C [] |
Section: Training |
What is the name of the employer that sponsored this
training program?
INTERVIEWER: SELECT
MATCHING EMPLOYER FROM ROSTER. IF NO MATCH, SELECT "NO
EMPLOYER MATCH". SELECT <SUBMIT AND
CONTINUE> TO PROCEED.
If
Answer = 1 Then Go To Q8-8D
Q8-8D [] |
Section: Training |
INTERVIEWER: SELECT
MATCHING EMPLOYER FROM ROSTER. IF NO MATCH, SELECT "NO
EMPLOYER MATCH". SELECT <SUBMIT AND
CONTINUE> TO PROCEED.
If
Answer = 1 Then Go To Q8-8F
Q8-8F [] |
Section: Training |
INTERVIEWER: NO
EMPLOYER MATCH WAS FOUND.
RECORD THE EMPLOYER WHICH SPONSORED THE
TRAINING PROGRAM BELOW.
Q8-9 [] |
Section: Training |
Are you still enrolled in this program or have you
finished or left the program (in/from) (a/the) [name of dli training
program([TRAINING_LOOP2 counter])]?
|
1 FINISHED OR
LEFT PROGRAM ...(Go To Q8-10) |
|
0 STILL
ENROLLED |
Q8-10 [] |
Section: Training |
When did you finish or leave the training program
(in/from) (a/the) [name of dli training program([TRAINING_LOOP2
counter])]?
INTERVIEWER: ENTER DATE R
FINISHED OR LEFT THIS TRAINING PROGRAM.
Q8-11 [] |
Section: Training |
Altogether, for how many weeks did you attend this
training?
(ENTER '0' IF LESS THAN ONE WEEK.)
Q8-12 [] |
Section: Training |
Did you complete this training or not?
|
1 Completed |
|
0 Did not
complete |
Q8-13 [] |
Section: Training |
(Do/Did) you use this training on your (most recent)
job?
Q8-17 [] |
Section: Training |
How many hours per week (do/did) you usually spend in
this training?
If Answer = 0 Then Go To Q8-18-LOOP-END
Q8-17A [] |
Section: Training |
How many hours per week of the [number of hours per week
r spent in training] hours per week were usually spent at work or on company
time in this training?
(ENTER NUMBER OF HOURS)
Q8-18-LOOP-END [] |
Section: Training |
UNTIL (([TRAINING_LOOP2 counter] == [Number of training
programs coming in from info sheet]) || ([Number of training programs coming in
from info sheet]==0 && [check if value is 1 - 13 for training prg]==0)
|| ([TRAINING_LOOP2 counter] == [check if value is 1 - 13 for training
prg]))
COMMENT: End loop if training_loop2 has covered all preloaded training
programs, or there were no preloaded training programs and none added, or all
training programs have been covered, including those added
Q8-18 [] |
Section: Training |
Besides the training programs we've already talked about,
SINCE [Date of last interview], did you attend any other training program or any
other on-the-job training designed to help people find a job, improve job
skills, or learn a new job?
Q8-19 [] |
Section: Training |
Since [Date of last interview] did you attend any
training program or any on-the-job training designed to improve job skills, help
people find a job, or learn a new job?
Q8-19-LOOP-BEGIN [] |
Section: Training |
REPEAT
COMMENT: start the 3rd training loops
Q8-20A [] |
Section: Training |
Which of the following best describes (this/the first)
training program you were enrolled in since [Date of last interview]? Was it a
training program or seminar related to your work, an apprenticeship program,
business school, a vocational or technical institute, a correspondence course, a
government training program, or something else?
|
1 TRAINING
PROGRAM OR SEMINAR RELATED TO WORK |
|
2 APPRENTICESHIP
PROGRAM ...(Go To Q8-21_A) |
|
3 BUSINESS
SCHOOL ...(Go To Q8-21_A) |
|
4 VOCATIONAL OR
TECHNICAL INSTITUTE ...(Go To Q8-21_A) |
|
5 CORRESPONDENCE
COURSE ...(Go To Q8-21_A) |
|
6 GOVERNMENT
TRAINING PROGRAM ...(Go To Q8-20D) |
|
7 SOMETHING
ELSE (OTHER (SPECIFY)) |
|
0 NO TRAINING
PROGRAM AT LAST INTERVIEW ...(Go To Q8-34) |
Q8-20B [] |
Section: Training |
Was that training program formal company training run by
your employer?
Q8-20C [] |
Section: Training |
Was this training program a seminar you received at your
work but was run by someone other than your employer?
Q8-20D [] |
Section: Training |
Was this a training program or seminar that took place
outside of work?
Q8-21_A [] |
Section: Training |
Did your employer pay for some or all of the costs of
this training program?
|
1 Yes, some of
the costs |
|
2 Yes, all of
the costs ...(Go To Q8-21B) |
|
0 NO |
Q8-21_C [] |
Section: Training |
Did the government pay for some or all of the costs of
this training program?
|
1 Yes, some of
the costs |
|
2 Yes, all of
the costs |
|
0 NO |
Q8-21B [] |
Section: Training |
([emp pay any trng cost([TRAINING_LOOP3 counter])]==1 ||
[emp pay any trng cost([TRAINING_LOOP3 counter])]==2)
COMMENT: Did employer pay for some or all of this training?
If
Answer = 1 Then Go To Q8-21C
Q8-21C [] |
Section: Training |
Which one of your employers paid for this
training?
(INTERVIEWER: SELECT
MATCHING EMPLOYER FROM ROSTER. IF NO MATCH, SELECT THE FIRST LINE "NO
EMPLOYER MATCH". SELECT <SUBMIT AND
CONTINUE> TO PROCEED.)
Q8-22 [] |
Section: Training |
What month and year did you start this
training?
Q8-23 [] |
Section: Training |
Are you still enrolled, or have you finished or left this
program?
|
1 FINISHED OR
LEFT PROGRAM ...(Go To Q8-24) |
|
0 STILL
ENROLLED |
Q8-24 [] |
Section: Training |
When did you finish or leave this
program?
(INTERVIEWER: ENTER DATE R
FINISHED OR LEFT THIS TRAINING PROGRAM.)
Q8-25 [] |
Section: Training |
Altogether, for how many weeks did you attend this
training?
(ENTER '00' IF LESS THAN ONE WEEK.)
Q8-26 [] |
Section: Training |
Did you complete this training or not?
|
1 Completed |
|
0 Did not
complete |
Q8-27 [] |
Section: Training |
(Do/Did) you use this training on your (most recent)
job?
Q8-31 [] |
Section: Training |
How many hours per week (do/did) you usually spend in
this training?
If Answer = 0 Then Go To Q8-32A
Q8-31A [] |
Section: Training |
How many hours of the [number of hours per week r spent
in training] hours per week were usually spent at work or on company time in
this training?
(ENTER NUMBER OF
HOURS)
Q8-32A [] |
Section: Training |
Was this training required by your employer or did you
voluntarily choose to participate in this training program?
Q8-32B [] |
Section: Training |
What was the main reason that you enrolled in this
training program?
(INTERVIEWER: FOR
RESPONSES WHICH CAN NOT BE CODED IN THE CATEGORIES PROVIDED, PLEASE CHOOSE
"OTHER (SPECIFY)" AND RECORD COMPLETE VERBATIM RESPONSE.)
|
1 Training was
associated with promotion or job advancement opportunity |
|
2 New methods
or processes introduced -- addtl training required to continue same
job |
|
3 The training
was part of a regular program to maintain and upgrade employee
skills |
|
4 The training
was necessary when I began a job |
|
5 The training
was necessary for a license or a certificate |
|
6 The training
was associated with looking for a new job |
|
7 Other
(SPECIFY) |
Q8-33B [] |
Section: Training |
I am going to read a list of skills that people sometimes
learn in training programs. Please tell me if you learned any of the following
skills at this training. In this training program, did you learn
to...
|
- Operate or repair
equipment? |
|
- Improve reading, writing, or
math skills? |
|
- Acquire or upgrade computer
skills? |
|
- Learn to be a better
supervisor/manager? |
|
- Learn about a new product or
service of the company? |
|
- Learn about statistical
process and quality management |
|
- Upgrade skills working as a
team or problem solving |
|
- Learn about a new company
information system |
|
- Learn about health or safety
procedures |
|
- Learn a wider range of jobs or
cross-training |
Q8-34 [] |
Section: Training |
Since [Date of last interview], have you attended any
other training program or on-the-job training?
Q8-34-LOOP-END [] |
Section: Training |
UNTIL ([any other training programs?] == 0 || [any other
training programs?] == -1 || [any other training programs?] == -2)
Q2-11 [] |
Section: Spouse Labor
Information |
(([partner in hh?] ==0) && (([marital status
change]==1) && (([marital status code]==3) || ([marital status
code]==6))))
COMMENT: WAS R WIDOWED OR DIVORCED SINCE DATE OF LAST INTERVIEW AND THERE IS
NO PARTNER IN THE HOUSEHOLD CURRENTLY?
If Answer = 1 Then
Go To Q2-11A
Q2-11A [] |
Section: Spouse Labor
Information |
Even though your (most recent) [Husband/Wife] is no
longer with you, we would like to get some information about
[him/her].
OCCSP-0A [] |
Section: Spouse Labor
Information |
(([marital status code] == 1) || ([marital status code]
== 4) || ([marital status code] == 5)) && ([Is the spouse in the
household new since dli] == 0)
COMMENT: IS R MARRIED TO THE SAME SPOUSE FROM DLI? (new_spouse should never
be 0 if marcode is 4 or 5)
If Answer = 1 Then Go To
OCCSP-D
OCCSP-0B [] |
Section: Spouse Labor
Information |
[Is the spouse in the household new since dli] ==
1
COMMENT: Was a new spouse reported since DLI?
If Answer
= 1 Then Go To OCCSP-D
OCCSP-A [] |
Section: Spouse Labor
Information |
[partner in hh?] == 1
COMMENT: Did R report a partner?
If Answer = 1 Then Go
To OCCSP-55B
OCCSP-D [] |
Section: Spouse Labor
Information |
[Is the spouse in the household new since dli] ==
1
COMMENT: Is this a new spouse since DLI?
If Answer = 1
Then Go To OCCSP-55H_1
OCCSP-55B [] |
Section: Spouse Labor
Information |
VAREXIST ([spouse/partner's dli occupation])
COMMENT: Did spouse report a job description last year?
If Answer = 0 Then Go To OCCSP-55H_1
OCCSP-55C [] |
Section: Spouse Labor
Information |
Now we'd like to gather some information about [name of
(most recent) spouse/partner]'s work activities.........
Have the usual
activities and duties of [name of (most recent) spouse/partner]'s main job
changed during [calendar year prior to survey year]? By "main" job, we mean the
one at which [S/HE] usually worked the most hours.
|
1 YES |
|
0 NO ...(Go To OCCSP-55DA) |
|
2 SPOUSE/PARTNER NOT IN HOUSEHOLD IN
2015 ...(Go To CPSSP-2) |
|
3 SPOUSE/PARTNER DID NOT WORK IN
2015 ...(Go To Q2-16) |
OCCSP-55DA [] |
Section: Spouse Labor
Information |
On [Date of last interview], [name of (most recent)
spouse/partner] was reported as [spouse/partner's dli occupation] and [name of
(most recent) spouse/partner]'s usual activities were [DESCRIPTION OF SPOUSE'S
USUAL ACTIVITIES ON JOB AT DLI].
Is this an accurate description of [name
of (most recent) spouse/partner]'s main job in [calendar year prior to survey
year]?
OCCSP-55H [] |
Section: Spouse Labor
Information |
[Now we'd like to gather some information about your
(spouse/partner)'s work activities.../ " "]
What kind of work did [name
of (most recent) spouse/partner] do? That is, what was [name of (most recent)
spouse/partner]'s occupation at [his/her] main job in [calendar year prior to
survey year]?
(For example: plumber, typist, farmer, etc)
|
1 SELECT TO
ENTER VERBATIM |
|
2 SPOUSE/PARTNER NOT IN HOUSEHOLD IN
2015 ...(Go To CPSSP-2) |
|
3 SPOUSE/PARTNER DID NOT WORK IN
2015 ...(Go To Q2-16) |
If Answer >= -2 AND Answer <= -1 Then Go To OCCSP-55I
OCCSP-55H_1 [] |
Section: Spouse Labor
Information |
Now we'd like to gather some information about your
(spouse/partner)'s work activities...
What kind of work did [name of
(most recent) spouse/partner] do? That is, what was [name of (most recent)
spouse/partner]'s occupation at [his/her] main job in [calendar year prior to
survey year]?
(For example: plumber, typist, farmer, etc)
|
1 SELECT TO
ENTER VERBATIM |
|
2 SPOUSE/PARTNER NOT IN HOUSEHOLD IN
2015 ...(Go To CPSSP-2) |
|
3 SPOUSE/PARTNER DID NOT WORK IN
2015 ...(Go To Q2-16) |
If Answer >= -2 AND Answer <= -1 Then Go To OCCSP-55I
OCCSP-55I [] |
Section: Spouse Labor
Information |
(What kind of work did [name of (most recent)
spouse/partner] do? That is, what was [name of (most recent) spouse/partner]'s
occupation at [his/her] main job in [calendar year prior to survey
year]?)
(For example: plumber, typist, farmer, etc)
OCCSP-55J [] |
Section: Spouse Labor
Information |
What were [name of (most recent) spouse/partner]'s usual
duties or activities at [his/her] main job?
(For example: types, keeps
account books, files, sells cars, teaches, lays bricks, etc....)
WGSP-71A [] |
Section: Spouse Labor
Information |
Now we would like to ask you a few questions concerning
[name of (most recent) spouse/partner]'s earnings at [his/her] main job during
[calendar year prior to survey year]. Please include any tips, overtime, and
bonuses and give me the amount [name of (most recent) spouse/partner] earned
before deductions like taxes and Social Security were taken out.
For
[name of (most recent) spouse/partner]'s main job what is the easiest way for
you to report [his/her] total earnings before taxes or other deductions: hourly,
weekly, annually, or on some other basis?
(READ IF NECESSARY:) We use
this information to compare the amount that people earn in different types of
jobs.
|
1 per
hour |
|
2 per day |
|
3 per
week |
|
4 bi-weekly
(every 2 weeks) |
|
8 bi-monthly
(twice a month) |
|
5 per
month |
|
6 per
year |
|
7 other
(SPECIFY) |
WGSP-71G [] |
Section: Spouse Labor
Information |
[time unit code spar's rate of pay]
COMMENT: Branch according the time unit for rate of pay R reported.
If Answer = -1 Then Go To Q2-15A
WGSP-71J [] |
Section: Spouse Labor
Information |
Including overtime pay, tips and commissions what was
[name of (most recent) spouse/partner]'s [WGSP-71A_txt] rate of pay, on
[his/her] job?
(ENTER AMOUNT)
If Answer = -2 Then Go To WGSP-71P
WGSP-71P [] |
Section: Spouse Labor
Information |
What is your best estimate of [name of (most recent)
spouse/partner]'s [WGSP-71A_txt] rate of pay?
(ENTER AMOUNT)
Q2-15A [] |
Section: Spouse Labor
Information |
During the 52 weeks of [calendar year prior to survey
year], how many weeks did [name of (most recent) spouse/partner] work at all
jobs, either full-time or part-time, not counting work around the house? Please
include paid vacations as time worked.
If Answer >= -2 AND Answer <= -1 Then Go To Q2-15B
If Answer = 0 Then Go To Q2-16
Q2-15B [] |
Section: Spouse Labor
Information |
In the weeks [name of (most recent) spouse/partner]
worked how many hours did [S/HE] usually work per week?
If Answer = 0 Then Go To Q2-16
Q2-16 [] |
Section: Spouse Labor
Information |
52 - [Number of weeks spouse worked, either full- or
part-time, at all jobs in calendar year previous to survey year]
COMMENT: Subtract the number of weeks worked from the number of weeks in a
year, to produce the number of weeks that R's spouse did not work in the past
calendar year.
If Answer = 0 Then Go To Q2-17
If Answer >= 1 AND Answer <= 51 Then Go To Q2-16B
If Answer = 52 Then Go To Q2-16A
If Answer >= 53 AND Answer <= 54 Then Go To Q2-16B_1
Q2-16A [] |
Section: Spouse Labor
Information |
You said [name of (most recent) spouse/partner] did not
work in [calendar year prior to survey year]. How many weeks was [S/HE] looking
for work or on layoff from a job?
Q2-16B [] |
Section: Spouse Labor
Information |
You said [name of (most recent) spouse/partner] worked
[Number of weeks spouse worked, either full- or part-time, at all jobs in
calendar year previous to survey year] week(s) during [calendar year prior to
survey year]. How many of the remaining [Number of weeks spouse did not work, at
all in calendar year previous to survey year] week(s) was [S/HE] looking for
work or on layoff from a job?
(ENTER NUMBER OF WEEKS LOOKING FOR WORK OR
ON LAYOFF FROM A JOB:)
Q2-16B_1 [] |
Section: Spouse Labor
Information |
How many of the remaining [Number of weeks spouse did not
work, at all in calendar year previous to survey year] week(s) in [calendar year
prior to survey year] was [S/HE] looking for work or on layoff from a
job?
(ENTER NUMBER OF WEEKS LOOKING FOR WORK OR ON LAYOFF FROM A
JOB:)
Q2-17 [] |
Section: Spouse Labor
Information |
[spouse in hh?]==1 || [partner in hh?]==1
COMMENT: Does R have a spouse currently living in the household (listed on
the household roster?)
If Answer = 1 Then Go To CPSSP-2
CPSSP-2 [] |
Section: Spouse Labor
Information |
These next few questions will refer to [name of (most
recent) spouse/partner]'s work-related activities last week.
Last week,
did [name of (most recent) spouse/partner] do any work for pay or
profit?
INTERVIEWER: READ IF
NECESSARY: By last week I mean the week beginning on the Sunday before
(this/this past) Sunday and (this/this past) Saturday.
|
1 YES |
|
0 NO |
|
2 RETIRED |
|
3 DISABLED |
|
4 UNABLE TO
WORK |
CPSSP-5 [] |
Section: Spouse Labor
Information |
Last week, did [name of (most recent) spouse/partner] do
any unpaid work in a family business or farm?
CPSSP-5C [] |
Section: Spouse Labor
Information |
[Spouse do any work for pay or profit last week]==0
&& [Spouse do any unpaid work in a family business or farm last
week]==0
COMMENT: Did spouse/partner do no work for pay or profit and no unpaid work
in a family business or farm?
If Answer = 0 Then Go To
CPSSP-41A
CPSSP-41A [] |
Section: Spouse Labor
Information |
Last week, how many hours did [name of (most recent)
spouse/partner] actually work at all jobs combined?
CPSSP-41AA [] |
Section: Spouse Labor
Information |
[Actual hours spouse worked at all job last week]<=34
&& [Actual hours spouse worked at all job last week]>=0
COMMENT: Did spouse/partner work less than 35 hours last week at all
jobs?
If Answer = 0 Then Go To Q9-FILTER
CPSSP-41AB30H [] |
Section: Spouse Labor
Information |
Does [name of (most recent) spouse/partner] usually work
35 hours or more per week at [his/her] main job?
CPSSP-84 [] |
Section: Spouse Labor
Information |
Did [name of (most recent) spouse/partner] work at a job
or business during the last 12 months?
CPSSP-85 [] |
Section: Spouse Labor
Information |
Did [name of (most recent) spouse/partner] do any of this
work during the last 4 weeks?
CPSSP-93 [] |
Section: Spouse Labor
Information |
What best describes [name of (most recent)
spouse/partner]'s situation at this time? For example, is [name of (most recent)
spouse/partner] disabled, ill, in school, taking care of house or family, or
something else?
|
1 Disabled |
|
2 Ill |
|
3 In
school |
|
4 Taking care
of house or family |
|
5 In
retirement |
|
6 Something
else/Other (SPECIFY) |
Q9-FILTER [] |
Section: Fertility |
[TOTOBIO]==0 && [RESPONDENT GENDER]==2 &&
([RESPAGEDLI]>52 || [r previously report being surgically
sterilized?]==1)
COMMENT: Machine Check: Is R a female with no children who was either over
age 52 or previously sterilized at the date of last interview?
If
Answer = 1 Then Go To Q10-GENCHECK
Q9-INTRO [] |
Section: Fertility |
Now we'd like to ask you some questions about
children.
Q9-64FB [] |
Section: Fertility |
[partner in hh?]==1 && [same sex
partner]==1
COMMENT: Is a same sex partner reported?
If Answer = 1
Then Go To Q9-RECCOUNT1
Q9-64GB_4 [] |
Section: Fertility |
[r previously report being surgically
sterilized?]
COMMENT: R report being surgically sterilized in prior rounds?
If Answer = 1 Then Go To Q9-RECCOUNT1
Q9-64GB_5 [] |
Section: Fertility |
[RESPONDENT GENDER]==2 &&
[RESPAGEDLI]>52
If Answer = 1 Then Go To
Q9-RECCOUNT1
Q9-64GC [] |
Section: Fertility |
Have you had any operation to prevent pregnancy? That is
have you [had (a vasectomy/your tubes tied or had a tubal ligation)] or has
[your wife/husband/spouse/partner] [had (a vasectomy/her tubes tied or had a
tubal ligation)]?
|
1 Tubes tied
only |
|
2 Vasectomy
only |
|
3 Both tubes
tied and vasectomy |
|
4 (IF
VOLUNTEERED:) Hysterectomy only |
|
5 (IF
VOLUNTEERED: Both hysterectomy and vasectomy |
|
6 No surgical
procedure |
Q9-RECCOUNT1 [] |
Section: Fertility |
RECCOUNT ([biochild roster])
COMMENT: Count of biological children
If Answer = 0
Then Go To Q9-2A
Q9-2A [] |
Section: Fertility |
Our records show that you do not have any biological
children. Is that correct?
Q9-2A1 [] |
Section: Fertility |
[RESPONDENT GENDER]
If
Answer = 1 Then Go To Q9-2A3
Q9-2A2 [] |
Section: Fertility |
[RESPAGEDLI]>=50
COMMENT: Was female respondent aged 50 or older at the date of her last
interview?
If Answer = 1 Then Go To Q9-29GD
Q9-2A3 [] |
Section: Fertility |
[r previously report being surgically
sterilized?]
COMMENT: Did R report being surgically sterilized in prior rounds?
If Answer = 1 Then Go To Q9-29GD
Q9-22B [] |
Section: Fertility |
Have you had any biological children since [Date of last
interview]?
Q9-22BA [] |
Section: Fertility |
How many children have you [LINT_EVER]
Q9-23-LOOP-BEGIN [] |
Section: Fertility |
REPEAT
COMMENT: Begin Loop for adding new bio children.
Q9-28 [] |
Section: Fertility |
What did you name the [first/ next]
baby?
(INTERVIEWER: ENTER FIRST NAME, MIDDLE
INITIAL AND LAST NAME. PLEASE RECORD FULL NAME OR FIRST AND LAST
NAME. ENTERING A SINGLE/FIRST NAME ONLY
MAY CAUSE DATA PROBLEMS LATER IN THE INTERVIEW.)
Q9-28A [] |
Section: Fertility |
Was the baby a boy or a girl?
Q9-28B [] |
Section: Fertility |
When was your child born?
(INTERVIEWER: YOU MUST ENTER A VALID YEAR IN THIS QUESTION.
REPORT ANY UNUSUAL ANSWERS IN A COMMENT.)
Q9-28T-LOOP-END [] |
Section: Fertility |
UNTIL([Q9-loop11 counter]==[# bio children since dli] ||
[# bio children since dli]<0)
COMMENT: loop end about new bio children
Q9-NEWBIO-VERIFY [] |
Section: Fertility |
INTERVIEWER: BELOW IS A LIST OF THE
NEW BIOLOGICAL [CHILDREN] YOU HAVE ADDED.
I'd like just verify
this information with you.
[FOREACH]
I
have CHILD NAME, a GENDER, born on BIRTHDATE. Is that correct?
INTERVIEWER: IF RESPONDENT SAYS INFORMATION IS CORRECT; HIT
SUBMIT AND CONTINUE. OTHERWISE, CORRECT AS NEEDED BY SELECTING THE ROSTER LINE
OF ANY CHILD NEEDING CORRECTION.
Q9-29GD [] |
Section: Fertility |
[# bio children since dli] > 2
If
Answer = 1 Then Go To Q9-29GE
Q9-29GE [] |
Section: Fertility |
[# bio children since dli]== 2
If
Answer = 1 Then Go To Q9_29GF
Q9_29GF [] |
Section: Fertility |
[Birth date of bio child born since dli(1)]==[Birth date
of bio child born since dli(2)]
If Answer = 1 Then
Go To Q9-29HB-LOOP-BEGIN
Q9-29HB-LOOP-BEGIN [] |
Section: Fertility |
REPEAT
COMMENT: Start loop to check for twins/triplets/etc.
Q9-29I [] |
Section: Fertility |
(INTERVIEWER: CHECK
FOR CHILDREN WITH THE SAME BIRTHDATE WHO DO NOT HAVE A 'YES' IN THE "TWIN" COLUMN. SELECT
R'S RESPONSE BELOW.)
Q9-29J [] |
Section: Fertility |
(INTERVIEWER: FOR
EACH PAIR OR GROUP OF CHILDREN WITH THE SAME BIRTHDATE BUT NOT IDENTIFIED AS
TWINS/TRIPLETS/ETC., ASK:)
Is it correct that (READ NAMES OF
CHILDREN) are (twins/triplets/etc.)?
(DO NOT RE-REPORT
TWINS/TRIPLETS ALREADY IDENTIFIED.)
|
0 NO
(ADDITIONAL) TWINS/TRIPLETS/ETC. ON CHILD ROSTER |
|
1 ONE SET OF
(ADDITIONAL) TWINS ON CHILD ROSTER |
|
2 ONE SET OF
(ADDITIONAL) TRIPLETS ON CHILD ROSTER |
|
3 INCORRECT
TWINS/TRIPLETS/ETC. IDENTIFIED ON CHILD ROSTER |
Q9-29J-CHK1 [] |
Section: Fertility |
[Q9-29J([Q9-TWINLOOP])]
COMMENT: R report set of multiple birth child(ren) not yet marked on
roster.
If Answer = 0 Then Go To Q9-29QAA-LOOP-END
If Answer >= 1 AND Answer <= 2 Then Go To Q9-29L
Q9-29K [] |
Section: Fertility |
INTERVIEWER: VERIFY
THE BIRTHDATE INFORMATION FOR THE CHILDREN INCORRECTLY LISTED AS
TWINS/TRIPLETS/ETC. USE BACK/LEFT ARROW AT TOP OF
SCREEN AS NECESSARY TO CORRECT CHILD INFORMATION. IF RESPONDENT
CONFIRMS BIRTHDATES LISTED, EXPLAIN IN AN INTERVIEWER COMMENT BY SELECTING "COMMENT" BUTTON NEXT TO QNAME.
Q9-29L [] |
Section: Fertility |
(INTERVIEWER: SELECT
(FIRST/NEXT) (ADDITIONAL) SET OF (TWINS/TRIPLETS) ON ROSTER, AND IF SAME SEX,
ASK:)
Are (READ NAMES OF SELECTED CHILDREN) identical (twins/triplets) or
are they fraternal (twins/triplets)? (IF NOT SAME SEX, SELECT "FRATERNAL" IN
BELOW .)
Q9-29M [] |
Section: Fertility |
(Are (READ NAMES OF SELECTED CHILDREN) identical
(twins/triplets) or are they fraternal (twins/triplets)?)
(INTERVIEWER:
IF (TWINS/TRIPLETS) NOT THE SAME SEX, THEY ARE "FRATERNAL".)
Q9-29N [] |
Section: Fertility |
Are they (REPEAT NAMES OF CHILDREN IF NECESSARY) often
mistaken for each other, or are they different enough to tell apart?
|
1 Often
mistaken for one another |
|
2 Different
enough to tell apart |
Q9-29QAA-LOOP-END [] |
Section: Fertility |
UNTIL([Q9-29J([Q9-twinloop])]==0 ||
[Q9-twinloop]==3)
COMMENT: END LOOP WHEN ALL SETS OF MULTIPLE BIRTHS ACCOUNTED FOR, OR HAVE
PASSED THROUGH MAXIMUM OF 3 TIMES
Q9-BIOROS-COUNT2 [] |
Section: Fertility |
[total # bio children reported] > 0
COMMENT: Is there at least one child on BIOCHILD roster?
If
Answer = 1 Then Go To Q9-30-LOOP-BEGIN
Q9-30-LOOP-BEGIN [] |
Section: Fertility |
REPEAT
COMMENT: Begin loop to ask about residence/visitation of biological
children
Q9-30C [] |
Section: Fertility |
[biological child status code([Q9-resloop])]
COMMENT: Check the status of the child. if deceased or deleted, or adopted
out skip to the next child. If the child is added, skip to appropriate
question
If Answer = 5 Then Go To Q9-44
If Answer = 8 Then Go To Q9-44
If Answer = 99 Then Go To Q9-60-LOOP-END
Q9-30D [] |
Section: Fertility |
Where does [name of biochild([Q9-resloop])] usually
live?
If Answer = 8 Then Go To Q9-30E
Q9-30DB [] |
Section: Fertility |
[Usual residence of biological
child([Q9-resloop])]
COMMENT: Residence status of biological child
If Answer
>= 2 AND Answer <= 4 Then Go To Q9-44
If Answer = 5 Then Go To Q9-44
If Answer >= 6 AND Answer <= 7 Then Go To Q9-44
If Answer = 8 Then Go To Q9-30E
If Answer = 11 Then Go To Q9-44
Q9-30E [] |
Section: Fertility |
When did [name of biochild([Q9-resloop])] die?
Q9-44 [] |
Section: Fertility |
[Usual residence of biological
child([Q9-resloop])]
COMMENT: Does first biological child live in household or with another person
part time?
If Answer = 1 Then Go To Q9-44A
If Answer = 5 Then Go To Q9-60-LOOP-END
If Answer = 8 Then Go To Q9-60-LOOP-END
If Answer = 9 Then Go To Q9-44A
If Answer = 10 Then Go To Q9-44A
Q9-44A [] |
Section: Fertility |
[age of biochild([Q9-RESLOOP])]>18
If Answer = 1 Then Go To Q9-44AA
Q9-44AA [] |
Section: Fertility |
[Usual residence of biological
child([Q9-RESLOOP])]==1
If Answer = 1 Then Go To
Q9-60-LOOP-END
Q9-44AB [] |
Section: Fertility |
[Usual residence of biological
child([Q9-resloop])]==9
COMMENT: Is biochild living part-time with R, part-time with other
parent?
If Answer = 1 Then Go To Q9-46A
Q9-44C [] |
Section: Fertility |
[biochild_othparstat([Q9-resloop])]
COMMENT: Biological child's other parent in household at previous
interview?
If Answer = 1 Then Go To Q9-60-LOOP-END
If Answer = 2 Then Go To Q9-44CA
Q9-44CA [] |
Section: Fertility |
[marital status code]==4
If
Answer = 1 Then Go To Q9-45
Q9-45 [] |
Section: Fertility |
Does [name of biochild([Q9-resloop])]'s natural
[father/mother] live in this household?
Q9-46 [] |
Section: Fertility |
Is [name of biochild([Q9-resloop])]'s [father/mother]
living?
If
Answer >= -2 AND Answer <= -1 Then Go To Q9-46B
Q9-46A [] |
Section: Fertility |
[biochild_othparstat([Q9-resloop])] == 2
COMMENT: Biological child's other parent reported out of household at
previous interview?
If Answer = 1 Then Go To Q9-50
Q9-46B [] |
Section: Fertility |
[age of biochild([Q9-RESLOOP])]>18
If Answer = 1 Then Go To Q9-60-LOOP-END
Q9-47 [] |
Section: Fertility |
When did [name of biochild([Q9-resloop])]'s natural
[father/mother] leave the household?
|
1 SELECT TO
ENTER DATE |
|
2 NATURAL
(MOTHER/FATHER) NEVER LIVED IN THIS HOUSEHOLD ...(Go To
Q9-50) |
If Answer >= -2 AND Answer <= -1 Then Go To Q9-50
Q9-47A [] |
Section: Fertility |
INTERVIEWER: ENTER
MONTH AND YEAR [name of biochild([Q9-resloop])]'S NATURAL [father/mother] LEFT
THE HOUSEHOLD.
Q9-48 [] |
Section: Fertility |
What month and year did [name of
biochild([Q9-resloop])]'s natural [father/mother] die?
Q9-50 [] |
Section: Fertility |
About how far from you does [name of
biochild([Q9-resloop])]'s [father/mother] live? Is it...
|
1 WITHIN 1
MILE |
|
2 1-10
MILES |
|
3 11-100
MILES |
|
4 101-200
MILES |
|
5 MORE THAN 200
MILES |
Q9-51 [] |
Section: Fertility |
In the past 12 months, about how often has [name of
biochild([Q9-resloop])] seen [his/her([Q9-resloop])]
[father/mother]?
(IF SEPARATION IS MORE RECENT
THAN PAST 12 MONTHS, ASK:) Since [name of biochild([Q9-resloop])] has
been separated from [his/her([Q9-resloop])] [father/mother], about how often has
[name of biochild([Q9-resloop])] seen [his/her([Q9-resloop])]
[father/mother]?
|
1 Almost every
day |
|
2 2-5 times a
week |
|
3 About once a
week |
|
4 1-3 times a
month |
|
5 7-11 times in
past 12 months |
|
6 2-6 times in
past 12 months |
|
7 Once in past
12 months |
|
0 Never ...(Go To Q9-60-LOOP-END) |
Q9-52 [] |
Section: Fertility |
How long do these visits usually last?
(INTERVIEWER: ENTER NUMBER OF DAYS. IF LESS THAN 1 DAY, ENTER
0.)
Q9-53 [] |
Section: Fertility |
About how far from you does [name of
biochild([Q9-resloop])] live? Is it....
|
1 WITHIN 1
MILE |
|
2 1-10
MILES |
|
3 11-100
MILES |
|
4 101-200
MILES |
|
5 MORE THAN 200
MILES |
Q9-54 [] |
Section: Fertility |
In the past 12 months, about how often have you seen
[name of biochild([Q9-resloop])]?
(IF SEPARATION
IS MORE RECENT THAN PAST 12 MONTHS, ASK:) Since [name of
biochild([Q9-resloop])] has not been living with you, about how often have you
seen [name of biochild([Q9-resloop])]?
|
1 Almost every
day |
|
2 2-5 times a
week |
|
3 About once a
week |
|
4 1-3 times a
month |
|
5 7-11 times in
past 12 months |
|
6 2-6 times in
past 12 months |
|
7 Once in past
12 months |
|
0 Never |
Q9-54A [] |
Section: Fertility |
[age of biochild([Q9-RESLOOP])]>18
If Answer = 1 Then Go To Q9-54AB
Q9-54AB [] |
Section: Fertility |
How often in the past year have you had contact with
[name of biochild([Q9-resloop])], by means such as card, letter, e-mail, text or
facebook message, skype or phone call?
(INTERVIEWER: READ CATEGORIES ONLY
IF NECESSARY)
|
1 Not at
all |
|
2 About once a
year or less |
|
3 Several times
a year |
|
4 About once a
month |
|
5 Two or three
times a month |
|
6 Once a
week |
|
7 Several times
a week |
|
8 Every
day |
Q9-54B [] |
Section: Fertility |
[NUMVISITS]==0
If Answer = 1
Then Go To Q9-56
Q9-55 [] |
Section: Fertility |
How long do these visits usually last?
(INTERVIEWER: ENTER NUMBER OF DAYS. IF LESS THAN 1 DAY, ENTER
0.)
Q9-56 [] |
Section: Fertility |
When did [name of biochild([Q9-resloop])] last live with
you?
|
1 SELECT TO
ENTER DATE ...(Go To Q9-57) |
|
0 NEVER LIVED
WITH R |
Q9-57 [] |
Section: Fertility |
(When did [name of biochild([Q9-resloop])] last live with
you?)
(ENTER DATE)
Q9-58 [] |
Section: Fertility |
(Were/Was) there any period(s) of more than three
consecutive months when [name of biochild([Q9-resloop])] did not live with you
before that time?
|
1 Yes |
|
0 No |
|
2 CHILD IS LESS
THAN THREE MONTHS OLD |
Q9-60-LOOP-END [] |
Section: Fertility |
UNTIL([Q9-resloop]==[total # bio children
reported])
COMMENT: end loop.
Default Next: |
Q9-67A |
Lead-In: |
Q9-30C [99:99],
Q9-44 [5:5],
Q9-44 [8:8],
Q9-44AA [1:1],
Q9-44C [1:1],
Q9-45 [1:1],
Q9-46B [1:1],
Q9-51 [0:0],
Q9-48 [Default],
Q9-52 [Default],
Q9-54AB [Default],
Q9-56 [Default],
Q9-58 [Default] |
Q9-67A [] |
Section: Fertility |
[RESPONDENT GENDER]==1
COMMENT: Is respondent male?
If Answer = 1 Then Go To
Q9-68A
Q9-68A [] |
Section: Fertility |
INTERVIEWER: WAS
ANYONE ELSE PRESENT, EXCLUDING YOUNG CHILDREN (AGE 3 AND UNDER), WHEN YOU ASKED
THE QUESTIONS IN THIS SECTION (FERTILITY SECTION)?
|
1 YES |
|
0 NO |
|
2 TELEPHONE
INTERVIEW |
Q9-FEM52-AGECHK1 [] |
Section: Fertility |
[ageatdli] > 52
COMMENT: Female R over 52 years old currently or at last interview?
If Answer = 1 Then Go To Q9-72
Q9-68B [] |
Section: Fertility |
For the rest of this section we are going to be asking
about information since [fertrefdate~X]. So unless otherwise instructed, please
think of [fertrefdate~X] when answering the questions in the rest of the
section.
(INTERVIEWER: FOR THIS
SERIES, PLEASE USE FERTILITY INTERVIEW DATE GIVEN IN QUESTION, INSTEAD OF THE
ACTUAL LAST INTERVIEW DATE.)
Q9-68C [] |
Section: Fertility |
[type of dwelling unit] == 5
If Answer = 0 Then Go To Q9-69B
Q9-69B [] |
Section: Fertility |
[# bio children since dli] > 0
COMMENT: Were any children born since last interview?
If Answer = 0 Then Go To Q9-69G
If Answer = 1 Then Go To Q9-69G
Q9-69F [] |
Section: Fertility |
[r previously report being surgically sterilized?] ==
1
If Answer = 1 Then Go To Q9-72
Q9-69G [] |
Section: Fertility |
[ageatdli] > 48 || [R's age] > 48
COMMENT: Female R over 48 years old currently or at last interview?
If Answer = 1 Then Go To Q9-72
Q9-70A [] |
Section: Fertility |
[pregtext1] you had any [pregtext2] pregnancies since
[fertrefdate~X]?
INTERVIEWER: BY
OTHER PREGNANCIES, WE MEAN:
- ANY CURRENT PREGNANCY
- ANY
PREGNANCIES WHICH DID NOT END IN A LIVE BIRTH. THESE SHOULD NOT BE PREGNANCIES
WHICH RESULTED IN THE BIRTH OF [pregtext3]
Q9-70B [] |
Section: Fertility |
[pregtext5] many [pregtext2] pregnancies have you had
since [fertrefdate~X]?
(INTERVIEWER:
IF R IS CURRENTLY PREGNANT, PLEASE COUNT THAT PREGNANCY.)
Q9-70B2 [] |
Section: Fertility |
[pregtext6] end in an abortion?
Q9-70B3 [] |
Section: Fertility |
[numothpreg]
If Answer >=
0 AND Answer <= 1 Then Go To Q9-72
Q9-70B4 [] |
Section: Fertility |
How many of those pregnancies ended in
abortion?
Q9-72 [] |
Section: Fertility |
[total # bio children reported] > 0
COMMENT: Has R ever had any children?
If Answer = 1
Then Go To Q9-73
Q9-73 [] |
Section: Fertility |
[# bio children since dli] >= 1
COMMENT: Has R had any live births since 2004 or prior interview?
If Answer = 1 Then Go To Q9-73Z-LOOP-BEGIN
Q9-73Z-LOOP-BEGIN [] |
Section: Fertility |
REPEAT
COMMENT: Copy name of child resulting from first pregnancy since date of 2004
or prior interview.
Q9-73ZE_2 [] |
Section: Fertility |
INTERVIEWER: THE
FOLLOWING QUESTIONS REFER TO THE PREGNANCY THAT RESULTED IN THE BIRTH OF [name
of bio child born since dli([Q9-loop16 counter])], WHO WAS BORN ON
[NEWBIO_BDATE([Q9-loop16 counter])~X].
Q9-74A1 [] |
Section: Fertility |
[Q9-loop16 counter] == 1
If
Answer = 0 Then Go To Q9-74A2
Q9-74A2 [] |
Section: Fertility |
[live-birth pregnancy result in multiple births?([loop
index])] >= 1
COMMENT: WAS THIS A MULTIPLE BIRTH - REPORTED IN LAST LOOP?
If
Answer = 0 Then Go To Q9-74B
Q9-74A3 [] |
Section: Fertility |
[numtwins]==0
If Answer = 1
Then Go To Q9-76E
Q9-74B [] |
Section: Fertility |
INTERVIEWER: DID THIS
PREGNANCY RESULT IN THE BIRTH OF TWINS? USE BACK/LEFT
ARROW AT TOP OF SCREEN IF NECESSARY TO CHECK THE ROSTER.
Q9-76E [] |
Section: Fertility |
[Q9-loop16 counter] == 1
COMMENT: IS THIS THE FIRST TIME THROUGH THE LOOP?
If
Answer = 0 Then Go To Q9-76F
Q9-76F [] |
Section: Fertility |
[live-birth pregnancy result in multiple births?([loop
index])] >= 1
COMMENT: WAS THIS REPORTED AS A MULTIPLE BIRTH IN LAST LOOP?
If
Answer = 1 Then Go To Q9-118A000001
Q9-77 [] |
Section: Fertility |
When did you become pregnant with [name of child born
since dli]? What month and year?
Q9-78 [] |
Section: Fertility |
Just before you became pregnant with [name of child born
since dli], did you use any methods such as abstinence, withdrawal, rhythm,
natural family planning methods, the pill or any other methods, to keep from
getting pregnant?
(INTERVIEWER: PLEASE SEE HELP SCREEN LISTING MANY POSSIBLE BIRTH
CONTROL METHODS. READ METHODS TO RESPONDENT ONLY AS NECESSARY.)
|
1 Yes |
|
0 No ...(Go To Q9-80) |
Q9-79 [] |
Section: Fertility |
Had you stopped all methods before you became
pregnant?
|
1 Yes ...(Go To Q9-80) |
|
0 No |
Q9-80 [] |
Section: Fertility |
Was the reason you (were not/stopped) using any methods
because you yourself wanted to become pregnant?
|
1 Yes ...(Go To Q9-82) |
|
0 No |
Q9-81 [] |
Section: Fertility |
Just before you became pregnant that time, did you want
to become pregnant when you did?
(IF NO, PROBE:) Did you want (a/another)
baby but not at that time, or did you want (none/no more) at all?
|
1 Yes |
|
2 Didn't
matter |
|
3 No--not at
that time |
|
4 No--(none/no
more) at all |
Q9-82 [] |
Section: Fertility |
And what about [your wife/husband/spouse/partner] when
you became pregnant that time -- did (he/she) want you to have (a/another)
baby?
(IF NO, PROBE:) Did (he/she) want you to have (a/another) baby but
not at that time, or did (he/she) want you to have (none/no more) at
all?
|
1 Yes |
|
2 Didn't
matter |
|
3 No--not at
that time |
|
4 No--(none/no
more) at all |
Q9-83 [] |
Section: Fertility |
During your pregnancy with [name of child born since
dli], did you make any visits to a doctor or nurse for prenatal care, that is,
to be examined or talk about your pregnancy?
|
1 Yes ...(Go To Q9-84) |
|
0 No |
Q9-84 [] |
Section: Fertility |
When did you first visit a doctor or nurse for prenatal
care -- during which month of your pregnancy?
(ENTER MONTH
NUMBER)
Q9-85 [] |
Section: Fertility |
Did you drink any alcoholic beverages, including beer,
wine, or liquor, during the 12 months before [name of child born since dli] was
born?
|
1 Yes ...(Go To Q9-86) |
|
0 No |
Q9-86 [] |
Section: Fertility |
How often did you usually drink alcoholic beverages
during (your/that) pregnancy? Did you drink ... (READ CATEGORIES)...?
|
7 Every
day |
|
6 Nearly every
day |
|
5 3 or 4 days a
week |
|
4 1 or 2 days a
week |
|
3 3 or 4 days a
month |
|
2 About once a
month |
|
1 Less than
once a month |
|
0 Never |
Q9-87 [] |
Section: Fertility |
Did you smoke tobacco cigarettes at all during the 12
months before [name of child born since dli] was born?
|
1 Yes ...(Go To Q9-88) |
|
0 No |
Q9-88 [] |
Section: Fertility |
On the average, how many cigarettes did you smoke during
(your/that) pregnancy? Did you smoke 2 or more packs a day? Did you smoke 1 pack
or more but less than 2 packs a day, or less than 1 pack a day?
|
3 2 or more
packs a day |
|
2 1 or more but
less than 2 |
|
1 Less than 1
pack a day |
|
0 (IF
VOLUNTEERED:) DID NOT SMOKE DURING THAT PERIOD |
Q9-89 [] |
Section: Fertility |
Did you use marijuana or hashish at all during the 12
months before [name of child born since dli] was born?
|
1 Yes ...(Go To Q9-90) |
|
0 No |
Q9-90 [] |
Section: Fertility |
On the average, how many times did you usually use
marijuana or hashish during (your/that) pregnancy? Did you use it
...
(READ CATEGORIES)...?
|
7 Every
day |
|
6 Nearly every
day |
|
5 3 or 4 days a
week |
|
4 1 or 2 days a
week |
|
3 3 or 4 days a
month |
|
2 About once a
month |
|
1 Less than
once a month |
|
0 Never |
Q9-91 [] |
Section: Fertility |
Did you use any form of cocaine at all during the 12
months before [name of child born since dli] was born?
|
1 Yes ...(Go To Q9-92) |
|
0 No |
Q9-92 [] |
Section: Fertility |
On the average, how many times did you usually use any
form of cocaine during (your/that) pregnancy? Did you use it ...
(READ
CATEGORIES)...?
|
7 Every
day |
|
6 Nearly every
day |
|
5 3 or 4 days a
week |
|
4 1 or 2 days a
week |
|
3 3 or 4 days a
month |
|
2 About once a
month |
|
1 Less than
once a month |
|
0 Never |
Q9-93 [] |
Section: Fertility |
During (your/that) pregnancy, did you take a
vitamin/mineral supplement?
Q9-99B [] |
Section: Fertility |
Did you take a vitamin/mineral supplement based on a
doctor's or nurse's suggestion?
Q9-94 [] |
Section: Fertility |
During (your/that) pregnancy, did you cut down on the
calories in the food you ate?
Q9-100B [] |
Section: Fertility |
Did you cut down on the calories in the food you ate
based on a doctor's or nurse's suggestion?
Q9-95 [] |
Section: Fertility |
During (your/that) pregnancy, did you cut down on the
amount of salt you used?
Q9-101B [] |
Section: Fertility |
Did you cut down on the amount of salt you used based on
a doctor's or nurse's suggestion?
Q9-96 [] |
Section: Fertility |
During (your/that) pregnancy, did you use diuretics
(fluid or water pills) to help eliminate water?
Q9-102B [] |
Section: Fertility |
Did you use diuretics (fluid or water pills) to help
eliminate water based on a doctor's or nurse's suggestion?
Q9-97 [] |
Section: Fertility |
During (your/that) pregnancy, did you reduce or stop your
smoking?
|
1 YES ...(Go To Q9-103B) |
|
0 NO |
|
4 NOT
APPLICABLE |
Q9-103B [] |
Section: Fertility |
Did you reduce or stop your smoking based on a doctor's
or nurse's suggestion?
Q9-98 [] |
Section: Fertility |
During (your/that) pregnancy, did you reduce or stop your
alcohol intake?
|
1 YES ...(Go To Q9-104B) |
|
0 NO |
|
4 NOT
APPLICABLE |
Q9-104B [] |
Section: Fertility |
Did you reduce or stop your alcohol intake based on a
doctor's or nurse's suggestion?
Q9-105 [] |
Section: Fertility |
Based on either your last menstrual period date or your
doctor's or clinic's information, was [name of child born since dli] born within
one week of the expected (due) date?
Q9-106A [] |
Section: Fertility |
Was the baby born early or late?
Q9-106B [] |
Section: Fertility |
How many weeks early was the baby?
(IF "1 1/2
WEEKS" ROUND UP TO "2".)
Q9-106C [] |
Section: Fertility |
How many weeks late was the baby?
(IF "1 1/2
WEEKS" ROUND UP TO "2".)
Q9-107 [] |
Section: Fertility |
Was a cesarean section done? (IF NECESSARY, PROBE:) Was
the baby delivered by an incision in your abdomen?
Q9-108 [] |
Section: Fertility |
Was this your first cesarean section, or did you have one
before?
|
1 First
cesarean |
|
0 Had
cesarean(s) before |
Q9-109 [] |
Section: Fertility |
What was your weight just before you
delivered?
Q9-110 [] |
Section: Fertility |
What was your weight just before you became pregnant with
[name of child born since dli]?
Q9-111 [] |
Section: Fertility |
[r's weight before delivery] >= 0 && [r's
weight before pregnancy] >= 0
COMMENT: Are both the weight at delivery and the pre-pregnancy weight real
numbers (not DK or REFUSALS)?
If Answer = 0 Then Go To
Q9-118A000001
Q9-112 [] |
Section: Fertility |
[r's weight before delivery] - [r's weight before
pregnancy]
COMMENT: Subtract weight at time of delivery from weight before
pregnancy.
If Answer = 0 Then Go To Q9-116
Q9-113 [] |
Section: Fertility |
[r's weight before delivery] < [r's weight before
pregnancy]
COMMENT: Did R lose weight during pregnancy (weight at delivery is less than
weight before pregnancy)?
If Answer = 0 Then Go To
Q9-115
If Answer = 1 Then Go To Q9-114B
Q9-114B [] |
Section: Fertility |
Does that mean that you lost [amount respondent
gained/loss during pregnancy since dli] pounds during your
pregnancy?
(INTERVIEWER: IF
NECESSARY, VERIFY WEIGHTS IN Q9-109 ([r's weight before delivery]) AND Q9-110
([r's weight before pregnancy]). BACK UP USING BACK/LEFT ARROW AT TOP OF SCREEN TO CORRECT IF R
INDICATES AMOUNT IS INCORRECT.)
Q9-115 [] |
Section: Fertility |
Does that mean that you gained [amount respondent
gained/loss during pregnancy since dli] pounds during your
pregnancy?
(INTERVIEWER: IF
NECESSARY, VERIFY WEIGHTS IN Q9-109 ([r's weight before delivery]) AND Q9-110
([r's weight before pregnancy]). BACK UP USING BACK/LEFT ARROW AT TOP OF SCREEN TO CORRECT IF R
INDICATES AMOUNT IS INCORRECT.)
Q9-116 [] |
Section: Fertility |
Does that mean that you did not gain or lose any weight
during your pregnancy?
(INTERVIEWER:
IF NECESSARY, VERIFY WEIGHTS IN Q9-109 ([r's weight before delivery]) AND Q9-110
([r's weight before pregnancy]). BACK UP USING BACK/LEFT ARROW AT TOP OF SCREEN TO CORRECT IF R
INDICATES AMOUNT IS INCORRECT.)
Q9-117 [] |
Section: Fertility |
Did you gain or lose weight during your pregnancy with
[name of child born since dli]?
|
1 GAINED
WEIGHT ...(Go To Q9-117A) |
|
2 LOST
WEIGHT ...(Go To Q9-117A) |
|
3 DID NOT GAIN
OR LOSE ANY WEIGHT |
Q9-117A [] |
Section: Fertility |
How much weight did you (gain/lose)?
(ENTER NUMBER
OF POUNDS)
Q9-118A000001 [] |
Section: Fertility |
How much did [name of child born since dli] weigh at
birth?
(INTERVIEWER: ENTER POUNDS AND
OUNCES BELOW.)
Q9-118A000002 [] |
Section: Fertility |
Q9-118B [] |
Section: Fertility |
([weight of baby in pounds([Q9-loop16 counter])] == -1 ||
[weight of baby in pounds([Q9-loop16 counter])]== -2 || [weight of baby in
ounces([Q9-loop16 counter])] == -1 || [weight of baby in ounces([Q9-loop16
counter])]==-2)
COMMENT: If birth weight missing, go to estimate
If
Answer = 1 Then Go To Q9-118C
Q9-118C [] |
Section: Fertility |
Did [name of child born since dli] weigh more than 5 1/2
pounds or less?
Q9-119 [] |
Section: Fertility |
What was [name of child born since dli]'s length at
birth?
(ENTER INCHES)
Q9-119A [] |
Section: Fertility |
INTERVIEWER: DID R
INDICATE THAT THE LENGTH OF THE BABY WAS AN ESTIMATE?
Q9-120 [] |
Section: Fertility |
How long did your baby stay in the hospital?
|
1 SELECT TO
ENTER NUMBER OF DAYS |
|
0 BABY/RESPONDENT DID NOT STAY IN
HOSPITAL ...(Go To Q9-123) |
Q9-120A [] |
Section: Fertility |
(How long did your baby stay in the
hospital?)
(ENTER NUMBER OF DAYS)
Q9-121 [] |
Section: Fertility |
Did you leave the hospital at the same time as your baby
or did you leave earlier or later?
Q9-122A [] |
Section: Fertility |
How many days earlier?
Q9-122B [] |
Section: Fertility |
How many days later?
Q9-123 [] |
Section: Fertility |
In [name of child born since dli]'s first year, did you
take [him/her] to a clinic, hospital, or doctor because [he/she] was sick or
injured?
(IF BABY "ADOPTED OUT"/"DECEASED" AND R
IS RELUCTANT, SAY:) We appreciate how difficult this is, but [name of
child born since dli]'s experiences are important in helping us understand the
health of other children like [him/her].
Q9-124 [] |
Section: Fertility |
When you took [name of child born since dli] to a clinic,
hospital, or doctor the first time because [he/she] was sick or injured, what
was the nature of [his/her] illness or injury?
(INTERVIEWER: RECORD VERBATIM. SELECT <SUBMIT AND
CONTINUE> TO PROCEED FOR CODING OF ILLNESS OR INJURY DESCRIBED
HERE.)
Q9-124A [] |
Section: Fertility |
(INTERVIEWER: CODE
FOR MAIN ILLNESS OR INJURY. SELECT <SUBMIT AND CONTINUE> TO CODE SYMPTOMS
MENTIONED FOR THIS ILLNESS OR INJURY.IF MORE THAN ONE ILLNESS OR INJURY
MENTIONED, PROBE: What was the main illness or injury?)
|
1 fever |
|
2 cold |
|
3 sore
throat |
|
4 pneumonia |
|
5 ear
infection |
|
6 vomiting,
diarrhea, or dehydration |
|
7 rash |
|
15 broken
bone |
|
16 burn |
|
8 other
accident or poisoning |
|
9 convulsions |
|
10 jaundice |
|
11 feeding
problems (food allergy, formula tolerance, etc.) |
|
12 meningitis |
|
13 asthma or
bronchitis |
|
14 other
(SPECIFY) |
|
0 None |
Q9-125 [] |
Section: Fertility |
Please tell me which symptoms or conditions occurred with
(the/a) [main illness - child's first visit to clinic].
(INTERVIEWER:
SELECT ALL THAT APPLY AND SELECT "COMMENT" BUTTON
BESIDE QNAME TO RECORD VERBATIM IN COMMENT. DO NOT RESELECT MAIN
ILLNESS OR INJURY RECORDED IN Q9-124. PROBE AND READ CATEGORIES AS
NECESSARY.)
|
1 fever |
|
2 cold |
|
3 sore
throat |
|
4 pneumonia |
|
5 ear
infection |
|
6 vomiting,
diarrhea, or dehydration |
|
7 rash |
|
15 broken
bone |
|
16 burn |
|
8 other
accident or poisoning |
|
9 convulsions |
|
10 jaundice |
|
11 feeding
problems (food allergy, formula tolerance, etc.) |
|
12 meningitis |
|
13 asthma or
bronchitis |
|
14 other
(SPECIFY) |
|
0 None |
Q9-126 [] |
Section: Fertility |
How many months old was [name of child born since dli]
when you took [him/her] to a clinic, hospital or doctor the first time for
(this) [main illness - child's first visit to clinic]?
(INTERVIEWER:
1 DAY TO 4 WKS = 1 MONTH. MORE THAN 4 WEEKS -- DIVIDE BY 4 AND ROUND UP. EX: 35
WEEKS = 9 MONTHS.)
Q9-127 [] |
Section: Fertility |
In [name of child born since dli]'s first year,
altogether how many visits were made to a clinic, hospital, or doctor because
[he/she] had (that) [main illness - child's first visit to clinic]?
If Answer = 1 Then Go To Q9-129
Q9-128 [] |
Section: Fertility |
In [name of child born since dli]'s first year, how many
months old was [he/she] the last time you took [him/her] to a clinic or doctor
for (that) [main illness - child's first visit to clinic]?
Q9-129 [] |
Section: Fertility |
In [name of child born since dli]'s first year, when you
took [him/her] to a clinic, hospital, or doctor because [he/she] had (that)
[main illness - child's first visit to clinic], where did you take
[him/her]?
|
1 Private
doctor's office |
|
2 Clinic |
|
4 Health
maintenance organization (HMO) |
|
5 Hospital |
|
6 Community
health center |
|
8 Other
(SPECIFY) |
|
12 (IF
VOLUNTEERED: Military doctor or army hospital or
clinic) |
Q9-130B [] |
Section: Fertility |
INSELECTION([Q9-129([Q9-loop16 counter])],5)
COMMENT: Was child from first pregnancy admitted to hospital for first
illness in first year of life?
If Answer = 1 Then Go To
Q9-131
Q9-131 [] |
Section: Fertility |
When [name of child born since dli] was admitted to the
hospital, was surgery necessary?
Q9-132 [] |
Section: Fertility |
Did you have to take time off from work?
Q9-133 [] |
Section: Fertility |
In [name of child born since dli]'s first year, did you
take [him/her] to a clinic, hospital, or doctor because [he/she] was sick or
injured with a different illness or injury than the one we have just talked
about?
Q9-134 [] |
Section: Fertility |
What was the nature of this other illness or
injury?
(INTERVIEWER: RECORD
VERBATIM. SELECT <SUBMIT AND CONTINUE> TO PROCEED FOR CODING OF ILLNESS OR
INJURY DESCRIBED HERE.)
Q9-134A [] |
Section: Fertility |
(INTERVIEWER: CODE
FOR MAIN ILLNESS OR INJURY. SELECT <SUBMIT AND CONTINUE> TO CODE SYMPTOMS
MENTIONED FOR THIS ILLNESSES OR INJURIES.)
(IF MORE THAN ONE ILLNESS OR
INJURY MENTIONED, PROBE:) What was the main illness or injury?
|
1 fever |
|
2 cold |
|
3 sore
throat |
|
4 pneumonia |
|
5 ear
infection |
|
6 vomiting,
diarrhea, or dehydration |
|
7 rash |
|
15 broken
bone |
|
16 burn |
|
8 other
accident or poisoning |
|
9 convulsions |
|
10 jaundice |
|
11 feeding
problems (food allergy, formula tolerance, etc.) |
|
12 meningitis |
|
13 asthma or
bronchitis |
|
14 other
(SPECIFY) |
|
0 None |
Q9-135 [] |
Section: Fertility |
Please tell me which symptoms or conditions occurred with
(the/a) [fever/cold/sore throat/pneumonia/ear infection/vomiting diarrhea or
dehydration/rash/broken bone/burn/other accident or
poisening/convulsions/janudice/feeding problems(food allergy - formula
intollerance - etc.)/meningitis/asthma or bronchitis/other].
(INTERVIEWER: SELECT ALL THAT APPLY AND SELECT "COMMENT" BUTTON BESIDE QNAME TO RECORD
VERBATIM IN COMMENT. DO NOT RESELECT MAIN ILLNESS OR INJURY RECORDED IN Q9-134.
PROBE AND READ CATEGORIES AS NECESSARY.)
|
1 fever |
|
2 cold |
|
3 sore
throat |
|
4 pneumonia |
|
5 ear
infection |
|
6 vomiting,
diarrhea, or dehydration |
|
7 rash |
|
15 broken
bone |
|
16 burn |
|
8 other
accident or poisoning |
|
9 convulsions |
|
10 jaundice |
|
11 feeding
problems (food allergy, formula tolerance, etc.) |
|
12 meningitis |
|
13 asthma or
bronchitis |
|
14 other
(SPECIFY) |
|
0 None |
Q9-136 [] |
Section: Fertility |
How many months old was [name of child born since dli]
when you took [him/her] to a clinic, hospital or doctor the first time for
(this) [fever/cold/sore throat/pneumonia/ear infection/vomiting diarrhea or
dehydration/rash/broken bone/burn/other accident or
poisening/convulsions/janudice/feeding problems(food allergy - formula
intollerance - etc.)/meningitis/asthma or bronchitis/other]?
(INTERVIEWER: 1 DAY TO 4 WKS = 1 MONTH. MORE THAN 4
WEEKS -- DIVIDE BY 4 AND ROUND UP. EX: 35 WEEKS = 9 MONTHS.)
Q9-137 [] |
Section: Fertility |
In [name of child born since dli]'s first year,
altogether how many visits were made to a clinic, hospital, or doctor because
[he/she] had (that) [fever/cold/sore throat/pneumonia/ear infection/vomiting
diarrhea or dehydration/rash/broken bone/burn/other accident or
poisening/convulsions/janudice/feeding problems(food allergy - formula
intollerance - etc.)/meningitis/asthma or bronchitis/other]?
If Answer = 1 Then Go To Q9-139
Q9-138 [] |
Section: Fertility |
In [name of child born since dli]'s first year, how many
months old was [he/she] the last time you took [him/her] to a clinic or doctor
for (that) [fever/cold/sore throat/pneumonia/ear infection/vomiting diarrhea or
dehydration/rash/broken bone/burn/other accident or
poisening/convulsions/janudice/feeding problems(food allergy - formula
intollerance - etc.)/meningitis/asthma or bronchitis/other]?
Q9-139 [] |
Section: Fertility |
In [name of child born since dli]'s first year, when you
took [him/her] to a clinic, hospital, or doctor because [he/she] had (that)
[fever/cold/sore throat/pneumonia/ear infection/vomiting diarrhea or
dehydration/rash/broken bone/burn/other accident or
poisening/convulsions/janudice/feeding problems(food allergy - formula
intollerance - etc.)/meningitis/asthma or bronchitis/other], where did you take
[him/her]?
|
1 Private
doctor's office |
|
2 Clinic |
|
4 Health
maintenance organization (HMO) |
|
5 Hospital |
|
6 Community
health center |
|
8 Other
(SPECIFY) |
|
12 (IF
VOLUNTEERED: Military doctor or army hospital or
clinic) |
Q9-140B [] |
Section: Fertility |
INSELECTION([Q9-139([Q9-loop16 counter])],5)
COMMENT: Was child from first pregnancy admitted to hospital for second
illness in first year of life?
If Answer = 1 Then Go To
Q9-141
Q9-141 [] |
Section: Fertility |
When [name of child born since dli] was admitted to the
hospital, was surgery necessary?
Q9-142 [] |
Section: Fertility |
Did you have to take time off from work?
Q9-143 [] |
Section: Fertility |
Now please think about well baby care.
In [name of
child born since dli]'s first year, did you take [him/her] to a clinic or doctor
for well baby care when [he/she] was not sick?
(INTERVIEWER: IF RESPONDENT SAYS "YES",
BUT DOES NOT KNOW MONTHS, ENCOURAGE R TO ESTIMATE MONTHS OF AGE IF AT ALL
POSSIBLE.
IF RESPONDENT CAN NOT ESTIMATE, CHOOSE "TOOK CHILD FOR WELL
BABY CARE, DO NOT KNOW ANY MONTHS" IN LIST BELOW.)
|
1 YES ...(Go To Q9-144A) |
|
0 NO |
|
2 DID TAKE
CHILD FOR WELL BABY CARE, DO NOT KNOW ANY MONTHS ...(Go
To Q9-145B) |
Q9-144A [] |
Section: Fertility |
How many months old was [name of child born since dli]
when you took [him/her] to a clinic or doctor for well baby care the first
time?.....
How old was [he/she] the next time?
(INTERVIEWER: CONTINUE TO ASK UNTIL THE LAST TIME IS
CODED.)
(SELECT ALL THAT APPLY)
|
1 1 month
old |
|
2 2 months
old |
|
3 3 months
old |
|
4 4 months
old |
|
5 5 months
old |
|
6 6 months
old |
|
7 7 months
old |
|
8 8 months
old |
|
9 9 months
old |
|
10 10 months
old |
|
11 11 months
old |
|
12 12 months
old |
Q9-145B [] |
Section: Fertility |
Where did you usually take [name of child born since dli]
for well baby care? Was it a .... (READ CATEGORIES AS
NECESSARY)?
|
1 Private
doctor's office ...(Go To Q9-145B_D) |
|
2 Clinic ...(Go To Q9-145B_A) |
|
4 Health
maintenance organization (HMO) |
|
5 Hospital ...(Go To Q9-145B_B) |
|
6 Community
health center |
|
8 Other
(SPECIFY) |
|
12 (IF
VOLUNTEERED: Military doctor or army hospital or
clinic) |
Q9-145B_A [] |
Section: Fertility |
What type of clinic was that? Was it a private clinic, a
public clinic, a hospital or walk-in clinic, or some other type of
clinic?
|
1 Private
clinic |
|
2 Public
Clinic |
|
3 Hospital
clinic, walk-in clinic |
|
4 Other type of
clinic (specify) |
Q9-145B_B [] |
Section: Fertility |
Was [name of child born since dli] admitted to the
hospital?
Q9-145B_C [] |
Section: Fertility |
Did you take [name of child born since dli] to a hospital
clinic or a hospital emergency room?
|
1 Hospital
clinic |
|
2 Emergency
room |
Q9-145B_D [] |
Section: Fertility |
Was the private doctor's office you took [name of child
born since dli] to paid for by a Health Maintenance Organization
(HMO)?
Q9-146A-LOOP-BEGIN [] |
Section: Fertility |
FOR ([months old]=1;[months old]<=12;[months
old]=[months old]+1;[Q9-147A-LOOP-END])
COMMENT: start loop to ask where baby was taken for well care
Q9-146AA [] |
Section: Fertility |
INSELECTION([Q9-144A([Q9-loop16 counter])], [months
old])
COMMENT: start loop to ask where baby was taken for well care
If
Answer = 1 Then Go To Q9-146B
Q9-146B [] |
Section: Fertility |
When you took [name of child born since dli] for well
baby care when [he/she] was [text equilvalent of number of months r took new
baby since dli for well baby care], where did you take [him/her]?
Was it
a .... (READ CATEGORIES AS
NECESSARY)?
|
1 Private
doctor's office ...(Go To Q9-146B_D) |
|
2 Public
clinic ...(Go To Q9-146B_A) |
|
3 Private
clinic |
|
4 Health
maintenance organization (HMO) |
|
5 Hospital
clinic, walk-in clinic ...(Go To Q9-146B_B) |
|
6 Community
health center |
|
7 Emergency
room out-patient |
|
8 Other
(SPECIFY) |
Q9-146B_A [] |
Section: Fertility |
What type of clinic was that? Was it a private clinic, a
public clinic, a hospital or walk-in clinic, or some other type of
clinic?
|
1 Private
clinic |
|
2 Public
Clinic |
|
3 Hospital
clinic, walk-in clinic |
|
4 Other type of
clinic (specify) |
Q9-146B_B [] |
Section: Fertility |
Was [name of child born since dli] admitted to the
hospital?
Q9-146B_C [] |
Section: Fertility |
Did you take [name of child born since dli] to a hospital
clinic or a hospital emergency room?
|
1 Hospital
clinic |
|
2 Emergency
room |
Q9-146B_D [] |
Section: Fertility |
Was the private doctor's office you took [name of child
born since dli] to for well baby care when [he/she] was [text equilvalent of
number of months r took new baby since dli for well baby care], paid for by a
Health Maintenance Organization (HMO)?
Q9-147A-LOOP-END [] |
Section: Fertility |
ENDFOR
COMMENT: Repeat loop for number of choices
Q9-164 [] |
Section: Fertility |
When [name of child born since dli] was an infant, did
you breast feed [name of child born since dli] at all?
(IF
BABY "ADOPTED OUT"/"DECEASED" AND R IS RELUCTANT, SAY:) We appreciate
how difficult this is, but [name of child born since dli]'s experiences are
important in helping us understand the health of other children like
[him/her].
Q9-165 [] |
Section: Fertility |
How many weeks old was [name of child born since dli]
when you quit breast feeding [him/her] altogether?
(INTERVIEWER:
DETERMINE WHETHER R IS ANSWERING IN WEEKS OR MONTHS OLD, AND SELECT THE
APPROPRIATE ANSWER BELOW.)
|
1 SELECT TO
ENTER NUMBER OF WEEKS OLD ...(Go To Q9-165A) |
|
2 SELECT TO
ENTER NUMBER OF MONTHS OLD ...(Go To Q9-165B) |
|
0 STILL
BREASTFEEDING |
Q9-165A [] |
Section: Fertility |
(How many weeks old was [name of child born since dli]
when you quit breast feeding [him/her] altogether?)
(INTERVIEWER:
R HAS ANSWERED IN NUMBER OF WEEKS.)
Q9-165B [] |
Section: Fertility |
(How many months old was [name of child born since dli]
when you quit breast feeding [him/her] altogether?)
(INTERVIEWER:
R HAS ANSWERED IN NUMBER OF MONTHS. PLEASE ENTER ONLY FULL OR HALF
MONTHS.)
Q9-158D-LOOP-END [] |
Section: Fertility |
UNTIL([Q9-loop16 counter]==[# bio children since
dli])
COMMENT: End loop collecting information on live-birth pregnancies since
dli?
Default Next: |
Q9-SKID-15C |
Lead-In: |
Q9-121 [4:4],
Q9-121 [5:5],
Q9-143 [Default],
Q9-145B [Default],
Q9-145B_A [Default],
Q9-145B_B [Default],
Q9-145B_C [Default],
Q9-145B_D [Default],
Q9-164 [Default],
Q9-165 [Default],
Q9-165A [Default],
Q9-165B [Default] |
Q9-SKID-15C [] |
Section: Fertility |
[MSUPPLEMENT_NUM] > 0
COMMENT: Are there any children on the Mother Supplement Roster?
If Answer = 1 Then Go To MS1-LOOP-BEGIN
MS1-LOOP-BEGIN [] |
Section: Fertility |
REPEAT
COMMENT: START loop 0
MS-CKNAME_MS1 [] |
Section: Fertility |
ISVAREMPTY({^CFNAME([mother
supplement loop])^})
COMMENT: Check if first name is empty on spawned infosheet. If so, prompt for
name entry.
If Answer = 1 Then Go To MS-ENTERNAME_MS1
MS-ENTERNAME_MS1 [] |
Section: Fertility |
INTERVIEWER:
ENTER [msupplement_name([mother supplement loop])]'S FIRST NAME:
MS-CKFULLNAME_MS1 [] |
Section: Fertility |
ISVAREMPTY({^CNAME([mother
supplement loop])^})
COMMENT: Check if first name is empty on spawned infosheet. If so, prompt for
name entry.
If Answer = 1 Then Go To MS-ENTERFULLNAME_MS1
MS-ENTERFULLNAME_MS1 [] |
Section: Fertility |
INTERVIEWER: ENTER
[msupplement_name([mother supplement loop])]'S FULL NAME:
Q9-194 [] |
Section: Fertility |
[msupplement_statcode([mother supplement
loop])]
COMMENT: Is first biological child deleted, deceased or adopted out?
If Answer = 5 Then Go To HLTH-CHK1_MS1
If Answer = 8 Then Go To HLTH-CHK1_MS1
If Answer = 99 Then Go To HLTH-CHK1_MS1
Q9-194A [] |
Section: Fertility |
[msupplement_hhiflag([mother supplement
loop])]
COMMENT: Is first biological child deleted, deceased or adopted out?
If Answer = 5 Then Go To HLTH-CHK1_MS1
If Answer = 8 Then Go To HLTH-CHK1_MS1
BKGN-AGECHK_MS1 [] |
Section: Fertility |
({^MSAGE([mother supplement
loop])^} < 3) || ([child age (years)([mother supplement loop])] >
14)
COMMENT: NO BACKGROUND ITEMS ASKED FOR CHILDREN UNDER 3 OR YA
CHILDREN
If Answer = 1 Then Go To HLTH-CHK1_MS1
BKGN-TITLE_MS1 [] |
Section: Fertility |
BEGIN CHILD
BACKGROUND SECTION
[msupplement_name([mother supplement
loop])]
BKGN-1_MS1 [] |
Section: Fertility |
Please think about the [2013-2014([mother supplement
loop])] regular school year. [is/was([mother supplement loop])] [Surprise
child's name([mother supplement loop])] attending or enrolled in
[regular
school (or preschool)([mother supplement loop])]?
(If [Surprise child's
name([mother supplement loop])] is between the spring and fall school sessions,
please tell us about the LAST school year.)
BKGN-2_MS1 [] |
Section: Fertility |
Has [s/he([mother supplement loop])] ever attended
regular school, nursery school, or preschool?
BKGN-3_MS1 [] |
Section: Fertility |
What grade [(is/did) child (currently/last)
attend(ing)([mother supplement loop])]?
(IF R SAYS 'PRE-FIRST GRADE',
CODE KINDERGARTEN.)
|
90 Nursery/preschool |
0 Kindergarten |
|
1 1st grade |
2 2nd
grade |
|
3 3rd grade |
4 4th
grade |
|
5 5th grade |
6 6th
grade |
|
7 7th grade |
8 8th
grade |
|
9 9th grade |
10 10th
grade |
|
11 11th
grade |
12 12th
grade |
|
13 1st year in
college |
14 2nd year in
college |
|
15 3rd year in
college |
16 4th year in
college |
|
17 5th year in
college |
18 6th year in
college |
|
19 7th year in
college |
20 8th year in
college or more |
|
95 Ungraded ...(Go To BKGN-4_MS1) |
If Answer = -2 Then Go To BKGN-4_MS1
BKGN-4_MS1 [] |
Section: Fertility |
If [Surprise child's name([mother supplement loop])] were
in a graded class, what grade would [s/he([mother supplement loop])] be enrolled
in?
(IF R SAYS 'PRE-FIRST GRADE', CODE KINDERGARTEN.)
|
90 Nursery/preschool |
|
0 Kindergarten |
|
1 1st
grade |
|
2 2nd
grade |
|
3 3rd
grade |
|
4 4th
grade |
|
5 5th
grade |
|
6 6th
grade |
|
7 7th
grade |
|
8 8th
grade |
|
9 9th
grade |
|
10 10th
grade |
|
11 11th
grade |
|
12 12th
grade |
|
95 Other
(SPECIFY) |
BKGN-4A-CHK1_MS1 [] |
Section: Fertility |
{^msgrade([mother supplement
loop])^} == 90 || [grade (or equivalent)([mother supplement loop])] ==
95
If Answer = 1 Then Go To BKGN-5-DATECHK_MS1
SCHLFIND-4A [] |
Section: Fertility |
[mother supplement loop]==1
COMMENT: Is this the first time through the loop?
If
Answer = 1 Then Go To SCHLFIND-6
SCHLFIND-5 [] |
Section: Fertility |
Is [Surprise child's name([mother supplement loop])]'s
school in this list?
(INTERVIEWER: IF
THE SCHOOL IS IN THIS LIST, SELECT SCHOOL. IF SCHOOL IS NOT LISTED OR NO SCHOOLS
LISTED, SELECT "NEW SCHOOL" AND SELECT <SUBMIT AND CONTINUE> TO
PROCEED.)
If
Answer = 1 Then Go To SCHLFIND-6
SCHLFIND-6 [] |
Section: Fertility |
What type of school (does [Surprise child's name([mother
supplement loop])] currently attend/did [Surprise child's name([mother
supplement loop])] last attend)?
|
1 Elementary
School |
|
2 Middle
School/Intermediate School/Junior High School |
|
3 High
School |
|
4 Two Year
College, Community College, or Junior College |
|
5 Four Year
College or University |
SCHLFIND-7 [] |
Section: Fertility |
([SCHLFIND-6([mother supplement loop])]==1 ||
[SCHLFIND-6([mother supplement loop])]==2 || [SCHLFIND-6([mother supplement
loop])]==3)
COMMENT: Is school elementary, middle or high school?
If Answer = 1 Then Go To SCHLFIND-9
SCHLFIND-9 [] |
Section: Fertility |
Is this school in the United States?
SCHLFIND-9B [] |
Section: Fertility |
[SCHLFIND-9([mother supplement loop])]
COMMENT: is the child's school in the u.s.?
If Answer =
1 Then Go To SCHLFIND-11
SCHLFIND-10 [] |
Section: Fertility |
In which country?
|
102 AFGHANISTAN |
104 ALBANIA |
106 ALGERIA |
|
108 ANTIGUA |
110 ARGENTINA |
112 ARMENIA |
|
114 AUSTRALIA |
115 AUSTRIA |
116 AZERBAIJAN |
|
130 BAHAMAS |
132 BANGLADESH
(EAST PAKISTAN) |
134 BARBADOS |
|
136 BELGIUM |
137 BYLORUSSIA
(BELORUSSE) |
140 BENIN |
|
142 BERMUDA |
144 BOLIVIA |
146 BOSNIA-HERCEGOVINA |
|
148 BRAZIL |
150 BULGARIA |
152 MYAMAR2
(FORMERLY BURMA) |
|
170 KAMPUCHEA
(FORMERLY CAMBODIA) |
172 CANADA |
174 QUEBEC
(CANADA) |
|
176 CEYLON (SRI
LANKA) |
178 CHILE |
180 CHINA |
|
182 COLOMBIA |
184 COSTA
RICA |
186 CROATIA |
|
188 CUBA |
190 CURACAO |
192 CYPRUS |
|
194 CZECH
REPUBLIC (FORMERLY PART OF CZECHOSLOVAKIA) |
210 DENMARK |
212 DOMINICAN
REPUBLIC |
|
230 ECUADOR |
232 EGYPT |
234 EL
SALVADOR |
|
236 ENGLAND |
238 ESTONIA |
240 ETHIOPIA |
|
250 FINLAND |
252 FRANCE |
254 FRENCH
GUIANA |
|
270 GAMBIA |
272 GERMANY |
274 GEORGIA |
|
276 GHANA |
278 GREECE |
280 GUADELOUPE |
|
282 GUATEMALA |
284 GUINEA |
286 GUINEA-BISSEAU |
|
288 GUYANA |
300 HAITI |
302 HONDURAS |
|
304 HONG
KONG |
306 HUNGARY |
320 ICELAND |
|
322 INDIA |
324 INDONESIA |
326 IRAN |
|
328 IRAQ |
330 IRELAND
(EIRE) |
332 ISRAEL |
|
334 ITALY |
336 IVORY
COAST |
350 JAMAICA |
|
352 JAPAN |
354 JORDAN |
370 KHAZAKHSTAN |
|
372 KOREA |
374 KURDIZIA |
390 LAOS |
|
392 LATVIA |
394 LEBANON |
396 LIBERIA |
|
398 LIBYA |
400 LIECHTENSTEIN |
402 LITHUANIA |
|
404 LUXEMBOURG |
420 MACEDONIA |
422 MALAYSIA |
|
424 MALTA |
426 MARTINIQUE |
428 MEXICO |
|
430 MOLDAVIA |
432 MONACO |
434 MOROCCO |
|
436 MYAMAR
(FORMERLY BURMA) |
450 NETHERLANDS |
452 NEW GUINEA
(PAPUA) |
|
454 NEW
ZEALAND |
456 NICARAGUA |
458 NIGERIA |
|
460 NORTHERN
IRELAND (ULSTER) |
462 NORWAY |
480 PAKISTAN |
|
482 PANAMA |
484 PARAGUAY |
486 PHILIPPINES |
|
488 PERU |
490 POLAND |
492 PORTUGUAL |
|
510 RHODESIA |
512 ROMANIA |
514 RUSSIA |
|
530 SAUDI
ARABIA |
532 SCANDINAVIA |
534 SCOTLAND |
|
536 SENEGAL |
538 SIERRA
LEONE |
540 SINGAPORE |
|
542 SLOVAK
REPUBLIC (FORMERLY PART OF CZECHOSLOVAKIA) |
544 SLOVINIA |
546 SOUTH
AFRICA |
|
548 SPAIN |
550 SURINAM |
552 SWEDEN |
|
554 SWITZERLAND |
556 SYRIA |
570 TAIWAN |
|
572 TAJIKHISTAN |
574 THAILAND |
576 TOGO |
|
578 TRINIDAD
AND TOBAGO |
580 TUNISIA |
582 TURKEY |
|
584 TURKOMENISTAN |
600 UGANDA |
602 UKRAINE |
|
604 UNITED
STATES |
606 UZBEKHISTAN |
620 VENEZUELA |
|
622 VIETNAM |
624 VIRGIN
ISLANDS (NOT U.S.) |
640 WALES |
|
650 YUGOSLAVIA |
660 OTHER
COUNTRY - ASIA |
662 OTHER
COUNTRY - AFRICA (SUB-SAHARAN) |
|
664 OTHER
COUNTRY - CARIBBEAN |
666 OTHER
COUNTRY - EUROPE |
668 OTHER
COUNTRY - MIDDLE EAST |
|
670 OTHER
COUNTRY - PACIFIC ISLANDS |
672 OTHER
(SPECIFY) |
SCHLFIND-11 [] |
Section: Fertility |
ENTER THE STATE:
|
1 ALABAMA |
2 ALASKA |
4 ARIZONA |
|
5 ARKANSAS |
6 CALIFORNIA |
8 COLORADO |
|
9 CONNECTICUT |
10 DELAWARE |
11 DISTRICT OF
COLUMBIA |
|
12 FLORIDA |
13 GEORGIA |
15 HAWAII |
|
16 IDAHO |
17 ILLINOIS |
18 INDIANA |
|
19 IOWA |
20 KANSAS |
21 KENTUCKY |
|
22 LOUISIANA |
23 MAINE |
24 MARYLAND |
|
25 MASSACHUSETTS |
26 MICHIGAN |
27 MINNESOTA |
|
28 MISSISSIPPI |
29 MISSOURI |
30 MONTANA |
|
31 NEBRASKA |
32 NEVADA |
33 NEW
HAMPSHIRE |
|
34 NEW
JERSEY |
35 NEW
MEXICO |
36 NEW
YORK |
|
37 NORTH
CAROLINA |
38 NORTH
DAKOTA |
39 OHIO |
|
40 OKLAHOMA |
41 OREGON |
42 PENNSYLVANIA |
|
44 RHODE
ISLAND |
45 SOUTH
CAROLINA |
46 SOUTH
DAKOTA |
|
47 TENNESSEE |
48 TEXAS |
49 UTAH |
|
50 VERMONT |
51 VIRGINIA |
53 WASHINGTON |
|
54 WEST
VIRGINIA |
55 WISCONSIN |
56 WYOMING |
|
60 AMERICAN
SAMOA |
61 CANAL
ZONE |
62 CANTON AND
ENDERBURY ISLANDS |
|
66 GUAM |
67 JOHNSTON
ATOLL |
71 MIDWAY
ISLANDS |
|
72 PUERTO
RICO |
73 RYUKYU
ISLANDS, SOUTHERN |
74 SWAN
ISLANDS |
|
75 TRUST
TERRITORIES OF PACIFIC |
76 U.S.
MISCELLANEOUS CARIBBEAN |
77 U.S.
MISCELLANEOUS PACIFIC ISLANDS |
|
78 VIRGIN
ISLANDS |
79 WAKE
ISLAND |
0 OTHER
(SPECIFY) |
If Answer >= -2 AND
Answer <= -1 Then Go To SCHLFIND-180_00001
SCHLFIND-13 [] |
Section: Fertility |
PLEASE SELECT THE CITY:
INTERVIEWER: IF CITY IS NOT ON LIST, SELECT "OTHER
CITY" FROM THE LIST.
If Answer >= -2 AND Answer <= 0 Then Go To
SCHLFIND-180_00001
SCHLFIND-15 [] |
Section: Fertility |
PLEASE SELECT THE SCHOOL:
INTERVIEWER: IF SCHOOL IS NOT ON LIST, SELECT
"OTHER SCHOOL" FROM THE LIST. PLEASE BE PATIENT, THIS MAY TAKE A MOMENT TO
LOAD.
If Answer >= -2 AND Answer <= 0 Then Go To
SCHLFIND-180_00001
SCHLFIND-180_00001 [] |
Section: Fertility |
Verification Screen:
SCHLFIND-180_00002 [] |
Section: Fertility |
SCHLFIND-180_00003 [] |
Section: Fertility |
SCHLFIND-180_00004 [] |
Section: Fertility |
SCHLFIND-180_00005 [] |
Section: Fertility |
BKGN-5-DATECHK_MS1 [] |
Section: Fertility |
({^MSSUMMERTERM([mother supplement
loop])^})
COMMENT: Is interview date near or after the end of the school year?
If Answer = 1 Then Go To BKGN-5A_MS1
BKGN-5A_MS1 [] |
Section: Fertility |
Is/Was [Surprise child's name([mother supplement loop])]
(currently) attending or enrolled in summer school?
BKGN-5B_MS1 [] |
Section: Fertility |
Has [Surprise child's name([mother supplement loop])]
ever attended summer school?
BKGN-6-DATECHK_MS1 [] |
Section: Fertility |
({^MSFALLTERM([mother supplement
loop])^})
COMMENT: Is interview date after or near the beginning of the new school
year?
If Answer = 1 Then Go To BKGN-6A_MS1
BKGN-6A_MS1 [] |
Section: Fertility |
Now please think about the [2014-2015([mother supplement
loop])] regular school year.
Has [Surprise child's name([mother
supplement loop])] been attending regular school or preschool for at least four
weeks (of the [2014-2015([mother supplement loop])] school year)?
BKGN-6B_MS1 [] |
Section: Fertility |
What grade is [Surprise child's name([mother supplement
loop])] currently attending?
(IF R SAYS 'PRE-FIRST GRADE', CODE
KINDERGARTEN.)
|
90 Nursery/preschool |
0 Kindergarten |
|
1 1st grade |
2 2nd
grade |
|
3 3rd grade |
4 4th
grade |
|
5 5th grade |
6 6th
grade |
|
7 7th grade |
8 8th
grade |
|
9 9th grade |
10 10th
grade |
|
11 11th
grade |
12 12th
grade |
|
13 1st year in
college |
14 2nd year in
college |
|
15 3rd year in
college |
16 4th year in
college |
|
17 5th year in
college |
18 6th year in
college |
|
19 7th year in
college |
20 8th year in
college or more |
|
95 Ungraded |
BKGN-6C_MS1 [] |
Section: Fertility |
If [Surprise child's name([mother supplement loop])] were
in a graded class, what grade would [s/he([mother supplement loop])] be enrolled
in?
(IF R SAYS 'PRE-FIRST GRADE', CODE KINDERGARTEN.)
|
90 Nursery/preschool |
|
0 Kindergarten |
|
1 1st
grade |
|
2 2nd
grade |
|
3 3rd
grade |
|
4 4th
grade |
|
5 5th
grade |
|
6 6th
grade |
|
7 7th
grade |
|
8 8th
grade |
|
9 9th
grade |
|
10 10th
grade |
|
11 11th
grade |
|
12 12th
grade |
|
95 Other
(SPECIFY) |
BKGN-AGECK-PRESCHL_MS1 [] |
Section: Fertility |
({^MSAGE([mother supplement
loop])^} < 8)
If Answer = 1 Then Go To
BKGN-GRDCHK-PRESCHL_MS1
BKGN-GRDCHK-PRESCHL_MS1 [] |
Section: Fertility |
({^MSGRADE([mother supplement
loop])^})
COMMENT: Is CHILD currently attending nursery or preschool (i.e., Child's
GRADE coded 90)?
If Answer = 90 Then Go To BKGN-8_MS1
BKGN-7_MS1 [] |
Section: Fertility |
Has [Surprise child's name([mother supplement loop])]
ever been enrolled in a preschool program (not including
kindergarten)?
BKGN-8_MS1 [] |
Section: Fertility |
Has [Surprise child's name([mother supplement loop])]
ever been enrolled in day care?
BKGN-11_MS1 [] |
Section: Fertility |
({^HEADSTRT([mother supplement
loop])^} == 1)
COMMENT: Does complete information on Head Start participation already exist
for child ?
If Answer = 1 Then Go To BKGN-17_MS1
BKGN-12_MS1 [] |
Section: Fertility |
Has [Surprise child's name([mother supplement loop])]
ever been enrolled in the Head Start Program?
BKGN-13_MS1 [] |
Section: Fertility |
How old was [Surprise child's name([mother supplement
loop])] when [s/he([mother supplement loop])] first attended Head
Start?
(INTERVIEWER: ENTER AGE IN YEARS.
CODE 00 = LESS THAN 1 YEAR OLD.)
BKGN-14_MS1 [] |
Section: Fertility |
In total, how long (has [Surprise child's name([mother
supplement loop])] attended/did [Surprise child's name([mother supplement
loop])] attend) Head Start?
|
1 Less than 3
months |
|
2 3 - 11
months |
|
3 1 year - 23
months |
|
4 2 years or
more |
|
5 Still
enrolled |
BKGN-15_MS1 [] |
Section: Fertility |
How satisfied are you with what Head Start has done for
[Surprise child's name([mother supplement loop])]?
|
1 Very
satisfied |
|
2 Somewhat
satisfied |
|
3 Somewhat
dissatisfied |
|
4 Very
dissatisfied |
BKGN-16_MS1 [] |
Section: Fertility |
How satisfied are you with what [Surprise child's
name([mother supplement loop])]'s Head Start program has done for
you?
|
1 Very
satisfied |
|
2 Somewhat
satisfied |
|
3 Somewhat
dissatisfied |
|
4 Very
dissatisfied |
BKGN-17_MS1 [] |
Section: Fertility |
{^MSAGE([mother supplement
loop])^} < 5
COMMENT: If child age is less than 5 YRS , jump to BKGN-END
If
Answer = 1 Then Go To HLTH-CHK1_MS1
BKGN-18_MS1 [] |
Section: Fertility |
({^MSINSCHL([mother supplement
loop])^} == 1)
If Answer = 1 Then Go To
BKGN-20_MS1
BKGN-19_MS1 [] |
Section: Fertility |
If [Surprise child's name([mother supplement loop])] does
not attend school at all, what is the reason?
|
1 Unable to
attend due to physical, emotional, or mental condition |
|
2 Expelled or
suspended |
|
3 School closed
because of strike, physical damage, etc. |
|
4 Child's
father, stepfather, father-figure won't let child attend |
|
7 Home
schooled |
|
5 Other reasons
(SPECIFY) |
BKGN-20_MS1 [] |
Section: Fertility |
Which of the following describes the school [Surprise
child's name([mother supplement loop])] attends:
|
1 Public
school ...(Go To BKGN-23_MS1) |
|
2 Charter
school |
|
3 Catholic
school |
|
4 Other
religious or church-sponsored school |
|
5 Non-religious
private school ...(Go To BKGN-23_MS1) |
|
6 Indian
reservation school |
|
7 Military
academy |
|
8 Home-schooled ...(Go To
BKGN-23_MS1) |
|
9 Other
(SPECIFY) |
BKGN-21_MS1 [] |
Section: Fertility |
Is the school [s/he([mother supplement loop])] attends
public or private?
|
1 Public |
|
2 Private |
|
3 Other
(SPECIFY) |
|
4 Does not
attend school at all |
BKGN-23_MS1 [] |
Section: Fertility |
({^MSEVERSCHL([mother supplement
loop])^} == 0) && ({^MSINSCHL([mother
supplement loop])^} == 0)
If Answer = 1 Then
Go To BKGN-32_MS1
BKGN-24_MS1 [] |
Section: Fertility |
How many different schools has your child ever attended?
Please include the school [s/he([mother supplement loop])] is currently
attending.
If Answer >= -2 AND Answer <= -1 Then Go To BKGN-FIRSTLANG_MS1
BKGN-25_MS1 [] |
Section: Fertility |
How many of these were elementary schools?
BKGN-FIRSTLANG_MS1 [] |
Section: Fertility |
What language did [Surprise child's name([mother
supplement loop])] speak when [s/he([mother supplement loop])] first started
regular school?
|
1 ENGLISH (OR
MOSTLY ENGLISH) |
|
2 SPANISH (OR
MOSTLY SPANISH) |
|
3 ENGLISH AND
SPANISH EQUALLY |
|
4 ENGLISH AND
ANOTHER LANGUAGE EQUALLY (SPECIFY) |
|
5 CHILD DOES
NOT SPEAK |
|
6 ANOTHER
LANGUAGE (SPECIFY) |
BKGN-CURRLANG_MS1 [] |
Section: Fertility |
What language does [Surprise child's name([mother
supplement loop])] speak most now?
COMMENT:
|
1 ENGLISH (OR
MOSTLY ENGLISH) |
|
2 SPANISH (OR
MOSTLY SPANISH) |
|
3 ENGLISH AND
SPANISH EQUALLY |
|
4 ENGLISH AND
ANOTHER LANGUAGE EQUALLY (SPECIFY) |
|
5 CHILD DOES
NOT SPEAK |
|
6 ANOTHER
LANGUAGE (SPECIFY) |
BKGN-26_MS1 [] |
Section: Fertility |
In a typical school week, how much time does
[Surprise child's name([mother supplement loop])] usually spend after school
working on math problems or math homework?
ENTER HOURS PER
WEEK. ROUND TO NEAREST 1/2 HR.
BKGN-27_MS1 [] |
Section: Fertility |
In a typical school week, how much time does
[Surprise child's name([mother supplement loop])] usually spend after school
writing up reports, papers, book-reports, or stories?
ENTER HOURS PER WEEK. ROUND TO NEAREST 1/2 HR.
BKGN-28_MS1 [] |
Section: Fertility |
({^MSEVERSCHL([mother supplement
loop])^} == 0) && ({^MSINSCHL([mother
supplement loop])^} == 0)
If Answer = 1 Then
Go To BKGN-32_MS1
BKGN-29A-MATRIX_MS1 [] |
Section: Fertility |
[During the [school year referent] school year([mother
supplement loop])], did/has [Surprise child's name([mother supplement loop])]
participate(d) in....
|
- ...a remedial math
program? |
|
- ...a remedial reading,
remedial English, or remedial language arts program? |
|
- ...a gifted and talented
program, or a special class for advanced work? |
|
- ...special education or a
program for handicapped children? |
|
- ...a program that teaches
English as a second language (ESL)? |
BKGN-30_MS1 [] |
Section: Fertility |
({^MSINSCHL([mother supplement
loop])^} == 1)
If Answer = 1 Then Go To
BKGN-31-MATRIX_MS1
BKGN-31-MATRIX_MS1 [] |
Section: Fertility |
Do you or your (spouse/partner) ....
|
- ...participate in a
parent-teacher organization at child's school? |
|
- ...volunteer in the classroom
at child's school? |
|
- ...do volunteer work such as
supervising lunch, or chaperoning a field trip at child's school? |
|
- ...attend parent-teacher
conferences at child's school? |
BKGN-32_MS1 [] |
Section: Fertility |
How many of [Surprise child's name([mother supplement
loop])]'s close friends do you know by sight and by first and last
name?
Do you know . . .
|
1 All of
them |
|
2 Most of
them |
|
3 About
half |
|
4 Only a
few |
|
5 None of
them |
|
6 CHILD HAS NO
CLOSE FRIENDS |
BKGN-33_MS1 [] |
Section: Fertility |
About how often do you know who [Surprise child's
name([mother supplement loop])] is with when [s/he([mother supplement loop])] is
not at home?
Would you say you know who [s/he([mother supplement loop])]
is with...
|
1 All of the
time |
|
2 Most of the
time |
|
3 Some of the
time, or |
|
4 Rarely? |
BKGN-34_MS1 [] |
Section: Fertility |
In the past year, how often has [Surprise child's
name([mother supplement loop])] attended religious services (including Sunday
School or other religious classes)?
|
1 About once a
week |
|
2 At least once
a month |
|
3 A few times a
year |
|
4 Never |
BKGN-35_MS1 [] |
Section: Fertility |
Aside from attending religious services, how important is
it to you to provide religious training for [him/her([mother supplement
loop])]?
|
1 Very
important |
|
2 Fairly
important |
|
3 Not at all
important |
HLTH-CHK1_MS1 [] |
Section: Fertility |
[msupplement_statcode([mother supplement
loop])]
COMMENT: Is first biological child deleted, deceased or adopted out?
If Answer = 5 Then Go To HLTH-MS1-LOOP-END
If Answer = 8 Then Go To HLTH-MS1-LOOP-END
If Answer = 99 Then Go To HLTH-MS1-LOOP-END
HLTH-CHK1A_MS1 [] |
Section: Fertility |
([child age (years)([mother supplement loop])] >
20)
COMMENT: Skip YA children over the age of 20 out of health questions
If Answer = 1 Then Go To HLTH-MS1-LOOP-END
HLTH-CHK2_MS1 [] |
Section: Fertility |
[msupplement_hhiflag([mother supplement
loop])]
COMMENT: Is child in the household at least part time?
If Answer = 1 Then Go To HLTH-TITLE_MS1
If Answer = 5 Then Go To HLTH-MS1-LOOP-END
If Answer = 8 Then Go To HLTH-MS1-LOOP-END
If Answer = 9 Then Go To HLTH-TITLE_MS1
If Answer = 10 Then Go To HLTH-TITLE_MS1
HLTH-TITLE_MS1 [] |
Section: Fertility |
BEGIN CHILD HEALTH SECTION
[msupplement_name([mother supplement
loop])]
HLTH-INTRO_MS1 [] |
Section: Fertility |
(READ TO MOTHER/GUARDIAN)
Now I'd like to ask you
some questions about [Surprise child's name([mother supplement loop])]'s general
health.
HLTH-YA-AGE-CHECK [] |
Section: Fertility |
[child date of birth([mother supplement loop])~Y] <=
[1999]
COMMENT: Skip YA children to questions about illnesses
If Answer = 1 Then Go To HLTH-8_MS1
HLTH-NEW-CHK1_MS1 [] |
Section: Fertility |
[msupplement_statcode([mother supplement
loop])]
COMMENT: Is first biological child deleted, deceased or adopted out?
If Answer = 97 Then Go To HLTH-AGECHK1_MS1
HLTH-AGECHK-YA2_MS1 [] |
Section: Fertility |
[child date of birth([mother supplement loop])~Y] <=
[1999]
COMMENT: Does child turn 15 years or older during survey year?
If Answer = 1 Then Go To HLTH-8_MS1
HLTH-HW-MODECHK [] |
Section: Fertility |
[interview mode([mother supplement loop])]==1
COMMENT: Internal Function - If telephone interview or mother permission
refusal, go directly to height & weight questions. Otherwise
continue.
If Answer = 1 Then Go To HLTH-21A
HLTH-21A [] |
Section: Fertility |
INTERVIEWER: DOES CHILD HAVE
ANY SERIOUS HEALTH LIMITATIONS THAT WOULD AFFECT MEASUREMENT OR
TESTING?
HLTH-21B [] |
Section: Fertility |
INTERVIEWER: IF CHILD HAS A
SERIOUS PHYSICAL OR MENTAL CONDITION THAT MAY INFLUENCE MEASUREMENT, TACTFULLY
TELL MOTHER THAT SOME MEASUREMENTS MAY BE INAPPROPRIATE FOR THE CHILD BUT YOU
WILL ADMINISTER THE ONES YOU CAN.
RECORD CONDITION BELOW.
HLTH-HW-INTRO-IP [] |
Section: Fertility |
INTERVIEWER: (IF CHILD IS
NOT ALREADY PRESENT) READ TO MOTHER:
Could you please bring [Surprise
child's name([mother supplement loop])] into the room and help make
[him/her([mother supplement loop])] feel comfortable?
HLTH-HW-MSBORNB4_R19_CHK1 [] |
Section: Fertility |
VAREXIST ([MSBORNB4_R19([mother supplement
loop])])
COMMENT: Internal Function - If Child age eligible for assessment, read Intro
B. Otherwise, read Intro A.
If Answer = 1 Then Go To
HLTH-HW-INTRO-AGECK
HLTH-HW-INTRO-AGECK [] |
Section: Fertility |
[MSBORNB4_R19([mother supplement loop])]==1
COMMENT: Internal Function - If Child age eligible for assessment, read Intro
B. Otherwise, read Intro A.
If Answer = 1 Then Go To
HLTH-HW-INTRO-IPB
HLTH-HW-INTRO-IPA [] |
Section: Fertility |
What did your mother tell you about my
visit?
(WAIT FOR CHILD'S RESPONSE, THEN CONTINUE:)
(That's right
or I see.) Your mother has been helping us by answering some questions. Now it's
your turn. First we'll see how big you are.
HLTH-HW-INTRO-IPB [] |
Section: Fertility |
What did your mother tell you about my
visit?
(WAIT FOR CHILD'S RESPONSE, THEN CONTINUE:)
(That's right
or I see.) Your mother has been helping us by answering questions for many years
now. This makes her a very important person to us. Now we're going to take some
measurements from you.
HLTH-HGT-SELECT [] |
Section: Fertility |
(TO MOTHER:) I'd like to find out [Surprise child's
name([mother supplement loop])]'s height. How tall is [s/he([mother supplement
loop])]?
[Would you prefer to measure yourself or shall I do
it?/([mother supplement loop])]
INTERVIEWER: SELECT HOW YOU WISH TO ENTER HEIGHT
-
IN FEET AND INCHES -
OR - TOTAL INCHES
.
|
1 FEET AND
INCHES ENTRY |
|
2 TOTAL INCHES
ENTRY (ESP INFANTS) |
HLTH-HGT-MTHDCK [] |
Section: Fertility |
[height input method([mother supplement
loop])]
COMMENT: Internal Function
If Answer = 1 Then Go To
HLTH-HGT-FEET
If Answer = 2 Then Go To HLTH-HGT-TOTALINCHES
HLTH-HGT-FEET [] |
Section: Fertility |
(TO MOTHER: I'd like to find out how tall [Surprise
child's name([mother supplement loop])] is. [Would you prefer to measure yourself or shall I do it?/([mother supplement
loop])])
INTERVIEWER: RECORD FEET AND INCHES
BELOW.
HLTH-HGT-INCHES [] |
Section: Fertility |
HLTH-HGT-TOTALINCHES [] |
Section: Fertility |
(TO MOTHER: I'd like to find out how tall [Surprise
child's name([mother supplement loop])] is. [Would you prefer to measure yourself or shall I do it?/([mother supplement
loop])])
INTERVIEWER: RECORD HEIGHT IN TOTAL
INCHES.
HLTH-HGTCOMP [] |
Section: Fertility |
([height input([mother supplement loop])] <
[calculated min height([mother supplement loop])]) || ([height input([mother
supplement loop])] > [calculated max height([mother supplement
loop])])
COMMENT: Internal Function - Is total child height in inches outside of
calculated min - max range?
If Answer = 1 Then Go To
HLTH-HGT-MTHDCK2
HLTH-HGT-MTHDCK2 [] |
Section: Fertility |
[height input method([mother supplement
loop])]
COMMENT: Internal Function
If Answer = 1 Then Go To
HLTH-HGTCONF1
If Answer = 2 Then Go To HLTH-HGTCONF2
HLTH-HGTCONF1 [] |
Section: Fertility |
INTERVIEWER:
CAUTION...
THE HEIGHT ENTERED FOR [Surprise child's name([mother supplement loop])] IS
OUTSIDE THE USUAL RANGE OF HEIGHT FOR A CHILD THIS AGE. PLEASE CHECK -- ARE
THESE VALUES CORRECT?
[number of feet([mother
supplement loop])] FEET AND
[number of inches([mother supplement loop])] INCHES
BACK UP TO CORRECT ANY ERROR, OR SELECT
"YES" TO CONFIRM THE VALUES AND CONTINUE.
HLTH-HGTCONF2 [] |
Section: Fertility |
INTERVIEWER:
CAUTION...
THE HEIGHT ENTERED FOR [Surprise child's name([mother supplement loop])] IS
OUTSIDE THE USUAL RANGE OF HEIGHT FOR A CHILD THIS AGE. PLEASE CHECK -- IS THIS
VALUE CORRECT?
[total # inches([mother
supplement loop])] TOTAL
INCHES
BACK UP TO CORRECT ANY ERROR, OR SELECT "YES" TO
CONFIRM THE VALUE AND CONTINUE.
HLTH-HGT-REPT [] |
Section: Fertility |
INTERVIEWER: HOW WAS HEIGHT
REPORTED?
|
1 TAPE
MEASUREMENT |
|
2 MOTHER
RECALL |
|
3 CHILD
RECALL |
HLTH-WGT-SELECT [] |
Section: Fertility |
(TO MOTHER:) Now I'd like to find out [Surprise child's
name([mother supplement loop])]'s weight. How much does [s/he([mother supplement
loop])] weigh?
[Would you prefer to weigh yourself or shall
I do it?/([mother supplement loop])]
INTERVIEWER: SELECT HOW YOU WISH TO ENTER
WEIGHT
POUNDS - OR
- POUNDS AND OUNCES (FOR CHILDREN UNDER 20 LBS.)
|
1 ENTER POUNDS
ONLY |
|
2 ENTER POUNDS
AND OUNCES (ESP INFANTS) |
HLTH-WGT-MTHDCK [] |
Section: Fertility |
[weight input method([mother supplement
loop])]
COMMENT: Internal Function
If Answer = 1 Then Go To
HLTH-WGT-LBSONLY
If Answer = 2 Then Go To HLTH-WGT-LBS
HLTH-WGT-LBSONLY [] |
Section: Fertility |
(TO MOTHER: I'd like to find out [Surprise child's
name([mother supplement loop])]'s weight. [Would you prefer to weigh yourself or shall I do it?/([mother supplement
loop])])
INTERVIEWER: RECORD WEIGHT
IN POUNDS. IF MEASUREMENT TAKEN, BE
SURE CHILD IS NOT WEARING SHOES OR HEAVY OUTER
GARMENTS.
HLTH-WGT-LBS [] |
Section: Fertility |
(TO MOTHER: I'd like to find out [Surprise child's
name([mother supplement loop])]'s weight. [Would you prefer to weigh yourself or shall I do it?/([mother supplement
loop])])
INTERVIEWER: (FOR
CHILDREN UNDER 20 LBS.) RECORD POUNDS AND OUNCES. IF
MEASUREMENT TAKEN, BE SURE CHILD IS NOT WEARING
SHOES OR HEAVY OUTER GARMENTS.
HLTH-WGT-OZS [] |
Section: Fertility |
HLTH-WGTCOMP [] |
Section: Fertility |
([weight input([mother supplement loop])] <
[calculated minweight([mother supplement loop])]) || ([weight input([mother
supplement loop])] > [calculated max weight([mother supplement
loop])])
COMMENT: Internal Function - Is total child height in inches outside of
calculated min - max range?
If Answer = 1 Then Go To
HLTH-WGT-MTHDCK2
HLTH-WGT-MTHDCK2 [] |
Section: Fertility |
[weight input method([mother supplement
loop])]
COMMENT: Internal Function
If Answer = 1 Then Go To
HLTH-WGTCONF1
If Answer = 2 Then Go To HLTH-WGTCONF2
HLTH-WGTCONF1 [] |
Section: Fertility |
INTERVIEWER:
CAUTION...
THE WEIGHT ENTERED FOR [Surprise child's name([mother supplement loop])] IS
OUTSIDE THE USUAL RANGE OF WEIGHT FOR A CHILD THIS AGE. PLEASE CHECK -- IS THE
VALUE SHOWN CORRECT?
[# of pounds([mother
supplement loop])] POUNDS
BACK UP
TO CORRECT ANY ERROR, OR SELECT "YES" TO CONFIRM THE VALUE AND
CONTINUE.
HLTH-WGTCONF2 [] |
Section: Fertility |
INTERVIEWER:
CAUTION...
THE WEIGHT ENTERED FOR [Surprise child's name([mother supplement loop])] IS
OUTSIDE THE USUAL RANGE OF WEIGHT FOR A CHILD THIS AGE. PLEASE CHECK -- ARE THE
VALUES SHOWN CORRECT?
[# of pounds([mother
supplement loop])] POUNDS AND [don't
know/refused([mother supplement loop])] OUNCES
BACK UP TO CORRECT ANY ERROR, OR SELECT
"YES" TO CONFIRM THE VALUE(S) AND CONTINUE.
HLTH-WGT-REPT [] |
Section: Fertility |
INTERVIEWER: HOW WAS WEIGHT
REPORTED?
|
1 SCALE
MEASUREMENT |
|
2 MOTHER
RECALL |
|
3 CHILD
RECALL |
HLTH-AGECHK0_MS1 [] |
Section: Fertility |
{^MSAGE([mother supplement
loop])^} < 3 || [msupplement_statcode([mother supplement loop])] ==
97
COMMENT: NO BACKGROUND ITEMS ASKED FOR CHILDREN UNDER 3
If Answer = 1 Then Go To HLTH-AGECHK1_MS1
HLTH-1A_MS1 [] |
Section: Fertility |
{^RESN-NOSCHL([mother supplement
loop])^} == 1
COMMENT: If reason for not attending school is health related, skip directly
to HEALTH-5 LOOP begin
If Answer = 1 Then Go To HLTH-5-LOOP-BEGIN_MS1
HLTH-1B_MS1 [] |
Section: Fertility |
({^msage([mother supplement
loop])^} >= 4) || ({^msinschl([mother supplement
loop])^} == 1) || ({^mseverschl([mother supplement
loop])^} == 1)
If Answer = 1 Then Go To
HLTH-2A_MS1
HLTH-2A_MS1 [] |
Section: Fertility |
Does [Surprise child's name([mother supplement loop])]
have any physical, emotional, or mental condition that limits or prevents
[his/her([mother supplement loop])] ability to...
...attend school
regularly?
HLTH-2B_MS1 [] |
Section: Fertility |
Does [s/he([mother supplement loop])] have any physical,
emotional or mental condition that limits or prevents [his/her([mother
supplement loop])] ability to...
...do regular school work?
HLTH-2C_MS1 [] |
Section: Fertility |
Does [Surprise child's name([mother supplement loop])]
have any physical, emotional, or mental condition that limits or prevents
[his/her([mother supplement loop])] ability to...
...do usual childhood
activities such as play, or participate in games or sports?
HLTH-3A_MS1 [] |
Section: Fertility |
Does [s/he([mother supplement loop])] have any physical,
emotional, or mental condition that requires...
...frequent attention or
treatment from a doctor or other health professional?
HLTH-3B_MS1 [] |
Section: Fertility |
Does [Surprise child's name([mother supplement loop])]
have any physical, emotional, or mental condition that
requires...
...regular use of any medicine or drug (other than
vitamins)?
HLTH-3C_MS1 [] |
Section: Fertility |
Does [s/he([mother supplement loop])] have any physical,
emotional, or mental condition that requires...
... use of any special
equipment, such as a brace, crutches, a wheelchair, special shoes, a helmet, a
special bed, a breathing mask, an air filter, or a catheter and so
on?
HLTH-5-LOOP-BEGIN_MS1 [] |
Section: Fertility |
REPEAT
HLTH-5A_VERBATIM_MS1 [] |
Section: Fertility |
What is [Surprise child's name([mother supplement
loop])]'s (next) health condition or limitation?
INTERVIEWER: PROBE AS NECESSARY: (What is it
called?)
HLTH-5A_MS1 [] |
Section: Fertility |
CODE ONLY ONE
|
1 Learning
disability |
|
2 Minimal brain
dysfunction, minimal cerebral dysfunction, attention deficit
disorder |
|
3 Hyperkinesis,
hyperactivity |
|
4 Asthma |
|
5 Respiratory
disorder or sinus infection |
|
6 Speech
impairment |
|
7 Serious
hearing difficulty or deafness |
|
8 Serious
difficulty in seeing or blindness |
|
9 Serious
emotional disturbance |
|
10 Allergic
condition(s) |
|
11 Orthopedic
handicap |
|
12 Mental
retardation |
|
13 Heart
trouble |
|
14 Chronic
nervous disorder |
|
16 Chronic ear
problems or infections |
|
17 Blood
disorder or immune deficiency (e.g. sickle cell anemia) |
|
18 Epilepsy/Seizures |
|
95 Health
condition not listed (SPECIFY) |
HLTH-5C-AGECK_MS1 [] |
Section: Fertility |
{^msagemo([mother supplement
loop])^}<=11
COMMENT: Don't ask how long had condition if less than 1 yr old
If Answer = 1 Then Go To HLTH-5-CNT_MS1
HLTH-5C_MS1 [] |
Section: Fertility |
IN REFERENCE TO
VERBATIM:
[health condition([mother supplement
loop]:[conditions requiring special equipment loop])]
How old was
[Surprise child's name([mother supplement loop])] when [s/he([mother supplement
loop])] first developed this condition?
INTERVIEWER: ENTER AGE IN YEARS (SINCE
BIRTH=0)
HLTH-5-CNT_MS1 [] |
Section: Fertility |
[conditions requiring special equipment loop]
COMMENT: IF loop=1 goto HLTH-5-1STQ2A, else skip to HLTH-5-SCHLCHK
If Answer = 1 Then Go To HLTH-5-1STQ2A_MS1
HLTH-5-1STQ2A_MS1 [] |
Section: Fertility |
([limits to attending school?([mother supplement loop])]
== 1) || ([reason child not attending school([mother supplement loop])] ==
1)
COMMENT: jump to NEXT appropriate effect of limit to ask about
If Answer = 1 Then Go To HLTH-5E_MS1
HLTH-5-1STQ2B_MS1 [] |
Section: Fertility |
{^lim-schlwk([mother supplement
loop])^} == 1
COMMENT: jump to NEXT appropriate effect of limit to ask about
If Answer = 1 Then Go To HLTH-5F_MS1
HLTH-5-1STQ2C_MS1 [] |
Section: Fertility |
{^lim-play([mother supplement
loop])^} == 1
COMMENT: jump to NEXT appropriate effect of limit to ask about
If Answer = 1 Then Go To HLTH-5G_MS1
HLTH-5-1STQ3A_MS1 [] |
Section: Fertility |
{^lim-dr-oftn([mother supplement
loop])^} ==1
COMMENT: jump to NEXT appropriate effect of limit to ask about
If Answer = 1 Then Go To HLTH-5H_MS1
HLTH-5-1STQ3B_MS1 [] |
Section: Fertility |
{^lim-meds([mother supplement
loop])^} == 1
COMMENT: jump to NEXT appropriate effect of limit to ask about
If Answer = 1 Then Go To HLTH-5I_MS1
HLTH-5-1STQ3C_MS1 [] |
Section: Fertility |
{^lim-eqmt([mother supplement
loop])^} == 1
COMMENT: jump to NEXT effect of limit to ask about
If
Answer = 1 Then Go To HLTH-5J_MS1
HLTH-5-SCHLCK_MS1 [] |
Section: Fertility |
({^msage([mother supplement
loop])^} >=4) || ({^msinschl([mother supplement
loop])^} == 1) || ({^mseverschl([mother supplement
loop])^} == 1)
If Answer = 1 Then Go To
HLTH-5D_MS1
HLTH-5D_MS1 [] |
Section: Fertility |
IN REFERENCE TO
VERBATIM:
[health condition([mother supplement
loop]:[conditions requiring special equipment loop])]
Does this
condition limit or prevent [his/her([mother supplement loop])] ability
to...
...attend school regularly?
HLTH-5E_MS1 [] |
Section: Fertility |
IN REFERENCE TO
VERBATIM:
[health condition([mother supplement
loop]:[conditions requiring special equipment loop])]
Does this
condition limit or prevent [his/her([mother supplement loop])] ability
to...
...do regular schoolwork?
HLTH-5F_MS1 [] |
Section: Fertility |
IN REFERENCE TO
VERBATIM:
[health condition([mother supplement
loop]:[conditions requiring special equipment loop])]
Does this
condition limit or prevent [his/her([mother supplement loop])] ability
to...
...do usual childhood activities such as play, or participate in
games or sports?
HLTH-5G_MS1 [] |
Section: Fertility |
IN REFERENCE TO
VERBATIM:
[health condition([mother supplement
loop]:[conditions requiring special equipment loop])]
Does this
condition require...
...frequent attention or treatment from a doctor or
other health professional?
HLTH-5H_MS1 [] |
Section: Fertility |
IN REFERENCE TO
VERBATIM:
[health condition([mother supplement
loop]:[conditions requiring special equipment loop])]
Does this
condition require...
...regular use of any medicine or drug (other than
vitamins)?
HLTH-5I_MS1 [] |
Section: Fertility |
IN REFERENCE TO
VERBATIM:
[health condition([mother supplement
loop]:[conditions requiring special equipment loop])]
Does this
condition require...
... use of any special equipment, such as a brace,
crutches, a wheelchair, special shoes, a helmet, a special bed, a breathing
mask, an inhaler, an air filter, or a catheter and so on?
HLTH-5J_MS1 [] |
Section: Fertility |
Does [Surprise child's name([mother supplement loop])]
have any other health conditions (that we haven't talked about)?
HLTH-5-LOOP-END_MS1 [] |
Section: Fertility |
UNTIL({^anymoreconds([mother
supplement loop]:[conditions requiring special equipment
loop])^}==0)
COMMENT: loop until there are no more conditions to ask about
HLTH-AGECHK1_MS1 [] |
Section: Fertility |
{^MSAGE([mother supplement
loop])^} < 3 || [msupplement_statcode([mother supplement loop])] ==
97
COMMENT: NO BACKGROUND ITEMS ASKED FOR CHILDREN UNDER 3
If Answer = 1 Then Go To Q9-195
HLTH-6_MS1 [] |
Section: Fertility |
[Since was born/During the past 12
months([mother supplement loop])], has [Surprise child's name([mother supplement
loop])] had any accidents or injuries that required medical
attention?
HLTH-6-LOOP-BEGIN_MS1 [] |
Section: Fertility |
REPEAT
COMMENT: Begin loop about accidents requiring medical attention
HLTH-6B_MS1 [] |
Section: Fertility |
Thinking of the [most recent accident or injury/accident
or injury that occurred before the one you just described([mother supplement
loop]:[illnesses/injuries that required medical attention])], in what month and
year did it occur?
HLTH-6C_VERBATIM_MS1 [] |
Section: Fertility |
What was the cause of that accident or injury?
HLTH-6C_MS1 [] |
Section: Fertility |
CODE ONLY ONE
|
1 Motor vehicle
accident as occupant |
2 Motor vehicle
accident as pedestrian |
|
3 Cycling |
4 Fall
unrelated to athletics or sports activity |
|
5 Fall/contact
related to athletics/sports activity |
6 Fire or
smoke |
|
7 Hot liquid |
8 Toy or item
intended for child use |
|
9 Equipment or
device not intended for a child |
10 Poisoning |
|
11 Smashed body
part: car/door/window bruise/contusion |
12 Adult
injured child accidentally (pull/lift injury) |
|
13 Intentional
violent injury |
14 "Rough
housing", impact injury: wrestling, etc. |
|
16 Fighting:
broke bone/nose, hit in face, shot, stabbed, etc. |
17 Struck by
object from other person (intent unknown) |
|
18 Insect sting
or bite |
19 Stepped on
sharp object, i.e. glass/nails/metal |
|
20 Ran into
stationary object (not in home environment) |
22 Ran into
stationary object (home environment) |
|
21 Animal
bite |
23 Cut by sharp
object, i.e. knife/glass/tool |
|
24 Burn, i.e.
from heater/cigarette/oven/stove |
25 Jump/fall
accident, i.e. off furniture/other object |
|
26 "Temper"
injuries, i.e. fell, kicked furniture, etc. |
15 Other
(SPECIFY) |
HLTH-6D_MS1 [] |
Section: Fertility |
What specific injury or conditions resulted from the
accident just mentioned?
(SELECT ALL THAT APPLY)
|
1 Broken or
dislocated bones |
|
2 Sprain,
strain, or pulled muscle |
|
3 Wound: cuts,
scrapes, puncture |
|
4 Head injury,
concussion |
|
5 Bruise,
contusion, or internal bleeding |
|
6 Burn,
scald |
|
7 Illness or
effect from poisons, medicines (drugs), etc |
|
15 Other
(SPECIFY) |
HLTH-6E_MS1 [] |
Section: Fertility |
Where did the accident or injury happen?
|
1 At home (any,
not necessarily the child's) |
|
2 School
(including grounds and athletic areas) |
|
3 Day care
location (preschool/nursery) |
|
4 Street or
highway |
|
5 Public
building or space (other than streets or schools) |
|
6 Place of
recreation and sports, except school |
|
7 Farm or
agricultural area, except farm house |
|
8 Other
(SPECIFY) |
HLTH-6G_MS1 [] |
Section: Fertility |
Has [Surprise child's name([mother supplement loop])] had
any other accidents or injuries requiring medical attention [since
was born/during the past 12 months([mother supplement loop])]?
HLTH-6-LOOP-END_MS1 [] |
Section: Fertility |
UNTIL({^anymorehurts([mother
supplement loop]:[illnesses/injuries that required medical
attention])^}==0)
COMMENT: loop until there are no more accidents or injuries
HLTH-7_MS1 [] |
Section: Fertility |
Now we're going to talk about any time [Surprise child's
name([mother supplement loop])] may have been hospitalized since [
was born/we last interviewed you on mother last int([mother supplement loop])].
(This may include an injury that you have already mentioned
here.)
Has [Surprise child's name([mother supplement loop])] had any
accidents or injuries that required hospitalization since [ was
born/we last interviewed you on mother last int([mother supplement
loop])]?
HLTH-7-LOOP-BEGIN_MS1 [] |
Section: Fertility |
REPEAT
HLTH-7B_MS1 [] |
Section: Fertility |
Thinking of the [most recent accident or injury
that/accident or injury that occurred before the one you just described that
also([mother supplement loop]:[illnesses/injuries that required
hospitalization])] required hospitalization, in what month and year did it
occur?
HLTH-7C_VERBATIM_MS1 [] |
Section: Fertility |
What was the cause of this accident or injury?
HLTH-7C_MS1 [] |
Section: Fertility |
CODE ONLY ONE
|
1 Motor vehicle
accident as occupant |
2 Motor vehicle
accident as pedestrian |
|
3 Cycling |
4 Fall
unrelated to athletics or sports activity |
|
5 Fall/contact
related to athletics/sports activity |
6 Fire or
smoke |
|
7 Hot liquid |
8 Toy or item
intended for child use |
|
9 Equipment or
device not intended for a child |
10 Poisoning |
|
11 Smashed body
part: car/door/window bruise/contusion |
12 Adult
injured child accidentally (pull/lift injury) |
|
13 Intentional
violent injury |
14 "Rough
housing", impact injury: wrestling, etc. |
|
16 Fighting:
broke bone/nose, hit in face, shot, stabbed, etc. |
17 Struck by
object from other person (intent unknown) |
|
18 Insect sting
or bite |
19 Stepped on
sharp object, i.e. glass/nails/metal |
|
20 Ran into
stationary object (not in home environment) |
22 Ran into
stationary object (home environment) |
|
21 Animal
bite |
23 Cut by sharp
object, i.e. knife/glass/tool |
|
24 Burn, i.e.
from heater/cigarette/oven/stove |
25 Jump/fall
accident, i.e. off furniture/other object |
|
26 "Temper"
injuries, i.e. fell, kicked furniture, etc. |
15 Other
(SPECIFY) |
HLTH-7D_MS1 [] |
Section: Fertility |
What specific injury or conditions resulted from the
accident just mentioned?
(SELECT ALL THAT APPLY)
|
1 Broken or
dislocated bones |
|
2 Sprain,
strain, or pulled muscle |
|
3 Wound: cuts,
scrapes, puncture |
|
4 Head injury,
concussion |
|
5 Bruise,
contusion, or internal bleeding |
|
6 Burn,
scald |
|
7 Illness or
effect from poisons, medicines (drugs), etc |
|
15 Other
(SPECIFY) |
HLTH-7E_MS1 [] |
Section: Fertility |
Where did the accident or injury happen?
|
1 At home (any,
not necessarily the child's) |
|
2 School
(including grounds and athletic areas) |
|
3 Day care
location (preschool/nursery) |
|
4 Street or
highway |
|
5 Public
building or space (other than streets or schools) |
|
6 Place of
recreation and sports, except school |
|
7 Farm or
agricultural area, except farm house |
|
8 Other
(SPECIFY) |
HLTH-7G_MS1 [] |
Section: Fertility |
Has [Surprise child's name([mother supplement loop])] had
any other accidents or injuries requiring hospitalization since [ was
born/we last interviewed you on mother last int([mother supplement
loop])]?
HLTH-7-LOOP-END_MS1 [] |
Section: Fertility |
UNTIL({^anymorehosp([mother
supplement loop]:[illnesses/injuries that required
hospitalization])^}==0)
HLTH-8_MS1 [] |
Section: Fertility |
[Since child was born has /During the past 12
months has child([mother supplement loop])] had any illnesses that required
medical attention or treatment?
HLTH-8A_MS1 [] |
Section: Fertility |
How many such illnesses has [Surprise child's
name([mother supplement loop])] had [since was born/during the past
12 months([mother supplement loop])]?
HLTH-9_MS1 [] |
Section: Fertility |
When did [Surprise child's name([mother supplement
loop])] last see a doctor for a routine health checkup?
|
1 Less than 1
month ago |
|
2 1 - 3 months
ago |
|
3 4 - 6 months
ago |
|
4 7 - 11 months
ago |
|
5 1 year - 23
months ago |
|
6 2 or more
years ago |
|
7 Never |
HLTH-9A_MS1 [] |
Section: Fertility |
When did [Surprise child's name([mother supplement
loop])] last see a dentist for a routine dental checkup?
|
1 Less than 1
month ago |
|
2 1 - 3 months
ago |
|
3 4 - 6 months
ago |
|
4 7 - 11 months
ago |
|
5 1 year - 23
months ago |
|
6 2 or more
years ago |
|
7 Never |
HLTH-AGECHK3_MS1 [] |
Section: Fertility |
[child date of birth([mother supplement loop])~Y] <=
[1999]
COMMENT: Skip YA children to questions about health care coverage
If Answer = 1 Then Go To HLTH-14_MS1
HLTH-11-AGECK_MS1 [] |
Section: Fertility |
{^CHILDSEX([mother supplement
loop])^} == 2 && {^MSAGE([mother supplement
loop])^} >= 8 && {^msupplement_childper([mother supplement loop])^}==0
If
Answer = 1 Then Go To HLTH-11A_MS1
HLTH-11A_MS1 [] |
Section: Fertility |
Has [Surprise child's name([mother supplement loop])]
ever had a menstrual period?
HLTH-11B_MS1 [] |
Section: Fertility |
How old was [Surprise child's name([mother supplement
loop])] when she had her first menstrual period?
(INTERVIEWER:
ENTER AGE IN YEARS.)
HLTH-11C_MS1 [] |
Section: Fertility |
In what month and year did she have her first
period?
HLTH-12-AGECHK_MS1 [] |
Section: Fertility |
({^MSAGE([mother supplement
loop])^}>=2)
COMMENT: Is child age 2 yrs or older?
If Answer = 1
Then Go To HLTH-12A_MS1
HLTH-12A_MS1 [] |
Section: Fertility |
Which hand does [Surprise child's name([mother supplement
loop])] use for writing?
IF R VOLUNTEERS "AMBIDEXTROUS","EITHER", OR
"BOTH", ENTER EITHER/BOTH AND RECORD EXPLANATION IN COMMENT SCREEN.
IF R
SAYS CHILD DOESN'T WRITE YET, ASK WHICH HAND HE/SHE USES MOST OFTEN.
|
1 Left |
|
2 Right |
|
3 Either/both |
HLTH-12B_MS1 [] |
Section: Fertility |
Please think about the hand [Surprise child's
name([mother supplement loop])] uses for activities such as throwing a ball.
When [s/he([mother supplement loop])] throws a ball, does [s/he([mother
supplement loop])] use [his/her([mother supplement loop])]...
|
1 right hand
nearly all of the time? |
|
2 right hand
more than half of the time? |
|
3 right and
left hands about equally? |
|
4 left hand
more than half of the time? |
|
5 left hand
nearly all of the time? |
HLTH-12C_MS1 [] |
Section: Fertility |
When [s/he([mother supplement loop])] brushes
[his/her([mother supplement loop])] teeth, does [s/he([mother supplement loop])]
use [his/her([mother supplement loop])]...
|
1 right hand
nearly all of the time? |
|
2 right hand
more than half of the time? |
|
3 right and
left hands about equally? |
|
4 left hand
more than half of the time? |
|
5 left hand
nearly all of the time? |
HLTH-13_MS1 [] |
Section: Fertility |
When did [Surprise child's name([mother supplement
loop])] last see a dentist for a checkup or to have some dental work
done?
|
1 Less than 1
month ago |
|
2 1 - 3 months
ago |
|
3 4 - 6 months
ago |
|
4 7 - 11 months
ago |
|
5 1 year - 23
months ago |
|
6 2 or more
years ago |
|
7 Never |
HLTH-14_MS1 [] |
Section: Fertility |
Is [Surprise child's name([mother supplement loop])]'s
health care now covered by health insurance provided either by an employer or by
an individual plan that pays part or all of a hospital, doctor's, or surgeon's
bill?
(THIS DOES NOT INCLUDE PUBLIC ASSISTANCE
HEALTH CARE PROGRAMS.)
HLTH-15_MS1 [] |
Section: Fertility |
There is a national program called Medicaid that pays for
health care for persons in need.
Is [Surprise child's name([mother
supplement loop])]'s health care now covered by Medicaid?
(PROBE IF NECESSARY:) In [RESPONDENT STATE], this
would include programs such as [Child Health Insurance Program Name].
Q9-195 [] |
Section: Fertility |
[child date of birth([mother supplement loop])~Y] <=
[1999] && ([msupplement_statcode([mother supplement loop])] != 8
&& [msupplement_hhiflag([mother supplement loop])] != 8)
COMMENT: Will child turn at least 15 sometime during 2006 and child is not
deceased?
If Answer = 1 Then Go To Q9-199
Q9-199 [] |
Section: Fertility |
[msupplement_age([mother supplement loop])] <
18
COMMENT: Is this child less than 18 years old?
If
Answer = 0 Then Go To HLTH-MS1-LOOP-END
Q9-199A [] |
Section: Fertility |
[MSUPPLEMENT_NAME([mother supplement loop])] IS A YOUNG
ADULT. IF UNDER 18 YEARS OLD (SEE BELOW), ASK FOR RESPONDENT'S
CONSENT TO HAVE [name of biochild([mother supplement loop])]
PARTICIPATE IN YOUNG ADULT SURVEY. RECORD R'S
RESPONSE.
([MSUPPLEMENT_NAME([mother supplement loop])] is
[MSUPPLEMENT_AGE([mother supplement loop])], born on [MSUPPLEMENT_BDATE([mother
supplement loop])~X]).
(PLEASE REMEMBER TO GET [MSUPPLEMENT_NAME([mother
supplement loop])]'S ADDRESS IF NOT IN RESPONDENT'S HOUSEHOLD.)
|
1 GAVE
CONSENT |
|
2 REFUSED
CONSENT |
|
3 NO CONSENT
NECESSARY |
HLTH-MS1-LOOP-END [] |
Section: Fertility |
UNTIL ([mother supplement
loop]==[MSUPPLEMENT_NUM])
COMMENT: END LOOP FOR CHILD BACKGROUND AND HEALTH
HOME-MS1-LOOP-BEGIN [] |
Section: Fertility |
REPEAT
COMMENT: START loop 0
HOME-HHIFLAG-CHK1_MS1 [] |
Section: Fertility |
[msupplement_statcode([mother supplement
loop])]
COMMENT: Is child in the household at least part time?
If Answer = 5 Then Go To MS1-LOOP-END_MS1
If Answer = 8 Then Go To MS1-LOOP-END_MS1
If Answer = 99 Then Go To MS1-LOOP-END_MS1
HOME-HHIFLAG-CHK2_MS1 [] |
Section: Fertility |
[msupplement_hhiflag([mother supplement
loop])]
COMMENT: Is child in the household at least part time?
If Answer = 5 Then Go To MS1-LOOP-END_MS1
If Answer = 8 Then Go To MS1-LOOP-END_MS1
HOME-AGECHK-YA3_MS1 [] |
Section: Fertility |
[child date of birth([mother supplement loop])~Y] <=
[1999]
COMMENT: Is this child under age 15?
If Answer = 1 Then
Go To MS1-LOOP-END_MS1
HOME-AGECK1_MS1 [] |
Section: Fertility |
([child age in months([mother supplement
loop])]>=0)
COMMENT: IF child meets AGE and YOB/BORNSR19 constraints, then continue.
Otherwise skip to HOME-END
If Answer = 1 Then Go To
HOME-TITLE_MS1
HOME-TITLE_MS1 [] |
Section: Fertility |
BEGIN HOME SECTION
[MSUPPLEMENT_name([mother supplement
loop])]
HOME-INTRO_MS1 [] |
Section: Fertility |
INTERVIEWER: THE
FOLLOWING SECTION IS A CHILD ASSESSMENT. IT IS VITAL THAT YOU COMPLETE ALL
QUESTIONS IN THIS SECTION.
READ TO MOTHER
We are interested in
your family's lifestyle and rules.
HOME-AGECK2_MS1 [] |
Section: Fertility |
([child age in months([mother supplement
loop])])
COMMENT: Jump to appropriate HOME section based on months of age.
If Answer >= 0 AND Answer <= 35 Then Go To HOME-A01_MS1
If Answer >= 36 AND Answer <= 71 Then Go To HOME-B01_MS1
If Answer >= 72 AND Answer <= 119 Then Go To HOME-C01_MS1
If Answer >= 120 AND Answer <= 191 Then Go To HOME-D01_MS1
HOME-A01_MS1 [] |
Section: Fertility |
About how often does [Surprise child's name([mother
supplement loop])] have a chance to get out of the house?
|
5 Every
day |
|
4 4 or more
times a week |
|
3 A few times a
week |
|
2 About once a
week |
|
1 A few times a
month or less |
HOME-A02_MS1 [] |
Section: Fertility |
About how many children's books does [Surprise child's
name([mother supplement loop])] have?
|
4 10 or more
books |
|
3 3 to 9
books |
|
2 1 or 2
books |
|
1 None |
HOME-A03_MS1 [] |
Section: Fertility |
How often do you get a chance to read stories to
[Surprise child's name([mother supplement loop])]?
|
1 Never |
|
2 Several times
a year |
|
3 Several times
a month |
|
4 Once a
week |
|
5 About 3 times
a week |
|
6 Everyday |
HOME-A04_MS1 [] |
Section: Fertility |
About how often do you take [Surprise child's
name([mother supplement loop])] to the grocery store?
|
1 Twice a week
or more |
|
2 Once a
week |
|
3 Once a
month |
|
4 Hardly
ever |
HOME-A05_MS1 [] |
Section: Fertility |
About how many, if any, cuddly, soft or role-playing toys
(like a doll) does [Surprise child's name([mother supplement loop])] have? (May
be shared with sister or brother.)
ENTER NUMBER OF SOFT TOYS.
HOME-A06_MS1 [] |
Section: Fertility |
About how many, if any, push or pull toys does [Surprise
child's name([mother supplement loop])] have? (May be shared with sister or
brother.)
ENTER NUMBER OF PUSH/PULL TOYS.
HOME-A07_MS1 [] |
Section: Fertility |
Some parents spend time teaching their children new
skills while other parents believe children learn best on their own. Which of
the following most closely describes your attitude?
|
1 Parents
should always spend time teaching their children |
|
2 Parents
should usually spend time teaching their children |
|
3 Parents
should usually allow their children to learn on their own |
|
4 Parents
should always allow their children to learn on their
own |
HOME-A08_MS1 [] |
Section: Fertility |
Think for a moment about a typical weekdayfor
your family. How much time--either in your home or elsewhere--does [Surprise
child's name([mother supplement loop])] spend watching television on a typical
weekday?
INTERVIEWER: ENTER HOURS PER WEEKDAY (ROUND
TO NEAREST 1/2 HR. "NO" OR "NONE"= 0)
(IF
REPLY IS "Do not have a TV" THEN PROMPT: Does [Surprise child's
name([mother supplement loop])] spend any time watching TV outside of your home
(for example with a babysitter) on a typical weekday?)
HOME-A09_MS1 [] |
Section: Fertility |
Now, think about a typical weekend day (Saturday or
Sunday) for your family. How much time--either in your home or elsewhere--does
[Surprise child's name([mother supplement loop])] spend watching television on a
typical weekend day?
INTERVIEWER: ENTER
HOURS PER WEEKEND DAY (ROUND TO NEAREST 1/2 HR. "NO" OR "NONE"=
0)
(IF REPLY IS "Do not have a TV"
THEN PROMPT: Does [Surprise child's name([mother supplement loop])] spend
any time watching TV outside of your home (for example with a babysitter) on a
typical weekend day?)
HOME-A10A_MS1 [] |
Section: Fertility |
About how many hours is the TV on in your home each
day?
INTERVIEWER: ENTER HOURS PER DAY, ROUND TO NEAREST 1/2 HR.
NOTE: LESS THAN 1 HOUR PER
DAY = 0. IF R DOES NOT HAVE A TV, ENTER ZERO AND CHANGE CHECK ITEM
BELOW.
HOME-A10B_MS1 [] |
Section: Fertility |
MARK AS APPROPRIATE
|
1 R HAS A
TV |
|
0 R DOES NOT
HAVE A TV |
HOME-A-DADCHK1_MS1 [] |
Section: Fertility |
([Child's bio father in hh?([mother supplement loop])] ==
1)
COMMENT: IF FATHER PRESENT IN MOTHER HOUSEHOLD SKIP TO
HOME-A-TXTSUB1
If Answer = 1 Then Go To HOME-A14_MS1
HOME-A11_MS1 [] |
Section: Fertility |
Does [Surprise child's name([mother supplement loop])]
ever see [his/her([mother supplement loop])] father, or someone [s/he([mother
supplement loop])] considers a father-figure?
HOME-A12_MS1 [] |
Section: Fertility |
Is this person [his/her([mother supplement loop])]
biological father, stepfather, or a father-figure?
|
1 BIOLOGICAL
FATHER |
|
2 STEPFATHER |
|
3 FATHER-FIGURE |
HOME-A13_MS1 [] |
Section: Fertility |
What is his relationship to you? (Is he your spouse, your
partner, your friend, a relative, or someone else?)
|
1 SPOUSE |
|
2 EX-SPOUSE |
|
3 PARTNER |
|
4 EX-PARTNER |
|
5 BOYFRIEND |
|
6 EX-BOYFRIEND |
|
7 FIANCE |
|
8 FRIEND |
|
9 FATHER |
|
10 GRANDFATHER |
|
11 BROTHER |
|
12 UNCLE |
|
13 SOMEONE ELSE
(SPECIFY) |
HOME-A14_MS1 [] |
Section: Fertility |
Does [Surprise child's name([mother supplement loop])]
see [his/her([mother supplement loop])] [father/stepfather/father-figure([mother
supplement loop])] on a daily basis?
HOME-A15_MS1 [] |
Section: Fertility |
How often does [Surprise child's name([mother supplement
loop])] eat a meal with both you and [his/her([mother supplement loop])]
[father/stepfather/father-figure([mother supplement loop])]?
|
1 More than
once a day |
|
2 Once a
day |
|
3 Several times
a week |
|
4 About once a
week |
|
5 About once a
month |
|
6 Never |
HOME-A16_MS1 [] |
Section: Fertility |
Children seem to demand attention when their parents are
busy around the house. How often do you talk to [Surprise child's name([mother
supplement loop])] while you are working?
|
1 Always (talk
to your child when working) |
|
2 Often (talk
to your child when working) |
|
3 Sometimes
(talk to your child when working) |
|
4 Rarely (talk
to your child when working) |
|
5 Never (talk
to your child when working) |
HOME-A17A_MS1 [] |
Section: Fertility |
How close does [Surprise child's name([mother supplement
loop])] feel toward you? Does [s/he([mother supplement loop])]
feel...
|
1 Extremely
close |
|
2 Quite
close |
|
3 Fairly
close |
|
4 Not at all
close |
HOME-A-DADCHK2_MS1 [] |
Section: Fertility |
([father/step-father/father-figure([mother supplement
loop])])
COMMENT: WHODAD=0 (NO FATHER-FIGURE), SKIP TO HOME-A18; WHODAD>=1 SKIP TO
HOME-A17B.
If Answer = 0 Then Go To HOME-A18_MS1
If Answer >= 1 AND Answer <= 3 Then Go To HOME-A17B_MS1
HOME-A17B_MS1 [] |
Section: Fertility |
How close does [s/he([mother supplement loop])] feel
toward [his/her([mother supplement loop])] (biological) father?
|
1 Extremely
close |
|
2 Quite
close |
|
3 Fairly
close |
|
4 Not at all
close |
|
5 Does not have
this parent |
HOME-A-DADCHK3_MS1 [] |
Section: Fertility |
([father/step-father/father-figure([mother supplement
loop])])
COMMENT: IF father is in HH, don't ask about closeness to stepfather
(WHODAD=1 skip to HOME-A18).
If Answer = 1 Then Go To
HOME-A18_MS1
HOME-A17D_MS1 [] |
Section: Fertility |
How close does [s/he([mother supplement loop])] feel
toward [his/her([mother supplement loop])]
[father/stepfather/father-figure([mother supplement loop])]?
|
1 Extremely
close |
|
2 Quite
close |
|
3 Fairly
close |
|
4 Not at all
close |
HOME-A18_MS1 [] |
Section: Fertility |
Sometimes kids mind pretty well and sometimes they
don't.
About how many times, if any, have you had to spank [Surprise child's
name([mother supplement loop])] in the past week?
HOME-B01_MS1 [] |
Section: Fertility |
About how often do you read stories to [Surprise child's
name([mother supplement loop])]?
|
1 Never |
|
2 Several times
a year |
|
3 Several times
a month |
|
4 Once a
week |
|
5 At least 3
times a week |
|
6 Everyday |
HOME-B02_MS1 [] |
Section: Fertility |
About how many children's books does [Surprise child's
name([mother supplement loop])] have?
|
4 10 or more
books |
|
3 3 to 9
books |
|
2 1 or 2
books |
|
1 None |
HOME-B03_MS1 [] |
Section: Fertility |
About how many magazines does your family get
regularly?
|
1 None |
|
2 One |
|
3 Two |
|
4 Three |
|
5 Four or
more |
HOME-B04_MS1 [] |
Section: Fertility |
Does [Surprise child's name([mother supplement loop])]
have the use of a CD player, tape deck, or tape recorder, or record player at
home and at least 5 children's records or tapes? (May be shared with sister or
brother.)
HOME-B05A_MS1 [] |
Section: Fertility |
Please tell me which of the following you (or someone
else) have helped [Surprise child's name([mother supplement loop])] learn at
home.
Do you or have you helped with...numbers?
HOME-B05B-MATRIX_MS1 [] |
Section: Fertility |
Do you (or someone else) help with...
|
- ...the alphabet? |
|
- ...colors? |
|
- ...shapes and
sizes? |
HOME-B06_MS1 [] |
Section: Fertility |
How much choice is [Surprise child's name([mother
supplement loop])] allowed in deciding what foods [s/he([mother supplement
loop])] eats at breakfast and lunch?
|
1 A great deal
of choice |
|
2 Some
choice |
|
3 Little
choice |
|
4 No
choice |
HOME-B07A_MS1 [] |
Section: Fertility |
About how many hours is the TV on in your home each
day?
INTERVIEWER:
ENTER HOURS PER DAY, ROUND
TO NEAREST 1/2 HR.
NOTE: LESS THAN 1 HOUR PER DAY = 0. IF R DOES NOT HAVE A
TV, ENTER ZERO AND CHANGE CHECK ITEM BELOW.
HOME-B07B_MS1 [] |
Section: Fertility |
|
1 R HAS A
TV |
|
0 R DOES NOT
HAVE A TV |
HOME-B08A_MS1 [] |
Section: Fertility |
Most children get angry at their parents from time to
time. If [Surprise child's name([mother supplement loop])] got so angry that
[s/he([mother supplement loop])] hit you, what would you do?
INTERVIEWER:
ENTER VERBATIM AND SELECT ALL THAT APPLY
HOME-B08B_MS1 [] |
Section: Fertility |
|
1 Hit him/her
back |
|
2 Send him/her
to his/her room |
|
3 Spank
him/her |
|
4 Talk to
him/her |
|
5 Ignore
it |
|
6 Give him/her
household chore |
|
7 Take away
his/her allowance |
|
8 Hold child's
hands until he/she was calm |
|
10 Put child in
a short 'time out' |
|
9 Other
(SPECIFY) |
HOME-B09_MS1 [] |
Section: Fertility |
How often does a family member get a chance to take
[Surprise child's name([mother supplement loop])] on any kind of outing (like
shopping, to the park, a picnic, drive-in, and so on)?
|
1 A few times a
year or less |
|
2 About once a
month |
|
3 About two or
three times a month |
|
4 Several times
a week |
|
5 About once a
day |
HOME-B10_MS1 [] |
Section: Fertility |
How often has a family member taken or arranged to take
[Surprise child's name([mother supplement loop])] to any type of museum
(children's, scientific, art, historical, etc.) within the past year?
|
1 Never |
|
2 Once or
twice |
|
3 Several
times |
|
4 About once a
month |
|
5 About once a
week or more often |
HOME-B11_MS1 [] |
Section: Fertility |
Think for a moment about a typical weekday for your
family. How much time--either in your home or elsewhere--does [Surprise child's
name([mother supplement loop])] spend watching television on a typical
weekday?
INTERVIEWER: ENTER HOURS PER WEEKDAY (ROUND
TO NEAREST 1/2 HR. "NO" OR "NONE"= 0)
(IF
REPLY IS "Do not have a TV" THEN PROMPT: Does [Surprise child's
name([mother supplement loop])] spend any time watching TV outside of your home
(for example with a babysitter) on a typical weekday?)
HOME-B12_MS1 [] |
Section: Fertility |
Now, think about a typical weekend day (Saturday or
Sunday) for your family. How much time--either in your home or elsewhere--does
[Surprise child's name([mother supplement loop])] spend watching television on a
typical weekend day?
INTERVIEWER: ENTER
HOURS PER WEEKEND DAY (ROUND TO NEAREST 1/2 HR. "NO" OR "NONE"=
0)
(IF REPLY IS "Do not have a TV"
THEN PROMPT: Does [Surprise child's name([mother supplement loop])] spend
any time watching TV outside of your home (for example with a babysitter) on a
typical weekend day?)
HOME-B-DADCHK1_MS1 [] |
Section: Fertility |
([Child's bio father in hh?([mother supplement loop])] ==
1)
COMMENT: IF FATHER PRESENT IN MOTHER HOUSEHOLD SKIP TO
HOME-B-TXTSUB1
If Answer = 1 Then Go To HOME-B16_MS1
HOME-B13_MS1 [] |
Section: Fertility |
Does [Surprise child's name([mother supplement loop])]
ever see [his/her([mother supplement loop])] father, or someone [s/he([mother
supplement loop])] considers a father-figure?
HOME-B14_MS1 [] |
Section: Fertility |
Is this man [Surprise child's name([mother supplement
loop])]'s biological father, stepfather, or a father-figure?
|
1 BIOLOGICAL
FATHER |
|
2 STEPFATHER |
|
3 FATHER-FIGURE |
HOME-B15_MS1 [] |
Section: Fertility |
What is his relationship to you? (Is he your spouse, your
partner, your friend, a relative, or someone else?)
|
1 SPOUSE |
|
2 EX-SPOUSE |
|
3 PARTNER |
|
4 EX-PARTNER |
|
5 BOYFRIEND |
|
6 EX-BOYFRIEND |
|
7 FIANCE |
|
8 FRIEND |
|
9 FATHER |
|
10 GRANDFATHER |
|
11 BROTHER |
|
12 UNCLE |
|
13 SOMEONE ELSE
(SPECIFY) |
HOME-B16_MS1 [] |
Section: Fertility |
Does [Surprise child's name([mother supplement loop])]
see [his/her([mother supplement loop])] [father/stepfather/father-figure([mother
supplement loop])] on a daily basis?
HOME-B17_MS1 [] |
Section: Fertility |
How often does [Surprise child's name([mother supplement
loop])] eat a meal with you and [his/her([mother supplement loop])]
[father/stepfather/father-figure([mother supplement loop])]?
|
1 More than
once a day |
|
2 Once a
day |
|
3 Several times
a week |
|
4 About once a
week |
|
5 About once a
month |
|
6 Never |
HOME-B18A_MS1 [] |
Section: Fertility |
How close does [Surprise child's name([mother supplement
loop])] feel toward you? Does [s/he([mother supplement loop])]
feel...
|
1 Extremely
close |
|
2 Quite
close |
|
3 Fairly
close |
|
4 Not at all
close |
HOME-B-DADCHK2_MS1 [] |
Section: Fertility |
([father/step-father/father-figure([mother supplement
loop])])
COMMENT: WHODAD=0 (NO FATHER-FIGURE), SKIP TO HOME-B19; WHODAD>=1 SKIP TO
HOME-B18B.
If Answer = 0 Then Go To HOME-B19_MS1
If Answer >= 1 AND Answer <= 3 Then Go To HOME-B18B_MS1
HOME-B18B_MS1 [] |
Section: Fertility |
How close does [Surprise child's name([mother supplement
loop])] feel toward [his/her([mother supplement loop])] (biological)
father?
|
1 Extremely
close |
|
2 Quite
close |
|
3 Fairly
close |
|
4 Not at all
close |
|
5 Does not have
this parent |
HOME-B-DADCHK3_MS1 [] |
Section: Fertility |
([father/step-father/father-figure([mother supplement
loop])])
COMMENT: IF father is in HH, don't ask about closeness to stepfather
(WHODAD=1 skip to HOME-B19).
If Answer = 1 Then Go To
HOME-B19_MS1
HOME-B18D_MS1 [] |
Section: Fertility |
How close does [Surprise child's name([mother supplement
loop])] feel toward [his/her([mother supplement loop])]
[father/stepfather/father-figure([mother supplement loop])]?
|
1 Extremely
close |
|
2 Quite
close |
|
3 Fairly
close |
|
4 Not at all
close |
HOME-B19_MS1 [] |
Section: Fertility |
Sometimes kids mind pretty well and sometimes they don't.
About how many times, if any, have you had to spank [Surprise child's
name([mother supplement loop])] in the past week?
HOME-C01_MS1 [] |
Section: Fertility |
About how many books does [Surprise child's name([mother
supplement loop])] have?
|
1 None |
|
2 1 or 2
books |
|
3 3 to 9
books |
|
4 10 or more
books |
HOME-C02_MS1 [] |
Section: Fertility |
About how often do you read aloud to [Surprise child's
name([mother supplement loop])]?
|
1 Never |
|
2 Several times
a year |
|
3 Several times
a month |
|
4 Once a
week |
|
5 At least 3
times a week |
|
6 Everyday |
HOME-C03-MATRIX_MS1 [] |
Section: Fertility |
How often is [Surprise child's name([mother supplement
loop])] expected to ....
|
- Make his/her own bed? |
|
- Clean his/her own room? |
|
- Clean up after spills? |
|
- Bathe him/her self? |
|
- Pick up after
himself/herself? |
|
1 Almost
never |
|
2 Less than 1/2
of the time |
|
3 1/2 of the
time |
|
4 More than 1/2
of the time |
|
5 Almost
always |
HOME-C04_MS1 [] |
Section: Fertility |
Is there a musical instrument (for example, piano, drum,
guitar, etc.) that [Surprise child's name([mother supplement loop])] can use
here at home?
HOME-C05_MS1 [] |
Section: Fertility |
Does your family get a daily newspaper?
|
1 Yes |
|
0 No |
|
2 (IF
VOLUNTEERED:) READ NEWSPAPER ONLINE |
|
3 (IF
VOLUNTEERED:) SUNDAY PAPER ONLY |
HOME-C06_MS1 [] |
Section: Fertility |
About how often does [Surprise child's name([mother
supplement loop])] read for enjoyment?
|
1 Every
day |
|
2 Several times
a week |
|
3 Several times
a month |
|
4 Several times
a year |
|
5 Never |
HOME-C07_MS1 [] |
Section: Fertility |
Does your family encourage [Surprise child's name([mother
supplement loop])] to start and keep doing hobbies?
HOME-C08_MS1 [] |
Section: Fertility |
Does [Surprise child's name([mother supplement loop])]
get special lessons or belong to any organization that encourages activities
such as sports, music, art, dance, drama, etc.?
HOME-C09_MS1 [] |
Section: Fertility |
How often has a family member taken, or arranged to take
[Surprise child's name([mother supplement loop])] to any type of museum
(children's, scientific, art, historical, etc.) within the past year?
|
1 Never |
|
2 Once or
twice |
|
3 Several
times |
|
4 About once a
month |
|
5 About once a
week or more often |
HOME-C10_MS1 [] |
Section: Fertility |
How often has a family member taken, or arranged to take
[Surprise child's name([mother supplement loop])] to any type of musical or
theatrical performance within the past year?
|
1 Never |
|
2 Once or
twice |
|
3 Several
times |
|
4 About once a
month |
|
5 About once a
week or more often |
HOME-C11_MS1 [] |
Section: Fertility |
About how often does your whole family get together with
relatives or friends?
|
1 Once a year
or less |
|
2 A few times a
year |
|
3 About once a
month |
|
4 Two or three
times a month |
|
5 About once a
week or more |
HOME-C12_MS1 [] |
Section: Fertility |
Think for a moment about a typical weekday for your
family. How much time--either in your home or elsewhere--would you say [Surprise
child's name([mother supplement loop])] spends watching television on a typical
weekday?
INTERVIEWER: ENTER HOURS PER WEEKDAY (ROUND
TO NEAREST 1/2 HR. "NO" OR "NONE"= 0)
(IF
REPLY IS "Do not have a TV" THEN PROMPT: Does [Surprise child's
name([mother supplement loop])] spend any time watching TV outside of your home
(for example with a babysitter) on a typical weekday?)
HOME-C13_MS1 [] |
Section: Fertility |
Now, think for a moment about a typical weekend day
(Saturday or Sunday) for your family. How much time--either in your home or
elsewhere-- would you say [Surprise child's name([mother supplement loop])]
spends watching television on a typical weekend day?
INTERVIEWER: ENTER
HOURS PER WEEKEND DAY (ROUND TO NEAREST 1/2 HR. "NO" OR "NONE"=
0)
(IF REPLY IS "Do not have a TV"
THEN PROMPT: Does [Surprise child's name([mother supplement loop])] spend
any time watching TV outside of your home (for example with a babysitter) on a
typical weekend day?)
HOME-C-DADCHK1_MS1 [] |
Section: Fertility |
([Child's bio father in hh?([mother supplement loop])] ==
1)
COMMENT: IF FATHER PRESENT IN MOTHER HOUSEHOLD SKIP TO
HOME-C-TXTSUB1
If Answer = 1 Then Go To HOME-C17_MS1
HOME-C14_MS1 [] |
Section: Fertility |
Does [Surprise child's name([mother supplement loop])]
ever see [his/her([mother supplement loop])] father, or someone [s/he([mother
supplement loop])] considers a father-figure?
HOME-C15_MS1 [] |
Section: Fertility |
Is this man [his/her([mother supplement loop])]
biological father, step father, or a father-figure?
|
1 BIOLOGICAL
FATHER |
|
2 STEPFATHER |
|
3 FATHER-FIGURE |
HOME-C16_MS1 [] |
Section: Fertility |
What is his relationship to you? (Is he your spouse, your
partner, your friend, a relative, or someone else?)
|
1 SPOUSE |
|
2 EX-SPOUSE |
|
3 PARTNER |
|
4 EX-PARTNER |
|
5 BOYFRIEND |
|
6 EX-BOYFRIEND |
|
7 FIANCE |
|
8 FRIEND |
|
9 FATHER |
|
10 GRANDFATHER |
|
11 BROTHER |
|
12 UNCLE |
|
13 SOMEONE ELSE
(SPECIFY) |
HOME-C17_MS1 [] |
Section: Fertility |
About how often does [Surprise child's name([mother
supplement loop])] spend time with [his/her([mother supplement loop])]
[father/stepfather/father-figure([mother supplement loop])]?
|
1 Once a day or
more often |
|
2 At least 4
times a week |
|
3 About once a
week |
|
4 About once a
month |
|
5 A few times a
year or less |
|
6 Never |
|
7 No father,
stepfather, or father-figure |
HOME-C18_MS1 [] |
Section: Fertility |
About how often does [Surprise child's name([mother
supplement loop])] spend time with [his/her([mother supplement loop])]
[father/stepfather/father-figure([mother supplement loop])] in outdoor
activities?
|
1 Once a day or
more often |
|
2 At least 4
times a week |
|
3 About once a
week |
|
4 About once a
month |
|
5 A few times a
year or less |
|
6 Never |
|
7 No father,
stepfather, or father-figure |
HOME-C19_MS1 [] |
Section: Fertility |
How often does [Surprise child's name([mother supplement
loop])] eat a meal with both you and [his/her([mother supplement loop])]
[father/stepfather/father-figure([mother supplement loop])]?
|
1 More than
once a day |
|
2 Once a
day |
|
3 Several times
a week |
|
4 About once a
week |
|
5 About once a
month |
|
6 Never |
|
7 No father,
stepfather, father-figure |
HOME-C20_MS1 [] |
Section: Fertility |
When your family watches TV together, do you [or child's
(father/stepfather/father figure)([mother supplement loop])] discuss TV programs
with [him/her([mother supplement loop])]?
|
1 Yes |
|
0 No |
|
2 Do not have a
TV |
HOME-C21A_MS1 [] |
Section: Fertility |
How close does [Surprise child's name([mother supplement
loop])] feel toward...you? Does [s/he([mother supplement loop])]
feel...
|
1 Extremely
close |
|
2 Quite
close |
|
3 Fairly
close |
|
4 Not at all
close |
HOME-C-DADCHK2_MS1 [] |
Section: Fertility |
([father/step-father/father-figure([mother supplement
loop])])
COMMENT: WHODAD=0 (NO FATHER-FIGURE), SKIP TO HOME-C22A; WHODAD>=1 SKIP TO
HOME-C21B.
If Answer = 0 Then Go To HOME-C22A_MS1
If Answer >= 1 AND Answer <= 3 Then Go To HOME-C21B_MS1
HOME-C21B_MS1 [] |
Section: Fertility |
How close does [Surprise child's name([mother supplement
loop])] feel toward [his/her([mother supplement loop])] (biological)
father?
|
1 Extremely
close |
|
2 Quite
close |
|
3 Fairly
close |
|
4 Not at all
close |
|
5 Does not have
this parent |
HOME-C-DADCHK3_MS1 [] |
Section: Fertility |
([father/step-father/father-figure([mother supplement
loop])])
COMMENT: IF father is in HH, don't ask about closeness to
stepfather/father-figure (WHODAD=1 skip to HOME-C22A).
If
Answer = 1 Then Go To HOME-C22A_MS1
HOME-C21D_MS1 [] |
Section: Fertility |
How close does [Surprise child's name([mother supplement
loop])] feel toward [his/her([mother supplement loop])]
[father/stepfather/father-figure([mother supplement loop])]?
|
1 Extremely
close |
|
2 Quite
close |
|
3 Fairly
close |
|
4 Not at all
close |
HOME-C22A_MS1 [] |
Section: Fertility |
Sometimes children get so angry at their parents that
they say things like "I hate you" or swear in a temper tantrum.
What
action(s) you would take if this happened?
INTERVIEWER: ENTER VERBATIM AND SELECT ALL THAT
APPLY.
HOME-C22B_MS1 [] |
Section: Fertility |
|
1 Grounding |
|
2 Spanking |
|
3 Talk with
child |
|
4 Give him/her
a household chore |
|
5 Ignore
it |
|
6 Send to room
for more than 1 hour |
|
7 Take away
his/her allowance |
|
8 Take away TV,
phone, or other privileges |
|
10 Put child in
a short "time out" |
|
9 Other
(SPECIFY) |
HOME-C23-MATRIX1_MS1 [] |
Section: Fertility |
If [Surprise child's name([mother supplement loop])]
brought home a report card with grades lower than expected, how likely would you
be to ....
|
- contact his or her teacher or
principal? |
|
- lecture him/her? |
|
- keep a closer eye on his/her
activities? |
|
- punish him/her? |
|
- talk with
him/her? |
|
5 Very
Likely |
|
4 Somewhat
Likely |
|
3 Not Sure How
Likely |
|
2 Somewhat
Unlikely |
|
1 Not At All
Likely |
HOME-C23-MATRIX2_MS1 [] |
Section: Fertility |
If [Surprise child's name([mother supplement loop])]
brought home a report card with grades lower than expected, how likely would you
be to ....
|
- wait and see if he/she
improves on his/her own? |
|
- tell him/her to spend more
time on schoolwork? |
|
- spend more time helping
him/her with schoolwork? |
|
- limit or reduce his/her
non-school activities (such as play, sports, clubs,
etc.)? |
|
5 Very
Likely |
|
4 Somewhat
Likely |
|
3 Not Sure How
Likely |
|
2 Somewhat
Unlikely |
|
1 Not At All
Likely |
HOME-C23J_MS1 [] |
Section: Fertility |
(If [Surprise child's name([mother supplement loop])]
brought home a report card with grades lower than expected),
...would you
do anything else?
HOME-C23JV_MS1 [] |
Section: Fertility |
(If [Surprise child's name([mother supplement loop])]
brought home a report card with grades lower than expected...would you do
anything else?)
What would that be?
HOME-C24A_MS1 [] |
Section: Fertility |
INTERVIEWER: ENTER NUMBER OF
TIMES IN PAST WEEK FOR EACH QUESTION
Sometimes kids mind pretty well and
sometimes they don't. Sometimes they do things that make you feel
good.
How many times in the past week have you...had to spank your
child?
HOME-C24B_MS1 [] |
Section: Fertility |
How many times in the past week have you...grounded
[him/her([mother supplement loop])]?
HOME-C24C_MS1 [] |
Section: Fertility |
How many times in the past week have you...taken away TV
or other privileges?
HOME-C24D_MS1 [] |
Section: Fertility |
How many times (in the past week) have you...praised
[Surprise child's name([mother supplement loop])] for doing something
worthwhile?
HOME-C24E_MS1 [] |
Section: Fertility |
How many times (in the past week) have you...taken away
[his/her([mother supplement loop])] allowance?
HOME-C24F_MS1 [] |
Section: Fertility |
How many times (in the past week) have you...shown
[him/her([mother supplement loop])] physical affection (kiss, hug, stroke hair,
etc.)?
HOME-C24G_MS1 [] |
Section: Fertility |
How many times (in the past week) have you...sent
[Surprise child's name([mother supplement loop])] to [his/her([mother supplement
loop])] room?
HOME-C24H_MS1 [] |
Section: Fertility |
How many times (in the past week) have you...told another
adult (spouse, friend, co-worker, visitor, relative) something positive about
[Surprise child's name([mother supplement loop])]?
HOME-D01_MS1 [] |
Section: Fertility |
About how many books does [Surprise child's name([mother
supplement loop])] have?
|
1 None |
|
2 1 to 9 |
|
3 10 to
19 |
|
4 20 or
more |
HOME-D02-MATRIX_MS1 [] |
Section: Fertility |
How often is [Surprise child's name([mother supplement
loop])] expected to ....
|
- Make his/her own bed? |
|
- Clean his/her own room? |
|
- Pick up after
himself/herself? |
|
- Help keep shared living areas
clean and straight? |
|
- Do routine chores such as mow
the lawn, help with dinner, wash dishes, etc.? |
|
- Help manage his/her own time
(get up on time, be ready for school, etc.)? |
|
1 Almost
never |
|
2 Less than 1/2
of the time |
|
3 1/2 of the
time |
|
4 More than 1/2
of the time |
|
5 Almost
always |
HOME-D03_MS1 [] |
Section: Fertility |
Is there a musical instrument (for example, piano, drum,
guitar, etc.) that your child can use here at home?
HOME-D04_MS1 [] |
Section: Fertility |
Does your family get a daily newspaper?
HOME-D05_MS1 [] |
Section: Fertility |
About how often does [Surprise child's name([mother
supplement loop])] read for enjoyment?
|
1 Every
day |
|
2 Several times
a week |
|
3 Several times
a month |
|
4 Several times
a year |
|
5 Never |
HOME-D06_MS1 [] |
Section: Fertility |
Does your family encourage [Surprise child's name([mother
supplement loop])] to start and keep doing hobbies?
HOME-D07_MS1 [] |
Section: Fertility |
Does [Surprise child's name([mother supplement loop])]
get special lessons or belong to any organization that encourages activities
such as sports, music, art, dance, drama, etc.?
HOME-D08_MS1 [] |
Section: Fertility |
How often has any family member taken or arranged to take
[Surprise child's name([mother supplement loop])] to any type of museum
(children's, scientific, art, historical, etc.) within the past year?
|
1 Never |
|
2 Once or
twice |
|
3 Several
times |
|
4 About once a
month |
|
5 About once a
week or more often |
HOME-D09_MS1 [] |
Section: Fertility |
How often has a family member taken or arranged to take
[him/her([mother supplement loop])] to any type of musical or theatrical
performance within the past year?
|
1 Never |
|
2 Once or
twice |
|
3 Several
times |
|
4 About once a
month |
|
5 About once a
week or more often |
HOME-D10_MS1 [] |
Section: Fertility |
About how often does your whole family get together with
relatives or friends?
|
1 Once a year
or less |
|
2 A few times a
year |
|
3 About once a
month |
|
4 Two or three
times a month |
|
5 About once a
week or more |
HOME-D11_MS1 [] |
Section: Fertility |
Think for a moment about a typical weekdayfor
your family. How much time--either in your home or elsewhere--does [Surprise
child's name([mother supplement loop])] spend watching television on a typical
weekday?
INTERVIEWER: ENTER HOURS PER WEEKDAY (ROUND
TO NEAREST 1/2 HR. "NO" OR "NONE"= 0)
(IF
REPLY IS "Do not have a TV" THEN PROMPT: Does [Surprise child's
name([mother supplement loop])] spend any time watching TV outside of your home
(for example with a babysitter) on a typical weekday?)
HOME-D12_MS1 [] |
Section: Fertility |
Now, think about a typical weekend day (Saturday or
Sunday) for your family. How much time--either in your home or elsewhere--does
[Surprise child's name([mother supplement loop])] spend watching television on a
typical weekend day?
INTERVIEWER: ENTER
HOURS PER WEEKEND DAY (ROUND TO NEAREST 1/2 HR. "NO" OR "NONE"=
0)
(IF REPLY IS "Do not have a TV"
THEN PROMPT: Does [Surprise child's name([mother supplement loop])] spend
any time watching TV outside of your home (for example with a babysitter) on a
typical weekend day?)
HOME-D-DADCHK1_MS1 [] |
Section: Fertility |
[Child's bio father in hh?([mother supplement loop])] ==
1
COMMENT: IF FATHER PRESENT IN MOTHER HOUSEHOLD SKIP TO
HOME-D-TXTSUB1
If Answer = 1 Then Go To HOME-D16_MS1
HOME-D13_MS1 [] |
Section: Fertility |
Does [Surprise child's name([mother supplement loop])]
ever see [his/her([mother supplement loop])] father, stepfather, or
father-figure?
HOME-D14_MS1 [] |
Section: Fertility |
Is this man [his/her([mother supplement loop])]
biological father, stepfather, or a father-figure?
|
1 BIOLOGICAL
FATHER |
|
2 STEPFATHER |
|
3 FATHER-FIGURE |
HOME-D15_MS1 [] |
Section: Fertility |
What is his relationship to you? (Is he your spouse, your
partner, your friend, a relative, or someone else?)
|
1 SPOUSE |
|
2 EX-SPOUSE |
|
3 PARTNER |
|
4 EX-PARTNER |
|
5 BOYFRIEND |
|
6 EX-BOYFRIEND |
|
7 FIANCE |
|
8 FRIEND |
|
9 FATHER |
|
10 GRANDFATHER |
|
11 BROTHER |
|
12 UNCLE |
|
13 SOMEONE ELSE
(SPECIFY) |
HOME-D16_MS1 [] |
Section: Fertility |
About how often does [Surprise child's name([mother
supplement loop])] spend time with [his/her([mother supplement loop])]
[father/stepfather/father-figure([mother supplement loop])]?
|
1 Once a day or
more often |
|
2 At least 4
times a week |
|
3 About once a
week |
|
4 About once a
month |
|
5 A few times a
year or less |
|
6 Never |
|
7 No father,
stepfather, or father-figure |
HOME-D17_MS1 [] |
Section: Fertility |
About how often does [s/he([mother supplement loop])]
spend time with [his/her([mother supplement loop])]
[father/stepfather/father-figure([mother supplement loop])] in outdoor
activities?
|
1 Once a day or
more often |
|
2 At least 4
times a week |
|
3 About once a
week |
|
4 About once a
month |
|
5 A few times a
year or less |
|
6 Never |
|
7 No father,
stepfather, or father-figure |
HOME-D18_MS1 [] |
Section: Fertility |
How often does [Surprise child's name([mother supplement
loop])] eat a meal with both mother and father?
|
1 More than
once a day |
|
2 Once a
day |
|
3 Several times
a week |
|
4 About once a
week |
|
5 About once a
month |
|
6 Never |
|
7 No father,
stepfather, father-figure |
HOME-D19_MS1 [] |
Section: Fertility |
When your family watches TV together, do you [or child's
(father/stepfather/father figure)([mother supplement loop])] discuss TV programs
with [him/her([mother supplement loop])]?
|
1 Yes |
|
0 No |
|
2 Do not have a
TV |
HOME-D20A_MS1 [] |
Section: Fertility |
How close does [Surprise child's name([mother supplement
loop])] feel toward you?
|
1 Extremely
close |
|
2 Quite
close |
|
3 Fairly
close |
|
4 Not at all
close |
HOME-D-DADCHK2_MS1 [] |
Section: Fertility |
([father/step-father/father-figure([mother supplement
loop])])
COMMENT: WHODAD=0 (NO FATHER-FIGURE), SKIP TO HOME-D21A; WHODAD>=1 SKIP TO
HOME-D20B.
If Answer = 0 Then Go To HOME-D21A_MS1
If Answer >= 1 AND Answer <= 3 Then Go To HOME-D20B_MS1
HOME-D20B_MS1 [] |
Section: Fertility |
How close does [Surprise child's name([mother supplement
loop])] feel toward [his/her([mother supplement loop])] (biological)
father?
|
1 Extremely
close |
|
2 Quite
close |
|
3 Fairly
close |
|
4 Not at all
close |
|
5 Does not have
this parent |
HOME-D-DADCHK3_MS1 [] |
Section: Fertility |
([father/step-father/father-figure([mother supplement
loop])])
COMMENT: IF father is in HH, don't ask about closeness to stepfather
(WHODAD=1 skip to HOME-D21A).
If Answer = 1 Then Go To
HOME-D21A_MS1
HOME-D20D_MS1 [] |
Section: Fertility |
How close does [Surprise child's name([mother supplement
loop])] feel toward [his/her([mother supplement loop])]
[father/stepfather/father-figure([mother supplement loop])]?
|
1 Extremely
close |
|
2 Quite
close |
|
3 Fairly
close |
|
4 Not at all
close |
|
5 Does not have
this parent |
HOME-D21A_MS1 [] |
Section: Fertility |
Sometimes children get so angry at their parents that
they say things like "I hate you" or swear in a temper tantrum.
What
action(s) would you take if this happened?
INTERVIEWER: ENTER VERBATIM AND SELECT ALL THAT
APPLY.
HOME-D21B_MS1 [] |
Section: Fertility |
|
1 Grounding |
|
2 Spanking |
|
3 Talk with
child |
|
4 Give him/her
a household chore |
|
5 Ignore
it |
|
6 Send to room
for more than 1 hour |
|
7 Take away
his/her allowance |
|
8 Take away TV,
phone, or other privileges |
|
10 Put child in
a short "time out" |
|
9 Other
(SPECIFY) |
HOME-D22-MATRIX1_MS1 [] |
Section: Fertility |
If [Surprise child's name([mother supplement loop])]
brought home a report card with grades lower than expected, how likely would you
be to...
|
- ...contact his/her teacher or
principal? |
|
- ...lecture him/her? |
|
- ...keep a closer eye on
his/her activities? |
|
- ...punish him/her? |
|
- ...talk with
him/her? |
|
5 Very
Likely |
|
4 Somewhat
Likely |
|
3 Not Sure How
Likely |
|
2 Somewhat
Unlikely |
|
1 Not At All
Likely |
HOME-D22-MATRIX2_MS1 [] |
Section: Fertility |
If [Surprise child's name([mother supplement loop])]
brought home a report card with grades lower than expected, how likely would you
be to...
|
- ...wait and see if he/she
improves on his/her own? |
|
- ...tell him/her to spend more
time on schoolwork? |
|
- ...spend more time helping
him/her with schoolwork? |
|
- ...limit or reduce his/her
non-school activities (such as play, sports, clubs,
etc.)? |
|
5 Very
Likely |
|
4 Somewhat
Likely |
|
3 Not Sure How
Likely |
|
2 Somewhat
Unlikely |
|
1 Not At All
Likely |
HOME-D22J_MS1 [] |
Section: Fertility |
(If [Surprise child's name([mother supplement loop])]
brought home a report card with grades lower than expected),
...would you
do anything else?
HOME-D22JV_MS1 [] |
Section: Fertility |
(If [Surprise child's name([mother supplement loop])]
brought home a report card with grades lower than expected...would you do
anything else?)
What would that be?
HOME-D23A_MS1 [] |
Section: Fertility |
INTERVIEWER: ENTER NUMBER OF
TIMES IN PAST WEEK FOR EACH QUESTION
Sometimes kids mind pretty well and
sometimes they don't. Sometimes they do things that make you feel
good.
How many times in the past week have you...had to spank your
child?
HOME-D23B_MS1 [] |
Section: Fertility |
How many times in the past week have you...grounded
[him/her([mother supplement loop])]?
HOME-D23C_MS1 [] |
Section: Fertility |
How many times in the past week have you...taken away TV
or other privileges?
HOME-D23D_MS1 [] |
Section: Fertility |
How many times (in the past week) have you...praised
[Surprise child's name([mother supplement loop])] for doing something
worthwhile?
HOME-D23E_MS1 [] |
Section: Fertility |
How many times (in the past week) have you...taken away
[his/her([mother supplement loop])] allowance?
HOME-D23F_MS1 [] |
Section: Fertility |
How many times (in the past week) have you...shown
[him/her([mother supplement loop])] physical affection (kiss, hug, stroke hair,
etc.)?
HOME-D23G_MS1 [] |
Section: Fertility |
How many times (in the past week) have you...sent
[Surprise child's name([mother supplement loop])] to [his/her([mother supplement
loop])] room?
HOME-D23H_MS1 [] |
Section: Fertility |
How many times (in the past week) have you...told another
adult (spouse, friend, co-worker, visitor, relative) something positive about
[Surprise child's name([mother supplement loop])]?
ACT-AGECK1_MS1 [] |
Section: Fertility |
([child age in months([mother supplement loop])] <
84)
COMMENT: If child age is 83 months or younger and meets YOB/BORNSR19
constraints, then continue OTHERWISE goto end of section
If Answer = 1 Then Go To ACT-TITLE_MS1
ACT-TITLE_MS1 [] |
Section: Fertility |
BEGIN TEMPERAMENT SECTION
[msupplement_name([mother supplement
loop])]
ACT-INTRO_MS1 [] |
Section: Fertility |
INTERVIEWER: THE FOLLOWING
SECTION IS A CHILD ASSESSMENT.
IT IS VITAL THAT YOU COMPLETE ALL QUESTIONS IN
THIS SECTION.
READ TO MOTHER:
We are interested in how your child
normally acts during an average day. Please think about
[Surprise child's
name([mother supplement loop])] during the last two weeks.
If
[s/he([mother supplement loop])] was not feeling well, think back to the last
two-week time period when [s/he([mother supplement loop])] was [his/her([mother
supplement loop])] normal self.
ACT-AGECK2_MS1 [] |
Section: Fertility |
([child age in months([mother supplement
loop])])
COMMENT: Jump to appropriate section based on months of age.
If
Answer >= 0 AND Answer <= 11 Then Go To ACT-A01-MATRIX_MS1
If Answer >= 12 AND Answer <= 23 Then Go To ACT-B01-MATRIX_MS1
If Answer >= 24 AND Answer <= 83 Then Go To ACT-C01-MATRIX1_MS1
ACT-A01-MATRIX_MS1 [] |
Section: Fertility |
(The following questions ask about how often [Surprise
child's name([mother supplement loop])] acted in a certain way.)
READ
QUESTION BELOW AND ASK...
Would that be...
|
- During feeding, how often does
(CHILD) squirm and kick? |
|
- During feeding, how often does
(CHILD) wave his/her arms? |
|
- During sleep, how often does
s/he usually move around in the crib? |
|
- Some children get sleepy about
the same time each evening, give or take 15 minutes. How often does
(CHILD) do this? |
|
- Some children get hungry at
about the same time each day, give or take 15 minutes. How often does
(CHILD) do this? |
|
- When s/he wakes up in the
morning, how often is s/he in the same mood? |
|
- When (CHILD) sees a stranger,
how often does s/he turn away or cry as if afraid? |
|
- When s/he sees an unfamiliar
dog or cat, how often does s/he turn away or cry as if afraid? |
|
- When you leave the room and
leave him/her alone, how often does s/he become upset? |
|
- When you take (CHILD) to the
doctor, dentist or nurse, how often does s/he turn away or cry as if
afraid? |
|
- When you play with (CHILD),
how often does s/he smile or laugh? |
|
- When s/he plays alone, how
often does s/he smile or laugh? |
|
- When s/he is in the bath, how
often does s/he smile or laugh? |
|
- When (CHILD) hears an
unexpected loud sound (for example, a car back-firing or a vacuum
cleaner), how often does s/he cry or become upset? |
|
- How often do you have trouble
soothing or calming him/her when s/he is crying or
upset? |
|
1 Almost
never |
|
2 Less than 1/2
of the time |
|
3 1/2 of the
time |
|
4 More than 1/2
of the time |
|
5 Almost
always |
ACT-A16_MS1 [] |
Section: Fertility |
The answer choices change a little here....
During
the average day, how often does [Surprise child's name([mother supplement
loop])] get fussy and irritable?
Would you say...
|
1 Almost
never |
|
2 Once or twice
a day |
|
3 A couple of
times a.m. & p.m. |
|
4 Several times
a day |
|
5 Almost every
hour |
ACT-A17_MS1 [] |
Section: Fertility |
In general, compared with most babies, how often does
[Surprise child's name([mother supplement loop])] cry and fuss?
Would
that be...
|
1 Almost
never |
|
2 Less than
average |
|
3 About
average |
|
4 More than
average |
|
5 Almost
always |
ACT-B01-MATRIX_MS1 [] |
Section: Fertility |
(The following questions ask about how often [Surprise
child's name([mother supplement loop])] acted in a certain way.)
READ
QUESTION BELOW AND ASK...
Would that be...
|
- When (CHILD) sees a stranger,
how often does s/he turn away or cry as if afraid? |
|
- When s/he sees an unfamiliar
dog or cat, how often does s/he turn away or cry as if afraid? |
|
- When you leave the room and
leave him/her alone, how often does s/he become upset? |
|
- When you take (CHILD) to the
doctor, dentist or nurse, how often does s/he turn away or cry as if
afraid? |
|
- When you play with (CHILD),
how often does s/he smile or laugh? |
|
- When s/he plays alone, how
often does s/he smile or laugh? |
|
- When s/he is in the bath, how
often does s/he smile or laugh? |
|
- When (CHILD) hears an
unexpected loud sound (for example, a car back-firing or a vacuum
cleaner), how often does s/he cry or become upset? |
|
- How often do you have trouble
soothing or calming him/her when s/he is crying or
upset? |
|
1 Almost
never |
|
2 Less than 1/2
of the time |
|
3 1/2 of the
time |
|
4 More than 1/2
of the time |
|
5 Almost
always |
ACT-B10_MS1 [] |
Section: Fertility |
The answer choices change a little here....
During
the average day, how often does [Surprise child's name([mother supplement
loop])] get fussy and irritable?
Would you say...
|
1 Almost
never |
|
2 Once or twice
a day |
|
3 A couple of
times a.m. & p.m. |
|
4 Several times
a day |
|
5 Almost every
hour |
ACT-B11_MS1 [] |
Section: Fertility |
In general, compared with most toddlers, how often does
[Surprise child's name([mother supplement loop])] cry and fuss?
Would
that be...
|
1 Almost
never |
|
2 Less than
average |
|
3 About
average |
|
4 More than
average |
|
5 Almost
always |
ACT-C01-MATRIX1_MS1 [] |
Section: Fertility |
(The following questions ask about how often [Surprise
child's name([mother supplement loop])] acted in a certain way.)
READ
QUESTION BELOW AND ASK...
Would that be...
|
- When it is mealtime, how often
does (CHILD) eat what you want him/her to eat? |
|
- When (CHILD) doesn't eat what
you want him/her to eat and you tell him/her to do so, how often does s/he
obey and eat? |
|
- When it is (CHILD)'s bedtime,
how often does s/he protest or resist going to bed? |
|
- When s/he does protest and you
tell him/her again to go to bed, how often does s/he do so? |
|
- When you tell (CHILD) to turn
off the TV, how often does s/he do so without protest? |
|
- When s/he does protest and you
tell him/her again to turn off the TV, how often does s/he do so? |
|
- When (CHILD) meets a new child
about the same age, how often is s/he shy at first? |
|
1 Almost
never |
|
2 Less than 1/2
of the time |
|
3 1/2 of the
time |
|
4 More than 1/2
of the time |
|
5 Almost
always |
ACT-C01-MATRIX2_MS1 [] |
Section: Fertility |
(The following questions ask about how often [Surprise
child's name([mother supplement loop])] acted in a certain way.)
READ
QUESTION BELOW AND ASK...
Would that be...
|
- When s/he meets an adult s/he
does not know, how often is s/he shy at first? |
|
- How often does (CHILD) cry
when s/he hurts himself/herself a little bit? |
|
- How often does s/he laugh and
smile easily (for example, when no one is touching him/her)? |
|
- When (CHILD) is with other
children his/her own age, how often does s/he fight, take toys, hit, and
so on? |
|
- When s/he is with other
children his/her own age, how often does s/he willingly share toys? |
|
- How often do you have trouble
soothing or calming (CHILD) when s/he is upset? |
|
- When (CHILD) is playing, how
often does s/he stay close to you and make sure that s/he can still see
you? |
|
1 Almost
never |
|
2 Less than 1/2
of the time |
|
3 1/2 of the
time |
|
4 More than 1/2
of the time |
|
5 Almost
always |
ACT-C01-MATRIX3_MS1 [] |
Section: Fertility |
(The following questions ask about how often [Surprise
child's name([mother supplement loop])] acted in a certain way.)
READ
QUESTION BELOW AND ASK...
Would that be...
|
- How often does s/he try to
copy what you do or how you act? (You may not always allow him/her to do
this.) |
|
- When you leave the room and
leave (CHILD) alone, how often does s/he get upset? |
|
- How often is (CHILD) demanding
and impatient even when you are busy? |
|
- When you get upset about
something, how often does s/he get worried, or try to help, or make you
feel better? |
|
- How often does (CHILD) want
you to help with the things s/he is doing? |
|
- During the past year, how
often has (CHILD) slept through the night? |
|
1 Almost
never |
|
2 Less than 1/2
of the time |
|
3 1/2 of the
time |
|
4 More than 1/2
of the time |
|
5 Almost
always |
MSD-AGECK1_MS1 [] |
Section: Fertility |
[child age in months([mother supplement loop])] <
48
COMMENT: MSD A1 to H15 Dropped for R21.
If Answer = 1
Then Go To MSD-TITLE_MS1
MSD-TITLE_MS1 [] |
Section: Fertility |
BEGIN MOTOR AND SOCIAL
DEVELOPMENT SECTION
[msupplement_name([mother supplement
loop])]
MSD-INTRO_MS1 [] |
Section: Fertility |
INTERVIEWER: THE
FOLLOWING SECTION IS A CHILD ASSESSMENT.
IT IS VITAL THAT YOU COMPLETE ALL
QUESTIONS IN THIS SECTION.
READ TO MOTHER
This section asks
you questions about things children do at different ages.
MSD-AGECK2_MS1 [] |
Section: Fertility |
([child age in months([mother supplement
loop])])
COMMENT: AGE SKIP INFO FROM PREVIOUS ROUNDS PRESERVED - NOT ALL BRANCHES
APPLY If child age is 0 to 3 mos jump to MSD A If child age is 4 to 6
mos jump to MSD B If child age is 7 to 9 mos jump to MSD C If child age is
10 to 12 mos jump to MSD D If child age is 13 to 15 mos jump to MSD E If
child age is 16 to 18 mos jump to MSD F If child age is 19 to 21 mos jump to
MSD G If child age is 22 to 47 mos jump to MSD H
If
Answer >= 0 AND Answer <= 3 Then Go To MSD-A01_MS1
If Answer >= 4 AND Answer <= 6 Then Go To MSD-B01_MS1
If Answer >= 7 AND Answer <= 9 Then Go To MSD-C-MATRIX1_MS1
If Answer >= 10 AND Answer <= 12 Then Go To MSD-D-MATRIX1_MS1
If Answer >= 13 AND Answer <= 15 Then Go To MSD-E-MATRIX1_MS1
If Answer >= 16 AND Answer <= 18 Then Go To MSD-F-MATRIX1_MS1
If Answer >= 19 AND Answer <= 21 Then Go To MSD-G-MATRIX1_MS1
If Answer >= 22 AND Answer <= 47 Then Go To MSD-H-MATRIX1_MS1
MSD-A01_MS1 [] |
Section: Fertility |
When lying on [his/her([mother supplement loop])]
stomach, has [Surprise child's name([mother supplement loop])] ever turned
[his/her([mother supplement loop])] head from side to side?
MSD-A02_MS1 [] |
Section: Fertility |
Have [Surprise child's name([mother supplement loop])]'s
eyes ever followed a moving object?
MSD-A03_MS1 [] |
Section: Fertility |
When lying on [his/her([mother supplement loop])] stomach
on a flat surface, has [Surprise child's name([mother supplement loop])] ever
lifted [his/her([mother supplement loop])] head off the surface for a
moment?
MSD-A04_MS1 [] |
Section: Fertility |
Have [Surprise child's name([mother supplement loop])]'s
eyes ever followed a moving object all the way from one side to the
other?
MSD-A05_MS1 [] |
Section: Fertility |
Has [Surprise child's name([mother supplement loop])]
ever smiled at someone when that person talked to or smiled at (but did not
touch) [him/her([mother supplement loop])]?
MSD-A06_MS1 [] |
Section: Fertility |
When lying on [his/her([mother supplement loop])]
stomach, has [Surprise child's name([mother supplement loop])] ever raised
[his/her([mother supplement loop])] head AND chest from the surface while
resting [his/her([mother supplement loop])] weight on [his/her([mother
supplement loop])] lower arms or hands?
MSD-A07_MS1 [] |
Section: Fertility |
Has [Surprise child's name([mother supplement loop])]
ever turned [his/her([mother supplement loop])] head around to look at
something?
MSD-A08_MS1 [] |
Section: Fertility |
While lying on [his/her([mother supplement loop])] back
and being pulled up to a sitting position, did [Surprise child's name([mother
supplement loop])] ever hold [his/her([mother supplement loop])] head stiffly so
that it DID NOT hang back as [s/he([mother supplement loop])] was pulled
up?
MSD-A09_MS1 [] |
Section: Fertility |
Has [s/he([mother supplement loop])] ever laughed out
loud without being tickled or touched?
MSD-A10_MS1 [] |
Section: Fertility |
Has [Surprise child's name([mother supplement loop])]
ever held in one hand a moderate size object such as a block or a
rattle?
MSD-A11_MS1 [] |
Section: Fertility |
Has [Surprise child's name([mother supplement loop])]
ever rolled over on [his/her([mother supplement loop])] own ON
PURPOSE?
MSD-A12_MS1 [] |
Section: Fertility |
Has [s/he([mother supplement loop])] ever seemed to enjoy
looking in the mirror at [him/her([mother supplement loop])]self?
MSD-A13_MS1 [] |
Section: Fertility |
Has [Surprise child's name([mother supplement loop])]
ever been pulled from a sitting to a standing position and supported
[his/her([mother supplement loop])] own weight with legs stretched
out?
MSD-A14_MS1 [] |
Section: Fertility |
Has [Surprise child's name([mother supplement loop])]
ever looked around with [his/her([mother supplement loop])] eyes for a toy which
was lost or not nearby?
MSD-A15_MS1 [] |
Section: Fertility |
Has [s/he([mother supplement loop])] ever sat alone with
no help except for leaning forward on [his/her([mother supplement loop])] hands
or with just a little help from someone else?
MSD-B01_MS1 [] |
Section: Fertility |
While lying on [his/her([mother supplement loop])] back
and being pulled up to a sitting position, has [Surprise child's name([mother
supplement loop])] ever held [his/her([mother supplement loop])] head stiffly so
that it DID NOT hang back as [s/he([mother supplement loop])] was pulled
up?
MSD-B-MATRIX1_MS1 [] |
Section: Fertility |
Has [Surprise child's name([mother supplement loop])]
ever ...
|
- ...laughed out loud without
being tickled or touched? |
|
- ... held in one hand a
moderate size object such as a block or a rattle? |
|
- ...rolled over on his/her own
ON PURPOSE? |
|
- ...seemed to enjoy looking in
the mirror at him/herself? |
|
- ...been pulled from a sitting
to a standing position and supported his/her own weight with legs
stretched out? |
MSD-B-MATRIX2_MS1 [] |
Section: Fertility |
(Has [Surprise child's name([mother supplement loop])]
ever ....)
|
- ...looked around with his/her
eyes for a toy which was lost or not nearby? |
|
- ...sat alone with no help
except for leaning forward on his/her hands or with just a little help
from someone else? |
|
- ...sat for 10 minutes without
any support at all? |
|
- ...pulled hi/herself to a
standing position without help from another person? |
|
- ...crawled when left lying on
his/her stomach? |
MSD-B-MATRIX3_MS1 [] |
Section: Fertility |
(Has [Surprise child's name([mother supplement loop])]
ever ....)
|
- ...said any recognizable words
such as "mama" or "dada"? |
|
- ...picked up small objects
such as raisins or cookie crumbs, using only his/her thumb and first
finger? |
|
- ... walked at least 2 steps
with one hand held or holding on to something? |
|
- ...waved good-bye without help
from another person? |
MSD-C-MATRIX1_MS1 [] |
Section: Fertility |
Has [Surprise child's name([mother supplement loop])]
ever ...
|
- ...seemed to enjoy looking in
the mirror at him/herself? |
|
- ...been pulled from a sitting
to a standing position and supported his/her own weight with legs
stretched out? |
|
- ...looked around with his/her
eyes for a toy which was lost or not nearby? |
|
- ...sat alone with no help
except for leaning forward on his/her hands or with just a little help
from someone else? |
|
- ...sat for 10 minutes without
any support at all? |
MSD-C-MATRIX2_MS1 [] |
Section: Fertility |
Has [Surprise child's name([mother supplement loop])]
ever ....
|
- ...pulled him/herself to a
standing position without help from another person? |
|
- ...crawled when left lying on
his/her stomach? |
|
- ...said any recognizable words
such as "mama" or "dada"? |
|
- ...picked up small objects
such as raisins or cookie crumbs, using only his/her thumb and first
finger? |
|
- ...walked at least 2 steps
with one hand held or holding on to something? |
MSD-C-MATRIX3_MS1 [] |
Section: Fertility |
Has [Surprise child's name([mother supplement loop])]
ever ....
|
- ...waved good-bye without help
from another person? |
|
- ...shown by his/her behavior
that he/she knows the names of common objects when somebody else names
them out loud? |
|
- ...shown that he/she wanted
something by pointing, pulling, or making pleasant sounds rather than
crying or whining? |
|
- ...stood alone on his/her feet
for 10 seconds or more without holding on to anything or another
person? |
|
- ...walked at least 2 steps
without holding on to anything or another person? |
MSD-D-MATRIX1_MS1 [] |
Section: Fertility |
Has [Surprise child's name([mother supplement loop])]
ever ...
|
- ...crawled when left lying on
his/her stomach? |
|
- ...said any recognizable words
such as "mama" or "dada"? |
|
- ...picked up small objects
such as raisins or cookie crumbs, using only his/her thumb and first
finger? |
|
- ...walked at least 2 steps
with one hand held or holding on to something? |
|
- ...waved good-bye without help
from another person? |
MSD-D-MATRIX2_MS1 [] |
Section: Fertility |
Has [Surprise child's name([mother supplement loop])]
ever ....
|
- ...shown by his/her behavior
that he/she knows the names of common objects when somebody else names
them out loud? |
|
- ...shown that he/she wanted
something by pointing, pulling, or making pleasant sounds rather than
crying or whining? |
|
- ...stood alone on his/her feet
for 10 seconds or more without holding on to anything or another
person? |
|
- ...walked at least 2 steps
without holding on to anything or another person? |
|
- ...crawled up at least 2
stairs or steps? |
MSD-D-MATRIX3_MS1 [] |
Section: Fertility |
Has [Surprise child's name([mother supplement loop])]
ever ....
|
- ...said 2 recognizable words
besides "mama" and "dada"? |
|
- ...run? |
|
- ...said the name of a familiar
object, such as a ball? |
|
- ...made a line with a crayon
or pencil? |
|
- ...walked up at least 2 stairs
with one hand held or holding the railing? |
MSD-E-MATRIX1_MS1 [] |
Section: Fertility |
Has [Surprise child's name([mother supplement loop])]
ever ...
|
- ...waved good-bye without help
from another person? |
|
- ...shown by his/her behavior
that he/she knows the names of common objects when somebody else names
them out loud? |
|
- ...shown that he/she wanted
something by pointing, pulling, or making pleasant sounds rather than
crying or whining? |
|
- ...stood alone on his/her feet
for 10 seconds or more without holding on to anything or another
person? |
|
- ...walked at least 2 steps
without holding on to anything or another person? |
MSD-E-MATRIX2_MS1 [] |
Section: Fertility |
Has [Surprise child's name([mother supplement loop])]
ever ....
|
- ...crawled up at least 2
stairs or steps? |
|
- ...said 2 recognizable words
besides "mama" and "dada"? |
|
- ...run? |
|
- ...said the name of a familiar
object, such as a ball? |
|
- ...made a line with a crayon
or pencil? |
MSD-E-MATRIX3_MS1 [] |
Section: Fertility |
Has [Surprise child's name([mother supplement loop])]
ever ....
|
- ...walked up at least 2 stairs
with one hand held or holding the railing? |
|
- ...fed him/herself with a
spoon or fork without spilling much? |
|
- ...let someone know, without
crying, that wearing wet (soiled) pants or diapers bothered him/her? |
|
- ...spoken a partial sentence
of 3 words or more? |
|
- ...walked up stairs by
him/herself without holding on to a rail? |
MSD-F-MATRIX1_MS1 [] |
Section: Fertility |
Has [Surprise child's name([mother supplement loop])]
ever ...
|
- ...walked at least 2 steps
without holding on to anything or another person? |
|
- ...crawled up at least 2
stairs or steps? |
|
- ...said 2 recognizable words
besides "mama" and "dada"? |
|
- ...run? |
|
- ...said the name of a familiar
object, such as a ball? |
MSD-F-MATRIX2_MS1 [] |
Section: Fertility |
Has [Surprise child's name([mother supplement loop])]
ever ....
|
- ...made a line with a crayon
or pencil? |
|
- ...walked up at least 2 stairs
with one hand held or holding the railing? |
|
- ...fed him/herself with a
spoon or fork without spilling much? |
|
- ...let someone know, without
crying, that wearing wet (soiled) pants or diapers bothered him/her? |
|
- ...spoken a partial sentence
of 3 words or more? |
MSD-F-MATRIX3_MS1 [] |
Section: Fertility |
Has [Surprise child's name([mother supplement loop])]
ever ....
|
- ...walked up stairs by
him/herself without holding on to a rail? |
|
- ...washed and dried his/her
hands without any help except for turning the water on and off? |
|
- ...counted 3 objects
correctly? |
|
- ...gone to the toilet
alone? |
|
- ...walked up stairs by
him/herself with no help, stepping on each step with only one
foot? |
MSD-G-MATRIX1_MS1 [] |
Section: Fertility |
Has [Surprise child's name([mother supplement loop])]
ever ...
|
- ...run? |
|
- ...said the name of a familiar
object, such as a ball? |
|
- ...made a line with a crayon
or pencil? |
|
- ...walked up at least 2 stairs
with one hand held or holding the railing? |
|
- ...fed him/herself with a
spoon or fork without spilling much? |
MSD-G-MATRIX2_MS1 [] |
Section: Fertility |
Has [Surprise child's name([mother supplement loop])]
ever ....
|
- ...let someone know, without
crying, that wearing wet (soiled) pants or diapers bothered him/her? |
|
- ...spoken a partial sentence
of 3 words or more? |
|
- ...walked up stairs by
him/herself without holding on to a rail? |
|
- ...washed and dried his/her
hands without any help except for turning the water on and off? |
|
- ...counted 3 objects
correctly? |
MSD-G-MATRIX3_MS1 [] |
Section: Fertility |
Has [Surprise child's name([mother supplement loop])]
ever ....
|
- ...ever gone to the toilet
alone? |
|
- ...walked up stairs by
him/herself with no help, stepping on each step with only one
foot? |
MSD-G13_MS1 [] |
Section: Fertility |
Does [Surprise child's name([mother supplement loop])]
know [his/her([mother supplement loop])] own age AND sex?
MSD-G-MATRIX4_MS1 [] |
Section: Fertility |
Has [Surprise child's name([mother supplement loop])]
ever ....
|
- ...said the names of at least
4 colors? |
|
- ...pedaled a tricycle at least
10 feet? |
MSD-H-MATRIX1_MS1 [] |
Section: Fertility |
Has [Surprise child's name([mother supplement loop])]
ever ...
|
- ...let someone know, without
crying, that wearing wet (soiled) pants or diapers bothered him/her? |
|
- ...spoken a partial sentence
of 3 words or more? |
|
- ...walked up stairs by
him/herself without holding on to a rail? |
|
- ...washed and dried his/her
hands without any help except for turning the water on and off? |
|
- ...counted 3 objects
correctly? |
MSD-H-MATRIX2_MS1 [] |
Section: Fertility |
Has [Surprise child's name([mother supplement loop])]
ever ....
|
- ...ever gone to the toilet
alone? |
|
- ...walked up stairs by
him/herself with no help, stepping on each step with only one
foot? |
MSD-H08_MS1 [] |
Section: Fertility |
Does [Surprise child's name([mother supplement loop])]
know [his/her([mother supplement loop])] own age AND sex?
MSD-H-MATRIX3_MS1 [] |
Section: Fertility |
Has [Surprise child's name([mother supplement loop])]
ever ....
|
- ...said the names of at least
4 colors? |
|
- ...pedaled a tricycle at least
10 feet? |
|
- ...done a somersault without
help from anybody? |
MSD-H12_MS1 [] |
Section: Fertility |
Has [s/he([mother supplement loop])] ever dressed
[him/her([mother supplement loop])]self without any help except for [tying
shoes/tying shoes and buttoning the backs of dresses([mother supplement
loop])]?
MSD-H-MATRIX4_MS1 [] |
Section: Fertility |
(Has [Surprise child's name([mother supplement loop])]
ever ....)
|
- ...said his/her first and last
name together without someone's help? (Nickname may be used for first
name.) |
|
- ...counted out loud up to
10? |
|
- ...drawn a picture of a man or
woman with at least 2 parts of the body besides a
head? |
BKGN-CASI-AGECK1_MS1 [] |
Section: Fertility |
[child age (years)([mother supplement loop])] >=
5
COMMENT: If child age is 5 years or OLDER then continue; Otherwise, skip to
BKGN-CASI-END
If Answer = 1 Then Go To BKGN-37_MS1
BKGN-37_MS1 [] |
Section: Fertility |
[Has/Since we last interviewed you on (date of mom's last
interview) has([mother supplement loop])] [Surprise child's name([mother
supplement loop])] repeated a grade for any reason?
BKGN-37-LOOP-BEGIN_MS1 [] |
Section: Fertility |
REPEAT
BKGN-37A_MS1 [] |
Section: Fertility |
What was the [most recent/next most recent([mother
supplement loop]:[repeated grades loop])] grade that [Surprise child's
name([mother supplement loop])] repeated?
|
0 PRE-KINDERGARTEN/KINDERGARTEN/PRE-1ST
GRADE |
|
1 1ST
GRADE |
|
2 2ND
GRADE |
|
3 3RD
GRADE |
|
4 4TH
GRADE |
|
5 5TH
GRADE |
|
6 6TH
GRADE |
|
7 7TH
GRADE |
|
8 8TH
GRADE |
|
9 9TH
GRADE |
|
10 10TH
GRADE |
|
11 11TH
GRADE |
|
12 12TH
GRADE |
BKGN-37B_MS1 [] |
Section: Fertility |
What was the main reason [s/he([mother supplement loop])]
repeated that grade?
|
1 Academic
failure or lack of ability |
|
2 Immature;
acts too young |
|
3 Frequently
absent (excused absence) |
|
4 Truancy
(unexcused absence) |
|
5 Health
reasons |
|
6 Moved into a
more difficult school |
|
7 Other reason
(SPECIFY) |
BKGN-37C_MS1 [] |
Section: Fertility |
Has [Surprise child's name([mother supplement loop])]
repeated any other grades?
BKGN-37-LOOP-END_MS1 [] |
Section: Fertility |
UNTIL({^ANYMOREREPT([mother supplement
loop]:[repeated grades loop])^}==0)
BKGN-38_MS1 [] |
Section: Fertility |
Has [Surprise child's name([mother supplement loop])]
ever had any behavior problems at school resulting in your receiving a note or
being asked to come in and talk to the teacher or principal?
BKGN-39_MS1 [] |
Section: Fertility |
What grade was [Surprise child's name([mother supplement
loop])] in the first time you received a note, or were asked to come in and talk
to the teacher or principal?
|
90 NURSERY/PRESCHOOL |
|
0 KINDERGARTEN |
|
1 1ST
GRADE |
|
2 2ND
GRADE |
|
3 3RD
GRADE |
|
4 4TH
GRADE |
|
5 5TH
GRADE |
|
6 6TH
GRADE |
|
7 7TH
GRADE |
|
8 8TH
GRADE |
|
9 9TH
GRADE |
|
10 10TH
GRADE |
|
11 11TH
GRADE |
|
12 12TH
GRADE |
BKGN-40_MS1 [] |
Section: Fertility |
Has [Surprise child's name([mother supplement loop])]
ever been suspended or expelled from school?
BKGN-40A_MS1 [] |
Section: Fertility |
(Has your child ever been suspended or expelled from
school?)
In what grade did this first happen?
|
90 NURSERY/PRESCHOOL |
|
0 KINDERGARTEN |
|
1 1ST
GRADE |
|
2 2ND
GRADE |
|
3 3RD
GRADE |
|
4 4TH
GRADE |
|
5 5TH
GRADE |
|
6 6TH
GRADE |
|
7 7TH
GRADE |
|
8 8TH
GRADE |
|
9 9TH
GRADE |
|
10 10TH
GRADE |
|
11 11TH
GRADE |
|
12 12TH
GRADE |
BKGN-41_MS1 [] |
Section: Fertility |
{^MSINSCHL([mother supplement
loop])^} == 1
If Answer = 1 Then Go To
BKGN-42_MS1
BKGN-42_MS1 [] |
Section: Fertility |
Is your child one of the best students in class, above
the middle, in the middle, below the middle, or near the bottom of the
class?
|
1 One of the
best students in class |
|
2 Above the
middle |
|
3 In the
middle |
|
4 Below the
middle |
|
5 Near the
bottom of the class |
BKGN-43-M1_MS1 [] |
Section: Fertility |
Please think about how well [Surprise child's
name([mother supplement loop])]'s school does its job.
What grade would
you give the school for how much the teachers care about the
students?
|
- ...how the teachers care about
the students? |
|
- ...how effective the principal
is as the leader of the school? |
|
- ...the skill of the
teachers? |
|
- ...how safe the school is for
the students to attend? |
|
- ...letting parents know how
their children are doing? |
|
- ...letting parents participate
in decisions about how the school is run? |
|
- ...helping students learn the
difference between right and wrong? |
|
- ...maintaining order and
discipline? |
BKGN-44_MS1 [] |
Section: Fertility |
Looking ahead, how far do you think [Surprise child's
name([mother supplement loop])] will go in school? Will [s/he([mother supplement
loop])]...
|
1 leave high
school before graduation |
|
2 graduate from
high school |
|
3 get some
college or other training |
|
4 graduate from
college |
|
5 take further
training after college |
|
6 or something
else? (SPECIFY) |
BKGN-45_MS1 [] |
Section: Fertility |
In general, how much trouble has [Surprise child's
name([mother supplement loop])] been to bring up?
|
1 None |
|
2 Just a
little |
|
3 Quite a
bit |
|
4 A
lot |
BKGN-46-M1_MS1 [] |
Section: Fertility |
Think now about how things are going in general in
[Surprise child's name([mother supplement loop])]'s life. Please rate each of
the parts of [his/her([mother supplement loop])] life listed below as either
excellent, good, only fair, or poor.
How would you rate...
|
- ...his/her health? |
|
- ...his/her friendships? |
|
- ...his/her relationship with
you? |
|
- ...his/her feelings about
him/herself? |
|
- ...his/her prospects for the
future? |
|
- ...his/her relationship with
brothers, sisters or other children he/she lives with? |
|
4 EXCELLENT |
|
3 GOOD |
|
2 FAIR |
|
1 POOR |
BPI-AGECK1_MS1 [] |
Section: Fertility |
{^msage([mother supplement loop])^}
>= 4
COMMENT: If child age is 4 years or OLDER and meets YOB/BORNSR19
constraints, then continue OTHERWISE skip to BPI-END.
If
Answer = 1 Then Go To BPI-M1_MS1
BPI-M1_MS1 [] |
Section: Fertility |
The following statements are about behavior problems many
children have. For each item, think about
[Surprise child's name([mother
supplement loop])]'s behavior over the last three months. Then indicate
whether the statement is often true, sometimes true, or not
true.
[name of biochild([mother supplement loop])]...
|
- ...has sudden changes in mood
or feeling. |
|
- ...feels or complains that no
one loves him/her. |
|
- ...is rather high strung,
tense and nervous. |
|
- ...cheats or tells lies. |
|
- ...is too fearful or
anxious. |
|
- ...argues too
much. |
|
1 Often
True |
|
2 Sometimes
True |
|
3 Not
True |
BPI-M2_MS1 [] |
Section: Fertility |
(REPEAT IF NECESSARY: The following statements are about
behavior problems many children have. For each item, think about [Surprise
child's name([mother supplement loop])]'s behavior over the last three
months. Then indicate whether the statement is often true, sometimes true,
or not true.)
[name of biochild([mother supplement loop])]...
|
- ...has difficulty
concentrating, cannot pay attention for long. |
|
- ...is easily confused, seems
to be in a fog. |
|
- ...bullies or is cruel or mean
to others. |
|
- ...is disobedient at
home. |
|
- ...does not seem to feel sorry
after he/she misbehaves. |
|
- ...has trouble getting along
with other children. |
|
1 Often
True |
|
2 Sometimes
True |
|
3 Not
True |
BPI-M3_MS1 [] |
Section: Fertility |
(REPEAT IF NECESSARY: The following statements are about
behavior problems many children have. For each item, think about [Surprise
child's name([mother supplement loop])]'s behavior over the last three
months. Then indicate whether the statement is often true, sometimes true,
or not true.)
[name of biochild([mother supplement loop])]...
|
- ...is impulsive, or acts
without thinking. |
|
- ...feels worthless or
inferior. |
|
- ...is not liked by other
children. |
|
- ...has a lot of difficulty
getting his/her mind off certain thoughts (has obsessions). |
|
- ...is restless or overly
active, cannot sit still. |
|
- ...is stubborn, sullen, or
irritable. |
|
1 Often
True |
|
2 Sometimes
True |
|
3 Not
True |
BPI-M4_MS1 [] |
Section: Fertility |
(REPEAT IF NECESSARY: The following statements are about
behavior problems many children have. For each item, think about [Surprise
child's name([mother supplement loop])]'s behavior over the last three
months. Then indicate whether the statement is often true, sometimes true,
or not true.)
[name of biochild([mother supplement loop])]...
|
- ...has a very strong temper
and loses it easily. |
|
- ...is unhappy, sad, or
depressed. |
|
- ...is withdrawn, does not get
involved with others. |
|
- ...breaks things on purpose or
deliberately destroys his/her own or another's things. |
|
- ...clings to adults. |
|
- ...cries too
much. |
|
1 Often
True |
|
2 Sometimes
True |
|
3 Not
True |
BPI-M5_MS1 [] |
Section: Fertility |
(REPEAT IF NECESSARY: The following statements are about
behavior problems many children have. For each item, think about [Surprise
child's name([mother supplement loop])]'s behavior over the last three
months. Then indicate whether the statement is often true, sometimes true,
or not true.)
[name of biochild([mother supplement loop])]...
|
- ...demands a lot of
attention. |
|
- ...is too dependent on
others. |
|
- ...feels others are out to get
him/her. |
|
- ...hangs around with kids who
get into trouble. |
|
- ...is secretive, keeps things
to himself/herself. |
|
- ...worries too
much. |
|
1 Often
True |
|
2 Sometimes
True |
|
3 Not
True |
BPI-SCHLCK_MS1 [] |
Section: Fertility |
({^MSINSCHL([mother supplement
loop])^} == 1) || ({^MSEVERSCHL([mother supplement
loop])^} == 1)
If Answer = 1 Then Go To
BPI-31_MS1
BPI-31_MS1 [] |
Section: Fertility |
Please answer even if school is not in
session:
[Surprise child's name([mother supplement loop])]...is
disobedient at school.
|
1 Often
True |
|
2 Sometimes
True |
|
3 Not
True |
|
4 Never
Attended School |
BPI-32_MS1 [] |
Section: Fertility |
(Please answer even if school is not in
session:)
[Surprise child's name([mother supplement loop])]...has trouble
getting along with teachers.
|
1 Often
True |
|
2 Sometimes
True |
|
3 Not
True |
|
4 Never
Attended School |
BPI-END_MS1 [] |
Section: Fertility |
End of series. Click on the
"Submit and Continue"
button to proceed....
COMMENT: ------------END OF BEHAVIOR PROBLEM INDEX
ASSESSMENT-------------
HLTH-16_MS1 [] |
Section: Fertility |
{^msage([mother supplement loop])^}
< 4
COMMENT: If child's age less than 4 years skip to HLTH-19, OTHERWISE
continue
If Answer = 1 Then Go To HLTH-19_MS1
HLTH-17_MS1 [] |
Section: Fertility |
During the past 12 months has [Surprise child's
name([mother supplement loop])] seen a psychiatrist, psychologist, or counselor
about any behavioral, emotional, or mental problem?
HLTH-17A_MS1 [] |
Section: Fertility |
What was the problem?
HLTH-17B_MS1 [] |
Section: Fertility |
You said that the problem was "[behavioral problem
description([mother supplement loop])]".
|
1 LEARNING
PROBLEMS OR DISABILITY, DYSLEXIA, READING OR SPEECH PROBLEMS |
|
11 ATTENTION
DEFICIT HYPERACTIVITY DISORDER (ADHD, ADD) |
|
2 BEHAVIOR
PROBLEMS IN SCHOOL/PRESCHOOL |
|
3 FAMILY
PROBLEMS: LOSS OF PARENT OR SIB, DIVORCE |
|
4 UNMANAGEABLE,
TEMPER TANTRUMS, DISRUPTIVE, HYPERACTIVE |
|
5 STRESS, CRIES
A LOT |
|
6 LYING |
|
7 EMOTIONAL
TRAUMA: MOLESTATION, ABUSE |
|
8 AUTISM |
|
9 SHYNESS |
|
10 NIGHTMARES |
|
15 OTHER
(SPECIFY) |
HLTH-18_MS1 [] |
Section: Fertility |
Was the cost of the visit to the psychiatrist,
psychologist, or counselor covered, at least in part, by any form of insurance
or benefit program?
HLTH-19_MS1 [] |
Section: Fertility |
[Since child was born/During the past 12 months([mother
supplement loop])], have you felt, or has anyone suggested, that [Surprise
child's name([mother supplement loop])] needed help for any behavioral,
emotional, or mental problem?
HLTH-20_MS1 [] |
Section: Fertility |
Does [Surprise child's name([mother supplement loop])]
regularly take any medicines or prescription drugs to help control [name of
biochild([mother supplement loop])]'s activity level or behavior?
CASI-OTHERPRES_MS1 [] |
Section: Fertility |
INTERVIEWER: WAS ANYONE ELSE
PRESENT, EXCLUDING THE RESPONDENT AND YOUNG CHILDREN (AGE 3 AND YOUNGER), WHEN
YOU ASKED THE QUESTIONS ABOUT [msupplement_name([mother supplement loop])]'S
HEALTH AND BEHAVIOR?
|
1 YES |
|
0 NO |
|
2 TELEPHONE
INTERVIEW |
MS1-LOOP-END_MS1 [] |
Section: Fertility |
UNTIL([MSUPPLEMENT_NUM]==[mother
supplement loop])
Q10-GENCHECK [] |
Section: Child Care |
[RESPONDENT GENDER]==1
COMMENT: The respondent is a male
If Answer = 1 Then Go
To Q11-1AAA
Q10-2 [] |
Section: Child Care |
RECCOUNT([biochild roster])
COMMENT: Is there a child to check
If Answer = 0 Then
Go To Q11-1AAA
Q10-66 [] |
Section: Child Care |
([partner in hh?]==1) || ([spouse in hh?]==1) ||
([marital status code]==1) || ([marital status code]==5)
COMMENT: Does R have a spouse or partner listed on the household
roster?
If Answer = 1 Then Go To Q10-67
Q10-67 [] |
Section: Child Care |
Now we have a few questions about your current
(marriage/relationship).
Would you say that your (relationship/marriage)
is...very happy, fairly happy, or not too happy?
|
1 Very
happy |
|
2 Fairly
happy |
|
3 Not too
happy |
Q10-68 [] |
Section: Child Care |
How often do you and [Spouse/partner's name]... (READ
EACH ITEM IN LIST)...almost every day, once or twice a week, once or twice a
month, or less than once a month?
|
- ...calmly discuss
something? |
|
- ...laugh together? |
|
- ...tell each other about your
day? |
|
1 Almost Every
Day |
|
2 Once or Twice
a Week |
|
3 Once or Twice
a Month |
|
4 Less Than
Once a Month |
Q10-69 [] |
Section: Child Care |
How frequently do you and [Spouse/partner's name] have
arguments about ...(READ EACH ITEM IN LIST)....often, sometimes, hardly ever, or
never?
|
- ...chores and
responsibilities |
|
- ...your children |
|
- ...money |
|
- ...showing affection to each
other |
|
- ...religion |
|
- ...leisure or free time |
|
- ...drinking |
|
- ...other women |
|
- ...(his/her) relatives |
|
- ...your
relatives |
|
1 Often |
|
2 Sometimes |
|
3 Hardly
Ever |
|
4 Never |
Q10-76 [] |
Section: Child Care |
INTERVIEWER: WAS
ANYONE ELSE PRESENT, EXCLUDING SMALL CHILDREN (AGE 3 OR UNDER) WHEN YOU ASKED
THE QUESTIONS IN SECTION 10?
|
1 YES |
|
0 NO |
|
2 TELEPHONE
INTERVIEW |
Q11-1AAA [] |
Section: Health |
([total number of employers reported] >= 1)
COMMENT: Is there at least one employer listed?
If
Answer = 1 Then Go To Q11-1B
Q11-1B [] |
Section: Health |
[is this job current?(1)]==1
COMMENT: STATUS (Merged,%datevar%,1 WAS R WORKING IN WEEK BEFORE INTERVIEW
WEEK?
If Answer = 1 Then Go To Q11-4
(INTERVIEWER:
ENTERING HEALTH SECTION)
Would your health keep you from working on a job
for pay now?
(Are you/Would you be) limited in the kind of work you
(could) do on a job for pay because of your health?
(Are you/Would you be) limited in the amount of work you
(could) do because of your health?
Q11-5A [] |
Section: Health |
(([Would your health keep you from working now?]==1) ||
([Limited in kind of work due to accident or injury?]==1) || ([Limited in amount
of work due to accident or injury?]==1))
COMMENT: Check if R has reported a health limitation which affects
work.
If Answer = 1 Then Go To Q11-5B
Q11-5B [] |
Section: Health |
([RESPONDENT GENDER]==1)
COMMENT: Is respondent male?
If Answer = 1 Then Go To
Q11-7
Q11-5C [] |
Section: Health |
([time unit for time next child planned]==1) &&
([number of months r plans to have next child]<=9)
COMMENT: Is R currently pregnant?
If Answer = 1 Then Go
To Q11-6
Is your limitation entirely due to your current
pregnancy?
Since what month and year have you had this limitation ["
"/Other than your pregnancy]?
|
1 SELECT TO
ENTER DATE ...(Go To Q11-8) |
|
0 IF
VOLUNTEERED: 'ALL MY LIFE' |
INTERVIEWER: ENTER
DATE FROM WHICH R HAS HAD THIS LIMITATION.
Q11-ASTHMA-CHK0 [] |
Section: Health |
VAREXIST ([asthma reptd in previous int])
COMMENT: Was R employed since last interview?
If Answer
= 1 Then Go To Q11-ASTHMA-CHK1
Q11-ASTHMA-CHK1 [] |
Section: Health |
[asthma reptd in previous int]==1
If
Answer = 1 Then Go To Q11-ASTHMA-9_A
Q11-ASTHMA-9_A [] |
Section: Health |
VAREXIST ([DATE RESPONDENT STOPPED WORKING FOR
EMPLOYER(1)])
COMMENT: Was R employed since last interview?
If Answer
= 1 Then Go To Q11-ASTHMA-9_B
Q11-ASTHMA-9_B [] |
Section: Health |
DATE2DAY([DATE RESPONDENT STOPPED WORKING FOR
EMPLOYER(1)]) >= DATE2DAY([12 months before reference date])
COMMENT: Has R been employed in the past 12 months?
If
Answer = 0 Then Go To Q11-CARE-CHECK
Q11-ASTHMA-10 [] |
Section: Health |
When we talked to you on [Date of last interview], you
reported that you had asthma.
During the past 12 months, how many days of
work did you miss due to your asthma?
Q11-CARE-CHECK [] |
Section: Health |
RECCOUNT([Final Household Roster])
COMMENT: copy all the people from the info sheet to the roster
If Answer = 0 Then Go To Q11-9
Q11-CARE-1 [] |
Section: Health |
Is anyone in your household (besides you) disabled or
chronically ill?
Q11-CARE-2 [] |
Section: Health |
Which household member is this?
(INTERVIEWER: PROBE IF THERE IS MORE THAN ONE
HOUSEHOLD MEMBER: "Is there anyone else?")
Q11-CARE-3 [] |
Section: Health |
Do you regularly spend time helping or taking care of
[this person/these people]?
Q11-CARE-3B [] |
Section: Health |
About how many hours per week do you spend doing
this?
Q11-CARE-4 [] |
Section: Health |
Do you regularly spend time helping or taking care of a
relative or friend who does not live in your household?
Q11-CARE-4B [] |
Section: Health |
About how many hours per week do you spend doing
this?
How much do you weigh?
(ENTER POUNDS)
Q11-10_A [] |
Section: Health |
How tall are you?
(INTERVIEWER: IF R ANSWERS ONLY IN FEET OR ONLY IN
INCHES, LEAVE OTHER FIELD BLANK.)
Q11-10_B [] |
Section: Health |
Q11-GENHLTH_1A_1 [] |
Section: Health |
How often do you do vigorous activities for at least 10
minutes that cause heavy sweating or large increases in breathing or heart
rate?
(INTERVIEWER: IF R UNABLE TO DO THIS TYPE OF
ACTIVITY, ENTER "996" IN "FREQUENCY".
IF R NEVER DOES THIS TYPE OF ACTIVITY,
ENTER "0" IN "FREQUENCY".)
Q11-GENHLTH_1A_2 [] |
Section: Health |
CHOOSE TIME UNIT:
|
1 Per day |
|
2 Per
week |
|
3 Per
month |
|
4 Per
year |
|
5 Unable to do
this activity |
Q11-GENHLTH_1B [] |
Section: Health |
([frequency of vigorous exercise]==0 || [frequency of
vigorous exercise]==996)
COMMENT: If R is unable or never does physical activities then skip question
about how long
If Answer = 1 Then Go To Q11-GENHLTH_2A_1
Q11-GENHLTH_1C_1 [] |
Section: Health |
About how long do you do these vigorous activities each
time?
Q11-GENHLTH_1C_2 [] |
Section: Health |
SELECT TIME UNIT:
Q11-GENHLTH_2A_1 [] |
Section: Health |
How often do you do light or moderate activities for at
least 10 minutes that cause only light sweating or slight to moderate increase
in breathing or heart rate?
(INTERVIEWER: IF R UNABLE TO DO THIS TYPE OF
ACTIVITY, ENTER "996" IN "FREQUENCY".
IF R NEVER DOES THIS TYPE OF ACTIVITY, ENTER "0" IN "FREQUENCY".)
Q11-GENHLTH_2A_2 [] |
Section: Health |
SELECT TIME UNIT:
|
1 Per day |
|
2 Per
week |
|
3 Per
month |
|
4 Per
year |
|
5 Unable to do
this activity |
Q11-GENHLTH_2B [] |
Section: Health |
([frequency of moderate exercise]==0 || [frequency of
moderate exercise]==996)
COMMENT: If R is unable or never does physical activities then skip question
about how long
If Answer = 1 Then Go To Q11-GENHLTH_3A_1
Q11-GENHLTH_2C_1 [] |
Section: Health |
About how long do you do these light or moderate
activities each time?
Q11-GENHLTH_2C_2 [] |
Section: Health |
SELECT TIME UNIT:
Q11-GENHLTH_3A_1 [] |
Section: Health |
How often do you do physical activities specifically
designed to strengthen your muscles such as lifting weights or doing
calisthenics? (Include all such activities even if you have mentioned them
before.)
(INTERVIEWER: IF R UNABLE TO DO
THIS TYPE OF ACTIVITY, ENTER "996" IN
"FREQUENCY". IF R NEVER DOES THIS
TYPE OF ACTIVITY, ENTER "0" IN
"FREQUENCY".)
Q11-GENHLTH_3A_2 [] |
Section: Health |
SELECT TIME UNIT:
|
1 Per day |
|
2 Per
week |
|
3 Per
month |
|
4 Per
year |
|
5 Unable to do
this activity |
Q11-GENHLTH-PRV1 [] |
Section: Health |
Do you have a health care provider that you can see when
you are sick or need advice about your health?
Q11-GENHLTH-PRV2 [] |
Section: Health |
What kind of place do you go to most often for this
care—is it a clinic, doctor's office, emergency room, or some other
place?
|
1 Clinic or
health center |
|
2 Doctor’s
office or HMO |
|
3 Hospital
emergency room |
|
4 Some other
place |
|
5 Don’t go to
one place most often |
Q11-GENHLTH_4A [] |
Section: Health |
About how long has it been since your last general
physical exam or routine checkup by a medical doctor or other health
professional? Do not include a visit about a specific problem.
Has it
been...(READ CATEGORIES AS NECESSARY)?
|
0 Never |
|
1 A year ago or
less |
|
2 More than 1
year but not more than 2 years |
|
3 More than 2
years but not more than 3 years |
|
4 More than 3
years but not more than 5 years |
|
5 Over 5 years
ago |
Q11-GENHLTH_4B [] |
Section: Health |
[RESPONDENT GENDER]
COMMENT: If R is unable or never does physical activities then skip question
about how long
If Answer = 1 Then Go To Q11-GENHLTH_4C_M
Q11-GENHLTH_4C_M [] |
Section: Health |
During the past 24 months, that is since
[refdate_24mo~X], have you had any of the following medical tests or
procedures?
|
- A flu shot? |
|
- A blood test for
cholesterol? |
|
- A blood test for diabetes or
blood sugar levels? |
|
- An examination of your
prostate to screen for cancer? |
|
- A colonoscopy or other test to
screen for colorectal cancer? |
|
- An electrocardiogram (EKG or
ECG) or stress test? |
|
- Have you had your blood
pressure measured? |
Q11-GENHLTH_4D_M [] |
Section: Health |
Are you currently taking...
|
- ...aspirin regularly to lower
the risk of a heart attack or other cardiovascular event? |
|
- ...any medications to control
your blood sugar level? |
|
- ...any medications to control
your blood pressure? |
Q11-GENHLTH_4E_M [] |
Section: Health |
During the past 24 months, that is since
[refdate_24mo~X], have you seen or talked to either of the following types of
doctors?
|
- A dentist for a routine
check-up or exam? |
|
- An optician or opthamologist
for a routine eye exam? |
Q11-GENHLTH_4C_F [] |
Section: Health |
During the past 24 months, that is since
[refdate_24mo~X], have you had any of the following medical tests or
procedures?
|
- A flu shot? |
|
- A blood test for
cholesterol? |
|
- A blood test for diabetes or
blood sugar levels? |
|
- A mammogram or x-ray of the
breast to search for cancer? |
|
- A PAP smear? |
|
- A bone density test to screen
for osteoporosis? |
|
- A colonoscopy or other test to
screen for colorectal cancer? |
|
- An electrocardiogram (EKG or
ECG) or stress test? |
|
- Have you had your blood
pressure measured? |
Q11-GENHLTH_4D_F [] |
Section: Health |
Are you currently taking..
|
- ...aspirin regularly to lower
the risk of a heart attack or other cardiovascular event? |
|
- ...any medications to control
your blood sugar level? |
|
- ...any medications to control
your blood pressure? |
|
- ...any hormone replacement
therapy or "HRT" medications? |
Q11_GENHLTH_M1 [] |
Section: Health |
Have you had a menstrual period in the past 12
months?
Q11-GENHLTH_M1_CHECK [] |
Section: Health |
[Q11-GENHLTH_4D_F~4]== 1
COMMENT: R is currently taking hormone replacement therapy
If
Answer = 1 Then Go To Q11-GENHLTH_M5
Q11-GENHLTH_M2 [] |
Section: Health |
How old were you when you had your last
period?
Q11-GENHLTH_M2A [] |
Section: Health |
(How old were you when you had your last
period?)
Q11-GENHLTH_M3 [] |
Section: Health |
What is the reason that your period stopped at that
age?
|
1 Menopause ...(Go To Q11-GENHLTH_4E_F) |
|
2 Hysterectomy
(that is, surgery to remove your uterus and/or ovaries |
|
3 Medical
conditions or treatments such as estrogen blockers or
chemotherapy ...(Go To Q11-GENHLTH_4E_F) |
|
4 Other
(Specify) ...(Go To Q11-GENHLTH_4E_F) |
If Answer >= -2 AND Answer <= -1 Then Go To Q11-GENHLTH_4E_F
Q11-GENHLTH_M4 [] |
Section: Health |
Did your hysterectomy involve removal of both ovaries,
one ovary, or just your uterus?
|
1 Both ovaries
were removed |
|
2 Only one
ovary was removed |
|
3 Only uterus
was removed |
Q11-GENHLTH_M5 [] |
Section: Health |
Prior to taking hormone replacement therapy or "HRT"
medications, had you had a menstrual period in the past 12 months?
Q11-GENHLTH_M6 [] |
Section: Health |
How old were you when you had your last period prior to
starting HRT?
Q11-GENHLTH_M6A [] |
Section: Health |
(How old were you when you had your last period prior to
starting HRT?)
Q11-GENHLTH_4E_F [] |
Section: Health |
During the past 24 months, that is since
[refdate_24mo~X], have you seen or talked to any of the following types of
doctors?
|
- An obstetrician, gynecologist
or other doctor who specializes in women's health? |
|
- A dentist for a routine
check-up or exam? |
|
- An optician or ophthalmologist
for a routine eye exam? |
Q11-GENHLTH_4F [] |
Section: Health |
Are you currently taking any medications to control or
lower your cholesterol level?
Q11-GENHLTH_4G [] |
Section: Health |
Are any of those medications known as
"statins"?
Q11-GENHLTH_5A_1 [] |
Section: Health |
Do you have any of your own, natural teeth?
Q11-GENHLTH_5A_2 [] |
Section: Health |
During a usual week, how many times do
you....
...Brush your teeth?
Q11-GENHLTH_5A_3 [] |
Section: Health |
...Use dental floss?
Q11-GENHLTH_6A [] |
Section: Health |
Are you now trying to lose weight, gain weight, stay
about the same, or are you not trying to do anything about your
weight?
|
1 Lose
weight |
|
2 Gain
weight |
|
3 Stay about
the same |
|
4 Not trying to
do anything |
Q11-GENHLTH_7A [] |
Section: Health |
When you buy a food item for the first time, how often
would you say you read the nutritional information sometimes listed on the label
- would you say always, often, sometimes, rarely or never?
|
0 Don't buy
food |
|
1 Always |
|
2 Often |
|
3 Sometimes |
|
4 Rarely |
|
5 Never |
Q11-GENHLTH_7B [] |
Section: Health |
When you buy a food item for the first time, how often
would you say you read the ingredient list on the package - (would you say
always, often, sometimes, rarely or never)?
|
0 Don't buy
food |
|
1 Always |
|
2 Often |
|
3 Sometimes |
|
4 Rarely |
|
5 Never |
Q11-GENHLTH_7C_1 [] |
Section: Health |
In the past seven days, how many times did
you...
...Eat food from a fast food restaurant such as McDonalds,
Kentucky Fried Chicken, Pizza Hut, or Taco Bell?
Q11-GENHLTH_7C_2 [] |
Section: Health |
(INTERVIEWER: ENTER
"PER DAY" OR "PER WEEK".)
Q11-GENHLTH_7D_1 [] |
Section: Health |
(In the past seven days, how many times did
you...)
...Eat a snack between meals?
Q11-GENHLTH_7D_2 [] |
Section: Health |
(INTERVIEWER: ENTER
"PER DAY" OR "PER WEEK".)
Q11-GENHLTH_7E_1 [] |
Section: Health |
(In the past seven days, how many times did
you...)
...Skip a meal?
Q11-GENHLTH_7E_2 [] |
Section: Health |
(INTERVIEWER: ENTER
"PER DAY" OR "PER WEEK".)
Q11-GENHLTH_7F_1 [] |
Section: Health |
(In the past seven days, how many times did
you...)
...Have a soft drink or soda that contained sugar? (Do not
include diet soft drinks or sodas, or carbonated water.)
Q11-GENHLTH_7F_2 [] |
Section: Health |
(INTERVIEWER: ENTER
"PER DAY" OR "PER WEEK".)
Q11-HLTHPLN-INTCHK [] |
Section: Health |
[any children to ask about insurance?]==1 || [any
spouse/partner to ask about insurance?]==1
If
Answer = 1 Then Go To Q11-HLTHPLN-INTRO
Q11-HLTHPLN-INTRO [] |
Section: Health |
The next questions are about health insurance. We would
first like to find out about your own health insurance coverage. We will then
ask about coverage of [spintro] [hlth_and] [childins].
Q11-79 [] |
Section: Health |
Are you covered by any kind of health insurance or
some other kind of health care plan? (Include health insurance obtained through
employment or purchased directly as well as government programs like Medicaid
that provide medical care or help pay medical bills.)
(PROBE IF
NECESSARY:) Examples of health and hospitalization insurance plans include Blue
Cross, Blue Shield, [Medicaid or a Medicaid alternative plan such as [name of
state Medicaid Program]].
Q11-80B [] |
Section: Health |
(INTERVIEWER: IF R
PROVIDES NAMES OF HMOs OR INSURANCE COMPANIES, PROBE
FOR THE SOURCE OF FUNDING.)
What is the source of your
primary health insurance or
hospitalization plan? Is it from a policy from your current or previous
employer, a policy from [your husband/wife/partner] a policy bought directly
from a medical insurance company, is it Medicaid or an alternative Medicaid
provider, is it from Medicare, or is it from some other source?
|
1 Policy from
your CURRENT employer |
|
2 Policy from a
PREVIOUS employer |
|
3 Policy from
spouse's or partner's CURRENT employer |
|
4 Policy from
spouse's or partners PREVIOUS employer |
|
5 Policy you or
your spouse or partner bought directly from a medical insurance
company |
|
6 Medicaid or
Medicaid provider/Medi-Cal/Medical Assist/Welfare/Medical Service |
|
8 Medicare |
|
7 Other
(SPECIFY) |
Q11-80B_1 [T77084.00] |
Section: Health |
Who else in your family is covered by this
plan?
(SELECT ALL THAT
APPLY.)
|
1 Spouse |
|
2 Partner |
|
3 Residential
children |
|
4 Your
non-residential biological/adopted children |
|
5 Your
spouse/partner's non-residential biological/adopted children |
|
6 Other
dependents |
|
7 Your parents
or siblings |
|
99 No other
person |
Q11-80F [] |
Section: Health |
Have you (or your employer) set up a health savings
account, medical savings account, or health-related flexible savings account to
help pay your health care expenses?
Q11-HLTHPLN-3CHK [] |
Section: Health |
[r covered by health plan?]==0 || [r has no health care
coverage?]==1
COMMENT: /* Respondent reports no health insurance coverage, or coverage not
specified in response categories. */
If Answer = 1 Then Go
To Q11-80G
Q11-80G [] |
Section: Health |
There is a program called Medicaid that pays for health
care for persons in need. In [RESPONDENT STATE] it is also called [Medicaid or a
Medicaid alternative plan such as [name of state Medicaid Program]]. Are you
covered by Medicaid?
(INTERVIEWER:
GENERALLY, IF R OR EMPLOYER DO NOT HAVE TO PAY, THE INSURANCE IS MEDICAID OR A
MEDICAID ALTERNATIVE. PLEASE SEE HELP SCREEN FOR LIST OF MEDICAID ALTERNATIVE
PROVIDERS AND PLANS FOR [RESPONDENT STATE].)
Q11-81C_1 [] |
Section: Health |
Not including single service plans, about how long has it
been since you last had health care coverage?
|
0 6 months or
less |
|
1 More than 6
months, but less than 1 year |
|
2 More than 1
year, but not more than 3 years |
|
3 More than 3
years |
|
4 Never |
Q11-HLTHPLN-5CHK [] |
Section: Health |
[r has no health care coverage?]==1
COMMENT: /* Respondent reports some type of health insurance */
If Answer = 1 Then Go To Q11-HLTHPLN-6CHK
Q11-81A [] |
Section: Health |
In the past 12 months, have you ever been without
coverage?
Q11-81B_1 [] |
Section: Health |
About how many months were you without
coverage?
Q11-HLTHPLN-6CHK [] |
Section: Health |
[r covered by health plan?]==0 || [r has no health care
coverage?]==1 || [been without coverage in past 12 months?]==1
COMMENT: Respondent reports no health insurance coverage or coverage not
specified in response categories or some non-coverage in the last 12
months
If Answer = 0 Then Go To Q11-HLTHPLN-7CHK
Q11-81G [] |
Section: Health |
Which of these are the reasons you (do/did) not have
health insurance?
(INTERVIEWER: SELECT
ALL THAT APPLY.)
|
1 Person in
family with health insurance lost job or changed employers |
|
2 Got divorced
or separated/death of spouse or partner |
|
3 Employer does
not offer coverage/or not eligible for coverage |
|
4 Cost is too
high |
|
5 Insurance
company refused coverage |
|
6 [FEMALE
ONLY] Medicaid/Medical plan stopped after pregnancy |
|
7 Lost
Medicaid/Medical Plan because of new job or increase in income |
|
8 Lost Medicaid
(other) |
|
9 Other
(specify) |
Q11-HLTHPLN-7CHK [] |
Section: Health |
[any spouse/partner to ask about
insurance?]==1
COMMENT: Respondent reported a spouse
If Answer = 1
Then Go To Q11-HLTHPLN-7CHKA
Q11-HLTHPLN-7CHKA [] |
Section: Health |
VAREXIST([Q11-80B_1])
If
Answer = 1 Then Go To Q11-HLTHPLN-7CHKB
Q11-HLTHPLN-7CHKB [] |
Section: Health |
INSELECTION([Q11-80B_1],1) ||
INSELECTION([Q11-80B_1],2)
COMMENT: Spouse/partner covered by R's primary health care
If
Answer = 1 Then Go To Q11-HLTHPLN-8CHK
Q11-83 [] |
Section: Health |
Is [Spouse/partner's name] covered by any kind of health
insurance or some other kind of health care plan? (Include health insurance
obtained through employment or purchased directly as well as government programs
like Medicaid that provide medical care or help pay medical bills.)
(PROBE IF NECESSARY:) Examples of health and hospitalization insurance plans
include Blue Cross, Blue Shield, [Medicaid or a Medicaid alternative plan such
as [name of state Medicaid Program]].
Q11-84B [] |
Section: Health |
(INTERVIEWER: IF R
PROVIDES NAMES OF HMOs OR INSURANCE COMPANIES, PROBE
FOR THE SOURCE OF FUNDING.)
What is the source of
[Spouse/partner's name]'s primary health
insurance or hospitalization plan? Is it from a policy from your current or
previous employer, a policy from [your husband/wife/partner] a policy bought
directly from a medical insurance company, is it Medicaid or an alternative
Medicaid provider, or is it from some other source?
(PROBE IF NECESSARY:)
Examples of health and hospitalization insurance plans include Blue Cross, Blue
Shield, [Medicaid or a Medicaid alternative plan such as [name of state Medicaid
Program]].
|
1 Policy from
your CURRENT employer |
|
2 Policy from a
PREVIOUS employer |
|
3 Policy from
spouse's or partner's CURRENT employer |
|
4 Policy from
spouse's or partners PREVIOUS employer |
|
5 Policy you or
your spouse or partner bought directly from a medical insurance
company |
|
6 Medicaid or
Medicaid provider/Medi-Cal/Medical Assist/Welfare/Medical Service |
|
8 Medicare |
|
7 Other
(SPECIFY) |
Q11-HLTHPLN-8CHK [] |
Section: Health |
[any children to ask about insurance?]==1
If Answer = 1 Then Go To Q11-HLTHPLN-8CHKA
Q11-HLTHPLN-8CHKA [] |
Section: Health |
VAREXIST([Q11-80B_1])
If
Answer = 1 Then Go To Q11-HLTHPLN-8CHKB
Q11-HLTHPLN-8CHKB [] |
Section: Health |
INSELECTION([Q11-80B_1],3) || INSELECTION([Q11-80B_1],4)
||
INSELECTION([Q11-80B_1],5)
COMMENT: Children covered by R's primary health care
If
Answer = 1 Then Go To Q11-RESP_AGE2
Q11-RESCHILD-RECCOUNT [] |
Section: Health |
RECCOUNT([RESCHILDREN])
If
Answer = 0 Then Go To Q11-RESP_AGE2
Q11-87 [] |
Section: Health |
Is/Are (READ NAMES OF CHILDREN
LISTED BELOW) covered by any kind of health insurance or some other
kind of health care plan? (Include health insurance obtained through employment
or purchased directly as well as government programs like Medicaid that provide
medical care or help pay medical bills.)
(PROBE IF NECESSARY:) Examples
of health and hospitalization insurance plans include Blue Cross, Blue Shield,
[Medicaid or a Medicaid alternative plan such as [name of state Medicaid
Program]].
Q11-87-ROS [] |
Section: Health |
Q11-RESCHD-INS-CHK [] |
Section: Health |
[Q11-87]==1
COMMENT: The Children are covered by health insurance
If Answer = 1 Then Go To Q11-88B
Q11-88B [] |
Section: Health |
(INTERVIEWER: IF R
PROVIDES NAMES OF HMOs OR INSURANCE COMPANIES, PROBE
FOR THE SOURCE OF FUNDING.)
What is the source of your
child(ren)'s primary health insurance or
hospitalization plan? Is it from a policy from your current or previous
employer, a policy from [your husband/wife/partner] a policy bought directly
from a medical insurance company, is it Medicaid or an alternative Medicaid
provider, is it from Medicare, or is it from some other source?
(PROBE IF
NECESSARY:) Examples of health and hospitalization insurance plans include Blue
Cross, Blue Shield, [Medicaid or a Medicaid alternative plan such as [name of
state Medicaid Program]].
|
1 Policy from
your CURRENT employer |
|
2 Policy from a
PREVIOUS employer |
|
3 Policy from
spouse's or partner's CURRENT employer |
|
4 Policy from
spouse's or partners PREVIOUS employer |
|
5 Policy you or
your spouse or partner bought directly from a medical insurance
company |
|
6 Medicaid or
Medicaid provider/Medi-Cal/Medical Assist/Welfare/Medical Service |
|
8 Medicare |
|
7 Other
(SPECIFY) |
Q11-RESP_AGE2 [] |
Section: Health |
[cognition-flag] == 1
If
Answer = 1 Then Go To Q11-H50-2
COGNITION-C1 [] |
Section: Health |
Part of this study is concerned with people's memory, and
ability to think about things. First, how would you rate your memory at the
present time? Would you say it is excellent, very good, good, fair or
poor?
|
1 Excellent |
|
2 Very
Good |
|
3 Good |
|
4 Fair |
|
5 Poor |
COGNITION-C2 [] |
Section: Health |
Compared to (two years ago/[year before current year]),
would you say your memory is better now, about the same, or worse now than it
was then?
|
1 better |
|
2 about the
same |
|
3 worse |
COGNITION-3_TEST1 [] |
Section: Health |
I'll read a set of 10 words and ask you to recall as many
as you can. We have purposely made the list long so that it will be difficult
for anyone to recall all the words. Most people recall just a few. Please listen
carefully as I read the set of words because I cannot repeat them. When I
finish, I will ask you to recall aloud as many of the words as you can, in any
order. Is this clear?
(INTERVIEWER:
PROBE AS NEEDED FOR UNDERSTANDING OF TASK. READ ITEMS ON FOLLOWING SCREEN AT A SLOW
STEADY RATE, AS THEY FLASH ON THE SCREEN.
IF R
REFUSES DURING OR AFTER THE INTRODUCTION AND BEFORE ANY WORDS ARE
READ, SELECT "REFUSED WORD LIST" BELOW AND SELECT <SUBMIT AND CONTINUE> TO
PROCEED.)
|
1 CONTINUE WITH
WORD LIST |
|
2 REFUSED WORD
LIST ...(Go To COGNITION-6) |
COG_RANDOM_TEST1 [] |
Section: Health |
INT(RAND(0)*5)
If Answer = 1
Then Go To COG_LIST1A_TEST1_M1
If Answer = 2 Then Go To COG_LIST2A_TEST1_M2
If Answer = 3 Then Go To COG_LIST3A_TEST1_M3
If Answer = 4 Then Go To COG_LIST4A_TEST1_M4
COG_LIST1A_TEST1_M1 [] |
Section: Health |
(INTERVIEWER:
DOUBLE CLICK START ARROW TO START WORD LIST.
READ WORDS AS THEY FLASH ON THE SCREEN.
AFTER
READING WORDS, ASK:)
Now please tell me the words you can
recall.
(INTERVIEWER: PERMIT AS MUCH
TIME AS THE R WISHES UP TO ABOUT 2 MINUTES. SELECT "RECALLED" FOR WORDS R RECALLED, AND "NOT
RECALLED" FOR WORDS THE R DID NOT RECALL.
SELECT <SUBMIT AND CONTINUE> TO ENTER WRONG WORDS ONTO
THE ROSTER ON NEXT SCREEN. BY SELECTING <ADD
ROW> AND TYPING THE WORD.)
|
- Hotel |
|
- River |
|
- Tree |
|
- Skin |
|
- Gold |
|
- Market |
|
- Paper |
|
- Child |
|
- King |
|
- Book |
|
1 RECALLED |
|
0 NOT
RECALLED |
COGNITION-4A_2 [] |
Section: Health |
(INTERVIEWER: ENTER WRONG WORDS "RECALLED" ON ROSTER BELOW BY
SELECTING <ADD ROW> AND TYPING THE
WORD.)
COG_LIST2A_TEST1_M2 [] |
Section: Health |
(INTERVIEWER:
DOUBLE CLICK START ARROW TO START WORD LIST.
READ WORDS AS THEY FLASH ON THE SCREEN.
AFTER
READING WORDS, ASK:)
Now please tell me the words you can
recall.
(INTERVIEWER: PERMIT AS MUCH
TIME AS THE R WISHES UP TO ABOUT 2 MINUTES. SELECT "RECALLED" FOR WORDS R RECALLED, AND "NOT
RECALLED" FOR WORDS THE R DID NOT RECALL.
SELECT <SUBMIT AND CONTINUE> TO ENTER WRONG WORDS ONTO
THE ROSTER ON NEXT SCREEN. BY SELECTING <ADD
ROW> AND TYPING THE WORD.)
|
- Sky |
|
- Ocean |
|
- Flag |
|
- Dollar |
|
- Wife |
|
- Machine |
|
- Home |
|
- Earth |
|
- College |
|
- Butter |
|
1 RECALLED |
|
0 NOT
RECALLED |
COGNITION-4B_2 [] |
Section: Health |
(INTERVIEWER: ENTER WRONG WORDS "RECALLED" ON ROSTER BELOW BY
SELECTING <ADD ROW> AND TYPING THE
WORD.)
COG_LIST3A_TEST1_M3 [] |
Section: Health |
(INTERVIEWER:
DOUBLE CLICK START ARROW TO START WORD LIST.
READ WORDS AS THEY FLASH ON THE SCREEN.
AFTER
READING WORDS, ASK:)
Now please tell me the words you can
recall.
(INTERVIEWER: PERMIT AS MUCH
TIME AS THE R WISHES UP TO ABOUT 2 MINUTES. SELECT "RECALLED" FOR WORDS R RECALLED, AND "NOT
RECALLED" FOR WORDS THE R DID NOT RECALL.
SELECT <SUBMIT AND CONTINUE> TO ENTER WRONG WORDS ONTO
THE ROSTER ON NEXT SCREEN. BY SELECTING <ADD
ROW> AND TYPING THE WORD.)
|
- Woman |
|
- Rock |
|
- Blood |
|
- Corner |
|
- Shoes |
|
- Letter |
|
- Girl |
|
- House |
|
- Valley |
|
- Engine |
|
1 RECALLED |
|
0 NOT
RECALLED |
COGNITION-4C_2 [] |
Section: Health |
(INTERVIEWER: ENTER WRONG WORDS "RECALLED" ON ROSTER BELOW BY
SELECTING <ADD ROW> AND TYPING THE
WORD.)
COG_LIST4A_TEST1_M4 [] |
Section: Health |
(INTERVIEWER:
DOUBLE CLICK START ARROW TO START WORD LIST.
READ WORDS AS THEY FLASH ON THE SCREEN.
AFTER
READING WORDS, ASK:)
Now please tell me the words you can
recall.
(INTERVIEWER: PERMIT AS MUCH
TIME AS THE R WISHES UP TO ABOUT 2 MINUTES. SELECT "RECALLED" FOR WORDS R RECALLED, AND "NOT
RECALLED" FOR WORDS THE R DID NOT RECALL.
SELECT <SUBMIT AND CONTINUE> TO ENTER WRONG WORDS ONTO
THE ROSTER ON NEXT SCREEN. BY SELECTING <ADD
ROW> AND TYPING THE WORD.)
|
- Water |
|
- Church |
|
- Doctor |
|
- Palace |
|
- Fire |
|
- Garden |
|
- Sea |
|
- Village |
|
- Baby |
|
- Table |
|
1 RECALLED |
|
0 NOT
RECALLED |
COGNITION-4D_2 [] |
Section: Health |
(INTERVIEWER: ENTER WRONG WORDS "RECALLED" ON ROSTER BELOW BY
SELECTING <ADD ROW> AND TYPING THE
WORD.)
COGNITION-4_CHK4 [] |
Section: Health |
(INTERVIEWER: PLEASE
INDICATE WHETHER ANY OF THE FOLLOWING PROBLEMS OCCURRED IN RELATION TO WORD
RECALL.)
(SELECT ALL THAT APPLY.)
|
1 R HAD
DIFFICULTY HEARING ANY OF THE WORDS |
|
2 INTERRUPTION
OCCURRED WHILE YOU WERE READING LIST |
|
3 OTHER PROBLEM
(PLEASE SPECIFY) |
|
4 NO PROBLEMS
OCCURRED |
COGNITION-6 [] |
Section: Health |
For this next question, please try to count backward as
quickly as you can from the number I will give you. I will tell you when to
stop.
Please start with: 20
(INTERVIEWER: ALLOW R TO START OVER IF S/HE WISHES
TO DO SO. SELECT <CONTINUE WITH BACKWARD
COUNTING> AS SOON AS YOU READ THE NUMBER.)
|
1 CONTINUE WITH
BACKWARD COUNTING |
If Answer
>= -2 AND Answer <= -1 Then Go To COGNITION-6G
COGNITION-6A [] |
Section: Health |
INTERVIEWER: SELECT
<CONTINUE WITH BACKWARD COUNTING> AS
SOON AS R HAS COUNTED 10 NUMBERS, OR STOPS, OR ASKS TO START OVER.
R CAN
CORRECTLY COUNT DOWN FROM 19 TO 10 OR FROM 20 TO 11.
|
1 CONTINUE WITH
BACKWARD COUNTING |
If Answer
>= -2 AND Answer <= -1 Then Go To COGNITION-6G
COGNITION-6C [] |
Section: Health |
You may stop now. Thank
you.
(INTERVIEWER: SELECT <CORRECT> IF R COUNTED BACKWARDS FROM
19 TO 10 OR FROM 20 TO 11 WITHOUT ERROR. SELECT
<REFUSED> IF R REFUSED TO TRY THE TASK. DON'T
KNOW IS NOT AN ACCEPTABLE
RESPONSE.)
|
1 CORRECT |
|
5 INCORRECT |
|
6 WANTS TO
START OVER ...(Go To COGNITION-6D) |
|
97 REFUSED |
COGNITION-6D [] |
Section: Health |
Let's try again.
The number to count backward from
is : 20
(INTERVIEWER:
SELECT <CONTINUE WITH BACKWARD
COUNTING> AS SOON AS YOU READ THE NUMBER.)
|
1 CONTINUE WITH
BACKWARD COUNTING |
If Answer
>= -2 AND Answer <= -1 Then Go To COGNITION-6G
COGNITION-6D_Y1 [] |
Section: Health |
INTERVIEWER: SELECT
<CONTINUE WITH BACKWARD COUNTING> AS
SOON AS R HAS COUNTED 10 NUMBERS, OR STOPS.
|
1 CONTINUE WITH
BACKWARD COUNTING |
If Answer
>= -2 AND Answer <= -1 Then Go To COGNITION-6G
COGNITION-6F [] |
Section: Health |
You may stop now. Thank
you.
(INTERVIEWER: SELECT <CORRECT> IF R COUNTED BACKWARDS FROM
19 TO 10 OR FROM 20 TO 11 WITHOUT ERROR. SELECT
<REFUSED> IF R REFUSED TO TRY THE TASK. DON'T
KNOW IS NOT AN ACCEPTABLE
RESPONSE.)
|
1 CORRECT |
|
5 INCORRECT |
|
97 REFUSED |
COGNITION-6G [] |
Section: Health |
Now please try counting backward from a different number.
Remember to count as quickly as you can from the number I mention.
Please
start with: 86
(INTERVIEWER:
ALLOW R TO START OVER IF S/HE WISHES TO DO SO. SELECT <CONTINUE WITH BACKWARD COUNTING> AS SOON AS YOU
READ THE NUMBER.)
|
1 CONTINUE WITH
BACKWARD COUNTING |
If Answer
>= -2 AND Answer <= -1 Then Go To COGNITION-7A
COGNITION-6G_Y1 [] |
Section: Health |
INTERVIEWER: SELECT
<CONTINUE WITH BACKWARD COUNTING> AS
SOON AS R HAS COUNTED 10 NUMBERS, OR STOPS, OR ASKS TO START OVER.
R CAN
CORRECTLY COUNT DOWN FROM 86 TO 77 OR FROM 85 TO 76.
|
1 CONTINUE WITH
BACKWARD COUNTING |
If Answer
>= -2 AND Answer <= -1 Then Go To COGNITION-7A
COGNITION-6J [] |
Section: Health |
You may stop now. Thank
you.
(INTERVIEWER: SELECT <CORRECT> IF R COUNTED BACKWARDS FROM
85 TO 76 OR FROM 86 TO 77 WITHOUT ERROR. SELECT
<REFUSED> IF R REFUSED TO TRY THE TASK. ALLOW R TO START OVER
IF S/HE WISHES TO DO SO.)
|
1 CORRECT |
|
5 INCORRECT |
|
6 WANTS TO
START OVER ...(Go To COGNITION-6K) |
|
97 REFUSED |
COGNITION-6K [] |
Section: Health |
Let's try again.
The number to count backward from
is : 86
(INTERVIEWER:
SELECT <CONTINUE WITH BACKWARD
COUNTING> AS SOON AS YOU READ THE NUMBER.)
|
1 CONTINUE WITH
BACKWARD COUNTING |
If Answer
>= -2 AND Answer <= -1 Then Go To COGNITION-7A
COGNITION-6K_Y1 [] |
Section: Health |
INTERVIEWER: SELECT
<CONTINUE WITH BACKWARD COUNTING> AS
SOON AS R HAS COUNTED 10 NUMBERS, OR STOPS.
|
1 CONTINUE WITH
BACKWARD COUNTING |
If Answer
>= -2 AND Answer <= -1 Then Go To COGNITION-7A
COGNITION-6N [] |
Section: Health |
You may stop now. Thank
you.
(INTERVIEWER: SELECT <CORRECT> IF R COUNTED BACKWARDS FROM
85 TO 76 OR FROM 86 TO 77 WITHOUT ERROR. SELECT
<REFUSED> IF R REFUSED TO TRY THE TASK. DON'T
KNOW IS NOT AN ACCEPTABLE
RESPONSE.)
|
1 CORRECT |
|
5 INCORRECT |
|
97 REFUSED |
COGNITION-7A [] |
Section: Health |
Now let's try some subtraction of numbers. One hundred
minus 7 equals what?
(INTERVIEWER: IF
R ADDS 7 INSTEAD, YOU MAY REPEAT THE QUESTION. IF DON'T
KNOW OR REFUSED ANY NUMBER, SELECT <SUBMIT AND CONTINUE> TO
PROCEED.)
COGNITION-7B [] |
Section: Health |
And 7 from that?
COGNITION-7C [] |
Section: Health |
And 7 from that?
COGNITION-7D [] |
Section: Health |
And 7 from that?
COGNITION-7E [] |
Section: Health |
And 7 from that?
COGNITION-8_CHK [] |
Section: Health |
[word_list_refused1] == 1 || [correct word count] >
0
If Answer = 0 Then Go To Q11-H50-2
COGNITION-CHK4 [] |
Section: Health |
[flag for cognitive word list assigned]
If Answer = 1 Then Go To COGNITION-8A_1
If Answer = 2 Then Go To COGNITION-8B_1
If Answer = 3 Then Go To COGNITION-8C_1
If Answer = 4 Then Go To COGNITION-8D_1
COGNITION-8A_1 [] |
Section: Health |
A little while ago, I read you a list of words and you
repeated the ones you could remember. Please tell me any of the words that you
remember now.
(INTERVIEWER: PERMIT AS
MUCH TIME AS THE R WISHES UP TO ABOUT 2 MINUTES. SELECT "RECALLED" FOR WORDS R
RECALLED, AND "NOT RECALLED" FOR WORDS THE R DID NOT RECALL.
SELECT
<SUBMIT AND CONTINUE> TO ENTER WRONG WORDS ONTO
THE ROSTER ON NEXT SCREEN. BY SELECTING <ADD ROW> AND TYPING THE WORD.)
|
- Hotel |
|
- River |
|
- Tree |
|
- Skin |
|
- Gold |
|
- Market |
|
- Paper |
|
- Child |
|
- King |
|
- Book |
|
1 RECALLED |
|
0 NOT
RECALLED |
COGNITION-8A_2 [] |
Section: Health |
(INTERVIEWER:
ENTER WRONG WORDS "RECALLED" ON ROSTER BELOW
BY SELECTING <ADD ROW> AND TYPING THE
WORD.)
COGNITION-8B_1 [] |
Section: Health |
A little while ago, I read you a list of words and you
repeated the ones you could remember. Please tell me any of the words that you
remember now.
(INTERVIEWER: PERMIT AS
MUCH TIME AS THE R WISHES UP TO ABOUT 2 MINUTES. SELECT "RECALLED" FOR WORDS R
RECALLED, AND "NOT RECALLED" FOR WORDS THE R DID NOT RECALL.
SELECT
<SUBMIT AND CONTINUE> TO ENTER WRONG WORDS ONTO
THE ROSTER ON NEXT SCREEN. BY SELECTING <ADD ROW> AND TYPING THE WORD.)
|
- Sky |
|
- Ocean |
|
- Flag |
|
- Dollar |
|
- Wife |
|
- Machine |
|
- Home |
|
- Earth |
|
- College |
|
- Butter |
|
1 RECALLED |
|
0 NOT
RECALLED |
COGNITION-8B_2 [] |
Section: Health |
(INTERVIEWER: ENTER WRONG WORDS "RECALLED" ON ROSTER BELOW BY
SELECTING <ADD ROW> AND TYPING THE
WORD.)
COGNITION-8C_1 [] |
Section: Health |
A little while ago, I read you a list of words and you
repeated the ones you could remember. Please tell me any of the words that you
remember now.
(INTERVIEWER: PERMIT AS
MUCH TIME AS THE R WISHES UP TO ABOUT 2 MINUTES. SELECT "RECALLED" FOR WORDS R
RECALLED, AND "NOT RECALLED" FOR WORDS THE R DID NOT RECALL.
SELECT
<SUBMIT AND CONTINUE> TO ENTER WRONG WORDS ONTO
THE ROSTER ON NEXT SCREEN. BY SELECTING <ADD ROW> AND TYPING THE WORD.)
|
- Woman |
|
- Rock |
|
- Blood |
|
- Corner |
|
- Shoes |
|
- Letter |
|
- Girl |
|
- House |
|
- Valley |
|
- Engine |
|
1 RECALLED |
|
0 NOT
RECALLED |
COGNITION-8C_2 [] |
Section: Health |
(INTERVIEWER: ENTER WRONG WORDS "RECALLED" ON ROSTER BELOW BY
SELECTING <ADD ROW> AND TYPING THE
WORD.)
COGNITION-8D_1 [] |
Section: Health |
A little while ago, I read you a list of words and you
repeated the ones you could remember. Please tell me any of the words that you
remember now.
(INTERVIEWER: PERMIT AS
MUCH TIME AS THE R WISHES UP TO ABOUT 2 MINUTES. SELECT "RECALLED" FOR WORDS R
RECALLED, AND "NOT RECALLED" FOR WORDS THE R DID NOT RECALL.
SELECT
<SUBMIT AND CONTINUE> TO ENTER WRONG WORDS ONTO
THE ROSTER ON NEXT SCREEN. BY SELECTING <ADD ROW> AND TYPING THE WORD.)
|
- Water |
|
- Church |
|
- Doctor |
|
- Palace |
|
- Fire |
|
- Garden |
|
- Sea |
|
- Village |
|
- Baby |
|
- Table |
|
1 RECALLED |
|
0 NOT
RECALLED |
COGNITION-8D_2 [] |
Section: Health |
(INTERVIEWER: ENTER WRONG WORDS "RECALLED" ON ROSTER BELOW BY
SELECTING <ADD ROW> AND TYPING THE
WORD.)
Q11-H50-2 [] |
Section: Health |
[birthdate~Y] <= 1964
If
Answer = 1 Then Go To Q11-H50-2A
Q11-H50-2A [] |
Section: Health |
([r complete 40+ health module?]==1)
COMMENT: Did this respondent go through the extended health questions in
round 18, round 19, round 20 or round 21? If yes, skip out
If Answer = 1 Then Go To Q11-RCH-HLTH_LINT
Q11-H50CESD [] |
Section: Health |
Now I am going to read a list of the ways that you might
have felt or behaved recently. After each statement, please tell me how often
you felt this way during the past week.
During the past
week.....
|
- I did not feel like eating; my
appetite was poor. |
|
- I felt that I could not shake
off the blues, even with help from my family or friends. |
|
- I had trouble keeping my mind
on what I was doing. |
|
- I felt depressed. |
|
- I felt that everything I did
was an effort. |
|
- My sleep was restless. |
|
- I felt lonely. |
|
- I felt sad. |
|
- I could not get
"going". |
|
0 None at all
or less than 1 day |
|
1 1-2
days |
|
2 3-4
Days |
|
3 5-7
Days |
Q11-H50BPARCHK1 [] |
Section: Health |
[Is bio father alive]
If
Answer = 0 Then Go To Q11-H50BPARCHK2
Q11-H50BPAR-1 [] |
Section: Health |
This next series of questions asks about your biological
parent's health.
Is your biological father still alive?
If
Answer >= -2 AND Answer <= -1 Then Go To Q11-H50BPAR-6
Q11-H50BPAR-2 [] |
Section: Health |
What caused your biological father's death?
|
1 Heart
Attack/Stroke |
|
2 Accident |
|
3 Cancer |
|
4 Old Age |
|
5 Emphysema |
|
6 Other
(specify) |
Q11-H50BPAR-3 [] |
Section: Health |
How old was he when he died?
Q11-H50BPAR-4 [] |
Section: Health |
[Did/Does] your father have any major health
problems?
Q11-H50BPAR-5 [] |
Section: Health |
What [are/were_fath] these problems?
Q11-H50BPARCHK2 [] |
Section: Health |
[biological mother alive]
If
Answer = 0 Then Go To Q11-H50SF12-1
Q11-H50BPAR-6 [] |
Section: Health |
Is your biological mother still alive?
If
Answer >= -2 AND Answer <= -1 Then Go To Q11-H50SF12-1
Q11-H50BPAR-7 [] |
Section: Health |
What caused your biological mother's death?
|
1 Heart
Attack/Stroke |
|
2 Accident |
|
3 Cancer |
|
4 Old Age |
|
5 Emphysema |
|
6 Other
(specify) |
Q11-H50BPAR-8 [] |
Section: Health |
How old was she when she died?
Q11-H50BPAR-9 [] |
Section: Health |
[Did/Does] your mother have any major health
problems?
Q11-H50BPAR-10 [] |
Section: Health |
What [are/were_moth] these problems?
Q11-H50SF12-1 [] |
Section: Health |
Next I will be asking you more specific questions about
your health. This information will help keep track of how you feel and how well
you are able to do your usual activities.
If you are unsure about how to
answer, please give the best answer you can.
Q11-H50SF12-2 [] |
Section: Health |
In general, would you say your health is ....
|
1 Excellent |
|
2 Very
Good |
|
3 Good |
|
4 Fair |
|
5 Poor |
Q11-H50SF12-3 [] |
Section: Health |
The following items are activities you might do during a
typical day. Does your health limit you in these
activities?
......Moderate activities, such as moving a table, pushing a
vacuum cleaner, bowling or playing golf?
|
3 Yes, Limited
a Lot |
|
2 Yes, Limited
a Little |
|
1 No, Not
Limited at All |
Q11-H50SF12-3B [] |
Section: Health |
..... Climbing several flights of stairs?
|
3 Yes, Limited
a Lot |
|
2 Yes, Limited
a Little |
|
1 No, Not
Limited at All |
Q11-H50SF12-4 [] |
Section: Health |
During the past 4 weeks, have you had any of the
following problems with your work or other regular daily activities as a result
of your physical health?
..... Accomplished less than you would
like?
Q11-H50SF12-4B [] |
Section: Health |
.... Were limited in the kind of work or other
activities?
Q11-H50SF12-5 [] |
Section: Health |
During the past 4 weeks, have you had any of the
following problems with your work or other regular daily activities as a result
of any emotional problems (such as feeling depressed or anxious)?
....
Accomplished less than you would like?
Q11-H50SF12-5B [] |
Section: Health |
.... Didn't do work or other activities as carefully as
usual?
Q11-H50SF12-6 [] |
Section: Health |
During the past 4 weeks, how much did pain interfere with
your normal work (including both work outside of the home and
housework)?
|
1 Not at
all |
|
2 A little
bit |
|
3 Moderately |
|
4 Quite a
bit |
|
5 Extremely |
Q11-H50SF12-7 [] |
Section: Health |
Thinking only of the past 4 weeks, please give the one
answer that comes closest to the way you have been feeling. How often during the
past 4 weeks....
.... have you felt calm and peaceful?
|
1 All the
time |
|
2 Most of the
time |
|
3 A good bit of
the time |
|
4 Some of the
time |
|
5 A little of
the time |
|
6 None of the
time |
Q11-H50SF12-7B [] |
Section: Health |
.... Did you have a lot of energy?
|
1 All the
time |
|
2 Most of the
time |
|
3 A good bit of
the time |
|
4 Some of the
time |
|
5 A little of
the time |
|
6 None of the
time |
Q11-H50SF12-7C [] |
Section: Health |
.... Have you felt down-hearted and blue?
|
1 All the
time |
|
2 Most of the
time |
|
3 A good bit of
the time |
|
4 Some of the
time |
|
5 A little of
the time |
|
6 None of the
time |
Q11-H50SF12-8 [] |
Section: Health |
During the past 4 weeks, how much of the time has your
physical health or emotional problems interfered with your social activities
(like visiting with friends, relatives, etc.)?
|
1 All the
time |
|
2 Most of the
time |
|
3 A good bit of
the time |
|
4 Some of the
time |
|
5 A little of
the time |
|
6 None of the
time |
Q11-H50CHRC_CHK1 [] |
Section: Health |
[blood pressure problems reported during 40+ Health
Module]==1
COMMENT: Did this respondent go through the extended health questions in
round 18, round 19, round 20 or round 21? If yes, skip out
If
Answer = 1 Then Go To Q11-H50CHRC-1B
Q11-H50CHRC-1 [] |
Section: Health |
Has a doctor ever told you that you have high blood
pressure or hypertension?
Q11-H50CHRC-1A [] |
Section: Health |
In what month and year was that first
diagnosed?
(ENTER MONTH AND YEAR)
Q11-H50CHRC-1B [] |
Section: Health |
Do you have high blood pressure or hypertension at the
present time?
Q11-H50CHRC_CHK2 [] |
Section: Health |
[r report diabetes/high blood sugar in 40+ Health
Module]==1
COMMENT: Did this respondent go through the extended health questions in
round 18, round 19, round 20 or round 21? If yes, skip out
If
Answer = 1 Then Go To Q11-H50CHRC-2B
Q11-H50CHRC-2 [] |
Section: Health |
Has a doctor ever told you that you have diabetes or high
blood sugar?
Q11-H50CHRC-2A [] |
Section: Health |
In what month and year was that first
diagnosed?
Q11-H50CHRC-2B [] |
Section: Health |
Has a doctor ever told you that you had skin
cancer?
Q11-H50CHRC-3 [] |
Section: Health |
[Has/Since (date of 40+ Health Module) has] a doctor ever
told you that you have cancer or malignant tumor of any kind except skin
cancer?
Q11-H50CHRC-3A [] |
Section: Health |
How many such cancers have you [Had/had since (date of
40+ Health Module)]?
If Answer = 0 Then Go To Q11-H50CHRC_CHK3
Q11-H50CHRC-3AB [] |
Section: Health |
REPEAT
Q11-H50CHRC-3B [] |
Section: Health |
In what month and year was [most recent/next most recent]
cancer diagnosed?
Q11-H50CHRC-3C [] |
Section: Health |
In which organ or part of your body did this cancer
occur?
Q11-H50CHRC-3D [] |
Section: Health |
Do you currently have any such cancer?
Q11-H50CHRC-3DB [] |
Section: Health |
UNTIL ([Q11-loop3 counter]==[Number of cancers R
reported] || [Number of cancers R reported]==0)
Q11-H50CHRC_CHK3 [] |
Section: Health |
[asthma reptd in previous int]==1
COMMENT: Did this respondent go through the extended health questions in
round 18, round 19, round 20 or round 21? If yes, skip out
If
Answer = 1 Then Go To Q11-H50CHRC_CHK4
Q11-H50CHRC-3E [] |
Section: Health |
Do you currently suffer from asthma?
Q11-H50CHRC_CHK4 [] |
Section: Health |
[r report non-asthma/chronic lung problems in 40+ Health
Module]==1
COMMENT: Did this respondent go through the extended health questions in
round 18, round 19, round 20 or round 21? If yes, skip out
If
Answer = 1 Then Go To Q11-H50CHRC-5
Q11-H50CHRC-4 [] |
Section: Health |
Not including asthma, has a doctor ever told you that you
have chronic lung disease such as chronic bronchitis or emphysema?
Q11-H50CHRC-5 [] |
Section: Health |
[Has/Since (date of 40+ Health Module) has] a doctor ever
told you that you had a heart attack, coronary heart disease, angina, congestive
heart failure, or other heart problems?
Q11-H50CHRC-5A [] |
Section: Health |
[Did/Since (date of 40+ Health Module) did] you have a
heart attack or myocardial infarction?
Q11-H50CHRC-5B [] |
Section: Health |
In what month and year did you have your [last] heart
attack or myocardial infarction?
Q11-H50CHRC-5C [] |
Section: Health |
Do you currently have any angina or chest pains due to
your heart?
Q11-H50CHRC-6 [] |
Section: Health |
Has a doctor ever told you that you have congestive heart
failure?
Q11-H50CHRC-6A [] |
Section: Health |
In what month and year was your congestive heart
failure?
Q11-H50CHRC-7 [] |
Section: Health |
[Has/Since (date of 40+ Health Module) has] a doctor ever
told you that you had a stroke?
Q11-H50CHRC-7A [] |
Section: Health |
In what month and year did you last have a
stroke?
Q11-H50CHRC-7B [] |
Section: Health |
Has a doctor ever diagnosed you as suffering from
depression?
Q11-H50CHRC-7C [] |
Section: Health |
In what month and year was your depression
diagnosed?
Q11-H50CHRC-7D [] |
Section: Health |
During the last 12 months, have you suffered from
depression?
Q11-H50CHRC_CHK6 [] |
Section: Health |
[r report psychiatric problems during 40+ Health
Module]==1
COMMENT: Did this respondent go through the extended health questions in
round 18, round 19, round 20 or round 21? If yes, skip out
If
Answer = 1 Then Go To Q11-H50CHRC_CHK7
Q11-H50CHRC-8 [] |
Section: Health |
Has a doctor ever told you that you had emotional,
nervous, or psychiatric problems other than depression?
Q11-H50CHRC-8A [] |
Section: Health |
In what month and year were your emotional, nervous or
psychiatric problems diagnosed?
Q11-H50CHRC-8B [] |
Section: Health |
During the last 12 months, have you had any emotional,
nervous, or psychiatric problems?
Q11-H50CHRC_CHK7 [] |
Section: Health |
[r report arthritis during 40+ Health
Module]==1
COMMENT: Did this respondent go through the extended health questions in
round 18, round 19, round 20 or round 21? If yes, skip out
If
Answer = 1 Then Go To Q11-H50CHRC-9B
Q11-H50CHRC-9 [] |
Section: Health |
Have you ever had, or has a doctor ever told you that you
have, arthritis or rheumatism?
Q11-H50CHRC-9A [] |
Section: Health |
In what month and year was your arthritis or rheumatism
diagnosed?
Q11-H50CHRC-9AB [] |
Section: Health |
(In what month and year was your arthritis or rheumatism
diagnosed?)
Q11-H50CHRC-9B [] |
Section: Health |
Do you sometimes have pain, stiffness, or swelling in
your joints?
Q11-H50CHRC-9C [] |
Section: Health |
Has a doctor ever told you that you had
osteoporosis?
Q11-H50FL-1 [] |
Section: Health |
Do you currently use any special equipment to aid you in
your usual activities? By this we mean things such as hearing aids, wheelchairs,
scooters, canes, protheses, or special telephones. Please do not include
eyeglasses or false teeth.
Q11-H50FL-2 [] |
Section: Health |
We are interested in how much difficulty people have with
various activities because of a health or physical problem. How difficult is it
for you to…
|
- ... Run a mile? |
|
- … Walk several blocks? |
|
- … Walk one block? |
|
- ... Sit for about 2
hours? |
|
- ... Get up from a chair after
sitting for long periods? |
|
- ... Climb several flights of
stairs without resting? |
|
- ... Climb one flight of stairs
without resting? |
|
- ... Lift or carry weights OVER
10 pounds, like a heavy bag of groceries? |
|
- ... Stoop, kneel, or
crouch? |
|
- ... Pick up a dime from a
table? |
|
- ... Reach or extend your arms
above shoulder level? |
|
- ... Pull or push large objects
like a living room chair? |
|
1 Not at all
difficult for you |
|
2 A little
difficult |
|
3 Somewhat
difficult |
|
4 Very
difficult/can't do |
|
5 Don't
do |
Q11-H50SLP-1 [] |
Section: Health |
How much sleep do you usually get at night (or in your
main sleep period) on weekdays or workdays?
Q11-H50SLP-1B [] |
Section: Health |
Q11-H50SLP-2 [] |
Section: Health |
How much sleep do you usually get at night (or in your
main sleep period) on weekends or your nonworkdays?
Q11-H50SLP-2B [] |
Section: Health |
Q11-H50SLP-3 [] |
Section: Health |
How long does it usually take you to fall asleep at
bedtime?
Q11-H50SLP-3B [] |
Section: Health |
Q11-H50SLP-4 [] |
Section: Health |
During a usual week, how many times do you nap for 5
minutes or more?
Q11-H50SLP-5 [] |
Section: Health |
How often do you…
|
- … have trouble falling
asleep? |
|
- … wake up during the night and
have trouble going back to sleep? |
|
- … wake up too early in the
morning and be unable to get back to sleep? |
|
- … feel unrested during the
day, no matter how many hours of sleep you had? |
|
1 Almost always
(4+ times per week) |
|
2 Often (2-3
times per week) |
|
3 Sometimes
(2-4 times per month) |
|
4 Rarely or
never (once a month or less) |
Q11-H50OPEN-1 [] |
Section: Health |
Is there anything else you want to tell us about your
health?
Q11-H50OPEN-1A [] |
Section: Health |
(INTERVIEWER: RECORD VERBATIM RESPONSE.)
Q11-RCH-HLTH_LINT [] |
Section: Health |
[last round R completed]>=25
If
Answer = 1 Then Go To CIG_CHK1
Q11-RCH-HLTH-1 [] |
Section: Health |
Consider your health when you were growing up, from birth
to age 17. Would you say your health during that time was excellent, very good,
good, fair, or poor?
|
1 Excellent |
|
2 Very
Good |
|
3 Good |
|
4 Fair |
|
5 Poor |
Q11-RCH-HLTH-2 [] |
Section: Health |
From birth to age 17, did you ever have a hospital stay
lasting at least two weeks?
Q11-RCH-HLTH-3 [] |
Section: Health |
[(Aside from the hospitalization that you just reported,
from/From)] birth to age 17 were you ever confined to bed or home for four or
more weeks because of a health condition?
Q11-RCH-HLTH-4 [] |
Section: Health |
Before age 18, did you live with anyone who was
depressed, mentally ill, or suicidal?
Q11-RCH-HLTH-5 [] |
Section: Health |
Before age 18, did you live with anyone who was a problem
drinker or alcoholic?
Q11-RCH-HLTH-6 [] |
Section: Health |
Before age 18, how often did a parent or adult in your
home ever hit, beat, kick or physically harm you in any way? Do not include
spanking. Would you say never, once, or more than once?
|
0 Never |
|
1 Once |
|
2 More than
once |
Q11-RCH-HLTH-7 [] |
Section: Health |
Before age 18, how much parental love and affection did
you receive growing up? Would you say a great deal, quite a lot, a little, or
none at all?
|
1 A great
deal |
|
2 Quite a
lot |
|
3 A
little |
|
4 None at
all |
Q11-HEADINJ-1 [] |
Section: Health |
Have you ever had a blow to the head or a similar type of
head injury that was severe enough to require medical attention, or to cause
loss of consciousness or memory loss for a period of time?
Q11-HEADINJ-2A [] |
Section: Health |
How many times has this happened?
If Answer >= 2 AND Answer <= 99 Then Go To Q11-HEADINJ-3B
Q11-HEADINJ-3A [] |
Section: Health |
Did the head injury lead to a loss of
consciousness?
Q11-HEADINJ-3B [] |
Section: Health |
How many of those head injuries lead to a loss of
consciousness?
If Answer >= 1 AND Answer <= 99 Then Go To Q11-HEADINJ-4
Q11-HEADINJ-4 [] |
Section: Health |
[(Now I want you to think about the most recent head
injury or trauma that led to a loss of consciousness.)] How old were you at that
time?
Q11-HEADINJ-5 [] |
Section: Health |
How long were you unconscious?
|
1 Less than 5
minutes |
|
2 5 to 29
minutes |
|
3 30 to 59
minutes |
|
4 1 to 24
hours |
|
5 More than 1
day |
Q11-HEADINJ-6 [] |
Section: Health |
Would you say that, in general, your sense of smell is
excellent, very good, good, fair or poor?
|
1 Excellent |
|
2 Very
Good |
|
3 Good |
|
4 Fair |
|
5 Poor ...(Go To Q11-HEADINJ-7) |
Q11-HEADINJ-7 [] |
Section: Health |
Are you completely unable to detect smells or
odors?
CIG_CHK1 [] |
Section: Smoking and Alcohol
Use |
[r smoked 100 cigarettes in lifetime] ==
1
If Answer = 1 Then Go To CIG_CHK2
DS-2 [] |
Section: Smoking and Alcohol
Use |
Have you smoked at least 100 cigarettes in your entire
life?
CIG_CHK2 [] |
Section: Smoking and Alcohol
Use |
[r ever smoked daily] == 1
If Answer = 1 Then Go To DS-5
DS-3A [] |
Section: Smoking and Alcohol
Use |
Have you ever smoked cigarettes daily?
|
1 Yes ...(Go To DS-5) |
|
0 No |
DS-5 [] |
Section: Smoking and Alcohol
Use |
Do you now smoke daily, occasionally or not at
all?
|
1 DAILY |
|
2 OCCASIONALLY ...(Go To DS-6A) |
|
3 NOT AT
ALL ...(Go To DS-6A) |
DS-6A [] |
Section: Smoking and Alcohol
Use |
How long has it been since you last smoked cigarettes
daily?
(ENTER IN YEARS, MONTHS, OR WEEKS)
DS-6B [] |
Section: Smoking and Alcohol
Use |
|
1 ANSWERED IN
WEEKS |
|
2 ANSWERED IN
MONTHS |
|
3 ANSWERED IN
YEARS |
DS-7 [] |
Section: Smoking and Alcohol
Use |
How many cigarettes do you smoke per day?
Q12-CHK1 [] |
Section: Smoking and Alcohol
Use |
[type of dwelling unit] == 5
If Answer = 0 Then Go To Q12-3
Q12-3 [] |
Section: Smoking and Alcohol
Use |
Have you had any alcoholic beverages, including beer,
wine, or liquor, during the last 30 days?
|
1 Yes |
|
0 No ...(Go To Q12-8) |
Q12-5 [] |
Section: Smoking and Alcohol
Use |
During the last 30 days, on how many days did you drink
any alcoholic beverages, including beer, wine, or liquor?
Q12-6 [] |
Section: Smoking and Alcohol
Use |
On the days that you drink, about how many drinks do you
have on the average day? By a drink, we mean the equivalent of a can of beer, a
glass of wine, or a shot glass of hard liquor.
Q12-4 [] |
Section: Smoking and Alcohol
Use |
How often have you had 6 or more drinks on one occasion
during the last 30 days? Would you say it was...(READ CATEGORIES)?
|
0 Never in the
last 30 days |
|
1 Less often
than once a week |
|
2 1 or 2 times
per week |
|
3 3 or 4 times
per week |
|
4 5 or 6 times
per week |
|
5 Everyday |
Q12-8 [] |
Section: Smoking and Alcohol
Use |
INTERVIEWER: WAS
ANYONE ELSE PRESENT OTHER THAN SMALL CHILDREN (AGE 3 OR UNDER) WHEN YOU ASKED
THE QUESTIONS ON ALCOHOL USE?
|
1 YES |
|
0 NO |
|
2 TELEPHONE
INTERVIEW |
Q13-1A [] |
Section: Income, Recipiency, Debt and
Assets |
We now have some questions about your income and
household spending in [calendar year prior to survey year]. We appreciate that
our questions are difficult to answer and sometimes seem
intrusive.
However, the spending patterns of Americans are of national
importance, and your answers to these questions provide us with the most
reliable figures on your generation's spending habits. As with other questions
in this survey, we want to reassure you that the information you provide to us
is kept confidential.
Q13-2 [] |
Section: Income, Recipiency, Debt and
Assets |
During [calendar year prior to survey year], did you
receive any income from service in the military?
|
1 Yes ...(Go To Q13-3) |
|
0 No |
Q13-3 [] |
Section: Income, Recipiency, Debt and
Assets |
And how much total income did you receive during
[calendar year prior to survey year] from the military before taxes and other
deductions? Please include money received from special pays, allowances, and
bonuses.
If Answer = -2 Then Go To Q13-3_SR000001
If Answer = -1 Then Go To Q13-3_UAB_A
Q13-3_SR000001 [] |
Section: Income, Recipiency, Debt and
Assets |
Can you give me an approximate range for that
amount?
(INTERVIEWER: IT IS
ACCEPTABLE FOR RESPONDENT TO REPORT UPPER AND LOWER RANGES VERY CLOSE TOGETHER,
OR THE SAME FIGURE FOR UPPER AND LOWER RANGE IF A SPECIFIC NUMBER.)
Q13-3_SR000002 [] |
Section: Income, Recipiency, Debt and
Assets |
If Answer >= -2 AND Answer <= -1 Then Go To Q13-3_UAB_A
Q13-3_UAB_A [] |
Section: Income, Recipiency, Debt and
Assets |
Would it amount to $[entry pt military inc] or
more?
Q13-3_UAB_B [] |
Section: Income, Recipiency, Debt and
Assets |
Would it amount to $5,000 or more?
Q13-3_UAB_C [] |
Section: Income, Recipiency, Debt and
Assets |
Would it amount to $40,000 or more?
Q13-3_FLAGSET_CHK [] |
Section: Income, Recipiency, Debt and
Assets |
[q13-3 refusal flag]==1
COMMENT: Q13_9_REF flag to 0
If Answer = 1 Then Go To
Q13-5
Q13-5 [] |
Section: Income, Recipiency, Debt and
Assets |
[During/(Not counting any money you received from your
military service...) During] [calendar year prior to survey year], how much did
you receive from wages, salary, commissions, or tips from all (other) jobs,
before deductions for taxes or anything else?
If Answer = -2 Then Go To Q13-5_SR000001
If Answer = -1 Then Go To Q13-5_REF_2
Q13-5_SR000001 [] |
Section: Income, Recipiency, Debt and
Assets |
Can you give me an approximate range for that
amount?
(INTERVIEWER: IT IS
ACCEPTABLE FOR RESPONDENT TO REPORT UPPER AND LOWER RANGES VERY CLOSE TOGETHER,
OR THE SAME FIGURE FOR UPPER AND LOWER RANGE IF A SPECIFIC NUMBER.)
Q13-5_SR000002 [] |
Section: Income, Recipiency, Debt and
Assets |
If Answer >= -2 AND Answer <= -1 Then Go To Q13-5_REF_2
Q13-5_REF_2 [] |
Section: Income, Recipiency, Debt and
Assets |
([estimate amount of total income received during prev
round from the military before taxes and other deductions] == -1)
COMMENT: R already refuse previous estimates?
If Answer
= 1 Then Go To Q13-6
Q13-5_UAB_A [] |
Section: Income, Recipiency, Debt and
Assets |
Would it amount to $[entry pt wage inc] or
more?
Q13-5_UAB_B [] |
Section: Income, Recipiency, Debt and
Assets |
Would it amount to $15,000 or more?
Q13-5_UAB_C [] |
Section: Income, Recipiency, Debt and
Assets |
Would it amount to $50,000 or more?
Q13-6 [] |
Section: Income, Recipiency, Debt and
Assets |
[During/Excluding any income you already have
mentioned...) During] [calendar year prior to survey year], did you receive any
money in income ...
from your own farm?
Q13-7 [] |
Section: Income, Recipiency, Debt and
Assets |
[During/Excluding any income you already have
mentioned...) During] [calendar year prior to survey year], did you receive any
money in income from ...
your own non-farm business, partnership, or
professional practice?
Q13-8 [] |
Section: Income, Recipiency, Debt and
Assets |
([Farm ownership reported in income qs]==1) || ([Business
or Professional practice ownership reported in income qs]==1)
COMMENT: Did R receive income from either own farm or own non-farm business
or partnership?
If Answer = 1 Then Go To Q13-8A
Q13-8A [] |
Section: Income, Recipiency, Debt and
Assets |
([Farm ownership reported in income qs]==1)
COMMENT: Did R receive income from own farm?
If Answer
= 1 Then Go To Q13-8B
Q13-8B [] |
Section: Income, Recipiency, Debt and
Assets |
Are any of the farms you own or have investments in,
jointly owned or invested in with someone else?
(INTERVIEWER: A FARM OWNED WITH A SPOUSE OR DOMESTIC
PARTNER IS NOT CONSIDERED JOINTLY OWNED. R MUST OWN OR INVEST WITH SOMEONE
OUTSIDE [HISR/HERR] HOUSEHOLD TO QUALIFY FOR JOINT OWNERSHIP.)
Q13-8C [] |
Section: Income, Recipiency, Debt and
Assets |
([Business or Professional practice ownership reported in
income qs]==1)
COMMENT: Did R receive income from own non-farm business or
partnership?
If Answer = 1 Then Go To Q13-8D
Q13-8D [] |
Section: Income, Recipiency, Debt and
Assets |
Are any of the business or professional practices you own
or have investments in, jointly owned or invested in with someone
else?
(INTERVIEWER: A BUSINESS OR
PROFESSIONAL PRACTICE OWNED WITH A SPOUSE OR DOMESTIC PARTNER IS NOT CONSIDERED
JOINTLY OWNED. R MUST OWN OR INVEST WITH SOMEONE OUTSIDE [HISR/HERR] HOUSEHOLD
TO QUALIFY FOR JOINT OWNERSHIP.)
Q13-8E [] |
Section: Income, Recipiency, Debt and
Assets |
([Farm ownership reported in income qs]==1 || [Business
or Professional practice ownership reported in income qs]==1)
COMMENT: Did R report either farm or business income?
If Answer = 1 Then Go To Q13-8F
Q13-8F [] |
Section: Income, Recipiency, Debt and
Assets |
([Farm ownership reported in income qs]==1 &&
[Business or Professional practice ownership reported in income qs]==1
&& [farms jointly owned or invested in with someone else]==0 &&
[Business or Professional Practice Wholly Owned By R?]==0)
COMMENT: Did R report both business and farm income, but no joint ownership
in either farm or business?
If Answer = 1 Then Go To
Q13-9_REF_1
Q13-8G [] |
Section: Income, Recipiency, Debt and
Assets |
([Farm ownership reported in income qs]==1 &&
[Business or Professional practice ownership reported in income qs]==1
&& [farms jointly owned or invested in with someone else]==1 &&
[Business or Professional Practice Wholly Owned By R?]==1)
COMMENT: Did R report both business and farm income, and both joint
ownership?
If Answer = 1 Then Go To Q13-8G1
Q13-8G1 [] |
Section: Income, Recipiency, Debt and
Assets |
We will ask about money you got from your farms and
businesses or professional practices shortly.
Q13-8H [] |
Section: Income, Recipiency, Debt and
Assets |
([Farm ownership reported in income qs]==1 &&
[Business or Professional practice ownership reported in income qs]==1
&& [farms jointly owned or invested in with someone else]==1 &&
[Business or Professional Practice Wholly Owned By R?]==0)
COMMENT: Did R report both business and farm income, and joint ownership of
farm?
If Answer = 1 Then Go To Q13-9_REF_1
Q13-8I [] |
Section: Income, Recipiency, Debt and
Assets |
([Farm ownership reported in income qs]==1 &&
[Business or Professional practice ownership reported in income qs]==1
&& [farms jointly owned or invested in with someone else]==0 &&
[Business or Professional Practice Wholly Owned By R?]==1)
COMMENT: Did R report both business and farm income, and joint ownership of
business or professional practice?
If Answer = 1 Then Go
To Q13-9_REF_1
Q13-8J [] |
Section: Income, Recipiency, Debt and
Assets |
([Farm ownership reported in income qs]==1 &&
[Business or Professional practice ownership reported in income qs]==0
&& [farms jointly owned or invested in with someone else]==0)
COMMENT: Did R report farm income, and no joint ownership?
If
Answer = 1 Then Go To Q13-9_REF_1
Q13-8K [] |
Section: Income, Recipiency, Debt and
Assets |
([Farm ownership reported in income qs]==1 &&
[Business or Professional practice ownership reported in income qs]==0
&& [farms jointly owned or invested in with someone else]==1)
COMMENT: Did R report farm income, and joint ownership?
If Answer = 1 Then Go To Q13-8K1
Q13-8K1 [] |
Section: Income, Recipiency, Debt and
Assets |
We will ask about money you got from your farms
shortly.
Q13-8L [] |
Section: Income, Recipiency, Debt and
Assets |
([Farm ownership reported in income qs]==0 &&
[Business or Professional practice ownership reported in income qs]==1
&& [Business or Professional Practice Wholly Owned By R?]==0)
COMMENT: Did R report business income, and no joint ownership?
If Answer = 1 Then Go To Q13-9_REF_1
Q13-8M [] |
Section: Income, Recipiency, Debt and
Assets |
([Farm ownership reported in income qs]==0 &&
[Business or Professional practice ownership reported in income qs]==1
&& [Business or Professional Practice Wholly Owned By R?]==1)
COMMENT: Did R report business income, and joint ownership?
If
Answer = 1 Then Go To Q13-8M1
Q13-8M1 [] |
Section: Income, Recipiency, Debt and
Assets |
We will ask about money you got from your businesses or
professional practices shortly.
Q13-9_REF_1 [] |
Section: Income, Recipiency, Debt and
Assets |
([q13-3 refusal flag] == 1 || [q13-5 refusal flag] ==
1)
COMMENT: R already refuse previous estimates?
If Answer
= 1 Then Go To Q13-9_REF_2
Q13-9 [] |
Section: Income, Recipiency, Debt and
Assets |
How much did you receive after expenses [from your farms
and businesses or professional practices/from your businesses or professional
practices]?
If Answer = -2 Then Go To Q13-9_SR000001
If Answer = -1 Then Go To Q13-9_REF_2
Q13-9_SR000001 [] |
Section: Income, Recipiency, Debt and
Assets |
Can you give me an approximate range for that
amount?
(INTERVIEWER: IT IS
ACCEPTABLE FOR RESPONDENT TO REPORT UPPER AND LOWER RANGES VERY CLOSE TOGETHER,
OR THE SAME FIGURE FOR UPPER AND LOWER RANGE IF A SPECIFIC NUMBER.)
Q13-9_SR000002 [] |
Section: Income, Recipiency, Debt and
Assets |
If Answer >= -2 AND Answer <= -1 Then Go To Q13-9_REF_2
Q13-9_REF_2 [] |
Section: Income, Recipiency, Debt and
Assets |
([estimate amount of total income received during prev
round from the military before taxes and other deductions] == -1 || [estimate
amount of total income from wages and salary in past calendar year] ==
-1)
COMMENT: R already refuse previous estimates?
If Answer
= 1 Then Go To Q13RECIP-1
Q13-9_UAB_A [] |
Section: Income, Recipiency, Debt and
Assets |
Would it amount to $[entry pt business inc] or
more?
Q13-9_UAB_B [] |
Section: Income, Recipiency, Debt and
Assets |
Would it amount to $2,500 or more?
Q13-9_UAB_C [] |
Section: Income, Recipiency, Debt and
Assets |
Would it amount to $40,000 or more?
Q13RECIP-1 [] |
Section: Income, Recipiency, Debt and
Assets |
([receipt of welfare program reported at last
interview]==1)
COMMENT: Any r/spouse/partner unemp, ssi, afdc/general assistance, food stamp
reported at dli?
If Answer = 1 Then Go To Q13U-43A
Default Next: |
Q13RECIP-2 |
Lead-In: |
Q13-9_REF_2 [1:1],
Q13-3_FLAGSET_CHK [Default],
Q13-8 [Default],
Q13-8E [Default],
Q13-8G1 [Default],
Q13-8K1 [Default],
Q13-8M [Default],
Q13-8M1 [Default],
Q13-9 [Default],
Q13-9_SR000002 [Default],
Q13-9_UAB_A [Default],
Q13-9_UAB_B [Default],
Q13-9_UAB_C [Default] |
Q13RECIP-2 [] |
Section: Income, Recipiency, Debt and
Assets |
Since [rec_refdate~X], have you [or] [Spouse/partner's
name] received any unemployment benefits?
|
1 R
ONLY ...(Go To Q13U-43B) |
|
2 SPOUSE/PARTNER
ONLY ...(Go To Q13-10) |
|
3 BOTH R AND
SPOUSE/PARTNER ...(Go To Q13U-43B) |
|
4 NEITHER R NOR
SPOUSE/PARTNER (IF ANY) |
Q13U-43A [] |
Section: Income, Recipiency, Debt and
Assets |
Since [rec_refdate~X] have you received unemployment
compensation?
Q13U-43B [] |
Section: Income, Recipiency, Debt and
Assets |
When did you start receiving unemployment compensation
after [rec_refdate~X] - what month and year?
(INTERVIEWER: IF DON'T KNOW OR REFUSED, PROBE FOR
APPROXIMATE MONTH AND YEAR.)
Q13U-43C [] |
Section: Income, Recipiency, Debt and
Assets |
(When did you first start receiving unemployment
compensation, after [rec_refdate~X] - what month and year?)
(ENTER MONTH
AND YEAR:)
Q13U-44A1-LOOP-BEGIN [] |
Section: Income, Recipiency, Debt and
Assets |
REPEAT
COMMENT: BEGIN LOOP TO COLLECT NEW SPELLS OF UNEMPLOYMENT RECEIPT
Q13U-44A3 [] |
Section: Income, Recipiency, Debt and
Assets |
([UNEMPR_LOOP2 counter] ==1)
COMMENT: IS THIS THE FIRST TIME THROUGH THE LOOP?
If
Answer = 1 Then Go To Q13U-44A5
Q13U-44A5 [] |
Section: Income, Recipiency, Debt and
Assets |
([Month and year r started to rcv unemp comp payments] ==
2)
COMMENT: DID R RECEIVE AGAIN, BUT DOES NOT KNOW DATES?
If Answer = 1 Then Go To Q13U-63A
Q13U-44A6 [] |
Section: Income, Recipiency, Debt and
Assets |
(([Month and year r started to rcv unemp comp payments]
== 1) && ([UNEMPR_LOOP2 counter] == 1))
COMMENT: WAS A DATE COLLECTED OUTSIDE OF THE LOOP
If
Answer = 1 Then Go To Q13U-44D
Q13U-44B [] |
Section: Income, Recipiency, Debt and
Assets |
When did you (next) start receiving unemployment
compensation since [month/year respondent last received unemployment
benefits([UNEMPR_LOOP2 counter])~X] - what month and year?
(INTERVIEWER:
IF DON'T KNOW OR REFUSED, PROBE FOR APPROXIMATE MONTH AND YEAR.)
|
1 SELECT TO
ENTER DATES |
|
2 DID RECEIVE,
BUT DON'T KNOW DATES ...(Go To Q13U-63AA) |
If Answer >= -2 AND Answer <= -1 Then Go To Q13U-64C-LOOP-END
Q13U-44C [] |
Section: Income, Recipiency, Debt and
Assets |
(When did you (next) start receiving unemployment
compensation, after [month/year respondent last received unemployment
benefits([UNEMPR_LOOP2 counter])~X] - what month and year?)
(ENTER MONTH
AND YEAR:)
Q13U-44D [] |
Section: Income, Recipiency, Debt and
Assets |
Have you received unemployment compensation continuously
since [Month and Year R began receiving unemp. comp([UNEMPR_LOOP2
counter])~X]?
Q13U-45A [] |
Section: Income, Recipiency, Debt and
Assets |
When did you first stop receiving unemployment
compensation, since [Month and Year R began receiving unemp. comp([UNEMPR_LOOP2
counter])~X] - what month and year?
(INTERVIEWER: IF DON'T KNOW OR REFUSED, PROBE FOR
APPROXIMATE MONTH AND YEAR.)
|
1 SELECT TO
ENTER DATES |
|
2 DID RECEIVE,
BUT DON'T KNOW DATES ...(Go To Q13U-63AB) |
Q13U-45B [] |
Section: Income, Recipiency, Debt and
Assets |
(When did you first stop receiving unemployment
compensation, since [Month and Year R began receiving unemp. comp([UNEMPR_LOOP2
counter])~X] - what month and year?)
(ENTER MONTH AND YEAR:)
Q13U-47E [] |
Section: Income, Recipiency, Debt and
Assets |
On average, between [Month and Year R began receiving
unemp. comp([UNEMPR_LOOP2 counter])~X] and [Month/year respondent stopped
receiving unemployment benefits([UNEMPR_LOOP2 counter])~X], how much
unemployment compensation did you receive per week?
Q13U-62 [] |
Section: Income, Recipiency, Debt and
Assets |
([Recvd Unemp comp continuously since startdate?] ==
1)
COMMENT: DID R REPORT CONTINUOUS RECEIPT OF UNEMPLOYMENT?
If
Answer = 1 Then Go To Q13U-64C-LOOP-END
Q13U-63 [] |
Section: Income, Recipiency, Debt and
Assets |
How much did you receive per week during [Month/year
respondent stopped receiving unemployment benefits([UNEMPR_LOOP2
counter])~X]?
Q13U-63A [] |
Section: Income, Recipiency, Debt and
Assets |
About how many weeks since [rec_refdate~X] did you
receive any unemployment compensation?
Q13U-63AA [] |
Section: Income, Recipiency, Debt and
Assets |
About how many weeks since [month/year respondent last
received unemployment benefits([UNEMPR_LOOP2 counter])~X] did you receive any
unemployment compensation?
Q13U-63AB [] |
Section: Income, Recipiency, Debt and
Assets |
About how many weeks since [Month and Year R began
receiving unemp. comp([UNEMPR_LOOP2 counter])~X] did you receive any
unemployment compensation?
Q13U-63B [] |
Section: Income, Recipiency, Debt and
Assets |
How much did you receive the last time you received any
unemployment compensation?
Q13U-64 [] |
Section: Income, Recipiency, Debt and
Assets |
Since [Month/year respondent stopped receiving
unemployment benefits([UNEMPR_LOOP2 counter])~X], did you start receiving
unemployment compensation again?
Q13U-64C-LOOP-END [] |
Section: Income, Recipiency, Debt and
Assets |
UNTIL ([Did r rcv unemp comp again?([UNEMPR_LOOP2
counter])] != 1)
COMMENT: LOOP UNTIL NO MORE SPELLS OF UNEMPLOYMENT RECEIPT REPORTED
Q13-10 [] |
Section: Income, Recipiency, Debt and
Assets |
(([spouse in hh?] ==1 && ([marital status code]
==1 || [marital status code] ==5 || [marital status code]==4)) || ([partner in
hh?] ==1))
COMMENT: Is R currently married with a spouse in the household or is there a
partner in the household?
If Answer = 1 Then Go To
Q13-15
Q13-15 [] |
Section: Income, Recipiency, Debt and
Assets |
During [calendar year prior to survey year], did
[Spouse/partner's name] receive any income from service [S/HE] performed in the
military?
Q13-16_REF_1 [] |
Section: Income, Recipiency, Debt and
Assets |
([q13-3 refusal flag] == 1 || [q13-5 refusal flag] == 1
|| [q13-9 refusal flag] == 1)
COMMENT: R already refuse previous amounts?
If Answer =
1 Then Go To Q13-16_REF_2
Q13-16 [] |
Section: Income, Recipiency, Debt and
Assets |
And how much total income did [Spouse/partner's name]
receive during [calendar year prior to survey year] from the military before
taxes and other deductions? Please include money received from special pays,
allowances, and bonuses.
If Answer = -2 Then Go To Q13-16_SR000001
If Answer = -1 Then Go To Q13-16_REF_2
Q13-16_SR000001 [] |
Section: Income, Recipiency, Debt and
Assets |
Can you give me an approximate range for that
amount?
(INTERVIEWER: IT IS
ACCEPTABLE FOR RESPONDENT TO REPORT UPPER AND LOWER RANGES VERY CLOSE TOGETHER,
OR THE SAME FIGURE FOR UPPER AND LOWER RANGE IF A SPECIFIC NUMBER.)
Q13-16_SR000002 [] |
Section: Income, Recipiency, Debt and
Assets |
If Answer >= -2 AND Answer <= -1 Then Go To Q13-16_REF_2
Q13-16_REF_2 [] |
Section: Income, Recipiency, Debt and
Assets |
([estimate amount of total income received during prev
round from the military before taxes and other deductions] == -1 || [estimate
amount of total income from wages and salary in past calendar year] == -1 ||
[estimate income from farm/business/professional practice in past calendar year]
== -1)
COMMENT: R already refuse previous amounts?
If Answer =
1 Then Go To Q13-18
Q13-16_UAB_A [] |
Section: Income, Recipiency, Debt and
Assets |
Would it amount to $[entry pt military inc] or
more?
Q13-16_UAB_B [] |
Section: Income, Recipiency, Debt and
Assets |
Would it amount to $5,000 or more?
Q13-16_UAB_C [] |
Section: Income, Recipiency, Debt and
Assets |
Would it amount to $40,000 or more?
Q13-18 [] |
Section: Income, Recipiency, Debt and
Assets |
[(Not counting any money (spouse/partner) received from
(his/her) military service...) During] [calendar year prior to survey year], how
much did [Spouse/partner's name] receive from wages, salary, commissions, or
tips from all (other) jobs, before deductions for taxes or anything
else?
If Answer = -2 Then Go To Q13-18_SR000001
If Answer = -1 Then Go To Q13-18_REF_2
Q13-18_SR000001 [] |
Section: Income, Recipiency, Debt and
Assets |
Can you give me an approximate range for that
amount?
(INTERVIEWER: IT IS
ACCEPTABLE FOR RESPONDENT TO REPORT UPPER AND LOWER RANGES VERY CLOSE TOGETHER,
OR THE SAME FIGURE FOR UPPER AND LOWER RANGE IF A SPECIFIC NUMBER.)
Q13-18_SR000002 [] |
Section: Income, Recipiency, Debt and
Assets |
If Answer >= -2 AND Answer <= -1 Then Go To Q13-18_REF_2
Q13-18_REF_2 [] |
Section: Income, Recipiency, Debt and
Assets |
([estimate amount of total income received during prev
round from the military before taxes and other deductions] == -1 || [estimate
amount of total income from wages and salary in past calendar year] == -1 ||
[estimate income from farm/business/professional practice in past calendar year]
== -1 || [estimate total income of spouse/partner from military service in prev
round] == -1)
COMMENT: R already refuse previous estimates?
If Answer
= 1 Then Go To Q13-20
Q13-18_UAB_A [] |
Section: Income, Recipiency, Debt and
Assets |
Would it amount to $[entry pt wage inc] or
more?
Q13-18_UAB_B [] |
Section: Income, Recipiency, Debt and
Assets |
Would it amount to $15,000 or more?
Q13-18_UAB_C [] |
Section: Income, Recipiency, Debt and
Assets |
Would it amount to $50,000 or more?
Q13-20 [] |
Section: Income, Recipiency, Debt and
Assets |
[(Now, please exclude any income you already have
mentioned earned by (spouse/partner).)] [(In addition to the income you received
from your farm or business, partnership, or professional practice...)]
[D/during] [calendar year prior to survey year], did [Spouse/partner's name]
receive any money in income from [his/her] own farm?
[INTERVIEWER: PLEASE
EXCLUDE ANY MONEY ALREADY REPORTED FOR RESPONDENT'S OWN BUSINESS/PROFESSIONAL
PRACTICE AND ANY WAGE/SALARY EARNINGS ALREADY REPORTED FOR
[SPOUSE/PARTNER].]
Q13-22 [] |
Section: Income, Recipiency, Debt and
Assets |
[(Now, please exclude any income you already have
mentioned earned by (spouse/partner).)] [(In addition to the income you received
from your farm or business, partnership, or professional practice...)]
[D/during] [calendar year prior to survey year], did [Spouse/partner's name]
receive any money in income from [his/her] own non-farm business, partnership,
or professional practice?
[INTERVIEWER: PLEASE EXCLUDE ANY MONEY ALREADY
REPORTED FOR RESPONDENT'S OWN BUSINESS/PROFESSIONAL PRACTICE AND ANY WAGE/SALARY
EARNINGS ALREADY REPORTED FOR [SPOUSE/PARTNER].]
Q13-23 [] |
Section: Income, Recipiency, Debt and
Assets |
([Farm ownership by spouse/partner reported in income
qs]==1) || ([Business or Professional practice ownership by spouse/partner
reported in income qs]==1)
COMMENT: Did spouse receive income from either own farm or own non-farm
business or partnership?
If Answer = 1 Then Go To
Q13-23A
Q13-23A [] |
Section: Income, Recipiency, Debt and
Assets |
([Farm ownership by spouse/partner reported in income
qs]==1)
COMMENT: Did spouse receive income from own farm?
If
Answer = 1 Then Go To Q13-23B
Q13-23B [] |
Section: Income, Recipiency, Debt and
Assets |
Are any of the farms [Spouse/partner's name] owns or has
investments in, jointly owned or invested in with someone else?
(INTERVIEWER: A FARM OWNED WITH [r's first name] [r's
middle name] [r's last name] IS NOT CONSIDERED JOINTLY OWNED. [Spouse/partner's
name] MUST OWN OR INVEST WITH SOMEONE OUTSIDE [his/her] HOUSEHOLD TO QUALIFY FOR
JOINT OWNERSHIP.)
Q13-23C [] |
Section: Income, Recipiency, Debt and
Assets |
([Business or Professional practice ownership by
spouse/partner reported in income qs]==1)
COMMENT: Did spouse receive income from own non-farm business or
partnership?
If Answer = 1 Then Go To Q13-23D
Q13-23D [] |
Section: Income, Recipiency, Debt and
Assets |
Are any of the business or professional practices
[Spouse/partner's name] owns or has investments in, jointly owned or invested in
with someone else?
Q13-23E [] |
Section: Income, Recipiency, Debt and
Assets |
([Farm ownership by spouse/partner reported in income
qs]==1 || [Business or Professional practice ownership by spouse/partner
reported in income qs]==1)
COMMENT: Did spouse report either farm or business income?
If
Answer = 1 Then Go To Q13-23F
Q13-23F [] |
Section: Income, Recipiency, Debt and
Assets |
([Farm ownership by spouse/partner reported in income
qs]==1 && [Business or Professional practice ownership by spouse/partner
reported in income qs]==1 && [Spouse/partner's farms jointly owned or
invested in with someone else]==0 && [Business or Professional Practice
Jointly Owned By R?]==0)
COMMENT: Did spouse report both business and farm income, but no joint
ownership in either farm or business?
If Answer = 1 Then
Go To Q13-24_REF_1
Q13-23G [] |
Section: Income, Recipiency, Debt and
Assets |
([Farm ownership by spouse/partner reported in income
qs]==1 && [Business or Professional practice ownership by spouse/partner
reported in income qs]==1 && [Spouse/partner's farms jointly owned or
invested in with someone else]==1 && [Business or Professional Practice
Jointly Owned By R?]==1)
COMMENT: Did spouse report both business and farm income, and both joint
ownership?
If Answer = 1 Then Go To Q13-23G1
Q13-23G1 [] |
Section: Income, Recipiency, Debt and
Assets |
We will ask about money [Spouse/partner's name] got from
[his/her] farms and businesses or professional practices shortly.
Q13-23H [] |
Section: Income, Recipiency, Debt and
Assets |
([Farm ownership by spouse/partner reported in income
qs]==1 && [Business or Professional practice ownership by spouse/partner
reported in income qs]==1 && [Spouse/partner's farms jointly owned or
invested in with someone else]==1 && [Business or Professional Practice
Jointly Owned By R?]==0)
COMMENT: Did spouse report both business and farm income, and joint ownership
of farm?
If Answer = 1 Then Go To Q13-24_REF_1
Q13-23I [] |
Section: Income, Recipiency, Debt and
Assets |
([Farm ownership by spouse/partner reported in income
qs]==1 && [Business or Professional practice ownership by spouse/partner
reported in income qs]==1 && [Spouse/partner's farms jointly owned or
invested in with someone else]==0 && [Business or Professional Practice
Jointly Owned By R?]==1)
COMMENT: Did spouse report both business and farm income, and joint ownership
of business or professional practice?
If Answer = 1 Then
Go To Q13-24_REF_1
Q13-23J [] |
Section: Income, Recipiency, Debt and
Assets |
([Farm ownership by spouse/partner reported in income
qs]==1 && [Business or Professional practice ownership by spouse/partner
reported in income qs]==0 && [Spouse/partner's farms jointly owned or
invested in with someone else]==0)
COMMENT: Did spouse report farm income, and no joint ownership?
If Answer = 1 Then Go To Q13-24_REF_1
Q13-23K [] |
Section: Income, Recipiency, Debt and
Assets |
([Farm ownership by spouse/partner reported in income
qs]==1 && [Business or Professional practice ownership by spouse/partner
reported in income qs]==0 && [Spouse/partner's farms jointly owned or
invested in with someone else]==1)
COMMENT: Did spouse report farm income, and joint ownership?
If
Answer = 1 Then Go To Q13-23K1
Q13-23K1 [] |
Section: Income, Recipiency, Debt and
Assets |
We will ask about money [Spouse/partner's name] got from
[his/her] farms shortly.
Q13-23L [] |
Section: Income, Recipiency, Debt and
Assets |
([Farm ownership by spouse/partner reported in income
qs]==0 && [Business or Professional practice ownership by spouse/partner
reported in income qs]==1 && [Business or Professional Practice Jointly
Owned By R?]==0)
COMMENT: Did spouse report business income, and no joint ownership?
If Answer = 1 Then Go To Q13-24_REF_1
Q13-23M [] |
Section: Income, Recipiency, Debt and
Assets |
([Farm ownership by spouse/partner reported in income
qs]==0 && [Business or Professional practice ownership by spouse/partner
reported in income qs]==1 && [Business or Professional Practice Jointly
Owned By R?]==1)
COMMENT: Did spouse report business income, and joint ownership?
If Answer = 1 Then Go To Q13-23M1
Q13-23M1 [] |
Section: Income, Recipiency, Debt and
Assets |
We will ask about money [Spouse/partner's name] got from
[his/her] businesses or professional practices shortly.
Q13-24_REF_1 [] |
Section: Income, Recipiency, Debt and
Assets |
([q13-3 refusal flag] == 1 || [q13-5 refusal flag] == 1
|| [q13-9 refusal flag] == 1 || [q13-16 refusal flag] == 1 || [q13-18 refusal
flag] == 1)
COMMENT: R already refuse previous amounts?
If Answer =
1 Then Go To Q13-24_REF_2
Q13-24 [] |
Section: Income, Recipiency, Debt and
Assets |
How much did [S/HE] receive after expenses from [his/her]
[from his/her farms and businesses or professional practices/from his/her
farms]?
If Answer = -2 Then Go To Q13-24_SR000001
If Answer = -1 Then Go To Q13-24_REF_2
Q13-24_SR000001 [] |
Section: Income, Recipiency, Debt and
Assets |
Can you give me an approximate range for that
amount?
(INTERVIEWER: IT IS
ACCEPTABLE FOR RESPONDENT TO REPORT UPPER AND LOWER RANGES VERY CLOSE TOGETHER,
OR THE SAME FIGURE FOR UPPER AND LOWER RANGE IF A SPECIFIC NUMBER.)
Q13-24_SR000002 [] |
Section: Income, Recipiency, Debt and
Assets |
If Answer >= -2 AND Answer <= -1 Then Go To Q13-24_REF_2
Q13-24_REF_2 [] |
Section: Income, Recipiency, Debt and
Assets |
([estimate amount of total income received during prev
round from the military before taxes and other deductions] == -1 || [estimate
amount of total income from wages and salary in past calendar year] == -1 ||
[estimate income from farm/business/professional practice in past calendar year]
== -1 || [estimate total income of spouse/partner from military service in prev
round] == -1 || [estimate amount spar received from wages, salary, commissions
and tips from all (other) jobs, before deductions for taxes or anything else] ==
-1)
COMMENT: R already refuse previous estimates?
If Answer
= 1 Then Go To Q13S-A
Q13-24_UAB_A [] |
Section: Income, Recipiency, Debt and
Assets |
Would it amount to $[entry pt business inc] or
more?
Q13-24_UAB_B [] |
Section: Income, Recipiency, Debt and
Assets |
Would it amount to $2,500 or more?
Q13-24_UAB_C [] |
Section: Income, Recipiency, Debt and
Assets |
Would it amount to $40,000 or more?
Q13S-A [] |
Section: Income, Recipiency, Debt and
Assets |
[Q13RECIP-1] ==1 && [Q13-10] ==1
COMMENT: any program rec't reported at dli and r married or partner reported
in the hh?
If Answer = 1 Then Go To Q13S-43A
Default Next: |
Q13S-AB |
Lead-In: |
Q13-24_REF_2 [1:1],
Q13-23 [Default],
Q13-23E [Default],
Q13-23G1 [Default],
Q13-23K1 [Default],
Q13-23M [Default],
Q13-23M1 [Default],
Q13-24 [Default],
Q13-24_SR000002 [Default],
Q13-24_UAB_A [Default],
Q13-24_UAB_B [Default],
Q13-24_UAB_C [Default] |
Q13S-AB [] |
Section: Income, Recipiency, Debt and
Assets |
[Q13RECIP-2] ==2 || [Q13RECIP-2] ==3
COMMENT: did spouse/partner receive unemployment benefits since dli?
If Answer = 1 Then Go To Q13S-43B
Q13S-43A [] |
Section: Income, Recipiency, Debt and
Assets |
Since [rec_refdate~X] has [Spouse/partner's name]
received unemployment compensation?
Q13S-43B [] |
Section: Income, Recipiency, Debt and
Assets |
When did [Spouse/partner's name] start receiving
unemployment compensation after [rec_refdate~X] - what month and
year?
(INTERVIEWER: IF DON'T KNOW OR
REFUSED, PROBE FOR APPROXIMATE MONTH AND YEAR.)
Q13S-43C [] |
Section: Income, Recipiency, Debt and
Assets |
(When did [Spouse/partner's name] first start receiving
unemployment compensation, after [rec_refdate~X] - what month and
year?)
(ENTER MONTH AND YEAR:)
Q13S-44A1-LOOP-BEGIN [] |
Section: Income, Recipiency, Debt and
Assets |
REPEAT
COMMENT: BEGIN LOOP TO COLLECT NEW SPELLS OF UNEMPLOYMENT RECEIPT
Q13S-44A3 [] |
Section: Income, Recipiency, Debt and
Assets |
([unempsp_loop2 counter] ==1)
COMMENT: IS THIS THE FIRST TIME THROUGH THE LOOP?
If
Answer = 1 Then Go To Q13S-44A5
Q13S-44A5 [] |
Section: Income, Recipiency, Debt and
Assets |
([Month and year r's spouse started to rcv unemp comp]
==2)
COMMENT: DID R RECEIVE AGAIN, BUT DOES NOT KNOW DATES?
If Answer = 1 Then Go To Q13S-63A
Q13S-44A6 [] |
Section: Income, Recipiency, Debt and
Assets |
(([Month and year r's spouse started to rcv unemp comp]
==1) && ([unempsp_loop2 counter] ==1))
COMMENT: WAS A DATE COLLECTED OUTSIDE OF THE LOOP
If
Answer = 1 Then Go To Q13S-44D
Q13S-44B [] |
Section: Income, Recipiency, Debt and
Assets |
When did [Spouse/partner's name] (next) start receiving
unemployment compensation since [month/year spouse last received unemployment
benefits([unempsp_loop2 counter])~X] - what month and year?
(INTERVIEWER: IF DON'T KNOW OR REFUSED, PROBE FOR
APPROXIMATE MONTH AND YEAR.)
|
1 SELECT TO
ENTER DATES |
|
2 DID RECEIVE,
BUT DON'T KNOW DATES ...(Go To Q13S-63AA) |
If Answer >= -2 AND Answer <= -1 Then Go To Q13S-64C-LOOP-END
Q13S-44C [] |
Section: Income, Recipiency, Debt and
Assets |
(When did [Spouse/partner's name] (next) start receiving
unemployment compensation, after [month/year spouse last received unemployment
benefits([unempsp_loop2 counter])~X] - what month and year?)
(ENTER MONTH
AND YEAR:)
Q13S-44D [] |
Section: Income, Recipiency, Debt and
Assets |
Has [Spouse/partner's name] received unemployment
compensation continuously since [Month/year spouse began receiving unemployment
benefits again([unempsp_loop2 counter])~X]?
Q13S-45A [] |
Section: Income, Recipiency, Debt and
Assets |
When did [Spouse/partner's name] first stop receiving
unemployment compensation, since [Month/year spouse began receiving unemployment
benefits again([unempsp_loop2 counter])~X] - what month and year?
(INTERVIEWER: IF DON'T KNOW OR REFUSED, PROBE FOR
APPROXIMATE MONTH AND YEAR.)
|
1 SELECT TO
ENTER DATES |
|
2 DID RECEIVE,
BUT DON'T KNOW DATES ...(Go To Q13S-63AB) |
Q13S-45B [] |
Section: Income, Recipiency, Debt and
Assets |
(When did [Spouse/partner's name] first stop receiving
unemployment compensation, since [Month/year spouse began receiving unemployment
benefits again([unempsp_loop2 counter])~X] - what month and year?)
(ENTER
MONTH AND YEAR:)
Q13S-47E [] |
Section: Income, Recipiency, Debt and
Assets |
On average, between [Month/year spouse began receiving
unemployment benefits again([unempsp_loop2 counter])~X] and [Month/year stopped
receiving unemployment benefits([unempsp_loop2 counter])~X] how much
unemployment compensation did [Spouse/partner's name] receive per
week?
Q13S-62 [] |
Section: Income, Recipiency, Debt and
Assets |
([Recvd unemp comp for spouse continuously since
startdate?] == 1)
COMMENT: DID R REPORT CONTINUOUS RECEIPT OF UNEMPLOYMENT?
If
Answer = 1 Then Go To Q13S-64C-LOOP-END
Q13S-63 [] |
Section: Income, Recipiency, Debt and
Assets |
How much did [Spouse/partner's name] receive per week
during [Month/year stopped receiving unemployment benefits([unempsp_loop2
counter])~X]?
Q13S-63A [] |
Section: Income, Recipiency, Debt and
Assets |
About how many weeks since [rec_refdate~X] did
[Spouse/partner's name] receive any unemployment compensation?
Q13S-63AA [] |
Section: Income, Recipiency, Debt and
Assets |
About how many weeks since [month/year spouse last
received unemployment benefits([unempsp_loop2 counter])~X] did [Spouse/partner's
name] receive any unemployment compensation?
Q13S-63AB [] |
Section: Income, Recipiency, Debt and
Assets |
About how many weeks since [Month/year spouse began
receiving unemployment benefits again([unempsp_loop2 counter])~X] did
[Spouse/partner's name] receive any unemployment compensation?
Q13S-63B [] |
Section: Income, Recipiency, Debt and
Assets |
How much did [Spouse/partner's name] receive the last
time [Spouse/partner's name] received any unemployment compensation?
Q13S-64 [] |
Section: Income, Recipiency, Debt and
Assets |
Since [Month/year stopped receiving unemployment
benefits([unempsp_loop2 counter])~X], did [Spouse/partner's name] start
receiving unemployment compensation again?
Q13S-64C-LOOP-END [] |
Section: Income, Recipiency, Debt and
Assets |
UNTIL ([did spouse rec'v unemp comp again?([unempsp_loop2
counter])] != 1)
COMMENT: LOOP UNTIL NO MORE SPELLS OF UNEMPLOYMENT RECEIPT REPORTED
Q13-31A [] |
Section: Income, Recipiency, Debt and
Assets |
During [calendar year prior to survey year], did you [or]
[Spouse/partner's name] receive any (other) worker's compensation
payments?
Q13-31B_REF_1 [] |
Section: Income, Recipiency, Debt and
Assets |
([q13-3 refusal flag] == 1 || [q13-5 refusal flag] == 1
|| [q13-9 refusal flag] == 1 || [q13-16 refusal flag] == 1 || [q13-18 refusal
flag] == 1 || [q13-24 refusal flag] == 1)
COMMENT: R already refuse previous estimates?
If Answer
= 1 Then Go To Q13-31B_REF_2
Q13-31B [] |
Section: Income, Recipiency, Debt and
Assets |
What is the total amount of these (other) worker's
compensation payments you [or] [Spouse/partner's name] received during [calendar
year prior to survey year]?
If Answer = -2 Then Go To Q13-31B_SR000001
If Answer = -1 Then Go To Q13-31B_REF_2
Q13-31B_SR000001 [] |
Section: Income, Recipiency, Debt and
Assets |
Can you give me an approximate range for that
amount?
(INTERVIEWER: IT IS
ACCEPTABLE FOR RESPONDENT TO REPORT UPPER AND LOWER RANGES VERY CLOSE TOGETHER,
OR THE SAME FIGURE FOR UPPER AND LOWER RANGE IF A SPECIFIC NUMBER.)
Q13-31B_SR000002 [] |
Section: Income, Recipiency, Debt and
Assets |
If Answer >= -2 AND Answer <= -1 Then Go To Q13-31B_REF_2
Q13-31B_REF_2 [] |
Section: Income, Recipiency, Debt and
Assets |
([estimate amount of total income received during prev
round from the military before taxes and other deductions] == -1 || [estimate
amount of total income from wages and salary in past calendar year] == -1 ||
[estimate income from farm/business/professional practice in past calendar year]
== -1 || [estimate total income of spouse/partner from military service in prev
round] == -1 || [estimate amount spar received from wages, salary, commissions
and tips from all (other) jobs, before deductions for taxes or anything else] ==
-1 || [amount spouse received after expenses from farm/business/professional
practice] == -1)
COMMENT: R already refuse previous estimates?
If Answer
= 1 Then Go To Q13-32
Q13-31B_UAB_A [] |
Section: Income, Recipiency, Debt and
Assets |
Would it amount to $[entry pt pub assistance inc] or
more?
Q13-31B_UAB_B [] |
Section: Income, Recipiency, Debt and
Assets |
Would it amount to $2,000 or more?
Q13-31B_UAB_C [] |
Section: Income, Recipiency, Debt and
Assets |
Would it amount to $12,000 or more?
Q13-32 [] |
Section: Income, Recipiency, Debt and
Assets |
[R REPORT CHILD SUPPORT AWARD AT DATE OF LAST
INTERVIEW]==1
If Answer = 1 Then Go To Q13-33BAA
Q13-33 [] |
Section: Income, Recipiency, Debt and
Assets |
([total # bio children reported] > 0)
COMMENT: Has R ever had any children (bio)
If Answer =
1 Then Go To Q13-33A
Q13-33A [] |
Section: Income, Recipiency, Debt and
Assets |
Are you [or] [Spouse/partner's name] currently legally
entitled to receive child support payments through a court order or any other
type of legal agreement?
Q13-33BA [] |
Section: Income, Recipiency, Debt and
Assets |
[Q13-10]==1
COMMENT: Is R married and spouse is in household, or is R living with a
partner?
If Answer = 1 Then Go To Q13-33C
Q13-33BAA [] |
Section: Income, Recipiency, Debt and
Assets |
([Q13-10]==1)
COMMENT: Is R married and spouse is in household, or is R living with a
partner? (R was last interviewed since 1993 and reported child
support.)
If Answer = 1 Then Go To Q13-33EAB
Q13-33C [] |
Section: Income, Recipiency, Debt and
Assets |
Who is legally entitled to receive child support - you,
[Spouse/partner's name] or both of you?
|
1 Yourself
only ...(Go To Q13-33I) |
|
2 Your
spouse/partner only ...(Go To Q13-33KC) |
|
3 Yourself and
spouse/partner ...(Go To Q13-33EAC) |
Q13-33EAB [] |
Section: Income, Recipiency, Debt and
Assets |
Is [Spouse/partner's name] legally entitled to receive
child support?
Q13-33EAC [] |
Section: Income, Recipiency, Debt and
Assets |
First, I am going to ask about your child support
agreement. So for the next question, please think only about your child support
agreement.
I will ask about [Spouse/partner's name]'s child support in a
moment.
Q13-33I [] |
Section: Income, Recipiency, Debt and
Assets |
In total, how much in child support did you actually
receive during [calendar year prior to survey year]?
If Answer = -2 Then Go To Q13-33I_SR000001
If Answer = -1 Then Go To Q13-33I_REF_2
Q13-33I_SR000001 [] |
Section: Income, Recipiency, Debt and
Assets |
Can you give me an approximate range for that
amount?
(INTERVIEWER: IT IS
ACCEPTABLE FOR RESPONDENT TO REPORT UPPER AND LOWER RANGES VERY CLOSE TOGETHER,
OR THE SAME FIGURE FOR UPPER AND LOWER RANGE IF A SPECIFIC NUMBER.)
Q13-33I_SR000002 [] |
Section: Income, Recipiency, Debt and
Assets |
If Answer >= -2 AND Answer <= -1 Then Go To Q13-33I_REF_2
Q13-33I_REF_2 [] |
Section: Income, Recipiency, Debt and
Assets |
([estimate amount of total income received during prev
round from the military before taxes and other deductions] == -1 || [estimate
amount of total income from wages and salary in past calendar year] == -1 ||
[estimate income from farm/business/professional practice in past calendar year]
== -1 || [estimate total income of spouse/partner from military service in prev
round] == -1 || [estimate amount spar received from wages, salary, commissions
and tips from all (other) jobs, before deductions for taxes or anything else] ==
-1 || [amount spouse received after expenses from farm/business/professional
practice] == -1 || [estimate amount of respondent/spar's worker's compentation
payments in prev round] == -1)
COMMENT: R already refuse previous estimates?
If Answer
= 1 Then Go To Q13-33KC
Q13-33I_UAB_A [] |
Section: Income, Recipiency, Debt and
Assets |
Would it amount to $[entry pt ch supt inc] or
more?
Q13-33I_UAB_B [] |
Section: Income, Recipiency, Debt and
Assets |
Would it amount to $1,000 or more?
Q13-33I_UAB_C [] |
Section: Income, Recipiency, Debt and
Assets |
Would it amount to $6,000 or more?
Q13-33KC [] |
Section: Income, Recipiency, Debt and
Assets |
[r/(spouse/partner)/both entitled to child support? (no r
child support in ybli)]
COMMENT: Check to see if R's spouse or partner is also legally entitled to
child support
If Answer >= 2 AND Answer <= 3 Then Go
To Q13-33M
Q13-33KCA [] |
Section: Income, Recipiency, Debt and
Assets |
[spouse/partner entitled to child support? (r child
support in ybli)]
COMMENT: Check to see if R's spouse or partner is also legally entitled to
child support
If Answer = 1 Then Go To Q13-33M
Q13-33M [] |
Section: Income, Recipiency, Debt and
Assets |
In total, how much in child support did [Spouse/partner's
name] actually receive during [calendar year prior to survey year]?
If Answer = -2 Then Go To Q13-33M_SR000001
If Answer = -1 Then Go To Q13-33M_REF_2
Q13-33M_SR000001 [] |
Section: Income, Recipiency, Debt and
Assets |
Can you give me an approximate range for that
amount?
(INTERVIEWER: IT IS
ACCEPTABLE FOR RESPONDENT TO REPORT UPPER AND LOWER RANGES VERY CLOSE TOGETHER,
OR THE SAME FIGURE FOR UPPER AND LOWER RANGE IF A SPECIFIC NUMBER.)
Q13-33M_SR000002 [] |
Section: Income, Recipiency, Debt and
Assets |
If Answer >= -2 AND Answer <= -1 Then Go To Q13-33M_REF_2
Q13-33M_REF_2 [] |
Section: Income, Recipiency, Debt and
Assets |
([estimate amount of total income received during prev
round from the military before taxes and other deductions] == -1 || [estimate
amount of total income from wages and salary in past calendar year] == -1 ||
[estimate income from farm/business/professional practice in past calendar year]
== -1 || [estimate total income of spouse/partner from military service in prev
round] == -1 || [estimate amount spar received from wages, salary, commissions
and tips from all (other) jobs, before deductions for taxes or anything else] ==
-1 || [amount spouse received after expenses from farm/business/professional
practice] == -1 || [estimate amount of respondent/spar's worker's compentation
payments in prev round] == -1 || [estimate amount of child support respondent
actually received in prev round] == -1)
COMMENT: R already refuse previous estimates?
If Answer
= 1 Then Go To Q13-33T
Q13-33M_UAB_A [] |
Section: Income, Recipiency, Debt and
Assets |
Would it amount to $[entry pt ch supt inc] or
more?
Q13-33M_UAB_B [] |
Section: Income, Recipiency, Debt and
Assets |
Would it amount to $1,000 or more?
Q13-33M_UAB_C [] |
Section: Income, Recipiency, Debt and
Assets |
Would it amount to $6,000 or more?
Q13-33T [] |
Section: Income, Recipiency, Debt and
Assets |
([total # bio children reported] > 0) || ([total
non-bio children reported] > 0)
COMMENT: Has R ever had any children or non-biological children?
If Answer = 1 Then Go To Q13-33TA
Q13-33TA [] |
Section: Income, Recipiency, Debt and
Assets |
During [calendar year prior to survey year], did you [or]
[Spouse/partner's name] pay any money to anyone for child support for any child
not living in (this/your) household (in [Respondent City])?
Q13-33U_REF_1 [] |
Section: Income, Recipiency, Debt and
Assets |
([q13-3 refusal flag] == 1 || [q13-5 refusal flag] == 1
|| [q13-9 refusal flag] == 1 || [q13-16 refusal flag] == 1 || [q13-18 refusal
flag] == 1 || [q13-24 refusal flag] == 1 || [q13-31b refusal flag] == 1 ||
[q13-33i refusal flag] == 1 || [q13-33m refusal flag] == 1)
COMMENT: R already refuse previous estimates?
If Answer
= 1 Then Go To Q13-33U_REF_2
Q13-33U [] |
Section: Income, Recipiency, Debt and
Assets |
How much did you [or] [Spouse/partner's name] pay in
child support during [calendar year prior to survey year]?
If Answer = -2 Then Go To Q13-33U_SR000001
If Answer = -1 Then Go To Q13-33U_REF_2
Q13-33U_SR000001 [] |
Section: Income, Recipiency, Debt and
Assets |
Can you give me an approximate range for that
amount?
(INTERVIEWER: IT IS
ACCEPTABLE FOR RESPONDENT TO REPORT UPPER AND LOWER RANGES VERY CLOSE TOGETHER,
OR THE SAME FIGURE FOR UPPER AND LOWER RANGE IF A SPECIFIC NUMBER.)
Q13-33U_SR000002 [] |
Section: Income, Recipiency, Debt and
Assets |
If Answer >= -2 AND Answer <= -1 Then Go To Q13-33U_REF_2
Q13-33U_REF_2 [] |
Section: Income, Recipiency, Debt and
Assets |
([estimate amount of total income received during prev
round from the military before taxes and other deductions] == -1 || [estimate
amount of total income from wages and salary in past calendar year] == -1 ||
[estimate income from farm/business/professional practice in past calendar year]
== -1 || [estimate total income of spouse/partner from military service in prev
round] == -1 || [estimate amount spar received from wages, salary, commissions
and tips from all (other) jobs, before deductions for taxes or anything else] ==
-1 || [amount spouse received after expenses from farm/business/professional
practice] == -1 || [estimate amount of respondent/spar's worker's compentation
payments in prev round] == -1 || [estimate amount of child support respondent
actually received in prev round] == -1 || [estimate amount of child support
spouse/partner actually received in prev round] == -1)
COMMENT: R already refuse previous estimates?
If Answer
= 1 Then Go To Q13RECIP-4
Q13-33U_UAB_A [] |
Section: Income, Recipiency, Debt and
Assets |
Would it amount to $[entry pt ch supt inc] or
more?
Q13-33U_UAB_B [] |
Section: Income, Recipiency, Debt and
Assets |
Would it amount to $1,000 or more?
Q13-33U_UAB_C [] |
Section: Income, Recipiency, Debt and
Assets |
Would it amount to $6,000 or more?
Q13RECIP-4 [] |
Section: Income, Recipiency, Debt and
Assets |
Since [rec_refdate~X], have you [or] [Spouse/partner's
name] received any SSI, TANF/general assistance for families in need, or Food
Stamp benefits?
In [RESPONDENT STATE], this includes programs such as
[Temporary Assistance to Needy Families -- TANF].
|
1 SSI |
|
2 TANF |
|
3 Food
Stamps |
|
4 None |
Q13RECIP-4A [] |
Section: Income, Recipiency, Debt and
Assets |
([Q13RECIP-1]==1)
COMMENT: any program benefits reported at DLI
If Answer
= 0 Then Go To Q13RECIP-4B
Q13RECIP-4B [] |
Section: Income, Recipiency, Debt and
Assets |
INSELECTION([Q13RECIP-4], 1)
COMMENT: R or spouse/partner receive SSi benefits since dli/january,
lintyear
If Answer = 0 Then Go To Q13F-A
Q13-35 [] |
Section: Income, Recipiency, Debt and
Assets |
([other relatives in hshld, not spouse/children?] >=
1)
COMMENT: are there other relatives in the hh, not spouse/partner/
children
If Answer = 1 Then Go To Q13-36
Q13-36 [] |
Section: Income, Recipiency, Debt and
Assets |
For these next few questions, we are interested in
different kinds of payments that might have been made directly to you [or/ " "]
[your spouse/partner or children]. For these questions, please do not include
any payments that were made to your parents or to other members of your family,
even if the payments were used to help pay for your support.
Q13SSI-A [] |
Section: Income, Recipiency, Debt and
Assets |
([Q13RECIP-1]==1)
COMMENT: Any program receipt reported at dli?
If Answer
= 1 Then Go To Q13SSI-17B
Q13SSI-B [] |
Section: Income, Recipiency, Debt and
Assets |
INSELECTION([Q13RECIP-4],1)
COMMENT: R or spouse/partner receive ssi benefits since dli/January,
lintyear?
If Answer = 1 Then Go To Q13SSI-43B
Q13SSI-17B [] |
Section: Income, Recipiency, Debt and
Assets |
([year of last interview] <= 1992 && [Flag on
info sheet for receipt of SSI at dli] == 1)
COMMENT: WAS LAST INTERVIEW IN A PAPI YEAR AND WAS SSI REPORTED IN YEAR
BEFORE LAST INTERVIEW?
If Answer = 0 Then Go To Q13SSI-18A
Q13SSI-18 [] |
Section: Income, Recipiency, Debt and
Assets |
Were the benefits you reported receiving in [Year before
last interview year], Supplemental Security Income benefits only, other public
assistance or other welfare benefits only, or both kinds of benefits?
|
1 Supplemental
Security Income ONLY |
|
2 Other public
assistance or other welfare benefits ONLY |
|
3 Both |
|
4 IF
VOLUNTEERED: Not receiving benefits then |
Q13SSI-18A [] |
Section: Income, Recipiency, Debt and
Assets |
([year of last interview] > 1992) && ([year of
last interview] <= 1998) && ([Flag on info sheet for receipt of SSI
at dli] ==1)
COMMENT: DID R REPORT SSI AT LAST CAPI INTERVIEW?
If
Answer = 1 Then Go To Q13SSI-19
Q13SSI-19 [] |
Section: Income, Recipiency, Debt and
Assets |
Were the benefits you reported receiving between
[prev_lintdate~X] and [Date of last interview], Supplemental Security Income
benefits only, other public assistance or other welfare benefits only, or both
kinds of benefits?
|
1 Supplemental
Security Income ONLY |
|
2 Other public
assistance or other welfare benefits ONLY |
|
3 Both |
|
4 IF
VOLUNTEERED: Not receiving benefits then |
Q13SSI-43A [] |
Section: Income, Recipiency, Debt and
Assets |
We are now going to ask you about your Supplemental
Security Income benefits only. We will ask about the other public assistance or
other welfare benefits you were receiving later.
Since [rec_refdate~X]
have you [or] [Spouse/partner's name] [or your children] received Supplemental
Security Income payments?
Q13SSI-43AA [] |
Section: Income, Recipiency, Debt and
Assets |
When did you [or] [Spouse/partner's name] [or your
children] start receiving Supplemental Security Income payments after
[lastrecd_ssi~X] - what month and year?
(INTERVIEWER: IF DON'T KNOW OR REFUSED, PROBE FOR
APPROXIMATE MONTH AND YEAR.)
Q13SSI-43B [] |
Section: Income, Recipiency, Debt and
Assets |
We are now going to ask you about your Supplemental
Security Income benefits only. We will ask separately about other public
assistance or disability benefits you may have received.
When did you
[or] [Spouse/partner's name] [or your children] start receiving Supplemental
Security Income payments after [rec_refdate~X] - what month and
year?
(INTERVIEWER: IF DON'T KNOW OR
REFUSED, PROBE FOR APPROXIMATE MONTH AND
YEAR.)
|
1 SELECT TO
ENTER DATES |
|
2 DID RECEIVE,
BUT DON'T KNOW DATES ...(Go To Q13SSI-44A1-LOOP-BEGIN) |
|
3 R DID NOT
RECEIVE SUPPLEMENTAL SECURITY INCOME BENEFITS ...(Go To
Q13F-A) |
Q13SSI-43C [] |
Section: Income, Recipiency, Debt and
Assets |
(When did you [or] [Spouse/partner's name] [or your
children] first start receiving Supplemental Security Income payments after
[rec_refdate~X] - what month and year?)
(ENTER MONTH AND
YEAR:)
Q13SSI-44A1-LOOP-BEGIN [] |
Section: Income, Recipiency, Debt and
Assets |
REPEAT
COMMENT: BEGIN LOOP TO COLLECT NEW SPELLS OF SSI RECEIPT
Q13SSI-44A3 [] |
Section: Income, Recipiency, Debt and
Assets |
([SSI_LOOP2 counter] == 1)
COMMENT: IS THIS THE FIRST TIME THROUGH THE LOOP?
If
Answer = 1 Then Go To Q13SSI-44A5
Q13SSI-44A5 [] |
Section: Income, Recipiency, Debt and
Assets |
([Month and year r started to rcv SSI] == 2)
COMMENT: DID R RECEIVE AGAIN, BUT DOES NOT KNOW DATES?
If Answer = 1 Then Go To Q13SSI-63A
Q13SSI-44A6 [] |
Section: Income, Recipiency, Debt and
Assets |
(([Month and year r started to rcv SSI] == 1) &&
([SSI_LOOP2 counter] == 1))
COMMENT: WAS A DATE COLLECTED OUTSIDE OF THE LOOP
If
Answer = 1 Then Go To Q13SSI-44D
Q13SSI-44B [] |
Section: Income, Recipiency, Debt and
Assets |
When did you [or] [Spouse/partner's name] [or your
children] (next) start receiving Supplemental Security Income payments since
[month/year spouse last received ssi benefits([SSI_LOOP2 counter])~X] - what
month and year?
(INTERVIEWER: IF
DON'T KNOW OR REFUSED, PROBE FOR APPROXIMATE MONTH AND YEAR.)
|
1 SELECT TO
ENTER DATES |
|
2 DID RECEIVE,
BUT DON'T KNOW DATES ...(Go To Q13SSI-63AA) |
If Answer >= -2 AND Answer <= -1 Then Go To Q13SSI-64C-LOOP-END
Q13SSI-44C [] |
Section: Income, Recipiency, Debt and
Assets |
(When did you [or] [Spouse/partner's name] [or your
children] (next) start receiving Supplemental Security Income payments since
[month/year spouse last received ssi benefits([SSI_LOOP2 counter])~X] - what
month and year?)
(ENTER MONTH AND YEAR:)
Q13SSI-44D [] |
Section: Income, Recipiency, Debt and
Assets |
Have you [or] [Spouse/partner's name] [or your children]
received Supplemental Security Income payments continuously since [Month/year R
began receiving ssi([SSI_LOOP2 counter])~X]?
Q13SSI-45A [] |
Section: Income, Recipiency, Debt and
Assets |
When did you [or] [Spouse/partner's name] [or your
children] first stop receiving Supplemental Security Income payments since
[Month/year R began receiving ssi([SSI_LOOP2 counter])~X] - what month and
year?
(INTERVIEWER: FOR DON'T KNOW OR
REFUSE, PROBE FOR APPROXIMATE MONTH AND YEAR.)
|
1 SELECT TO
ENTER DATES |
|
2 DID RECEIVE,
BUT DON'T KNOW DATES ...(Go To Q13SSI-63AB) |
Q13SSI-45B [] |
Section: Income, Recipiency, Debt and
Assets |
(When did you [or] [Spouse/partner's name] [or your
children] first stop receiving Supplemental Security Income payments since
[Month/year R began receiving ssi([SSI_LOOP2 counter])~X] - what month and
year?)
(ENTER MONTH AND YEAR:)
Q13SSI-47E [] |
Section: Income, Recipiency, Debt and
Assets |
On average, between [Month/year R began receiving
ssi([SSI_LOOP2 counter])~X] and [Month/year stopped receiving SSI
payments([SSI_LOOP2 counter])~X], how much did you [or] [Spouse/partner's name]
[or your children] receive per month?
Q13SSI-62 [] |
Section: Income, Recipiency, Debt and
Assets |
([Recvd SSI continuously since startdate?] ==
1)
COMMENT: DID R REPORT CONTINUOUS RECEIPT OF SSI?
If
Answer = 1 Then Go To Q13SSI-64C-LOOP-END
Q13SSI-63 [] |
Section: Income, Recipiency, Debt and
Assets |
How much did you [or] [Spouse/partner's name] [or your
children] receive per month during [Month/year stopped receiving SSI
payments([SSI_LOOP2 counter])~X]?
Q13SSI-63A [] |
Section: Income, Recipiency, Debt and
Assets |
About how many months since [rec_refdate~X] did you [or]
[Spouse/partner's name] [or your children] receive any Supplemental Security
Income payments?
Q13SSI-63AA [] |
Section: Income, Recipiency, Debt and
Assets |
About how many weeks since [month/year spouse last
received ssi benefits([SSI_LOOP2 counter])~X] did you [or] [Spouse/partner's
name] [or your children] receive any Supplemental Security Income
payments?
Q13SSI-63AB [] |
Section: Income, Recipiency, Debt and
Assets |
About how many weeks since [Month/year R began receiving
ssi([SSI_LOOP2 counter])~X] did you [or] [Spouse/partner's name] [or your
children] receive any Supplemental Security Income payments?
Q13SSI-63B [] |
Section: Income, Recipiency, Debt and
Assets |
How much did you [or] [Spouse/partner's name] [or your
children] receive the last time you [or] [Spouse/partner's name] [or your
children] received any Supplemental Security Income payments?
Q13SSI-63C [] |
Section: Income, Recipiency, Debt and
Assets |
What was the primary reason that you [or]
[Spouse/partner's name] [or your children] stopped receiving
benefits?
|
1 Income or
other resources too high because of marriage (NO LONGER ELIGIBLE) |
|
2 Income or
other resources too high because of getting a new job (NO LONGER
ELIGIBLE) |
|
3 Didn't meet
health or disability requirements |
|
4 Immigration
status (NO LONGER ELIGIBLE) |
|
5 No longer
eligible (other reason) |
|
6 Non-cooperation with work or workfare
requirements |
|
7 Non-cooperation with child support
requirements |
|
8 Failed
substance abuse requirements (testing or other related) |
|
9 Sanctioned-
reason not specified |
|
10 Have already
received maximum assistance (time and or $ limit) |
|
11 Child(ren)
not meeting school attendance requirements |
|
12 Noncompliance with immunization
requirements |
|
13 R
VOLUNTEERED: STILL RECEIVING OR NEVER STOPPED RECEIVING BENEFITS |
|
14 Other
(SPECIFY) |
Q13SSI-63D [] |
Section: Income, Recipiency, Debt and
Assets |
VAREXIST([Q13SSI-63B([SSI_LOOP2 counter])])
COMMENT: was this question already hit?
If Answer = 1
Then Go To Q13SSI-64C-LOOP-END
Q13SSI-64 [] |
Section: Income, Recipiency, Debt and
Assets |
Since [Month/year stopped receiving SSI
payments([SSI_LOOP2 counter])~X], did you [or] [Spouse/partner's name] [or your
children] start receiving Supplemental Security Income payments
again?
Q13SSI-64C-LOOP-END [] |
Section: Income, Recipiency, Debt and
Assets |
UNTIL ([r rec'd ssi again?([SSI_LOOP2 counter])] !=
1)
COMMENT: LOOP UNTIL NO MORE SPELLS OF SSI RECEIPT REPORTED
Q13F-A [] |
Section: Income, Recipiency, Debt and
Assets |
([Q13RECIP-1]==1)
COMMENT: any program receipt reported at dli?
If Answer
= 1 Then Go To Q13F-43A
Q13F-B [] |
Section: Income, Recipiency, Debt and
Assets |
INSELECTION([Q13RECIP-4], 3)
COMMENT: R or spouse/partner receive food stamps since dli/jan,
lintyr?
If Answer = 1 Then Go To Q13F-43B
Q13F-43A [] |
Section: Income, Recipiency, Debt and
Assets |
Since [rec_refdate~X] have you [or] [Spouse/partner's
name] received government food stamps?
Q13F-43B [] |
Section: Income, Recipiency, Debt and
Assets |
When did you [or] [Spouse/partner's name] start receiving
government food stamps after [rec_refdate~X] - what month and
year?
(INTERVIEWER: IF DON'T KNOW OR
REFUSED, PROBE FOR APPROXIMATE MONTH AND YEAR.)
Q13F-43C [] |
Section: Income, Recipiency, Debt and
Assets |
(When did you [or] [Spouse/partner's name] start
receiving government food stamps after [rec_refdate~X] - what month and
year?)
(ENTER MONTH AND YEAR:)
Q13F-44A1-LOOP-BEGIN [] |
Section: Income, Recipiency, Debt and
Assets |
REPEAT
COMMENT: BEGIN LOOP TO COLLECT NEW SPELLS OF FOOD STAMPS RECEIPT
Q13F-44A3 [] |
Section: Income, Recipiency, Debt and
Assets |
([FOOD_LOOP2 counter] == 1)
COMMENT: IS THIS THE FIRST TIME THROUGH THE LOOP?
If
Answer = 1 Then Go To Q13F-44A5
Q13F-44A5 [] |
Section: Income, Recipiency, Debt and
Assets |
([Month and year r started to rcv food stamps] ==
2)
COMMENT: DID R RECEIVE, BUT DOES NOT KNOW DATES?
If
Answer = 1 Then Go To Q13F-63A
Q13F-44A6 [] |
Section: Income, Recipiency, Debt and
Assets |
(([Month and year r started to rcv food stamps] == 1)
&& ([FOOD_LOOP2 counter] == 1))
COMMENT: WAS A DATE COLLECTED OUTSIDE OF THE LOOP
If
Answer = 1 Then Go To Q13F-44D
Q13F-44B [] |
Section: Income, Recipiency, Debt and
Assets |
When did you [or] [Spouse/partner's name] (next) start
receiving government food stamps since [month/year last received food
stamps([FOOD_LOOP2 counter])~X] - what month and year?
(INTERVIEWER:
IF DON'T KNOW OR REFUSED, PROBE FOR APPROXIMATE MONTH AND YEAR.)
|
1 SELECT TO
ENTER DATES |
|
2 DID RECEIVE,
BUT DON'T KNOW DATES ...(Go To Q13F-63AA) |
If Answer >= -2 AND Answer <= -1 Then Go To Q13F-64C-LOOP-END
Q13F-44C [] |
Section: Income, Recipiency, Debt and
Assets |
(When did you [or] [Spouse/partner's name] (next) start
receiving government food stamps, after [month/year last received food
stamps([FOOD_LOOP2 counter])~X] - what month and year?)
(ENTER MONTH AND
YEAR:)
Q13F-44D [] |
Section: Income, Recipiency, Debt and
Assets |
Have you [or] [Spouse/partner's name] received government
food stamps continuously since [Month/year began receiving food stamps
again([FOOD_LOOP2 counter])~X]?
Q13F-45A [] |
Section: Income, Recipiency, Debt and
Assets |
When did you [or] [Spouse/partner's name] first stop
receiving government food stamps, since [Month/year began receiving food stamps
again([FOOD_LOOP2 counter])~X] - what month and year?
(INTERVIEWER:
IF DON'T KNOW OR REFUSED, PROBE FOR APPROXIMATE MONTH AND
YEAR.)
|
1 SELECT TO
ENTER DATES |
|
2 DID RECEIVE,
BUT DON'T KNOW DATES ...(Go To Q13F-63AB) |
Q13F-45B [] |
Section: Income, Recipiency, Debt and
Assets |
(When did you [or] [Spouse/partner's name] first stop
receiving government food stamps, since [Month/year began receiving food stamps
again([FOOD_LOOP2 counter])~X] - what month and year?)
(ENTER MONTH AND
YEAR:)
Q13F-47E [] |
Section: Income, Recipiency, Debt and
Assets |
On average, between [Month/year began receiving food
stamps again([FOOD_LOOP2 counter])~X] and [Month/year stopped receiving food
stamps([FOOD_LOOP2 counter])~X], how much did you [or] [Spouse/partner's name]
receive per month?
Q13F-62 [] |
Section: Income, Recipiency, Debt and
Assets |
([Recvd Food stamps continuously since startdate?] ==
1)
COMMENT: DID R REPORT CONTINUOUS RECEIPT OF FOOD STAMPS?
If
Answer = 1 Then Go To Q13F-64C-LOOP-END
Q13F-63 [] |
Section: Income, Recipiency, Debt and
Assets |
How much did you [or] [Spouse/partner's name] receive per
month during [Month/year stopped receiving food stamps([FOOD_LOOP2
counter])~X]?
Q13F-63A [] |
Section: Income, Recipiency, Debt and
Assets |
About how many months since [rec_refdate~X] did you [or]
[Spouse/partner's name] receive any government food stamps?
Q13F-63AA [] |
Section: Income, Recipiency, Debt and
Assets |
About how many months since [month/year last received
food stamps([FOOD_LOOP2 counter])~X] did you [or] [Spouse/partner's name]
receive any government food stamps?
Q13F-63AB [] |
Section: Income, Recipiency, Debt and
Assets |
About how many months since [Month/year began receiving
food stamps again([FOOD_LOOP2 counter])~X] did you [or] [Spouse/partner's name]
receive any government food stamps?
Q13F-63B [] |
Section: Income, Recipiency, Debt and
Assets |
How much did you [or] [Spouse/partner's name] receive the
last time you [or] [Spouse/partner's name] received any government food
stamps?
Q13F-63C [] |
Section: Income, Recipiency, Debt and
Assets |
What was the primary reason that you [or]
[Spouse/partner's name] stopped receiving food stamp benefits?
|
1 Income or
other resources too high because of marriage (NO LONGER ELIGIBLE) |
|
2 Income or
other resources too high because of getting a new job (NO LONGER
ELIGIBLE) |
|
3 Immigration
status (NO LONGER ELIGIBLE) |
|
4 No longer
eligible (other reason) |
|
5 Non-cooperation with work or workfare
requirements |
|
6 Non-cooperation with child support
requirements |
|
7 Failed
substance abuse requirements (testing or other related) |
|
8 Sanctioned -
reason not specified |
|
9 R
VOLUNTEERED: STILL RECEIVING OR NEVER STOPPED RECEIVING BENEFITS |
|
10 Other
(SPECIFY) |
Q13F-63D [] |
Section: Income, Recipiency, Debt and
Assets |
VAREXIST([Q13F-63B([FOOD_LOOP2 counter])])
COMMENT: was 63b answered?
If Answer = 1 Then Go To
Q13F-64C-LOOP-END
Q13F-64 [] |
Section: Income, Recipiency, Debt and
Assets |
Since [Month/year stopped receiving food
stamps([FOOD_LOOP2 counter])~X], did you [or] [Spouse/partner's name] start
receiving government food stamps again?
Q13F-64C-LOOP-END [] |
Section: Income, Recipiency, Debt and
Assets |
UNTIL ([loop counter([FOOD_LOOP2 counter])] !=
1)
COMMENT: LOOP UNTIL NO MORE SPELLS OF FOOD STAMPS RECEIPT REPORTED
Q13A-AA [] |
Section: Income, Recipiency, Debt and
Assets |
([Q13RECIP-1]==1)
COMMENT: ANY PROGRAM REC'T REPORTED AT DLI?
If Answer =
1 Then Go To Q13-OWELF-1
Q13A-BB [] |
Section: Income, Recipiency, Debt and
Assets |
INSELECTION([Q13RECIP-4],2)
COMMENT: R OR SPOUSE/PARTNER RECEIVE AFDC/TANF/GENERAL CASH ASSISTANCE SINCE
DLI/ JANUARY, LINTYEAR?
If Answer = 1 Then Go To Q13-OWELF-1
Q13-OWELF-1 [] |
Section: Income, Recipiency, Debt and
Assets |
([Did R rcv Supplemental Security Income benefits ONLY,
other public assistance or other welfare benefits ONLY, or both kinds of
benefits] ==2) || ([Did R rcv Supplemental Security Income benefits ONLY, other
public assistance or other welfare benefits ONLY, or both kinds of benefits]
==3) || ([Did R rcv Supplemental Security Income benefits ONLY, other public
assistance or other welfare benefits ONLY, or both kinds of benefits] ==2) ||
([Did R rcv Supplemental Security Income benefits ONLY, other public assistance
or other welfare benefits ONLY, or both kinds of benefits] ==3)
COMMENT: did R report general assistance or other welfare
If
Answer = 0 Then Go To Q13-OWELF-4A
Q13-OWELF-2 [] |
Section: Income, Recipiency, Debt and
Assets |
You mentioned that you were also receiving other public
assistance or other welfare benefits along with your SSI payments. Were these
benefits general public assistance or other general welfare cash payments or
were they other specifically targeted or non-cash benefits, such as emergency
assistance, Cuban/Haitian or Indian assistance, or payments for foster
children?
|
1 General cash
assistance to needy families (General public assistance or other general
welfare cash payments) |
|
2 Other
targeted cash payments |
|
3 Other
non-cash benefits |
|
4 Both (1) and
(2 or 3) (General cash assistance and either other targeted cash payments
or other non-cash benefits) |
Q13-OWELF-4A [] |
Section: Income, Recipiency, Debt and
Assets |
I will now be asking about TANF payments, or any other
general cash assistance to needy families that you may have received. In
[RESPONDENT STATE], this includes programs such as [Temporary Assistance to
Needy Families -- TANF]. Please include payments to your dependent children,
unless they are themselves a family head, i.e. have their own
children.
Please do not include any payments that were made to other
members of your family, even if the payments were used to help pay for your
support.
Q13A-A2 [] |
Section: Income, Recipiency, Debt and
Assets |
([Q13RECIP-1]==1)
COMMENT: Any program receipt reported at dli?
If Answer
= 1 Then Go To Q13A-43A
Q13A-A3 [] |
Section: Income, Recipiency, Debt and
Assets |
INSELECTION([Q13RECIP-4],2)
COMMENT: R or spouse/partner receive AFDC/TANF/general cash assistance since
dli/ January, lintyear?
If Answer = 1 Then Go To Q13A-43B
Q13A-43A [] |
Section: Income, Recipiency, Debt and
Assets |
Since [rec_refdate~X] have you [or] [Spouse/partner's
name] [or your children] received TANF or other general cash assistance to needy
families?
(INTERVIEWER: IF NECESSARY,
READ:) (As I mentioned earlier), In [RESPONDENT STATE], this includes programs
such as [Temporary Assistance to Needy Families -- TANF].
(INTERVIEWER:
TANF OR OTHER GENERAL CASH ASSISTANCE TO NEEDY FAMILIES DOES NOT INCLUDE FOOD
STAMPS, SSI OR OTHER PAYMENTS BASED ON DISABILITY, OR TARGETED CASH PAYMENTS OR
IN-KIND/NON-CASH RELIEF. INFO ON FOOD STAMPS AND TARGETED CASH PAYMENTS OR
IN-KIND/NON-CASH RELIEF WILL BE COLLECTED LATER.)
Q13A-43B [] |
Section: Income, Recipiency, Debt and
Assets |
When did you [or] [Spouse/partner's name] [or your
children] start receiving TANF or other general cash assistance to needy
families after [rec_refdate~X] - what month and year?
(INTERVIEWER:
IF NECESSARY, READ:) (As I mentioned earlier), In [RESPONDENT STATE],
this includes programs such as [Temporary Assistance to Needy Families --
TANF].
(INTERVIEWER: TANF OR OTHER
GENERAL CASH ASSISTANCE TO NEEDY FAMILIES DOES NOT INCLUDE FOOD STAMPS, SSI OR
OTHER PAYMENTS BASED ON DISABILITY, OR TARGETED CASH PAYMENTS OR
IN-KIND/NON-CASH RELIEF. INFO ON FOOD STAMPS AND TARGETED CASH PAYMENTS OR
IN-KIND/NON-CASH RELIEF WILL BE COLLECTED LATER.)
(INTERVIEWER: IF DON'T KNOW OR REFUSED, PROBE FOR
APPROXIMATE MONTH AND YEAR.)
Q13A-43C [] |
Section: Income, Recipiency, Debt and
Assets |
(When did you [or] [Spouse/partner's name] [or your
children] start receiving TANF or other general cash assistance to needy
families after [rec_refdate~X] - what month and year?)
(ENTER MONTH AND
YEAR:)
Q13A-44A1-LOOP-BEGIN [] |
Section: Income, Recipiency, Debt and
Assets |
REPEAT
COMMENT: BEGIN LOOP TO COLLECT NEW SPELLS OF AFDC RECEIPT
Q13A-44A3 [] |
Section: Income, Recipiency, Debt and
Assets |
([AFDC_LOOP2 counter] == 1)
COMMENT: IS THIS THE FIRST TIME THROUGH THE LOOP?
If
Answer = 1 Then Go To Q13A-44A5
Q13A-44A5 [] |
Section: Income, Recipiency, Debt and
Assets |
([Does r know dates of receipt?] == 2)
COMMENT: DID R RECEIVE AGAIN, BUT DOES NOT KNOW DATES?
If Answer = 1 Then Go To Q13A-63A
Q13A-44A6 [] |
Section: Income, Recipiency, Debt and
Assets |
(([Does r know dates of receipt?] == 1) &&
([AFDC_LOOP2 counter] == 1))
COMMENT: WAS A DATE COLLECTED OUTSIDE OF THE LOOP
If
Answer = 1 Then Go To Q13A-44D
Q13A-44B [] |
Section: Income, Recipiency, Debt and
Assets |
When did you [or] [Spouse/partner's name] [or your
children] (next) start receiving TANF or other general cash assistance to needy
families since [month/year last received afdc([AFDC_LOOP2 counter])~X] - what
month and year?
(INTERVIEWER: IF
DON'T KNOW OR REFUSED, PROBE FOR APPROXIMATE MONTH AND YEAR.)
|
1 SELECT TO
ENTER DATES |
|
2 DID RECEIVE,
BUT DON'T KNOW DATES ...(Go To Q13A-63AA) |
If Answer >= -2 AND Answer <= -1 Then Go To Q13A-64C-LOOP-END
Q13A-44C [] |
Section: Income, Recipiency, Debt and
Assets |
(When did you [or] [Spouse/partner's name] [or your
children] (next) start receiving TANF or other general cash assistance to needy
families, after [month/year last received afdc([AFDC_LOOP2 counter])~X] - what
month and year?)
(ENTER MONTH AND YEAR:)
Q13A-44D [] |
Section: Income, Recipiency, Debt and
Assets |
Have you [or] [Spouse/partner's name] [or your children]
received TANF or other general cash assistance to needy families continuously
since [Month/year began receiving afdc again([AFDC_LOOP2
counter])~X]?
Q13A-45A [] |
Section: Income, Recipiency, Debt and
Assets |
When did you [or] [Spouse/partner's name] [or your
children] first stop receiving TANF or other general cash assistance to needy
families, since [Month/year began receiving afdc again([AFDC_LOOP2 counter])~X]
- what month and year?
(INTERVIEWER:
IF DON'T KNOW OR REFUSED, PROBE FOR APPROXIMATE MONTH AND YEAR.)
|
1 SELECT TO
ENTER DATES |
|
2 DID RECEIVE,
BUT DON'T KNOW DATES ...(Go To Q13A-63AB) |
Q13A-45B [] |
Section: Income, Recipiency, Debt and
Assets |
(When did you [or] [Spouse/partner's name] [or your
children] first stop receiving TANF or other general cash assistance to needy
families, since [Month/year began receiving afdc again([AFDC_LOOP2 counter])~X]
- what month and year?)
(ENTER MONTH AND YEAR:)
Q13A-47E [] |
Section: Income, Recipiency, Debt and
Assets |
On average, between [Month/year began receiving afdc
again([AFDC_LOOP2 counter])~X] and [Month/year stopped receiving
afdc([AFDC_LOOP2 counter])~X], how much did you [or] [Spouse/partner's name] [or
your children] receive per month?
Q13A-62 [] |
Section: Income, Recipiency, Debt and
Assets |
([Recvd AFDC continuously since startdate?] ==
1)
COMMENT: DID R REPORT CONTINUOUS RECEIPT OF AFDC?
If
Answer = 1 Then Go To Q13A-64C-LOOP-END
Q13A-63 [] |
Section: Income, Recipiency, Debt and
Assets |
How much did you [or] [Spouse/partner's name] [or your
children] receive per month during [Month/year stopped receiving
afdc([AFDC_LOOP2 counter])~X]?
Q13A-63A [] |
Section: Income, Recipiency, Debt and
Assets |
About how many months since [rec_refdate~X] did you [or]
[Spouse/partner's name] [or your children] receive any TANF or other general
cash assistance to needy families?
Q13A-63AA [] |
Section: Income, Recipiency, Debt and
Assets |
About how many months since [month/year last received
afdc([AFDC_LOOP2 counter])~X] did you [or] [Spouse/partner's name] [or your
children] receive any TANF or other general cash assistance to needy
families?
Q13A-63AB [] |
Section: Income, Recipiency, Debt and
Assets |
About how many months since [Month/year began receiving
afdc again([AFDC_LOOP2 counter])~X] did you [or] [Spouse/partner's name] [or
your children] receive any TANF or other general cash assistance to needy
families?
Q13A-63B [] |
Section: Income, Recipiency, Debt and
Assets |
How much did you [or] [Spouse/partner's name] [or your
children] receive the last time you [or] [Spouse/partner's name] [or your
children] received any TANF or other general cash assistance to needy
families?
Q13A-63D [] |
Section: Income, Recipiency, Debt and
Assets |
VAREXIST([Q13A-63B([AFDC_LOOP2 counter])])
COMMENT: was Q13A-63B answered
If Answer = 1 Then Go To
Q13A-64C-LOOP-END
Q13A-64 [] |
Section: Income, Recipiency, Debt and
Assets |
Since [Month/year stopped receiving afdc([AFDC_LOOP2
counter])~X], did you [or] [Spouse/partner's name] [or your children] start
receiving TANFor other general cash assistance to needy families
again?
Q13A-64C-LOOP-END [] |
Section: Income, Recipiency, Debt and
Assets |
UNTIL ([Did r rec'v AFDC again?([AFDC_LOOP2 counter])] !=
1)
COMMENT: LOOP UNTIL NO MORE SPELLS OF AFDC RECEIPT REPORTED
Q13-59 [] |
Section: Income, Recipiency, Debt and
Assets |
During [calendar year prior to survey year], did you [or]
[Spouse/partner's name] receive any educational benefits for veterans under the
G.I Bill or V.E.A.P?
Q13-60 [] |
Section: Income, Recipiency, Debt and
Assets |
During [calendar year prior to survey year], did you [or]
[Spouse/partner's name] receive any [(other kinds of)] scholarships,
fellowships, or grants?
(INTERVIEWER:
DO NOT INCLUDE EDUCATIONAL LOANS)
Q13-61 [] |
Section: Income, Recipiency, Debt and
Assets |
([Q13-59] == 1) || ([Q13-60] == 1)
COMMENT: Did R report money from GI Bill, VEAP, scholarship, fellowships or
grants for education?
If Answer = 1 Then Go To Q13-63
Q13-63 [] |
Section: Income, Recipiency, Debt and
Assets |
Who received these benefits -- you, [Spouse/partner's
name] or both of you?
|
1 You
Only |
|
2 Spouse/Partner
Only ...(Go To Q13-68_REF_1) |
|
3 Both |
Q13-66_REF_1 [] |
Section: Income, Recipiency, Debt and
Assets |
([q13-3 refusal flag] == 1 || [q13-5 refusal flag] == 1
|| [q13-9 refusal flag] == 1 || [q13-16 refusal flag] == 1 || [q13-18 refusal
flag] == 1 || [q13-24 refusal flag] == 1 || [q13-31b refusal flag] == 1 ||
[q13-33i refusal flag] == 1 || [q13-33m refusal flag] == 1 || [q13-33u refusal
flag] == 1)
COMMENT: R already refuse previous estimates?
If Answer
= 1 Then Go To Q13-66_REF_2
Q13-66 [] |
Section: Income, Recipiency, Debt and
Assets |
What was the total dollar amount of the assistance you
received from these sources (REPEAT AS NECESSARY:) veterans' educational
benefits and/or other scholarships, fellowships, or grants in [calendar year
prior to survey year]?
If Answer = -2 Then Go To Q13-66_SR000001
If Answer = -1 Then Go To Q13-66_REF_2
Q13-66_SR000001 [] |
Section: Income, Recipiency, Debt and
Assets |
Can you give me an approximate range for that
amount?
(INTERVIEWER: IT IS
ACCEPTABLE FOR RESPONDENT TO REPORT UPPER AND LOWER RANGES VERY CLOSE TOGETHER,
OR THE SAME FIGURE FOR UPPER AND LOWER RANGE IF A SPECIFIC NUMBER.)
Q13-66_SR000002 [] |
Section: Income, Recipiency, Debt and
Assets |
If Answer >= -2 AND Answer <= -1 Then Go To Q13-66_REF_2
Q13-66_REF_2 [] |
Section: Income, Recipiency, Debt and
Assets |
([estimate amount of total income received during prev
round from the military before taxes and other deductions] == -1 || [estimate
amount of total income from wages and salary in past calendar year] == -1 ||
[estimate income from farm/business/professional practice in past calendar year]
== -1 || [estimate total income of spouse/partner from military service in prev
round] == -1 || [estimate amount spar received from wages, salary, commissions
and tips from all (other) jobs, before deductions for taxes or anything else] ==
-1 || [amount spouse received after expenses from farm/business/professional
practice] == -1 || [estimate amount of respondent/spar's worker's compentation
payments in prev round] == -1 || [estimate amount of child support respondent
actually received in prev round] == -1 || [estimate amount of child support
spouse/partner actually received in prev round] == -1 || [estimate amount of
child support paid by r/spar in prev round] == -1)
COMMENT: R already refuse previous estimates?
If Answer
= 1 Then Go To Q13-67
Q13-66_UAB_A [] |
Section: Income, Recipiency, Debt and
Assets |
Would it amount to $[entry pt educ benefits inc] or
more?
Q13-66_UAB_B [] |
Section: Income, Recipiency, Debt and
Assets |
Would it amount to $1,000 or more?
Q13-66_UAB_C [] |
Section: Income, Recipiency, Debt and
Assets |
Would it amount to $5,000 or more?
Q13-67 [] |
Section: Income, Recipiency, Debt and
Assets |
([Did both R and spouse/partner receive educational
benefits]==3)
COMMENT: Did both R and spouse/partner receive educational benefits?
If Answer = 0 Then Go To Q13-69_VET
Q13-68_REF_1 [] |
Section: Income, Recipiency, Debt and
Assets |
([q13-3 refusal flag] == 1 || [q13-5 refusal flag] == 1
|| [q13-9 refusal flag] == 1 || [q13-16 refusal flag] == 1 || [q13-18 refusal
flag] == 1 || [q13-24 refusal flag] == 1 || [q13-31b refusal flag] == 1 ||
[q13-33i refusal flag] == 1 || [q13-33m refusal flag] == 1 || [q13-33u refusal
flag] == 1 || [q13-66 refusal flag] == 1)
COMMENT: R already refuse previous estimates?
If Answer
= 1 Then Go To Q13-68_REF_2
Q13-68 [] |
Section: Income, Recipiency, Debt and
Assets |
What was the total dollar value of the assistance
[Spouse/partner's name] received from these sources during [calendar year prior
to survey year]?
If Answer = -2 Then Go To Q13-68_SR000001
If Answer = -1 Then Go To Q13-68_REF_2
Q13-68_SR000001 [] |
Section: Income, Recipiency, Debt and
Assets |
Can you give me an approximate range for that
amount?
(INTERVIEWER: IT IS
ACCEPTABLE FOR RESPONDENT TO REPORT UPPER AND LOWER RANGES VERY CLOSE TOGETHER,
OR THE SAME FIGURE FOR UPPER AND LOWER RANGE IF A SPECIFIC NUMBER.)
Q13-68_SR000002 [] |
Section: Income, Recipiency, Debt and
Assets |
If Answer >= -2 AND Answer <= -1 Then Go To Q13-68_REF_2
Q13-68_REF_2 [] |
Section: Income, Recipiency, Debt and
Assets |
([estimate amount of total income received during prev
round from the military before taxes and other deductions] == -1 || [estimate
amount of total income from wages and salary in past calendar year] == -1 ||
[estimate income from farm/business/professional practice in past calendar year]
== -1 || [estimate total income of spouse/partner from military service in prev
round] == -1 || [estimate amount spar received from wages, salary, commissions
and tips from all (other) jobs, before deductions for taxes or anything else] ==
-1 || [amount spouse received after expenses from farm/business/professional
practice] == -1 || [estimate amount of respondent/spar's worker's compentation
payments in prev round] == -1 || [estimate amount of child support respondent
actually received in prev round] == -1 || [estimate amount of child support
spouse/partner actually received in prev round] == -1 || [estimate amount of
child support paid by r/spar in prev round] == -1 || [estimate amount of
assistance received from veterans' education benefits and/or other scholarships,
fellowships or grants in prev round?] == -1)
COMMENT: R already refuse previous estimates?
If Answer
= 1 Then Go To Q13-69_VET
Q13-68_UAB_A [] |
Section: Income, Recipiency, Debt and
Assets |
Would it amount to $[entry pt educ benefits inc] or
more?
Q13-68_UAB_B [] |
Section: Income, Recipiency, Debt and
Assets |
Would it amount to $1,000 or more?
Q13-68_UAB_C [] |
Section: Income, Recipiency, Debt and
Assets |
Would it amount to $5,000 or more?
Q13-69_VET [] |
Section: Income, Recipiency, Debt and
Assets |
During [calendar year prior to survey year], did you [or]
[Spouse/partner's name] receive any [(other)] veterans benefits?
Q13-70_VET_REF_1 [] |
Section: Income, Recipiency, Debt and
Assets |
([q13-3 refusal flag] == 1 || [q13-5 refusal flag] == 1
|| [q13-9 refusal flag] == 1 || [q13-16 refusal flag] == 1 || [q13-18 refusal
flag] == 1 || [q13-24 refusal flag] == 1 || [q13-31b refusal flag] == 1 ||
[q13-33i refusal flag] == 1 || [q13-33m refusal flag] == 1 || [q13-33u refusal
flag] == 1 || [q13-66 refusal flag] == 1 || [q13-68 refusal flag] ==
1)
COMMENT: R already refuse previous estimates?
If Answer
= 1 Then Go To Q13-70_VET_REF_2
Q13-70_VET [] |
Section: Income, Recipiency, Debt and
Assets |
How much did you [or] [Spouse/partner's name] receive
per month during [calendar year prior to survey year] in (other)
veteran's benefits?
If Answer = -2 Then Go To Q13-70_VET_SR000001
If Answer = -1 Then Go To Q13-70_VET_REF_2
Q13-70_VET_SR000001 [] |
Section: Income, Recipiency, Debt and
Assets |
Can you give me an approximate range for that
amount?
(INTERVIEWER: IT IS
ACCEPTABLE FOR RESPONDENT TO REPORT UPPER AND LOWER RANGES VERY CLOSE TOGETHER,
OR THE SAME FIGURE FOR UPPER AND LOWER RANGE IF A SPECIFIC NUMBER.)
Q13-70_VET_SR000002 [] |
Section: Income, Recipiency, Debt and
Assets |
If Answer >= -2 AND Answer <= -1 Then Go To Q13-70_VET_REF_2
Q13-70_VET_REF_2 [] |
Section: Income, Recipiency, Debt and
Assets |
([estimate amount of total income received during prev
round from the military before taxes and other deductions] == -1 || [estimate
amount of total income from wages and salary in past calendar year] == -1 ||
[estimate income from farm/business/professional practice in past calendar year]
== -1 || [estimate total income of spouse/partner from military service in prev
round] == -1 || [estimate amount spar received from wages, salary, commissions
and tips from all (other) jobs, before deductions for taxes or anything else] ==
-1 || [amount spouse received after expenses from farm/business/professional
practice] == -1 || [estimate amount of respondent/spar's worker's compentation
payments in prev round] == -1 || [estimate amount of child support respondent
actually received in prev round] == -1 || [estimate amount of child support
spouse/partner actually received in prev round] == -1 || [estimate amount of
child support paid by r/spar in prev round] == -1 || [estimate amount of
assistance received from veterans' education benefits and/or other scholarships,
fellowships or grants in prev round?] == -1 || [estimate amount of educational
benefits recieved in past calendar year by spouse/partner] == -1)
COMMENT: R already refuse previous estimates?
If Answer
= 1 Then Go To Q13-70_VET_FLAGSET_CHK
Q13-70_VET_UAB_A [] |
Section: Income, Recipiency, Debt and
Assets |
Would it amount to $[entry pt pub assistance inc] or
more?
Q13-70_VET_UAB_B [] |
Section: Income, Recipiency, Debt and
Assets |
Would it amount to $2,000 or more?
Q13-70_VET_UAB_C [] |
Section: Income, Recipiency, Debt and
Assets |
Would it amount to $12,000 or more?
Q13-70_VET_FLAGSET_CHK [] |
Section: Income, Recipiency, Debt and
Assets |
([q13-70_vet refusal flag]==1)
If
Answer = 1 Then Go To Q13-69_DIS
Q13-70A_VET [] |
Section: Income, Recipiency, Debt and
Assets |
During how many months in [calendar year prior to survey
year] did you [or] [Spouse/partner's name] receive these (other) veteran's
benefits?
Q13-69_DIS [] |
Section: Income, Recipiency, Debt and
Assets |
[Other than any Supplemental Security Income that you
mentioned earlier, during/During] [calendar year prior to survey year], did you
[or] [Spouse/partner's name] receive any disability payments?
Q13-70_DIS_REF_1 [] |
Section: Income, Recipiency, Debt and
Assets |
([q13-3 refusal flag] == 1 || [q13-5 refusal flag] == 1
|| [q13-9 refusal flag] == 1 || [q13-16 refusal flag] == 1 || [q13-18 refusal
flag] == 1 || [q13-24 refusal flag] == 1 || [q13-31b refusal flag] == 1 ||
[q13-33i refusal flag] == 1 || [q13-33m refusal flag] == 1 || [q13-33u refusal
flag] == 1 || [q13-66 refusal flag] == 1 || [q13-68 refusal flag] == 1 ||
[q13-70_vet refusal flag] == 1)
COMMENT: R already refuse previous estimates?
If Answer
= 1 Then Go To Q13-70_DIS_REF_2
Q13-70_DIS [] |
Section: Income, Recipiency, Debt and
Assets |
How much did you [or] [Spouse/partner's name] receive
per month during [calendar year prior to survey year] in these
(other) disability payments?
If Answer = -2 Then Go To Q13-70_DIS_SR000001
If Answer = -1 Then Go To Q13-70_DIS_REF_2
Q13-70_DIS_SR000001 [] |
Section: Income, Recipiency, Debt and
Assets |
Can you give me an approximate range for that
amount?
(INTERVIEWER: IT IS
ACCEPTABLE FOR RESPONDENT TO REPORT UPPER AND LOWER RANGES VERY CLOSE TOGETHER,
OR THE SAME FIGURE FOR UPPER AND LOWER RANGE IF A SPECIFIC NUMBER.)
Q13-70_DIS_SR000002 [] |
Section: Income, Recipiency, Debt and
Assets |
If Answer >= -2 AND Answer <= -1 Then Go To Q13-70_DIS_REF_2
Q13-70_DIS_REF_2 [] |
Section: Income, Recipiency, Debt and
Assets |
([estimate amount of total income received during prev
round from the military before taxes and other deductions] == -1 || [estimate
amount of total income from wages and salary in past calendar year] == -1 ||
[estimate income from farm/business/professional practice in past calendar year]
== -1 || [estimate total income of spouse/partner from military service in prev
round] == -1 || [estimate amount spar received from wages, salary, commissions
and tips from all (other) jobs, before deductions for taxes or anything else] ==
-1 || [amount spouse received after expenses from farm/business/professional
practice] == -1 || [estimate amount of respondent/spar's worker's compentation
payments in prev round] == -1 || [estimate amount of child support respondent
actually received in prev round] == -1 || [estimate amount of child support
spouse/partner actually received in prev round] == -1 || [estimate amount of
child support paid by r/spar in prev round] == -1 || [estimate amount of
assistance received from veterans' education benefits and/or other scholarships,
fellowships or grants in prev round?] == -1 || [estimate amount of educational
benefits recieved in past calendar year by spouse/partner] == -1 || [estimate
amount of total income respondent/spar received from veteran benefits in prev
round] == -1)
COMMENT: R already refuse previous estimates?
If Answer
= 1 Then Go To Q13-70_DIS_FLAGSET_CHK
Q13-70_DIS_UAB_A [] |
Section: Income, Recipiency, Debt and
Assets |
Would it amount to $[entry pt pub assistance inc] or
more?
Q13-70_DIS_UAB_B [] |
Section: Income, Recipiency, Debt and
Assets |
Would it amount to $2,000 or more?
Q13-70_DIS_UAB_C [] |
Section: Income, Recipiency, Debt and
Assets |
Would it amount to $12,000 or more?
Q13-70_DIS_FLAGSET_CHK [] |
Section: Income, Recipiency, Debt and
Assets |
([q13-70_vet refusal flag]==1)
If
Answer = 1 Then Go To Q13-69_SS
Q13-70A_DIS [] |
Section: Income, Recipiency, Debt and
Assets |
During how many months in [calendar year prior to survey
year] did you [or] [Spouse/partner's name] receive these (other) disability
payments?
Q13-69_SS [] |
Section: Income, Recipiency, Debt and
Assets |
During [calendar year prior to survey year], did you [or]
[Spouse/partner's name] receive any (other) payments from Social
Security?
Q13-70_SS_REF_1 [] |
Section: Income, Recipiency, Debt and
Assets |
([q13-3 refusal flag] == 1 || [q13-5 refusal flag] == 1
|| [q13-9 refusal flag] == 1 || [q13-16 refusal flag] == 1 || [q13-18 refusal
flag] == 1 || [q13-24 refusal flag] == 1 || [q13-31b refusal flag] == 1 ||
[q13-33i refusal flag] == 1 || [q13-33m refusal flag] == 1 || [q13-33u refusal
flag] == 1 || [q13-66 refusal flag] == 1 || [q13-68 refusal flag]== 1 ||
[q13-70_vet refusal flag] == 1 || [q13-70_dis refusal flag] == 1)
COMMENT: R already refuse previous estimates?
If Answer
= 1 Then Go To Q13-70_SS_REF_2
Q13-70_SS [] |
Section: Income, Recipiency, Debt and
Assets |
How much did you [or] [Spouse/partner's name] receive
per month during [calendar year prior to survey year] in these
(other) payments from Social Security?
If Answer = -2 Then Go To Q13-70_SS_SR000001
If Answer = -1 Then Go To Q13-70_SS_REF_2
Q13-70_SS_SR000001 [] |
Section: Income, Recipiency, Debt and
Assets |
Can you give me an approximate range for that
amount?
(INTERVIEWER: IT IS
ACCEPTABLE FOR RESPONDENT TO REPORT UPPER AND LOWER RANGES VERY CLOSE TOGETHER,
OR THE SAME FIGURE FOR UPPER AND LOWER RANGE IF A SPECIFIC NUMBER.)
Q13-70_SS_SR000002 [] |
Section: Income, Recipiency, Debt and
Assets |
If Answer >= -2 AND Answer <= -1 Then Go To Q13-70_SS_REF_2
Q13-70_SS_REF_2 [] |
Section: Income, Recipiency, Debt and
Assets |
([estimate amount of total income received during prev
round from the military before taxes and other deductions] == -1 || [estimate
amount of total income from wages and salary in past calendar year] == -1 ||
[estimate income from farm/business/professional practice in past calendar year]
== -1 || [estimate total income of spouse/partner from military service in prev
round] == -1 || [estimate amount spar received from wages, salary, commissions
and tips from all (other) jobs, before deductions for taxes or anything else] ==
-1 || [amount spouse received after expenses from farm/business/professional
practice] == -1 || [estimate amount of respondent/spar's worker's compentation
payments in prev round] == -1 || [estimate amount of child support respondent
actually received in prev round] == -1 || [estimate amount of child support
spouse/partner actually received in prev round] == -1 || [estimate amount of
child support paid by r/spar in prev round] == -1 || [estimate amount of
assistance received from veterans' education benefits and/or other scholarships,
fellowships or grants in prev round?] == -1 || [estimate amount of educational
benefits recieved in past calendar year by spouse/partner]== -1 || [estimate
amount of total income respondent/spar received from veteran benefits in prev
round] == -1 || [estimate amount of respondent/spar total income from disability
in prev round] == -1)
COMMENT: R already refuse previous estimates?
If Answer
= 1 Then Go To Q13-70_SS_FLAGSET_CHK
Q13-70_SS_UAB_A [] |
Section: Income, Recipiency, Debt and
Assets |
Would it amount to $[entry pt pub assistance inc] or
more?
Q13-70_SS_UAB_B [] |
Section: Income, Recipiency, Debt and
Assets |
Would it amount to $2,000 or more?
Q13-70_SS_UAB_C [] |
Section: Income, Recipiency, Debt and
Assets |
Would it amount to $12,000 or more?
Q13-70_SS_FLAGSET_CHK [] |
Section: Income, Recipiency, Debt and
Assets |
([q13-70_vet refusal flag]==1)
If
Answer = 1 Then Go To Q13-71
Q13-70A_SS [] |
Section: Income, Recipiency, Debt and
Assets |
During how many months in [calendar year prior to survey
year] did you [or] [Spouse/partner's name] receive these (other) Social Security
payments?
Q13-71 [] |
Section: Income, Recipiency, Debt and
Assets |
Since [Date of last interview], did you [or]
[Spouse/partner's name] receive any property or money even if only a small
amount, from any estates, trusts, inheritances, or gifts from
relatives?
INTERVIEWER: NOTE
REFERENCE DATE FOR THIS QUESTION IS [Date of last interview], NOT THE CALENDAR
YEAR OF [calendar year prior to survey year].
Q13-73_REF_1 [] |
Section: Income, Recipiency, Debt and
Assets |
([q13-3 refusal flag] == 1 || [q13-5 refusal flag] == 1
|| [q13-9 refusal flag] == 1 || [q13-16 refusal flag] == 1 || [q13-18 refusal
flag] == 1 || [q13-24 refusal flag] == 1 || [q13-31b refusal flag] == 1 ||
[q13-33i refusal flag] == 1 || [q13-33m refusal flag] == 1 || [q13-33u refusal
flag] == 1 || [q13-66 refusal flag] == 1 || [q13-68 refusal flag] == 1 ||
[q13-70_vet refusal flag] == 1 || [q13-70_dis refusal flag] == 1 || [q13-70_ss
refusal flag] == 1)
COMMENT: R already refuse previous estimates?
If Answer
= 1 Then Go To Q13-73_REF_2
Q13-73 [] |
Section: Income, Recipiency, Debt and
Assets |
What was the total market value or amount that you [or]
[Spouse/partner's name] received since [Date of last interview] from these
sources?
(INTERVIEWER: "MARKET VALUE"
IS DEFINED AS "HOW MUCH THE RESPONDENT WOULD REASONABLY EXPECT SOMEONE ELSE TO
PAY IF THE ITEM(S) WERE SOLD TODAY IN ITS/THEIR PRESENT CONDITION: NOT THE
ORIGINAL PRICE PAID FOR THE ITEM(S).")
If Answer = -2 Then Go To Q13-73_SR000001
If Answer = -1 Then Go To Q13-73_REF_2
Q13-73_SR000001 [] |
Section: Income, Recipiency, Debt and
Assets |
Can you give me an approximate range for that
amount?
(INTERVIEWER: IT IS
ACCEPTABLE FOR RESPONDENT TO REPORT UPPER AND LOWER RANGES VERY CLOSE TOGETHER,
OR THE SAME FIGURE FOR UPPER AND LOWER RANGE IF A SPECIFIC NUMBER.)
Q13-73_SR000002 [] |
Section: Income, Recipiency, Debt and
Assets |
If Answer >= -2 AND Answer <= -1 Then Go To Q13-73_REF_2
Q13-73_REF_2 [] |
Section: Income, Recipiency, Debt and
Assets |
([estimate amount of total income received during prev
round from the military before taxes and other deductions] == -1 || [estimate
amount of total income from wages and salary in past calendar year] == -1 ||
[estimate income from farm/business/professional practice in past calendar year]
== -1 || [estimate total income of spouse/partner from military service in prev
round] == -1 || [estimate amount spar received from wages, salary, commissions
and tips from all (other) jobs, before deductions for taxes or anything else] ==
-1 || [amount spouse received after expenses from farm/business/professional
practice] == -1 || [estimate amount of respondent/spar's worker's compentation
payments in prev round] == -1 || [estimate amount of child support respondent
actually received in prev round] == -1 || [estimate amount of child support
spouse/partner actually received in prev round] == -1 || [estimate amount of
child support paid by r/spar in prev round] == -1 || [estimate amount of
assistance received from veterans' education benefits and/or other scholarships,
fellowships or grants in prev round?] == -1 || [estimate amount of educational
benefits recieved in past calendar year by spouse/partner] == -1 || [estimate
amount of total income respondent/spar received from veteran benefits in prev
round] == -1 || [estimate amount of respondent/spar total income from disability
in prev round] == -1 || [esimate amount respondent/spar recieved in total income
from social security in prev round] == -1)
COMMENT: R already refuse previous estimates?
If Answer
= 1 Then Go To Q13-73A_REF_1
Q13-73_UAB_A [] |
Section: Income, Recipiency, Debt and
Assets |
Would it amount to $[entry pt inheritance inc] or
more?
Q13-73_UAB_B [] |
Section: Income, Recipiency, Debt and
Assets |
Would it amount to $1,000 or more?
Q13-73_UAB_C [] |
Section: Income, Recipiency, Debt and
Assets |
Would it amount to $25,000 or more?
Q13-73A_REF_1 [] |
Section: Income, Recipiency, Debt and
Assets |
([q13-3 refusal flag] == 1 || [q13-5 refusal flag] == 1
|| [q13-9 refusal flag] == 1 || [q13-16 refusal flag] == 1 || [q13-18 refusal
flag] == 1 || [q13-24 refusal flag] == 1 || [q13-31b refusal flag] == 1 ||
[q13-33i refusal flag] == 1 || [q13-33m refusal flag] == 1 || [q13-33u refusal
flag] == 1 || [q13-66 refusal flag] == 1 || [q13-68 refusal flag] == 1 ||
[q13-70_vet refusal flag] == 1 || [q13-70_dis refusal flag] == 1 || [q13-70_ss
refusal flag]== 1 || [q13-73 refusal flag] == 1)
COMMENT: R already refuse previous estimates?
If Answer
= 1 Then Go To Q13-73A_REF_2
Q13-73A [] |
Section: Income, Recipiency, Debt and
Assets |
How much of this property or money, from estates, trusts,
inheritances, or gifts did you receive in [calendar year prior to survey
year]?
If Answer = -2 Then Go To Q13-73A_SR000001
If Answer = -1 Then Go To Q13-73A_REF_2
Q13-73A_SR000001 [] |
Section: Income, Recipiency, Debt and
Assets |
Can you give me an approximate range for that
amount?
(INTERVIEWER: IT IS
ACCEPTABLE FOR RESPONDENT TO REPORT UPPER AND LOWER RANGES VERY CLOSE TOGETHER,
OR THE SAME FIGURE FOR UPPER AND LOWER RANGE IF A SPECIFIC NUMBER.)
Q13-73A_SR000002 [] |
Section: Income, Recipiency, Debt and
Assets |
If Answer >= -2 AND Answer <= -1 Then Go To Q13-73A_REF_2
Q13-73A_REF_2 [] |
Section: Income, Recipiency, Debt and
Assets |
([estimate amount of total income received during prev
round from the military before taxes and other deductions] == -1 || [estimate
amount of total income from wages and salary in past calendar year] == -1 ||
[estimate income from farm/business/professional practice in past calendar year]
== -1 || [estimate total income of spouse/partner from military service in prev
round] == -1 || [estimate amount spar received from wages, salary, commissions
and tips from all (other) jobs, before deductions for taxes or anything else] ==
-1 || [amount spouse received after expenses from farm/business/professional
practice] == -1 || [estimate amount of respondent/spar's worker's compentation
payments in prev round] == -1 || [estimate amount of child support respondent
actually received in prev round] == -1 || [estimate amount of child support
spouse/partner actually received in prev round] == -1 || [estimate amount of
child support paid by r/spar in prev round] == -1 || [estimate amount of
assistance received from veterans' education benefits and/or other scholarships,
fellowships or grants in prev round?] == -1 || [estimate amount of educational
benefits recieved in past calendar year by spouse/partner] == -1 || [estimate
amount of total income respondent/spar received from veteran benefits in prev
round] == -1 || [estimate amount of respondent/spar total income from disability
in prev round] == -1 || [esimate amount respondent/spar recieved in total income
from social security in prev round]== -1 || [estimate market value or amount
that respondent/spar received since dli from estates/trusts/inheritances] ==
-1)
COMMENT: R already refuse previous estimates?
If Answer
= 1 Then Go To Q13-73B
Q13-73A_UAB_A [] |
Section: Income, Recipiency, Debt and
Assets |
Would it amount to $[entry pt inheritance inc] or
more?
Q13-73A_UAB_B [] |
Section: Income, Recipiency, Debt and
Assets |
Would it amount to $1,000 or more?
Q13-73A_UAB_C [] |
Section: Income, Recipiency, Debt and
Assets |
Would it amount to $25,000 or more?
Q13-73B [] |
Section: Income, Recipiency, Debt and
Assets |
Since [Date of last interview] [and not including any
inheritances or trusts you've just mentioned], have you [or] [Spouse/partner's
name] received $10,000 or more as the beneficiary of a life insurance
settlement?
INTERVIEWER: NOTE
REFERENCE DATE FOR THIS QUESTION IS [Date of last interview], NOT THE CALENDAR
YEAR OF [calendar year prior to survey year].
Q13-73C_REF_1 [] |
Section: Income, Recipiency, Debt and
Assets |
([q13-3 refusal flag] == 1 || [q13-5 refusal flag] == 1
|| [q13-9 refusal flag] == 1 || [q13-16 refusal flag] == 1 || [q13-18 refusal
flag] == 1 || [q13-24 refusal flag] == 1 || [q13-31b refusal flag] == 1 ||
[q13-33i refusal flag] == 1 || [q13-33m refusal flag] == 1 || [q13-33u refusal
flag] == 1 || [q13-66 refusal flag] == 1 || [q13-68 refusal flag] == 1 ||
[q13-70_vet refusal flag] == 1 || [q13-70_dis refusal flag] == 1 || [q13-70_ss
refusal flag] == 1 || [q13-73 refusal flag] == 1 || [q13-73a refusal flag]==
1)
COMMENT: R already refuse previous estimates?
If Answer
= 1 Then Go To Q13-73C_REF_2
Q13-73C [] |
Section: Income, Recipiency, Debt and
Assets |
Since [Date of last interview] how much is the total
amount from all life insurance settlements you [or] [Spouse/partner's name] have
ever received?
If Answer = -2 Then Go To Q13-73C_SR000001
If Answer = -1 Then Go To Q13-73C_REF_2
Q13-73C_SR000001 [] |
Section: Income, Recipiency, Debt and
Assets |
Can you give me an approximate range for that
amount?
(INTERVIEWER: IT IS
ACCEPTABLE FOR RESPONDENT TO REPORT UPPER AND LOWER RANGES VERY CLOSE TOGETHER,
OR THE SAME FIGURE FOR UPPER AND LOWER RANGE IF A SPECIFIC NUMBER.)
Q13-73C_SR000002 [] |
Section: Income, Recipiency, Debt and
Assets |
If Answer >= -2 AND Answer <= -1 Then Go To Q13-73C_REF_2
Q13-73C_REF_2 [] |
Section: Income, Recipiency, Debt and
Assets |
([estimate amount of total income received during prev
round from the military before taxes and other deductions] == -1 || [estimate
amount of total income from wages and salary in past calendar year] == -1 ||
[estimate income from farm/business/professional practice in past calendar year]
== -1 || [estimate total income of spouse/partner from military service in prev
round] == -1 || [estimate amount spar received from wages, salary, commissions
and tips from all (other) jobs, before deductions for taxes or anything else] ==
-1 || [amount spouse received after expenses from farm/business/professional
practice] == -1 || [estimate amount of respondent/spar's worker's compentation
payments in prev round] == -1 || [estimate amount of child support respondent
actually received in prev round] == -1 || [estimate amount of child support
spouse/partner actually received in prev round] == -1 || [estimate amount of
child support paid by r/spar in prev round] == -1 || [estimate amount of
assistance received from veterans' education benefits and/or other scholarships,
fellowships or grants in prev round?] == -1 || [estimate amount of educational
benefits recieved in past calendar year by spouse/partner] == -1 || [estimate
amount of total income respondent/spar received from veteran benefits in prev
round] == -1 || [estimate amount of respondent/spar total income from disability
in prev round] == -1 || [esimate amount respondent/spar recieved in total income
from social security in prev round] == -1 || [estimate market value or amount
that respondent/spar received since dli from estates/trusts/inheritances] == -1
|| [estimate market value respondent/spar received from
estates/trusts/inheritances since dli]== -1)
COMMENT: R already refuse previous estimates?
If Answer
= 1 Then Go To Q13-73D_REF_1
Q13-73C_UAB_A [] |
Section: Income, Recipiency, Debt and
Assets |
Would it amount to $[entry pt inheritance inc] or
more?
Q13-73C_UAB_B [] |
Section: Income, Recipiency, Debt and
Assets |
Would it amount to $1,000 or more?
Q13-73C_UAB_C [] |
Section: Income, Recipiency, Debt and
Assets |
Would it amount to $25,000 or more?
Q13-73D_REF_1 [] |
Section: Income, Recipiency, Debt and
Assets |
([q13-3 refusal flag] == 1 || [q13-5 refusal flag] == 1
|| [q13-9 refusal flag] == 1 || [q13-16 refusal flag] == 1 || [q13-18 refusal
flag] == 1 || [q13-24 refusal flag] == 1 || [q13-31b refusal flag] == 1 ||
[q13-33i refusal flag] == 1 || [q13-33m refusal flag] == 1 || [q13-33u refusal
flag] == 1 || [q13-66 refusal flag] == 1 || [q13-68 refusal flag] == 1 ||
[q13-70_vet refusal flag] == 1 || [q13-70_dis refusal flag] == 1 || [q13-70_ss
refusal flag] == 1 || [q13-73 refusal flag] == 1 || [q13-73a refusal flag] == 1
|| [q13-73c refusal flag] == 1)
COMMENT: R already refuse previous estimates?
If Answer
= 1 Then Go To Q13-73D_REF_2
Q13-73D [] |
Section: Income, Recipiency, Debt and
Assets |
How much of this money from life insurance settlements
did you [or] [Spouse/partner's name] receive in [calendar year prior to survey
year]?
If Answer = -2 Then Go To Q13-73D_SR000001
If Answer = -1 Then Go To Q13-73D_REF_2
Q13-73D_SR000001 [] |
Section: Income, Recipiency, Debt and
Assets |
Can you give me an approximate range for that
amount?
(INTERVIEWER: IT IS
ACCEPTABLE FOR RESPONDENT TO REPORT UPPER AND LOWER RANGES VERY CLOSE TOGETHER,
OR THE SAME FIGURE FOR UPPER AND LOWER RANGE IF A SPECIFIC NUMBER.)
Q13-73D_SR000002 [] |
Section: Income, Recipiency, Debt and
Assets |
If Answer >= -2 AND Answer <= -1 Then Go To Q13-73D_REF_2
Q13-73D_REF_2 [] |
Section: Income, Recipiency, Debt and
Assets |
([estimate amount of total income received during prev
round from the military before taxes and other deductions] == -1 || [estimate
amount of total income from wages and salary in past calendar year] == -1 ||
[estimate income from farm/business/professional practice in past calendar year]
== -1 || [estimate total income of spouse/partner from military service in prev
round] == -1 || [estimate amount spar received from wages, salary, commissions
and tips from all (other) jobs, before deductions for taxes or anything else] ==
-1 || [amount spouse received after expenses from farm/business/professional
practice] == -1 || [estimate amount of respondent/spar's worker's compentation
payments in prev round] == -1 || [estimate amount of child support respondent
actually received in prev round] == -1 || [estimate amount of child support
spouse/partner actually received in prev round] == -1 || [estimate amount of
child support paid by r/spar in prev round] == -1 || [estimate amount of
assistance received from veterans' education benefits and/or other scholarships,
fellowships or grants in prev round?] == -1 || [estimate amount of educational
benefits recieved in past calendar year by spouse/partner] == -1 || [estimate
amount of total income respondent/spar received from veteran benefits in prev
round] == -1 || [estimate amount of respondent/spar total income from disability
in prev round] == -1 || [esimate amount respondent/spar recieved in total income
from social security in prev round] == -1 || [estimate market value or amount
that respondent/spar received since dli from estates/trusts/inheritances] == -1
|| [estimate market value respondent/spar received from
estates/trusts/inheritances since dli] == -1 || [estimate amount respondent/spar
received from life insurance settlement since dli] == -1)
COMMENT: R already refuse previous estimates?
If Answer
= 1 Then Go To Q13-74
Q13-73D_UAB_A [] |
Section: Income, Recipiency, Debt and
Assets |
Would it amount to $[entry pt inheritance inc] or
more?
Q13-73D_UAB_B [] |
Section: Income, Recipiency, Debt and
Assets |
Would it amount to $1,000 or more?
Q13-73D_UAB_C [] |
Section: Income, Recipiency, Debt and
Assets |
Would it amount to $25,000 or more?
Q13-74 [] |
Section: Income, Recipiency, Debt and
Assets |
(Aside from the things you have already told me about)
During [calendar year prior to survey year], did you [or] [Spouse/partner's
name] receive any money, even if only a small amount, from any other source such
as interest on savings or bonds, dividends, pensions or annuities, net rental
income, royalties, alimony, or any other regular or periodic source of
income?
Q13-75_REF_1 [] |
Section: Income, Recipiency, Debt and
Assets |
([q13-3 refusal flag] == 1 || [q13-5 refusal flag] == 1
|| [q13-9 refusal flag] == 1 || [q13-16 refusal flag] == 1 || [q13-18 refusal
flag]== 1 || [q13-24 refusal flag] == 1 || [q13-31b refusal flag] == 1 ||
[q13-33i refusal flag] == 1 || [q13-33m refusal flag] == 1 || [q13-33u refusal
flag] == 1 || [q13-66 refusal flag] == 1 || [q13-68 refusal flag] == 1 ||
[q13-70_vet refusal flag] == 1 || [q13-70_dis refusal flag] == 1 || [q13-70_ss
refusal flag] == 1 || [q13-73 refusal flag] == 1 || [q13-73a refusal flag] == 1
|| [q13-73c refusal flag] == 1 || [q13-73d refusal flag] == 1)
COMMENT: R already refuse previous estimates?
If Answer
= 1 Then Go To Q13-75_REF_2
Q13-75 [] |
Section: Income, Recipiency, Debt and
Assets |
How much altogether?
If Answer = -2 Then Go To Q13-75_SR000001
If Answer = -1 Then Go To Q13-75_REF_2
Q13-75_SR000001 [] |
Section: Income, Recipiency, Debt and
Assets |
Can you give me an approximate range for that
amount?
(INTERVIEWER: IT IS
ACCEPTABLE FOR RESPONDENT TO REPORT UPPER AND LOWER RANGES VERY CLOSE TOGETHER,
OR THE SAME FIGURE FOR UPPER AND LOWER RANGE IF A SPECIFIC NUMBER.)
Q13-75_SR000002 [] |
Section: Income, Recipiency, Debt and
Assets |
If Answer >= -2 AND Answer <= -1 Then Go To Q13-75_REF_2
Q13-75_REF_2 [] |
Section: Income, Recipiency, Debt and
Assets |
([estimate amount of total income received during prev
round from the military before taxes and other deductions] == -1 || [estimate
amount of total income from wages and salary in past calendar year] == -1 ||
[estimate income from farm/business/professional practice in past calendar year]
== -1 || [estimate total income of spouse/partner from military service in prev
round] == -1 || [estimate amount spar received from wages, salary, commissions
and tips from all (other) jobs, before deductions for taxes or anything else]==
-1 || [amount spouse received after expenses from farm/business/professional
practice] == -1 || [estimate amount of respondent/spar's worker's compentation
payments in prev round] == -1 || [estimate amount of child support respondent
actually received in prev round] == -1 || [estimate amount of child support
spouse/partner actually received in prev round] == -1 || [estimate amount of
child support paid by r/spar in prev round] == -1 || [estimate amount of
assistance received from veterans' education benefits and/or other scholarships,
fellowships or grants in prev round?] == -1 || [estimate amount of educational
benefits recieved in past calendar year by spouse/partner] == -1 || [estimate
amount of total income respondent/spar received from veteran benefits in prev
round] == -1 || [estimate amount of respondent/spar total income from disability
in prev round] == -1 || [esimate amount respondent/spar recieved in total income
from social security in prev round] == -1 || [estimate market value or amount
that respondent/spar received since dli from estates/trusts/inheritances] == -1
|| [estimate market value respondent/spar received from
estates/trusts/inheritances since dli] == -1 || [estimate amount respondent/spar
received from life insurance settlement since dli] == -1 || [estimate amount
respondent/spar received from life insurance settlement in prev round] ==
-1)
COMMENT: R already refuse previous estimates?
If Answer
= 1 Then Go To Q13-76
Q13-75_UAB_A [] |
Section: Income, Recipiency, Debt and
Assets |
Would it amount to $[entry pt other inc] or
more?
Q13-75_UAB_B [] |
Section: Income, Recipiency, Debt and
Assets |
Would it amount to $100 or more?
Q13-75_UAB_C [] |
Section: Income, Recipiency, Debt and
Assets |
Would it amount to $5,000 or more?
Q13-76 [] |
Section: Income, Recipiency, Debt and
Assets |
Did you [or] [Spouse/partner's name] file a federal
income tax return for 2015?
Q13-77 [] |
Section: Income, Recipiency, Debt and
Assets |
What was your filing status on your 2015 federal income
tax return? Did you file as ...(READ CATEGORIES)?
|
1 A single
taxpayer |
|
2 Married,
filing a joint return |
|
3 Married,
filing separate |
|
4 Unmarried
head of household |
|
5 Qualifying
widow(er) with dependent child |
Q13-78 [] |
Section: Income, Recipiency, Debt and
Assets |
What were the total number of exemptions claimed (self,
spouse, children or other dependents) on you(r) [and] [Spouse/partner's name]'s
2015 federal income tax return(s)?
Q13-78A [] |
Section: Income, Recipiency, Debt and
Assets |
([total # bio children reported] > 0 &&
([spouse in hh?] == 0 && ([total income r rec'd from military]+[total
income r rec'd] <= 30000)) || ([spouse in hh?] == 1 && ([total income
r rec'd from military]+[total income r rec'd]+[spouse's wages from
military]+[spouse's wages from military]<=30000)))
COMMENT: WAS AT LEAST ONE CHILD REPORTED AND EARNED MILITARY/REGULAR INCOME
IN THIS HOUSEHOLD (HH SIZE BASED ON ALL HH MEMBERS REPORTED) IS LESS THAN OR
EQUAL TO $30,000? EITC ELIGIBLE WITH ONE CHILD = $25,760, OR WITH MORE THAN ONE
CHILD = $29,290 IN 2001.
If Answer = 1 Then Go To
Q13-78C
Q13-78B [] |
Section: Income, Recipiency, Debt and
Assets |
([total # bio children reported] == 0 && ([spouse
in hh?] == 0 && ([total income r rec'd from military]+[total income r
rec'd] <= 10000)) || ([spouse in hh?] == 1 && ([total income r rec'd
from military]+[total income r rec'd]+[spouse's wages from military]+[spouse's
wages from military]<=10000)))
COMMENT: NO CHILDREN REPORTED AND EARNED MILITARY/REGULAR INCOME IN THIS
HOUSEHOLD (HH SIZE BASED ON ALL HH MEMBERS REPORTED) IS LESS THAN OR EQUAL TO
$10,000? EITC ELIGIBLE WITH NO CHILDREN = $9,770 IN 2001.
If Answer = 1 Then Go To Q13-78C
Q13-78C [] |
Section: Income, Recipiency, Debt and
Assets |
Did you receive an Earned Income Tax Credit (EITC) in
2015?
Q13-78D_REF_1 [] |
Section: Income, Recipiency, Debt and
Assets |
([q13-3 refusal flag] == 1 || [q13-5 refusal flag] == 1
|| [q13-9 refusal flag] == 1 || [q13-16 refusal flag] == 1 || [q13-18 refusal
flag] == 1 || [q13-24 refusal flag] == 1 || [q13-31b refusal flag] == 1 ||
[q13-33i refusal flag] == 1 || [q13-33m refusal flag] == 1 || [q13-33u refusal
flag] == 1 || [q13-66 refusal flag] == 1 || [q13-68 refusal flag] == 1 ||
[q13-70_vet refusal flag] == 1 || [q13-70_dis refusal flag] == 1 || [q13-70_ss
refusal flag] == 1 || [q13-73 refusal flag] == 1 || [q13-73a refusal flag] == 1
|| [q13-73c refusal flag] == 1 || [q13-73d refusal flag] == 1 || [q13-75 refusal
flag] == 1)
COMMENT: R already refuse previous estimates?
If Answer
= 1 Then Go To Q13-78D_REF_2
Q13-78D [] |
Section: Income, Recipiency, Debt and
Assets |
How much did you get from your Earned Income Tax Credit
(EITC) in 2015?
If Answer = -2 Then Go To Q13-78D_SR000001
If Answer = -1 Then Go To Q13-78D_REF_2
Q13-78D_SR000001 [] |
Section: Income, Recipiency, Debt and
Assets |
Can you give me an approximate range for that
amount?
(INTERVIEWER: IT IS
ACCEPTABLE FOR RESPONDENT TO REPORT UPPER AND LOWER RANGES VERY CLOSE TOGETHER,
OR THE SAME FIGURE FOR UPPER AND LOWER RANGE IF A SPECIFIC NUMBER.)
Q13-78D_SR000002 [] |
Section: Income, Recipiency, Debt and
Assets |
If Answer >= -2 AND Answer <= -1 Then Go To Q13-78D_REF_2
Q13-78D_REF_2 [] |
Section: Income, Recipiency, Debt and
Assets |
([estimate amount of total income received during prev
round from the military before taxes and other deductions] == -1 || [estimate
amount of total income from wages and salary in past calendar year] == -1 ||
[estimate income from farm/business/professional practice in past calendar year]
== -1 || [estimate total income of spouse/partner from military service in prev
round] == -1 || [estimate amount spar received from wages, salary, commissions
and tips from all (other) jobs, before deductions for taxes or anything else] ==
-1 || [amount spouse received after expenses from farm/business/professional
practice] == -1 || [estimate amount of respondent/spar's worker's compentation
payments in prev round] == -1 || [estimate amount of child support respondent
actually received in prev round] == -1 || [estimate amount of child support
spouse/partner actually received in prev round] == -1 || [estimate amount of
child support paid by r/spar in prev round] == -1 || [estimate amount of
assistance received from veterans' education benefits and/or other scholarships,
fellowships or grants in prev round?] == -1 || [estimate amount of educational
benefits recieved in past calendar year by spouse/partner] == -1 || [estimate
amount of total income respondent/spar received from veteran benefits in prev
round] == -1 || [estimate amount of respondent/spar total income from disability
in prev round] == -1 || [esimate amount respondent/spar recieved in total income
from social security in prev round] == -1 || [estimate market value or amount
that respondent/spar received since dli from estates/trusts/inheritances] == -1
|| [estimate market value respondent/spar received from
estates/trusts/inheritances since dli] == -1 || [estimate amount respondent/spar
received from life insurance settlement since dli] == -1 || [estimate amount
respondent/spar received from life insurance settlement in prev round] == -1 ||
[estimate income received by respondent/spar in past calendar year] ==
-1)
COMMENT: R already refuse previous estimates?
If Answer
= 1 Then Go To Q13-80-NEW
Q13-78D_UAB_A [] |
Section: Income, Recipiency, Debt and
Assets |
Would it amount to $[entry pt eitc inc] or
more?
Q13-78D_UAB_B [] |
Section: Income, Recipiency, Debt and
Assets |
Would it amount to $500 or more?
Q13-78D_UAB_C [] |
Section: Income, Recipiency, Debt and
Assets |
Would it amount to $3,000 or more?
Q13-80-NEW [] |
Section: Income, Recipiency, Debt and
Assets |
Now please think about any other adult family members you
lived with during calendar year [calendar year prior to survey year]. At any
time during the year, did you live with any of your relatives [(or any relatives
of your spouse/or any relatives of your partner)]?
Q13-81-NEW [] |
Section: Income, Recipiency, Debt and
Assets |
During [calendar year prior to survey year], what was the
combined income of all these family members that you lived with during that
year? Just tell me total income across all of these people rounded to the
nearest $10,000.
INTERVIEWER: IF R REPORTS
SOME INCOME, READ PROBE:
Please include income from any full
or part time jobs, temporary or seasonal work and service in the military,
military reserves or the National Guard, a farm, a business or professional
partnership, Social Security, pensions, welfare, interest, gifts or anything
else. Please do not include your own income or the income you've already
reported for your spouse or partner.
If Answer = -2 Then Go To Q13-92_SR000001
If Answer = -1 Then Go To Q13-92_REF_2
Q13-92_SR000001 [] |
Section: Income, Recipiency, Debt and
Assets |
Can you give me an approximate range for that
amount?
(INTERVIEWER:
IT IS ACCEPTABLE FOR RESPONDENT TO REPORT UPPER AND LOWER RANGES VERY
CLOSE TOGETHER, OR THE SAME FIGURE FOR UPPER AND LOWER RANGE IF A SPECIFIC
NUMBER.)
Q13-92_SR000002 [] |
Section: Income, Recipiency, Debt and
Assets |
If Answer >= -2 AND Answer <= -1 Then Go To Q13-92_REF_2
Q13-92_REF_2 [] |
Section: Income, Recipiency, Debt and
Assets |
([estimate amount of total income received during prev
round from the military before taxes and other deductions] == -1 || [estimate
amount of total income from wages and salary in past calendar year] == -1 ||
[estimate income from farm/business/professional practice in past calendar year]
== -1 || [estimate total income of spouse/partner from military service in prev
round] == -1 || [estimate amount spar received from wages, salary, commissions
and tips from all (other) jobs, before deductions for taxes or anything else] ==
-1 || [amount spouse received after expenses from farm/business/professional
practice] == -1 || [estimate amount of respondent/spar's worker's compentation
payments in prev round] == -1 || [estimate amount of child support respondent
actually received in prev round] == -1 || [estimate amount of child support
spouse/partner actually received in prev round] == -1 || [estimate amount of
child support paid by r/spar in prev round] == -1 || [estimate amount of
assistance received from veterans' education benefits and/or other scholarships,
fellowships or grants in prev round?] == -1 || [estimate amount of educational
benefits recieved in past calendar year by spouse/partner] == -1 || [estimate
amount of total income respondent/spar received from veteran benefits in prev
round] == -1 || [estimate amount of respondent/spar total income from disability
in prev round] == -1 || [esimate amount respondent/spar recieved in total income
from social security in prev round] == -1 || [estimate market value or amount
that respondent/spar received since dli from estates/trusts/inheritances]== -1
|| [estimate market value respondent/spar received from
estates/trusts/inheritances since dli] == -1 || [estimate amount respondent/spar
received from life insurance settlement since dli] == -1 || [estimate amount
respondent/spar received from life insurance settlement in prev round] == -1 ||
[estimate income received by respondent/spar in past calendar year] == -1 ||
[estimate amount respondent received from Earned Income Tax Credit in 2003] ==
-1)
COMMENT: R already refuse previous estimates?
If Answer
= 1 Then Go To SC_1
Q13-92_UAB_A [] |
Section: Income, Recipiency, Debt and
Assets |
Would it amount to $[entry pt other hh mems inc] or
more?
Q13-92_UAB_B [] |
Section: Income, Recipiency, Debt and
Assets |
Would it amount to $5,000 or more?
Q13-92_UAB_C [] |
Section: Income, Recipiency, Debt and
Assets |
Would it amount to $30,000 or more?
SC_1 [] |
Section: Income, Recipiency, Debt and
Assets |
[r report non-care assets at last
interview]==1
COMMENT: R report non-car assets at last interview?
If
Answer = 0 Then Go To SC_1A
SC_1A [] |
Section: Income, Recipiency, Debt and
Assets |
[Is the spouse in the household new since dli]==1 ||
[partner in hh?]==1
COMMENT: R report new spouse or partner since last interview?
If
Answer = 0 Then Go To SC_2
SC_2 [] |
Section: Income, Recipiency, Debt and
Assets |
(([spouse in hh?] ==0) && (([total income r rec'd
from military] + [total income r rec'd]) <= ([calculate poverty level] + ([#
hh members] * [calculate poverty level] * 1.50)))) || (([spouse in hh?] == 1)
&& (([total income r rec'd from military] + [total income r rec'd] +
[spouse's wages from military] + [spouse's wages from military]) <=
([calculate poverty level] + ([# hh members] * [calculate poverty level] *
1.50))))
COMMENT: R at 150% of the poverty level
If Answer = 1
Then Go To SC_3
SC_3 [] |
Section: Income, Recipiency, Debt and
Assets |
[Q13-74] == 1
COMMENT: R report any other periodic source of income in Q13-74
If Answer = 0 Then Go To SC_4
SC_4 [] |
Section: Income, Recipiency, Debt and
Assets |
([Farm ownership reported in income qs] == 1) ||
([Business or Professional practice ownership reported in income qs] == 1) ||
([Farm ownership by spouse/partner reported in income qs] == 1) || ([Business or
Professional practice ownership by spouse/partner reported in income qs] ==
1)
COMMENT: R report any income from farm or business
If
Answer = 0 Then Go To SC_5
SC_5 [] |
Section: Income, Recipiency, Debt and
Assets |
[pension type] == 1
COMMENT: Count number of DC pensions reported.
If
Answer = 0 Then Go To SC_6
SC_6 [] |
Section: Income, Recipiency, Debt and
Assets |
Since [lintdate_assets~X], have you [or]
[Spouse/partner's name] opened any account at a bank or a credit union such as a
checking account or a savings account?
|
1 Yes |
|
0 No ...(Go To SC_7) |
SC_7 [] |
Section: Income, Recipiency, Debt and
Assets |
Since [lintdate_assets~X], have you [or]
[Spouse/partner's name] bought, inherited, or been given US Savings Bonds,
stocks, or other financial investments?
|
1 Yes |
|
0 No ...(Go To SC_8) |
SC_8 [] |
Section: Income, Recipiency, Debt and
Assets |
Since [lintdate_assets~X], have you [or]
[Spouse/partner's name] contributed to a plan that saves for retirement, such as
an IRA or a Keogh plan, or a plan that saves for education, such as a Coverdell
IRA or a 529 plan?
|
1 Yes |
|
0 No ...(Go To SC_9) |
SC_9 [] |
Section: Income, Recipiency, Debt and
Assets |
Other than a car or other vehicle, have you [or]
[Spouse/partner's name] bought, inherited or been given any item currently worth
at least $1000 since [lintdate_assets~X]? Please include any major purchase
since then, including a house or apartment, as well as the purchase of any
appliances or other item worth at least $1000.
|
1 Yes |
|
0 No ...(Go To SC_10) |
SC_10 [] |
Section: Income, Recipiency, Debt and
Assets |
Do you [or] [Spouse/partner's name] currently own or are
you [or] [Spouse/partner's name] purchasing a car or other type of motor
vehicle? Please do not include vehicles that you lease or have use of, but do
not own.
|
1 Yes ...(Go To SC_11) |
|
0 No |
SC_11 [] |
Section: Income, Recipiency, Debt and
Assets |
How many vehicles do you [or] [Spouse/partner's name]
own? Please do not include any vehicles that you lease or have use of but do not
own.
SC_VEH_LOOP_BEGIN [] |
Section: Income, Recipiency, Debt and
Assets |
REPEAT
SC_12_A [] |
Section: Income, Recipiency, Debt and
Assets |
What is the model year of your [first/next]
vehicle?
SC_12A_REF_1A [] |
Section: Income, Recipiency, Debt and
Assets |
([q13-3 refusal flag] == 1 || [q13-5 refusal flag] == 1
|| [q13-9 refusal flag] == 1 || [q13-16 refusal flag] == 1 || [q13-18 refusal
flag] == 1 || [q13-24 refusal flag] == 1 || [q13-31b refusal flag] == 1 ||
[q13-33i refusal flag] == 1 || [q13-33m refusal flag] == 1 || [q13-33u refusal
flag] == 1 || [q13-66 refusal flag] == 1 || [q13-68 refusal flag] == 1 ||
[q13-70_vet refusal flag] == 1 || [q13-70_dis refusal flag] == 1 || [q13-70_ss
refusal flag] == 1 || [q13-73 refusal flag] == 1 || [q13-73a refusal flag] == 1
|| [q13-73c refusal flag] == 1 || [q13-73d refusal flag] == 1 || [q13-75 refusal
flag] == 1 || [q13-78d refusal flag] == 1 || [q13-92 refusal flag] == 1 ||
[q13-92c refusal flag] == 1)
COMMENT: R already refuse previous estimates?
If Answer
= 1 Then Go To SC_12A_REF_2A
SC_12A_REF_1B [] |
Section: Income, Recipiency, Debt and
Assets |
[SCVEH-LOOP1] == 1
COMMENT: increment loop counter
If Answer = 0 Then Go
To SC_12A_REF_1C
SC_12A_REF_1C [] |
Section: Income, Recipiency, Debt and
Assets |
([sc_12a_ref([scveh-loop1])] == 1)
COMMENT: R already refuse previous estimates?
If Answer
= 1 Then Go To SC_12A_REF_2A
SC_12A [] |
Section: Income, Recipiency, Debt and
Assets |
How much would this vehicle sell for on today's
market?
If Answer = -2 Then Go To SC_12A_SR000001
If Answer = -1 Then Go To SC_12A_REF_2A
SC_12A_SR000001 [] |
Section: Income, Recipiency, Debt and
Assets |
Can you give me an approximate range for that
amount?
(INTERVIEWER: IT IS
ACCEPTABLE FOR RESPONDENT TO REPORT UPPER AND LOWER RANGES VERY CLOSE TOGETHER,
OR THE SAME FIGURE FOR UPPER AND LOWER RANGE IF A SPECIFIC NUMBER.)
COMMENT: FIELDS=({hi_orelinc_persrc}=LONG=10="More than:"=05=15,
{lo_orelinc_persrc}=LONG=10="Less than:"=20=400) ORIGINAL MULTIPLE FIELDS
QUESTION. BROKEN INTO SEPARATE QUESTIONS BY CONVERSION.
SC_12A_SR000002 [] |
Section: Income, Recipiency, Debt and
Assets |
If Answer >= -2 AND Answer <= -1 Then Go To SC_12A_REF_2A
SC_12A_REF_2A [] |
Section: Income, Recipiency, Debt and
Assets |
([estimate amount of total income received during prev
round from the military before taxes and other deductions] == -1 || [estimate
amount of total income from wages and salary in past calendar year] == -1 ||
[estimate income from farm/business/professional practice in past calendar year]
== -1 || [estimate total income of spouse/partner from military service in prev
round] == -1 || [estimate amount spar received from wages, salary, commissions
and tips from all (other) jobs, before deductions for taxes or anything else] ==
-1 || [amount spouse received after expenses from farm/business/professional
practice] == -1 || [estimate amount of respondent/spar's worker's compentation
payments in prev round] == -1 || [estimate amount of child support respondent
actually received in prev round] == -1 || [estimate amount of child support
spouse/partner actually received in prev round] == -1 || [estimate amount of
child support paid by r/spar in prev round] == -1 || [estimate amount of
assistance received from veterans' education benefits and/or other scholarships,
fellowships or grants in prev round?] == -1 || [estimate amount of educational
benefits recieved in past calendar year by spouse/partner] == -1 || [estimate
amount of total income respondent/spar received from veteran benefits in prev
round] == -1 || [estimate amount of respondent/spar total income from disability
in prev round] == -1 || [esimate amount respondent/spar recieved in total income
from social security in prev round] == -1 || [estimate market value or amount
that respondent/spar received since dli from estates/trusts/inheritances] == -1
|| [estimate market value respondent/spar received from
estates/trusts/inheritances since dli] == -1 || [estimate amount respondent/spar
received from life insurance settlement since dli] == -1 || [estimate amount
respondent/spar received from life insurance settlement in prev round] == -1 ||
[estimate income received by respondent/spar in past calendar year] == -1 ||
[estimate amount respondent received from Earned Income Tax Credit in 2003] ==
-1 || [estimate income from all welfare sources for other hh members in 2003] ==
-1 || [estimate income from all regular sources for other family] ==
-1)
COMMENT: R already refuse previous estimates?
If Answer
= 1 Then Go To SC_12A_FLAGSET_CHK
SC_12A_REF_2B [] |
Section: Income, Recipiency, Debt and
Assets |
[SCVEH-LOOP1] == 1
COMMENT: increment loop counter
If Answer = 0 Then Go
To SC_12A_REF_2C
SC_12A_REF_2C [] |
Section: Income, Recipiency, Debt and
Assets |
([sc_12a_refe([scveh-loop1])] == -1)
COMMENT: R already refuse previous estimates?
If Answer
= 1 Then Go To SC_12A_FLAGSET_CHK
SC_12A_UAB_A [] |
Section: Income, Recipiency, Debt and
Assets |
Would it amount to [entry pt other hh mems inc] or
more?
SC_12A_UAB_B [] |
Section: Income, Recipiency, Debt and
Assets |
Would it amount to $5,000 or more?
SC_12A_UAB_C [] |
Section: Income, Recipiency, Debt and
Assets |
Would it amount to $30,000 or more?
SC_12A_FLAGSET_CHK [] |
Section: Income, Recipiency, Debt and
Assets |
([q13-92c refusal flag]==1)
COMMENT: R refuse Q13-24
If Answer = 1 Then Go To
SC_12B_REF_1A
SC_12B_REF_1A [] |
Section: Income, Recipiency, Debt and
Assets |
([q13-3 refusal flag] == 1 || [q13-5 refusal flag] == 1
|| [q13-9 refusal flag] == 1 || [q13-16 refusal flag] == 1 || [q13-18 refusal
flag] == 1 || [q13-24 refusal flag] == 1 || [q13-31b refusal flag] == 1 ||
[q13-33i refusal flag] == 1 || [q13-33m refusal flag] == 1 || [q13-33u refusal
flag] == 1 || [q13-66 refusal flag] == 1 || [q13-68 refusal flag] == 1 ||
[q13-70_vet refusal flag] == 1 || [q13-70_dis refusal flag] == 1 || [q13-70_ss
refusal flag] == 1 || [q13-73 refusal flag] == 1 || [q13-73a refusal flag] == 1
|| [q13-73c refusal flag] == 1 || [q13-73d refusal flag] == 1 || [q13-75 refusal
flag] == 1 || [q13-78d refusal flag] == 1 || [q13-92 refusal flag] == 1 ||
[q13-92c refusal flag] == 1 || [sc_12a_ref([scveh-loop1])] == 1)
COMMENT: R already refuse previous estimates?
If Answer
= 1 Then Go To SC_12B_REF_2A
SC_12B_REF_1B [] |
Section: Income, Recipiency, Debt and
Assets |
[SCVEH-LOOP1] == 1
COMMENT: increment loop counter
If Answer = 0 Then Go
To SC_12B_REF_1C
SC_12B_REF_1C [] |
Section: Income, Recipiency, Debt and
Assets |
([sc_12b_ref([scveh-loop1])] == 1)
COMMENT: R already refuse previous estimates?
If Answer
= 1 Then Go To SC_12B_REF_2A
SC_12B [] |
Section: Income, Recipiency, Debt and
Assets |
How much do you [or] [Spouse/partner's name] owe on this
[first/next] vehicle? Please include only the balance on the loan that was left
after the last car payment was made.
If Answer = -2 Then Go To SC_12B_SR000001
If Answer = -1 Then Go To SC_12B_REF_2A
SC_12B_SR000001 [] |
Section: Income, Recipiency, Debt and
Assets |
Can you give me an approximate range for that
amount?
(INTERVIEWER: IT IS
ACCEPTABLE FOR RESPONDENT TO REPORT UPPER AND LOWER RANGES VERY CLOSE TOGETHER,
OR THE SAME FIGURE FOR UPPER AND LOWER RANGE IF A SPECIFIC NUMBER.)
COMMENT: FIELDS=({hi_orelinc_persrc}=LONG=10="More than:"=05=15,
{lo_orelinc_persrc}=LONG=10="Less than:"=20=400) ORIGINAL MULTIPLE FIELDS
QUESTION. BROKEN INTO SEPARATE QUESTIONS BY CONVERSION.
SC_12B_SR000002 [] |
Section: Income, Recipiency, Debt and
Assets |
If Answer >= -2 AND Answer <= -1 Then Go To SC_12B_REF_2A
SC_12B_REF_2A [] |
Section: Income, Recipiency, Debt and
Assets |
([estimate amount of total income received during prev
round from the military before taxes and other deductions] == -1 || [estimate
amount of total income from wages and salary in past calendar year] == -1 ||
[estimate income from farm/business/professional practice in past calendar year]
== -1 || [estimate total income of spouse/partner from military service in prev
round] == -1 || [estimate amount spar received from wages, salary, commissions
and tips from all (other) jobs, before deductions for taxes or anything else] ==
-1 || [amount spouse received after expenses from farm/business/professional
practice] == -1 || [estimate amount of respondent/spar's worker's compentation
payments in prev round] == -1 || [estimate amount of child support respondent
actually received in prev round] == -1 || [estimate amount of child support
spouse/partner actually received in prev round] == -1 || [estimate amount of
child support paid by r/spar in prev round] == -1 || [estimate amount of
assistance received from veterans' education benefits and/or other scholarships,
fellowships or grants in prev round?] == -1 || [estimate amount of educational
benefits recieved in past calendar year by spouse/partner] == -1 || [estimate
amount of total income respondent/spar received from veteran benefits in prev
round] == -1 || [estimate amount of respondent/spar total income from disability
in prev round] == -1 || [esimate amount respondent/spar recieved in total income
from social security in prev round] == -1 || [estimate market value or amount
that respondent/spar received since dli from estates/trusts/inheritances] == -1
|| [estimate market value respondent/spar received from
estates/trusts/inheritances since dli] == -1 || [estimate amount respondent/spar
received from life insurance settlement since dli] == -1 || [estimate amount
respondent/spar received from life insurance settlement in prev round] == -1 ||
[estimate income received by respondent/spar in past calendar year] == -1 ||
[estimate amount respondent received from Earned Income Tax Credit in 2003] ==
-1 || [estimate income from all welfare sources for other hh members in 2003] ==
-1 || [estimate income from all regular sources for other family] == -1
||
[sc_12a_refe([scveh-loop1])] == -1)
COMMENT: R already refuse previous estimates?
If Answer
= 1 Then Go To SC_VEH_LOOP_END
SC_12B_REF_2B [] |
Section: Income, Recipiency, Debt and
Assets |
[SCVEH-LOOP1] == 1
COMMENT: increment loop counter
If Answer = 0 Then Go
To SC_12B_REF_2C
SC_12B_REF_2C [] |
Section: Income, Recipiency, Debt and
Assets |
([sc_12b_refe([scveh-loop1])] == -1)
COMMENT: R already refuse previous estimates?
If Answer
= 1 Then Go To SC_VEH_LOOP_END
SC_12B_UAB_A [] |
Section: Income, Recipiency, Debt and
Assets |
Would it amount to [entry pt other hh mems inc] or
more?
SC_12B_UAB_B [] |
Section: Income, Recipiency, Debt and
Assets |
Would it amount to $5,000 or more?
SC_12B_UAB_C [] |
Section: Income, Recipiency, Debt and
Assets |
Would it amount to $30,000 or more?
SC_VEH_LOOP_END [] |
Section: Income, Recipiency, Debt and
Assets |
UNTIL ([scveh-loop1] == [sc_vehicle_num] ||
[sc_vehicle_num] == 0)
COMMENT: LOOP UNTIL ALL PERSONAL VEHICLES ACCOUNTED FOR
FA_1 [] |
Section: Income, Recipiency, Debt and
Assets |
Do you [or] [Spouse/partner's name] have any money in a
savings account, a checking account, or a money market account? Please do not
include accounts that belong to your business as we will be talking about them
later.
FA_1_REF_1 [] |
Section: Income, Recipiency, Debt and
Assets |
([q13-3 refusal flag] == 1 || [q13-5 refusal flag] == 1
|| [q13-9 refusal flag] == 1 || [q13-16 refusal flag] == 1 || [q13-18 refusal
flag] == 1 || [q13-24 refusal flag] == 1 || [q13-31b refusal flag] == 1 ||
[q13-33i refusal flag] == 1 || [q13-33m refusal flag] == 1 || [q13-33u refusal
flag] == 1 || [q13-66 refusal flag] == 1 || [q13-68 refusal flag] == 1 ||
[q13-70_vet refusal flag] == 1 || [q13-70_dis refusal flag] == 1 || [q13-70_ss
refusal flag] == 1 || [q13-73 refusal flag] == 1 || [q13-73a refusal flag] == 1
|| [q13-73c refusal flag] == 1 || [q13-73d refusal flag] == 1 || [q13-75 refusal
flag] == 1 || [q13-78d refusal flag] == 1 || [q13-92 refusal flag] == 1 ||
[q13-92c refusal flag] == 1)
COMMENT: R already refuse previous estimates?
If Answer
= 1 Then Go To FA_1A_REF_2
FA_1A [] |
Section: Income, Recipiency, Debt and
Assets |
Altogether, how much money do you [or] [Spouse/partner's
name] have in all of these personal checking, savings and money market
accounts?
If Answer = -2 Then Go To FA_1A_SR000001
If Answer = -1 Then Go To FA_1A_REF_2
FA_1A_SR000001 [] |
Section: Income, Recipiency, Debt and
Assets |
Can you give me an approximate range for that
amount?
(INTERVIEWER: IT IS
ACCEPTABLE FOR RESPONDENT TO REPORT UPPER AND LOWER RANGES VERY CLOSE TOGETHER,
OR THE SAME FIGURE FOR UPPER AND LOWER RANGE IF A SPECIFIC NUMBER.)
COMMENT: FIELDS=({hi_orelinc_persrc}=LONG=10="More than:"=05=15,
{lo_orelinc_persrc}=LONG=10="Less than:"=20=400) ORIGINAL MULTIPLE FIELDS
QUESTION. BROKEN INTO SEPARATE QUESTIONS BY CONVERSION.
FA_1A_SR000002 [] |
Section: Income, Recipiency, Debt and
Assets |
If Answer >= -2 AND Answer <= -1 Then Go To FA_1A_REF_2
FA_1A_REF_2 [] |
Section: Income, Recipiency, Debt and
Assets |
([estimate amount of total income received during prev
round from the military before taxes and other deductions] == -1 || [estimate
amount of total income from wages and salary in past calendar year] == -1 ||
[estimate income from farm/business/professional practice in past calendar year]
== -1 || [estimate total income of spouse/partner from military service in prev
round] == -1 || [estimate amount spar received from wages, salary, commissions
and tips from all (other) jobs, before deductions for taxes or anything else] ==
-1 || [amount spouse received after expenses from farm/business/professional
practice] == -1 || [estimate amount of respondent/spar's worker's compentation
payments in prev round] == -1 || [estimate amount of child support respondent
actually received in prev round] == -1 || [estimate amount of child support
spouse/partner actually received in prev round] == -1 || [estimate amount of
child support paid by r/spar in prev round] == -1 || [estimate amount of
assistance received from veterans' education benefits and/or other scholarships,
fellowships or grants in prev round?] == -1 || [estimate amount of educational
benefits recieved in past calendar year by spouse/partner] == -1 || [estimate
amount of total income respondent/spar received from veteran benefits in prev
round] == -1 || [estimate amount of respondent/spar total income from disability
in prev round] == -1 || [esimate amount respondent/spar recieved in total income
from social security in prev round] == -1 || [estimate market value or amount
that respondent/spar received since dli from estates/trusts/inheritances] == -1
|| [estimate market value respondent/spar received from
estates/trusts/inheritances since dli] == -1 || [estimate amount respondent/spar
received from life insurance settlement since dli] == -1 || [estimate amount
respondent/spar received from life insurance settlement in prev round] == -1 ||
[estimate income received by respondent/spar in past calendar year] == -1 ||
[estimate amount respondent received from Earned Income Tax Credit in 2003] ==
-1 || [estimate income from all welfare sources for other hh members in 2003] ==
-1 || [estimate income from all regular sources for other family] ==
-1)
COMMENT: R already refuse previous estimates?
If Answer
= 1 Then Go To FA_2
FA_1A_UAB_A [] |
Section: Income, Recipiency, Debt and
Assets |
Would it amount to [entry pt other hh mems inc] or
more?
FA_1A_UAB_B [] |
Section: Income, Recipiency, Debt and
Assets |
Would it amount to $5,000 or more?
FA_1A_UAB_C [] |
Section: Income, Recipiency, Debt and
Assets |
Would it amount to $30,000 or more?
FA_2 [] |
Section: Income, Recipiency, Debt and
Assets |
Do you [or] [Spouse/partner's name] have any certificates
of deposit, which are also called CDs?
FA_2_REF_1 [] |
Section: Income, Recipiency, Debt and
Assets |
([q13-3 refusal flag] == 1 || [q13-5 refusal flag] == 1
|| [q13-9 refusal flag] == 1 || [q13-16 refusal flag] == 1 || [q13-18 refusal
flag] == 1 || [q13-24 refusal flag] == 1 || [q13-31b refusal flag] == 1 ||
[q13-33i refusal flag] == 1 || [q13-33m refusal flag] == 1 || [q13-33u refusal
flag] == 1 || [q13-66 refusal flag] == 1 || [q13-68 refusal flag] == 1 ||
[q13-70_vet refusal flag] == 1 || [q13-70_dis refusal flag] == 1 || [q13-70_ss
refusal flag] == 1 || [q13-73 refusal flag] == 1 || [q13-73a refusal flag] == 1
|| [q13-73c refusal flag] == 1 || [q13-73d refusal flag] == 1 || [q13-75 refusal
flag] == 1 || [q13-78d refusal flag] == 1 || [q13-92 refusal flag] == 1 ||
[q13-92c refusal flag] == 1 || [R refuse FA_1A] == 1)
COMMENT: R already refuse previous estimates?
If Answer
= 1 Then Go To FA_2A_REF_2
FA_2A [] |
Section: Income, Recipiency, Debt and
Assets |
Altogether, how much money would you [or]
[Spouse/partner's name] end up with if you cashed in all of these certificates
of deposit today?
If Answer = -2 Then Go To FA_2A_SR000001
If Answer = -1 Then Go To FA_2A_REF_2
FA_2A_SR000001 [] |
Section: Income, Recipiency, Debt and
Assets |
Can you give me an approximate range for that
amount?
(INTERVIEWER: IT IS
ACCEPTABLE FOR RESPONDENT TO REPORT UPPER AND LOWER RANGES VERY CLOSE TOGETHER,
OR THE SAME FIGURE FOR UPPER AND LOWER RANGE IF A SPECIFIC NUMBER.)
COMMENT: FIELDS=({hi_orelinc_persrc}=LONG=10="More than:"=05=15,
{lo_orelinc_persrc}=LONG=10="Less than:"=20=400) ORIGINAL MULTIPLE FIELDS
QUESTION. BROKEN INTO SEPARATE QUESTIONS BY CONVERSION.
FA_2A_SR000002 [] |
Section: Income, Recipiency, Debt and
Assets |
If Answer >= -2 AND Answer <= -1 Then Go To FA_2A_REF_2
FA_2A_REF_2 [] |
Section: Income, Recipiency, Debt and
Assets |
([estimate amount of total income received during prev
round from the military before taxes and other deductions] == -1 || [estimate
amount of total income from wages and salary in past calendar year] == -1 ||
[estimate income from farm/business/professional practice in past calendar year]
== -1 || [estimate total income of spouse/partner from military service in prev
round] == -1 || [estimate amount spar received from wages, salary, commissions
and tips from all (other) jobs, before deductions for taxes or anything else] ==
-1 || [amount spouse received after expenses from farm/business/professional
practice] == -1 || [estimate amount of respondent/spar's worker's compentation
payments in prev round] == -1 || [estimate amount of child support respondent
actually received in prev round] == -1 || [estimate amount of child support
spouse/partner actually received in prev round] == -1 || [estimate amount of
child support paid by r/spar in prev round] == -1 || [estimate amount of
assistance received from veterans' education benefits and/or other scholarships,
fellowships or grants in prev round?] == -1 || [estimate amount of educational
benefits recieved in past calendar year by spouse/partner] == -1 || [estimate
amount of total income respondent/spar received from veteran benefits in prev
round] == -1 || [estimate amount of respondent/spar total income from disability
in prev round] == -1 || [esimate amount respondent/spar recieved in total income
from social security in prev round] == -1 || [estimate market value or amount
that respondent/spar received since dli from estates/trusts/inheritances] == -1
|| [estimate market value respondent/spar received from
estates/trusts/inheritances since dli] == -1 || [estimate amount respondent/spar
received from life insurance settlement since dli] == -1 || [estimate amount
respondent/spar received from life insurance settlement in prev round] == -1 ||
[estimate income received by respondent/spar in past calendar year] == -1 ||
[estimate amount respondent received from Earned Income Tax Credit in 2003] ==
-1 || [estimate income from all welfare sources for other hh members in 2003] ==
-1 || [estimate income from all regular sources for other family] == -1 ||
[fa_1a_refe] == -1)
COMMENT: R already refuse previous estimates?
If Answer
= 1 Then Go To FA_3
FA_2A_UAB_A [] |
Section: Income, Recipiency, Debt and
Assets |
Would it amount to [entry pt other hh mems inc] or
more?
FA_2A_UAB_B [] |
Section: Income, Recipiency, Debt and
Assets |
Would it amount to $5,000 or more?
FA_2A_UAB_C [] |
Section: Income, Recipiency, Debt and
Assets |
Would it amount to $30,000 or more?
FA_3 [] |
Section: Income, Recipiency, Debt and
Assets |
Do you [or] [Spouse/partner's name] own any US Government
Savings bonds? Please do not report any other government securities, as we will
talk about them later.
FA_3_REF_1 [] |
Section: Income, Recipiency, Debt and
Assets |
([q13-3 refusal flag] == 1 || [q13-5 refusal flag] == 1
|| [q13-9 refusal flag] == 1 || [q13-16 refusal flag] == 1 || [q13-18 refusal
flag] == 1 || [q13-24 refusal flag] == 1 || [q13-31b refusal flag] == 1 ||
[q13-33i refusal flag] == 1 || [q13-33m refusal flag] == 1 || [q13-33u refusal
flag] == 1 || [q13-66 refusal flag] == 1 || [q13-68 refusal flag] == 1 ||
[q13-70_vet refusal flag] == 1 || [q13-70_dis refusal flag] == 1 || [q13-70_ss
refusal flag] == 1 || [q13-73 refusal flag] == 1 || [q13-73a refusal flag] == 1
|| [q13-73c refusal flag] == 1 || [q13-73d refusal flag] == 1 || [q13-75 refusal
flag] == 1 || [q13-78d refusal flag] == 1 || [q13-92 refusal flag] == 1 ||
[q13-92c refusal flag] == 1 || [R refuse FA_1A] == 1 || [R refuse FA_2A] ==
1)
COMMENT: R already refuse previous estimates?
If Answer
= 1 Then Go To FA_3A_REF_2
FA_3A [] |
Section: Income, Recipiency, Debt and
Assets |
Altogether, how much money would you [or]
[Spouse/partner's name] end up with if you cashed in these US savings bonds
today?
If Answer = -2 Then Go To FA_3A_SR000001
If Answer = -1 Then Go To FA_3A_REF_2
FA_3A_SR000001 [] |
Section: Income, Recipiency, Debt and
Assets |
Can you give me an approximate range for that
amount?
(INTERVIEWER: IT IS
ACCEPTABLE FOR RESPONDENT TO REPORT UPPER AND LOWER RANGES VERY CLOSE TOGETHER,
OR THE SAME FIGURE FOR UPPER AND LOWER RANGE IF A SPECIFIC NUMBER.)
COMMENT: FIELDS=({hi_orelinc_persrc}=LONG=10="More than:"=05=15,
{lo_orelinc_persrc}=LONG=10="Less than:"=20=400) ORIGINAL MULTIPLE FIELDS
QUESTION. BROKEN INTO SEPARATE QUESTIONS BY CONVERSION.
FA_3A_SR000002 [] |
Section: Income, Recipiency, Debt and
Assets |
If Answer >= -2 AND Answer <= -1 Then Go To FA_3A_REF_2
FA_3A_REF_2 [] |
Section: Income, Recipiency, Debt and
Assets |
([estimate amount of total income received during prev
round from the military before taxes and other deductions] == -1 || [estimate
amount of total income from wages and salary in past calendar year] == -1 ||
[estimate income from farm/business/professional practice in past calendar year]
== -1 || [estimate total income of spouse/partner from military service in prev
round] == -1 || [estimate amount spar received from wages, salary, commissions
and tips from all (other) jobs, before deductions for taxes or anything else] ==
-1 || [amount spouse received after expenses from farm/business/professional
practice] == -1 || [estimate amount of respondent/spar's worker's compentation
payments in prev round] == -1 || [estimate amount of child support respondent
actually received in prev round] == -1 || [estimate amount of child support
spouse/partner actually received in prev round] == -1 || [estimate amount of
child support paid by r/spar in prev round] == -1 || [estimate amount of
assistance received from veterans' education benefits and/or other scholarships,
fellowships or grants in prev round?] == -1 || [estimate amount of educational
benefits recieved in past calendar year by spouse/partner] == -1 || [estimate
amount of total income respondent/spar received from veteran benefits in prev
round] == -1 || [estimate amount of respondent/spar total income from disability
in prev round] == -1 || [esimate amount respondent/spar recieved in total income
from social security in prev round] == -1 || [estimate market value or amount
that respondent/spar received since dli from estates/trusts/inheritances] == -1
|| [estimate market value respondent/spar received from
estates/trusts/inheritances since dli] == -1 || [estimate amount respondent/spar
received from life insurance settlement since dli] == -1 || [estimate amount
respondent/spar received from life insurance settlement in prev round] == -1 ||
[estimate income received by respondent/spar in past calendar year] == -1 ||
[estimate amount respondent received from Earned Income Tax Credit in 2003] ==
-1 || [estimate income from all welfare sources for other hh members in 2003] ==
-1 || [estimate income from all regular sources for other family] == -1 ||
[fa_1a_refe] == -1 || [fa_2a_refe] == -1)
COMMENT: R already refuse previous estimates?
If Answer
= 1 Then Go To FA_4
FA_3A_UAB_A [] |
Section: Income, Recipiency, Debt and
Assets |
Would it amount to [entry pt other hh mems inc] or
more?
FA_3A_UAB_B [] |
Section: Income, Recipiency, Debt and
Assets |
Would it amount to $5,000 or more?
FA_3A_UAB_C [] |
Section: Income, Recipiency, Debt and
Assets |
Would it amount to $30,000 or more?
FA_4 [] |
Section: Income, Recipiency, Debt and
Assets |
Do you [or] [Spouse/partner's name] own any shares of a
mutual fund? Please do not include any pension or 401K accounts, funds held as a
part of a trust or [annuity, (or assets you have already told me
about.)]
(INTERVIEWER: PLEASE READ IF
NECESSARY:) Please include all shares of a mutual fund whether the fund is made
up of stock shares, bond shares, or a combination of stock and bond
shares.
FA_4_REF_1 [] |
Section: Income, Recipiency, Debt and
Assets |
([q13-3 refusal flag] == 1 || [q13-5 refusal flag] == 1
|| [q13-9 refusal flag] == 1 || [q13-16 refusal flag] == 1 || [q13-18 refusal
flag] == 1 || [q13-24 refusal flag] == 1 || [q13-31b refusal flag] == 1 ||
[q13-33i refusal flag] == 1 || [q13-33m refusal flag] == 1 || [q13-33u refusal
flag] == 1 || [q13-66 refusal flag] == 1 || [q13-68 refusal flag] == 1 ||
[q13-70_vet refusal flag] == 1 || [q13-70_dis refusal flag] == 1 || [q13-70_ss
refusal flag] == 1 || [q13-73 refusal flag] == 1 || [q13-73a refusal flag] == 1
|| [q13-73c refusal flag] == 1 || [q13-73d refusal flag] == 1 || [q13-75 refusal
flag] == 1 || [q13-78d refusal flag] == 1 || [q13-92 refusal flag] == 1 ||
[q13-92c refusal flag] == 1 || [R refuse FA_1A] == 1 || [R refuse FA_2A] == 1 ||
[R refuse FA_3A] == 1)
COMMENT: R already refuse previous estimates?
If Answer
= 1 Then Go To FA_4A_REF_2
FA_4A [] |
Section: Income, Recipiency, Debt and
Assets |
If you [or] [Spouse/partner's name] were to sell all your
mutual fund shares today, how much money would you end up with?
If Answer = -2 Then Go To FA_4A_SR000001
If Answer = -1 Then Go To FA_4A_REF_2
FA_4A_SR000001 [] |
Section: Income, Recipiency, Debt and
Assets |
Can you give me an approximate range for that
amount?
(INTERVIEWER: IT IS
ACCEPTABLE FOR RESPONDENT TO REPORT UPPER AND LOWER RANGES VERY CLOSE TOGETHER,
OR THE SAME FIGURE FOR UPPER AND LOWER RANGE IF A SPECIFIC NUMBER.)
COMMENT: FIELDS=({hi_orelinc_persrc}=LONG=10="More than:"=05=15,
{lo_orelinc_persrc}=LONG=10="Less than:"=20=400) ORIGINAL MULTIPLE FIELDS
QUESTION. BROKEN INTO SEPARATE QUESTIONS BY CONVERSION.
FA_4A_SR000002 [] |
Section: Income, Recipiency, Debt and
Assets |
If Answer >= -2 AND Answer <= -1 Then Go To FA_4A_REF_2
FA_4A_REF_2 [] |
Section: Income, Recipiency, Debt and
Assets |
([estimate amount of total income received during prev
round from the military before taxes and other deductions] == -1 || [estimate
amount of total income from wages and salary in past calendar year] == -1 ||
[estimate income from farm/business/professional practice in past calendar year]
== -1 || [estimate total income of spouse/partner from military service in prev
round] == -1 || [estimate amount spar received from wages, salary, commissions
and tips from all (other) jobs, before deductions for taxes or anything else] ==
-1 || [amount spouse received after expenses from farm/business/professional
practice] == -1 || [estimate amount of respondent/spar's worker's compentation
payments in prev round] == -1 || [estimate amount of child support respondent
actually received in prev round] == -1 || [estimate amount of child support
spouse/partner actually received in prev round] == -1 || [estimate amount of
child support paid by r/spar in prev round] == -1 || [estimate amount of
assistance received from veterans' education benefits and/or other scholarships,
fellowships or grants in prev round?] == -1 || [estimate amount of educational
benefits recieved in past calendar year by spouse/partner] == -1 || [estimate
amount of total income respondent/spar received from veteran benefits in prev
round] == -1 || [estimate amount of respondent/spar total income from disability
in prev round] == -1 || [esimate amount respondent/spar recieved in total income
from social security in prev round] == -1 || [estimate market value or amount
that respondent/spar received since dli from estates/trusts/inheritances] == -1
|| [estimate market value respondent/spar received from
estates/trusts/inheritances since dli] == -1 || [estimate amount respondent/spar
received from life insurance settlement since dli] == -1 || [estimate amount
respondent/spar received from life insurance settlement in prev round] == -1 ||
[estimate income received by respondent/spar in past calendar year] == -1 ||
[estimate amount respondent received from Earned Income Tax Credit in 2003] ==
-1 || [estimate income from all welfare sources for other hh members in 2003] ==
-1 || [estimate income from all regular sources for other family] == -1 ||
[fa_1a_refe] == -1 || [fa_2a_refe] == -1 || [fa_3a_refe] == -1)
COMMENT: R already refuse previous estimates?
If Answer
= 1 Then Go To FA_5
FA_4A_UAB_A [] |
Section: Income, Recipiency, Debt and
Assets |
Would it amount to [entry pt other hh mems inc] or
more?
FA_4A_UAB_B [] |
Section: Income, Recipiency, Debt and
Assets |
Would it amount to $5,000 or more?
FA_4A_UAB_C [] |
Section: Income, Recipiency, Debt and
Assets |
Would it amount to $30,000 or more?
FA_5 [] |
Section: Income, Recipiency, Debt and
Assets |
The two major types of life insurance are term policies
and cash-value policies. We are interested in whether you [or] [Spouse/partner's
name] have any cash-value policies, which pay a beneficiary upon the death of
the policy owner and can be cashed in or borrowed against by the policy owner.
Term policies cannot be cashed in or borrowed against and only pay a beneficiary
if the insured person dies.
(INTERVIEWER: PLEASE READ IF NECESSARY:)
Other names for types of cash value policies are "whole life", "universal life",
"ordinary life" or "variable life".
Do you [or] [Spouse/partner's name]
have any cash-value life insurance policies?
FA_5_REF_1 [] |
Section: Income, Recipiency, Debt and
Assets |
([q13-3 refusal flag] == 1 || [q13-5 refusal flag] == 1
|| [q13-9 refusal flag] == 1 || [q13-16 refusal flag] == 1 || [q13-18 refusal
flag] == 1 || [q13-24 refusal flag] == 1 || [q13-31b refusal flag] == 1 ||
[q13-33i refusal flag] == 1 || [q13-33m refusal flag] == 1 || [q13-33u refusal
flag] == 1 || [q13-66 refusal flag] == 1 || [q13-68 refusal flag] == 1 ||
[q13-70_vet refusal flag] == 1 || [q13-70_dis refusal flag] == 1 || [q13-70_ss
refusal flag] == 1 || [q13-73 refusal flag] == 1 || [q13-73a refusal flag] == 1
|| [q13-73c refusal flag] == 1 || [q13-73d refusal flag] == 1 || [q13-75 refusal
flag] == 1 || [q13-78d refusal flag] == 1 || [q13-92 refusal flag] == 1 ||
[q13-92c refusal flag] == 1 || [R refuse FA_1A] == 1 || [R refuse FA_2A] == 1 ||
[R refuse FA_3A] == 1 || [R refuse FA_4A] == 1)
COMMENT: R already refuse previous estimates?
If Answer
= 1 Then Go To FA_5A_REF_2
FA_5A [] |
Section: Income, Recipiency, Debt and
Assets |
Altogether, how much money would you [or]
[Spouse/partner's name] end up with if you cashed in these life insurance
policies today?
If Answer = -2 Then Go To FA_5A_SR000001
If Answer = -1 Then Go To FA_5A_REF_2
FA_5A_SR000001 [] |
Section: Income, Recipiency, Debt and
Assets |
Can you give me an approximate range for that
amount?
(INTERVIEWER: IT IS
ACCEPTABLE FOR RESPONDENT TO REPORT UPPER AND LOWER RANGES VERY CLOSE TOGETHER,
OR THE SAME FIGURE FOR UPPER AND LOWER RANGE IF A SPECIFIC NUMBER.)
COMMENT: FIELDS=({hi_orelinc_persrc}=LONG=10="More than:"=05=15,
{lo_orelinc_persrc}=LONG=10="Less than:"=20=400) ORIGINAL MULTIPLE FIELDS
QUESTION. BROKEN INTO SEPARATE QUESTIONS BY CONVERSION.
FA_5A_SR000002 [] |
Section: Income, Recipiency, Debt and
Assets |
If Answer >= -2 AND Answer <= -1 Then Go To FA_5A_REF_2
FA_5A_REF_2 [] |
Section: Income, Recipiency, Debt and
Assets |
([estimate amount of total income received during prev
round from the military before taxes and other deductions] == -1 || [estimate
amount of total income from wages and salary in past calendar year] == -1 ||
[estimate income from farm/business/professional practice in past calendar year]
== -1 || [estimate total income of spouse/partner from military service in prev
round] == -1 || [estimate amount spar received from wages, salary, commissions
and tips from all (other) jobs, before deductions for taxes or anything else] ==
-1 || [amount spouse received after expenses from farm/business/professional
practice] == -1 || [estimate amount of respondent/spar's worker's compentation
payments in prev round] == -1 || [estimate amount of child support respondent
actually received in prev round] == -1 || [estimate amount of child support
spouse/partner actually received in prev round] == -1 || [estimate amount of
child support paid by r/spar in prev round] == -1 || [estimate amount of
assistance received from veterans' education benefits and/or other scholarships,
fellowships or grants in prev round?] == -1 || [estimate amount of educational
benefits recieved in past calendar year by spouse/partner] == -1 || [estimate
amount of total income respondent/spar received from veteran benefits in prev
round] == -1 || [estimate amount of respondent/spar total income from disability
in prev round] == -1 || [esimate amount respondent/spar recieved in total income
from social security in prev round] == -1 || [estimate market value or amount
that respondent/spar received since dli from estates/trusts/inheritances] == -1
|| [estimate market value respondent/spar received from
estates/trusts/inheritances since dli] == -1 || [estimate amount respondent/spar
received from life insurance settlement since dli] == -1 || [estimate amount
respondent/spar received from life insurance settlement in prev round] == -1 ||
[estimate income received by respondent/spar in past calendar year] == -1 ||
[estimate amount respondent received from Earned Income Tax Credit in 2003] ==
-1 || [estimate income from all welfare sources for other hh members in 2003] ==
-1 || [estimate income from all regular sources for other family] == -1 ||
[fa_1a_refe] == -1 || [fa_2a_refe] == -1 || [fa_3a_refe] == -1 || [fa_4a_refe]
== -1)
COMMENT: R already refuse previous estimates?
If Answer
= 1 Then Go To FA_6B
FA_5A_UAB_A [] |
Section: Income, Recipiency, Debt and
Assets |
Would it amount to [entry pt other hh mems inc] or
more?
FA_5A_UAB_B [] |
Section: Income, Recipiency, Debt and
Assets |
Would it amount to $5,000 or more?
FA_5A_UAB_C [] |
Section: Income, Recipiency, Debt and
Assets |
Would it amount to $30,000 or more?
FA_6B [] |
Section: Income, Recipiency, Debt and
Assets |
Do you have any money in a retirement plan through your
workplace, such as a 401K or 403B with an employer for whom you no longer
work?
|
1 Yes ...(Go To FA_6C) |
|
0 No |
FA_6C [] |
Section: Income, Recipiency, Debt and
Assets |
Have you withdrawn any money from (that/those) retirement
plans that you intend to pay back?
FA_6D_REF_1 [] |
Section: Income, Recipiency, Debt and
Assets |
([q13-3 refusal flag] == 1 || [q13-5 refusal flag] == 1
|| [q13-9 refusal flag] == 1 || [q13-16 refusal flag] == 1 || [q13-18 refusal
flag] == 1 || [q13-24 refusal flag] == 1 || [q13-31b refusal flag] == 1 ||
[q13-33i refusal flag] == 1 || [q13-33m refusal flag] == 1 || [q13-33u refusal
flag] == 1 || [q13-66 refusal flag] == 1 || [q13-68 refusal flag] == 1 ||
[q13-70_vet refusal flag] == 1 || [q13-70_dis refusal flag] == 1 || [q13-70_ss
refusal flag] == 1 || [q13-73 refusal flag] == 1 || [q13-73a refusal flag] == 1
|| [q13-73c refusal flag] == 1 || [q13-73d refusal flag] == 1 || [q13-75 refusal
flag] == 1 || [q13-78d refusal flag] == 1 || [q13-92 refusal flag] == 1 ||
[q13-92c refusal flag] == 1 || [R refuse FA_1A] == 1 || [R refuse FA_2A] == 1 ||
[R refuse FA_3A] == 1 || [R refuse FA_4A] == 1 || [R refuse FA_5A] ==
1)
COMMENT: R already refuse previous estimates?
If Answer
= 1 Then Go To FA_6D_REF_2
FA_6D [] |
Section: Income, Recipiency, Debt and
Assets |
What is the total amount you intend to pay back on
(that/this) withdrawal(s)?
If Answer = -2 Then Go To FA_6D_SR000001
If Answer = -1 Then Go To FA_6D_REF_2
FA_6D_SR000001 [] |
Section: Income, Recipiency, Debt and
Assets |
Can you give me an approximate range for that
amount?
(INTERVIEWER: IT IS
ACCEPTABLE FOR RESPONDENT TO REPORT UPPER AND LOWER RANGES VERY CLOSE TOGETHER,
OR THE SAME FIGURE FOR UPPER AND LOWER RANGE IF A SPECIFIC NUMBER.)
COMMENT: FIELDS=({hi_orelinc_persrc}=LONG=10="More than:"=05=15,
{lo_orelinc_persrc}=LONG=10="Less than:"=20=400) ORIGINAL MULTIPLE FIELDS
QUESTION. BROKEN INTO SEPARATE QUESTIONS BY CONVERSION.
FA_6D_SR000002 [] |
Section: Income, Recipiency, Debt and
Assets |
If Answer >= -2 AND Answer <= -1 Then Go To FA_6D_REF_2
FA_6D_REF_2 [] |
Section: Income, Recipiency, Debt and
Assets |
([estimate amount of total income received during prev
round from the military before taxes and other deductions] == -1 || [estimate
amount of total income from wages and salary in past calendar year] == -1 ||
[estimate income from farm/business/professional practice in past calendar year]
== -1 || [estimate total income of spouse/partner from military service in prev
round] == -1 || [estimate amount spar received from wages, salary, commissions
and tips from all (other) jobs, before deductions for taxes or anything else] ==
-1 || [amount spouse received after expenses from farm/business/professional
practice] == -1 || [estimate amount of respondent/spar's worker's compentation
payments in prev round] == -1 || [estimate amount of child support respondent
actually received in prev round] == -1 || [estimate amount of child support
spouse/partner actually received in prev round] == -1 || [estimate amount of
child support paid by r/spar in prev round] == -1 || [estimate amount of
assistance received from veterans' education benefits and/or other scholarships,
fellowships or grants in prev round?] == -1 || [estimate amount of educational
benefits recieved in past calendar year by spouse/partner] == -1 || [estimate
amount of total income respondent/spar received from veteran benefits in prev
round] == -1 || [estimate amount of respondent/spar total income from disability
in prev round] == -1 || [esimate amount respondent/spar recieved in total income
from social security in prev round] == -1 || [estimate market value or amount
that respondent/spar received since dli from estates/trusts/inheritances] == -1
|| [estimate market value respondent/spar received from
estates/trusts/inheritances since dli] == -1 || [estimate amount respondent/spar
received from life insurance settlement since dli] == -1 || [estimate amount
respondent/spar received from life insurance settlement in prev round] == -1 ||
[estimate income received by respondent/spar in past calendar year] == -1 ||
[estimate amount respondent received from Earned Income Tax Credit in 2003] ==
-1 || [estimate income from all welfare sources for other hh members in 2003] ==
-1 || [estimate income from all regular sources for other family] == -1 ||
[fa_1a_refe] == -1 || [fa_2a_refe] == -1 || [fa_3a_refe] == -1 || [fa_4a_refe]
== -1 || [fa_5a_refe] == -1)
COMMENT: R already refuse previous estimates?
If Answer
= 1 Then Go To FA_6E_REF_1
FA_6D_UAB_A [] |
Section: Income, Recipiency, Debt and
Assets |
Would it amount to [entry pt other hh mems inc] or
more?
FA_6D_UAB_B [] |
Section: Income, Recipiency, Debt and
Assets |
Would it amount to $5,000 or more?
FA_6D_UAB_C [] |
Section: Income, Recipiency, Debt and
Assets |
Would it amount to $30,000 or more?
FA_6E_REF_1 [] |
Section: Income, Recipiency, Debt and
Assets |
([q13-3 refusal flag] == 1 || [q13-5 refusal flag] == 1
|| [q13-9 refusal flag] == 1 || [q13-16 refusal flag] == 1 || [q13-18 refusal
flag] == 1 || [q13-24 refusal flag] == 1 || [q13-31b refusal flag] == 1 ||
[q13-33i refusal flag] == 1 || [q13-33m refusal flag] == 1 || [q13-33u refusal
flag] == 1 || [q13-66 refusal flag] == 1 || [q13-68 refusal flag] == 1 ||
[q13-70_vet refusal flag] == 1 || [q13-70_dis refusal flag] == 1 || [q13-70_ss
refusal flag] == 1 || [q13-73 refusal flag] == 1 || [q13-73a refusal flag] == 1
|| [q13-73c refusal flag] == 1 || [q13-73d refusal flag] == 1 || [q13-75 refusal
flag] == 1 || [q13-78d refusal flag] == 1 || [q13-92 refusal flag] == 1 ||
[q13-92c refusal flag] == 1 || [R refuse FA_1A] == 1 || [R refuse FA_2A] == 1 ||
[R refuse FA_3A] == 1 || [R refuse FA_4A] == 1 || [R refuse FA_5A] == 1 || [R
refuse FA_6D] == 1)
COMMENT: R already refuse previous estimates?
If Answer
= 1 Then Go To FA_6E_REF_2
FA_6E [] |
Section: Income, Recipiency, Debt and
Assets |
[If you were to pay back (that/these) withdrawal(s) today
- altogether what (is/would be)] the total value of (that/those)
employer-sponsored retirement plan(s) today?
If Answer = -2 Then Go To FA_6E_SR000001
If Answer = -1 Then Go To FA_6E_REF_2
FA_6E_SR000001 [] |
Section: Income, Recipiency, Debt and
Assets |
Can you give me an approximate range for that
amount?
(INTERVIEWER: IT IS
ACCEPTABLE FOR RESPONDENT TO REPORT UPPER AND LOWER RANGES VERY CLOSE TOGETHER,
OR THE SAME FIGURE FOR UPPER AND LOWER RANGE IF A SPECIFIC NUMBER.)
COMMENT: FIELDS=({hi_orelinc_persrc}=LONG=10="More than:"=05=15,
{lo_orelinc_persrc}=LONG=10="Less than:"=20=400) ORIGINAL MULTIPLE FIELDS
QUESTION. BROKEN INTO SEPARATE QUESTIONS BY CONVERSION.
FA_6E_SR000002 [] |
Section: Income, Recipiency, Debt and
Assets |
If Answer >= -2 AND Answer <= -1 Then Go To FA_6E_REF_2
FA_6E_REF_2 [] |
Section: Income, Recipiency, Debt and
Assets |
([estimate amount of total income received during prev
round from the military before taxes and other deductions] == -1 || [estimate
amount of total income from wages and salary in past calendar year] == -1 ||
[estimate income from farm/business/professional practice in past calendar year]
== -1 || [estimate total income of spouse/partner from military service in prev
round] == -1 || [estimate amount spar received from wages, salary, commissions
and tips from all (other) jobs, before deductions for taxes or anything else] ==
-1 || [amount spouse received after expenses from farm/business/professional
practice] == -1 || [estimate amount of respondent/spar's worker's compentation
payments in prev round] == -1 || [estimate amount of child support respondent
actually received in prev round] == -1 || [estimate amount of child support
spouse/partner actually received in prev round] == -1 || [estimate amount of
child support paid by r/spar in prev round] == -1 || [estimate amount of
assistance received from veterans' education benefits and/or other scholarships,
fellowships or grants in prev round?] == -1 || [estimate amount of educational
benefits recieved in past calendar year by spouse/partner] == -1 || [estimate
amount of total income respondent/spar received from veteran benefits in prev
round] == -1 || [estimate amount of respondent/spar total income from disability
in prev round] == -1 || [esimate amount respondent/spar recieved in total income
from social security in prev round] == -1 || [estimate market value or amount
that respondent/spar received since dli from estates/trusts/inheritances] == -1
|| [estimate market value respondent/spar received from
estates/trusts/inheritances since dli] == -1 || [estimate amount respondent/spar
received from life insurance settlement since dli] == -1 || [estimate amount
respondent/spar received from life insurance settlement in prev round] == -1 ||
[estimate income received by respondent/spar in past calendar year] == -1 ||
[estimate amount respondent received from Earned Income Tax Credit in 2003] ==
-1 || [estimate income from all welfare sources for other hh members in 2003] ==
-1 || [estimate income from all regular sources for other family] == -1 ||
[fa_1a_refe] == -1 || [fa_2a_refe] == -1 || [fa_3a_refe] == -1 || [fa_4a_refe]
== -1 || [fa_5a_refe] == -1 || [fa_6d_refe] == -1)
COMMENT: R already refuse previous estimates?
If Answer
= 1 Then Go To FA_6F
FA_6E_UAB_A [] |
Section: Income, Recipiency, Debt and
Assets |
Would it amount to [entry pt other hh mems inc] or
more?
FA_6E_UAB_B [] |
Section: Income, Recipiency, Debt and
Assets |
Would it amount to $5,000 or more?
FA_6E_UAB_C [] |
Section: Income, Recipiency, Debt and
Assets |
Would it amount to $30,000 or more?
FA_6F [] |
Section: Income, Recipiency, Debt and
Assets |
([spouse in hh?] == 1) || ([partner in hh?] ==
1)
COMMENT: R report spouse or partner in household?
If
Answer = 1 Then Go To FA_7
FA_7 [] |
Section: Income, Recipiency, Debt and
Assets |
Does [Spouse/partner's name] have any money in a
retirement plan through [his/her] workplace, such as a 401K or 403B with a
current or previous employer?
|
1 Yes ...(Go To FA_7A) |
|
0 No |
FA_7A [] |
Section: Income, Recipiency, Debt and
Assets |
Has [Spouse/partner's name] withdrawn any money from any
employer-sponsored retirement plans that [S/HE] intends to pay back?
FA_7A_REF_1 [] |
Section: Income, Recipiency, Debt and
Assets |
([q13-3 refusal flag] == 1 || [q13-5 refusal flag] == 1
|| [q13-9 refusal flag] == 1 || [q13-16 refusal flag] == 1 || [q13-18 refusal
flag] == 1 || [q13-24 refusal flag] == 1 || [q13-31b refusal flag] == 1 ||
[q13-33i refusal flag] == 1 || [q13-33m refusal flag] == 1 || [q13-33u refusal
flag] == 1 || [q13-66 refusal flag] == 1 || [q13-68 refusal flag] == 1 ||
[q13-70_vet refusal flag] == 1 || [q13-70_dis refusal flag] == 1 || [q13-70_ss
refusal flag] == 1 || [q13-73 refusal flag] == 1 || [q13-73a refusal flag] == 1
|| [q13-73c refusal flag] == 1 || [q13-73d refusal flag] == 1 || [q13-75 refusal
flag] == 1 || [q13-78d refusal flag] == 1 || [q13-92 refusal flag] == 1 ||
[q13-92c refusal flag] == 1 || [R refuse FA_1A] == 1 || [R refuse FA_2A] == 1 ||
[R refuse FA_3A] == 1 || [R refuse FA_4A] == 1 || [R refuse FA_5A] == 1 || [R
refuse FA_6D] == 1 || [R refuse FA_6E] == 1)
COMMENT: R already refuse previous estimates?
If Answer
= 1 Then Go To FA_7B_REF_2
FA_7B [] |
Section: Income, Recipiency, Debt and
Assets |
What is the total amount [Spouse/partner's name] intends
to pay back on these withdrawal(s)?
If Answer = -2 Then Go To FA_7B_SR000001
If Answer = -1 Then Go To FA_7B_REF_2
FA_7B_SR000001 [] |
Section: Income, Recipiency, Debt and
Assets |
Can you give me an approximate range for that
amount?
(INTERVIEWER: IT IS
ACCEPTABLE FOR RESPONDENT TO REPORT UPPER AND LOWER RANGES VERY CLOSE TOGETHER,
OR THE SAME FIGURE FOR UPPER AND LOWER RANGE IF A SPECIFIC NUMBER.)
COMMENT: FIELDS=({hi_orelinc_persrc}=LONG=10="More than:"=05=15,
{lo_orelinc_persrc}=LONG=10="Less than:"=20=400) ORIGINAL MULTIPLE FIELDS
QUESTION. BROKEN INTO SEPARATE QUESTIONS BY CONVERSION.
FA_7B_SR000002 [] |
Section: Income, Recipiency, Debt and
Assets |
If Answer >= -2 AND Answer <= -1 Then Go To FA_7B_REF_2
FA_7B_REF_2 [] |
Section: Income, Recipiency, Debt and
Assets |
([estimate amount of total income received during prev
round from the military before taxes and other deductions] == -1 || [estimate
amount of total income from wages and salary in past calendar year] == -1 ||
[estimate income from farm/business/professional practice in past calendar year]
== -1 || [estimate total income of spouse/partner from military service in prev
round] == -1 || [estimate amount spar received from wages, salary, commissions
and tips from all (other) jobs, before deductions for taxes or anything else] ==
-1 || [amount spouse received after expenses from farm/business/professional
practice] == -1 || [estimate amount of respondent/spar's worker's compentation
payments in prev round] == -1 || [estimate amount of child support respondent
actually received in prev round] == -1 || [estimate amount of child support
spouse/partner actually received in prev round] == -1 || [estimate amount of
child support paid by r/spar in prev round] == -1 || [estimate amount of
assistance received from veterans' education benefits and/or other scholarships,
fellowships or grants in prev round?] == -1 || [estimate amount of educational
benefits recieved in past calendar year by spouse/partner] == -1 || [estimate
amount of total income respondent/spar received from veteran benefits in prev
round] == -1 || [estimate amount of respondent/spar total income from disability
in prev round] == -1 || [esimate amount respondent/spar recieved in total income
from social security in prev round] == -1 || [estimate market value or amount
that respondent/spar received since dli from estates/trusts/inheritances] == -1
|| [estimate market value respondent/spar received from
estates/trusts/inheritances since dli] == -1 || [estimate amount respondent/spar
received from life insurance settlement since dli] == -1 || [estimate amount
respondent/spar received from life insurance settlement in prev round] == -1 ||
[estimate income received by respondent/spar in past calendar year] == -1 ||
[estimate amount respondent received from Earned Income Tax Credit in 2003] ==
-1 || [estimate income from all welfare sources for other hh members in 2003] ==
-1 || [estimate income from all regular sources for other family] == -1 ||
[fa_1a_refe] == -1 || [fa_2a_refe] == -1 || [fa_3a_refe] == -1 || [fa_4a_refe]
== -1 || [fa_5a_refe] == -1 || [fa_6d_refe] == -1 || [fa_6e_refe] ==
-1)
COMMENT: R already refuse previous estimates?
If Answer
= 1 Then Go To FA_7C_REF_1
FA_7B_UAB_A [] |
Section: Income, Recipiency, Debt and
Assets |
Would it amount to [entry pt other hh mems inc] or
more?
FA_7B_UAB_B [] |
Section: Income, Recipiency, Debt and
Assets |
Would it amount to $5,000 or more?
FA_7B_UAB_C [] |
Section: Income, Recipiency, Debt and
Assets |
Would it amount to $30,000 or more?
FA_7C_REF_1 [] |
Section: Income, Recipiency, Debt and
Assets |
([q13-3 refusal flag] == 1 || [q13-5 refusal flag] == 1
|| [q13-9 refusal flag] == 1 || [q13-16 refusal flag] == 1 || [q13-18 refusal
flag] == 1 || [q13-24 refusal flag] == 1 || [q13-31b refusal flag] == 1 ||
[q13-33i refusal flag] == 1 || [q13-33m refusal flag] == 1 || [q13-33u refusal
flag] == 1 || [q13-66 refusal flag] == 1 || [q13-68 refusal flag] == 1 ||
[q13-70_vet refusal flag] == 1 || [q13-70_dis refusal flag] == 1 || [q13-70_ss
refusal flag] == 1 || [q13-73 refusal flag] == 1 || [q13-73a refusal flag] == 1
|| [q13-73c refusal flag] == 1 || [q13-73d refusal flag] == 1 || [q13-75 refusal
flag] == 1 || [q13-78d refusal flag] == 1 || [q13-92 refusal flag] == 1 ||
[q13-92c refusal flag] == 1 || [R refuse FA_1A] == 1 || [R refuse FA_2A] == 1 ||
[R refuse FA_3A] == 1 || [R refuse FA_4A] == 1 || [R refuse FA_5A] == 1 || [R
refuse FA_6D] == 1 || [R refuse FA_6E] == 1 || [R refuse FA_7B] == 1)
COMMENT: R already refuse previous estimates?
If Answer
= 1 Then Go To FA_7C_REF_2
FA_7C [] |
Section: Income, Recipiency, Debt and
Assets |
[If you were to pay back these withdrawals what] would
the balance of [Spouse/partner's name]'s employer-sponsored plans be
altogether?
If Answer = -2 Then Go To FA_7C_SR000001
If Answer = -1 Then Go To FA_7C_REF_2
FA_7C_SR000001 [] |
Section: Income, Recipiency, Debt and
Assets |
Can you give me an approximate range for that
amount?
(INTERVIEWER: IT IS
ACCEPTABLE FOR RESPONDENT TO REPORT UPPER AND LOWER RANGES VERY CLOSE TOGETHER,
OR THE SAME FIGURE FOR UPPER AND LOWER RANGE IF A SPECIFIC NUMBER.)
COMMENT: FIELDS=({hi_orelinc_persrc}=LONG=10="More than:"=05=15,
{lo_orelinc_persrc}=LONG=10="Less than:"=20=400) ORIGINAL MULTIPLE FIELDS
QUESTION. BROKEN INTO SEPARATE QUESTIONS BY CONVERSION.
FA_7C_SR000002 [] |
Section: Income, Recipiency, Debt and
Assets |
If Answer >= -2 AND Answer <= -1 Then Go To FA_7C_REF_2
FA_7C_REF_2 [] |
Section: Income, Recipiency, Debt and
Assets |
([estimate amount of total income received during prev
round from the military before taxes and other deductions] == -1 || [estimate
amount of total income from wages and salary in past calendar year] == -1 ||
[estimate income from farm/business/professional practice in past calendar year]
== -1 || [estimate total income of spouse/partner from military service in prev
round] == -1 || [estimate amount spar received from wages, salary, commissions
and tips from all (other) jobs, before deductions for taxes or anything else] ==
-1 || [amount spouse received after expenses from farm/business/professional
practice] == -1 || [estimate amount of respondent/spar's worker's compentation
payments in prev round] == -1 || [estimate amount of child support respondent
actually received in prev round] == -1 || [estimate amount of child support
spouse/partner actually received in prev round] == -1 || [estimate amount of
child support paid by r/spar in prev round] == -1 || [estimate amount of
assistance received from veterans' education benefits and/or other scholarships,
fellowships or grants in prev round?] == -1 || [estimate amount of educational
benefits recieved in past calendar year by spouse/partner] == -1 || [estimate
amount of total income respondent/spar received from veteran benefits in prev
round] == -1 || [estimate amount of respondent/spar total income from disability
in prev round] == -1 || [esimate amount respondent/spar recieved in total income
from social security in prev round] == -1 || [estimate market value or amount
that respondent/spar received since dli from estates/trusts/inheritances] == -1
|| [estimate market value respondent/spar received from
estates/trusts/inheritances since dli] == -1 || [estimate amount respondent/spar
received from life insurance settlement since dli] == -1 || [estimate amount
respondent/spar received from life insurance settlement in prev round] == -1 ||
[estimate income received by respondent/spar in past calendar year] == -1 ||
[estimate amount respondent received from Earned Income Tax Credit in 2003] ==
-1 || [estimate income from all welfare sources for other hh members in 2003] ==
-1 || [estimate income from all regular sources for other family] == -1 ||
[fa_1a_refe] == -1 || [fa_2a_refe] == -1 || [fa_3a_refe] == -1 || [fa_4a_refe]
== -1 || [fa_5a_refe] == -1 || [fa_6d_refe] == -1 || [fa_6e_refe] == -1 ||
[fa_7b_refe] == -1)
COMMENT: R already refuse previous estimates?
If Answer
= 1 Then Go To FA_8
FA_7C_UAB_A [] |
Section: Income, Recipiency, Debt and
Assets |
Would it amount to [entry pt other hh mems inc] or
more?
FA_7C_UAB_B [] |
Section: Income, Recipiency, Debt and
Assets |
Would it amount to $5,000 or more?
FA_7C_UAB_C [] |
Section: Income, Recipiency, Debt and
Assets |
Would it amount to $30,000 or more?
FA_8 [] |
Section: Income, Recipiency, Debt and
Assets |
(Other than the accounts you have through your
workplace,) Do you [or] [Spouse/partner's name] have any money in IRAs, Keoghs,
variable annuities, 529 plans, or other tax-advantaged accounts?
|
1 Yes ...(Go To FA_8A) |
|
0 No |
FA_8A [] |
Section: Income, Recipiency, Debt and
Assets |
Now, I'll read you a list of different types of
tax-advantaged accounts. Please tell me which of these you [or]
[Spouse/partner's name] hold. Do you [or] [Spouse/partner's name] hold
Traditional IRAs, Roth IRA's Coverdell or education IRA's, Keoghs, variable
annuities, 529 plans or some other kind of tax-advantaged
account?
(SELECT ALL THAT APPLY)
|
1 Traditional
IRAs |
|
2 ROTH
IRAs |
|
3 Coverdell
IRAs or education IRAs |
|
4 Keogh
Plans |
|
5 Variable
annuities |
|
6 529 Plans
(State sponsored education savings plans |
|
7 Other
(Specify) |
FA_TAXADV_LOOP_BEGIN [] |
Section: Income, Recipiency, Debt and
Assets |
REPEAT
COMMENT: Set Q13_92c_REF flag to 1
FA_8A_1 [] |
Section: Income, Recipiency, Debt and
Assets |
INSELECTION([FA_8A],[loop for tax advantaged
assets])
If Answer = 1 Then Go To FA_8B
FA_8B [] |
Section: Income, Recipiency, Debt and
Assets |
Have you [or] [Spouse/partner's name] withdrawn any money
from this [name of tax advantaged asset reported([loop for tax advantaged
assets])] that you intend to pay back or redeposit?
|
1 Yes ...(Go To FA_8C) |
|
0 No |
FA_8C [] |
Section: Income, Recipiency, Debt and
Assets |
What is the amount that you [or] [Spouse/partner's name]
intend to pay back on all withdrawals made on this [name of tax advantaged asset
reported([loop for tax advantaged assets])]?
If Answer = -2 Then Go To FA_8C_SR000001
If Answer = -1 Then Go To FA_8C_UAB_A
FA_8C_SR000001 [] |
Section: Income, Recipiency, Debt and
Assets |
Can you give me an approximate range for that
amount?
(INTERVIEWER: IT IS
ACCEPTABLE FOR RESPONDENT TO REPORT UPPER AND LOWER RANGES VERY CLOSE TOGETHER,
OR THE SAME FIGURE FOR UPPER AND LOWER RANGE IF A SPECIFIC NUMBER.)
COMMENT: FIELDS=({hi_orelinc_persrc}=LONG=10="More than:"=05=15,
{lo_orelinc_persrc}=LONG=10="Less than:"=20=400) ORIGINAL MULTIPLE FIELDS
QUESTION. BROKEN INTO SEPARATE QUESTIONS BY CONVERSION.
FA_8C_SR000002 [] |
Section: Income, Recipiency, Debt and
Assets |
If Answer >= -2 AND Answer <= -1 Then Go To FA_8C_UAB_A
FA_8C_UAB_A [] |
Section: Income, Recipiency, Debt and
Assets |
Would it amount to [entry pt other hh mems inc] or
more?
If Answer = -1 Then Go To FA_8D
FA_8C_UAB_B [] |
Section: Income, Recipiency, Debt and
Assets |
Would it amount to $5,000 or more?
If
Answer = -1 Then Go To FA_8D
FA_8C_UAB_C [] |
Section: Income, Recipiency, Debt and
Assets |
Would it amount to $30,000 or more?
If
Answer = -1 Then Go To FA_8D
FA_8D [] |
Section: Income, Recipiency, Debt and
Assets |
[(If you (and spouse/partner) were to pay back all of
these withdrawals today -)([loop for tax advantaged assets])] how much would be
in this [name of tax advantaged asset reported([loop for tax advantaged
assets])]?
If Answer = -2 Then Go To FA_8D_SR000001
If Answer = -1 Then Go To FA_8D_UAB_A
FA_8D_SR000001 [] |
Section: Income, Recipiency, Debt and
Assets |
Can you give me an approximate range for that
amount?
(INTERVIEWER: IT IS
ACCEPTABLE FOR RESPONDENT TO REPORT UPPER AND LOWER RANGES VERY CLOSE TOGETHER,
OR THE SAME FIGURE FOR UPPER AND LOWER RANGE IF A SPECIFIC NUMBER.)
COMMENT: FIELDS=({hi_orelinc_persrc}=LONG=10="More than:"=05=15,
{lo_orelinc_persrc}=LONG=10="Less than:"=20=400) ORIGINAL MULTIPLE FIELDS
QUESTION. BROKEN INTO SEPARATE QUESTIONS BY CONVERSION.
FA_8D_SR000002 [] |
Section: Income, Recipiency, Debt and
Assets |
If Answer >= -2 AND Answer <= -1 Then Go To FA_8D_UAB_A
FA_8D_UAB_A [] |
Section: Income, Recipiency, Debt and
Assets |
Would it amount to [entry pt other hh mems inc] or
more?
If Answer = -1 Then Go To FA_TAXADV-LOOP-END
FA_8D_UAB_B [] |
Section: Income, Recipiency, Debt and
Assets |
Would it amount to $5,000 or more?
If
Answer = -1 Then Go To FA_TAXADV-LOOP-END
FA_8D_UAB_C [] |
Section: Income, Recipiency, Debt and
Assets |
Would it amount to $30,000 or more?
If
Answer = -1 Then Go To FA_TAXADV-LOOP-END
FA_TAXADV-LOOP-END [] |
Section: Income, Recipiency, Debt and
Assets |
UNTIL ([loop for tax advantaged assets]==7)
COMMENT: Repeat until all farms accounted for
FA_9 [] |
Section: Income, Recipiency, Debt and
Assets |
[(Other than stock you already reported as a part of a
mutual fund- an individual retirement plan- or an employer sponsored retirement
plan) Do] you [or] [Spouse/partner's name] own any shares of
stock?
(INTERVIEWER: PLEASE READ IF
NECESSARY:) Please do not include any company stock given to you [or]
[Spouse/partner's name] through an employer and held in an Employee Stock
Purchase Plan (ESoPP) or in stock options. Please include any type of stock,
whether it is common or preferred or closely-held or publicly traded.
FA_9_REF_1 [] |
Section: Income, Recipiency, Debt and
Assets |
([q13-3 refusal flag] == 1 || [q13-5 refusal flag] == 1
|| [q13-9 refusal flag] == 1 || [q13-16 refusal flag] == 1 || [q13-18 refusal
flag] == 1 || [q13-24 refusal flag] == 1 || [q13-31b refusal flag] == 1 ||
[q13-33i refusal flag] == 1 || [q13-33m refusal flag] == 1 || [q13-33u refusal
flag] == 1 || [q13-66 refusal flag] == 1 || [q13-68 refusal flag] == 1 ||
[q13-70_vet refusal flag] == 1 || [q13-70_dis refusal flag] == 1 || [q13-70_ss
refusal flag] == 1 || [q13-73 refusal flag] == 1 || [q13-73a refusal flag] == 1
|| [q13-73c refusal flag] == 1 || [q13-73d refusal flag] == 1 || [q13-75 refusal
flag] == 1 || [q13-78d refusal flag] == 1 || [q13-92 refusal flag] == 1 ||
[q13-92c refusal flag] == 1 || [R refuse FA_1A] == 1 || [R refuse FA_2A] == 1 ||
[R refuse FA_3A] == 1 || [R refuse FA_4A] == 1 || [R refuse FA_5A] == 1 || [R
refuse FA_6D] == 1 || [R refuse FA_6E] == 1 || [R refuse FA_7B] == 1 || [R
refuse FA_7C] == 1)
COMMENT: R already refuse previous estimates?
If Answer
= 1 Then Go To FA_9A_REF_2
FA_9A [] |
Section: Income, Recipiency, Debt and
Assets |
If you sold all of these stock holdings and paid off
anything you owed on them, how much money would you [or] [Spouse/partner's name]
end up with?
(INTERVIEWER: PLEASE
READ IF NECESSARY:) Please do not include any company stock in an ESoPP or stock
options.
If Answer = -2 Then Go To FA_9A_SR000001
If Answer = -1 Then Go To FA_9A_REF_2
FA_9A_SR000001 [] |
Section: Income, Recipiency, Debt and
Assets |
Can you give me an approximate range for that
amount?
(INTERVIEWER: IT IS
ACCEPTABLE FOR RESPONDENT TO REPORT UPPER AND LOWER RANGES VERY CLOSE TOGETHER,
OR THE SAME FIGURE FOR UPPER AND LOWER RANGE IF A SPECIFIC NUMBER.)
COMMENT: FIELDS=({hi_orelinc_persrc}=LONG=10="More than:"=05=15,
{lo_orelinc_persrc}=LONG=10="Less than:"=20=400) ORIGINAL MULTIPLE FIELDS
QUESTION. BROKEN INTO SEPARATE QUESTIONS BY CONVERSION.
FA_9A_SR000002 [] |
Section: Income, Recipiency, Debt and
Assets |
If Answer >= -2 AND Answer <= -1 Then Go To FA_9A_REF_2
FA_9A_REF_2 [] |
Section: Income, Recipiency, Debt and
Assets |
([estimate amount of total income received during prev
round from the military before taxes and other deductions] == -1 || [estimate
amount of total income from wages and salary in past calendar year] == -1 ||
[estimate income from farm/business/professional practice in past calendar year]
== -1 || [estimate total income of spouse/partner from military service in prev
round] == -1 || [estimate amount spar received from wages, salary, commissions
and tips from all (other) jobs, before deductions for taxes or anything else] ==
-1 || [amount spouse received after expenses from farm/business/professional
practice] == -1 || [estimate amount of respondent/spar's worker's compentation
payments in prev round] == -1 || [estimate amount of child support respondent
actually received in prev round] == -1 || [estimate amount of child support
spouse/partner actually received in prev round] == -1 || [estimate amount of
child support paid by r/spar in prev round] == -1 || [estimate amount of
assistance received from veterans' education benefits and/or other scholarships,
fellowships or grants in prev round?] == -1 || [estimate amount of educational
benefits recieved in past calendar year by spouse/partner] == -1 || [estimate
amount of total income respondent/spar received from veteran benefits in prev
round] == -1 || [estimate amount of respondent/spar total income from disability
in prev round] == -1 || [esimate amount respondent/spar recieved in total income
from social security in prev round] == -1 || [estimate market value or amount
that respondent/spar received since dli from estates/trusts/inheritances] == -1
|| [estimate market value respondent/spar received from
estates/trusts/inheritances since dli] == -1 || [estimate amount respondent/spar
received from life insurance settlement since dli] == -1 || [estimate amount
respondent/spar received from life insurance settlement in prev round] == -1 ||
[estimate income received by respondent/spar in past calendar year] == -1 ||
[estimate amount respondent received from Earned Income Tax Credit in 2003] ==
-1 || [estimate income from all welfare sources for other hh members in 2003] ==
-1 || [estimate income from all regular sources for other family] == -1 ||
[fa_1a_refe] == -1 || [fa_2a_refe] == -1 || [fa_3a_refe] == -1 || [fa_4a_refe]
== -1 || [fa_5a_refe] == -1 || [fa_6d_refe] == -1 || [fa_6e_refe] == -1 ||
[fa_7b_refe] == -1 || [fa_7c_refe] == -1)
COMMENT: R already refuse previous estimates?
If Answer
= 1 Then Go To FA_10
FA_9A_UAB_A [] |
Section: Income, Recipiency, Debt and
Assets |
Would it amount to [entry pt other hh mems inc] or
more?
FA_9A_UAB_B [] |
Section: Income, Recipiency, Debt and
Assets |
Would it amount to $5,000 or more?
FA_9A_UAB_C [] |
Section: Income, Recipiency, Debt and
Assets |
Would it amount to $30,000 or more?
FA_10 [] |
Section: Income, Recipiency, Debt and
Assets |
[(Other than the US Government Savings Bonds that you
reported earlier) Do] you [or] [Spouse/partner's name] own any corporate bonds
or any government securities such as US Treasury Bills, US Treasury Bonds, or
state or municipal bonds?
FA_10_REF_1 [] |
Section: Income, Recipiency, Debt and
Assets |
([q13-3 refusal flag] == 1 || [q13-5 refusal flag] == 1
|| [q13-9 refusal flag] == 1 || [q13-16 refusal flag] == 1 || [q13-18 refusal
flag] == 1 || [q13-24 refusal flag] == 1 || [q13-31b refusal flag] == 1 ||
[q13-33i refusal flag] == 1 || [q13-33m refusal flag] == 1 || [q13-33u refusal
flag] == 1 || [q13-66 refusal flag] == 1 || [q13-68 refusal flag] == 1 ||
[q13-70_vet refusal flag] == 1 || [q13-70_dis refusal flag] == 1 || [q13-70_ss
refusal flag] == 1 || [q13-73 refusal flag] == 1 || [q13-73a refusal flag] == 1
|| [q13-73c refusal flag] == 1 || [q13-73d refusal flag] == 1 || [q13-75 refusal
flag] == 1 || [q13-78d refusal flag] == 1 || [q13-92 refusal flag] == 1 ||
[q13-92c refusal flag] == 1 || [R refuse FA_1A] == 1 || [R refuse FA_2A] == 1 ||
[R refuse FA_3A] == 1 || [R refuse FA_4A] == 1 || [R refuse FA_5A] == 1 || [R
refuse FA_6D] == 1 || [R refuse FA_6E] == 1 || [R refuse FA_7B] == 1 || [R
refuse FA_7C] == 1|| [R refuse FA_9A] == 1)
COMMENT: R already refuse previous estimates?
If Answer
= 1 Then Go To FA_10A_REF_2
FA_10A [] |
Section: Income, Recipiency, Debt and
Assets |
If you [or] [Spouse/partner's name] cashed in all of the
corporate bonds and government securities that you own and paid off anything you
owed on them, how much money would you end up with?
If Answer = -2 Then Go To FA_10A_SR000001
If Answer = -1 Then Go To FA_10A_REF_2
FA_10A_SR000001 [] |
Section: Income, Recipiency, Debt and
Assets |
Can you give me an approximate range for that
amount?
(INTERVIEWER: IT IS
ACCEPTABLE FOR RESPONDENT TO REPORT UPPER AND LOWER RANGES VERY CLOSE TOGETHER,
OR THE SAME FIGURE FOR UPPER AND LOWER RANGE IF A SPECIFIC NUMBER.)
COMMENT: FIELDS=({hi_orelinc_persrc}=LONG=10="More than:"=05=15,
{lo_orelinc_persrc}=LONG=10="Less than:"=20=400) ORIGINAL MULTIPLE FIELDS
QUESTION. BROKEN INTO SEPARATE QUESTIONS BY CONVERSION.
FA_10A_SR000002 [] |
Section: Income, Recipiency, Debt and
Assets |
If Answer >= -2 AND Answer <= -1 Then Go To FA_10A_REF_2
FA_10A_REF_2 [] |
Section: Income, Recipiency, Debt and
Assets |
([estimate amount of total income received during prev
round from the military before taxes and other deductions] == -1 || [estimate
amount of total income from wages and salary in past calendar year] == -1 ||
[estimate income from farm/business/professional practice in past calendar year]
== -1 || [estimate total income of spouse/partner from military service in prev
round] == -1 || [estimate amount spar received from wages, salary, commissions
and tips from all (other) jobs, before deductions for taxes or anything else] ==
-1 || [amount spouse received after expenses from farm/business/professional
practice] == -1 || [estimate amount of respondent/spar's worker's compentation
payments in prev round] == -1 || [estimate amount of child support respondent
actually received in prev round] == -1 || [estimate amount of child support
spouse/partner actually received in prev round] == -1 || [estimate amount of
child support paid by r/spar in prev round] == -1 || [estimate amount of
assistance received from veterans' education benefits and/or other scholarships,
fellowships or grants in prev round?] == -1 || [estimate amount of educational
benefits recieved in past calendar year by spouse/partner] == -1 || [estimate
amount of total income respondent/spar received from veteran benefits in prev
round] == -1 || [estimate amount of respondent/spar total income from disability
in prev round] == -1 || [esimate amount respondent/spar recieved in total income
from social security in prev round] == -1 || [estimate market value or amount
that respondent/spar received since dli from estates/trusts/inheritances] == -1
|| [estimate market value respondent/spar received from
estates/trusts/inheritances since dli] == -1 || [estimate amount respondent/spar
received from life insurance settlement since dli] == -1 || [estimate amount
respondent/spar received from life insurance settlement in prev round] == -1 ||
[estimate income received by respondent/spar in past calendar year] == -1 ||
[estimate amount respondent received from Earned Income Tax Credit in 2003] ==
-1 || [estimate income from all welfare sources for other hh members in 2003] ==
-1 || [estimate income from all regular sources for other family] == -1 ||
[fa_1a_refe] == -1 || [fa_2a_refe] == -1 || [fa_3a_refe] == -1 || [fa_4a_refe]
== -1 || [fa_5a_refe] == -1 || [fa_6d_refe] == -1 || [fa_6e_refe] == -1 ||
[fa_7b_refe] == -1 || [fa_7c_refe] == -1 || [fa_9a_refe] == -1)
COMMENT: R already refuse previous estimates?
If Answer
= 1 Then Go To FA_11
FA_10A_UAB_A [] |
Section: Income, Recipiency, Debt and
Assets |
Would it amount to [entry pt other hh mems inc] or
more?
FA_10A_UAB_B [] |
Section: Income, Recipiency, Debt and
Assets |
Would it amount to $5,000 or more?
FA_10A_UAB_C [] |
Section: Income, Recipiency, Debt and
Assets |
Would it amount to $30,000 or more?
FA_11 [] |
Section: Income, Recipiency, Debt and
Assets |
Does anyone owe you [or] [Spouse/partner's name] any
money from personal loans or from any mortgage loans that you have made to
others, even if you are not sure that these people will repay you? Please do not
include any loans owed to your business or farm as we will be talking about them
later.
FA_11_REF_1 [] |
Section: Income, Recipiency, Debt and
Assets |
([q13-3 refusal flag] == 1 || [q13-5 refusal flag] == 1
|| [q13-9 refusal flag] == 1 || [q13-16 refusal flag] == 1 || [q13-18 refusal
flag] == 1 || [q13-24 refusal flag] == 1 || [q13-31b refusal flag] == 1 ||
[q13-33i refusal flag] == 1 || [q13-33m refusal flag] == 1 || [q13-33u refusal
flag] == 1 || [q13-66 refusal flag] == 1 || [q13-68 refusal flag] == 1 ||
[q13-70_vet refusal flag] == 1 || [q13-70_dis refusal flag] == 1 || [q13-70_ss
refusal flag] == 1 || [q13-73 refusal flag] == 1 || [q13-73a refusal flag] == 1
|| [q13-73c refusal flag] == 1 || [q13-73d refusal flag] == 1 || [q13-75 refusal
flag] == 1 || [q13-78d refusal flag] == 1 || [q13-92 refusal flag] == 1 ||
[q13-92c refusal flag] == 1 || [R refuse FA_1A] == 1 || [R refuse FA_2A] == 1 ||
[R refuse FA_3A] == 1 || [R refuse FA_4A] == 1 || [R refuse FA_5A] == 1 || [R
refuse FA_6D] == 1 || [R refuse FA_6E] == 1 || [R refuse FA_7B] == 1 || [R
refuse FA_7C] == 1|| [R refuse FA_9A] == 1 || [R refuse FA_10A] == 1)
COMMENT: R already refuse previous estimates?
If Answer
= 1 Then Go To FA_11A_REF_2
FA_11A [] |
Section: Income, Recipiency, Debt and
Assets |
Altogether, how much are you [or] [Spouse/partner's name]
owed from these loans?
If Answer = -2 Then Go To FA_11A_SR000001
If Answer = -1 Then Go To FA_11A_REF_2
FA_11A_SR000001 [] |
Section: Income, Recipiency, Debt and
Assets |
Can you give me an approximate range for that
amount?
(INTERVIEWER: IT IS
ACCEPTABLE FOR RESPONDENT TO REPORT UPPER AND LOWER RANGES VERY CLOSE TOGETHER,
OR THE SAME FIGURE FOR UPPER AND LOWER RANGE IF A SPECIFIC NUMBER.)
COMMENT: FIELDS=({hi_orelinc_persrc}=LONG=10="More than:"=05=15,
{lo_orelinc_persrc}=LONG=10="Less than:"=20=400) ORIGINAL MULTIPLE FIELDS
QUESTION. BROKEN INTO SEPARATE QUESTIONS BY CONVERSION.
FA_11A_SR000002 [] |
Section: Income, Recipiency, Debt and
Assets |
If Answer >= -2 AND Answer <= -1 Then Go To FA_11A_REF_2
FA_11A_REF_2 [] |
Section: Income, Recipiency, Debt and
Assets |
([estimate amount of total income received during prev
round from the military before taxes and other deductions] == -1 || [estimate
amount of total income from wages and salary in past calendar year] == -1 ||
[estimate income from farm/business/professional practice in past calendar year]
== -1 || [estimate total income of spouse/partner from military service in prev
round] == -1 || [estimate amount spar received from wages, salary, commissions
and tips from all (other) jobs, before deductions for taxes or anything else] ==
-1 || [amount spouse received after expenses from farm/business/professional
practice] == -1 || [estimate amount of respondent/spar's worker's compentation
payments in prev round] == -1 || [estimate amount of child support respondent
actually received in prev round] == -1 || [estimate amount of child support
spouse/partner actually received in prev round] == -1 || [estimate amount of
child support paid by r/spar in prev round] == -1 || [estimate amount of
assistance received from veterans' education benefits and/or other scholarships,
fellowships or grants in prev round?] == -1 || [estimate amount of educational
benefits recieved in past calendar year by spouse/partner] == -1 || [estimate
amount of total income respondent/spar received from veteran benefits in prev
round] == -1 || [estimate amount of respondent/spar total income from disability
in prev round] == -1 || [esimate amount respondent/spar recieved in total income
from social security in prev round] == -1 || [estimate market value or amount
that respondent/spar received since dli from estates/trusts/inheritances] == -1
|| [estimate market value respondent/spar received from
estates/trusts/inheritances since dli] == -1 || [estimate amount respondent/spar
received from life insurance settlement since dli] == -1 || [estimate amount
respondent/spar received from life insurance settlement in prev round] == -1 ||
[estimate income received by respondent/spar in past calendar year] == -1 ||
[estimate amount respondent received from Earned Income Tax Credit in 2003] ==
-1 || [estimate income from all welfare sources for other hh members in 2003] ==
-1 || [estimate income from all regular sources for other family] == -1 ||
[fa_1a_refe] == -1 || [fa_2a_refe] == -1 || [fa_3a_refe] == -1 || [fa_4a_refe]
== -1 || [fa_5a_refe] == -1 || [fa_6d_refe] == -1 || [fa_6e_refe] == -1 ||
[fa_7b_refe] == -1 || [fa_7c_refe] == -1 || [fa_9a_refe] == -1 || [fa_10a_refe]
== -1)
COMMENT: R already refuse previous estimates?
If Answer
= 1 Then Go To Q13-116
FA_11A_UAB_A [] |
Section: Income, Recipiency, Debt and
Assets |
Would it amount to [entry pt other hh mems inc] or
more?
FA_11A_UAB_B [] |
Section: Income, Recipiency, Debt and
Assets |
Would it amount to $5,000 or more?
FA_11A_UAB_C [] |
Section: Income, Recipiency, Debt and
Assets |
Would it amount to $30,000 or more?
Q13-116 [] |
Section: Income, Recipiency, Debt and
Assets |
During any part of 2015, did you live in public housing
or did you (IF R LIVES WITH RELATIVES: and your family) receive a rent subsidy
or pay a lower rent because the federal, state, or local government was paying
part of the cost?
Q13-116A [] |
Section: Income, Recipiency, Debt and
Assets |
Is this through Section 8, through your local housing
authority, through the state, through some other program or are you not
sure?
|
1 SECTION
8 |
|
2 LOCAL HOUSING
AUTHORITY |
|
3 STATE |
|
4 OTHER PROGRAM
(SPECIFY) |
|
5 NOT
SURE |
NFA_0_CHK1 [] |
Section: Income, Recipiency, Debt and
Assets |
VAREXIST ([farm/business(1)])
COMMENT: INITIALIZE SYMBOLS REFUSAL FLAGS FOR ASSETS
If
Answer = 0 Then Go To NFA_01
NFA_01 [] |
Section: Income, Recipiency, Debt and
Assets |
Is your primary residence on your farm?
NFA_1 [] |
Section: Income, Recipiency, Debt and
Assets |
Is the (house/apartment) in which you live either owned
or being bought by you [or] [Spouse/partner's name]?
(INTERVIEWER:
PLEASE READ IF NECESSARY:) We would like you to answer these questions about
your permanent or usual residence even if you are currently living
elsewhere.
NFA_1_REF_1 [] |
Section: Income, Recipiency, Debt and
Assets |
([q13-3 refusal flag] == 1 || [q13-5 refusal flag] == 1
|| [q13-9 refusal flag] == 1 || [q13-16 refusal flag] == 1 || [q13-18 refusal
flag] == 1 || [q13-24 refusal flag] == 1 || [q13-31b refusal flag] == 1 ||
[q13-33i refusal flag] == 1 || [q13-33m refusal flag] == 1 || [q13-33u refusal
flag] == 1 || [q13-66 refusal flag] == 1 || [q13-68 refusal flag] == 1 ||
[q13-70_vet refusal flag] == 1 || [q13-70_dis refusal flag] == 1 || [q13-70_ss
refusal flag] == 1 || [q13-73 refusal flag] == 1 || [q13-73a refusal flag] == 1
|| [q13-73c refusal flag] == 1 || [q13-73d refusal flag] == 1 || [q13-75 refusal
flag] == 1 || [q13-78d refusal flag] == 1 || [q13-92 refusal flag] == 1 ||
[q13-92c refusal flag] == 1 || [R refuse FA_1A] == 1 || [R refuse FA_2A] == 1 ||
[R refuse FA_3A] == 1 || [R refuse FA_4A] == 1 || [R refuse FA_5A] == 1 || [R
refuse FA_6D] == 1 || [R refuse FA_6E] == 1 || [R refuse FA_7B] == 1 || [R
refuse FA_7C] == 1|| [R refuse FA_9A] == 1 || [R refuse FA_10A] == 1 || [R
refuse FA_11A] == 1)
COMMENT: R already refuse previous estimates?
If Answer
= 1 Then Go To NFA_1A_REF_2
NFA_1A [] |
Section: Income, Recipiency, Debt and
Assets |
About how much do you think this residence would sell for
on today's market?
If Answer = -2 Then Go To NFA_1A_SR000001
If Answer = -1 Then Go To NFA_1A_REF_2
NFA_1A_SR000001 [] |
Section: Income, Recipiency, Debt and
Assets |
Can you give me an approximate range for that
amount?
(INTERVIEWER: IT IS
ACCEPTABLE FOR RESPONDENT TO REPORT UPPER AND LOWER RANGES VERY CLOSE TOGETHER,
OR THE SAME FIGURE FOR UPPER AND LOWER RANGE IF A SPECIFIC NUMBER.)
COMMENT: FIELDS=({hi_orelinc_persrc}=LONG=10="More than:"=05=15,
{lo_orelinc_persrc}=LONG=10="Less than:"=20=400) ORIGINAL MULTIPLE FIELDS
QUESTION. BROKEN INTO SEPARATE QUESTIONS BY CONVERSION.
NFA_1A_SR000002 [] |
Section: Income, Recipiency, Debt and
Assets |
If Answer >= -2 AND Answer <= -1 Then Go To NFA_1A_REF_2
NFA_1A_REF_2 [] |
Section: Income, Recipiency, Debt and
Assets |
([estimate amount of total income received during prev
round from the military before taxes and other deductions] == 1 || [estimate
amount of total income from wages and salary in past calendar year] == 1 ||
[estimate income from farm/business/professional practice in past calendar year]
== 1 || [estimate total income of spouse/partner from military service in prev
round] == 1 || [estimate amount spar received from wages, salary, commissions
and tips from all (other) jobs, before deductions for taxes or anything else] ==
1 || [amount spouse received after expenses from farm/business/professional
practice] == 1 || [estimate amount of respondent/spar's worker's compentation
payments in prev round] == 1 || [estimate amount of child support respondent
actually received in prev round] == 1 || [estimate amount of child support
spouse/partner actually received in prev round] == 1 || [estimate amount of
child support paid by r/spar in prev round] == 1 || [estimate amount of
assistance received from veterans' education benefits and/or other scholarships,
fellowships or grants in prev round?] == 1 || [estimate amount of educational
benefits recieved in past calendar year by spouse/partner] == 1 || [estimate
amount of total income respondent/spar received from veteran benefits in prev
round] == 1 || [estimate amount of respondent/spar total income from disability
in prev round] == 1 || [esimate amount respondent/spar recieved in total income
from social security in prev round] == 1 || [estimate market value or amount
that respondent/spar received since dli from estates/trusts/inheritances] == 1
|| [estimate market value respondent/spar received from
estates/trusts/inheritances since dli] == 1 || [estimate amount respondent/spar
received from life insurance settlement since dli] == 1 || [estimate amount
respondent/spar received from life insurance settlement in prev round] == 1 ||
[estimate income received by respondent/spar in past calendar year] == 1 ||
[estimate amount respondent received from Earned Income Tax Credit in 2003] == 1
|| [estimate income from all welfare sources for other hh members in 2003] == 1
|| [estimate income from all regular sources for other family] == 1 ||
[fa_1a_refe] == 1 || [fa_2a_refe] == 1 || [fa_3a_refe] == 1 || [fa_4a_refe] == 1
|| [fa_5a_refe] == 1 || [fa_6d_refe] == 1 || [fa_6e_refe] == 1 || [fa_7b_refe]
== 1 || [fa_7c_refe] == 1 || [fa_9a_refe] == 1 || [fa_10a_refe] == 1 ||
[fa_11a_refe] == 1)
COMMENT: R already refuse previous estimates?
If Answer
= 1 Then Go To NFA_1B_REF_1
NFA_1A_UAB_A [] |
Section: Income, Recipiency, Debt and
Assets |
Would it amount to [entry pt other hh mems inc] or
more?
NFA_1A_UAB_B [] |
Section: Income, Recipiency, Debt and
Assets |
Would it amount to $5,000 or more?
NFA_1A_UAB_C [] |
Section: Income, Recipiency, Debt and
Assets |
Would it amount to $30,000 or more?
NFA_1B_REF_1 [] |
Section: Income, Recipiency, Debt and
Assets |
([q13-3 refusal flag] == 1 || [q13-5 refusal flag] == 1
|| [q13-9 refusal flag] == 1 || [q13-16 refusal flag] == 1 || [q13-18 refusal
flag] == 1 || [q13-24 refusal flag] == 1 || [q13-31b refusal flag] == 1 ||
[q13-33i refusal flag] == 1 || [q13-33m refusal flag] == 1 || [q13-33u refusal
flag] == 1 || [q13-66 refusal flag] == 1 || [q13-68 refusal flag] == 1 ||
[q13-70_vet refusal flag] == 1 || [q13-70_dis refusal flag] == 1 || [q13-70_ss
refusal flag] == 1 || [q13-73 refusal flag] == 1 || [q13-73a refusal flag] == 1
|| [q13-73c refusal flag] == 1 || [q13-73d refusal flag] == 1 || [q13-75 refusal
flag] == 1 || [q13-78d refusal flag] == 1 || [q13-92 refusal flag] == 1 ||
[q13-92c refusal flag] == 1 || [R refuse FA_1A] == 1 || [R refuse FA_2A] == 1 ||
[R refuse FA_3A] == 1 || [R refuse FA_4A] == 1 || [R refuse FA_5A] == 1 || [R
refuse FA_6D] == 1 || [R refuse FA_6E] == 1 || [R refuse FA_7B] == 1 || [R
refuse FA_7C] == 1|| [R refuse FA_9A] == 1 || [R refuse FA_10A] == 1 || [R
refuse FA_11A] == 1 || [r refuse nfa_1a_ref] == 1)
COMMENT: R already refuse previous estimates?
If Answer
= 1 Then Go To NFA_1B_REF_2
NFA_1B [] |
Section: Income, Recipiency, Debt and
Assets |
About how much do you [or] [Spouse/partner's name] owe on
this residence, for mortgages, home equity loans, back taxes, home improvement
loans? Please do not include any utility bills.
If Answer = -2 Then Go To NFA_1B_SR000001
If Answer = -1 Then Go To NFA_1B_REF_2
NFA_1B_SR000001 [] |
Section: Income, Recipiency, Debt and
Assets |
Can you give me an approximate range for that
amount?
(INTERVIEWER: IT IS
ACCEPTABLE FOR RESPONDENT TO REPORT UPPER AND LOWER RANGES VERY CLOSE TOGETHER,
OR THE SAME FIGURE FOR UPPER AND LOWER RANGE IF A SPECIFIC NUMBER.)
COMMENT: FIELDS=({hi_orelinc_persrc}=LONG=10="More than:"=05=15,
{lo_orelinc_persrc}=LONG=10="Less than:"=20=400) ORIGINAL MULTIPLE FIELDS
QUESTION. BROKEN INTO SEPARATE QUESTIONS BY CONVERSION.
NFA_1B_SR000002 [] |
Section: Income, Recipiency, Debt and
Assets |
If Answer >= -2 AND Answer <= -1 Then Go To NFA_1B_REF_2
NFA_1B_REF_2 [] |
Section: Income, Recipiency, Debt and
Assets |
([estimate amount of total income received during prev
round from the military before taxes and other deductions] == 1 || [estimate
amount of total income from wages and salary in past calendar year] == 1 ||
[estimate income from farm/business/professional practice in past calendar year]
== 1 || [estimate total income of spouse/partner from military service in prev
round] == 1 || [estimate amount spar received from wages, salary, commissions
and tips from all (other) jobs, before deductions for taxes or anything else] ==
1 || [amount spouse received after expenses from farm/business/professional
practice] == 1 || [estimate amount of respondent/spar's worker's compentation
payments in prev round] == 1 || [estimate amount of child support respondent
actually received in prev round] == 1 || [estimate amount of child support
spouse/partner actually received in prev round] == 1 || [estimate amount of
child support paid by r/spar in prev round] == 1 || [estimate amount of
assistance received from veterans' education benefits and/or other scholarships,
fellowships or grants in prev round?] == 1 || [estimate amount of educational
benefits recieved in past calendar year by spouse/partner] == 1 || [estimate
amount of total income respondent/spar received from veteran benefits in prev
round] == 1 || [estimate amount of respondent/spar total income from disability
in prev round] == 1 || [esimate amount respondent/spar recieved in total income
from social security in prev round] == 1 || [estimate market value or amount
that respondent/spar received since dli from estates/trusts/inheritances] == 1
|| [estimate market value respondent/spar received from
estates/trusts/inheritances since dli] == 1 || [estimate amount respondent/spar
received from life insurance settlement since dli] == 1 || [estimate amount
respondent/spar received from life insurance settlement in prev round] == 1 ||
[estimate income received by respondent/spar in past calendar year] == 1 ||
[estimate amount respondent received from Earned Income Tax Credit in 2003] == 1
|| [estimate income from all welfare sources for other hh members in 2003] == 1
|| [estimate income from all regular sources for other family] == 1 ||
[fa_1a_refe] == 1 || [fa_2a_refe] == 1 || [fa_3a_refe] == 1 || [fa_4a_refe] == 1
|| [fa_5a_refe] == 1 || [fa_6d_refe] == 1 || [fa_6e_refe] == 1 || [fa_7b_refe]
== 1 || [fa_7c_refe] == 1 || [fa_9a_refe] == 1 || [fa_10a_refe] == 1 ||
[fa_11a_refe] == 1 || [nfa_1a_refe] == 1)
COMMENT: R already refuse previous estimates?
If Answer
= 1 Then Go To NFA_1C_REF_1
NFA_1B_UAB_A [] |
Section: Income, Recipiency, Debt and
Assets |
(About how much do you [or] [Spouse/partner's name] owe
on this residence, for mortgages, home equity loans, back taxes, home
improvement loans? Please do not include any utility bills.)
Would it
amount to [entry pt other hh mems inc] or more?
NFA_1B_UAB_B [] |
Section: Income, Recipiency, Debt and
Assets |
Would it amount to $5,000 or more?
NFA_1B_UAB_C [] |
Section: Income, Recipiency, Debt and
Assets |
Would it amount to $30,000 or more?
NFA_1C_REF_1 [] |
Section: Income, Recipiency, Debt and
Assets |
([q13-3 refusal flag] == 1 || [q13-5 refusal flag] == 1
|| [q13-9 refusal flag] == 1 || [q13-16 refusal flag] == 1 || [q13-18 refusal
flag] == 1 || [q13-24 refusal flag] == 1 || [q13-31b refusal flag] == 1 ||
[q13-33i refusal flag] == 1 || [q13-33m refusal flag] == 1 || [q13-33u refusal
flag] == 1 || [q13-66 refusal flag] == 1 || [q13-68 refusal flag] == 1 ||
[q13-70_vet refusal flag] == 1 || [q13-70_dis refusal flag] == 1 || [q13-70_ss
refusal flag] == 1 || [q13-73 refusal flag] == 1 || [q13-73a refusal flag] == 1
|| [q13-73c refusal flag] == 1 || [q13-73d refusal flag] == 1 || [q13-75 refusal
flag] == 1 || [q13-78d refusal flag] == 1 || [q13-92 refusal flag] == 1 ||
[q13-92c refusal flag] == 1 || [R refuse FA_1A] == 1 || [R refuse FA_2A] == 1 ||
[R refuse FA_3A] == 1 || [R refuse FA_4A] == 1 || [R refuse FA_5A] == 1 || [R
refuse FA_6D] == 1 || [R refuse FA_6E] == 1 || [R refuse FA_7B] == 1 || [R
refuse FA_7C] == 1|| [R refuse FA_9A] == 1 || [R refuse FA_10A] == 1 || [R
refuse FA_11A] == 1 || [r refuse nfa_1a_ref] == 1 || [r refuse nfa_1b_ref] ==
1)
COMMENT: R already refuse previous estimates?
If Answer
= 1 Then Go To NFA_1C_REF_2
NFA_1C [] |
Section: Income, Recipiency, Debt and
Assets |
How much other debt do you [or] [Spouse/partner's name]
have on this residence, such as assessments, home repair bills?
If Answer = -2 Then Go To NFA_1C_SR000001
If Answer = -1 Then Go To NFA_1C_REF_2
NFA_1C_SR000001 [] |
Section: Income, Recipiency, Debt and
Assets |
Can you give me an approximate range for that
amount?
(INTERVIEWER: IT IS
ACCEPTABLE FOR RESPONDENT TO REPORT UPPER AND LOWER RANGES VERY CLOSE TOGETHER,
OR THE SAME FIGURE FOR UPPER AND LOWER RANGE IF A SPECIFIC NUMBER.)
COMMENT: FIELDS=({hi_orelinc_persrc}=LONG=10="More than:"=05=15,
{lo_orelinc_persrc}=LONG=10="Less than:"=20=400) ORIGINAL MULTIPLE FIELDS
QUESTION. BROKEN INTO SEPARATE QUESTIONS BY CONVERSION.
NFA_1C_SR000002 [] |
Section: Income, Recipiency, Debt and
Assets |
If Answer >= -2 AND Answer <= -1 Then Go To NFA_1C_REF_2
NFA_1C_REF_2 [] |
Section: Income, Recipiency, Debt and
Assets |
([estimate amount of total income received during prev
round from the military before taxes and other deductions] == 1 || [estimate
amount of total income from wages and salary in past calendar year] == 1 ||
[estimate income from farm/business/professional practice in past calendar year]
== 1 || [estimate total income of spouse/partner from military service in prev
round] == 1 || [estimate amount spar received from wages, salary, commissions
and tips from all (other) jobs, before deductions for taxes or anything else] ==
1 || [amount spouse received after expenses from farm/business/professional
practice] == 1 || [estimate amount of respondent/spar's worker's compentation
payments in prev round] == 1 || [estimate amount of child support respondent
actually received in prev round] == 1 || [estimate amount of child support
spouse/partner actually received in prev round] == 1 || [estimate amount of
child support paid by r/spar in prev round] == 1 || [estimate amount of
assistance received from veterans' education benefits and/or other scholarships,
fellowships or grants in prev round?] == 1 || [estimate amount of educational
benefits recieved in past calendar year by spouse/partner] == 1 || [estimate
amount of total income respondent/spar received from veteran benefits in prev
round] == 1 || [estimate amount of respondent/spar total income from disability
in prev round] == 1 || [esimate amount respondent/spar recieved in total income
from social security in prev round] == 1 || [estimate market value or amount
that respondent/spar received since dli from estates/trusts/inheritances] == 1
|| [estimate market value respondent/spar received from
estates/trusts/inheritances since dli] == 1 || [estimate amount respondent/spar
received from life insurance settlement since dli] == 1 || [estimate amount
respondent/spar received from life insurance settlement in prev round] == 1 ||
[estimate income received by respondent/spar in past calendar year] == 1 ||
[estimate amount respondent received from Earned Income Tax Credit in 2003] == 1
|| [estimate income from all welfare sources for other hh members in 2003] == 1
|| [estimate income from all regular sources for other family] == 1 ||
[fa_1a_refe] == 1 || [fa_2a_refe] == 1 || [fa_3a_refe] == 1 || [fa_4a_refe] == 1
|| [fa_5a_refe] == 1 || [fa_6d_refe] == 1 || [fa_6e_refe] == 1 || [fa_7b_refe]
== 1 || [fa_7c_refe] == 1 || [fa_9a_refe] == 1 || [fa_10a_refe] == 1 ||
[fa_11a_refe] == 1 || [nfa_1a_refe] == 1 || [nfa_1b_refe] == 1)
COMMENT: R already refuse previous estimates?
If Answer
= 1 Then Go To NFA_2
NFA_1C_UAB_A [] |
Section: Income, Recipiency, Debt and
Assets |
(About how much other debt do you [or] [Spouse/partner's
name] have on this residence, such as assessments, home repair
bills?)
Would it amount to [entry pt other hh mems inc] or
more?
NFA_1C_UAB_B [] |
Section: Income, Recipiency, Debt and
Assets |
Would it amount to $5,000 or more?
NFA_1C_UAB_C [] |
Section: Income, Recipiency, Debt and
Assets |
Would it amount to $30,000 or more?
NFA_2 [] |
Section: Income, Recipiency, Debt and
Assets |
(Other than the property you have already told me
about/other than the property associated with your farm or primary residence,)
Do you [or] [Spouse/partner's name] own any other property, such as a second
home or a time-share? Please do not include any real estate that you hold for
business purposes; we will be asking you about that later.
NFA_2_REF_1 [] |
Section: Income, Recipiency, Debt and
Assets |
([q13-3 refusal flag] == 1 || [q13-5 refusal flag] == 1
|| [q13-9 refusal flag] == 1 || [q13-16 refusal flag] == 1 || [q13-18 refusal
flag] == 1 || [q13-24 refusal flag] == 1 || [q13-31b refusal flag] == 1 ||
[q13-33i refusal flag] == 1 || [q13-33m refusal flag] == 1 || [q13-33u refusal
flag] == 1 || [q13-66 refusal flag] == 1 || [q13-68 refusal flag] == 1 ||
[q13-70_vet refusal flag] == 1 || [q13-70_dis refusal flag] == 1 || [q13-70_ss
refusal flag] == 1 || [q13-73 refusal flag] == 1 || [q13-73a refusal flag] == 1
|| [q13-73c refusal flag] == 1 || [q13-73d refusal flag] == 1 || [q13-75 refusal
flag] == 1 || [q13-78d refusal flag] == 1 || [q13-92 refusal flag] == 1 ||
[q13-92c refusal flag] == 1 || [R refuse FA_1A] == 1 || [R refuse FA_2A] == 1 ||
[R refuse FA_3A] == 1 || [R refuse FA_4A] == 1 || [R refuse FA_5A] == 1 || [R
refuse FA_6D] == 1 || [R refuse FA_6E] == 1 || [R refuse FA_7B] == 1 || [R
refuse FA_7C] == 1|| [R refuse FA_9A] == 1 || [R refuse FA_10A] == 1 || [R
refuse FA_11A] == 1 || [r refuse nfa_1a_ref] == 1 || [r refuse nfa_1b_ref] == 1
|| [r refuse nfa_1c_ref] == 1)
COMMENT: R already refuse previous estimates?
If Answer
= 1 Then Go To NFA_2A_REF_2
NFA_2A [] |
Section: Income, Recipiency, Debt and
Assets |
Altogether, about how much do you think these other
properties would sell for on today's market?
If Answer = -2 Then Go To NFA_2A_SR000001
If Answer = -1 Then Go To NFA_2A_REF_2
NFA_2A_SR000001 [] |
Section: Income, Recipiency, Debt and
Assets |
Can you give me an approximate range for that
amount?
(INTERVIEWER: IT IS
ACCEPTABLE FOR RESPONDENT TO REPORT UPPER AND LOWER RANGES VERY CLOSE TOGETHER,
OR THE SAME FIGURE FOR UPPER AND LOWER RANGE IF A SPECIFIC NUMBER.)
COMMENT: FIELDS=({hi_orelinc_persrc}=LONG=10="More than:"=05=15,
{lo_orelinc_persrc}=LONG=10="Less than:"=20=400) ORIGINAL MULTIPLE FIELDS
QUESTION. BROKEN INTO SEPARATE QUESTIONS BY CONVERSION.
NFA_2A_SR000002 [] |
Section: Income, Recipiency, Debt and
Assets |
If Answer >= -2 AND Answer <= -1 Then Go To NFA_2A_REF_2
NFA_2A_REF_2 [] |
Section: Income, Recipiency, Debt and
Assets |
([estimate amount of total income received during prev
round from the military before taxes and other deductions] == 1 || [estimate
amount of total income from wages and salary in past calendar year] == 1 ||
[estimate income from farm/business/professional practice in past calendar year]
== 1 || [estimate total income of spouse/partner from military service in prev
round] == 1 || [estimate amount spar received from wages, salary, commissions
and tips from all (other) jobs, before deductions for taxes or anything else] ==
1 || [amount spouse received after expenses from farm/business/professional
practice] == 1 || [estimate amount of respondent/spar's worker's compentation
payments in prev round] == 1 || [estimate amount of child support respondent
actually received in prev round] == 1 || [estimate amount of child support
spouse/partner actually received in prev round] == 1 || [estimate amount of
child support paid by r/spar in prev round] == 1 || [estimate amount of
assistance received from veterans' education benefits and/or other scholarships,
fellowships or grants in prev round?] == 1 || [estimate amount of educational
benefits recieved in past calendar year by spouse/partner] == 1 || [estimate
amount of total income respondent/spar received from veteran benefits in prev
round] == 1 || [estimate amount of respondent/spar total income from disability
in prev round] == 1 || [esimate amount respondent/spar recieved in total income
from social security in prev round] == 1 || [estimate market value or amount
that respondent/spar received since dli from estates/trusts/inheritances] == 1
|| [estimate market value respondent/spar received from
estates/trusts/inheritances since dli] == 1 || [estimate amount respondent/spar
received from life insurance settlement since dli] == 1 || [estimate amount
respondent/spar received from life insurance settlement in prev round] == 1 ||
[estimate income received by respondent/spar in past calendar year] == 1 ||
[estimate amount respondent received from Earned Income Tax Credit in 2003] == 1
|| [estimate income from all welfare sources for other hh members in 2003] == 1
|| [estimate income from all regular sources for other family] == 1 ||
[fa_1a_refe] == 1 || [fa_2a_refe] == 1 || [fa_3a_refe] == 1 || [fa_4a_refe] == 1
|| [fa_5a_refe] == 1 || [fa_6d_refe] == 1 || [fa_6e_refe] == 1 || [fa_7b_refe]
== 1 || [fa_7c_refe] == 1 || [fa_9a_refe] == 1 || [fa_10a_refe] == 1 ||
[fa_11a_refe] == 1 || [nfa_1a_refe] == 1 || [nfa_1b_refe] == 1 || [nfa_1c_refe]
== 1)
COMMENT: R already refuse previous estimates?
If Answer
= 1 Then Go To NFA_2B_REF_1
NFA_2A_UAB_A [] |
Section: Income, Recipiency, Debt and
Assets |
Would it amount to [entry pt other hh mems inc] or
more?
NFA_2A_UAB_B [] |
Section: Income, Recipiency, Debt and
Assets |
Would it amount to $5,000 or more?
NFA_2A_UAB_C [] |
Section: Income, Recipiency, Debt and
Assets |
Would it amount to $30,000 or more?
NFA_2B_REF_1 [] |
Section: Income, Recipiency, Debt and
Assets |
([q13-3 refusal flag] == 1 || [q13-5 refusal flag] == 1
|| [q13-9 refusal flag] == 1 || [q13-16 refusal flag] == 1 || [q13-18 refusal
flag] == 1 || [q13-24 refusal flag] == 1 || [q13-31b refusal flag] == 1 ||
[q13-33i refusal flag] == 1 || [q13-33m refusal flag] == 1 || [q13-33u refusal
flag] == 1 || [q13-66 refusal flag] == 1 || [q13-68 refusal flag] == 1 ||
[q13-70_vet refusal flag] == 1 || [q13-70_dis refusal flag] == 1 || [q13-70_ss
refusal flag] == 1 || [q13-73 refusal flag] == 1 || [q13-73a refusal flag] == 1
|| [q13-73c refusal flag] == 1 || [q13-73d refusal flag] == 1 || [q13-75 refusal
flag] == 1 || [q13-78d refusal flag] == 1 || [q13-92 refusal flag] == 1 ||
[q13-92c refusal flag] == 1 || [R refuse FA_1A] == 1 || [R refuse FA_2A] == 1 ||
[R refuse FA_3A] == 1 || [R refuse FA_4A] == 1 || [R refuse FA_5A] == 1 || [R
refuse FA_6D] == 1 || [R refuse FA_6E] == 1 || [R refuse FA_7B] == 1 || [R
refuse FA_7C] == 1|| [R refuse FA_9A] == 1 || [R refuse FA_10A] == 1 || [R
refuse FA_11A] == 1 || [r refuse nfa_1a_ref] == 1 || [r refuse nfa_1b_ref] == 1
|| [r refuse nfa_1c_ref] == 1 || [r refuse nfa_2a_ref] == 1)
COMMENT: R already refuse previous estimates?
If Answer
= 1 Then Go To NFA_2B_REF_2
NFA_2B [] |
Section: Income, Recipiency, Debt and
Assets |
About how much do you [or] [Spouse/partner's name] owe on
these properties, for mortgages, back taxes, or home improvement
loans?
If Answer = -2 Then Go To NFA_2B_SR000001
If Answer = -1 Then Go To NFA_2B_REF_2
NFA_2B_SR000001 [] |
Section: Income, Recipiency, Debt and
Assets |
Can you give me an approximate range for that
amount?
(INTERVIEWER: IT IS
ACCEPTABLE FOR RESPONDENT TO REPORT UPPER AND LOWER RANGES VERY CLOSE TOGETHER,
OR THE SAME FIGURE FOR UPPER AND LOWER RANGE IF A SPECIFIC NUMBER.)
COMMENT: FIELDS=({hi_orelinc_persrc}=LONG=10="More than:"=05=15,
{lo_orelinc_persrc}=LONG=10="Less than:"=20=400) ORIGINAL MULTIPLE FIELDS
QUESTION. BROKEN INTO SEPARATE QUESTIONS BY CONVERSION.
NFA_2B_SR000002 [] |
Section: Income, Recipiency, Debt and
Assets |
If Answer >= -2 AND Answer <= -1 Then Go To NFA_2B_REF_2
NFA_2B_REF_2 [] |
Section: Income, Recipiency, Debt and
Assets |
([estimate amount of total income received during prev
round from the military before taxes and other deductions] == 1 || [estimate
amount of total income from wages and salary in past calendar year] == 1 ||
[estimate income from farm/business/professional practice in past calendar year]
== 1 || [estimate total income of spouse/partner from military service in prev
round] == 1 || [estimate amount spar received from wages, salary, commissions
and tips from all (other) jobs, before deductions for taxes or anything else] ==
1 || [amount spouse received after expenses from farm/business/professional
practice] == 1 || [estimate amount of respondent/spar's worker's compentation
payments in prev round] == 1 || [estimate amount of child support respondent
actually received in prev round] == 1 || [estimate amount of child support
spouse/partner actually received in prev round] == 1 || [estimate amount of
child support paid by r/spar in prev round] == 1 || [estimate amount of
assistance received from veterans' education benefits and/or other scholarships,
fellowships or grants in prev round?] == 1 || [estimate amount of educational
benefits recieved in past calendar year by spouse/partner] == 1 || [estimate
amount of total income respondent/spar received from veteran benefits in prev
round] == 1 || [estimate amount of respondent/spar total income from disability
in prev round] == 1 || [esimate amount respondent/spar recieved in total income
from social security in prev round] == 1 || [estimate market value or amount
that respondent/spar received since dli from estates/trusts/inheritances] == 1
|| [estimate market value respondent/spar received from
estates/trusts/inheritances since dli] == 1 || [estimate amount respondent/spar
received from life insurance settlement since dli] == 1 || [estimate amount
respondent/spar received from life insurance settlement in prev round] == 1 ||
[estimate income received by respondent/spar in past calendar year] == 1 ||
[estimate amount respondent received from Earned Income Tax Credit in 2003] == 1
|| [estimate income from all welfare sources for other hh members in 2003] == 1
|| [estimate income from all regular sources for other family] == 1 ||
[fa_1a_refe] == 1 || [fa_2a_refe] == 1 || [fa_3a_refe] == 1 || [fa_4a_refe] == 1
|| [fa_5a_refe] == 1 || [fa_6d_refe] == 1 || [fa_6e_refe] == 1 || [fa_7b_refe]
== 1 || [fa_7c_refe] == 1 || [fa_9a_refe] == 1 || [fa_10a_refe] == 1 ||
[fa_11a_refe] == 1 || [nfa_1a_refe] == 1 || [nfa_1b_refe] == 1 || [nfa_1c_refe]
== 1 || [nfa_2a_refe] == 1)
COMMENT: R already refuse previous estimates?
If Answer
= 1 Then Go To NFA_2C_REF_1
NFA_2B_UAB_A [] |
Section: Income, Recipiency, Debt and
Assets |
Would it amount to [entry pt other hh mems inc] or
more?
NFA_2B_UAB_B [] |
Section: Income, Recipiency, Debt and
Assets |
Would it amount to $5,000 or more?
NFA_2B_UAB_C [] |
Section: Income, Recipiency, Debt and
Assets |
Would it amount to $30,000 or more?
NFA_2C_REF_1 [] |
Section: Income, Recipiency, Debt and
Assets |
([q13-3 refusal flag] == 1 || [q13-5 refusal flag] == 1
|| [q13-9 refusal flag] == 1 || [q13-16 refusal flag] == 1 || [q13-18 refusal
flag] == 1 || [q13-24 refusal flag] == 1 || [q13-31b refusal flag] == 1 ||
[q13-33i refusal flag] == 1 || [q13-33m refusal flag] == 1 || [q13-33u refusal
flag] == 1 || [q13-66 refusal flag] == 1 || [q13-68 refusal flag] == 1 ||
[q13-70_vet refusal flag] == 1 || [q13-70_dis refusal flag] == 1 || [q13-70_ss
refusal flag] == 1 || [q13-73 refusal flag] == 1 || [q13-73a refusal flag] == 1
|| [q13-73c refusal flag] == 1 || [q13-73d refusal flag] == 1 || [q13-75 refusal
flag] == 1 || [q13-78d refusal flag] == 1 || [q13-92 refusal flag] == 1 ||
[q13-92c refusal flag] == 1 || [R refuse FA_1A] == 1 || [R refuse FA_2A] == 1 ||
[R refuse FA_3A] == 1 || [R refuse FA_4A] == 1 || [R refuse FA_5A] == 1 || [R
refuse FA_6D] == 1 || [R refuse FA_6E] == 1 || [R refuse FA_7B] == 1 || [R
refuse FA_7C] == 1|| [R refuse FA_9A] == 1 || [R refuse FA_10A] == 1 || [R
refuse FA_11A] == 1 || [r refuse nfa_1a_ref] == 1 || [r refuse nfa_1b_ref] == 1
|| [r refuse nfa_1c_ref] == 1 || [r refuse nfa_2a_ref] == 1 || [r refuse
nfa_2b_ref] == 1)
COMMENT: R already refuse previous estimates?
If Answer
= 1 Then Go To NFA_2C_REF_2
NFA_2C [] |
Section: Income, Recipiency, Debt and
Assets |
How much other debt do you [or] [Spouse/partner's name]
have on these properties, such as assessments or home repair bills?
If Answer = -2 Then Go To NFA_2C_SR000001
If Answer = -1 Then Go To NFA_2C_REF_2
NFA_2C_SR000001 [] |
Section: Income, Recipiency, Debt and
Assets |
Can you give me an approximate range for that
amount?
(INTERVIEWER: IT IS
ACCEPTABLE FOR RESPONDENT TO REPORT UPPER AND LOWER RANGES VERY CLOSE TOGETHER,
OR THE SAME FIGURE FOR UPPER AND LOWER RANGE IF A SPECIFIC NUMBER.)
COMMENT: FIELDS=({hi_orelinc_persrc}=LONG=10="More than:"=05=15,
{lo_orelinc_persrc}=LONG=10="Less than:"=20=400) ORIGINAL MULTIPLE FIELDS
QUESTION. BROKEN INTO SEPARATE QUESTIONS BY CONVERSION.
NFA_2C_SR000002 [] |
Section: Income, Recipiency, Debt and
Assets |
If Answer >= -2 AND Answer <= -1 Then Go To NFA_2C_REF_2
NFA_2C_REF_2 [] |
Section: Income, Recipiency, Debt and
Assets |
([estimate amount of total income received during prev
round from the military before taxes and other deductions] == 1 || [estimate
amount of total income from wages and salary in past calendar year] == 1 ||
[estimate income from farm/business/professional practice in past calendar year]
== 1 || [estimate total income of spouse/partner from military service in prev
round] == 1 || [estimate amount spar received from wages, salary, commissions
and tips from all (other) jobs, before deductions for taxes or anything else] ==
1 || [amount spouse received after expenses from farm/business/professional
practice] == 1 || [estimate amount of respondent/spar's worker's compentation
payments in prev round] == 1 || [estimate amount of child support respondent
actually received in prev round] == 1 || [estimate amount of child support
spouse/partner actually received in prev round] == 1 || [estimate amount of
child support paid by r/spar in prev round] == 1 || [estimate amount of
assistance received from veterans' education benefits and/or other scholarships,
fellowships or grants in prev round?] == 1 || [estimate amount of educational
benefits recieved in past calendar year by spouse/partner] == 1 || [estimate
amount of total income respondent/spar received from veteran benefits in prev
round] == 1 || [estimate amount of respondent/spar total income from disability
in prev round] == 1 || [esimate amount respondent/spar recieved in total income
from social security in prev round] == 1 || [estimate market value or amount
that respondent/spar received since dli from estates/trusts/inheritances] == 1
|| [estimate market value respondent/spar received from
estates/trusts/inheritances since dli] == 1 || [estimate amount respondent/spar
received from life insurance settlement since dli] == 1 || [estimate amount
respondent/spar received from life insurance settlement in prev round] == 1 ||
[estimate income received by respondent/spar in past calendar year] == 1 ||
[estimate amount respondent received from Earned Income Tax Credit in 2003] == 1
|| [estimate income from all welfare sources for other hh members in 2003] == 1
|| [estimate income from all regular sources for other family] == 1 ||
[fa_1a_refe] == 1 || [fa_2a_refe] == 1 || [fa_3a_refe] == 1 || [fa_4a_refe] == 1
|| [fa_5a_refe] == 1 || [fa_6d_refe] == 1 || [fa_6e_refe] == 1 || [fa_7b_refe]
== 1 || [fa_7c_refe] == 1 || [fa_9a_refe] == 1 || [fa_10a_refe] == 1 ||
[fa_11a_refe] == 1 || [nfa_1a_refe] == 1 || [nfa_1b_refe] == 1 || [nfa_1c_refe]
== 1 || [nfa_2a_refe] == 1 || [nfa_2b_refe] == 1)
COMMENT: R already refuse previous estimates?
If Answer
= 1 Then Go To Q13-127A
NFA_2C_UAB_A [] |
Section: Income, Recipiency, Debt and
Assets |
Would it amount to [entry pt other hh mems inc] or
more?
NFA_2C_UAB_B [] |
Section: Income, Recipiency, Debt and
Assets |
Would it amount to $5,000 or more?
NFA_2C_UAB_C [] |
Section: Income, Recipiency, Debt and
Assets |
Would it amount to $30,000 or more?
Q13-127A [] |
Section: Income, Recipiency, Debt and
Assets |
(([Farm ownership reported in income qs]==0 &&
[Farm ownership by spouse/partner reported in income qs]==0) || (([Did R receive
income from either own farm or own non-farm business or partnership]==1 || [Did
spouse receive income from either own farm or own non-farm business or
partnership]==1) && [farms jointly owned or invested in with someone
else]==0 && [Spouse/partner's farms jointly owned or invested in with
someone else]==0 && [Business or Professional Practice Wholly Owned By
R?]==0 && [Business or Professional Practice Jointly Owned By
R?]==0))
COMMENT: Did R report no income from fbpp or income, but no joint ownership
in the income section?
If Answer = 1 Then Go To Q13-128
Q13-127B [] |
Section: Income, Recipiency, Debt and
Assets |
(([Did R receive income from either own farm or own
non-farm business or partnership]==1 || [Did spouse receive income from either
own farm or own non-farm business or partnership]==1) && ([farms jointly
owned or invested in with someone else]==1 || [Spouse/partner's farms jointly
owned or invested in with someone else]==1) && ([Business or
Professional Practice Wholly Owned By R?]==1 || [Business or Professional
Practice Jointly Owned By R?]==1))
COMMENT: Did R report income from both fbpp and both involve joint ownership
in the income section?
If Answer = 1 Then Go To Q13-128A
Q13-127C [] |
Section: Income, Recipiency, Debt and
Assets |
(([farms jointly owned or invested in with someone
else]==1 || [Spouse/partner's farms jointly owned or invested in with someone
else]==1) && [Business or Professional Practice Wholly Owned By R?]==0
&& [Business or Professional Practice Jointly Owned By
R?]==0)
COMMENT: Did R report income and joint ownership of farms, but not
business/professional practice in the income section?
If
Answer = 1 Then Go To Q13-128C
Q13-127D [] |
Section: Income, Recipiency, Debt and
Assets |
(([Business or Professional Practice Wholly Owned By
R?]==1 || [Business or Professional Practice Jointly Owned By R?]==1) &&
[farms jointly owned or invested in with someone else]==0 &&
[Spouse/partner's farms jointly owned or invested in with someone
else]==0)
COMMENT: Did R report income and joint ownership of business/professional
practice, but not farms in the income section?
If Answer =
1 Then Go To Q13-128E
Q13-128 [] |
Section: Income, Recipiency, Debt and
Assets |
Do you [or] [Spouse/partner's name] currently own or have
an investment in a farm operation, a business or professional practice, or any
other real estate, (not counting properties on which you are living)?
Q13-128A [] |
Section: Income, Recipiency, Debt and
Assets |
Earlier you mentioned that you ([or] [Spouse/partner's
name]) received income from a jointly owned farm operation or a business or
professional practice during 2015. Do you [or] [Spouse/partner's name] currently
own or have an investment in a farm operation or a business or professional
practice?
(SELECT ALL THAT APPLY)
|
1 FARM |
|
2 BUSINESS OR
PROFESSIONAL PRACTICE |
|
3 NEITHER |
Q13-128B [] |
Section: Income, Recipiency, Debt and
Assets |
Do you [or] [Spouse/partner's name] currently own or have
an investment in any other real estate, (not counting properties on which you
are living)?
Q13-128C [] |
Section: Income, Recipiency, Debt and
Assets |
Earlier you mentioned that you ([or] [Spouse/partner's
name]) received income from a jointly owned farm operation during 2015. Do you
([or] [Spouse/partner's name]) currently own or have an investment in a farm
operation?
Q13-128D [] |
Section: Income, Recipiency, Debt and
Assets |
Do you [or] [Spouse/partner's name] currently own or have
an investment in a business or professional practice, or in any other real
estate, (not counting properties on which you are living)?
(SELECT ALL
THAT APPLY)
|
1 BUSINESS OR
PROFESSIONAL PRACTICE |
|
2 OTHER REAL
ESTATE |
|
3 NEITHER |
Q13-128E [] |
Section: Income, Recipiency, Debt and
Assets |
Earlier you mentioned that you ([or] [Spouse/partner's
name]) received income from a jointly owned business or professional practice
during 2015. Do you ([or] [Spouse/partner's name]) currently own or have an
investment in a business or professional practice?
Q13-128F [] |
Section: Income, Recipiency, Debt and
Assets |
Do you [or] [Spouse/partner's name] currently own or have
an investment in a farm operation, or in any other real estate, (not counting
properties on which you are living)?
(SELECT ALL THAT APPLY)
|
1 FARM |
|
2 OTHER REAL
ESTATE |
|
3 NEITHER |
Q13-129 [] |
Section: Income, Recipiency, Debt and
Assets |
Which ones?
(SELECT ALL THAT APPLY.)
|
1 Farm |
|
2 Business |
|
3 Other real
estate |
Q13-FJT-1_A1 [] |
Section: Income, Recipiency, Debt and
Assets |
([farms jointly owned or invested in with someone
else]==1 || [Spouse/partner's farms jointly owned or invested in with someone
else]==1)
COMMENT: Did R report any jt ownership in farms for self or spouse in income
section?
If Answer = 1 Then Go To Q13-FJT-1D
Q13-FJT-1_B [] |
Section: Income, Recipiency, Debt and
Assets |
([any farm ownership/investment?]==1)
COMMENT: Did R report farm investment or ownership?
If
Answer = 1 Then Go To Q13-FJT-1_B1
Q13-FJT-1_B1 [] |
Section: Income, Recipiency, Debt and
Assets |
Are any of the farms you currently own or have
investments in, jointly owned or invested in with someone else?
(INTERVIEWER: A FARM OWNED WITH A SPOUSE OR DOMESTIC
PARTNER IS NOT CONSIDERED JOINTLY OWNED. R MUST OWN OR INVEST WITH SOMEONE
OUTSIDE [HISR/HERR] HOUSEHOLD TO QUALIFY FOR JOINT OWNERSHIP.)
Q13-FJT-1D [] |
Section: Income, Recipiency, Debt and
Assets |
(([any farm ownership/investment?]==0 || ([any farm
ownership/investment?]==1 && [any farm joint ownership/investment?]==0))
&& [Did R report any jt ownership in farms for self or spouse in income
section]==0)
COMMENT: Was no ownership or no joint owership of farms reported in income or
assets section?
If Answer = 1 Then Go To Q13-BPPJT-1_A1
Q13-FJT-2 [] |
Section: Income, Recipiency, Debt and
Assets |
[farmenum_text1] Please list the names of all the farms
which you [have owned or invested in since January 1999 and now/ currently own
or invest in].
(INTERVIEWER: IF R
MENTIONED INCOME FROM JOINTLY OWNED FARM EARLIER, BUT REPORTS NO OWNERSHIP NOW,
SELECT <SUBMIT AND CONTINUE> TO PROCEED. OTHERWISE, ENTER NAMES OF ALL
FARM OPERATIONS OWNED OR INVESTED IN BY R IN ROSTER. VERIFY AFTER ALL NAMES ARE
ENTERED ON ROSTER BY READING:)
Are (READ NAMES OF FARMS FROM ROSTER) all
the farms you [have owned or invested in since January 1999 and now/ currently
own or invest in]?
(INTERVIEWER:
SELECT <ADD ROW> TO ENTER NAMES OF
OTHER FARMS OR SELECT <SUBMIT AND CONTINUE> TO PROCEED.)
Q13-FJT-2A [] |
Section: Income, Recipiency, Debt and
Assets |
RECCOUNT([FARMS1])
COMMENT: Count number of farms reported
If Answer = 0
Then Go To Q13-BPPJT-1_A1
Q13-FJT-3 [] |
Section: Income, Recipiency, Debt and
Assets |
XFER OUT [FARMS1] FIELDS FARMNAME=[name of farm jointly
owned],FARMPCT=[farms1_farmpct]
COMMENT: Xfer out names of farms reported
If Answer = 0
Then Go To Q13-BPPJT-1_A1
If Answer = 1 Then Go To Q13-FJT-4
Q13-FJT-4 [] |
Section: Income, Recipiency, Debt and
Assets |
Now, I'm going to ask you some questions about [of the
farm/of each of the farms] you [or] [Spouse/partner's name] [have owned or
invested in since January 1999 and now/ currently own or invest in].
Q13-FJT-5-LOOP-BEG [] |
Section: Income, Recipiency, Debt and
Assets |
REPEAT ([loop for jointly owned farms])
COMMENT: Start loop to ask about each farm reported
Q13-FJT-5B [] |
Section: Income, Recipiency, Debt and
Assets |
[farms_firstnow([loop for jointly owned farms])] I'd like
to ask you some additional questions about [name of farm jointly owned([loop for
jointly owned farms])].
(INTERVIEWER:
IF NOT ALREADY ANSWERED, ASK THE FOLLOWING. OTHERWISE, CODE WITHOUT
ASKING):
Do you currently own [name of farm jointly owned([loop for
jointly owned farms])]?
(INTERVIEWER:
IF "NEVER OWNED" THIS FARM, PLEASE EXPLAIN IN INTERVIEWER COMMENT.)
Q13-FJT-11 [] |
Section: Income, Recipiency, Debt and
Assets |
In answering the following questions, please include all
of the land, buildings, equipment, livestock, stored crops, and other assets
that you [or] [Spouse/partner's name] own in conjunction with the farm, or that
you own with someone else.
First, how much would the farm sell for on
today's market? Do not include crops held under Commodity Credit
Loans.
Q13-FJT-12 [] |
Section: Income, Recipiency, Debt and
Assets |
What is the total amount of debts or liabilities owed on
[name of farm jointly owned([loop for jointly owned farms])]? Include any unpaid
mortgages but do not count Commodity Credit Loans.
Q13-FJT-12A [] |
Section: Income, Recipiency, Debt and
Assets |
([amount farm would sell for on today's market([loop for
jointly owned farms])] == -2)
COMMENT: Did R not know the total market value of this farm?
If
Answer = 1 Then Go To Q13-FJT-12E
Q13-FJT-12B [] |
Section: Income, Recipiency, Debt and
Assets |
What percentage of [name of farm jointly owned([loop for
jointly owned farms])] do you [or] [Spouse/partner's name] own?
Q13-FJT-12E [] |
Section: Income, Recipiency, Debt and
Assets |
What is the market value of your share of [name of farm
jointly owned([loop for jointly owned farms])]? Do not include crops held under
Commodity Credit Loans.
Q13-FJT-12G [] |
Section: Income, Recipiency, Debt and
Assets |
(([Farm ownership reported in income qs]==0 || ([Farm
ownership reported in income qs]==1 && [farms jointly owned or invested
in with someone else]==0)) &&
([Farm ownership by spouse/partner
reported in income qs]==0 || ([Farm ownership by spouse/partner reported in
income qs]==1 && [Spouse/partner's farms jointly owned or invested in
with someone else]==0)))
COMMENT: No farms income for r/spouse/partner or income but sole
proprietorship reported for farms in income section - meaning only currently
owned farms are being asked about in assets section?
If
Answer = 1 Then Go To Q13-FJT-16-LOOP-END
Q13-FJT-13 [] |
Section: Income, Recipiency, Debt and
Assets |
During 2015, did you [or] [Spouse/partner's name] earn
any income after expenses, or incur a loss from [farm_pctshare1([loop for
jointly owned farms])] [farms1_farmpct([loop for jointly owned farms])]
[farm_pctshare2([loop for jointly owned farms])] [name of farm jointly
owned([loop for jointly owned farms])], or did you break even?
|
1 earned income
after expenses ...(Go To Q13-FJT-14) |
|
2 incurred a
loss ...(Go To Q13-FJT-15) |
|
3 broke
even |
|
4 DID NOT OWN
OR INVEST IN THIS FARM, BUSINESS OR PROFESSIONAL PRACTICE DURING
2015 |
Q13-FJT-14 [] |
Section: Income, Recipiency, Debt and
Assets |
During 2015, how much income did you receive after
expenses from [farm_pctshare1([loop for jointly owned farms])]
[farms1_farmpct([loop for jointly owned farms])] [farm_pctshare2([loop for
jointly owned farms])] [name of farm jointly owned([loop for jointly owned
farms])]?
Q13-FJT-15 [] |
Section: Income, Recipiency, Debt and
Assets |
During 2015, how much of a loss did [farm_pctshare1([loop
for jointly owned farms])] [farms1_farmpct([loop for jointly owned farms])]
[farm_pctshare2([loop for jointly owned farms])] [name of farm jointly
owned([loop for jointly owned farms])] incur?
Q13-FJT-16-LOOP-END [] |
Section: Income, Recipiency, Debt and
Assets |
UNTIL ([loop for jointly owned farms]==[number of farms
reported (some joint ownership)] || [number of farms reported (some joint
ownership)]==0)
COMMENT: Repeat until all farms accounted for
Q13-BPPJT-1_A1 [] |
Section: Income, Recipiency, Debt and
Assets |
([Business or Professional Practice Wholly Owned By
R?]==1 || [Business or Professional Practice Jointly Owned By R?]==1)
COMMENT: Did R report any jt ownership in bpp for self or spouse in income
section?
If Answer = 1 Then Go To Q13-BPPJT-1D
Q13-BPPJT-1_B [] |
Section: Income, Recipiency, Debt and
Assets |
([any business/professional practice
ownership/investment?]==1)
COMMENT: Did R report bpp investment or ownership?
If
Answer = 1 Then Go To Q13-BPPJT-1_B1
Q13-BPPJT-1_B1 [] |
Section: Income, Recipiency, Debt and
Assets |
Are any of the businesses or professional practices you
currently own or have investments in, jointly owned or invested in with someone
else?
(INTERVIEWER: A BUSINESS OR
PROFESSIONAL PRACTICE OWNED WITH A SPOUSE OR DOMESTIC PARTNER IS NOT CONSIDERED
JOINTLY OWNED. R MUST OWN OR INVEST WITH SOMEONE OUTSIDE [HISR/HERR] HOUSEHOLD
TO QUALIFY FOR JOINT OWNERSHIP.)
Q13-BPPJT-1D [] |
Section: Income, Recipiency, Debt and
Assets |
(([any business/professional practice
ownership/investment?]==0 || ([any business/professional practice
ownership/investment?]==1 && [any bus/prof practice joint
ownership/investment?]==0)) && [Business or Professional Practice Joint
Owvership]==0)
COMMENT: Was no ownership or no joint owership of bpp reported in income or
assets section?
If Answer = 1 Then Go To Q13-REJT-1_A1
Q13-BPPJT-2 [] |
Section: Income, Recipiency, Debt and
Assets |
[Earlier you mentioned that you (or/spouse/partner) had
income from a jointly owned business or professional practice during 1999/ " "]
Please list the names of all the businesses and professional practices which you
[have owned or invested in since January 1999 and now/currently own or invest
in].
(INTERVIEWER: IF R MENTIONED
INCOME FROM JOINTLY OWNED BUSINESS OR PROFESSIONAL PRACTICE EARLIER, BUT REPORTS
NO OWNERSHIP NOW, SELECT <SUBMIT AND CONTINUE> TO PROCEED. OTHERWISE,
ENTER NAMES OF ALL BUSINESSES OR PROFESSIONAL PRACTICES OWNED OR INVESTED IN BY
R IN ROSTER. VERIFY AFTER ALL NAMES ARE ENTERED ON ROSTER BY
READING:)
Are (READ NAMES OF BUSINESSES OR PROFESSIONAL PRACTICES FROM
ROSTER) all the businesses and professional practices you [have owned or
invested in since January 1999 and now/currently own or invest
in]?
(INTERVIEWER: SELECT <ADD ROW> TO ENTER NAMES OF OTHER BUSINESSES
AND PROFESSIONAL PRACTICES OR SELECT <SUBMIT AND CONTINUE> TO
PROCEED.)
Q13-BPPJT-2A [] |
Section: Income, Recipiency, Debt and
Assets |
RECCOUNT([roster of businesses/professional
practices])
COMMENT: Count number of businesses or professional practices
reported
If Answer = 0 Then Go To Q13-REJT-1_A1
Q13-BPPJT-3 [] |
Section: Income, Recipiency, Debt and
Assets |
XFER OUT [roster of businesses/professional practices]
FIELDS NAME=[name of jointly owned business or professional practice]
COMMENT: Xfer out names of businesses or professional practices
reported
If Answer = 0 Then Go To Q13-REJT-1_A1
If Answer = 1 Then Go To Q13-BPPJT-4
Q13-BPPJT-4 [] |
Section: Income, Recipiency, Debt and
Assets |
Now, I'm going to ask you some questions about [of the
business or professional practice/of each of the businesses or professional
practices] you [or] [Spouse/partner's name] [have owned or invested in since
January 1999 and now/currently own or invest in].
Q13-BPPJT-5-LOOP-BEG [] |
Section: Income, Recipiency, Debt and
Assets |
REPEAT
COMMENT: Start loop to ask about each bpp reported
Q13-BPPJT-5B [] |
Section: Income, Recipiency, Debt and
Assets |
[First/Now([loop for jointly owned business/professional
practice])] I'd like to ask you some additional questions about [name of jointly
owned business or professional practice([loop for jointly owned
business/professional practice])].
(INTERVIEWER: IF NOT ALREADY ANSWERED, ASK THE
FOLLOWING. OTHERWISE, CODE WITHOUT ASKING):
Do you currently own [name of
jointly owned business or professional practice([loop for jointly owned
business/professional practice])]?
(INTERVIEWER: IF "NEVER OWNED" THIS BUSINESS OR
PROFESSIONAL PRACTICE, PLEASE EXPLAIN IN INTERVIEWER COMMENT.)
Q13-BPPJT-11 [] |
Section: Income, Recipiency, Debt and
Assets |
In answering these questions, please include all of the
land, buildings, tools, equipment, intellectual property, and other assets that
you [or] [Spouse/partner's name] own in conjunction with the business, or that
you own with someone else.
First, how much would the business or
professional practice sell for on today's market?
Q13-BPPJT-12 [] |
Section: Income, Recipiency, Debt and
Assets |
What is the total amount of debts or liabilities owed on
[name of jointly owned business or professional practice([loop for jointly owned
business/professional practice])]? Include any unpaid mortgages.
Q13-BPPJT-12A [] |
Section: Income, Recipiency, Debt and
Assets |
([amount business/professional practice would sell for on
today's market([loop for jointly owned business/professional practice])] ==
-2)
COMMENT: Did R not know the total market value of this business or
professional practice?
If Answer = 1 Then Go To Q13-BPPJT-12E
Q13-BPPJT-12B [] |
Section: Income, Recipiency, Debt and
Assets |
What percentage of [name of jointly owned business or
professional practice([loop for jointly owned business/professional practice])]
do you [or] [Spouse/partner's name] own?
Q13-BPPJT-12E [] |
Section: Income, Recipiency, Debt and
Assets |
What is the market value of your share of [name of
jointly owned business or professional practice([loop for jointly owned
business/professional practice])]?
Q13-BPPJT-12G [] |
Section: Income, Recipiency, Debt and
Assets |
(([Business or Professional practice ownership reported
in income qs]==0 ||([Business or Professional practice ownership reported in
income qs]==1 && [Business or Professional Practice Wholly Owned By
R?]==0)) &&
([Business or Professional practice ownership by
spouse/partner reported in income qs]==0 || ([Business or Professional practice
ownership by spouse/partner reported in income qs]==1&& [Business or
Professional Practice Jointly Owned By R?]==0)))
COMMENT: No farms income for r/spouse/partner or income but sole
proprietorship reported for bpp in income section - meaning only currently owned
bpp are being asked about in assets section?
If Answer = 1
Then Go To Q13-BPPJT-16-LOOP-END
Q13-BPPJT-13 [] |
Section: Income, Recipiency, Debt and
Assets |
During 2015, did you [or] [Spouse/partner's name] earn
any income after expenses, or incur a loss from [your([loop for jointly owned
business/professional practice])] [percent of business/professional practice r
owns([loop for jointly owned business/professional practice])] [share of([loop
for jointly owned business/professional practice])] [name of jointly owned
business or professional practice([loop for jointly owned business/professional
practice])], or did you break even?
|
1 earned income
after expenses ...(Go To Q13-BPPJT-14) |
|
2 incurred a
loss ...(Go To Q13-BPPJT-15) |
|
3 broke
even |
|
4 DID NOT OWN
OR INVEST IN THIS FARM, BUSINESS OR PROFESSIONAL PRACTICE DURING
2015 |
Q13-BPPJT-14 [] |
Section: Income, Recipiency, Debt and
Assets |
During 2015, how much did you receive after expenses from
[your([loop for jointly owned business/professional practice])] [percent of
business/professional practice r owns([loop for jointly owned
business/professional practice])] [share of([loop for jointly owned
business/professional practice])] [name of jointly owned business or
professional practice([loop for jointly owned business/professional
practice])]?
Q13-BPPJT-15 [] |
Section: Income, Recipiency, Debt and
Assets |
During 2015, how much of a loss did [your([loop for
jointly owned business/professional practice])] [percent of
business/professional practice r owns([loop for jointly owned
business/professional practice])] [share of([loop for jointly owned
business/professional practice])] [name of jointly owned business or
professional practice([loop for jointly owned business/professional practice])]
incur?
Q13-BPPJT-16-LOOP-END [] |
Section: Income, Recipiency, Debt and
Assets |
UNTIL ([loop for jointly owned business/professional
practice]==[number of bus/prof practices reported (some joint ownership)] ||
[number of bus/prof practices reported (some joint ownership)]==0)
COMMENT: Repeat until all businesses or professional practices accounted
for
Q13-REJT-1_A1 [] |
Section: Income, Recipiency, Debt and
Assets |
([any real estate ownership/investment?]==1)
COMMENT: Did R report other real estate investment or ownership?
If Answer = 1 Then Go To Q13-REJT-1A
Q13-REJT-1A [] |
Section: Income, Recipiency, Debt and
Assets |
Is any of the other real estate you [or]
[Spouse/partner's name] own or have investments in, jointly owned or invested in
with someone else?
Q13-REJT-1D [] |
Section: Income, Recipiency, Debt and
Assets |
([any real estate ownership/investment?]==0 || ([any real
estate ownership/investment?]==1 && [any real estate joint
ownership/investment?]==0))
COMMENT: Was no ownership or no joint owership of real estate
reported?
If Answer = 1 Then Go To Q13-JTOWN-5
Q13-REJT-2 [] |
Section: Income, Recipiency, Debt and
Assets |
Please list the names or addresses of all the real estate
which you own or invest in.
(INTERVIEWER: ENTER NAMES OR ADDRESSES OF ALL REAL
ESTATE OWNED OR INVESTED IN BY R IN ROSTER. VERIFY AFTER ALL NAMES ARE ENTERED
ON ROSTER BY READING:)
Are (READ NAMES OF REAL ESTATE FROM ROSTER) all
the real estate you own or have investments in?
(INTERVIEWER: SELECT <ADD
ROW> TO ENTER NAMES OF OTHER REAL ESTATE OR SELECT <SUBMIT AND
CONTINUE> TO PROCEED.)
Q13-REJT-2A [] |
Section: Income, Recipiency, Debt and
Assets |
RECCOUNT([REALESTATE])
COMMENT: Count number of businesses or professional practices
reported
If Answer = 0 Then Go To Q13-JTOWN-5
Q13-REJT-3 [] |
Section: Income, Recipiency, Debt and
Assets |
XFER OUT [REALESTATE] FIELDS
NAME=[realestate_name],PCT=[realestate_pct]
COMMENT: Xfer out names of real estate reported
If
Answer = 0 Then Go To Q13-JTOWN-5
If Answer = 1 Then Go To Q13-REJT-4
Q13-REJT-4 [] |
Section: Income, Recipiency, Debt and
Assets |
Now, I'm going to ask you some questions about [of the
real estate/of each of the real estate] you [or] [Spouse/partner's name] own or
invest in.
Q13-REJT-5-LOOP-BEG [] |
Section: Income, Recipiency, Debt and
Assets |
REPEAT ([loop for jointly owned real estate])
COMMENT: Start loop to ask about percentage of ownership of real estate
Q13-REJT-11 [] |
Section: Income, Recipiency, Debt and
Assets |
How much would [realestate_name([loop for jointly owned
real estate])], not including the property in which you are living, and any
farms or non-farm business, sell for in today's market?
Q13-REJT-12A [] |
Section: Income, Recipiency, Debt and
Assets |
([amount real estate would sell for on today's
market([loop for jointly owned real estate])] == -2)
COMMENT: Did R not know the total market value of this real estate?
If Answer = 1 Then Go To Q13-REJT-12E
Q13-REJT-12B [] |
Section: Income, Recipiency, Debt and
Assets |
What percentage of [realestate_name([loop for jointly
owned real estate])] do you [or] [Spouse/partner's name] own?
Q13-REJT-12E [] |
Section: Income, Recipiency, Debt and
Assets |
What is the market value of your share of
[realestate_name([loop for jointly owned real estate])]?
Q13-REJT-16-LOOP-END [] |
Section: Income, Recipiency, Debt and
Assets |
UNTIL ([loop for jointly owned real estate]==[number of
real estate holdings reported (some joint ownership)] || [number of real estate
holdings reported (some joint ownership)] == 0)
COMMENT: Repeat until all real estate accounted for
Q13-REJT-12 [] |
Section: Income, Recipiency, Debt and
Assets |
What is the total amount of debts or liabilities owed on
your non-residential real estate properties? Include any unpaid
mortgages.
Q13-JTOWN-5 [] |
Section: Income, Recipiency, Debt and
Assets |
ISVAREMPTY ([farm operation(s) - including value of land-
buildings- house- and the equipment- livestock- stored crops- and other assets
(do not include crops held under commodity credit loans)])
COMMENT: Is the text sub for farm sole proprietorship present?
If Answer = 0 Then Go To Q13-131_REF_1
Q13-JTOWN-6 [] |
Section: Income, Recipiency, Debt and
Assets |
ISVAREMPTY ([assets in the business(es)- including tools
and equipment])
COMMENT: Is the text sub for business or professional practice sole
proprietorship present?
If Answer = 0 Then Go To Q13-131_REF_1
Q13-JTOWN-7 [] |
Section: Income, Recipiency, Debt and
Assets |
ISVAREMPTY ([real estate])
COMMENT: Is the text sub for real estate sole proprietorship
present?
If Answer = 0 Then Go To Q13-131_REF_1
Q13-131_REF_1 [] |
Section: Income, Recipiency, Debt and
Assets |
([q13-3 refusal flag] == 1 || [q13-5 refusal flag] == 1
|| [q13-9 refusal flag] == 1 || [q13-16 refusal flag] == 1 || [q13-18 refusal
flag] == 1 || [q13-24 refusal flag] == 1 || [q13-31b refusal flag] == 1 ||
[q13-33i refusal flag] == 1 || [q13-33m refusal flag] == 1 || [q13-33u refusal
flag] == 1 || [q13-66 refusal flag] == 1 || [q13-68 refusal flag] == 1 ||
[q13-70_vet refusal flag] == 1 || [q13-70_dis refusal flag] == 1 || [q13-70_ss
refusal flag] == 1 || [q13-73 refusal flag] == 1 || [q13-73a refusal flag] == 1
|| [q13-73c refusal flag] == 1 || [q13-73d refusal flag] == 1 || [q13-75 refusal
flag] == 1 || [q13-78d refusal flag] == 1 || [q13-92 refusal flag] == 1 ||
[q13-92c refusal flag] == 1 || [R refuse FA_1A] == 1 || [R refuse FA_2A] == 1 ||
[R refuse FA_3A] == 1 || [R refuse FA_4A] == 1 || [R refuse FA_5A] == 1 || [R
refuse FA_6D] == 1 || [R refuse FA_6E] == 1 || [R refuse FA_7B] == 1 || [R
refuse FA_7C] == 1|| [R refuse FA_9A] == 1 || [R refuse FA_10A] == 1 || [R
refuse FA_11A] == 1 || [r refuse nfa_1a_ref] == 1 || [r refuse nfa_1b_ref] == 1
|| [r refuse nfa_1c_ref] == 1 || [r refuse nfa_2a_ref]== 1 || [r refuse
nfa_2b_ref] == 1 || [r refuse nfa_2c_ref] == 1)
COMMENT: R already refuse previous estimates?
If Answer
= 1 Then Go To Q13-131_REF_2
Q13-131 [] |
Section: Income, Recipiency, Debt and
Assets |
What is the total market value of all of the [real
estate] [assets in the business(es)- including tools and equipment] [farm
operation(s) - including value of land- buildings- house- and the equipment-
livestock- stored crops- and other assets (do not include crops held under
commodity credit loans)]?
INTERVIEWER: "MARKET VALUE" IS DEFINED AS "HOW
MUCH THE RESPONDENT WOULD REASONABLY EXPECT SOMEONE ELSE TO PAY IF THE ITEM(S)
WERE SOLD TODAY IN ITS/THEIR PRESENT CONDITION: NOT THE ORIGINAL PRICE THE
RESPONDENT PAID FOR THE ITEM(S).
If Answer = -2 Then Go To Q13-131_SR000001
If Answer = -1 Then Go To Q13-131_REF_2
Q13-131_SR000001 [] |
Section: Income, Recipiency, Debt and
Assets |
Can you give me an approximate range for that
amount?
(INTERVIEWER: IT IS
ACCEPTABLE FOR RESPONDENT TO REPORT UPPER AND LOWER RANGES VERY CLOSE TOGETHER,
OR THE SAME FIGURE FOR UPPER AND LOWER RANGE IF A SPECIFIC NUMBER.)
COMMENT: FIELDS=({hi_orelinc_persrc}=LONG=10="More than:"=05=15,
{lo_orelinc_persrc}=LONG=10="Less than:"=20=400) ORIGINAL MULTIPLE FIELDS
QUESTION. BROKEN INTO SEPARATE QUESTIONS BY CONVERSION.
Q13-131_SR000002 [] |
Section: Income, Recipiency, Debt and
Assets |
If Answer >= -2 AND Answer <= -1 Then Go To Q13-131_REF_2
Q13-131_REF_2 [] |
Section: Income, Recipiency, Debt and
Assets |
([estimate amount of total income received during prev
round from the military before taxes and other deductions] == 1 || [estimate
amount of total income from wages and salary in past calendar year] == 1 ||
[estimate income from farm/business/professional practice in past calendar year]
== 1 || [estimate total income of spouse/partner from military service in prev
round] == 1 || [estimate amount spar received from wages, salary, commissions
and tips from all (other) jobs, before deductions for taxes or anything else] ==
1 || [amount spouse received after expenses from farm/business/professional
practice] == 1 || [estimate amount of respondent/spar's worker's compentation
payments in prev round] == 1 || [estimate amount of child support respondent
actually received in prev round] == 1 || [estimate amount of child support
spouse/partner actually received in prev round] == 1 || [estimate amount of
child support paid by r/spar in prev round] == 1 || [estimate amount of
assistance received from veterans' education benefits and/or other scholarships,
fellowships or grants in prev round?] == 1 || [estimate amount of educational
benefits recieved in past calendar year by spouse/partner] == 1 || [estimate
amount of total income respondent/spar received from veteran benefits in prev
round] == 1 || [estimate amount of respondent/spar total income from disability
in prev round] == 1 || [esimate amount respondent/spar recieved in total income
from social security in prev round] == 1 || [estimate market value or amount
that respondent/spar received since dli from estates/trusts/inheritances] == 1
|| [estimate market value respondent/spar received from
estates/trusts/inheritances since dli] == 1 || [estimate amount respondent/spar
received from life insurance settlement since dli] == 1 || [estimate amount
respondent/spar received from life insurance settlement in prev round] == 1 ||
[estimate income received by respondent/spar in past calendar year] == 1 ||
[estimate amount respondent received from Earned Income Tax Credit in 2003] == 1
|| [estimate income from all welfare sources for other hh members in 2003] == 1
|| [estimate income from all regular sources for other family] == 1 ||
[fa_1a_refe] == 1 || [fa_2a_refe] == 1 || [fa_3a_refe] == 1 || [fa_4a_refe] == 1
|| [fa_5a_refe] == 1 || [fa_6d_refe] == 1 || [fa_6e_refe] == 1 || [fa_7b_refe]
== 1 || [fa_7c_refe] == 1 || [fa_9a_refe] == 1 || [fa_10a_refe] == 1 ||
[fa_11a_refe] == 1 || [nfa_1a_refe] == 1 || [nfa_1b_refe] == 1 || [nfa_1c_refe]
== 1 || [nfa_2a_refe] == 1 || [nfa_2b_refe] == 1 || [nfa_2c_refe] ==
1)
COMMENT: R already refuse previous estimates?
If Answer
= 1 Then Go To Q13-132_REF_1
Q13-131_UAB_A [] |
Section: Income, Recipiency, Debt and
Assets |
Would it amount to [entry pt other hh mems inc] or
more?
Q13-131_UAB_B [] |
Section: Income, Recipiency, Debt and
Assets |
Would it amount to $5,000 or more?
Q13-131_UAB_C [] |
Section: Income, Recipiency, Debt and
Assets |
Would it amount to $30,000 or more?
Q13-132_REF_1 [] |
Section: Income, Recipiency, Debt and
Assets |
([q13-3 refusal flag] == 1 || [q13-5 refusal flag] == 1
|| [q13-9 refusal flag] == 1 || [q13-16 refusal flag] == 1 || [q13-18 refusal
flag] == 1 || [q13-24 refusal flag] == 1 || [q13-31b refusal flag] == 1 ||
[q13-33i refusal flag] == 1 || [q13-33m refusal flag] == 1 || [q13-33u refusal
flag] == 1 || [q13-66 refusal flag] == 1 || [q13-68 refusal flag] == 1 ||
[q13-70_vet refusal flag] == 1 || [q13-70_dis refusal flag] == 1 || [q13-70_ss
refusal flag] == 1 || [q13-73 refusal flag] == 1 || [q13-73a refusal flag] == 1
|| [q13-73c refusal flag] == 1 || [q13-73d refusal flag] == 1 || [q13-75 refusal
flag] == 1 || [q13-78d refusal flag] == 1 || [q13-92 refusal flag] == 1 ||
[q13-92c refusal flag] == 1 || [R refuse FA_1A] == 1 || [R refuse FA_2A] == 1 ||
[R refuse FA_3A] == 1 || [R refuse FA_4A] == 1 || [R refuse FA_5A] == 1 || [R
refuse FA_6D] == 1 || [R refuse FA_6E] == 1 || [R refuse FA_7B] == 1 || [R
refuse FA_7C] == 1|| [R refuse FA_9A] == 1 || [R refuse FA_10A] == 1 || [R
refuse FA_11A] == 1 || [r refuse nfa_1a_ref] == 1 || [r refuse nfa_1b_ref] == 1
|| [r refuse nfa_1c_ref] == 1 || [r refuse nfa_2a_ref] == 1 || [r refuse
nfa_2b_ref] == 1 || [r refuse nfa_2c_ref] == 1 || [R refuse market value of
farm/prof practice/real estate?] == 1)
COMMENT: R already refuse previous estimates?
If Answer
= 1 Then Go To Q13-132_REF_2
Q13-132 [] |
Section: Income, Recipiency, Debt and
Assets |
What is the total amount of debts or liabilities you [or]
[Spouse/partner's name] owe on this operation or property? Include any unpaid
mortgages. (Do not include any commodity credit loans.)
If Answer = -2 Then Go To Q13-132_SR000001
If Answer = -1 Then Go To Q13-132_REF_2
Q13-132_SR000001 [] |
Section: Income, Recipiency, Debt and
Assets |
Can you give me an approximate range for that
amount?
(INTERVIEWER: IT IS
ACCEPTABLE FOR RESPONDENT TO REPORT UPPER AND LOWER RANGES VERY CLOSE TOGETHER,
OR THE SAME FIGURE FOR UPPER AND LOWER RANGE IF A SPECIFIC NUMBER.)
COMMENT: FIELDS=({hi_orelinc_persrc}=LONG=10="More than:"=05=15,
{lo_orelinc_persrc}=LONG=10="Less than:"=20=400) ORIGINAL MULTIPLE FIELDS
QUESTION. BROKEN INTO SEPARATE QUESTIONS BY CONVERSION.
Q13-132_SR000002 [] |
Section: Income, Recipiency, Debt and
Assets |
If Answer >= -2 AND Answer <= -1 Then Go To Q13-132_REF_2
Q13-132_REF_2 [] |
Section: Income, Recipiency, Debt and
Assets |
([estimate amount of total income received during prev
round from the military before taxes and other deductions] == 1 || [estimate
amount of total income from wages and salary in past calendar year] == 1 ||
[estimate income from farm/business/professional practice in past calendar year]
== 1 || [estimate total income of spouse/partner from military service in prev
round] == 1 || [estimate amount spar received from wages, salary, commissions
and tips from all (other) jobs, before deductions for taxes or anything else] ==
1 || [amount spouse received after expenses from farm/business/professional
practice] == 1 || [estimate amount of respondent/spar's worker's compentation
payments in prev round] == 1 || [estimate amount of child support respondent
actually received in prev round] == 1 || [estimate amount of child support
spouse/partner actually received in prev round] == 1 || [estimate amount of
child support paid by r/spar in prev round] == 1 || [estimate amount of
assistance received from veterans' education benefits and/or other scholarships,
fellowships or grants in prev round?] == 1 || [estimate amount of educational
benefits recieved in past calendar year by spouse/partner] == 1 || [estimate
amount of total income respondent/spar received from veteran benefits in prev
round] == 1 || [estimate amount of respondent/spar total income from disability
in prev round] == 1 || [esimate amount respondent/spar recieved in total income
from social security in prev round] == 1 || [estimate market value or amount
that respondent/spar received since dli from estates/trusts/inheritances] == 1
|| [estimate market value respondent/spar received from
estates/trusts/inheritances since dli] == 1 || [estimate amount respondent/spar
received from life insurance settlement since dli] == 1 || [estimate amount
respondent/spar received from life insurance settlement in prev round] == 1 ||
[estimate income received by respondent/spar in past calendar year] == 1 ||
[estimate amount respondent received from Earned Income Tax Credit in 2003] == 1
|| [estimate income from all welfare sources for other hh members in 2003] == 1
|| [estimate income from all regular sources for other family] == 1 ||
[fa_1a_refe] == 1 || [fa_2a_refe] == 1 || [fa_3a_refe] == 1 || [fa_4a_refe] == 1
|| [fa_5a_refe] == 1 || [fa_6d_refe] == 1 || [fa_6e_refe] == 1 || [fa_7b_refe]
== 1 || [fa_7c_refe] == 1 || [fa_9a_refe] == 1 || [fa_10a_refe] == 1 ||
[fa_11a_refe] == 1 || [nfa_1a_refe] == 1 || [nfa_1b_refe] == 1 || [nfa_1c_refe]
== 1 || [nfa_2a_refe] == 1 || [nfa_2b_refe] == 1 || [nfa_2c_refe] == 1 || [R
refuse market value of farm/prof practice/real estate?] == 1)
COMMENT: R already refuse previous estimates?
If Answer
= 1 Then Go To Q13-132C_1
Q13-132_UAB_A [] |
Section: Income, Recipiency, Debt and
Assets |
Would it amount to [entry pt other hh mems inc] or
more?
Q13-132_UAB_B [] |
Section: Income, Recipiency, Debt and
Assets |
Would it amount to $5,000 or more?
Q13-132_UAB_C [] |
Section: Income, Recipiency, Debt and
Assets |
Would it amount to $30,000 or more?
Q13-132C_1 [] |
Section: Income, Recipiency, Debt and
Assets |
([fmissrept]==1 || [bppmissrept]==1)
COMMENT: Was there discrepancy for either farms or business and professional
practices between income and assets?
If Answer = 1 Then Go
To Q13-132D_REF_1
Q13-132D_REF_1 [] |
Section: Income, Recipiency, Debt and
Assets |
([q13-3 refusal flag] == 1 || [q13-5 refusal flag] == 1
|| [q13-9 refusal flag] == 1 || [q13-16 refusal flag] == 1 || [q13-18 refusal
flag] == 1 || [q13-24 refusal flag] == 1 || [q13-31b refusal flag] == 1 ||
[q13-33i refusal flag] == 1 || [q13-33m refusal flag] == 1 || [q13-33u refusal
flag] == 1 || [q13-66 refusal flag] == 1 || [q13-68 refusal flag] == 1 ||
[q13-70_vet refusal flag] == 1 || [q13-70_dis refusal flag] == 1 || [q13-70_ss
refusal flag] == 1 || [q13-73 refusal flag] == 1 || [q13-73a refusal flag] == 1
|| [q13-73c refusal flag] == 1 || [q13-73d refusal flag] == 1 || [q13-75 refusal
flag] == 1 || [q13-78d refusal flag] == 1 || [q13-92 refusal flag] == 1 ||
[q13-92c refusal flag] == 1 || [R refuse FA_1A] == 1 || [R refuse FA_2A] == 1 ||
[R refuse FA_3A] == 1 || [R refuse FA_4A] == 1 || [R refuse FA_5A] == 1 || [R
refuse FA_6D] == 1 || [R refuse FA_6E] == 1 || [R refuse FA_7B] == 1 || [R
refuse FA_7C] == 1|| [R refuse FA_9A] == 1 || [R refuse FA_10A] == 1 || [R
refuse FA_11A] == 1 || [r refuse nfa_1a_ref] == 1 || [r refuse nfa_1b_ref] == 1
|| [r refuse nfa_1c_ref] == 1 || [r refuse nfa_2a_ref] == 1 || [r refuse
nfa_2b_ref] == 1 || [r refuse nfa_2c_ref] == 1 || [R refuse market value of
farm/prof practice/real estate?] == 1 || [R refuse debts on farm/prof
practice/real estate?] == 1)
COMMENT: R already refuse previous estimates?
If Answer
= 1 Then Go To Q13-132D_REF_2
Q13-132D [] |
Section: Income, Recipiency, Debt and
Assets |
Earlier you mentioned that you [or] [Spouse/partner's
name] had income after expenses from [fmissrept_text] [fbppmissrept_and]
[bppmissrept_text] during 2015. How much income did you [or] [Spouse/partner's
name] receive after expenses?
If Answer = -2 Then Go To Q13-132D_SR000001
If Answer = -1 Then Go To Q13-132D_REF_2
Q13-132D_SR000001 [] |
Section: Income, Recipiency, Debt and
Assets |
Can you give me an approximate range for that
amount?
(INTERVIEWER: IT IS
ACCEPTABLE FOR RESPONDENT TO REPORT UPPER AND LOWER RANGES VERY CLOSE TOGETHER,
OR THE SAME FIGURE FOR UPPER AND LOWER RANGE IF A SPECIFIC NUMBER.)
COMMENT: FIELDS=({hi_orelinc_persrc}=LONG=10="More than:"=05=15,
{lo_orelinc_persrc}=LONG=10="Less than:"=20=400) ORIGINAL MULTIPLE FIELDS
QUESTION. BROKEN INTO SEPARATE QUESTIONS BY CONVERSION.
Q13-132D_SR000002 [] |
Section: Income, Recipiency, Debt and
Assets |
If Answer >= -2 AND Answer <= -1 Then Go To Q13-132D_REF_2
Q13-132D_REF_2 [] |
Section: Income, Recipiency, Debt and
Assets |
([estimate amount of total income received during prev
round from the military before taxes and other deductions] == 1 || [estimate
amount of total income from wages and salary in past calendar year] == 1 ||
[estimate income from farm/business/professional practice in past calendar year]
== 1 || [estimate total income of spouse/partner from military service in prev
round] == 1 || [estimate amount spar received from wages, salary, commissions
and tips from all (other) jobs, before deductions for taxes or anything else] ==
1 || [amount spouse received after expenses from farm/business/professional
practice] == 1 || [estimate amount of respondent/spar's worker's compentation
payments in prev round] == 1 || [estimate amount of child support respondent
actually received in prev round] == 1 || [estimate amount of child support
spouse/partner actually received in prev round] == 1 || [estimate amount of
child support paid by r/spar in prev round] == 1 || [estimate amount of
assistance received from veterans' education benefits and/or other scholarships,
fellowships or grants in prev round?] == 1 || [estimate amount of educational
benefits recieved in past calendar year by spouse/partner] == 1 || [estimate
amount of total income respondent/spar received from veteran benefits in prev
round] == 1 || [estimate amount of respondent/spar total income from disability
in prev round] == 1 || [esimate amount respondent/spar recieved in total income
from social security in prev round] == 1 || [estimate market value or amount
that respondent/spar received since dli from estates/trusts/inheritances] == 1
|| [estimate market value respondent/spar received from
estates/trusts/inheritances since dli] == 1 || [estimate amount respondent/spar
received from life insurance settlement since dli] == 1 || [estimate amount
respondent/spar received from life insurance settlement in prev round] == 1 ||
[estimate income received by respondent/spar in past calendar year] == 1 ||
[estimate amount respondent received from Earned Income Tax Credit in 2003] == 1
|| [estimate income from all welfare sources for other hh members in 2003] == 1
|| [estimate income from all regular sources for other family] == 1 ||
[fa_1a_refe] == 1 || [fa_2a_refe] == 1 || [fa_3a_refe] == 1 || [fa_4a_refe] == 1
|| [fa_5a_refe] == 1 || [fa_6d_refe] == 1 || [fa_6e_refe] == 1 || [fa_7b_refe]
== 1 || [fa_7c_refe] == 1 || [fa_9a_refe] == 1 || [fa_10a_refe] == 1 ||
[fa_11a_refe] == 1 || [nfa_1a_refe] == 1 || [nfa_1b_refe] == 1 || [nfa_1c_refe]
== 1 || [nfa_2a_refe] == 1 || [nfa_2b_refe] == 1 || [nfa_2c_refe] == 1 || [R
refuse market value of farm/prof practice/real estate?] == 1 || [R refuse debts
on farm/prof practice/real estate?] == 1)
COMMENT: R already refuse previous estimates?
If Answer
= 1 Then Go To NFA_4
Q13-132D_UAB_A [] |
Section: Income, Recipiency, Debt and
Assets |
Would it amount to [entry pt other hh mems inc] or
more?
Q13-132D_UAB_B [] |
Section: Income, Recipiency, Debt and
Assets |
Would it amount to $5,000 or more?
Q13-132D_UAB_C [] |
Section: Income, Recipiency, Debt and
Assets |
Would it amount to $30,000 or more?
NFA_4 [] |
Section: Income, Recipiency, Debt and
Assets |
Do you [or] [Spouse/partner's name] have a car or other
type of motor vehicle for personal use? Please do not include any vehicle
provided by your business.
NFA_4A [] |
Section: Income, Recipiency, Debt and
Assets |
Do you [or] [Spouse/partner's name] lease any of these
vehicles?
NFA_4B [] |
Section: Income, Recipiency, Debt and
Assets |
[Not counting those cars that you lease] How many
vehicles do you [or] [Spouse/partner's name] own for personal
use?
(INTERVIEWER: PLEASE READ IF NECESSARY) A personal car used for
business should be reported here; a business car should not.
NFA_VEH_LOOP_BEGIN [] |
Section: Income, Recipiency, Debt and
Assets |
REPEAT
COMMENT: Set Q13_92c_REF flag to 1
NFA_VEH_4B_1 [] |
Section: Income, Recipiency, Debt and
Assets |
[VEHICLE_NUM]
COMMENT: Set Q13_92c_REF flag to 1
If Answer = 0 Then
Go To NFA-VEH-LOOP-END
NFA_4C [] |
Section: Income, Recipiency, Debt and
Assets |
How much would [(this/the first/the next) vehicle] sell
for on today's market?
If Answer = -2 Then Go To NFA_4C_SR000001
If Answer = -1 Then Go To NFA_4C_UAB_A
NFA_4C_SR000001 [] |
Section: Income, Recipiency, Debt and
Assets |
Can you give me an approximate range for that
amount?
(INTERVIEWER: IT IS
ACCEPTABLE FOR RESPONDENT TO REPORT UPPER AND LOWER RANGES VERY CLOSE TOGETHER,
OR THE SAME FIGURE FOR UPPER AND LOWER RANGE IF A SPECIFIC NUMBER.)
COMMENT: FIELDS=({hi_orelinc_persrc}=LONG=10="More than:"=05=15,
{lo_orelinc_persrc}=LONG=10="Less than:"=20=400) ORIGINAL MULTIPLE FIELDS
QUESTION. BROKEN INTO SEPARATE QUESTIONS BY CONVERSION.
NFA_4C_SR000002 [] |
Section: Income, Recipiency, Debt and
Assets |
If Answer >= -2 AND Answer <= -1 Then Go To NFA_4C_UAB_A
NFA_4C_UAB_A [] |
Section: Income, Recipiency, Debt and
Assets |
(About how much would [(this/the first/the next) vehicle]
sell for on today's market?)
Would it amount to [entry pt other hh mems
inc] or more?
If Answer = -1 Then Go To NFA_4D_1
NFA_4C_UAB_B [] |
Section: Income, Recipiency, Debt and
Assets |
Would it amount to $5,000 or more?
If
Answer = -1 Then Go To NFA_4D_1
NFA_4C_UAB_C [] |
Section: Income, Recipiency, Debt and
Assets |
Would it amount to $30,000 or more?
If
Answer = -1 Then Go To NFA_4D_1
NFA_4D_1 [] |
Section: Income, Recipiency, Debt and
Assets |
What is the model year of [(this/the first/the next)
vehicle]?
NFA_4E [] |
Section: Income, Recipiency, Debt and
Assets |
Do you [or] [Spouse/partner's name] owe any money on this
vehicle?
NFA_4F [] |
Section: Income, Recipiency, Debt and
Assets |
How much do you [or] [Spouse/partner's name] still owe on
this vehicle? Please include only the balance on the loan that was left after
the last car payment was made.
If Answer = -2 Then Go To NFA_4F_SR000001
If Answer = -1 Then Go To NFA_4F_UAB_A
NFA_4F_SR000001 [] |
Section: Income, Recipiency, Debt and
Assets |
Can you give me an approximate range for that
amount?
(INTERVIEWER: IT IS
ACCEPTABLE FOR RESPONDENT TO REPORT UPPER AND LOWER RANGES VERY CLOSE TOGETHER,
OR THE SAME FIGURE FOR UPPER AND LOWER RANGE IF A SPECIFIC NUMBER.)
COMMENT: FIELDS=({hi_orelinc_persrc}=LONG=10="More than:"=05=15,
{lo_orelinc_persrc}=LONG=10="Less than:"=20=400) ORIGINAL MULTIPLE FIELDS
QUESTION. BROKEN INTO SEPARATE QUESTIONS BY CONVERSION.
NFA_4F_SR000002 [] |
Section: Income, Recipiency, Debt and
Assets |
If Answer >= -2 AND Answer <= -1 Then Go To NFA_4F_UAB_A
NFA_4F_UAB_A [] |
Section: Income, Recipiency, Debt and
Assets |
Would it amount to [entry pt other hh mems inc] or
more?
If Answer = -1 Then Go To NFA-VEH-LOOP-END
NFA_4F_UAB_B [] |
Section: Income, Recipiency, Debt and
Assets |
Would it amount to $5,000 or more?
If
Answer = -1 Then Go To NFA-VEH-LOOP-END
NFA_4F_UAB_C [] |
Section: Income, Recipiency, Debt and
Assets |
Would it amount to $30,000 or more?
If
Answer = -1 Then Go To NFA-VEH-LOOP-END
NFA-VEH-LOOP-END [] |
Section: Income, Recipiency, Debt and
Assets |
UNTIL ([nfaveh-loop1] == [vehicle_num] || [vehicle_num]
== 0)
COMMENT: LOOP UNTIL ALL PERSONAL VEHICLES ACCOUNTED FOR
NFA_5 [] |
Section: Income, Recipiency, Debt and
Assets |
[Other than the vehicle(s) that you just told me about -
do] you own any other type of motor vehicle that is primarily for personal use,
including motorcycles, trucks, motor homes, trailers, boats and so on? Please do
not include any vehicles that are leased or that are owned by a farm or
business.
(INTERVIEWER: PLEASE READ
IF NECESSARY:) Please include items such as snowmobiles, jet skies, or
ATVs.
NFA_5A [] |
Section: Income, Recipiency, Debt and
Assets |
Do you [or] [Spouse/partner's name] owe any money on
(this/these) vehicles?
NFA_5B [] |
Section: Income, Recipiency, Debt and
Assets |
How much altogether? Please do not include leased
vehicles or vehicles owed by a farm or business.
If Answer = -2 Then Go To NFA_5B_SR000001
If Answer = -1 Then Go To NFA_5B_REF_2
NFA_5B_SR000001 [] |
Section: Income, Recipiency, Debt and
Assets |
Can you give me an approximate range for that
amount?
(INTERVIEWER: IT IS
ACCEPTABLE FOR RESPONDENT TO REPORT UPPER AND LOWER RANGES VERY CLOSE TOGETHER,
OR THE SAME FIGURE FOR UPPER AND LOWER RANGE IF A SPECIFIC NUMBER.)
NFA_5B_SR000002 [] |
Section: Income, Recipiency, Debt and
Assets |
If Answer >= -2 AND Answer <= -1 Then Go To NFA_5B_REF_2
NFA_5B_REF_2 [] |
Section: Income, Recipiency, Debt and
Assets |
([estimate amount of total income received during prev
round from the military before taxes and other deductions] == 1 || [estimate
amount of total income from wages and salary in past calendar year] == 1 ||
[estimate income from farm/business/professional practice in past calendar year]
== 1 || [estimate total income of spouse/partner from military service in prev
round] == 1 || [estimate amount spar received from wages, salary, commissions
and tips from all (other) jobs, before deductions for taxes or anything else] ==
1 || [amount spouse received after expenses from farm/business/professional
practice] == 1 || [estimate amount of respondent/spar's worker's compentation
payments in prev round] == 1 || [estimate amount of child support respondent
actually received in prev round] == 1 || [estimate amount of child support
spouse/partner actually received in prev round] == 1 || [estimate amount of
child support paid by r/spar in prev round] == 1 || [estimate amount of
assistance received from veterans' education benefits and/or other scholarships,
fellowships or grants in prev round?] == 1 || [estimate amount of educational
benefits recieved in past calendar year by spouse/partner] == 1 || [estimate
amount of total income respondent/spar received from veteran benefits in prev
round] == 1 || [estimate amount of respondent/spar total income from disability
in prev round] == 1 || [esimate amount respondent/spar recieved in total income
from social security in prev round] == 1 || [estimate market value or amount
that respondent/spar received since dli from estates/trusts/inheritances] == 1
|| [estimate market value respondent/spar received from
estates/trusts/inheritances since dli] == 1 || [estimate amount respondent/spar
received from life insurance settlement since dli] == 1 || [estimate amount
respondent/spar received from life insurance settlement in prev round] == 1 ||
[estimate income received by respondent/spar in past calendar year] == 1 ||
[estimate amount respondent received from Earned Income Tax Credit in 2003] == 1
|| [estimate income from all welfare sources for other hh members in 2003] == 1
|| [estimate income from all regular sources for other family] == 1 ||
[fa_1a_refe] == 1 || [fa_2a_refe] == 1 || [fa_3a_refe] == 1 || [fa_4a_refe] == 1
|| [fa_5a_refe] == 1 || [fa_6d_refe] == 1 || [fa_6e_refe] == 1 || [fa_7b_refe]
== 1 || [fa_7c_refe] == 1 || [fa_9a_refe] == 1 || [fa_10a_refe] == 1 ||
[fa_11a_refe] == 1 || [nfa_1a_refe] == 1 || [nfa_1b_refe] == 1 || [nfa_1c_refe]
== 1 || [nfa_2a_refe] == 1 || [nfa_2b_refe] == 1 || [nfa_2c_refe] == 1 || [R
refuse market value of farm/prof practice/real estate?] == 1 || [R refuse debts
on farm/prof practice/real estate?] == 1 || [q13_132d_refe] == 1)
COMMENT: R already refuse previous estimates?
If Answer
= 1 Then Go To NFA_5C_REF_1
NFA_5B_UAB_A [] |
Section: Income, Recipiency, Debt and
Assets |
Would it amount to [entry pt other hh mems inc] or
more?
NFA_5B_UAB_B [] |
Section: Income, Recipiency, Debt and
Assets |
Would it amount to $5,000 or more?
NFA_5B_UAB_C [] |
Section: Income, Recipiency, Debt and
Assets |
Would it amount to $30,000 or more?
NFA_5C_REF_1 [] |
Section: Income, Recipiency, Debt and
Assets |
([q13-3 refusal flag] == 1 || [q13-5 refusal flag] == 1
|| [q13-9 refusal flag] == 1 || [q13-16 refusal flag] == 1 || [q13-18 refusal
flag] == 1 || [q13-24 refusal flag] == 1 || [q13-31b refusal flag] == 1 ||
[q13-33i refusal flag] == 1 || [q13-33m refusal flag] == 1 || [q13-33u refusal
flag] == 1 || [q13-66 refusal flag] == 1 || [q13-68 refusal flag] == 1 ||
[q13-70_vet refusal flag] == 1 || [q13-70_dis refusal flag] == 1 || [q13-70_ss
refusal flag] == 1 || [q13-73 refusal flag] == 1 || [q13-73a refusal flag] == 1
|| [q13-73c refusal flag] == 1 || [q13-73d refusal flag] == 1 || [q13-75 refusal
flag] == 1 || [q13-78d refusal flag] == 1 || [q13-92 refusal flag] == 1 ||
[q13-92c refusal flag] == 1 || [R refuse FA_1A] == 1 || [R refuse FA_2A] == 1 ||
[R refuse FA_3A] == 1 || [R refuse FA_4A] == 1 || [R refuse FA_5A] == 1 || [R
refuse FA_6D] == 1 || [R refuse FA_6E] == 1 || [R refuse FA_7B] == 1 || [R
refuse FA_7C] == 1|| [R refuse FA_9A] == 1 || [R refuse FA_10A] == 1 || [R
refuse FA_11A] == 1 || [r refuse nfa_1a_ref] == 1 || [r refuse nfa_1b_ref] == 1
|| [r refuse nfa_1c_ref] == 1 || [r refuse nfa_2a_ref] == 1 || [r refuse
nfa_2b_ref] == 1 || [r refuse nfa_2c_ref] == 1 || [R refuse market value of
farm/prof practice/real estate?] == 1 || [R refuse debts on farm/prof
practice/real estate?] == 1 || [R refuse amount owed on personal use vehicles?]
== 1)
COMMENT: R already refuse previous estimates?
If Answer
= 1 Then Go To NFA_5C_REF_2
NFA_5C [] |
Section: Income, Recipiency, Debt and
Assets |
How much would (this/these) vehicle(s) sell for on
today's market? Please do not include leased vehicles or vehicles owned by a
farm or business.
If Answer = -2 Then Go To NFA_5C_SR000001
If Answer = -1 Then Go To NFA_5C_REF_2
NFA_5C_SR000001 [] |
Section: Income, Recipiency, Debt and
Assets |
Can you give me an approximate range for that
amount?
(INTERVIEWER: IT IS
ACCEPTABLE FOR RESPONDENT TO REPORT UPPER AND LOWER RANGES VERY CLOSE TOGETHER,
OR THE SAME FIGURE FOR UPPER AND LOWER RANGE IF A SPECIFIC NUMBER.)
NFA_5C_SR000002 [] |
Section: Income, Recipiency, Debt and
Assets |
If Answer >= -2 AND Answer <= -1 Then Go To NFA_5C_REF_2
NFA_5C_REF_2 [] |
Section: Income, Recipiency, Debt and
Assets |
([estimate amount of total income received during prev
round from the military before taxes and other deductions] == 1 || [estimate
amount of total income from wages and salary in past calendar year] == 1 ||
[estimate income from farm/business/professional practice in past calendar year]
== 1 || [estimate total income of spouse/partner from military service in prev
round] == 1 || [estimate amount spar received from wages, salary, commissions
and tips from all (other) jobs, before deductions for taxes or anything else] ==
1 || [amount spouse received after expenses from farm/business/professional
practice] == 1 || [estimate amount of respondent/spar's worker's compentation
payments in prev round] == 1 || [estimate amount of child support respondent
actually received in prev round] == 1 || [estimate amount of child support
spouse/partner actually received in prev round] == 1 || [estimate amount of
child support paid by r/spar in prev round] == 1 || [estimate amount of
assistance received from veterans' education benefits and/or other scholarships,
fellowships or grants in prev round?] == 1 || [estimate amount of educational
benefits recieved in past calendar year by spouse/partner] == 1 || [estimate
amount of total income respondent/spar received from veteran benefits in prev
round] == 1 || [estimate amount of respondent/spar total income from disability
in prev round] == 1 || [esimate amount respondent/spar recieved in total income
from social security in prev round] == 1 || [estimate market value or amount
that respondent/spar received since dli from estates/trusts/inheritances] == 1
|| [estimate market value respondent/spar received from
estates/trusts/inheritances since dli] == 1 || [estimate amount respondent/spar
received from life insurance settlement since dli] == 1 || [estimate amount
respondent/spar received from life insurance settlement in prev round] == 1 ||
[estimate income received by respondent/spar in past calendar year] == 1 ||
[estimate amount respondent received from Earned Income Tax Credit in 2003] == 1
|| [estimate income from all welfare sources for other hh members in 2003] == 1
|| [estimate income from all regular sources for other family] == 1 ||
[fa_1a_refe] == 1 || [fa_2a_refe] == 1 || [fa_3a_refe] == 1 || [fa_4a_refe] == 1
|| [fa_5a_refe] == 1 || [fa_6d_refe] == 1 || [fa_6e_refe] == 1 || [fa_7b_refe]
== 1 || [fa_7c_refe] == 1 || [fa_9a_refe] == 1 || [fa_10a_refe] == 1 ||
[fa_11a_refe] == 1 || [nfa_1a_refe] == 1 || [nfa_1b_refe] == 1 || [nfa_1c_refe]
== 1 || [nfa_2a_refe] == 1 || [nfa_2b_refe] == 1 || [nfa_2c_refe] == 1 || [R
refuse market value of farm/prof practice/real estate?] == 1 || [R refuse debts
on farm/prof practice/real estate?] == 1 || [q13_132d_refe] == 1 || [R refuse
amount owed on personal use vehicles?] == 1)
COMMENT: R already refuse previous estimates?
If Answer
= 1 Then Go To NFA_6
NFA_5C_UAB_A [] |
Section: Income, Recipiency, Debt and
Assets |
(About how much would (this/these) vehicle(s) sell for on
today's market? Please do not include leased vehicles or vehicles owned by a
farm or business.)
Would it amount to [entry pt other hh mems inc] or
more?
NFA_5C_UAB_B [] |
Section: Income, Recipiency, Debt and
Assets |
Would it amount to $5,000 or more?
NFA_5C_UAB_C [] |
Section: Income, Recipiency, Debt and
Assets |
Would it amount to $30,000 or more?
NFA_5D [] |
Section: Income, Recipiency, Debt and
Assets |
[sc_9]==0
COMMENT: R reported no major purchases since last assets interview?
If Answer = 1 Then Go To DEBT_1
NFA_6 [] |
Section: Income, Recipiency, Debt and
Assets |
As you know, some people collect things, like coins or
baseball cards or paintings or antique cars. Aside from the things we have
already talked about, do you [or] [Spouse/partner's name] have any collections
of anything? We are interested in collections that you personally own so please
do not include collections owned by your business or farm. (Please do not
include individual items worth $1000 or more, as we will be asking about them
later.)
|
1 Yes |
|
0 No ...(Go To NFA_7) |
NFA_6A [] |
Section: Income, Recipiency, Debt and
Assets |
We are interested in individual collections that would
sell for $1000 or more today. Do you have any collections that you could sell
today for $1000 or more?
NFA_6B [] |
Section: Income, Recipiency, Debt and
Assets |
How many? Please include only those collections that you
could sell today for $1000 or more.
NFA_6E_REF_1 [] |
Section: Income, Recipiency, Debt and
Assets |
([q13-3 refusal flag] == 1 || [q13-5 refusal flag] == 1
|| [q13-9 refusal flag] == 1 || [q13-16 refusal flag] == 1 || [q13-18 refusal
flag] == 1 || [q13-24 refusal flag] == 1 || [q13-31b refusal flag] == 1 ||
[q13-33i refusal flag] == 1 || [q13-33m refusal flag] == 1 || [q13-33u refusal
flag] == 1 || [q13-66 refusal flag] == 1 || [q13-68 refusal flag] == 1 ||
[q13-70_vet refusal flag] == 1 || [q13-70_dis refusal flag] == 1 || [q13-70_ss
refusal flag] == 1 || [q13-73 refusal flag] == 1 || [q13-73a refusal flag] == 1
|| [q13-73c refusal flag] == 1 || [q13-73d refusal flag] == 1 || [q13-75 refusal
flag] == 1 || [q13-78d refusal flag] == 1 || [q13-92 refusal flag] == 1 ||
[q13-92c refusal flag] == 1 || [R refuse FA_1A] == 1 || [R refuse FA_2A] == 1 ||
[R refuse FA_3A] == 1 || [R refuse FA_4A] == 1 || [R refuse FA_5A] == 1 || [R
refuse FA_6D] == 1 || [R refuse FA_6E] == 1 || [R refuse FA_7B] == 1 || [R
refuse FA_7C] == 1|| [R refuse FA_9A] == 1 || [R refuse FA_10A] == 1 || [R
refuse FA_11A] == 1 || [r refuse nfa_1a_ref] == 1 || [r refuse nfa_1b_ref] == 1
|| [r refuse nfa_1c_ref] == 1 || [r refuse nfa_2a_ref] == 1 || [r refuse
nfa_2b_ref] == 1 || [r refuse nfa_2c_ref] == 1 || [R refuse market value of
farm/prof practice/real estate?] == 1 || [R refuse debts on farm/prof
practice/real estate?] == 1 || [R refuse amount owed on personal use vehicles?]
== 1 || [R refuse market value of personal use vehicles?] == 1)
COMMENT: R already refuse previous estimates?
If Answer
= 1 Then Go To NFA_6E_REF_2
NFA_6E [] |
Section: Income, Recipiency, Debt and
Assets |
If you sold [this/these] [number of collections worth
$1000+] [collection/collections each] worth $1000 or more today, how much money
would you get for [it/them]?
If Answer = -2 Then Go To NFA_6E_SR000001
If Answer = -1 Then Go To NFA_6E_REF_2
NFA_6E_SR000001 [] |
Section: Income, Recipiency, Debt and
Assets |
Can you give me an approximate range for that
amount?
(INTERVIEWER: IT IS
ACCEPTABLE FOR RESPONDENT TO REPORT UPPER AND LOWER RANGES VERY CLOSE TOGETHER,
OR THE SAME FIGURE FOR UPPER AND LOWER RANGE IF A SPECIFIC NUMBER.)
NFA_6E_SR000002 [] |
Section: Income, Recipiency, Debt and
Assets |
If Answer >= -2 AND Answer <= -1 Then Go To NFA_6E_REF_2
NFA_6E_REF_2 [] |
Section: Income, Recipiency, Debt and
Assets |
([estimate amount of total income received during prev
round from the military before taxes and other deductions] == 1 || [estimate
amount of total income from wages and salary in past calendar year] == 1 ||
[estimate income from farm/business/professional practice in past calendar year]
== 1 || [estimate total income of spouse/partner from military service in prev
round] == 1 || [estimate amount spar received from wages, salary, commissions
and tips from all (other) jobs, before deductions for taxes or anything else] ==
1 || [amount spouse received after expenses from farm/business/professional
practice] == 1 || [estimate amount of respondent/spar's worker's compentation
payments in prev round] == 1 || [estimate amount of child support respondent
actually received in prev round] == 1 || [estimate amount of child support
spouse/partner actually received in prev round] == 1 || [estimate amount of
child support paid by r/spar in prev round] == 1 || [estimate amount of
assistance received from veterans' education benefits and/or other scholarships,
fellowships or grants in prev round?] == 1 || [estimate amount of educational
benefits recieved in past calendar year by spouse/partner] == 1 || [estimate
amount of total income respondent/spar received from veteran benefits in prev
round] == 1 || [estimate amount of respondent/spar total income from disability
in prev round] == 1 || [esimate amount respondent/spar recieved in total income
from social security in prev round] == 1 || [estimate market value or amount
that respondent/spar received since dli from estates/trusts/inheritances] == 1
|| [estimate market value respondent/spar received from
estates/trusts/inheritances since dli] == 1 || [estimate amount respondent/spar
received from life insurance settlement since dli] == 1 || [estimate amount
respondent/spar received from life insurance settlement in prev round] == 1 ||
[estimate income received by respondent/spar in past calendar year] == 1 ||
[estimate amount respondent received from Earned Income Tax Credit in 2003] == 1
|| [estimate income from all welfare sources for other hh members in 2003] == 1
|| [estimate income from all regular sources for other family] == 1 ||
[fa_1a_refe] == 1 || [fa_2a_refe] == 1 || [fa_3a_refe] == 1 || [fa_4a_refe] == 1
|| [fa_5a_refe] == 1 || [fa_6d_refe] == 1 || [fa_6e_refe] == 1 || [fa_7b_refe]
== 1 || [fa_7c_refe] == 1 || [fa_9a_refe] == 1 || [fa_10a_refe] == 1 ||
[fa_11a_refe] == 1 || [nfa_1a_refe] == 1 || [nfa_1b_refe] == 1 || [nfa_1c_refe]
== 1 || [nfa_2a_refe] == 1 || [nfa_2b_refe] == 1 || [nfa_2c_refe] == 1 || [R
refuse market value of farm/prof practice/real estate?] == 1 || [R refuse debts
on farm/prof practice/real estate?] == 1 || [q13_132d_refe] == 1 || [R refuse
amount owed on personal use vehicles?] == 1 || [R refuse market value of
personal use vehicles?] == 1)
COMMENT: R already refuse previous estimates?
If Answer
= 1 Then Go To NFA_7
NFA_6E_UAB_A [] |
Section: Income, Recipiency, Debt and
Assets |
Would it amount to [entry pt other hh mems inc] or
more?
NFA_6E_UAB_B [] |
Section: Income, Recipiency, Debt and
Assets |
Would it amount to $5,000 or more?
NFA_6E_UAB_C [] |
Section: Income, Recipiency, Debt and
Assets |
Would it amount to $30,000 or more?
NFA_7 [] |
Section: Income, Recipiency, Debt and
Assets |
Aside from the things we have already talked about, do
you [or] [Spouse/partner's name] have any individual items that you could sell
for $1000 or more, such as a piece of jewelry, a piece of furniture, or a
musical instrument? [Please do not include any items owned by your business or
farm.]
NFA_7A [] |
Section: Income, Recipiency, Debt and
Assets |
How many individual items? Please include only those
items that you could sell today for $1000 or more.
NFA_7D_REF_1 [] |
Section: Income, Recipiency, Debt and
Assets |
([q13-3 refusal flag] == 1 || [q13-5 refusal flag] == 1
|| [q13-9 refusal flag] == 1 || [q13-16 refusal flag] == 1 || [q13-18 refusal
flag] == 1 || [q13-24 refusal flag] == 1 || [q13-31b refusal flag] == 1 ||
[q13-33i refusal flag] == 1 || [q13-33m refusal flag] == 1 || [q13-33u refusal
flag] == 1 || [q13-66 refusal flag] == 1 || [q13-68 refusal flag] == 1 ||
[q13-70_vet refusal flag] == 1 || [q13-70_dis refusal flag] == 1 || [q13-70_ss
refusal flag] == 1 || [q13-73 refusal flag] == 1 || [q13-73a refusal flag] == 1
|| [q13-73c refusal flag] == 1 || [q13-73d refusal flag] == 1 || [q13-75 refusal
flag] == 1 || [q13-78d refusal flag] == 1 || [q13-92 refusal flag] == 1 ||
[q13-92c refusal flag] == 1 || [R refuse FA_1A] == 1 || [R refuse FA_2A] == 1 ||
[R refuse FA_3A] == 1 || [R refuse FA_4A] == 1 || [R refuse FA_5A] == 1 || [R
refuse FA_6D] == 1 || [R refuse FA_6E] == 1 || [R refuse FA_7B] == 1 || [R
refuse FA_7C] == 1|| [R refuse FA_9A] == 1 || [R refuse FA_10A] == 1 || [R
refuse FA_11A] == 1 || [r refuse nfa_1a_ref] == 1 || [r refuse nfa_1b_ref] == 1
|| [r refuse nfa_1c_ref] == 1 || [r refuse nfa_2a_ref] == 1 || [r refuse
nfa_2b_ref] == 1 || [r refuse nfa_2c_ref] == 1 || [R refuse market value of
farm/prof practice/real estate?] == 1 || [R refuse debts on farm/prof
practice/real estate?] == 1 || [R refuse amount owed on personal use vehicles?]
== 1 || [R refuse market value of personal use vehicles?] == 1 || [r refuse
nfa_1a_ref] == 1)
COMMENT: R already refuse previous estimates?
If Answer
= 1 Then Go To NFA_7D_REF_2
NFA_7D [] |
Section: Income, Recipiency, Debt and
Assets |
If you sold [this/these] [individual items that could
sell for $1000+] [item(s)] worth $1000 or more today, how much money would you
get for [it/them]?
If Answer = -2 Then Go To NFA_7D_SR000001
If Answer = -1 Then Go To NFA_7D_REF_2
NFA_7D_SR000001 [] |
Section: Income, Recipiency, Debt and
Assets |
Can you give me an approximate range for that
amount?
(INTERVIEWER: IT IS
ACCEPTABLE FOR RESPONDENT TO REPORT UPPER AND LOWER RANGES VERY CLOSE TOGETHER,
OR THE SAME FIGURE FOR UPPER AND LOWER RANGE IF A SPECIFIC NUMBER.)
NFA_7D_SR000002 [] |
Section: Income, Recipiency, Debt and
Assets |
If Answer >= -2 AND Answer <= -1 Then Go To NFA_7D_REF_2
NFA_7D_REF_2 [] |
Section: Income, Recipiency, Debt and
Assets |
([estimate amount of total income received during prev
round from the military before taxes and other deductions] == 1 || [estimate
amount of total income from wages and salary in past calendar year] == 1 ||
[estimate income from farm/business/professional practice in past calendar year]
== 1 || [estimate total income of spouse/partner from military service in prev
round] == 1 || [estimate amount spar received from wages, salary, commissions
and tips from all (other) jobs, before deductions for taxes or anything else] ==
1 || [amount spouse received after expenses from farm/business/professional
practice] == 1 || [estimate amount of respondent/spar's worker's compentation
payments in prev round] == 1 || [estimate amount of child support respondent
actually received in prev round] == 1 || [estimate amount of child support
spouse/partner actually received in prev round] == 1 || [estimate amount of
child support paid by r/spar in prev round] == 1 || [estimate amount of
assistance received from veterans' education benefits and/or other scholarships,
fellowships or grants in prev round?] == 1 || [estimate amount of educational
benefits recieved in past calendar year by spouse/partner] == 1 || [estimate
amount of total income respondent/spar received from veteran benefits in prev
round] == 1 || [estimate amount of respondent/spar total income from disability
in prev round] == 1 || [esimate amount respondent/spar recieved in total income
from social security in prev round] == 1 || [estimate market value or amount
that respondent/spar received since dli from estates/trusts/inheritances] == 1
|| [estimate market value respondent/spar received from
estates/trusts/inheritances since dli] == 1 || [estimate amount respondent/spar
received from life insurance settlement since dli] == 1 || [estimate amount
respondent/spar received from life insurance settlement in prev round] == 1 ||
[estimate income received by respondent/spar in past calendar year] == 1 ||
[estimate amount respondent received from Earned Income Tax Credit in 2003] == 1
|| [estimate income from all welfare sources for other hh members in 2003] == 1
|| [estimate income from all regular sources for other family] == 1 ||
[fa_1a_refe] == 1 || [fa_2a_refe] == 1 || [fa_3a_refe] == 1 || [fa_4a_refe] == 1
|| [fa_5a_refe] == 1 || [fa_6d_refe] == 1 || [fa_6e_refe] == 1 || [fa_7b_refe]
== 1 || [fa_7c_refe] == 1 || [fa_9a_refe] == 1 || [fa_10a_refe] == 1 ||
[fa_11a_refe] == 1 || [nfa_1a_refe] == 1 || [nfa_1b_refe] == 1 || [nfa_1c_refe]
== 1 || [nfa_2a_refe] == 1 || [nfa_2b_refe] == 1 || [nfa_2c_refe] == 1 || [R
refuse market value of farm/prof practice/real estate?] == 1 || [R refuse debts
on farm/prof practice/real estate?] == 1 || [q13_132d_refe] == 1 || [R refuse
amount owed on personal use vehicles?] == 1 || [R refuse market value of
personal use vehicles?] == 1 || [nfa_6e_refe] == 1)
COMMENT: R already refuse previous estimates?
If Answer
= 1 Then Go To DEBT_1
NFA_7D_UAB_A [] |
Section: Income, Recipiency, Debt and
Assets |
Would it amount to [entry pt other hh mems inc] or
more?
NFA_7D_UAB_B [] |
Section: Income, Recipiency, Debt and
Assets |
Would it amount to $5,000 or more?
NFA_7D_UAB_C [] |
Section: Income, Recipiency, Debt and
Assets |
Would it amount to $30,000 or more?
DEBT_1 [] |
Section: Income, Recipiency, Debt and
Assets |
Do you [or] [Spouse/partner's name] have any credit cards
or owe money on any credit card accounts, such as Visa, American Express or
credit cards for specific stores, such as department stores or gas
stations?
DEBT_1A_REF_1 [] |
Section: Income, Recipiency, Debt and
Assets |
([q13-3 refusal flag] == 1 || [q13-5 refusal flag] == 1
|| [q13-9 refusal flag] == 1 || [q13-16 refusal flag] == 1 || [q13-18 refusal
flag] == 1 || [q13-24 refusal flag] == 1 || [q13-31b refusal flag] == 1 ||
[q13-33i refusal flag] == 1 || [q13-33m refusal flag] == 1 || [q13-33u refusal
flag] == 1 || [q13-66 refusal flag] == 1 || [q13-68 refusal flag] == 1 ||
[q13-70_vet refusal flag] == 1 || [q13-70_dis refusal flag] == 1 || [q13-70_ss
refusal flag] == 1 || [q13-73 refusal flag] == 1 || [q13-73a refusal flag] == 1
|| [q13-73c refusal flag] == 1 || [q13-73d refusal flag] == 1 || [q13-75 refusal
flag] == 1 || [q13-78d refusal flag] == 1 || [q13-92 refusal flag] == 1 ||
[q13-92c refusal flag] == 1)
COMMENT: R already refuse previous estimates?
If Answer
= 1 Then Go To DEBT_1A_REF_2
DEBT_1A [] |
Section: Income, Recipiency, Debt and
Assets |
After the most recent payment, roughly what was the
balance still owed on all of these accounts together? If you paid off all of
these accounts, please report $0.
If Answer = -2 Then Go To DEBT_1A_SR000001
If Answer = -1 Then Go To DEBT_1A_REF_2
DEBT_1A_SR000001 [] |
Section: Income, Recipiency, Debt and
Assets |
Can you give me an approximate range for that
amount?
(INTERVIEWER: IT IS
ACCEPTABLE FOR RESPONDENT TO REPORT UPPER AND LOWER RANGES VERY CLOSE TOGETHER,
OR THE SAME FIGURE FOR UPPER AND LOWER RANGE IF A SPECIFIC NUMBER.)
DEBT_1A_SR000002 [] |
Section: Income, Recipiency, Debt and
Assets |
If Answer >= -2 AND Answer <= -1 Then Go To DEBT_1A_REF_2
DEBT_1A_REF_2 [] |
Section: Income, Recipiency, Debt and
Assets |
([estimate amount of total income received during prev
round from the military before taxes and other deductions] == 1 || [estimate
amount of total income from wages and salary in past calendar year] == 1 ||
[estimate income from farm/business/professional practice in past calendar year]
== 1 || [estimate total income of spouse/partner from military service in prev
round] == 1 || [estimate amount spar received from wages, salary, commissions
and tips from all (other) jobs, before deductions for taxes or anything else] ==
1 || [amount spouse received after expenses from farm/business/professional
practice] == 1 || [estimate amount of respondent/spar's worker's compentation
payments in prev round] == 1 || [estimate amount of child support respondent
actually received in prev round] == 1 || [estimate amount of child support
spouse/partner actually received in prev round] == 1 || [estimate amount of
child support paid by r/spar in prev round] == 1 || [estimate amount of
assistance received from veterans' education benefits and/or other scholarships,
fellowships or grants in prev round?] == 1 || [estimate amount of educational
benefits recieved in past calendar year by spouse/partner] == 1 || [estimate
amount of total income respondent/spar received from veteran benefits in prev
round] == 1 || [estimate amount of respondent/spar total income from disability
in prev round] == 1 || [esimate amount respondent/spar recieved in total income
from social security in prev round] == 1 || [estimate market value or amount
that respondent/spar received since dli from estates/trusts/inheritances] == 1
|| [estimate market value respondent/spar received from
estates/trusts/inheritances since dli] == 1 || [estimate amount respondent/spar
received from life insurance settlement since dli] == 1 || [estimate amount
respondent/spar received from life insurance settlement in prev round] == 1 ||
[estimate income received by respondent/spar in past calendar year] == 1 ||
[estimate amount respondent received from Earned Income Tax Credit in 2003] == 1
|| [estimate income from all welfare sources for other hh members in 2003] == 1
|| [estimate income from all regular sources for other family] == 1)
COMMENT: R already refuse previous estimates?
If Answer
= 1 Then Go To DEBT_2
DEBT_1A_UAB_A [] |
Section: Income, Recipiency, Debt and
Assets |
Would it amount to $[entry pt other hh mems inc] or
more?
DEBT_1A_UAB_B [] |
Section: Income, Recipiency, Debt and
Assets |
Would it amount to $5,000 or more?
DEBT_1A_UAB_C [] |
Section: Income, Recipiency, Debt and
Assets |
Would it amount to $30,000 or more?
DEBT_2 [] |
Section: Income, Recipiency, Debt and
Assets |
Are you [or] [Spouse/partner's name] responsible for
making payments on any student loans that you had for your own [or] [spar3a]
education?
DEBT_2A_REF_1 [] |
Section: Income, Recipiency, Debt and
Assets |
([q13-3 refusal flag] == 1 || [q13-5 refusal flag] == 1
|| [q13-9 refusal flag] == 1 || [q13-16 refusal flag] == 1 || [q13-18 refusal
flag] == 1 || [q13-24 refusal flag] == 1 || [q13-31b refusal flag] == 1 ||
[q13-33i refusal flag] == 1 || [q13-33m refusal flag] == 1 || [q13-33u refusal
flag] == 1 || [q13-66 refusal flag] == 1 || [q13-68 refusal flag] == 1 ||
[q13-70_vet refusal flag] == 1 || [q13-70_dis refusal flag] == 1 || [q13-70_ss
refusal flag] == 1 || [q13-73 refusal flag] == 1 || [q13-73a refusal flag] == 1
|| [q13-73c refusal flag] == 1 || [q13-73d refusal flag] == 1 || [q13-75 refusal
flag] == 1 || [q13-78d refusal flag] == 1 || [q13-92 refusal flag] == 1 ||
[q13-92c refusal flag] == 1 || [amount owed on credit cards] == 1)
COMMENT: R already refuse previous estimates?
If Answer
= 1 Then Go To DEBT_2A_REF_2
DEBT_2A [] |
Section: Income, Recipiency, Debt and
Assets |
About how much do you [or] [Spouse/partner's name] owe on
all of these student loans?
If Answer = -2 Then Go To DEBT_2A_SR000001
If Answer = -1 Then Go To DEBT_2A_REF_2
DEBT_2A_SR000001 [] |
Section: Income, Recipiency, Debt and
Assets |
Can you give me an approximate range for that
amount?
(INTERVIEWER: IT IS
ACCEPTABLE FOR RESPONDENT TO REPORT UPPER AND LOWER RANGES VERY CLOSE TOGETHER,
OR THE SAME FIGURE FOR UPPER AND LOWER RANGE IF A SPECIFIC NUMBER.)
DEBT_2A_SR000002 [] |
Section: Income, Recipiency, Debt and
Assets |
If Answer >= -2 AND Answer <= -1 Then Go To DEBT_2A_REF_2
DEBT_2A_REF_2 [] |
Section: Income, Recipiency, Debt and
Assets |
([estimate amount of total income received during prev
round from the military before taxes and other deductions] == 1 || [estimate
amount of total income from wages and salary in past calendar year] == 1 ||
[estimate income from farm/business/professional practice in past calendar year]
== 1 || [estimate total income of spouse/partner from military service in prev
round] == 1 || [estimate amount spar received from wages, salary, commissions
and tips from all (other) jobs, before deductions for taxes or anything else] ==
1 || [amount spouse received after expenses from farm/business/professional
practice] == 1 || [estimate amount of respondent/spar's worker's compentation
payments in prev round] == 1 || [estimate amount of child support respondent
actually received in prev round] == 1 || [estimate amount of child support
spouse/partner actually received in prev round] == 1 || [estimate amount of
child support paid by r/spar in prev round] == 1 || [estimate amount of
assistance received from veterans' education benefits and/or other scholarships,
fellowships or grants in prev round?] == 1 || [estimate amount of educational
benefits recieved in past calendar year by spouse/partner] == 1 || [estimate
amount of total income respondent/spar received from veteran benefits in prev
round] == 1 || [estimate amount of respondent/spar total income from disability
in prev round] == 1 || [esimate amount respondent/spar recieved in total income
from social security in prev round] == 1 || [estimate market value or amount
that respondent/spar received since dli from estates/trusts/inheritances] == 1
|| [estimate market value respondent/spar received from
estates/trusts/inheritances since dli] == 1 || [estimate amount respondent/spar
received from life insurance settlement since dli] == 1 || [estimate amount
respondent/spar received from life insurance settlement in prev round] == 1 ||
[estimate income received by respondent/spar in past calendar year] == 1 ||
[estimate amount respondent received from Earned Income Tax Credit in 2003] == 1
|| [estimate income from all welfare sources for other hh members in 2003] == 1
|| [estimate income from all regular sources for other family] == 1 || [amount
owed on credit cards] == 1)
COMMENT: R already refuse previous estimates?
If Answer
= 1 Then Go To DEBT_2B
DEBT_2A_UAB_A [] |
Section: Income, Recipiency, Debt and
Assets |
Would it amount to $[entry pt other hh mems inc] or
more?
DEBT_2A_UAB_B [] |
Section: Income, Recipiency, Debt and
Assets |
Would it amount to $5,000 or more?
DEBT_2A_UAB_C [] |
Section: Income, Recipiency, Debt and
Assets |
Would it amount to $30,000 or more?
DEBT_2B [] |
Section: Income, Recipiency, Debt and
Assets |
[total # bio children reported] > 0 || [total non-bio
children reported] > 0
COMMENT: R report biological, adopted or stop children?
If Answer = 0 Then Go To DEBT_3
DEBT_2C [] |
Section: Income, Recipiency, Debt and
Assets |
Are you [or] [Spouse/partner's name] responsible for
making payments on any student loans for your (child/children)? Please only
include loans that have been made in your [or] [Spouse/partner's name]'s name
for your (child/children)'s education.
(INTERVIEWER: PLEASE READ IF NECESSARY:) Only include
student loans from the government and not withdrawals against other types of
loans, even if the withdrawal is used for educational purposes.
DEBT_2D_REF_1 [] |
Section: Income, Recipiency, Debt and
Assets |
([q13-3 refusal flag] == 1 || [q13-5 refusal flag] == 1
|| [q13-9 refusal flag] == 1 || [q13-16 refusal flag] == 1 || [q13-18 refusal
flag] == 1 || [q13-24 refusal flag] == 1 || [q13-31b refusal flag] == 1 ||
[q13-33i refusal flag] == 1 || [q13-33m refusal flag] == 1 || [q13-33u refusal
flag] == 1 || [q13-66 refusal flag] == 1 || [q13-68 refusal flag] == 1 ||
[q13-70_vet refusal flag] == 1 || [q13-70_dis refusal flag] == 1 || [q13-70_ss
refusal flag] == 1 || [q13-73 refusal flag] == 1 || [q13-73a refusal flag] == 1
|| [q13-73c refusal flag] == 1 || [q13-73d refusal flag] == 1 || [q13-75 refusal
flag] == 1 || [q13-78d refusal flag] == 1 || [q13-92 refusal flag] == 1 ||
[q13-92c refusal flag] == 1 || [amount owed on credit cards] == 1 || [amount
owed on r student loans] == 1)
COMMENT: R already refuse previous estimates?
If Answer
= 1 Then Go To DEBT_2D_REF_2
DEBT_2D [] |
Section: Income, Recipiency, Debt and
Assets |
About how much do you owe on student loans for your
(child/children) that you [or] [Spouse/partner's name] are primarily responsible
for?
If Answer = -2 Then Go To DEBT_2D_SR000001
If Answer = -1 Then Go To DEBT_2D_REF_2
DEBT_2D_SR000001 [] |
Section: Income, Recipiency, Debt and
Assets |
Can you give me an approximate range for that
amount?
(INTERVIEWER: IT IS
ACCEPTABLE FOR RESPONDENT TO REPORT UPPER AND LOWER RANGES VERY CLOSE TOGETHER,
OR THE SAME FIGURE FOR UPPER AND LOWER RANGE IF A SPECIFIC NUMBER.)
DEBT_2D_SR000002 [] |
Section: Income, Recipiency, Debt and
Assets |
If Answer >= -2 AND Answer <= -1 Then Go To DEBT_2D_REF_2
DEBT_2D_REF_2 [] |
Section: Income, Recipiency, Debt and
Assets |
([estimate amount of total income received during prev
round from the military before taxes and other deductions] == 1 || [estimate
amount of total income from wages and salary in past calendar year] == 1 ||
[estimate income from farm/business/professional practice in past calendar year]
== 1 || [estimate total income of spouse/partner from military service in prev
round] == 1 || [estimate amount spar received from wages, salary, commissions
and tips from all (other) jobs, before deductions for taxes or anything else] ==
1 || [amount spouse received after expenses from farm/business/professional
practice] == 1 || [estimate amount of respondent/spar's worker's compentation
payments in prev round] == 1 || [estimate amount of child support respondent
actually received in prev round] == 1 || [estimate amount of child support
spouse/partner actually received in prev round] == 1 || [estimate amount of
child support paid by r/spar in prev round] == 1 || [estimate amount of
assistance received from veterans' education benefits and/or other scholarships,
fellowships or grants in prev round?] == 1 || [estimate amount of educational
benefits recieved in past calendar year by spouse/partner] == 1 || [estimate
amount of total income respondent/spar received from veteran benefits in prev
round] == 1 || [estimate amount of respondent/spar total income from disability
in prev round] == 1 || [esimate amount respondent/spar recieved in total income
from social security in prev round] == 1 || [estimate market value or amount
that respondent/spar received since dli from estates/trusts/inheritances] == 1
|| [estimate market value respondent/spar received from
estates/trusts/inheritances since dli] == 1 || [estimate amount respondent/spar
received from life insurance settlement since dli] == 1 || [estimate amount
respondent/spar received from life insurance settlement in prev round] == 1 ||
[estimate income received by respondent/spar in past calendar year] == 1 ||
[estimate amount respondent received from Earned Income Tax Credit in 2003] == 1
|| [estimate income from all welfare sources for other hh members in 2003] == 1
|| [estimate income from all regular sources for other family] == 1 || [amount
owed on credit cards] == 1 || [amount owed on r student loans] == 1)
COMMENT: R already refuse previous estimates?
If Answer
= 1 Then Go To DEBT_3
DEBT_2D_UAB_A [] |
Section: Income, Recipiency, Debt and
Assets |
Would it amount to $[entry pt other hh mems inc] or
more?
DEBT_2D_UAB_B [] |
Section: Income, Recipiency, Debt and
Assets |
Would it amount to $5,000 or more?
DEBT_2D_UAB_C [] |
Section: Income, Recipiency, Debt and
Assets |
Would it amount to $30,000 or more?
DEBT_3 [] |
Section: Income, Recipiency, Debt and
Assets |
(Aside from the accounts that we talked about,) do you
[or] [Spouse/partner's name] currently owe money to any other businesses, such
as stores, doctor's offices, hospitals, or banks? Please include any installment
plans, rent-to-own accounts, or any other business that you owe money
to.
(INTERVIEWER: THIS SHOULD
NOT INCLUDE MORTGAGE
DEBT.)
DEBT_3A_REF_1 [] |
Section: Income, Recipiency, Debt and
Assets |
([q13-3 refusal flag] == 1 || [q13-5 refusal flag] == 1
|| [q13-9 refusal flag] == 1 || [q13-16 refusal flag] == 1 || [q13-18 refusal
flag] == 1 || [q13-24 refusal flag] == 1 || [q13-31b refusal flag] == 1 ||
[q13-33i refusal flag] == 1 || [q13-33m refusal flag] == 1 || [q13-33u refusal
flag] == 1 || [q13-66 refusal flag] == 1 || [q13-68 refusal flag] == 1 ||
[q13-70_vet refusal flag] == 1 || [q13-70_dis refusal flag] == 1 || [q13-70_ss
refusal flag] == 1 || [q13-73 refusal flag] == 1 || [q13-73a refusal flag] == 1
|| [q13-73c refusal flag] == 1 || [q13-73d refusal flag] == 1 || [q13-75 refusal
flag] == 1 || [q13-78d refusal flag] == 1 || [q13-92 refusal flag] == 1 ||
[q13-92c refusal flag] == 1 || [amount owed on credit cards] == 1 || [amount
owed on r student loans] == 1 || [amount owed on children student loans] ==
1)
COMMENT: R already refuse previous estimates?
If Answer
= 1 Then Go To DEBT_3A_REF_2
DEBT_3A [] |
Section: Income, Recipiency, Debt and
Assets |
After the most recent payments were made on these
accounts, what was the balance still owed?
If Answer = -2 Then Go To DEBT_3A_SR000001
If Answer = -1 Then Go To DEBT_3A_REF_2
DEBT_3A_SR000001 [] |
Section: Income, Recipiency, Debt and
Assets |
Can you give me an approximate range for that
amount?
(INTERVIEWER: IT IS
ACCEPTABLE FOR RESPONDENT TO REPORT UPPER AND LOWER RANGES VERY CLOSE TOGETHER,
OR THE SAME FIGURE FOR UPPER AND LOWER RANGE IF A SPECIFIC NUMBER.)
DEBT_3A_SR000002 [] |
Section: Income, Recipiency, Debt and
Assets |
If Answer >= -2 AND Answer <= -1 Then Go To DEBT_3A_REF_2
DEBT_3A_REF_2 [] |
Section: Income, Recipiency, Debt and
Assets |
([estimate amount of total income received during prev
round from the military before taxes and other deductions] == 1 || [estimate
amount of total income from wages and salary in past calendar year] == 1 ||
[estimate income from farm/business/professional practice in past calendar year]
== 1 || [estimate total income of spouse/partner from military service in prev
round] == 1 || [estimate amount spar received from wages, salary, commissions
and tips from all (other) jobs, before deductions for taxes or anything else] ==
1 || [amount spouse received after expenses from farm/business/professional
practice] == 1 || [estimate amount of respondent/spar's worker's compentation
payments in prev round] == 1 || [estimate amount of child support respondent
actually received in prev round] == 1 || [estimate amount of child support
spouse/partner actually received in prev round] == 1 || [estimate amount of
child support paid by r/spar in prev round] == 1 || [estimate amount of
assistance received from veterans' education benefits and/or other scholarships,
fellowships or grants in prev round?] == 1 || [estimate amount of educational
benefits recieved in past calendar year by spouse/partner] == 1 || [estimate
amount of total income respondent/spar received from veteran benefits in prev
round] == 1 || [estimate amount of respondent/spar total income from disability
in prev round] == 1 || [esimate amount respondent/spar recieved in total income
from social security in prev round] == 1 || [estimate market value or amount
that respondent/spar received since dli from estates/trusts/inheritances] == 1
|| [estimate market value respondent/spar received from
estates/trusts/inheritances since dli] == 1 || [estimate amount respondent/spar
received from life insurance settlement since dli] == 1 || [estimate amount
respondent/spar received from life insurance settlement in prev round] == 1 ||
[estimate income received by respondent/spar in past calendar year] == 1 ||
[estimate amount respondent received from Earned Income Tax Credit in 2003] == 1
|| [estimate income from all welfare sources for other hh members in 2003] == 1
|| [estimate income from all regular sources for other family] == 1 || [amount
owed on credit cards] == 1 || [amount owed on r student loans] == 1 || [amount
owed on children student loans] == 1)
COMMENT: R already refuse previous estimates?
If Answer
= 1 Then Go To DEBT_4
DEBT_3A_UAB_A [] |
Section: Income, Recipiency, Debt and
Assets |
Would it amount to $[entry pt other hh mems inc] or
more?
DEBT_3A_UAB_B [] |
Section: Income, Recipiency, Debt and
Assets |
Would it amount to $5,000 or more?
DEBT_3A_UAB_C [] |
Section: Income, Recipiency, Debt and
Assets |
Would it amount to $30,000 or more?
DEBT_4 [] |
Section: Income, Recipiency, Debt and
Assets |
Aside from the items that we talked about, do you [or]
[Spouse/partner's name] owe $1000 or more to any person, institution, or
company?
(INTERVIEWER: THIS SHOULD NOT INCLUDE MORTGAGE
DEBT.)
DEBT_4A_REF_1 [] |
Section: Income, Recipiency, Debt and
Assets |
([q13-3 refusal flag] == 1 || [q13-5 refusal flag] == 1
|| [q13-9 refusal flag] == 1 || [q13-16 refusal flag] == 1 || [q13-18 refusal
flag] == 1 || [q13-24 refusal flag] == 1 || [q13-31b refusal flag] == 1 ||
[q13-33i refusal flag] == 1 || [q13-33m refusal flag] == 1 || [q13-33u refusal
flag] == 1 || [q13-66 refusal flag] == 1 || [q13-68 refusal flag] == 1 ||
[q13-70_vet refusal flag] == 1 || [q13-70_dis refusal flag] == 1 || [q13-70_ss
refusal flag] == 1 || [q13-73 refusal flag] == 1 || [q13-73a refusal flag] == 1
|| [q13-73c refusal flag] == 1 || [q13-73d refusal flag] == 1 || [q13-75 refusal
flag] == 1 || [q13-78d refusal flag] == 1 || [q13-92 refusal flag] == 1 ||
[q13-92c refusal flag] == 1 || [amount owed on credit cards] == 1 || [amount
owed on r student loans] == 1 || [amount owed on children student loans] == 1 ||
[amount owed to businesses] == 1)
COMMENT: R already refuse previous estimates?
If Answer
= 1 Then Go To DEBT_4A_REF_2
DEBT_4A [] |
Section: Income, Recipiency, Debt and
Assets |
What is the total amount of debt that you [or]
[Spouse/partner's name] owe to these accounts, rounded to the nearest thousand
dollars?
If Answer = -2 Then Go To DEBT_4A_SR000001
If Answer = -1 Then Go To DEBT_4A_REF_2
DEBT_4A_SR000001 [] |
Section: Income, Recipiency, Debt and
Assets |
Can you give me an approximate range for that
amount?
(INTERVIEWER: IT IS
ACCEPTABLE FOR RESPONDENT TO REPORT UPPER AND LOWER RANGES VERY CLOSE TOGETHER,
OR THE SAME FIGURE FOR UPPER AND LOWER RANGE IF A SPECIFIC NUMBER.)
DEBT_4A_SR000002 [] |
Section: Income, Recipiency, Debt and
Assets |
If Answer >= -2 AND Answer <= -1 Then Go To DEBT_4A_REF_2
DEBT_4A_REF_2 [] |
Section: Income, Recipiency, Debt and
Assets |
([estimate amount of total income received during prev
round from the military before taxes and other deductions] == 1 || [estimate
amount of total income from wages and salary in past calendar year] == 1 ||
[estimate income from farm/business/professional practice in past calendar year]
== 1 || [estimate total income of spouse/partner from military service in prev
round] == 1 || [estimate amount spar received from wages, salary, commissions
and tips from all (other) jobs, before deductions for taxes or anything else] ==
1 || [amount spouse received after expenses from farm/business/professional
practice] == 1 || [estimate amount of respondent/spar's worker's compentation
payments in prev round] == 1 || [estimate amount of child support respondent
actually received in prev round] == 1 || [estimate amount of child support
spouse/partner actually received in prev round] == 1 || [estimate amount of
child support paid by r/spar in prev round] == 1 || [estimate amount of
assistance received from veterans' education benefits and/or other scholarships,
fellowships or grants in prev round?] == 1 || [estimate amount of educational
benefits recieved in past calendar year by spouse/partner] == 1 || [estimate
amount of total income respondent/spar received from veteran benefits in prev
round] == 1 || [estimate amount of respondent/spar total income from disability
in prev round] == 1 || [esimate amount respondent/spar recieved in total income
from social security in prev round] == 1 || [estimate market value or amount
that respondent/spar received since dli from estates/trusts/inheritances] == 1
|| [estimate market value respondent/spar received from
estates/trusts/inheritances since dli] == 1 || [estimate amount respondent/spar
received from life insurance settlement since dli] == 1 || [estimate amount
respondent/spar received from life insurance settlement in prev round] == 1 ||
[estimate income received by respondent/spar in past calendar year] == 1 ||
[estimate amount respondent received from Earned Income Tax Credit in 2003] == 1
|| [estimate income from all welfare sources for other hh members in 2003] == 1
|| [estimate income from all regular sources for other family] == 1 || [amount
owed on credit cards] == 1 || [amount owed on r student loans] == 1 || [amount
owed on children student loans] == 1 || [amount owed to businesses] ==
1)
COMMENT: R already refuse previous estimates?
If Answer
= 1 Then Go To Q13-141
DEBT_4A_UAB_A [] |
Section: Income, Recipiency, Debt and
Assets |
Would it amount to $[entry pt other hh mems inc] or
more?
DEBT_4A_UAB_B [] |
Section: Income, Recipiency, Debt and
Assets |
Would it amount to $5,000 or more?
DEBT_4A_UAB_C [] |
Section: Income, Recipiency, Debt and
Assets |
Would it amount to $30,000 or more?
Q13-141 [] |
Section: Income, Recipiency, Debt and
Assets |
Suppose you [and] [Spouse/partner's name] were to sell
all of your major possessions (including your home), turn all of your
investments and other assets into cash, and pay all of your debts. Would you
have something left over, break even, or be in debt?
|
1 Have
something left over |
|
2 Break
even ...(Go To PS-1) |
|
3 Be in
debt |
Q13-141A_REF_1 [] |
Section: Income, Recipiency, Debt and
Assets |
([q13-3 refusal flag] == 1 || [q13-5 refusal flag] == 1
|| [q13-9 refusal flag] == 1 || [q13-16 refusal flag] == 1 || [q13-18 refusal
flag] == 1 || [q13-24 refusal flag] == 1 || [q13-31b refusal flag] == 1 ||
[q13-33i refusal flag] == 1 || [q13-33m refusal flag] == 1 || [q13-33u refusal
flag] == 1 || [q13-66 refusal flag] == 1 || [q13-68 refusal flag] == 1 ||
[q13-70_vet refusal flag] == 1 || [q13-70_dis refusal flag] == 1 || [q13-70_ss
refusal flag] == 1 || [q13-73 refusal flag] == 1 || [q13-73a refusal flag] == 1
|| [q13-73c refusal flag] == 1 || [q13-73d refusal flag] == 1 || [q13-75 refusal
flag] == 1 || [q13-78d refusal flag] == 1 || [q13-92 refusal flag] == 1 ||
[q13-92c refusal flag] == 1)
COMMENT: R already refuse previous estimates?
If Answer
= 1 Then Go To Q13-142_REF_2
Q13-142 [] |
Section: Income, Recipiency, Debt and
Assets |
How much would you [have left over/be in
debt]?
If Answer = -2 Then Go To Q13-142_SR000001
If Answer = -1 Then Go To Q13-142_REF_2
Q13-142_SR000001 [] |
Section: Income, Recipiency, Debt and
Assets |
Can you give me an approximate range for that
amount?
(INTERVIEWER: IT IS
ACCEPTABLE FOR RESPONDENT TO REPORT UPPER AND LOWER RANGES VERY CLOSE TOGETHER,
OR THE SAME FIGURE FOR UPPER AND LOWER RANGE IF A SPECIFIC NUMBER.)
COMMENT: FIELDS=({hi_orelinc_persrc}=LONG=10="More than:"=05=15,
{lo_orelinc_persrc}=LONG=10="Less than:"=20=400) ORIGINAL MULTIPLE FIELDS
QUESTION. BROKEN INTO SEPARATE QUESTIONS BY CONVERSION.
Q13-142_SR000002 [] |
Section: Income, Recipiency, Debt and
Assets |
If Answer >= -2 AND Answer <= -1 Then Go To Q13-142_REF_2
Q13-142_REF_2 [] |
Section: Income, Recipiency, Debt and
Assets |
([estimate amount of total income received during prev
round from the military before taxes and other deductions] == 1 || [estimate
amount of total income from wages and salary in past calendar year] == 1 ||
[estimate income from farm/business/professional practice in past calendar year]
== 1 || [estimate total income of spouse/partner from military service in prev
round] == 1 || [estimate amount spar received from wages, salary, commissions
and tips from all (other) jobs, before deductions for taxes or anything else] ==
1 || [amount spouse received after expenses from farm/business/professional
practice] == 1 || [estimate amount of respondent/spar's worker's compentation
payments in prev round] == 1 || [estimate amount of child support respondent
actually received in prev round] == 1 || [estimate amount of child support
spouse/partner actually received in prev round] == 1 || [estimate amount of
child support paid by r/spar in prev round] == 1 || [estimate amount of
assistance received from veterans' education benefits and/or other scholarships,
fellowships or grants in prev round?] == 1 || [estimate amount of educational
benefits recieved in past calendar year by spouse/partner] == 1 || [estimate
amount of total income respondent/spar received from veteran benefits in prev
round] == 1 || [estimate amount of respondent/spar total income from disability
in prev round] == 1 || [esimate amount respondent/spar recieved in total income
from social security in prev round] == 1 || [estimate market value or amount
that respondent/spar received since dli from estates/trusts/inheritances] == 1
|| [estimate market value respondent/spar received from
estates/trusts/inheritances since dli] == 1 || [estimate amount respondent/spar
received from life insurance settlement since dli] == 1 || [estimate amount
respondent/spar received from life insurance settlement in prev round] == 1 ||
[estimate income received by respondent/spar in past calendar year] == 1 ||
[estimate amount respondent received from Earned Income Tax Credit in 2003] == 1
|| [estimate income from all welfare sources for other hh members in 2003] == 1
|| [estimate income from all regular sources for other family] == 1)
COMMENT: R already refuse previous estimates?
If Answer
= 1 Then Go To PS-1
Q13-142_UAB_A [] |
Section: Income, Recipiency, Debt and
Assets |
Would it amount to $10,000 or more?
Q13-142_UAB_B [] |
Section: Income, Recipiency, Debt and
Assets |
Would it amount to $1,000 or more?
Q13-142_UAB_C [] |
Section: Income, Recipiency, Debt and
Assets |
Would it amount to $50,000 or more?
PS-1 [] |
Section: Income, Recipiency, Debt and
Assets |
In the last 5 years, have you completely missed a payment
or been at least 2 months late in paying any of your bills?
PS-2 [] |
Section: Income, Recipiency, Debt and
Assets |
On how many credit cards do you [or] [Spouse/partner's
name] owe the maximum amount allowed by the credit card company?
(INTERVIEWER: THIS MEANS
HOW MANY CARDS ARE "MAXED
OUT".)
Default Next: |
PS-3 |
Lead-In: |
PS-1 [Default] |
PS-3 [] |
Section: Income, Recipiency, Debt and
Assets |
Have you [or] [Spouse/partner's name] ever declared
bankruptcy?
Default Next: |
PS-4 |
Lead-In: |
PS-2 [Default] |
PS-3_A [] |
Section: Income, Recipiency, Debt and
Assets |
How many times have you [or] [Spouse/partner's name]
declared bankruptcy?
PS-3_C [] |
Section: Income, Recipiency, Debt and
Assets |
[Please think about the most recent time that you (or
your spouse/partner) declared bankruptcy.] Was this bankruptcy related to the
failure of a business that you [or] [Spouse/partner's name] owned?
PS-3_D [] |
Section: Income, Recipiency, Debt and
Assets |
[Please think about the most recent time that you (or
your spouse/partner) declared bankruptcy.] In what month and year was
this?
PS-3_E [] |
Section: Income, Recipiency, Debt and
Assets |
What type of bankruptcy did you [or] [Spouse/partner's
name] declare? Was it...
|
1 Chapter 7 -
commonly referred to as Straight Bankruptcy |
|
2 Chapter 11 -
commonly referred to as Business Reorganization |
|
3 Chapter 12 -
commonly referred to as Family Farmer Reorganization |
|
4 Chapter 13 -
commonly referred to as Personal Debt Reorganization-Wage Earner Repayment
Plan |
|
5 Other
(Specify) |
PS-4 [] |
Section: Income, Recipiency, Debt and
Assets |
Have you [or] [Spouse/partner's name] applied for any
type of credit or loan (since you declared bankruptcy or within the last 5
years)?
INTERVIEWER: ASK ABOUT
SINCE R LAST DECLARED BANKRUPTCY OR
WITHIN THE LAST 5 YEARS IF R HAS NOT DECLARED
BANKRUPTCY.
|
1 YES |
|
0 NO ...(Go To PS-6) |
PS-5 [] |
Section: Income, Recipiency, Debt and
Assets |
In the past 5 years, has a lender or a creditor turned
down your [or] [Spouse/partner's name]'s request for credit or
not given you as much credit as you applied for?
PS-6 [] |
Section: Income, Recipiency, Debt and
Assets |
In the past 5 years, have you [or] [Spouse/partner's
name] thought about applying for credit, but changed your mind because you
thought you might be turned down?
Q13-145A [] |
Section: Income, Recipiency, Debt and
Assets |
INTERVIEWER: DID
RESPONDENT CONSULT WITH ANYONE ELSE WHEN ANSWERING ANY OF THE QUESTIONS IN THIS
SECTION?
|
1 R ANSWERED
ALL QUESTIONS ON OWN |
|
2 R ANSWERED IN
CONSULTATION WITH PARTNER/SPOUSE |
|
3 R USED
SPOUSE/PARTNER'S ANSWERS ONLY |
ROTTER_LINT [] |
Section: Attitudes and
Personality |
[last round R completed]==26
If Answer = 1 Then Go To RETIRE_EXP_LINT
ROTTER_INTRO [] |
Section: Attitudes and
Personality |
I am going to read you four pairs of statements about
outlooks on life. For each pair, please select one statement which is
closer to your opinion. In addition, tell me whether the statement you select is
much closer to your opinion or slightly closer. Try to consider
each pair of statements separately when making your choice; do not be influenced
by your previous choices.
ROTTER_1A [] |
Section: Attitudes and
Personality |
Statement A: What happens to me is my own doing.
(IF NECESSARY: or)
Statement B: Sometimes I feel that I don't have enough
control over the direction my life is taking.
|
1 STATEMENT
A |
|
2 STATEMENT
B |
ROTTER_1B [] |
Section: Attitudes and
Personality |
Is this statement much closer or slightly closer to your
opinion?
|
1 much
closer |
|
2 slightly
closer |
ROTTER_2A [] |
Section: Attitudes and
Personality |
Statement A: When I make plans, I am almost certain that
I can make them work.
(IF NECESSARY: or)
Statement B: It is not
always wise to plan too far ahead, because many things turn out to be a matter
of good or bad fortune anyhow.
|
1 STATEMENT
A |
|
2 STATEMENT
B |
ROTTER_2B [] |
Section: Attitudes and
Personality |
Is this statement much closer or slightly closer to your
opinion?
|
1 much
closer |
|
2 slightly
closer |
ROTTER_3A [] |
Section: Attitudes and
Personality |
Statement A: In my case, getting what I want has little
or nothing to do with luck.
(IF NECESSARY: or)
Statement B: Many
times we might just as well decide what to do by flipping a coin.
|
1 STATEMENT
A |
|
2 STATEMENT
B |
ROTTER_3B [] |
Section: Attitudes and
Personality |
Is this statement much closer or slightly closer to your
opinion?
|
1 much
closer |
|
2 slightly
closer |
ROTTER_4A [] |
Section: Attitudes and
Personality |
Statement A: Many times I feel that I have little
influence over the things that happen to me.
(IF NECESSARY:
or)
Statement B: It is impossible for me to believe that chance or luck
plays an important role in my life.
|
1 STATEMENT
A |
|
2 STATEMENT
B |
ROTTER_4B [] |
Section: Attitudes and
Personality |
Is this statement much closer or slightly closer to your
opinion?
|
1 much
closer |
|
2 slightly
closer |
TIPI10 [] |
Section: Attitudes and
Personality |
Here are some personality traits that may or may not
apply to you. You will hear several pairs of personality traits that are related
but not exactly the same.
Using a scale of 1 to 7, where 1 means
“disagree strongly” and 7 means “agree strongly” rate how well each pair of
traits applies to you, even if one characteristic applies more strongly than the
other.
|
- Extraverted,
enthusiastic |
|
- Critical, quarrelsome |
|
- Dependable,
self-disciplined |
|
- Anxious, easily upset |
|
- Open to new experiences,
complex |
|
- Reserved, quiet |
|
- Sympathetic, warm |
|
- Disorganized, careless |
|
- Calm, emotionally stable |
|
- Conventional,
uncreative |
|
1 1 (disagree
strongly) |
|
2 2 |
|
3 3 |
|
4 4 |
|
5 5 |
|
6 6 |
|
7 7 (agree
strongly) |
RETIRE_EXP_LINT [] |
Section: Retirement
Expectations |
[last round R completed]>=25
If
Answer = 1 Then Go To WILL_LINT
RETIRE_EXP_P2_1A [] |
Section: Retirement
Expectations |
Next I have a few questions about your plans for the
future. Are you working now, temporarily laid off, unemployed and looking for
work, disabled and unable to work, retired, a homemaker, or what?
|
1 Working
now |
|
2 Temporarily
laid off |
|
3 Unemployed
and looking for work |
|
4 Disabled and
unable to work ...(Go To RETIRE_EXP_P2_1B) |
|
5 Retired |
|
6 Homemaker |
|
7 Other |
RETIRE_EXP_P2_1B [] |
Section: Retirement
Expectations |
Do you expect to work for pay or work at a family
business for pay or profit in the future?
RETIRE_EXP_P2_2 [] |
Section: Retirement
Expectations |
People often have different ideas about what it means to
become retired. How would you define retirement for yourself?
(INTERVIEWER: PLEASE SELECT ALL THAT APPLY.)
|
1 Reduction in
hours of work per week |
|
2 Stop working
entirely |
|
3 Begin
receiving retirement payments from a pension |
|
4 Begin
receiving retirement payments from Social Security |
|
5 Quit career
job and work at more fun or satisfying job |
|
6 Spouse stops
working |
|
7 Spouse
reduces his/her hours of work per week |
|
8 Begin
receiving retirement payments from a defined contribution plan |
|
9 Become
eligible for health care provided for by Medicare |
|
11 Expects to
have to work out of necessity |
|
12 Never plans
to stop working |
|
10 Other |
RETIRE_EXP_P2_4A [] |
Section: Retirement
Expectations |
People begin learning about and preparing for retirement
at different ages and in different ways.
Have you [or] [Spouse/partner's
name] ...(READ CATEGORIES)
|
- ...ever calculated how much
retirement income you would need at retirement? |
|
- ...consulted a financial
planner about how to plan your finances after retirement? |
|
- ...read any magazines or books
on retirement planning |
|
- ...used a computer program to
help you plan your retirement |
|
- ...ever attended any meetings
on retirement or retirement planning? |
RETIRE_EXP_P2_4B [] |
Section: Retirement
Expectations |
[RETIRE_EXP_P2_4A~5] == 1
If
Answer = 1 Then Go To RETIRE_EXP_P2_5
RETIRE_EXP_P2_5 [] |
Section: Retirement
Expectations |
Were any of the meetings organized by your ([or]
[Spouse/partner's name]'s) employer?
RETIRE_EXP_P2_6 [] |
Section: Retirement
Expectations |
Did you [or] [Spouse/partner's name] attend those
retirement meetings on a voluntary basis or was attendance required by the
employer?
|
1 attendance
required by employer |
|
2 attendance
was voluntary |
RETIRE_EXP_P2_E_INTRO [] |
Section: Retirement
Expectations |
I have some questions about how likely you think various
events might be. When I ask a question I'd like for you to give me a number from
0 to 100, where "0" means that you think there is absolutely no chance the event
will occur, and "100" means that you think the event is absolutely sure to
happen.
For example, no one can ever be sure about tomorrow's weather,
but if you think that rain is very unlikely tomorrow, you might say that there
is a 10 percent chance of rain. If you think there is a very good chance that it
will rain tomorrow, you might say that there is an 80 percent chance of rain. If
you are positive that it will rain tomorrow, you would say there is a 100
percent chance of rain.
RETIRE_EXP_P2_E1 [] |
Section: Retirement
Expectations |
[(Thinking about employment in general and not just your
present job,) what] do you think the chances are that you will be working
full-time after you reach age 62?
If Answer = 0 Then Go To RETIRE_EXP_P2_E3
RETIRE_EXP_P2_E2 [] |
Section: Retirement
Expectations |
What do you think the chances are that you will be
working full-time after you reach age 65?
RETIRE_EXP_P2_E3 [] |
Section: Retirement
Expectations |
What do you think the chances are that your health will
limit your work activity during the next 10 years?
RETIRE_EXP_P2_E4 [] |
Section: Retirement
Expectations |
Including property and other valuables that you own, what
are the chances that you (and your spouse/partner) will leave inheritances
totaling $10,000 or more?
If Answer = 0 Then Go To RETIRE_EXP_P2_E6
RETIRE_EXP_P2_E5 [] |
Section: Retirement
Expectations |
What are the chances that you (and your spouse/partner)
will leave inheritances totaling $100,000 or more?
RETIRE_EXP_P2_E6 [] |
Section: Retirement
Expectations |
What are the chances that you (and your spouse/partner)
will leave any inheritance?
RETIRE_EXP_P2_E7 [] |
Section: Retirement
Expectations |
What do you think the chances are that you will live to
be 75 or more?
If Answer = 0 Then Go To RETIRE_EXP_P2_E9
RETIRE_EXP_P2_E8 [] |
Section: Retirement
Expectations |
What do you think the chances are that you will live to
be 85 or more?
RETIRE_EXP_P2_E9 [] |
Section: Retirement
Expectations |
What do you think the chances are that you will ever have
to move to a nursing home?
WILL_LINT [] |
Section: Wills |
[last round R completed]>=25
If
Answer = 1 Then Go To FORECLOSURE_LINT
Do you currently have a will or living trust that is
written and witnessed?
Which do you have: a will, a trust, or both a will and a
trust?
|
1 Will
only |
|
2 Trust
only |
|
3 Both will and
trust ...(Go To WILL_3_DATE) |
WILL_3_DATE [] |
Section: Wills |
When did you first establish the
[will/trust]?
[(INTERVIEWER: IF R HAS BOTH, PLEASE REFER TO THE EARLIER
OF THE TWO.)]
When did you last modify the
[will/trust]?
[(INTERVIEWER: PLEASE REFER TO THE LAST
MODIFICATION.)]
|
1 SELECT TO
ENTER DATE ...(Go To WILL_4_DATE) |
|
0 NO
MODIFICATION SINCE DOCUMENT WAS FIRST WRITTEN |
WILL_4_DATE [] |
Section: Wills |
When did you last modify the
[will/trust]?
[(INTERVIEWER: PLEASE REFER TO THE LAST
MODIFICATION.)]
What was the main reason for making that
modification?
Have you made provisions in your [will/trust] for any
family members [other than spouse/partner]?
WILL_6CHK [] |
Section: Wills |
[total # bio children reported] > 0 || [total non-bio
children reported] > 0
COMMENT: R report biological, adopted or step children?
If Answer = 0 Then Go To WILL_14
Does your [will/trust] include provisions for all your
children, some of your children, or none of your children? By children, we refer
to all biological, adopted, and step-children.
WILL_8_A [] |
Section: Wills |
Does your [will/trust] provide for more than one
child?
Among those children who are included in the
[will/trust], does the document provide for all of them about
equally?
WILL_10CHK1 [] |
Section: Wills |
([will provide for all children?]==0)
If Answer = 1 Then Go To WILL_10
WILL_10CHK2A [] |
Section: Wills |
([will provide for all children?]==2) && ([will
provide for more than one child?]==0)
If Answer
= 1 Then Go To WILL_10
WILL_10CHK2B [] |
Section: Wills |
([will provide for all children?]==2) && ([will
provide for all included children equally?]==1)
If
Answer = 1 Then Go To WILL_10
WILL_10CHK3 [] |
Section: Wills |
([will provide for all children?]==2) && ([will
provide for all included children equally?]==0)
If
Answer = 1 Then Go To WILL_10
WILL_10CHK4 [] |
Section: Wills |
([will provide for all children?]==1) && ([will
provide for all included children equally?]==0)
If
Answer = 1 Then Go To WILL_10
WILL_10 [] |
Section: Wills |
What is the main reason that your [will/trust] [excludes
(some of) your children (and does not provide equally for all of your
children)]?
WILL_CHILD15CHK1 [] |
Section: Wills |
[count of children turning at least 15 years old in
survey year]>0 || [# non-bio children on roster]>0
If
Answer = 1 Then Go To WILL_11A
WILL_11A [] |
Section: Wills |
We would like to get a quick count of how many
biological, adopted, or step-grandchildren you have. Do you have any
grandchildren?
WILL_11B [] |
Section: Wills |
Do you have more than one grandchild?
WILL_12A [] |
Section: Wills |
Does the [will/trust] include direct provisions
for all your grandchildren, some of your grandchildren, or none of your
grandchildren? Please do not include provisions your grandchildren might get
through their parents. Again, we refer to all biological, adopted, and
step-grandchildren.
|
1 All |
|
2 Some |
|
0 None ...(Go To WILL_14) |
WILL_12B [] |
Section: Wills |
Does the [will/trust] include direct provisions
for your grandchild?
WILL_13 [] |
Section: Wills |
Among those grandchildren who are included in the
[will/trust], does the document provide for all of them about
equally?
WILL_14 [] |
Section: Wills |
Have you made provisions for any charities or nonprofit
organizations in your [will/trust]?
WILL_15 [] |
Section: Wills |
Do you intend to establish a will or trust in the
future?
WILL_16 [] |
Section: Wills |
Not including government programs, do you have long-term
care insurance that specifically covers nursing home care for a year or more, or
any part of personal or medical care in your home?
FORECLOSURE_LINT [] |
Section: Foreclosure |
[last round R completed]>=24
If
Answer >= 1 AND Answer <= 23 Then Go To FORECLOSURE-1_INTRO
If Answer >= 24 AND Answer <= 25 Then Go To FORECLOSURE-1_INTRO
FORECLOSURE-1_INTRO [] |
Section: Foreclosure |
We have all heard a lot about problems in the U.S.
housing market. In some parts of the country home values have dropped, and some
people are having problems making their mortgage payments.
FORECLOSURE-2 [] |
Section: Foreclosure |
Do you (or your spouse/partner) currently own the house
in which you are living?
FORECLOSURE-3 [] |
Section: Foreclosure |
From January [reference year for reporting foreclosures]
to today, did you (or your spouse/partner) ever own the house in which you were
living?
FORECLOSURE-4 [] |
Section: Foreclosure |
Since January [reference year for reporting
foreclosures], have you ever fallen more than 2 months behind on mortgage
payments on the house in which you were living?
FORECLOSURE-5 [] |
Section: Foreclosure |
Did you ever go through foreclosure on that house? That
is, did you ever receive a notice of foreclosure from your
bank?
(INTERVIEWER: SEE HELP SCREEN
FOR FURTHER EXPLANATION.)
FORECLOSURE-6 [] |
Section: Foreclosure |
Did you lose your home because of this?
FORECLOSURE-6CHK [] |
Section: Foreclosure |
[currently own a home?] != 1
If Answer = 0 Then Go To FORECLOSURE-7
FORECLOSURE-7 [] |
Section: Foreclosure |
Are you facing possible foreclosure?
FORECLOSURE-8 [] |
Section: Foreclosure |
How likely is it that you will fall behind in your
mortgage payments during the next 6 months? Is it very likely, somewhat likely,
or not likely at all?
|
1 Very
Likely |
|
2 Somewhat
Likely |
|
3 Not likely at
all |
FORECLOSURE-9 [] |
Section: Foreclosure |
From January [reference year for reporting foreclosures]
to today, did you (or your spouse/partner) ever own any other real estate, such
as a vacation home, a house you had bought to resell, or property you were
renting to tenants?
FORECLOSURE-10 [] |
Section: Foreclosure |
Since January [reference year for reporting
foreclosures], did you ever fall more than 2 months behind on mortgage payments
on any of these properties?
FORECLOSURE-11 [] |
Section: Foreclosure |
Did you ever go through foreclosure on any of these
properties? That is, did you ever receive a notice of foreclosure from your
bank?
(INTERVIEWER: SEE HELP SCREEN
FOR FURTHER EXPLANATION.)
FORECLOSURE-12 [] |
Section: Foreclosure |
Did you lose any of these properties because of
this?
FORECLOSURE-13 [] |
Section: Foreclosure |
Are you facing possible foreclosure on any of these
properties?
FIN_LIT_LINT [] |
Section: Financial Literacy |
[last round R completed]>=25
If
Answer = 1 Then Go To LIFE-SATISFACTION
FIN_LIT_1 [] |
Section: Financial Literacy |
Have you set aside emergency or rainy day funds that
would cover your expenses for 3 months, in case of sickness, job loss, economic
downturn, or other emergencies?
FIN_LIT_2 [] |
Section: Financial Literacy |
How strongly do you agree or disagree with the following
statements? Please give your answer on a scale of 1 to 7, where 1 means
“strongly disagree” 7 means “strongly agree,” and 4 means “neither agree nor
disagree."
|
- I am good at dealing with
day-to-day financial matters, such as checking accounts, credit and debit
cards, and tracking expenses |
|
- I regularly keep up with
economic and financial news |
|
1 1 (disagree
strongly) |
|
2 2 |
|
3 3 |
|
4 4 |
|
5 5 |
|
6 6 |
|
7 7 (agree
strongly) |
FIN_LIT_3 [] |
Section: Financial Literacy |
On a scale from 1 to 7, where 1 means very low and 7
means very high, how would you assess your overall financial
knowledge?
|
1 1 |
|
2 2 |
|
3 3 |
|
4 4 |
|
5 5 |
|
6 6 |
|
7 7 |
FIN_LIT_4 [] |
Section: Financial Literacy |
Do you think that the following statement is true or
false? Buying a single company stock usually provides a safer return than a
stock mutual fund.
FIN_LIT_5 [] |
Section: Financial Literacy |
Suppose you had $100 in a savings account and the
interest rate was 2 percent per year. After 5 years, how much do you think you
would have in the account if you left the money to grow: more than $102, exactly
$102, or less than $102?
|
1 More than
$102 |
|
2 Exactly
$102 |
|
3 Less than
$102 |
FIN_LIT_6 [] |
Section: Financial Literacy |
Imagine that the interest rate on your savings account
was 1% per year and inflation was 2% per year. After 1 year, would you be able
to buy more than, exactly the same as, or less than today with the money in this
account?
|
1 More than
today |
|
2 Exactly the
same as today |
|
3 Less than
today |
FIN_LIT_7 [] |
Section: Financial Literacy |
If interest rates rise, what will typically happen to
bond prices?
|
1 They will
rise |
|
2 They will
fall |
|
3 They will
stay the same |
|
4 There is no
relationship between bond prices and the interest
rate |
FIN_LIT_8 [] |
Section: Financial Literacy |
Do you think that the following statement is true or
false? A 15-year mortgage typically requires higher monthly payments than a
30-year mortgage, but the total interest paid over the life of the loan will be
less.
LIFE-SATISFACTION [] |
Section: Interview End |
How dissatisfied or satisfied are you with your life
overall?
|
1 1 (not at all
satisfied) |
|
2 2 |
|
3 3 |
|
4 4 |
|
5 5 |
|
6 6 |
|
7 7 (completely
satisfied) |
Q14-INTTYPE [] |
Section: Locator |
INTERVIEWER: IS THIS
A TELEPHONE INTERVIEW OR AN IN-PERSON INTERVIEW?
|
1 TELEPHONE
INTERVIEW |
|
2 PERSONAL
INTERVIEW ...(Go To Q15-PROXY1) |
Q15-PROXY1 [] |
Section: Locator |
INTERVIEWER: WAS THIS
INTERVIEW CONDUCTED WITH A PROXY (SOMEONE
OTHER THAN THE RESPONDENT).
|
1 Respondent
interviewed |
|
2 Proxy
interviewed ...(Go To Q15-PROXY2) |
Q15-PROXY2 [] |
Section: Locator |
INTERVIEWER: PLEASE
DESCRIBE THE PROXY SITUATION AND IDENTIFY THE PROXY RESPONDENT IN THE TEXT BOX
PROVIDED.
Q14-PRIS-CHECK [] |
Section: Locator |
([type of dwelling unit]==5)
COMMENT: Machine Check: Is R in prison?
If Answer = 1
Then Go To Q14-PRISON-PAYMENT
Q14-INTTYPE-CHECK [] |
Section: Locator |
[INTTYPE]
If Answer = 2 Then
Go To Q14-A-SKIP2
Q14-PRISON-PAYMENT [] |
Section: Locator |
INTERVIEWER: IS THIS
RESPONDENT ABLE TO RECEIVE PAYMENT FOR COMPLETING THIS INTERVIEW?
Q14-PRISON-PAYMENT-TYPE [] |
Section: Locator |
INTERVIEWER: PLEASE ENTER THE FORM OF PAYMENT FOR THIS
RESPONDENT.
|
1 J-PAY |
|
2 MONEY
ORDER |
|
3 OTHER
(SPECIFY) |
Q14-INTRO-PRIS [] |
Section: Locator |
That's all the survey questions I have, but (as you know)
we would like to keep in touch with you [(and make sure that you receive your
payment.)].
Q14-PRIS-CHECK2 [] |
Section: Locator |
([ALLOWED]==0)
COMMENT: R is not allowed to receive payment
If Answer
= 1 Then Go To Q14-PRISNUM
Q14-PRISNUM [] |
Section: Locator |
What is your prisoner ID number?
Q14-PRISINFO [] |
Section: Locator |
INTERVIEWER: ADDRESS AND E-MAIL WILL BE COLLECTED IN
SUBSEQUEST SCREENS. PLEASE ENTER ANY ADDITIONAL INSTRUCTIONS NEEDED TO PROCESS
PAYMENT FOR THIS RESPONDENTS
Q14-INTRO [] |
Section: Locator |
That's all the survey questions I have, but (as you know)
we would like to keep in touch with you and make sure that you recieve your
payment. So let me verify your name, address, phone number, and payment
preference.
Q14-AA [] |
Section: Locator |
INTERVIEWER: IS THIS
A DOMESTIC OR AN INTERNATIONAL CASE?
DOMESTIC CASES INCLUDE RESPONDENTS
LIVING IN THE UNITED STATES OR ITS TERRITORIES. CODE THIS QUESTION WITH CAUTION
AS IT WILL DETERMINE THE PAYMENT OPTIONS OFFERED TO THE RESPONDENT.
US
TERRITORIES INCLUDE PUERTO RICO, THE US VIRGIN ISLANDS, GUAM, AMERICAN SAMOA AND
NORTHERN MARIANAS.
|
1 DOMESTIC
CASE |
|
2 INTERNATIONAL
CASE |
Q14-PAYPAL [] |
Section: Locator |
We are now offering payment through PayPal. This is the
fastest and most secure way for us to get your payment to you. Would you like to
receive your payment through PayPal?
Q14-PAYPAL-EMAIL [] |
Section: Locator |
What email address allows us to send your payment to
PayPal? This would be the email address that is associated with your PayPal
Account.
Q14-PAYPAL-VERIFY [] |
Section: Locator |
To verify, you have elected to receive payment via Pay
Pal, and your e-mail address is:
[e-mail]
Is that
correct?
(INTERVIEWER: SPELL EMAIL OUT
SLOWLY TO VERIFY THAT IT IS CORRECT. IF INCORRECT, BACK UP TO PREVIOUS SCREEN TO
CORRECT.)
Q14-A-SKIP1 [] |
Section: Locator |
[domestic/foreign]
If Answer
= 2 Then Go To Q14-INTERNATIONAL-1
Q14-INTERNATIONAL-1 [] |
Section: Locator |
Would you prefer your payment to be sent by Western Union
or another method?
Q14-INTERNATIONAL-2 [] |
Section: Locator |
Western Union requires a valid government-issued
identification to be presented when picking up a transfer. Is [r's first name]
[r's middle name] [r's last name] the name on the ID that you will be using to
pick up your money?
Q14-INTNTL-NAME [] |
Section: Locator |
What is the name on the ID that you will be using to pick
up your money?
Q14-DOMESTIC [] |
Section: Locator |
Would you prefer to be sent a check or cash?
|
1 CHECK |
|
2 CASH |
|
3 OTHER
(SPECIFY) |
Q14-CARRIER [] |
Section: Locator |
Would you prefer to receive your payment through the US
postal service or via FedEx?
|
1 US POSTAL
SERVICE |
|
2 FED EX, NO
SIGNATURE REQUIRED |
|
3 IF R INSISTS,
FED EX, SIGNATURE REQUIRED |
Q14-EMAIL-NOTICE [] |
Section: Locator |
What email address can we use to notify you of when your
payment is processed?
Q14-A-SKIP2 [] |
Section: Locator |
[domestic/foreign]
If Answer
= 2 Then Go To Q14-1B_000001
Q14-1A_000001 [] |
Section: Locator |
As you know, we would like to keep in touch with you and
make sure that we send your check to the correct address. So let me be certain
that we have your correct name, address and phone number. NOTE: IF THIS IS A
FOREIGN ADDRESS, PLEASE BACK UP TO RE-ANSWER Q14-AA.
Q14-1A_000002 [] |
Section: Locator |
Q14-1A_000003 [] |
Section: Locator |
Q14-1A_000004 [] |
Section: Locator |
Q14-1A_000005 [] |
Section: Locator |
Q14-1A_000006 [] |
Section: Locator |
Q14-1A_000007 [] |
Section: Locator |
Q14-1A_000009 [] |
Section: Locator |
Q14-1A_000010 [] |
Section: Locator |
Q14-1A_000011 [] |
Section: Locator |
Q14-1A_000013 [] |
Section: Locator |
Q14-1A1_000001A [] |
Section: Locator |
SCREEN 2: CONTINUE VERIFYING/ENTERING U.S. ADDRESS
INFORMATION.
Q14-1A1_000002A [] |
Section: Locator |
Q14-1A1_000003A [] |
Section: Locator |
Q14-1A1_000004A [] |
Section: Locator |
Q14-1B_000001 [] |
Section: Locator |
As you know, we would like to keep in touch with you and
make sure that we send your check to the correct address. So let me be certain
that we have your correct name, address and phone number. NOTE: IF THIS IS NOT A
FOREIGN ADDRESS, PLEASE BACK UP TO RE-ANSWER Q14-AA.
Q14-1B_000002 [] |
Section: Locator |
Q14-1B_000003 [] |
Section: Locator |
Q14-1B_000004 [] |
Section: Locator |
Q14-1B_000005 [] |
Section: Locator |
Q14-1B_000006 [] |
Section: Locator |
Q14-1B_000007 [] |
Section: Locator |
Q14-1B_000009 [] |
Section: Locator |
Q14-1B_000010 [] |
Section: Locator |
Q14-1B_000011 [] |
Section: Locator |
Q14-1B_000012 [] |
Section: Locator |
Q14-1B_000013 [] |
Section: Locator |
Q14-1B_000014 [] |
Section: Locator |
SCREEN 2: CONTINUE VERIFYING/ENTERING FOREIGN ADDRESS
INFORMATION. NOTE: IF THIS IS NOT A FOREIGN ADDRESS, PLEASE BACK UP TO RE-ANSWER
Q14-AA.
Q14-1B1_000003 [] |
Section: Locator |
Q14-1B1_000002 [] |
Section: Locator |
Q14-1B1_000001 [] |
Section: Locator |
Q14-2 [] |
Section: Locator |
VAREXIST ([r's zip code])
COMMENT: DOES THIS SYMBOL EXIST?
If Answer = 0 Then Go
To Q14-3A
Q14-3 [] |
Section: Locator |
ISVAREMPTY ([r's zip code])
COMMENT: IS THIS SYMBOL EMPTY?
If Answer = 0 Then Go To
Q14-3H
Q14-3A [] |
Section: Locator |
Do you happen to know what your zip code is?
If Answer >= -2 AND Answer <= -1 Then Go To Q14-3H
Q14-3B_000001 [] |
Section: Locator |
What is your zip code?
Q14-3H [] |
Section: Locator |
Do you have a mailing address other than the one you just
gave us?
Q14-3IB_000001 [] |
Section: Locator |
Could you please give me your mailing address? (IF
NECESSARY READ:) We want to make certain that we mail your check to the correct
address.
Q14-3IB_000002 [] |
Section: Locator |
Q14-3IB_000003 [] |
Section: Locator |
Q14-3IB_000004 [] |
Section: Locator |
Q14-3IB_000005 [] |
Section: Locator |
Q14-3IB_000006 [] |
Section: Locator |
Q14-3IB_000007 [] |
Section: Locator |
Q14-3IB_000008 [] |
Section: Locator |
Q14-PRIS-CHECK-V1 [] |
Section: Locator |
([type of dwelling unit]==5)
COMMENT: Machine Check: Is R in prison?
If Answer = 1
Then Go To Q14-PRIS-CHECK-V2
Q14-PRIS-CHECK-V2 [] |
Section: Locator |
([ALLOWED]==0)
COMMENT: Machine Check: Is R in prison?
If Answer = 1
Then Go To Q14-CONSENT-FLAG1
Q14-PRIS-CHECK-V3 [] |
Section: Locator |
[PRISONPAY]
If Answer = 1
Then Go To Q14-JPAY-VAR
Q14-JPAY-VAR [] |
Section: Locator |
Just to confirm, you will receive your payment via
J-Pay.
We have your ID number as: [PRISONER_ID]
and your e-mail
as: [e-mail].
Are these correct?
(INTERVIEWER: SPELL ID AND EMAIL OUT SLOWLY TO VERIFY THAT
THEY ARE CORRECT. IF INCORRECT, ENTER THE CORRECT INFORMATION ON THE NEXT
SCREEN.)
Q14-PRISNUM-COR [] |
Section: Locator |
INTERVIEWER: CORRECT
FIELDS AS NECESSARY.
IF NEEDED, ASK: What is your prisoner ID
number?
Q14-EMAIL-COR [] |
Section: Locator |
INTERVIEWER: CORRECT
FIELDS AS NECESSARY.
IF NEEDED, ASK: What is your email
address?
Q14-PAYVAR-SKIPORIG [] |
Section: Locator |
[INTTYPE]
COMMENT: Type of interview
If Answer = 2 Then Go To
Q14-PROXY-CHECK
Q14-PAYVAR-SKIP1 [] |
Section: Locator |
[agree to use paypal?]
If
Answer = 1 Then Go To Q14-PROXY-CHECK
Q14-PAYVAR-SKIP2 [] |
Section: Locator |
[domestic/foreign]
If Answer
= 2 Then Go To Q14-PAYVAR-INTERNATIONAL2
Q14-PAYVAR-INTERNATIONAL2 [] |
Section: Locator |
[WESTERN_OTHER]
If Answer =
2 Then Go To Q14-PAYVAR-INTERNATIONAL-V2
Q14-PAYVAR-INTERNATIONAL-V1
[] |
Section: Locator |
Your payment will be sent via Western Union
to:
[WESTERN_UNION_NAME]
in
[LOCLIST_PAY_CITY]
[LOCLIST_PAY_STATE]
[LOCLIST_PAY_COUNTRY]
Is
this correct?
(INTERVIEWER: SPELL NAME AND
LOCATION OUT SLOWLY TO VERIFY THAT THEY ARE CORRECT. IF INCORRECT, BACK UP AS
NEEDED TO CORRECT.)
Q14-PAYVAR-INTERNATIONAL-V2
[] |
Section: Locator |
Your payment will be sent
to:
[LOCLIST_PAY_STREET1]
[LOCLIST_PAY_APTNUM]
[LOCLIST_PAY_STREET2]
[LOCLIST_PAY_CITY]
[LOCLIST_PAY_STATE]
[LOCLIST_PAY_COUNTRY]
[LOCLIST_PAY_FPOSTALCD]
Is
this correct?
(INTERVIEWER: SPELL ADDRESS
OUT SLOWLY TO VERIFY THAT IT IS CORRECT. IF THE ADDRESS IS INCORRECT, BACK UP AS
NEEDED TO CORRECT.)
Q14-PAYVAR-DOMESTIC-V [] |
Section: Locator |
Just to verify, your [check/cash/payment] will be sent to
you via [J-Pay/money order/US Postal Service/Fed Ex/Western Union] to this
address:
[LOCLIST_PAY_STREET1]
APT
[LOCLIST_PAY_APTNUM]
[LOCLIST_PAY_STREET2]
[LOCLIST_PAY_CITY]
[LOCLIST_PAY_STATE]
[LOCLIST_PAY_ZIP]
Is
this correct?
(INTERVIEWER: SPELL ADDRESS OUT
SLOWLY TO VERIFY THAT IT IS CORRECT. IF EITHER THE ADDRESS OR PAYMENT TYPE IS
INCORRECT, BACK UP AS NEEDED TO CORRECT.)
Q14-PROXY-CHECK [] |
Section: Locator |
[PROXY]
If Answer = 2 Then
Go To Q14-PROXY-NAME
Q14-PROXY-NAME [] |
Section: Locator |
INTERVIEWER: ENTER
THE FULL NAME OF THE PERSON ACTING AS PROXY FOR THIS RESPONDENT. VERIFY SPELLING
OF NAME.
Q14-PROXY-PAYPAL [] |
Section: Locator |
We are now offering payment through PayPal. This is the
fastest and most secure way for us to get your payment to you. Would you like to
receive your proxy payment through PayPal?
Q14-PROXY-PAYPAL-EMAIL [] |
Section: Locator |
What email address allows us to send your payment to
PayPal? This would be the email address that is associated with your PayPal
Account.
Q14-A-PROXY-SKIP1 [] |
Section: Locator |
[domestic/foreign]
If Answer
= 2 Then Go To Q14-PROXY-INTERNATIONAL-1
Q14-PROXY-INTERNATIONAL-1 [] |
Section: Locator |
Would you prefer your payment to be sent by Western Union
or another method?
Q14-PROXY-INTERNATIONAL-2 [] |
Section: Locator |
Western Union requires a valid government-issued
identification to be presented when picking up a transfer. Is [PROXY_NAME] the
name on the ID that you will be using to pick up your money?
Q14-PROXY-INTNTL-NAME [] |
Section: Locator |
What is the name on the ID that you will be using to pick
up your money?
Q14-PROXY-DOMESTIC [] |
Section: Locator |
Would you prefer to be sent a check or cash?
|
1 CHECK |
|
2 CASH |
|
3 OTHER
(SPECIFY) |
Q14-PROXY-CARRIER [] |
Section: Locator |
Would you prefer to receive your payment through the US
postal service or via FedEx?
|
1 US POSTAL
SERVICE |
|
2 FED EX, NO
SIGNATURE REQUIRED |
|
3 IF R INSISTS,
FED EX, SIGNATURE REQUIRED |
Q14-PROXY-EMAIL-NOTICE [] |
Section: Locator |
What email address can we use to notify you of when your
payment is processed?
Q14-CONSENT-FLAG1 [] |
Section: Locator |
[contactyes]==1
If Answer =
0 Then Go To Q14-BEST-CONTACTMODE-1
Q14-CONSENT-1240 [] |
Section: Locator |
In order to confirm your contacting information, may we
search the Web, check phone and address directories, consult public records, and
use companies that provide directory assistance or other commercial locator
services? As always, we won't reveal your participation in the survey when using
these services.
Q14-BEST-CONTACTMODE-1 [] |
Section: Locator |
For future reference, are there times that are best for
us to call you? (READ IF NECESSARY:) What days and times are best for us to call
you?
(INTERVIEWER: PLEASE SELECT ALL THAT
APPLY AND ENTER SPECIFIC TIMES IF SPECIFIED. ENTER ANY COMMENTS ABOUT
CIRCUMSTANCES IN INTERVIEWER COMMENT.)
|
- Sunday |
|
- Monday |
|
- Tuesday |
|
- Wednesday |
|
- Thursday |
|
- Friday |
|
- Saturday |
|
1 All Day |
|
2 Morning |
|
3 Afternoon |
|
4 Evening |
Q14-BEST-CONTACTMODE-2 [] |
Section: Locator |
What are the best ways to get in contact with you? For
instance, is your home phone best, cell or work phone, texting, e-mail, in
person, or some other way?
(INTERVIEWER:
PLEASE SELECT ALL THAT APPLY.)
|
1 home
phone |
|
2 cell
phone |
|
3 work
phone |
|
4 text
message |
|
5 e-mail |
|
6 in
person |
|
7 other way to
contact is best (specify) |
Q14-EMPCHK1 [] |
Section: Locator |
([total number of employers reported] >= 1)
COMMENT: Is there at least one employer listed?
If
Answer = 1 Then Go To Q14-4
Q14-4 [] |
Section: Locator |
VAREXIST ([(employer name)(1)])
If
Answer = 0 Then Go To Q14-6A
Q14-4A [] |
Section: Locator |
([is this job current?(1)]==1)
COMMENT: Is R currently employed?
If Answer = 0 Then Go
To Q14-6A
Q14-5C [] |
Section: Locator |
Is it OK for us to call you at work?
If Answer = -1 Then Go To Q14-6A
Q14-4B [] |
Section: Locator |
I have your current employer as [(employer name)(1)]? Do
I have that recorded correctly?
Q14-4D [] |
Section: Locator |
[LOCEMPDIFFDATE] == 0 && [LOCEMPNAMEDLIFLAG] ==
1
COMMENT: Employer not present last round & locator employer is present
from last round
If Answer = 1 Then Go To Q14-5A_000001
Q14-4E [] |
Section: Locator |
[LOCEMPDIFFDATE] == 1 && [LOCEMPNAMEDLIFLAG] ==
1
COMMENT: Employer not present last round & locator employer is present
from last round
If Answer = 1 Then Go To Q14-5A_000001
Q14-4F [] |
Section: Locator |
[LOCEMPDIFFDATE] == 0 && [LOCEMPNAMEDLIFLAG] ==
0
COMMENT: Employer not present last round & locator employer is present
from last round
If Answer = 1 Then Go To Q14-5A_000001
Q14-4G [] |
Section: Locator |
[LOCEMPDIFFDATE] == 1 && [LOCEMPNAMEDLIFLAG] ==
0
COMMENT: Employer not present last round & locator employer is present
from last round
If Answer = 1 Then Go To Q14-6A
Q14-5A_000001 [] |
Section: Locator |
[EMPLOCTEXT]
Q14-5A_000008 [] |
Section: Locator |
Q14-5A_000010A [] |
Section: Locator |
Q14-5A_000012 [] |
Section: Locator |
Q14-6A [] |
Section: Locator |
Do you expect to move at any time in the next two
years?
Q14-6B [] |
Section: Locator |
Do you know when that might happen?
(INTERVIEWER: PROBE FOR MONTH AND YEAR. IF RESPONDENT IS UNSURE, ENTER
DON'T KNOW FOR MONTH AND YEAR.)
Q14-6C [] |
Section: Locator |
Do you know where do you expect to move?
(INTERVIEWER: PROBE FOR DETAIL, SPECIFIC ADDRESS IF
POSSIBLE.)
Q14-7A-1 [] |
Section: Locator |
[spouse in hh?] ==1 || [partner in hh?]
==1
If Answer = 1 Then Go To Q14-7AB
Q14-7A-2 [] |
Section: Locator |
([marital status code] ==1) || ([marital status code]
==5) || ([marital status code] ==4)
If Answer = 1
Then Go To Q14-8CC
Q14-7AB [] |
Section: Locator |
VAREXIST([type of dwelling unit])
If
Answer = 0 Then Go To Q14-8CD
Q14-8 [] |
Section: Locator |
([type of dwelling unit] == 4) || ([type of dwelling
unit] == 5) || ([type of dwelling unit] == 23)
COMMENT: IS TYPE OF RESIDENCE A DORMITORY, FRATERNITY, SORORITY, HOSPITAL,
JAIL, OR OTHER TEMPORARY INDIVIDUAL QUARTERS?
If Answer =
1 Then Go To Q14-8CC
Q14-8CC [] |
Section: Locator |
[YOU_SPOUSE] have [an/a permanent] address that is
different from the [ADDR] you have already given?
Q14-8CD [] |
Section: Locator |
VAREXIST ([spouse/partner first name])
COMMENT: DOES THIS SYMBOL EXIST?
If Answer = 1 Then Go
To Q14-CONTACTS-LOOP-BEGIN
Q14-8A_000001 [] |
Section: Locator |
What is [your spouse/the householder]'s name, address,
[and phone number/phone number, and relationship to you]?
Q14-8A_000002 [] |
Section: Locator |
Q14-8A_000003 [] |
Section: Locator |
Q14-8A_000004 [] |
Section: Locator |
Q14-8A_000005 [] |
Section: Locator |
Q14-8A_000006 [] |
Section: Locator |
Q14-8A_000007 [] |
Section: Locator |
Q14-8A_000008 [] |
Section: Locator |
Q14-8A_000009 [] |
Section: Locator |
Q14-8A_000012 [] |
Section: Locator |
Q14-8A_000013 [] |
Section: Locator |
Q14-8A_000015 [] |
Section: Locator |
Q14-8A_000016 [] |
Section: Locator |
Q14-8A_000017 [] |
Section: Locator |
Q14-CONTACTS-LOOP-BEGIN [] |
Section: Locator |
REPEAT
Q14-8EA [] |
Section: Locator |
[CONTACTS-LOOP]
If Answer =
1 Then Go To Q14-8FAA
Q14-8FAA [] |
Section: Locator |
[NUMCONTACTS]==0
If Answer =
1 Then Go To Q14-9A_000001
Q14-8GA [] |
Section: Locator |
VAREXIST ([LOCLIST_FNAME([CONTACTS-LOOP])])
COMMENT: DOES THIS SYMBOL EXIST?
If Answer = 1 Then Go
To Q14-8HA
Q14-8HA [] |
Section: Locator |
ISVAREMPTY ([LOCLIST_FNAME([CONTACTS-LOOP])])
COMMENT: IS THIS SYMBOL EMPTY?
If Answer = 1 Then Go To
Q14-9A_000001
Q14-9 [] |
Section: Locator |
From our last interview, we have
[LOCLIST_FNAME([CONTACTS-LOOP])] [LOCLIST_MNAME([CONTACTS-LOOP])]
[LOCLIST_LNAME([CONTACTS-LOOP])] listed as one of the people you keep in touch
with, who would be likely to know where you are. Do you still keep in touch with
(him/her) frequently?
Q14-9A_000001 [] |
Section: Locator |
[What other relative or close friend do you keep in touch
with most frequently?/Let me just verify the address information we have for/Who
is the one person you keep in touch with who would be most likely to know where
you are?]
Q14-9A_000002 [] |
Section: Locator |
Q14-9A_000003 [] |
Section: Locator |
Q14-9A_000004 [] |
Section: Locator |
Q14-9A_000005 [] |
Section: Locator |
Q14-9A_000006 [] |
Section: Locator |
Q14-9A_000007 [] |
Section: Locator |
Q14-9A_000008 [] |
Section: Locator |
Q14-9A_000009 [] |
Section: Locator |
Q14-9A_000012 [] |
Section: Locator |
Q14-9A_000015 [] |
Section: Locator |
"IF ADDRESS IS OUTSIDE THE UNITED STATES:"
Q14-9A_000016 [] |
Section: Locator |
Q14-9A_000017 [] |
Section: Locator |
Q14-9B [] |
Section: Locator |
[NUMCONTACTS]>[CONTACTS-LOOP]
If
Answer = 1 Then Go To Q14-CONTACTS-LOOP-END
Q14-9D [] |
Section: Locator |
Is there another relative or close friend that you keep
in touch with regularly?
If
Answer >= -2 AND Answer <= -1 Then Go To Q14-CONTACTS-LOOP-END
Q14-CONTACTS-LOOP-END [] |
Section: Locator |
UNTIL ([MORECONTACTS]==0)
Q14-CONSENT-1230 [] |
Section: Locator |
If the contacts you've provided offer the names of other
people who may help us reach you, may we contact those people as
well?
Q14-CONSENT-MILPRIS [] |
Section: Locator |
[r consent to locating efforts in military]==1
COMMENT: The respondent falls into the odd sample group
If Answer = 1 Then Go To Q14-CONSENT-1250
Q14-CONSENT-1250 [] |
Section: Locator |
If you were to enter a residential care facility, a
correctional facility, or the Armed Forces, may we contact government or other
administrative officials to get their help in locating and interviewing you?
When attempting to locate and interview you, we may reveal the fact that you are
a participant in this survey. However, as stated earlier, we will never reveal
any of the answers you've provided to the survey questions.
Q14-CONSENT-FLAG2 [] |
Section: Locator |
[contactyes]==1
COMMENT: R agree to asking contacts for further contacts?
If
Answer = 0 Then Go To Q14-13D
Q14-YA-1 [] |
Section: Locator |
([total # bio children reported] > 0) &&
([RESPONDENT GENDER] == 2)
COMMENT: RESPONDENT IS FEMALE AND ANY BIO CHILDREN REPORTED?
If
Answer = 0 Then Go To Q14-13D
Q14-YA2-LOOP-BEGIN [] |
Section: Locator |
REPEAT
COMMENT: BEGIN LOOP TO COLLECT ADDRESSES FOR ANY INDEPENDENT YOUNG ADULTS
Q14-YA3 [] |
Section: Locator |
([biological child status code([YALOC-LOOP counter])] ==
99 || [Usual residence of biological child([YALOC-LOOP counter])] == 8 ||
[biological child status code([YALOC-LOOP counter])] == 8)
COMMENT: Is child deleted or deceased?
If Answer = 1
Then Go To Q14-YA6-LOOP-END
Q14-YA-3 [] |
Section: Locator |
((([biological child birth date([YALOC-LOOP counter])~Y]
< 2000 && [Usual residence of biological child([YALOC-LOOP counter])]
!= 8) ||
([biological child birth date([YALOC-LOOP counter])~Y] <= [1999]
&&
([Usual residence of biological child([YALOC-LOOP counter])] == 2
|| [Usual residence of biological child([YALOC-LOOP counter])] == 3 || [Usual
residence of biological child([YALOC-LOOP counter])] == 7)) ||
([Usual
residence of biological child([YALOC-LOOP counter])] >= 9 && [Usual
residence of biological child([YALOC-LOOP counter])] <= 12))
&&
([female r sign ya permission form (if applicable)?([YALOC-LOOP
counter])] == 1 || [female r sign ya permission form (if
applicable)?([YALOC-LOOP counter])] == 3))
COMMENT: IS THIS A LIVE 21+ YOUNG ADULT OR A YOUNG ADULT AT LEAST 15 SOMETIME
IN 2000, AND NOT LIVING IN MOTHERS HOUSEHOLD FULLTIME AND MOTHER EITHER SIGNED
THE CONSENT FORM FOR INTERVIEW OR NO CONSENT FORM WAS NECESSARY?
If
Answer = 0 Then Go To Q14-YA6-LOOP-END
Q14-YA-3_A [] |
Section: Locator |
INTERVIEWER: IS [name
of biochild([YALOC-LOOP counter])]'S ADDRESS THE SAME AS (HIS/HER)
MOTHER'S?
(IF NECESSARY, ASK:) Does [name of biochild([YALOC-LOOP
counter])] live with you?
Q14_ROSTER_CHK1B_YA [] |
Section: Locator |
We would like to be certain that we have the correct
name, address and phone number for [name of biochild([YALOC-LOOP
counter])].
INTERVIEWER: PLEASE
ENTER INFORMATION FOR YOUNG ADULT [name of biochild([YALOC-LOOP counter])] AS
NECESSARY.
WHEN INFORMATION ENTERED AND CORRECT, SELECT <SUBMIT
AND CONTINUE> TO PROCEED.
Q14_ROSTER_CHK2_YA [] |
Section: Locator |
INTERVIEWER: PLEASE
VERIFY INFORMATION AND ANY CORRECTIONS THAT WERE
MADE.
IF PHONE IS MISSING,
PLEASE ASK: Can you give me [loclist_ya_name]'s phone number?
MAKE
ANY FURTHER CORRECTIONS AS NECESSARY. SELECT <SUBMIT
AND CONTINUE> TO PROCEED.
Q14-YA6-LOOP-END [] |
Section: Locator |
UNTIL ([YALOC-LOOP counter] == [total # bio children
reported])
COMMENT: END LOOP WHEN ALL BIO CHILDREN ACCOUNTED FOR
Q14-13D [] |
Section: Locator |
[INTTYPE]==1
COMMENT: Machine Check: Is this a phone interview?
If
Answer = 1 Then Go To Q14-14
Q14-14 [] |
Section: Locator |
[RFEE_AMOUNT]
IF RESPONDENT
SUCCESSFULLY INTERVIEWED:
Thank you for participating in our
interview. [You will receive your pay via [mode + time frame]]
If you do
not receive you payment, please call us at 877-853-5908.
Q14-15 [] |
Section: Locator |
[RFEE_AMOUNT]
IF RESPONDENT SUCCESSFULLY
INTERVIEWED:
INTERVIEWER: Thank you
for participating in our interview.
PLEASE PAY RESPONDENT FOR INTERVIEW
AND HAVE RESPONDENT SIGN THE RECEIPT.
Q15-ANY_SIBS [] |
Section: Interviewer Remarks |
INTERVIEWER: DID YOU
UPDATE OR ADD ANY SIBLING PHONE OR ADDRESS INFORMATION IN THE LOCATOR
SECTION?
INTMODE [] |
Section: Interviewer Remarks |
INTERVIEWER: PLEASE
SELECT THE TYPE OF INTERVIEW BELOW.
COMMENT: Mode of Interview
|
71 COMPLETED
PERSONAL |
|
72 COMPLETED
TELEPHONE |
|
74 CONVERTED
PERSONAL |
|
75 CONVERTED
TELEPHONE |
Q15-3 [] |
Section: Interviewer Remarks |
INTERVIEWER: IN WHAT
LANGUAGE WAS THIS INTERVIEW CONDUCTED?
|
1 English |
|
2 Spanish |
|
3 Other
(SPECIFY) |
Q15-4 [] |
Section: Interviewer Remarks |
INTERVIEWER: IN
GENERAL, WHAT WAS THE RESPONDENT'S ATTITUDE TOWARD THE INTERVIEW?
|
1 Friendly and
interested |
|
2 Cooperative
but not particularly interested |
|
3 Impatient and
restless |
|
4 Hostile |
Q15-4A [] |
Section: Interviewer Remarks |
INTERVIEWER: HOW MANY TIMES DID YOU HAVE TO PAUSE THE INTERVIEW FOR THE
RESPONDENT TO DO SOMETHING ELSE (E.G., TAKE A PHONE CALL, GO TO THE BATHROOM,
TALK TO SOMEONE ELSE, ETC.)?
|
0 0 times |
|
1 1-2
times |
|
2 3-5
times |
|
3 6 or more
times |
Q15-4B [] |
Section: Interviewer Remarks |
INTERVIEWER: HOW MANY
TIMES DID YOU HAVE TO REPEAT A QUESTION BECAUSE.....
|
- ...THE RESPONDENT DID NOT
UNDERSTAND THE QUESTION? |
|
- ...THE RESPONDENT DID NOT SEEM
TO BE PAYING ATTENTION? |
|
0 0 times |
|
1 1-2
times |
|
2 3-5
times |
|
3 6 or more
times |
Q15-4C [] |
Section: Interviewer Remarks |
INTERVIEWER: WHERE WAS THE RESPONDENT DURING
THE INTERVIEW?
SELECT
ALL THAT APPLY
|
1 AT
RESPONDENT'S HOME |
|
2 AT SOMEONE
ELSE'S HOME |
|
3 AT WORK |
|
4 OUTSIDE/IN A
CAR OR TRAIN, ETC. |
|
5 A PUBLIC
BUILDING SUCH AS A LIBRARY, RESTAURANT OR COFFEE SHOP, LOBBY, ETC. |
|
6 OTHER
LOCATION (SPECIFY) |
|
7 DON'T
KNOW/COULDN'T TELL |
Q15-4D [] |
Section: Interviewer Remarks |
INTERVIEWER: HOW MUCH OF THIS INTERVIEW WAS
CONDUCTED BY PHONE VERSUS IN-PERSON? IF YOU COMPLETED ONLY PART OF THE INTERVIEW
AND DON'T KNOW THE MODE OF THE EARLIER PARTS, CODE FOR THE PART OF THE INTERVIEW
YOU COMPLETED.
|
1 ALL BY
TELEPHONE |
|
2 MOSTLY BY
PHONE, BUT SOME IN-PERSON |
|
3 ABOUT EQUALLY
BY PHONE AND IN-PERSON |
|
4 MOSTLY
IN-PERSON, BUT SOME BY PHONE |
|
5 ALL
IN-PERSON ...(Go To Q15-4F) |
Q15-4E [] |
Section: Interviewer Remarks |
INTERVIEWER: WHAT TYPE OF PHONE WAS THE
RESPONDENT USING?
SELECT ALL THAT
APPLY.
Q15-4F [] |
Section: Interviewer Remarks |
INTERVIEWER: DO YOU
RECALL THE RESPONDENT DOING ANYTHING ELSE WHILE COMPLETING THE INTERVIEW? FOR
EXAMPLE, WAS S/HE LOOKING AFTER CHILDREN, HOUSEHOLD CHORES, WATCHING TELEVISION,
USING A COMPUTER, DRIVING, WALKING AROUND, EATING, SHOPPING, OR SOMETHING
ELSE?
|
1 YES ...(Go To Q15-4G) |
|
0 NO |
|
2 COULDN'T
TELL |
Q15-4G [] |
Section: Interviewer Remarks |
INTERVIEWER: WHAT OTHER ACTIVITIES DO YOU
RECALL THE RESPONDENT DOING WHILE COMPLETING THE INTERVIEW?
SELECT ALL THAT
APPLY.
|
1 LOOKING AFTER
CHILDREN |
|
2 HOUSEHOLD
CHORES SUCH AS CLEANING, COOKING, LAWN WORK, FIXING THINGS, ETC. |
|
3 WATCHING
TELEVISION |
|
4 USING A
COMPUTER OR PLAYING VIDEO GAMES |
|
5 DRIVING A
CAR |
|
6 WALKING
AROUND |
|
7 EATING |
|
8 SHOPPING |
|
9 OTHER
(SPECIFY) |
Q15-5 [] |
Section: Interviewer Remarks |
INTERVIEWER: IN
GENERAL, WAS THE RESPONDENT'S UNDERSTANDING OF THE QUESTIONS GOOD, FAIR OR
POOR?
Q15-6 [] |
Section: Interviewer Remarks |
INTERVIEWER: WAS
ANYONE ELSE PRESENT OTHER THAN SMALL CHILDREN (AGE 3 AND UNDER) DURING ANY
PORTION OF THE INTERVIEW?
|
1 YES ...(Go To Q15-6A) |
|
0 NO |
|
2 TELEPHONE
INTERVIEW |
Q15-6A [] |
Section: Interviewer Remarks |
INTERVIEWER: WHO WAS
PRESENT?
|
5 Spouse/partner |
|
1 R's
parent(s) |
|
2 Other
member(s) of R's household |
|
3 R's
friend(s) |
|
4 Other
(SPECIFY) |
Q15-7 [] |
Section: Interviewer Remarks |
INTERVIEWER: PLEASE
LIST QUESTIONS THAT CONFUSED, ANGERED, OR CAUSED DISCOMFORT TO THE RESPONDENT OR
QUESTIONS THAT YOU FEEL THE RESPONDENT DID NOT ANSWER TRUTHFULLY.
|
1 SELECT TO
ENTER QUESTION |
|
0 NO QUESTIONS
CAUSED RESPONDENT PROBLEMS ...(Go To Q15-8) |
Q15-7A [] |
Section: Interviewer Remarks |
INTERVIEWER: LIST
SECTION AND QUESTION NUMBER OF FIRST QUESTION THAT CAUSED RESPONDENT PROBLEMS.
IF DON'T KNOW SECTION OR QUESTION NUMBER, RECORD DESCRIPTION OF
QUESTION.
Q15-7B [] |
Section: Interviewer Remarks |
INTERVIEWER: ENTER
DESCRIPTION OF PROBLEM WITH QUESTION MENTIONED IN Q15-7A. BACK UP TO REVIEW
Q15-7A.
Q15-7C [] |
Section: Interviewer Remarks |
INTERVIEWER: WERE
THERE ANY OTHER QUESTIONS THAT CONFUSED, ANGERED, OR CAUSED DISCOMFORT TO THE
RESPONDENT OR QUESTIONS THAT YOU FEEL THE RESPONDENT DID NOT ANSWER
TRUTHFULLY?
|
1 SELECT TO
ENTER QUESTION |
|
0 NO OTHER
QUESTIONS CAUSED RESPONDENT PROBLEMS ...(Go To Q15-8) |
Q15-7D [] |
Section: Interviewer Remarks |
INTERVIEWER: LIST
SECTION AND QUESTION NUMBER OF NEXT QUESTION THAT CAUSED RESPONDENT PROBLEMS. IF
DON'T KNOW SECTION AND QUESTION NUMBER, RECORD DESCRIPTION OF
QUESTION.
Q15-7E [] |
Section: Interviewer Remarks |
INTERVIEWER: ENTER
DESCRIPTION OF PROBLEM WITH QUESTION MENTIONED IN Q15-7D. BACK UP TO REVIEW
Q15-7D.
Q15-7F [] |
Section: Interviewer Remarks |
INTERVIEWER: WERE
THERE ANY OTHER QUESTIONS THAT CONFUSED, ANGERED, OR CAUSED DISCOMFORT TO THE
RESPONDENT OR QUESTIONS THAT YOU FEEL THE RESPONDENT DID NOT ANSWER
TRUTHFULLY?
|
1 SELECT TO
ENTER QUESTION |
|
0 NO OTHER
QUESTIONS CAUSED RESPONDENT PROBLEMS ...(Go To Q15-8) |
Q15-7G [] |
Section: Interviewer Remarks |
INTERVIEWER: LIST
SECTION AND QUESTION NUMBER OF NEXT QUESTION THAT CAUSED RESPONDENT PROBLEMS. IF
DON'T KNOW SECTION AND QUESTION NUMBER, RECORD DESCRIPTION OF
QUESTION.
Q15-7H [] |
Section: Interviewer Remarks |
INTERVIEWER: ENTER
DESCRIPTION OF PROBLEM WITH QUESTION MENTIONED IN Q15-7G. BACK UP TO REVIEW
Q15-7G.
Q15-8 [] |
Section: Interviewer Remarks |
INTERVIEWER: PLEASE
LIST QUESTIONS WITH SKIP ERRORS, QUESTIONS THAT WERE CONFUSING TO YOU, OR
QUESTIONS THAT OTHERWISE DID NOT WORK.
|
1 SELECT TO
ENTER QUESTION |
|
0 NO QUESTIONS
CAUSED INTERVIEWER PROBLEMS ...(Go To Q15-9) |
Q15-8A [] |
Section: Interviewer Remarks |
INTERVIEWER: LIST
SECTION AND QUESTION NUMBER OF FIRST QUESTION THAT CAUSED INTERVIEWER PROBLEMS.
IF DON'T KNOW SECTION OR QUESTION NUMBER, RECORD DESCRIPTION OF
QUESTION.
Q15-8B [] |
Section: Interviewer Remarks |
INTERVIEWER: ENTER
DESCRIPTION OF PROBLEM WITH QUESTION MENTIONED IN Q15-8A. BACK UP TO REVIEW
Q15-8A.
Q15-8C [] |
Section: Interviewer Remarks |
INTERVIEWER: WERE
THERE ANY OTHER QUESTIONS WITH SKIP ERRORS, QUESTIONS THAT WERE CONFUSING TO
YOU, OR QUESTIONS THAT OTHERWISE DID NOT WORK?
|
1 SELECT TO
ENTER QUESTION |
|
0 NO OTHER
QUESTIONS CAUSED INTERVIEWER PROBLEMS ...(Go To Q15-9) |
Q15-8D [] |
Section: Interviewer Remarks |
INTERVIEWER: LIST
SECTION AND QUESTION NUMBER OF NEXT QUESTION THAT CAUSED INTERVIEWER PROBLEMS.
IF DON'T KNOW SECTION OR QUESTION NUMBER, RECORD DESCRIPTION OF
QUESTION.
Q15-8E [] |
Section: Interviewer Remarks |
INTERVIEWER: ENTER
DESCRIPTION OF PROBLEM WITH QUESTION MENTIONED IN Q15-8D. BACK UP TO REVIEW
Q15-8D.
Q15-8F [] |
Section: Interviewer Remarks |
INTERVIEWER: WERE
THERE ANY OTHER QUESTIONS WITH SKIP ERRORS, QUESTIONS THAT WERE CONFUSING TO
YOU, OR QUESTIONS THAT OTHERWISE DID NOT WORK?
|
1 SELECT TO
ENTER QUESTION |
|
0 NO OTHER
QUESTIONS CAUSED INTERVIEWER PROBLEMS ...(Go To Q15-9) |
Q15-8G [] |
Section: Interviewer Remarks |
INTERVIEWER: LIST
SECTION AND QUESTION NUMBER OF NEXT QUESTION THAT CAUSED INTERVIEWER PROBLEMS.
IF DON'T KNOW SECTION OR QUESTION NUMBER, RECORD DESCRIPTION OF
QUESTION.
Q15-8H [] |
Section: Interviewer Remarks |
INTERVIEWER: ENTER
DESCRIPTION OF PROBLEM WITH QUESTION MENTIONED IN Q15-8G. BACK UP TO REVIEW
Q15-8G.
Q15-9 [] |
Section: Interviewer Remarks |
INTERVIEWER: DID THE
RESPONDENT HAVE ANY OF THE SPECIAL CHARACTERISTICS THAT COULD AFFECT HIS/HER
ABILITY TO ANSWER ANY PORTION OF THIS QUESTIONNAIRE?
Q15-9A [] |
Section: Interviewer Remarks |
INTERVIEWER: WHICH
CHARACTERISTIC(S) DID THE RESPONDENT HAVE?
|
1 Respondent
deaf |
|
2 Respondent
blind |
|
3 Respondent
mentally handicapped or retarded |
|
4 Respondent's
English is very poor |
|
5 Respondent
cannot read |
|
6 Respondent
physically handicapped (SPECIFY HANDICAP IN COMMENT) |
|
7 Other
(SPECIFY) |
Q15-11 [] |
Section: Interviewer Remarks |
INTERVIEWER: HAVE YOU
INTERVIEWED THIS RESPONDENT IN PRIOR YEARS?
Q15-SUMMARY [] |
Section: Interviewer Remarks |
INTERVIEWER: THE
PAYMENT SUMMARY FOR [r's first name] [r's middle name] [r's last name]
IS:
RESPONDENT FEE: $[FINAL_FEE]
PAYMENT TYPE:
[check/cash/payment]
PAYMENT METHOD: [J-Pay/money order/US Postal
Service/Fed Ex/Western Union]
E-MAIL ADDRESS: [e-mail]
MAILING
ADDRESS:
[LOCLIST_PAY_STREET1]
[LOCLIST_PAY_APTNUM]
[LOCLIST_PAY_STREET2]
[LOCLIST_PAY_CITY]
[LOCLIST_PAY_STATE]
[LOCLIST_PAY_ZIP]
[LOCLIST_PAY_COUNTRY]
[LOCLIST_PAY_FPOSTALCD]
Q15-JUMP [] |
Section: Interviewer Remarks |
[type of dwelling unit]==5
If Answer = 1 Then Go To Q15-11A
Q15D-A [] |
Section: Interviewer Remarks |
INTERVIEWER: [r's
first name] [r's last name] ELECTED TO RECEIVE [HISR/HERR] $[FINAL_RFEE_AMOUNT]
INCENTIVE VIA [J-Pay/Money order/US Postal Service/Fed Ex/Western
Union].
DID THE RESPONDENT INDICATE WHY [HE_SHE_CAP] [chose/chose not] TO
USE PAY PAL?
Q15D-B [] |
Section: Interviewer Remarks |
WHAT DID THE RESPONDENT SAY ABOUT WHY [HE_SHE_CAP]
[chose/chose not] TO USE PAY PAL?
Q15-11A [] |
Section: Interviewer Remarks |
INTERVIEWER: BESIDES
THE RESPONDENT FEE, DID YOU GIVE [r's first name] [r's last name] ANYTHING ELSE,
OR DO ANYTHING FOR [HIMR_HERR_CAP], TO GET [HIMR_HERR_CAP] TO COMPLETE THE
INTERVIEW?
Q15-11B [] |
Section: Interviewer Remarks |
INTERVIEWER: PLEASE
DESCRIBE WHAT YOU GAVE [r's first name] [r's last name], OR DID FOR
[him/her].
Q15-11C [] |
Section: Interviewer Remarks |
INTERVIEWER: PLEASE
ENTER THE AMOUNT YOU SPENT ON THE INCENTIVES DESCRIBED IN THE PREVIOUS
QUESTION.
(IF NOTHING SPENT, ENTER 0.00)
Q15-12 [] |
Section: Interviewer Remarks |
INTERVIEWER: PLEASE
ENTER YOUR 6 DIGIT NORC EMPLOYEE ID NUMBER FOR THIS COMPLETED
INTERVIEW.
Q15-12E_1 [] |
Section: Interviewer Remarks |
INTERVIEWER: IS THERE
ANY ADDITIONAL INFORMATION ABOUT THIS CASE THAT WOULD BE IMPORTANT TO REMEMBER
FOR THE NEXT ROUND, OR THAT MIGHT BE OF USE TO FUTURE
INTERVIEWERS?
PLEASE SELECT "YES" AND <SUBMIT
AND CONTINUE> TO RECORD INFORMATION.
|
1 Yes |
|
0 No ...(Go To NIL) |
Q15-12E_2 [] |
Section: Interviewer Remarks |
INTERVIEWER: PLEASE
ENTER ANY ADDITIONAL INFORMATION ABOUT THIS CASE THAT WOULD BE IMPORTANT TO
REMEMBER FOR THE NEXT ROUND, OR THAT MIGHT BE OF USE TO FUTURE
INTERVIEWERS?