Additional Screening Questions

Enclosure 2- Additional Screening Qs.docx

Generic Clearance for Internet Nonprobability Panel Pretesting

Additional Screening Questions

OMB: 0607-0978

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Enclosure 2: Additional Screening Questions

  • Do you personally currently receive food assistance benefits from the State of Florida? [IF NEEDED: These are sometimes called food stamps. Often benefits are deposited onto an EBT card.]

    • Yes

    • No

    • Don’t know/Not sure



  • Are you currently exempt from work requirements?

    • Yes

    • No

    • Don’t know/Not sure



  • Is there a three-month time limit on your benefits?

    • Yes

    • No

    • Don’t know/Not sure



  • Do you have any dependents?

    • Yes

    • No

    • Don’t know/Not sure







File Typeapplication/vnd.openxmlformats-officedocument.wordprocessingml.document
AuthorAleia Yvonne Clark Fobia (CENSUS/CBSM FED)
File Modified0000-00-00
File Created2021-01-15

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