Ad Hoc Payments Systems Survey

FR 3054a Draft Survey Questions

OMB No. 7100-0332

Respondent’s Demographic Questions
A. What is your gender? (Select one)
a. Female
b. Male
B. What is your age?
___ (Whole number. Min 18, Max 99)
___ Prefer not to answer
C. Would you mind giving a range that includes your age? (Select one)
Ask if respondent chose “Prefer not to answer” option in question B only.
Under 18
18 to 24
25 to 34
35 to 44
45 to 54
55 to 64
65 to 75
76 or older
D. What is the last grade in school you completed?
Graduated high school or less
Some college
Some technical or vocational school
Completed technical or vocational school
Graduated from college – 2 year
Graduated from college – 4 year
Some post-graduate
Post-graduate degree

Questions for Cashiers Only
1. (For cashiers in Task 2.1 only)
Please describe any training they have received on counterfeit detection of U.S.
currency.
2. In which of the following ways have you been trained on U.S. currency?
a. Seminars
b. Training manuals/guide
c. Brochures/pamphlets/handouts
d. Posters
e. Videos
f. Workplace intranet/internal communications
g. Computer/online module
h. In-person shadowing
i. Other (please specify) [ANCHOR]
j. Not sure [ANCHOR, EXCLUSIVE]
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FR 3054a Draft Survey Questions

OMB No. 7100-0332

3. In what types of environment have you worked as a cashier?
a. A grocery store (e.g., Kroger, Safeway, etc.)
b. A drug store (e.g., CVS, Walgreens, etc.)
c. A mass merchant (e.g., Gap, Best Buy etc.)
d. A supercenter (e.g., Walmart, Target, etc.)
e. A convenience store (e.g., 7-11, Wawa, etc.)
f. A club store (e.g., Costco, BJs, etc.)
g. A home improvement store (e.g., Home Depot, Lowes, etc.)
h. A department store (e.g., Sears, Macy’s, etc.)
4. Another retail store (please specify)
5. How many years have you worked in this capacity?
6. Please indicate how frequently you accept or dispense each the following denominations of U.S.
currency? [Only one response per denomination]
Daily
a.

$5

b.

$10

c.

$20

d.

$50

e.

$100

Weekly

Monthly

Every few
months

Once a
year or
less often

Never

Questions for all participants of this study
7. In an average year, how frequently do you use each the following denominations of U.S.
currency? [Only one response per denomination]
Daily
f.

$5

g.

$10

h.

$20

i.

$50

j.

$100

Weekly

Monthly

8. Please estimate the range for your typical cash purchases.
a. Not applicable, I do not use cash
b. <$5
c. $5 to $10
d. $10-$20
e. $20-$50
f. $50-$100
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Every few
months

Once a
year or
less often

Never

FR 3054a Draft Survey Questions

OMB No. 7100-0332

g. >$100
9. For which of the following reasons do you typically use U.S. notes? Please remember we are
only referring to printed currency. (Select all that apply)

Savings
Small purchases (less than $20)
Large purchases (more than $100)
Convenience
Travel
Work/business
Preparedness for weather-related event (e.g., snow, flood, hurricane/cyclone)
Budgeting
Other forms of payment were not available/possible
Other (please specify)
None of these
10. In what settings do you typically use cash?
Cafes and coffee houses
Fast food or take out restaurants
Restaurants with wait staff
Bars and nightclubs
Transportation (i.e. taxis, buses, subways, commuter trains)
Travel (international or domestic)
Grocery stores
Large retailers
Family-owned businesses
Other (please specify)
None of these
11. Have you ever checked a U.S. note to determine if it is real or counterfeit? (Select one)
Yes
No
Not sure
12. For each of the following denominations of U.S. currency, how confident are you that you could
detect if a note is counterfeit? Please use a 7-point scale, where 1 means not at all confident
and 7 means extremely confident. (Select one)
ACROSS GRID
Not at all
confident
1
2
3
4

$1

$5

$10

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$20

$50

$100

FR 3054a Draft Survey Questions

OMB No. 7100-0332

5
6
Extremely
Confident
7
13. How familiar are you with the security features of U.S. currency? Please list the security features
of which you are aware.

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