Second follow-up survey

Attachment N

SECOND follow-up survey

Evaluation of Employment Coaching for TANF and Related Populations

Second Follow-up Survey

October 2020

PAPERWORK REDUCTION ACT OF 1995 (Pub. L. 104-13) STATEMENT OF PUBLIC BURDEN

Through this information collection, ACF is gathering information to understand how coaching programs are serving individuals. Public reporting burden for this collection of information is estimated to average 45 minutes per respondent, including the time to review instructions, search existing data resources, gather the data needed, and complete and review the information collection. This is a voluntary collection of information. An agency may not conduct or sponsor, and a person is not required to respond to, a collection of information subject to the requirements of the Paperwork Reduction Act of 1995, unless it displays a currently valid OMB control number. The OMB # is 0970-0506 and the expiration date is 3/21/2021. If you have any comments on this collection of information, please contact Sheena McConnell, Mathematica, 1100 First St. NE, Washington, DC 20002-422.

PUBLIC VERSION

CONTENTS

Section Page

i INTRODUCTION

CV Consent and verification

A. economic stability 19

B. employment Challenges and skills 37

C. sERVICE RECEIPT 44

D. Demographics 54

E. contact information 58

PROGRAMMER:

PRELOAD program NAMES.

PROGRAMMER BOX IN0.

IF DIAL OUT, GO TO IN1;

IF FIELD CALL IN, GO TO IN2;

IF RESPONDENT CALL IN, GO TO IN3.

CALL OUT

IN1. May I please speak with [NAME]? My name is [FILL INTERVIEWER NAME] and I’m calling from Mathematica Policy Research, a research company in Princeton, New Jersey.

SPEAKING TO [NAME] 1 GO TO IN13

[NAME] COMES TO PHONE 2 GO TO IN13

PERSON ASKS WHAT CALL IS ABOUT 3 GO TO IN4

[NAME] IS NOT AVAILABLE 4 GO TO IN6

[NAME] IS INCARCERATED 5 GO TO IN8

[NAME] HAS MOVED/HAS A DIFFERENT NUMBER 6 GO TO IN9

NEVER HEARD OF [NAME] / WRONG NUMBER 7 IN22, STATUS 1530

[NAME] IS DECEASED 8 GO TO IN12

[NAME] DOES NOT SPEAK ENGLISH 9 IN22, STATUS 1401

HUNG UP 10 STATUS 1240

REFUSED r STATUS 1220

FIELD CALL IN

IN2. May I have your first name?

(STRING 20)

FIELD INTERVIEWER FIRST NAME

IN2 = ANSWERED (FIELD CALL IN)

IN2a. And your last name?

(STRING 30)

FIELD INTERVIEWER LAST NAME

IN2a = ANSWERED (FIELD CALL IN)

IN2b. May I have your field interviewer ID number?

| | | | | |

(0000 - 99999)

IN2b = ANSWERED (FIELD CALL IN)

IN2c. CODE PURPOSE OF FIELD CALL IN

CALLED TO COMPLETE INTERVIEW 1 GO TO IN13

CALLED TO SAY [NAME] IS DECEASED 2 GO TO IN12

CALLED TO SAY [NAME] IS INCARCERATED 3 GO TO IN8

RESPONDENT CALL IN

IN3. Thank you for calling. My name is [FILL INTERVIEWER NAME] from Mathematica Policy Research. May I have your name?

SPEAKING TO RESPONDENT ([NAME]) 1 GO TO IN13

SOMEONE ELSE CALLED TO COMPLETE INTERVIEW 2 GO TO IN5

CALLED TO ASK WHY WE CALLED 3 GO TO IN4

CALLED TO SET APPOINTMENT 4 GO TO IN6

CALLED TO REFUSE 5 GO TO IN22

STATUS 1240

CALLED TO SAY [NAME] MOVED/HAS A DIFFERENT NUMBER 6 GO TO IN9

CALLED TO SAY [NAME] IS DECEASED 7 GO TO IN12

CALLED TO SAY [NAME] IS INCARCERATED 8 GO TO IN8

CALLED TO SAY NEVER HEARD OF [NAME] / WRONG NUMBER 9 GO TO IN22

STATUS 1530

HUNG UP 10 STATUS 1240

IN1 = 3 OR IN3 = 3 (WHAT IS CALL ABOUT)

IF BL A1C=1 FILL HE/HIM

IF BL A1C=2 FILL SHE/HER

FILL RESPONDENT NAME

IN4. I would like to speak with [NAME] about a research study [he/she] joined about [FILL MONTHS] months ago. I want to ask [NAME] some questions about how [he/she] has been doing since then. [NAME] will be given a $50 gift card for [his/her] time.

May I please speak with [NAME]?

SPEAKING TO [NAME] 1 GO TO IN13

[NAME] COMES TO PHONE 2 GO TO IN13

[NAME] IS NOT AVAILABLE 3 GO TO IN6

[NAME] IS INCARCERATED 4 GO TO IN8

[NAME] HAS MOVED/HAS A DIFFERENT NUMBER 5 GO TO IN9

NEVER HEARD OF [NAME] / WRONG NUMBER 6 GO TO IN22

STATUS 1530

[NAME] IS DECEASED 7 GO TO IN12

[NAME] DOES NOT SPEAK ENGLISH 8 GO TO IN22

STATUS 1401

HUNG UP 9 STATUS 1240

REFUSED r STATUS 1220

PROGRAMMER SKIP BOX IN4 =6 or in4=8

Interviewer: Thank you for taking time to speak with me. Goodbye.

If in4=6 STATUS CASE 1530

if in4=8 status case 1401

IN3 = 2 (SOMEONE ELSE CALLED IN TO COMPLETE INTERVIEW)

IN5. I’m sorry, but I need to speak to [NAME]. May I please speak with [NAME]?

[NAME] COMES TO PHONE 1 GO TO IN13

[NAME] IS NOT AVAILABLE 2 GO TO IN6

[NAME] IS INCARCERATED 3 GO TO IN8

[NAME] HAS MOVED/HAS A DIFFERENT NUMBER 4 GO TO IN9

NEVER HEARD OF [NAME] / WRONG NUMBER 5 GO TO IN22

STATUS 1530

[NAME] IS DECEASED 6 GO TO IN12

[NAME] DOES NOT SPEAK ENGLISH 7 GO TO IN22

STATUS 1401

HUNG UP 8 STATUS 1240

REFUSED r STATUS 1220

PROGRAMMER SKIP BOX IN5 =5 or in5=7

Interviewer: Thank you for taking time to speak with me. Goodbye.

If in5=5 STATUS CASE 1530

if in5=7 status case 1401

IN1 = 4 OR IN3 = 4 OR IN4 = 3 OR IN5 = 2 (NOT AVAILABLE; SET APPOINTMENT)

IN6. When would be a good time to call back?

[NAME] COMES TO PHONE 1 GO TO IN13

SET APPOINTMENT 2 GO TO IN7

IN6 = 2 (SET APPOINTMENT)

IN7. When would be a good time to reach [NAME]?

INSTRUCTION: RECORD DATE AND TIME FOR CALL BACK.

INSTRUCTION: MAKE AN APPOINTMENT USING THE PARALLEL BLOCK.

INSTRUCTION: USE THE ‘APPOINTMENT’ TAB OR PRESS <CTRL-S> TO INVOKE THE APPOINTMENT MAKING DIALOG.

(STRING 20)

IN1 = 5 OR IN2c = 3 OR IN3 = 8 OR IN4 = 4 OR IN5 = 3 (INCARCERATED)

IN8. What is the name of the place where [NAME] is being held?

(STRING 200)

NAME OF PRISON

DON’T KNOW d

REFUSED r GO TO BOX IN8d.1

IN8 = ANSWERED, d

IN8a. In what city or town is that located?

(STRING 50)

NAME OF CITY/TOWN

DON’T KNOW d

REFUSED r

IN8 = ANSWERED, d

IN8b. In what state is that located?

(STRING 20)

NAME OF STATE

DON’T KNOW d

REFUSED r

IN8 = ANSWERED, d

IN8c. When is [NAME] expected to be released?

PROBE: I just need a month and year. Your best estimate is fine.

INTERVIEWER: ENTER MONTH ON NEXT SCREEN OR CODE DON’T KNOW

programmer:

ENTER DATE ON NEXT SCREEN 1

SERVING A LIFE SENTENCE 2 GO TO IN8d

IN8c_month & IN8c_year When is [NAME] expected to be released?

PROBE: I just need a month and year. Your best estimate is fine.

| | | / | | | | |

(1-12) (2018- 2099)

DON’T KNOW d

REFUSED r

IN8 = ANSWERED, d

IN8d. And do you know [NAME]’s inmate number?

INTERVIEWER: ENTER NUMBER OR CODE DON’T KNOW

(STRING 20)

INMATE NUMBER

DON’T KNOW d

REFUSED r

PROGRAMMER Box

IF IN5=3 OR IN3=8 OR IN4=4 GO TO IN22 & STATUS CASE 1541 (PRISON).

Else go to in9 or in13

IN1 = 6 OR IN3 = 6 OR IN4 = 5 OR IN5 = 4 (MOVED; HAS DIFFERENT PHONE)

IN9. Do you or does anyone there know how we can reach [NAME]?

YES 1 GO TO IN10

NO 0 STATUS 1530

if in9=0

Interviewer: Thank you for taking time to speak with me. Goodbye.

IN9 = 1

IN10. May I please have [his/her] telephone number?

INTERVIEWER: ENTER NUMBER ON NEXT SCREEN OR CODE DON’T KNOW

ENTER NUMBER 1

DON’T KNOW d GO TO IN11

REFUSED r GO TO IN11

IN10 = 1

IN10_phone. Please give me the phone number, area code first.

| | | | - | | | | - | | | | |

SOFT CHECK: IF IN10_phone IS NOT 10 NUM DIGITS; THE PHONE NUMBER SHOULD BE 10 NUMERIC DIGITS, NO SPACES, DASHES, PARENTHESES OR OTHER PUNCTUATION. THE FIELD SHOULD ALSO NOT BE EMPTY.

SOFT CHECK: USE STANDARD PHONE NUMBER CHECKS.

IN9 = 1 AND IN10=DK OR R

IN11. May I have [his/her] address?

INTERVIEWER: ENTER ADDRESS ON NEXT SCREEN OR CODE DON’T KNOW

ENTER ADDRESS 1

DON’T KNOW d GO TO IN22

REFUSED r GO TO IN22

IN11 = 1

IN11_address. What is [NAME]’s address?

STREET 1

STREET 2

STREET 3

CITY

STATE

ZIP

if in11=1 GO TO IN22.

IF IN10 = 1 (NEW NUMBER), STATUS CASE 1899

IN1=8 AND IN2c = 2 OR IN3 = 7 OR IN4 = 7 OR IN5 = 6 (RESPONDENT IS DECEASED)

I was calling about… IF IN1 = 8 (CALL OUT)

IN12. I am very sorry to hear that. [I was calling about a research study on behalf of the U.S. Department of Health and Human Services.] When did [NAME] pass away?

Thank you. Please accept my condolences. Goodbye.

programmer:

ENTER DATE ON NEXT SCREEN 1

DON’T KNOW d

REFUSED r

IN12_month & IN12_day & IN12_year

Thank you. Please accept my condolences. Goodbye.

| | | / | | | / | | | | |

(1-12) (1 - 31) (2012- 2099)

DON’T KNOW d

REFUSED r

STATUS CASE 1440 (DECEASED).

IF IN1= 1 Or 2; IN3=1; IN4=1 OR 2; IN5=1; IN6=1

IF BL INTRO1 = 1, fill PROGRAM NAME

IF BL INTRO1 = 2, fill PROGRAM NAME

IF BL INTRO1 = 3, fill PROGRAM NAME

IF IN4 = 1 OR 2; IF IN5=1; IF IN6 =1, fill “Hello, my name is [FILL INTERVIEWER NAME] and I’m calling from Mathematica Policy Research, a research company in Princeton, New Jersey.”

IF IN2c=1, fill “Today, we are going to talk”

IF IN1 =1 OR 2; IN4 = 1 OR 2; IF IN5=1; IF IN6 =1, fill “I’m calling you”

IN13. [Hello, my name is [FILL INTERVIEWER NAME] and I’m calling from Mathematica Policy Research, a research company in Princeton, New Jersey. [I’m calling you/Today, we are going to talk] about a study you joined when you applied to [PROGRAM NAME] about [FILL MONTHS] months ago. Before we get started I would like to make sure we have your name recorded correctly.

Can you verify your first name?

PROBE: Can you spell that for me please?

INTERVIEWER: IF THE NAME DOES NOT MATCH THEN TELL YOUR SUPERVISOR AND IF NECESSARY DISCONTINUE THE INTERVIEW

(STRING 20)

FIRST NAME

ALL

IN14. And your middle name please?

PROBE: Can you spell that for me please?

INTERVIEWER: IF THE NAME DOES NOT MATCH THEN TELL YOUR SUPERVISOR AND IF NECESSARY DISCONTINUE THE INTERVIEW

(STRING 20)

MIDDLE NAME

ALL

IN15. And your last name please?

PROBE: Can you spell that for me please?

INTERVIEWER: IF THE NAME DOES NOT MATCH THEN TELL YOUR SUPERVISOR AND IF NECESSARY DISCONTINUE THE INTERVIEW

(STRING 20)

LAST NAME

ALL

Fill [RESP FIRST name] from IN15.

IN16. Are you usually called [RESP FIRST NAME] or do you go by another name?

INSTRUCTION: IF SAME JUST HIT ENTER.

PROBE: Can you spell that for me please?

(STRING 20)

FIRST NAME

CATI

IF Mygoals, fill ‘the Evaluation of Employment Coaching for TANF and Related Populations survey, which is working with the MyGoals study’

else fill ‘our study’

CV1. You may have received a letter recently to let you know that we would be calling you for a follow-up interview for [our study/the Evaluation of Employment Coaching for TANF and Related Populations survey, which is working with the MyGoals study]. I’d like to interview you today.

The interview will take about 45 minutes and you will receive a $50 gift card for completing the interview. Your participation in the interview is voluntary. You do not have to answer any questions that make you uncomfortable. All your responses will be kept strictly private and will only be used for research purposes, except if you say something that suggests you are very likely to harm yourself, that you are planning to hurt another person or child, or that someone is likely to harm you. Nobody will ever publish your name in connection with the information you provide. Instead, information about you will be combined with information about other people in the study.

Is now a good time to start?

YES 1 GO TO CV3

NO 0 GO TO CV2

CATI

CV1=0

CV2. When would be a good time to do the interview?

INSTRUCTION: RECORD DATE AND TIME FOR CALL BACK.

INSTRUCTION: MAKE AN APPOINTMENT USING THE PARALLEL BLOCK.

INSTRUCTION: USE THE ‘APPOINTMENT’ TAB OR PRESS <CTRL-S> TO INVOKE THE APPOINTMENT MAKING DIALOG.

(STRING 20)

CATI: CV1=1

CAWI

Computer-assisted telephone interview (CATI): First we are going to ask you some questions to check that we are speaking with the correct person.

Computer-assisted web interview (CAWI: First we are going to ask you some questions to check that we are surveying the correct person.

CATI: CV1=1

CAWI

IF CAWI DO NOT SHOW DK OR REF

IF PROGRAM = LIFT OR FADSS OR UTAH

CV3. When you enrolled in the program, what was the highest level of education you had completed?

CATI: IF RESPONDENT SAYS “HIGH SCHOOL,” PROBE: Did you receive a diploma or GED?

Select one only

 DID NOT COMPLETE HIGH SCHOOL OR GED 11

 HIGH SCHOOL: DIPLOMA (NOT GENERAL EDUCATION DEVELOPMENT OR GED)...1 2

 GENERAL EDUCATION DEVELOPMENT OR GED 13

 SOME COLLEGE BUT NO DEGREE 14

 2-YEAR OR 3-YEAR COLLEGE DEGREE (ASSOCIATE’S DEGREE) 15

 4-YEAR COLLEGE DEGREE (BACHELOR’S DEGREE) 16

 GRADUATE OR PROFESSIONAL DEGREE (e.g., MA, MBA, Ph.D., JD, MD) 17

 NEVER ATTENDED SCHOOL 18

 DON’T KNOW d

 REFUSED r

CATI/CAWI HARD CHECK: AN ANSWER MUST BE PROVIDED FOR THIS QUESTION.

CATI: CV1=1

CAWI

IF CAWI DO NOT SHOW DK OR REF

IF PROGRAM = MYGOALS

CV3a. When you enrolled in the program, what was the highest level of education you had completed?

CATI: IF RESPONDENT SAYS “HIGH SCHOOL,” PROBE: Did you receive a diploma or GED?

Select one only

 GRADE 9 OR LESS 1

 GRADE 10 OR 11 2

 COMPLETED GRADE 12 WITHOUT A DIPLOMA OR GED 3

 GED 4

 HIGH SCHOOL DIPLOMA 5

 SOME COLLEGE 6

 ASSOCIATE OR TWO YEAR DEGREE 7

 FOUR YEAR COLLEGE DEGREE OR HIGHER 8

 DON’T KNOW d

 REFUSED r

CATI/CAWI HARD CHECK: AN ANSWER MUST BE PROVIDED FOR THIS QUESTION.

CATI/CAWI

IF CAWI DO NOT SHOW DK OR REF

CV4. And what are the last 4-digits of your Social Security number?

| | | | | LAST FOUR

(0000-9999)

DON’T KNOW d GO TO CV5

REFUSED r GO TO CV5

CATI HARD CHECK: AN ANSWER MUST BE PROVIDED FOR THIS QUESTION.

CAWi hard check: an anSwer must be provided to go to the next question. this is to protect your privacy to make sure no one accesses the information provided in the survey.

PROGRAM BOX

IF FADSS OR LIFT OR UTAH AND IF CV3 = BL B4 AND CV4 = SSN THEN GO TO A1. OTHERWISE GO TO CV5.

IF MYGOALS AND IF CV3.a = EDUCATION AND CV4 = SSN THEN GO TO A1 OTHERWISE GO TO CV5

IF CV3 OR CV4 = Refused OR Don’t know GO TO CV5 (EVEN IF REFUSED OR DON’T KNOW MATCH ON BASELINE INFO)

IF CV3a OR CV4 = Refused OR Don’t know GO TO CV5 (EVEN IF REFUSED OR DON’T KNOW MATCH ON BASELINE INFO)

IF BL DATA IS MISSING THEN THE QUESTION WILL BE AN AUTOMATIC FAIL

CATI/CAWI

IF CAWI DO NOT SHOW DK OR REF

CV5. What is your date of birth?

| | | / | | | / | | | | |

MONTH DAY YEAR

(1-12) (1-31) (1918-2001)

DON’T KNOW d

REFUSED r

CATI HARD CHECK: AN ANSWER MUST BE PROVIDED FOR THIS QUESTION.

CAWi hard check: an anSwer must be provided to go to the next question. this is to protect your privacy to make sure no one accesses the information provided in the survey.

PROGRAM BOX

IF LIFT OR FADSS OR UTAH AND [BL B4 = CV3] AND [SSN != CV5] GO TO CV6

IF LIFT OR FADSS OR UTAH AND [BL B4 != CV3] AND [DOB EQUALS CV5] GO TO CV6

IF MYGOALS AND [EDUCATION = CV3a] AND [DOB != CV5] GO TO CV6

IF MYGOALS AND [EDUCATION NE CV3.a] AND [DOB = CV5] GO TO CV6

[SSN = CV4] AND [DOB != CV5] GO TO CV6

[SSN NE CV4] AND [DOB EQUALS CV5] GO TO CV6

OTHERWISE GO TO A1

CV6. CATI: Thank you for your response. I need to check our records before continuing the interview. Please hold on a moment while I get my supervisor.

CON’T 1 GO TO CV7

CATI HARD CHECK: SUPERVISOR PLEASE ENTER YOUR ID TO CONTINUE

| | | | |

(2112-9117)

CAWI: Thank you for your time. We need to check our records before continuing the interview. Please contact the Mathematica Survey Operations Center at 1-833-371-3617 and ask for Casey Thomas, a survey representative at Mathematica, to complete the survey.

STATUS 1380 FOR SUP REVIEW

DISPLAY STREET ADDRESS AND APARTMENT NUMBER FOR VERIFICATION

CV7. CATI ONLY: Can you tell me the name of the street that you lived on when you first enrolled in the program on [RA DATE]?

(STRING 20)

INSTRUCTION: Record address given by respondent

DON’T KNOW d GO TO CV8

REFUSED r GO TO CV8

CATI HARD CHECK: AN ANSWER MUST BE PROVIDED FOR THIS QUESTION.

PROGRAM BOX

IF CV7 = BL Resp_physaddress_street1 THEN GO TO A1

OTHERWISE, GO TO CV8

CV8. CATI ONLY: I’m sorry. I need to check my records before I can interview you. Is this the best time to reach you in the future?

YES 1

NO, CALL BACK INFO 0

(STRING 20)

INSTRUCTION: RECORD DATE AND TIME FOR CALL BACK.

STATUS CASE 1380 FOR SUP

CATI/CAWI

all

IF CAWI DO NOT SHOW DK OR REF

The first questions are about sources of income and other support that you and other members of your household may have received in the past month.

A1. In the past month, have you or anyone in your household received any support [fill statements a-i]?

[PROGRAMMER: CATI - Gray question text but continue to bold [FILL] from A1b-i.]

	CODE ONE RESPONSE PER ROW
	YES	NO	DK	REF
a. From Temporary Assistance for Needy Families, or TANF (this is also known as welfare)?	1	0	d	R
b. From Supplemental Security Income, or SSI?	1	0	d	R
c. From Social Security Disability Insurance, or SSDI?	1	0	d	R
d. From Food stamps or SNAP?	1	0	d	R
e. From Women, Infants, and Children, or WIC?	1	0	d	R
f. From Unemployment Insurance?	1	0	d	R
g. From Housing choice vouchers, Section 8, project-based rental assistance, public housing, housing where an agency helps you pay the rent, or other housing assistance?	1	0	d	R
h. For heating and cooling your home?	1	0	d	R
i. For free or reduced price school meals?	1	0	d	R

A1a = 1

A1j. How much money have you or anyone in your household received from TANF in the past month? If both you and someone else in your household received money from TANF, please add those amounts together.

PROBE: Your best guess is fine.

$| | | , | | | |

(0-99,999)

DON’T KNOW d

REFUSED r

CATI/CAWI

ALL

IF CAWI DO NOT SHOW DK OR REF

CATI: Now I would like to ask some questions about work.

CAWI: The next questions are about work.

A2. Are you currently working for pay?

Working for pay can include regular paid jobs, odd jobs, temporary jobs, work done in your own business, “under the table” work, or any other types of work you have done for pay.

YES 1 GO TO A3

NO 0 GO TO A2a

DON’T KNOW d GO TO A2a

REFUSED r GO TO A2a

CATI/CAWI

A2 != 1

IF CAWI DO NOT SHOW DK OR REF

if COMP_STATUS = 1 fill fup comp month year

if COMP_STATUS = 0 fill ra month year

if pl_job GE 1 (working at time of last survey) FILL A3, else fill a17

A2a. Have you worked for pay at any time since [RA MONTH YEAR/FUP COMP MONTH YEAR]?

YES 1 GO TO A5b

NO 0 GO TO [A3/A17]

DON’T KNOW d GO TO [A3/A17]

REFUSED r GO TO [A3/A17]

programmer BOX A2a.1

CREATE SLOTS FOR 20 JOBS. THE FIRST SLOT IS RESERVED FOR THE 1st JOB listed on the 1st fup survey. TEN SLOTS ARE FOR JOBS collected at 1st fup, TEN SLOTS ARE FOR jobs collected at 2ND FUP.

if pl_job GE 1 (working at time of last survey) go to A3

IF PL_job = 0 (NOT WORKING AT TIME OF LAST SURVEY OR DID NOT COMPLETE 1ST FUP) AND A2=1 (CURRENTLY EMPLOYED) GO TO A5A.

IF PL_job = 0 (NOT WORKING AT TIME OF LAST SURVEY OR DID NOT COMPLETE 1ST FUP) AND A2A=1 (NOT CURRENTLY EMPLOYED BUT EMPLOYED SINCE RA/1ST FUP) GO TO A5B.

PROGRAMMER: SET LIMIT OF 10 CURRENT JOBS AND 10 FORMER JOBS (TOTAL OF 20 JOBS)

	JOB 1	JOB 2
PROGRAMMER: START WITH FIRST JOB [PL JOB NAME] FROM FIRST FOLLOW-UP (THEN JOB 2, JOB 3, ETC.). A3. According to my records you were working at [PL JOB NAME] in [1ST FUP MONTH YEAR], is that correct?	YES 1 GO TO [A4/A6] NO 0 DON’T KNOW d REFUSED r IF A3 = 0, d, or r and PL_job_count > 1, GO TO A3_JOB2 IF PL_JOB GE 1 (WORKING AT TIME OF LAST SURVEY) AND A2 = 0 (NOT CURRENTLY WORKING) AND A2A = 0 (NOT WORKING SINCE 1ST FUP), FILL A6, ELSE FILL A4.	YES 1 GO TO A4/A6] NO 0 DON’T KNOW d REFUSED r IF A3 = 0, d, or r and PL_job_count > 1, GO TO A3_JOB2 IF PL_JOB GE 1 (WORKING AT TIME OF LAST SURVEY) AND A2 = 0 (NOT CURRENTLY WORKING) AND A2A = 0 (NOT WORKING SINCE 1ST FUP), FILL A6, ELSE FILL A4.
IF A3=1 A4. Are you still working at [PL JOB NAME]?	YES 1 NO 0 DON’T KNOW d REFUSED r IF PL_job_count > 1 GO TO A3_JOB 2 IF PL_job_count = 1 GO TO A5	YES 1 NO 0 DON’T KNOW d REFUSED r IF PL_job_count > 2 LOOP A3 JOBS UNTIL TOTAL NUMBER OF PL_JOBS ROSTERED UP TO 10 TOTAL JOBS WHEN ALL PL_JOBS ARE ASKED AT A3 UP TO A3_JOB 10 GO TO A5_JOB 1
CATI/CAWI IF CAWI DO NOT SHOW DK OR REF A5. Including all types of jobs, do you currently have any other paid jobs?	YES 1 GO TO A5a, JOB 2 NO 0 GO TO A5b DON’T KNOW d GO TO A5c REFUSED r GO TO A5c IF A2=1 LOOP A5 JOBS UNTIL A5=(0,d, r). WHEN A5= 0,d,or r GO TO A5c JOB 1.	YES 1 GO TO A5a, JOB 3 NO 0 GO TO A5b DON’T KNOW d GO TO A5c REFUSED r GO TO A5c IF A2=1 LOOP A5 JOBS UNTIL A5=(0,d, r). WHEN A5= 0,d,or r GO TO A5c JOB 1.
A5 =1 IF CAWI DO NOT SHOW DK OR REF CATI FILL “NOW I AM GOING TO ASK ABOUT YOUR CURRENT JOB OR JOBS” FOR JOB 1 ONLY. CAWI FILL “THE NEXT QUESTIONS ARE ABOUT YOUR CURRENT JOB OR JOBS.” FOR JOB 1 ONLY. A5a. CATI: Please tell me who you work for. CAWI: Please tell us who you work for. CATI/CAWI: This could be the name of a job, organization, person, or you could work for yourself or have your own business. If you currently work at more than one job, please start with the job where you usually work the most hours.	JOB NAME (SPECIFY) 1 (STRING 50) SELF EMPLOYED 2 DON’T KNOW d REFUSED r PROGRAMMER: IF A5a = d, r, make [JOB NAME] be “New Job 1” for New Job 1, “New Job 2” for New Job 2, etc. INTERVIEWER: IF A5=d, r, THEN SAY: That’s okay, we’ll just refer to this job as “New Job 1” in the next few questions. IF A5c=1 LOOP A5a AND A5c UNTIL A5c=0,d, or r . WHEN A5c=0, d, or r GO TO A6.	JOB NAME (SPECIFY) 1 (STRING 50) SELF EMPLOYED 2 DON’T KNOW d REFUSED r
A2a=1 (NOT CURRENTLY EMPLOYED) COMP_STATUS = 0 OR 1ST FUP A2=0 (Not currently employed at 1st FUP) IF CAWI DO NOT SHOW DK OR REF IF COMP_STATUS = 1 fill FUP COMP month year IF COMP_STATUS = 0 fill ra month year A5b. CATI: Since [RA MONTH YEAR/FUP COMP MONTH YEAR], please tell me who you worked for. CAWI: Since [RA MONTH YEAR/FUP COMP MONTH YEAR], please indicate who you worked for. CATI/CAWI: This could be the name of a company, organization, person, or you could work for yourself or have your own business. If you had more than one job, please start with the job where you worked the most hours.	JOB NAME (SPECIFY) 1 (STRING 50) SELF EMPLOYED 2 DON’T KNOW d REFUSED r	JOB NAME (SPECIFY) 1 (STRING 50) SELF EMPLOYED 2 DON’T KNOW d REFUSED r IF A5c=1 LOOP A5b AND A5c UNTIL A5c=0,d, or r. WHEN A5c=0, d, or r GO TO A6.
If A5=(0, d, r) [TOLD INTERVIEWER THAT NO MORE CURRENT JOBS] or A2a=1 [NOT CURRENTLY EMPLOYED BUT EMPLOYED SINCE RA MONTH YEAR/FUP COMP MONTH YEAR] IF A2A=1 AND A5B NE BLANK IF COMP_STATUS = 1 fill FUP COMP month year IF COMP_STATUS = 0 fill ra month year IF CAWI DO NOT SHOW DK OR REF A5c. CATI: Have you had any other paid jobs since [RA MONTH YEAR/FUP COMP MONTH YEAR] that you haven’t told me about? CAWI: Have you had any other paid jobs since [RA MONTH YEAR/FUP COMP MONTH YEAR]?	YES 1 GO TO A5b, JOB 2 NO 0 GO TO A6 DON’T KNOW d GO TO A6 REFUSED r GO TO A6	YES 1 GO TO A5b, JOB 3 NO 0 GO TO A6 DON’T KNOW d GO TO A6 REFUSED r GO TO A6 IF A5c=1 LOOP A5b AND A5c UNTIL A5c=0,d, or r. WHEN A5C=0, d, or r GO TO A6.

PROGRAMMER: SET LIMIT OF 10 CURRENT JOBS AND 10 FORMER JOBS (TOTAL OF 20 JOBS)

	JOB 1	JOB 2
CATI/CAWI A2=1 OR A2a=1 ASK ONLY FOR 2FUP JOBS IN ARRAY 11-21 IF NO JOBS IN 2ND FUP JOB ARRAY 11-21 GO TO A8 IF CAWI DO NOT SHOW DK OR REF IF A5a=2 or A5b=2 FILL “being self-employed”, “to become self-employed” ELSE FILL “the job you [do/did]…”, “to help get this job” IF MORE THAN ONE JOB REPORTED, FILL “NOW THINKING OF [BEING SELF-EMPLOYED/THE JOB YOU [DO/DID] AT [JOB NAME 1].” A6. [Now thinking of [being self-employed/the job you [do/did] at [2ND FUP JOB NAME/being self-employed].]] Did you receive assistance from an organization or an agency [to help get this job/to become self-employed]? Please do not include temp agencies.	ORGANIZATION 1 AGENCY 2 DID NOT RECEIVE ANY ASSISTANCE 3 DON’T KNOW d REFUSED r	ORGANIZATION 1 AGENCY 2 DID NOT RECEIVE ANY ASSISTANCE 3 DON’T KNOW d REFUSED r
CATI/CAWI A2=1 OR A2a=1 OR A4=1 IF CAWI DO NOT SHOW DK OR REF ASK ONLY FOR 2FUP JOBS IN ARRAY 11-21 IF NO JOBS IN 2ND FUP JOB ARRAY 11-21 GOT TO A8 IF 1ST FUP A3=2 (self-employed) FILL “YOURSELF;” ELSE FILL “[JOB NAME 1]” A7. When did you start working for [2ND FUP JOB][yourself]]? INTERVIEWER: RECORD MONTH AND YEAR. NOTE: ALLOW SKIP ON MONTH.	| | | / | | | | | MONTH YEAR (1-12) (1990-current year) DON’T KNOW d REFUSED r	| | | / | | | | | MONTH YEAR (1-12) (1990-current year) DON’T KNOW d REFUSED r
CATI/CAWI A2=1 OR A2a=1 OR A4=1 IF CAWI DO NOT SHOW DK OR REF IF 1ST FUP A3=2 (self-employed) 2ND FUP JOBS FALL IN ARRAYS 11-21, FILL 2ND FUP JOB_JOB 1 FROM ARRAY 11. FILL “YOURSELF,” ELSE FILL JOB NAME A8. Are you still working for [[PL JOB NAME]/[2ND FUP JOB] [yourself]?	YES 1 GO TO A9 NO 0 GO TO A8a DON’T KNOW d REFUSED r	YES 1 GO TO A9 NO 0 GO TO A8a DON’T KNOW d REFUSED r
CATI/CAWI A8 =0 IF CAWI DO NOT SHOW DK OR REF A8a. When did you stop working at this job? INTERVIEWER: RECORD MONTH AND YEAR.	| | | / | | | | | MONTH YEAR (1-12) (2013-current year) STILL AT JOB 98 DON’T KNOW d REFUSED r	| | | / | | | | | MONTH YEAR (1-12) (2013-current year) STILL AT JOB 98 DON’T KNOW d REFUSED r
CATI/CAWI A2 = 1 OR A2a=1 IF CAWI DO NOT SHOW DK OR REF FILL “ARE” IF A7=1, ELSE FILL “WERE” SKIP IF A3 = 2 or a4b = 2 A9. Which of the following best describes your employment at that job? [Were/Are] you working . . . CATI: PROBE: A temporary help agency supplies workers to other companies on an as needed basis. PROBE: Some companies provide employees or their services to others under contract. A few examples of services that can be contracted out include security, landscaping, or computer programming. PROBE: Independent contractors, independent consultants, and free-lance workers obtain customers on their own to provide a product or service and can have other employees working for them. PROBE: Day laborers are people who work as needed. For example, day laborers may get work by waiting at a place where employers pick up people to work for a day or by posting paper or electronic job wanted ads and responding on a day-by-day basis. PROBE: On-call workers are in a pool of workers who are ONLY called to work as needed, although they can be scheduled to work for several days or weeks in a row, for example, substitute teachers, and construction workers supplied by a union hiring hall.	CODE ONE ONLY as a regular full-time employee? 1 as a regular part-time employee? 2 for a temporary help agency? 3 for a company that contracts out you or your services? 4 as an independent contractor, independent consultant, or freelance worker? 5 as a day laborer? 6 as an on-call employee? 7 for friends, family, or other people doing part-time tasks or odd jobs? 8 or something else (PLEASE specify)? 99 (STRING (100)) DON’T KNOW d REFUSED r	CODE ONE ONLY as a regular full-time employee? 1 as a regular part-time employee? 2 for a temporary help agency? 3 for a company that contracts out you or your services? 4 as an independent contractor, independent consultant, or freelance worker? 5 as a day laborer? 6 as an on-call employee? 7 for friends, family, or other people doing part-time tasks or odd jobs? 8 or something else (PLEASE specify)? 99 (STRING (100)) DON’T KNOW d REFUSED r

	JOB 1	JOB 2
CATI/CAWI A2=1 OR A2a=1 IF CAWI DO NOT SHOW 9, DK OR REF IF A8=1 FILL DO; ELSE, FILL DID A10. [Do/Did] you have taxes taken out of your paycheck for the work you [do/did] at this job?	YES 1 NO 0 R VOLUNTEERS: WAS PAID IN CASH 9 DON’T KNOW d REFUSED r	YES 1 NO 0 R VOLUNTEERS: WAS PAID IN CASH 9 DON’T KNOW d REFUSED r
CATI/CAWI A2=1 OR A2a=1 IF CAWI DO NOT SHOW DK OR REF IF A7=1 FILL DO ELSE FILL DID A11. How many hours [do/did] you usually work in a week at this job? Your best estimate is fine.	| | | HOURS PER WEEK (0-98) 99 OR MORE HOURS PER WEEK 99 DON’T KNOW d REFUSED r	| | | HOURS PER WEEK (0-98) 99 OR MORE HOURS PER WEEK 99 DON’T KNOW d REFUSED r
CATI/CAWI A2=1 OR A2a=1 IF CAWI DO NOT SHOW DK OR REF IF A3 or A4b=2 FILL “being self-employed” ELSE FILL “your job at [job name]” FILL ”DO” IF A9=1, ELSE FILL ”DID” FILL “VARIES” / “ARE” / “MAKE” IF A7=1. ELSE FILL “VARIED” / “WERE” / “MADE” A12. Now thinking about [being self-employed/your job at [JOB NAME]], how much [do/did] you get paid before taxes and deductions, at this job? Please include tips, commissions, and regular overtime. CATI: PROBE: If your pay [varies/varied], please provide an average amount. If you [are/were] paid per job or for completing a particular task, please tell us the total amount you usually [make/made] per week or per month while doing this type of work. CAWI: SOFTCHECK: If your pay [varies/varied], please provide an average amount. If you [are/were] paid per job or for completing a particular task, please tell us the total amount you usually [make/made] per week or per month while doing this type of work. IF THE RESPONDENT DOES NOT PROVIDE A PAY PERIOD THEN PROBE: And, is that per hour, per week, per month, once every two weeks, twice a month, per year, day/daily, or something else? ACCEPT MOST CONVENIENT PAY PERIOD. SOFT CHECK: IF ANSWER IS GREATER THAN $50 PER HOUR, $2000 PER WEEK, $4000 ONCE EVERY 2 WEEKS, $4000 TWICE A MONTH, $100,000 PER YEAR, $400 DAY/DAILY, OR $8000 MONTH, SAY: “I recorded [A10 and A10 amount answer]. Is that correct?”	$ | | | |,| | | |.| | | AVERAGE (0-999,999.99) AMOUNT PER HOUR 1 PER WEEK 2 MONTH 3 ONCE EVERY TWO WEEKS 4 TWICE A MONTH 5 PER YEAR 6 DAY/DAILY 7 OTHER (SPECIFY) 99 (STRING (100)) DON’T KNOW d REFUSED r	$ | | | |,| | | |.| | | AVERAGE (0-999,999.99) AMOUNT PER HOUR 1 PER WEEK 2 MONTH 3 ONCE EVERY TWO WEEKS 4 TWICE A MONTH 5 PER YEAR 6 DAY/DAILY 7 OTHER (SPECIFY) 99 (STRING (100)) DON’T KNOW d REFUSED r
CATI/CAWI IF CAWI DO NOT SHOW DK OR REF FILL WAGE AND HOUR/UNIT FROM A12. IF A12 = 99, D, R, or M, FILL “YOUR CURRENT WAGE” A13. Did you always earn [[A12 WAGE] per [HOUR/UNIT FROM A12]/your current wage] at this job?	YES 1 NO 0 DON’T KNOW d REFUSED r	YES 1 NO 0 DON’T KNOW d REFUSED r
CATI/CAWI If A11= no IF CAWI DO NOT SHOW DK OR REF FILL “VARIES” IF A7=1. ELSE FILL “VARIED”. A13a. How much were you paid when you started working at this job before taxes and deductions? If your pay [varies/varied], please provide an average amount. ACCEPT MOST CONVENIENT PAY PERIOD. SOFT CHECK: IF ANSWER IS GREATER THAN $50 PER HOUR, $2000 PER WEEK, $4000 ONCE EVERY 2 WEEKS, $4000 TWICE A MONTH, $100,000 PER YEAR, $400 DAY/DAILY, OR $8000 MONTH, SAY: “I recorded [A11a and A11a amount answer]. Is that correct?”	$ | | | |,| | | |.| | | AVERAGE (0-999,999.99) AMOUNT PER HOUR 1 PER WEEK 2 PER MONTH 3 ONCE EVERY TWO WEEKS 4 TWICE A MONTH 5 PER YEAR 6 DAY/DAILY 7 OTHER (SPECIFY) 99 (STRING (100)) DON’T KNOW d REFUSED r	$ | | | |,| | | |.| | | AVERAGE (0-999,999.99) AMOUNT PER HOUR 1 PER WEEK 2 PER MONTH 3 ONCE EVERY TWO WEEKS 4 TWICE A MONTH 5 PER YEAR 6 DAY/DAILY 7 OTHER (SPECIFY) 99 (STRING (100)) DON’T KNOW d REFUSED r
CATI/CAWI SKIP IF A3=2 OR A4b=2 IF CAWI DO NOT SHOW DK OR REF FILL “ARE” IF A7=1 ELSE FILL “WERE” A14. Which of the following benefits [are/were] available to you at your job? (READ EACH ITEM) . . .	CODE ALL THAT APPLY Paid leave for holidays, vacation or illness? 1 Health insurance or membership in an HMO or PPO plan? 2 Retirement benefits? 3 None of the above 0 DON’T KNOW d REFUSED r	CODE ALL THAT APPLY Paid leave for holidays, vacation or illness? 1 Health insurance or membership in an HMO or PPO plan? 2 Retirement benefits? 3 None of the above 0 DON’T KNOW d REFUSED r
CATI/CAWI SKIP IF A3=2 OR A4b=2 IF CAWI DO NOT SHOW DK OR REF Have” IF A7=1 ELSE FILL “ Had” A15. [Have/Had] you been promoted to a higher position with greater responsibility while working at this job?	YES 1 NO 0 DON’T KNOW d REFUSED r	YES 1 NO 0 DON’T KNOW d REFUSED r
CATI/CAWI A7=1 IF CAWI DO NOT SHOW DK OR REF SKIP IF A3=2 OR A4b=2 A16. How likely do you think it is that you will be promoted by [Job Name] in the next 12 months?	Very likely, 1 somewhat likely, 2 not very likely, or 3 not likely at all? 4 DON'T KNOW d REFUSED r IF A4=1 OR A5c=1 GO TO A6 [JOB 2-20] WHEN (A4 NE 1 AND A5c NE 1) GO TO A17	very likely, 1 somewhat likely, 2 not very likely, or 3 not likely at all? 4 DON'T KNOW d REFUSED r IF A4=1 OR A5c=1 GO TO A6 [JOB 3-20] WHEN (A4 NE 1 AND A5c NE 1) GO TO A17

all

IF CAWI DO NOT SHOW DK OR REF

A17. CATI: Since [RA MONTH YEAR/FUP COMP MONTH YEAR], was there anything else you did for pay, such as odd jobs, “under the table” jobs, or any other type of work, that we haven’t already talked about?

CAWI: Since [RA MONTH YEAR/FUP COMP MONTH YEAR], was there anything else you did for pay, such as odd jobs, “under the table” jobs, or any other type of work that you haven’t reported here?

YES 1

NO 0 GO TO A19

DON’T KNOW d GO TO A19

REFUSED r GO TO A19

A15=1

IF CAWI DO NOT SHOW DK OR REF

A18. CATI: What is your best guess of how much money you received from these activities in a typical month since [RA MONTH YEAR/FUP COMP MONTH YEAR]? Please do not include money you made from jobs we talked about earlier. We just need your best guess for how much money you’ve received from these activities.

CAWI: What is your best guess of how much money you received from these activities in a typical month since [RA MONTH YEAR/FUP COMP MONTH YEAR]? Please do not include money you made from jobs you reported earlier. Just make your best guess for how much money you’ve received from these activities.

$| | | , | | | |

(0-99,999)

DON’T KNOW d

REFUSED r

CATI/CAWI

A2 = 1

IF A2 NE 1, go to a20

IF CAWI DO NOT SHOW DK OR REF

If number of CURRENT JOBS equals 1 fill “job”

If number of CURRENT JOBS IS greater than 1 fill “jobs”

A19. How satisfied are you with your current [job/jobs]? Would you say very satisfied, somewhat satisfied, or not satisfied?

VERY SATISFIED 1

SOMEWHAT SATISFIED 2

NOT SATISFIED 3

DON’T KNOW d

REFUSED r

CATI/CAWI

ALL

IF CAWI DO NOT SHOW DK OR REF

A20. Are you currently looking for a job?

YES 1

NO 0

DON’T KNOW d

REFUSED r

CATI/CAWI

A20=0, d, r AND A2 !=1

IF CAWI DO NOT SHOW DK OR REF

A20a. How would you describe your current status? Are you . . .

CODE ALL THAT APPLY

Temporarily laid off? 1

Retired? 2

In school or training? 3

Unable to work because of caring for another family member? 4

Unable to work because of pregnancy? 5

Sick or disabled? 6

Gave up looking for work? 7

Something else? (SPECIFY) 99

(STRING (NUM))

DON’T KNOW d

REFUSED r

all

IF CAWI DO NOT SHOW DK OR REF

CATI: Now we would like to ask you some questions about the things you may have done to look for a job since [RA MONTH YEAR/FUP COMP MONTH YEAR].

CAWI: The next questions are about the things you may have done to look for a job since [RA MONTH YEAR/FUP COMP MONTH YEAR].

A21. Since [RA MONTH YEAR/FUP COMP MONTH YEAR], have you [FILL WITH A-E]?

[PROGRAMMER: CATI - Gray “Since [RA MONTH YEAR/FUP COMP MONTH YEAR], have you” after A19a.]

	CODE ONE RESPONSE PER ROW
	YES	NO	DK	REF
a. Updated your resume?	1	0	d	r
b. Looked into the requirements needed to get a job you wanted?	1	0	d	r
c. Been able to get stable and reliable child care that would allow you to work, go to school, or go to job interviews?	1	0	d	r
d. Looked into how to get new skills or credentials to get a job or advance your career?	1	0	d	r
e. Figured out how to get transportation to school or a job you wanted?	1	0	d	r

CATI/CAWI

all

IF CAWI DO NOT SHOW DK OR REF

A22. Since [RA MONTH YEAR/FUP COMP MONTH YEAR] have you received a job offer?

YES 1 GO TO A20a

NO 0 GO TO A22a

DON’T KNOW d

REFUSED r

CATI/CAWI

A22=1

IF CAWI DO NOT SHOW DK OR REF

A22a. How many times did that happen?

| | | NUMBER OF OFFERS

(0-25)

DON’T KNOW d

REFUSED r

CATI/CAWI

A22=1

IF CAWI DO NOT SHOW DK OR REF

A23. Did you receive any of these job offers when you were working in another job?

YES 1

NO 0 GO TO A24a

DON’T KNOW d

REFUSED r

RESPONDENT HAS NOT HAD A JOB SINCE RA GO TO A24a

CATI/CAWI

A23=1

IF CAWI DO NOT SHOW DK OR REF

A23a. How many times did you receive a job offer when working?

| | | NUMBER OF OFFERS

(0-25)

DON’T KNOW d

REFUSED r

CATI/CAWI

ALL

IF CAWI DO NOT SHOW DK OR REF

A24. Thinking about a typical month since [RA MONTH YEAR/FUP COMP MONTH YEAR] when you were not working, how often did you [FILL WITH A-C]?

CATI [PROGRAMMER: Gray text after A24a.a]: Was it almost every day, a few times a week, a few times during the month, once, or never?

{FOR A24a.a.} INSTRUCTION: IF RESPONDENT SAYS THAT THEY WERE ALWAYS WORKING SINCE RANDOM ASSIGNMENT THEN CODE AS “I NEVER HAD A MONTH WHERE I DIDN’T WORK.”

I NEVER HAD A MONTH IN WHICH I DID NOT WORK 0 GO TO A24b

	ALMOST EVERY DAY	A FEW TIMES A WEEK	A FEW TIMES DURING THE MONTH	ONCE	NEVER	DK	REF
a. Look for job openings?	1	2	3	4	5	d	r
b. Submit a job application?	1	2	3	4	5	d	r
c. Attend an interview?	1	2	3	4	5	d	r

CATI/CAWI

IF A2 OR A2a = 1

IF CAWI DO NOT SHOW DK OR REF

A24b. Thinking about a typical month since [RA MONTH YEAR/FUP COMP MONTH YEAR] when you were working, how often did you [FILL WITH A-C]?

CATI [PROGRAMMER: Gray text after A24a.a]: Was it almost every day, a few times a week, a few times during the month, once, or never?

{For A24b.a} INSTRUCTION: IF RESPONDENT SAYS THAT THEY NEVER WORKED SINCE RANDOM ASSIGNMENT THEN CODE AS “I DIDN’T WORK AT ALL SINCE [RA MONTH YEAR/FUP COMP MONTH YEAR].”

I DIDN’T WORK AT ALL SINCE [RA MONTH YEAR/FUP COMP MONTH YEAR] 0 GO TO A25

	CODE ONE RESPONSE PER ROW
	ALMOST EVERY DAY	A FEW TIMES A WEEK	A FEW TIMES DURING THE MONTH	ONCE	NEVER	DK	REF
a. Look for job openings?	1	2	3	4	5	d	r
b. Submit a job application?	1	2	3	4	5	d	r
c. Attend an interview?	1	2	3	4	5	d	r

CATI: Now we are going to talk about some of the things you might have done because there wasn’t enough money.

CAWI: The next set of questions ask about some of the things you might have done because there wasn’t enough money.

CATI/CAWI

ALL

IF CAWI DO NOT SHOW DK OR REF

A25. Since [RA MONTH YEAR/FUP COMP MONTH YEAR], did you do any of the following because there wasn’t enough money?

[PROGRAMMER: CATI – Gray question text from A25b-h.]

	CODE ONE RESPONSE PER ROW
	YES	NO	DON’T KNOW	REFUSED
a. Cut the size of your meals or skip meals because you couldn’t afford enough food?	1	0	d	r
b. Move in with other people, even for a little while, because of financial problems?	1	0	d	r
c. Ask to borrow money from friends or family?	1	0	d	r
d. Go without a phone because you could not afford to pay the bill or buy extra cell phone minutes?	1	0	d	r
e. Took a payday loan or auto-title loan, or sold or pawned your belongings?	1	0	d	r
f. Thought about going to the doctor, dentist or hospital, but decided not to because of the cost?	1	0	d	r
g. Go without prescription medicine?	1	0	d	r
h. Go without paying utility bills?	1	0	d	r

CATI/CAWI

all

IF CAWI DO NOT SHOW DK OR REF

The next question is about where you live.

A26. CATI: Do you currently own your home or apartment or have a mortgage, rent it, pay some amount toward rent, live rent free with a friend or relative, or do you have some other arrangement?

CAWI: Do you currently…

OWN OR HAVE MORTGAGE 1

RENT 2

PAY SOME OF THE RENT 3

LIVE RENT FREE (SOMEONE ELSE RENTS/OWNS HOUSE OR APARTMENT) 4

LIVE IN SHELTER 5

LIVE ON STREETS 6

LIVE IN ABANDONED BUILDING/CAR 7

OTHER (SPECIFY) 99 GO TO A26a

DON’T KNOW d

REFUSED r

CATI/CAWI

A26=99

A26a. What is your other living arrangement?

__________________________(STRING 250)

CATI/CAWI

all

IF CAWI DO NOT SHOW DK OR REF

The next questions are about your finances.

A27. Do you currently use a spending plan or budget to help you meet or keep track of your monthly expenses?

YES 1

NO 0

DON’T KNOW d

REFUSED r

CATI/CAWI

ALL

IF CAWI DO NOT SHOW DK OR REF

A28. Do you currently have a checking or savings account of any kind at a bank or a credit union?

YES 1

NO 0

DON’T KNOW d

REFUSED r

CATI/CAWI

All

IF CAWI DO NOT SHOW DK OR REF

A29. Suppose [you/you and your household] had an emergency expense that costs $400.

CATI: Based on your current situation, how would you pay for this expense? Please choose the most likely method of payment, if any.

CAWI: Based on your current situation, how would you pay for this expense? Please choose the most likely method of payment, if any.

PUT IT ON YOUR CREDIT CARD 1

USE MONEY IN YOUR CHECKING OR SAVINGS ACCOUNT OR USE CASH ON HAND 2

BORROW FROM A FRIEND OR FAMILY MEMBER 3

USE A PAYDAY LOAN, DEPOSIT ADVANCE, OR OVERDRAFT 4

SELL SOMETHING 5

USE A PAYMENT PLAN WHERE YOU PAY “LITTLE BY LITTLE” 6

DON’T KNOW d

REFUSED r

CATI/CAWI

If A28 = 1

IF CAWI DO NOT SHOW DK OR REF

A30. How much do you have in savings? Savings includes but is not limited to savings accounts, and covers any money you set aside for the future. Your best estimate is fine.

$| | | | , | | | |

(0-999,999)

DON’T KNOW d

REFUSED r

CATI/CAWI

All

IF CAWI DO NOT SHOW DK OR REF

A31. How often does your household pay its bills on time?

CATI: Would you say you pay your bills on time most of the time (late 1 time or less per year), very often (late 2-3 times per year), sometimes (late every other month), rarely or never (late about every month).

CAWI: Would you say:

MOST OF THE TIME (LATE 1 TIME OR LESS PER YEAR) 1

VERY OFTEN (LATE 2-3 TIMES PER YEAR) 2

SOMETIMES (LATE EVERY OTHER MONTH) 3

RARELY OR NEVER (LATE ABOUT EVERY MONTH) 4

DON’T KNOW d

REFUSED r

CATI/CAWI

All

IF CAWI DO NOT SHOW DK OR REF

A32. Since [RA MONTH YEAR/FUP COMP MONTH YEAR] have you seen your credit report from a credit-reporting agency?

YES 1

NO 0

DON’T KNOW d

REFUSED r

ALL

IF CAWI DO NOT SHOW DK OR REF

B1. CATI: Now I am going to read you a list of things that some people find challenging in finding and keeping a good job.

Please tell me if the following has made it not at all hard, a little hard, somewhat hard, very hard, or extremely hard for you to find or keep a good job since [RA MONTH YEAR/FUP COMP MONTH YEAR].

Would you say that [FILL a-g] made it not at all hard, a little hard, somewhat hard, very hard, or extremely hard for you to find or keep a good job in the past year?

INTERVIEWER INSTRUCTION: IF NEEDED READ RESPONSE CATEGORIES FOR B-G

CAWI: The next set of questions are about things that some people find challenging in finding and keeping a good job.

Would you say that [FILL a-g] made it not at all hard, a little hard, somewhat hard, very hard, or extremely hard for you to find or keep a good job in the past year?

PROGRAMMER: CODE ONE PER ROW

CODE ONE RESPONSE PER ROW

	NOT AT ALL	A LITTLE	SOMEWHAT	VERY	EXTREMELY	DK	REF
a. Not having reliable transportation	1	2	3	4	5	d	r
b. Not having good enough child care or family help	1	2	3	4	5	d	r
c. Not having the right clothes or tools for work	1	2	3	4	5	d	r
d. Not having the right skills or education	1	2	3	4	5	d	r
e. Having a criminal record	1	2	3	4	5	d	r
f. A lack of good jobs available in your area	1	2	3	4	5	d	r
g. Not being able to do certain kinds or amounts of work, training, or school work because of your health	1	2	3	4	5	d	r

CATI/CAWI

ALL

IF CAWI DO NOT SHOW DK OR REF

B2a. Do you have a regular child care arrangement you can use so that you can go to a job, a job interview, school, or other appointment?

YES 1

NO 0 GO TO B3

DON’T NEED CHILD CARE 2 GO TO B3

DON’T KNOW d

REFUSED r

B2a=1

IF CAWI DO NOT SHOW DK OR REF

B2b. CATI: Now I would like to talk about backup child care arrangements.

CAWI: The next set of questions talk about backup child care arrangements.

CATI/CAWI: If your child care falls through, would you say that you always, very often, sometimes, rarely or never have a backup child care arrangement?

ALWAYS 1

VERY OFTEN 2

SOMETIMES 3

RARELY 4

NEVER 5 GO TO B3

DON’T KNOW d

REFUSED r

CATI/CAWI

B2b=1, 2, 3, or 4

IF CAWI DO NOT SHOW DK OR REF

B2c. How many backup child care arrangements do you have?

| | | NUMBER

(0-50)

DON’T KNOW d

REFUSED r

CATI/CAWI

ALL

IF CAWI DO NOT SHOW DK OR REF

B3. Are you unable to do certain kinds or amounts of work, training, or school work because [FILL A-E]?

	CODE ONE RESPONSE PER ROW
	YES	NO	DK	REF
a. Of a physical disability or illness?	1	0	D	r
b. Of an emotional or mental health problem?	1	0	D	r
c. Of a learning disability?	1	0	D	r
d. A child in your family experienced a physical disability or illness; emotional, mental health, or behavioral problem; or learning disability?	1	0	D	r
e. A family member other than a child experienced a physical disability or illness, emotional or mental health problem, or learning disability?	1	0	D	r

CATI/CAWI

ALL

IF CAWI DO NOT SHOW DK OR REF

B4. Do you currently have a valid driver’s license? By valid we mean that it has not expired, and has not been suspended or taken away.

YES 1

NO 0

DON’T KNOW d

REFUSED r

CATI/CAWI

ALL

IF CAWI DO NOT SHOW DK OR REF

B4a. Since [RA MONTH YEAR/FUP COMP MONTH YEAR], have you ever not been able to apply to a job because you didn’t have a valid driver’s license?

YES 1

NO 0

DON’T KNOW d

REFUSED r

IF A2=1 THEN DO NOT ASK B.

else, ALL.

IF CAWI DO NOT SHOW DK OR REF

B5. CATI, a-b: Please tell me if you strongly disagree, disagree, agree, or strongly agree with the following statements.

[PROGRAMMER: CATI – Gray question text on B5b.]

CATI, c-i: Please tell me if you strongly disagree, disagree, agree, or strongly agree with the following statements, or if you never had an employment goal.

[PROGRAMMER: CATI – Gray question text on B5d-i.]

CAWI, a-b: Please indicate if you strongly disagree, disagree, agree, or strongly agree with the following statements.

CAWI c-i: Please indicate if you strongly disagree, disagree, agree, or strongly agree with the following statements, or if you never had an employment goal.

CODE ONE RESPONSE PER ROW

	STRONGLY DISAGREE	DISAGREE	AGREE	STRONGLY AGREE	NEVER HAD EMPLOYMENT GOAL	DK	REF
a. I know I need to get a job or a better job and really think I should work on finding one.	1	2	3	4	-	d	r
b. I guess being out of work is not good, but there is nothing I can do about it right now.	1	2	3	4	-	d	r
c. I set employment goals based on what is important to me or my family.	1	2	3	4	5	d	r
d. I set long-term employment goals that I hope to achieve (such as finding a job, finding a better job, getting promoted, or enrolling in further education).	1	2	3	4	5	d	r
e. I set specific short-term goals that will allow me to achieve my long-term employment goals.	1	2	3	4	5	d	r
f. Based on everything I know about myself, I believe I can achieve my employment goals.	1	2	3	4	5	d	r
g. When I set employment goals, I think about barriers that might get in my way and make specific plans for overcoming those barriers.	1	2	3	4	5	d	r
h. Even when I face challenges, I continue to pursue my employment goals.	1	2	3	4	5	d	r
i. I keep track of my overall progress toward my long-term employment goals and adjust my plans if needed.	1	2	3	4	5	d	r

CATI/CAWI

ALL

IF CAWI DO NOT SHOW DK OR REF

DISPLaY PUBLISHER LANGUAGE FOR B6a: Reproduced by special permission of the Publisher, Psychological Assessment Resources, Inc. (PAR), 16204 North Florida Avenue, Lutz, Florida 33549, from the Behavior Rating Inventory of Executive Function-Adult Version by Robert M. Roth, PhD, Peter K. Isquith, PhD and Gerard A. Gioia, PhD, Copyright 1996, 1998, 2001, 2003, 2004, 2005 by PAR. Further reproduction is prohibited without permission from PAR.

display copyright sign for all items after B6.1:

For Review Only, Do NOT Copy

B6.1. During the past month, how often has each of the following behaviors been a problem? Would you say that the following behaviors have been a problem never, sometimes, or often?

[PROGRAMMER: CATI – Gray question text From B6ab-l).]

**NOTE: The specific wording of items B6.1a-l and B6.2a-h are not shown on this copy of the survey because the items are adapted and reproduced by special permission of the Publisher, Psychological Assessment Resources, Inc., 16204 North Florida Avenue, Lutz, Florida 33549. Further reproduction is prohibited without permission by PAR, Inc.

CODE ONE RESPONSE PER ROW

For Review Only, Do NOT Copy	NEVER	SOMETIMES	OFTEN	DK	REF
a. Item 25 **SEE NOTE ABOVE	0	1	2	d	r
b. Item 49	0	1	2	d	r
c. Item 52	0	1	2	d	r
d. Item 6	0	1	2	d	r
e. Item 71	0	1	2	d	r
f. Item 75	0	1	2	d	r
g. Item 24	0	1	2	d	r
h. Item 53	0	1	2	d	r
i. Item 9	0	1	2	d	r
j. Item 15 - edited	0	1	2	d	r
k. Item 63 - edited	0	1	2	d	r
l. Item 2	0	1	2	d	r

CATI/CAWI

ALL

IF CAWI DO NOT SHOW DK OR REF

display copyright sign for all items :

For Review Only, Do NOT Copy

B6.2. During the past month, how often has each of the following behaviors been a problem? Would you say that the following behaviors have been a problem never, sometimes, or often?

[PROGRAMMER: CATI – Gray question text From B6ab-l).]

CODE ONE RESPONSE PER ROW

For Review Only, Do NOT Copy	NEVER	SOMETIMES	OFTEN	DK	REF
a. Item 28	0	1	2	d	r
b. Item 69	0	1	2	d	r
c. Item 1	0	1	2	d	r
d. Item 72	0	1	2	d	r
e. Item 23.	0	1	2	d	r
f. Item 50	0	1	2	d	r
g. Item 64	0	1	2	d	r
h. Item 70 - edited	0	1	2	d	r

CATI/CAWI

ALL

IF CAWI DO NOT SHOW DK OR REF

B7. Since [RA MONTH YEAR/FUP COMP MONTH YEAR], how often have you [FILL A-F]?

CATI [PROGRAMMER: Gray from B7b-f]: Would you say a few times a week, a few times a month, about once a month, or hardly ever or never?

CODE ONE RESPONSE PER ROW

	A FEW TIMES A WEEK	A FEW TIMES A MONTH	ABOUT ONCE A MONTH	HARDLY EVER OR NEVER	DK	REF
a. Lost your temper with someone other than friends or family.	1	2	3	4	d	r
b. Said something that you later regretted to someone other than friends or family.	1	2	3	4	d	r
c. Decided not to apply for a job because you didn’t think you would get an interview.	1	2	3	4	d	r
d. Overcome a barrier that could have prevented you from finding or keeping a job.	1	2	3	4	d	r
e. Been late for a job, interview, program meeting, class, or training session.	1	2	3	4	d	r
f. Missed an appointment related to work, looking for a job, a program, school, or training for a reason other than you were sick or ill.	1	2	3	4	d	r

ALL

IF CAWI DO NOT SHOW DK OR REF

B8. CATI [PROGRAMMER: Gray from B8b-c]: Next, I’m going to read a list of opinions people have about themselves. After I read each one, I want you to tell me whether you strongly disagree, disagree, agree, or strongly agree.

CAWI: The next set of items are a list of opinions people have about themselves. Indicate whether you strongly disagree, disagree, agree, or strongly agree with each one.

CODE ONE RESPONSE PER ROW

	STRONGLY DISAGREE	DISAGREE	AGREE	STRONGLY AGREE	DK	REF
a. I am able to do things as well as most people.	1	2	3	4	d	r
b. I certainly feel useless at times.	1	2	3	4	d	r
c. All in all, I tend to feel that I am a failure.	1	2	3	4	d	r

CATI: Now we are going to ask you about services you may have received to help you find a job or advance in your career.

CAWI: The next set of questions are about services you may have received to help you find a job or advance in your career.

CATI/CAWI

ALL

IF CAWI DO NOT SHOW DK OR REF

C1a. Since [RA MONTH YEAR/FUP COMP MONTH YEAR], have you attended any workshops or classes that provided instruction on how to find a job? These may have provided help with things such as resume writing, interviewing, and networking.

YES 1

NO 2 GO TO C2

DON’T KNOW d GO TO C2

REFUSED r GO TO C2

CATI/CAWI

C1a=1

IF CAWI DO NOT SHOW DK OR REF

C1b. Since [RA MONTH YEAR/FUP COMP MONTH YEAR], about how many times did you attend workshops or classes that focused on finding a job? Did you attend a workshop or class once, twice, 3 to 5 times, 6 to 10 times, 11 to 20 times, or more than 20 times?

Your best estimate is fine.

Once 1

Twice 2

3 to 5 times 3

6 to 10 times 4

11 to 20 times 5

More than 20 times 6

DON’T KNOW d

REFUSED r

CATI/CAWI

ALL

IF CAWI DO NOT SHOW DK OR REF

C2. We are interested in learning if you met one-on-one with someone to receive assistance in finding a job or advancing your career. By one-on-one assistance, we mean meeting with someone whose job it is to help you find a job. This assistance may have been provided by a coach, case manager, counselor, or some other type of worker. It could have been in-person or by phone.

Since [RA MONTH YEAR/FUP COMP MONTH YEAR] have you met one-on-one with someone to receive job assistance?

YES 1

NO 2 GO TO C5

DON’T KNOW d GO TO C5

REFUSED r GO TO C5

CATI/CAWI

C2=1

IF CAWI DO NOT SHOW DK OR REF

C3a. When did you start receiving one-on-one job assistance? Your best guess is fine.

| | | / | | | | |

MONTH YEAR

(1-12) (2000-current year)

DON’T KNOW d

REFUSED r

CATI/CAWI

C2=1

IF CAWI DO NOT SHOW DK OR REF

C3b. When did you stop receiving the one-on-one job assistance? Your best guess is fine.

| | | / | | | | |

MONTH YEAR

(1-12) (2011-current year)

Currently receive job assistance 0

DON’T KNOW d

REFUSED r

CATI/CAWI

C2=1

IF CAWI DO NOT SHOW DK OR REF

IF C3b=0, fill “do”, “Is”

if C3b != 0, fill “did”, “Was”

C3c. How regularly [did/do] you receive one-one-one job assistance since [RA MONTH YEAR/FUP COMP MONTH YEAR]? [Was/Is] it weekly, twice a month, monthly, quarterly, annually, or something else?

WEEKLY 1

TWICE A MONTH 3

MONTHLY 4

QUARTERLY 5

ANNUALLY 6

OTHER (SPECIFY) 99

___________________________________________ (STRING (100))

DON’T KNOW d

REFUSED r

CATI/CAWI

C2=1

IF CAWI DO NOT SHOW DK OR REF

C3d. How many times did you receive the one-on-one job assistance since [RA MONTH YEAR/FUP COMP MONTH YEAR]? Your best guess is fine.

| | | | TIMES

(1-500)

DON’T KNOW d

REFUSED r

CATI/CAWI

C2=1

IF CAWI DO NOT SHOW DK OR REF

IF C3b=0, fill “are”

if C3b != 0, fill “were”

C3e. On average, how long [are/were] each of these one-on-one meetings? Your best estimate is fine.

LESS THAN 15 MINUTES 1

15 MINUTES TO 30 MINUTES 2

30 MINUTES TO AN HOUR 3

MORE THAN ONE HOUR 4

DON’T KNOW d

REFUSED r

CATI/CAWI

IF CAWI DO NOT SHOW DK OR REF

C2=1

DO NOT ASK IF C3d = DK/REF/M

C3f. Now thinking about the [FILL FROM C3d] times when you received one-on-one job assistance, how many different coaches, case managers, counselors, or other type of workers did you work with?

| | | | Coaches/Case Managers/Counselors/Other type of workers

(0-500)

DON’T KNOW d

REFUSED r

CATI/CAWI

IF CAWI DO NOT SHOW DK OR REF

C3f > 1

C3g. How many different organizations provided this one-on-one job assistance to you?

| | | | Organizations

(0-500)

DON’T KNOW d

REFUSED r

CATI/CAWI

IF CAWI DO NOT SHOW DK OR REF

C2=1

C4. What type of one-on-one job assistance did you receive?

[PROGRAMMER: CATI – Gray text above From C4b-g.]

Did someone help you…

	CODE ONE RESPONSE PER ROW
	YES	NO	DK	REF
a. Set a short-term goal?	1	0	d	r
b. Set a long-term goal?	1	0	d	r
c. Make a plan to achieve your goal?	1	0	d	r
d. Be on time for appointments?	1	0	d	r
e. Be more organized?	1	0	d	r
f. Be calmer in stressful situations?	1	0	d	r
g. Get along with others?	1	0	d	r

CATI/CAWI

IF CAWI DO NOT SHOW DK OR REF

C2=1

C4_8. Did you receive any other type of one-on-one assistance?

YES (SPECIFY) 1

_____________________________ (STRING 50)

NO 0

DON’T KNOW d

REFUSED r

CATI/CAWI

IF CAWI DO NOT SHOW DK OR REF

ALL

C5. Since [RA MONTH YEAR/FUP COMP MONTH YEAR], did any coach, case manager, counselor, or other type of worker provide you with names of employers who were interviewing, or set up interviews with employers for you?

YES 1

NO 0

DON’T KNOW d

REFUSED r

CATI/CAWI

IF CAWI DO NOT SHOW DK OR REF

ALL

C6. Since [RA MONTH YEAR/FUP COMP MONTH YEAR], did you complete any career assessments to find out what types of jobs would be good for you? A career assessment may be used to help identify a career that is right for you based on your interests and skills.

YES 1

NO 0

DON’T KNOW d

REFUSED r

CATI/CAWI

IF CAWI DO NOT SHOW DK OR REF

ALL

The next questions ask you about your participation in education and training programs.

C7. Since [RA MONTH YEAR/FUP COMP MONTH YEAR], did you participate in any education programs? This includes adult basic education or GED courses, English as a Second Language classes, online courses, and college or other types of school. Do not include training programs to develop skills for a particular job or occupation or any other work experience in which all or part of your wages were paid for by a program.

YES 1

NO 0 GO TO C8

DON’T KNOW d GO TO C8

REFUSED r GO TO C8

CATI/CAWI

IF CAWI DO NOT SHOW DK OR REF

C7 = 1

C7a. Are you participating in the program now?

YES 1 GO TO C8

NO 0 GO TO C7B

DON’T KNOW d GO TO C7B

REFUSED r GO TO C7B

CATI/CAWI

IF CAWI DO NOT SHOW DK OR REF

C7=1 and C7A != 1

C7b. Did you complete the program?

YES 1 GO TO C7C

NO 0 GO TO C8

DON’T KNOW d GO TO C7C

REFUSED r GO TO C7C

CATI/CAWI

IF CAWI DO NOT SHOW DK OR REF

C7=1 AND C7A != 1 AND C7B != 0

C7c. Did you receive a diploma or degree from the program?

YES 1

NO 0

DON’T KNOW d

REFUSED r

CATI/CAWI

IF CAWI DO NOT SHOW DK OR REF

ALL

C8. Since [RA MONTH YEAR/FUP COMP MONTH YEAR], did you participate in any training programs to develop skills for a particular job or occupation? These are sometimes called vocational training programs. Do not include training programs provided by your employer.

YES 1 GO TO C8A

NO 0 GO TO C9

DON’T KNOW d GO TO C9

REFUSED r GO TO C9

CATI/CAWI

IF CAWI DO NOT SHOW DK OR REF

C8 = 1

C8a. Are you participating in the program now?

YES 1 GO TO C9

NO 0 GO TO C8B

DON’T KNOW d GO TO C8B

REFUSED r GO TO C8B

CATI/CAWI

IF CAWI DO NOT SHOW DK OR REF

C8=1 AND C8a!=1

C8b. Did you complete the program?

YES 1 GO TO C8C

NO 0 GO TO C9

DON’T KNOW d GO TO C8C

REFUSED r GO TO C8C

CATI/CAWI

IF CAWI DO NOT SHOW DK OR REF

C8=1 AND C8A !=1 AND C8B != 0

C8c. Did you receive a certificate, license, or diploma from the program?

YES 1

NO 0

DON’T KNOW d

REFUSED r

CATI/CAWI

IF CAWI DO NOT SHOW DK OR REF

ALL

FILL WITH LOCAL PROGRAM NAME

C9. Since [RA MONTH YEAR/FUP COMP MONTH YEAR], did you participate in a work experience program in which all or part of your wages were paid for by a program like TANF or [OTHER LOCAL PROGRAM]? This type of work experience program is usually temporary. Its goal is to help the workers develop skills so that they can obtain a job in which the employer pays all the wages. Sometimes this work experience is called subsidized employment, supported work, or transitional employment.

YES 1 GO TO C9A

NO 0 GO TO C10

DON’T KNOW d GO TO C10

REFUSED r GO TO C10

CATI/CAWI

IF CAWI DO NOT SHOW DK OR REF

C9=1

C9a. Are you currently participating in this work experience program?

YES 1 GO TO C9B

NO 0 GO TO C9B

DON’T KNOW d GO TO C10

REFUSED r GO TO C10

CATI/CAWI

IF CAWI DO NOT SHOW DK OR REF

IF C9A=1 OR 0

IF c9a=1, fill “have you participated”

if c9a=0, fill “did you participate”

C9b. How many weeks [did you participate/have you participated] in this work experience program?

INSTRUCTION: IF THE RESPONDENT PROVIDES THE NUMBER OF MONTHS THEN PROBE FOR THE NUMBER OF WEEKS.

| | | NUMBER OF WEEKS

(0 – 99)

DON’T KNOW/DON’T REMEMBER d

REFUSED r

CATI/CAWI

IF CAWI DO NOT SHOW DK OR REF

ALL

The next questions are about other services you may have received.

C10. Since [RA MONTH YEAR/FUP COMP MONTH YEAR], did you receive…

CODE ONE RESPONSE PER ROW
	YES	NO	DON’T KNOW	REFUSED
a. Child care assistance including vouchers or funds?	1	0	d	r
b. Transportation assistance (such as gas cards or bus passes)?	1	0	d	r
c. Clothes, uniforms, tools or other supplies and equipment?	1	0	d	r
d. Tuition assistance?	1	0	d	r
e. Assistance finding stable housing?	1	0	d	r
f. Assistance with budgeting, credit, banking, or other financial matters?	1	0	d	r
g. Assistance expunging a criminal record or other legal assistance?	1	0	d	r
h. Help related to domestic violence?	1	0	d	r
i. Help with marital and/or other family relationships?	1	0	d	r
j. Help with child behavioral issues?	1	0	d	r
k. Cash or a gift card?	1	0	d	r

CATI/CAWI

IF CAWI DO NOT SHOW DK OR REF

ALL

C11. Since [RA MONTH YEAR/FUP COMP MONTH YEAR], did you receive alcohol, drug, or other substance abuse counseling?

YES 1

NO 0

DON’T KNOW d

REFUSED r

CATI/CAWI

IF CAWI DO NOT SHOW DK OR REF

ALL

C12. Since [RA MONTH YEAR/FUP COMP MONTH YEAR], did you receive mental health treatment?

YES 1

NO 0

DON’T KNOW d

REFUSED r

CATI/CAWI

IF CAWI DO NOT SHOW DK OR REF

ALL

C13. Since [RA MONTH YEAR/FUP COMP MONTH YEAR], did you receive any services to help with stress reduction or other approaches to improve your emotional well-being?

YES 1

NO 0

DON’T KNOW d

REFUSED r

CATI/CAWI

IF CAWI DO NOT SHOW DK OR REF

IF COMP_STATUS = 0

CATI: I would like to ask you a few questions about your experience with the criminal justice system. As a reminder, nothing you tell us will be shared or affect the services you receive.

CAWI: The next set of questions are about your experience with the criminal justice system. As a reminder, nothing you tell us will be shared or affect the services you receive.

D1. Have you ever been convicted of a crime?

YES 1 GO TO D2a

NO 0 GO TO D4

DON’T KNOW d GO TO D4

REFUSED r GO TO D4

CATI/CAWI

IF CAWI DO NOT SHOW DK OR REF

D1=1

if comp_status = 0

D2a. Were you ever convicted of a crime before [RA MONTH YEAR]?

YES 1 GO TO D2b

NO 0 GO TO D3a

DON’T KNOW d GO TO D3a

REFUSED r GO TO D3a

CATI/CAWI

IF CAWI DO NOT SHOW DK OR REF

D2a=1

if comp_status = 0

D2b. Were you convicted of a felony before [RA MONTH YEAR]?

YES 1

NO 0

DON’T KNOW d

REFUSED r

CATI/CAWI

IF CAWI DO NOT SHOW DK OR REFif comp_status = 0 then fill [ra month year]

if comp_status = 1 then fill [FUP COMP MONTH YEAR] and add this text:

CATI: I would like to ask you a few questions about your experience with the criminal justice system. As a reminder, nothing you tell us will be shared or affect the services you receive.

CAWI: The next set of questions are about your experience with the criminal justice system. As a reminder, nothing you tell us will be shared or affect the services you receive.

D3a. Were you ever convicted of a crime after [RA MONTH YEAR/FUP COMP MONTH YEAR]?

YES 1 GO TO D3b

NO 0 GO TO D4

DON’T KNOW d GO TO D4

REFUSED r GO TO D4

CATI/CAWI

IF CAWI DO NOT SHOW DK OR REF

D3a=1

D3b. Were you convicted of a felony after [RA MONTH YEAR/FUP COMP MONTH YEAR]?

YES 1

NO 0

DON’T KNOW d

REFUSED r

CATI: Now I would like to ask you some questions about your level of education and marital status.

CAWI: The next group of questions is about your level of education and marital status.

CATI/CAWI

IF CAWI DO NOT SHOW DK OR REF

ALL

D4. What is the highest level of education you have completed?

CATI INTERVIEWER: IF RESPONDENT SAYS “HIGH SCHOOL,” PROBE: Did you receive a diploma or GED?

CODE ONE ONLY

DID NOT COMPLETE HIGH SCHOOL OR GED 1

HIGH SCHOOL: DIPLOMA (NOT GENERAL EDUCATION DEVELOPMENT OR GED) 2

GENERAL EDUCATION DEVELOPMENT OR GED 3

SOME COLLEGE BUT NO DEGREE 4

2-YEAR OR 3-YEAR COLLEGE DEGREE (ASSOCIATE’S DEGREE) 5

4-YEAR COLLEGE DEGREE (BACHELOR’S DEGREE) 6

GRADUATE OR PROFESSIONAL DEGREE (e.g., MA, MBA, Ph.D., JD, MD) 7

NEVER ATTENDED SCHOOL 8

DON’T KNOW d

REFUSED r

CATI/CAWI

IF CAWI DO NOT SHOW DK OR REF

All

D5. What is your current marital status—are you now married, separated, divorced, widowed, or have you never been married?

CODE ONE ONLY

MARRIED 1

SEPARATED 2

DIVORCED 3

WIDOWED 4

NEVER MARRIED 5

DON’T KNOW d

REFUSED r

CATI: Now I would like to ask you some questions about people who live with you.

CAWI: The next set of questions are about people who live with you.

CATI/CAWI

IF CAWI DO NOT SHOW DK OR REF

All

D6. How many adults age 18 or older, currently live in your household at least half the time? Please include yourself.

| | | ADULTS

(1-99)

INTERVIEWER: IF THE RESPONDENT SAYS “0” THEN REMIND THEM THAT THEY SHOULD INCLUDE THEMSELVES IN THIS TOTAL.

DON’T KNOW d

REFUSED r

CATI/CAWI

IF CAWI DO NOT SHOW DK OR REF

All

D7. How many children under age 18 live with you at least half the time? This includes biological, adopted, foster, step, and any other children.

| | | CHILDREN

(0-99)

DON’T KNOW d

REFUSED r

CATI/CAWI

IF CAWI DO NOT SHOW DK OR REF

All

if comp_status = 0

D8. Were you born in…

The United States, 1

Or some other country? 2

DON’T KNOW d

REFUSED r

PROGRAMMER: CONTINUE TO RESPONDENT TRACKING PAYMENT SECTION OF SHELL

We are almost finished. I just have a few more questions. These will help us contact you if we need to reach you in the future. We will only use this information if we cannot reach you with the other information you provided us.

all

E1. What is your current address?

PROBE: Is there an apartment number?

PROBE: This is where we will mail your gift card.

STREET 1

STREET 2

APT. #

CITY

STATE

ZIP

DON’T KNOW d

REFUSED r

all

E2. Do you have a current home telephone number?

YES 1

NO 0 GO TO E4

DON’T KNOW d GO TO E4

REFUSED r GO TO E4

E2=1

E3. What is your current home telephone number?

| | | | - | | | | -| | | | | TELEPHONE

(201-989) (200-999) (0000-9999)

DON’T KNOW d

REFUSED r

all

E4. Do you have a cell phone?

YES 1

NO 0 GO TO E7

DON’T KNOW d GO TO E7

REFUSED r GO TO E7

E4=1

E4a. What is your cell phone number?

| | | | - | | | | -| | | | | TELEPHONE

(201-989) (200-999) (0000-9999)

DON’T KNOW d

REFUSED r

E4a=NE d or r

E5. Is it okay for us to text you at this number? Message and data rates may apply.

YES 1

NO 0

DON’T KNOW d

REFUSED r

ALL

E6. What is another phone number where you can be reached?

| | | | - | | | | -| | | | | TELEPHONE

(201-989) (200-999) (0000-9999)

NO OTHER NUMBER 1

DON’T KNOW d

REFUSED r

E6 HAS COMPLETE PHONE NUMBER ENTERED

E6a. Is this number, [E6], for a cell phone?

YES 1

NO 0

DON’T KNOW d

REFUSED r

E6a=1

E6b. Is it okay for us to text you at this number? Message and data rates may apply.

YES 1

NO 0

DON’T KNOW d

REFUSED r

ALL

E7. What is your email address?

INTERVIEWER: ENTER E-MAIL ON NEXT SCREEN

(STRING 50)

DON’T HAVE ONE 0

DON’T KNOW d

REFUSED r

ALL

E8a. We would like to contact you in about a year to see how you are doing. In case we have trouble reaching you, we would like to have the names of two people who would most likely know where you are or who you keep in close contact with, such as a grandmother or grandfather, other relative, or friend. We will not contact these people for any other reason.

What is the full name of the first person we should contact?

(STRING 50)

FIRST NAME

(STRING 50)

MIDDLE INITIAL/NAME

(STRING 50)

LAST NAME

DON’T KNOW d GO TO END1

REFUSED r GO TO END1

E8a NE d OR r

E8b. What is (his/her) address?

PROBE: Is there an apartment number?

STREET 1

STREET 2

APT. #

CITY

STATE

ZIP

DON’T KNOW d

REFUSED r

E8a NE d OR r

E8c. What is (his/her) relationship to you?

SPOUSE/PARTNER 1

MOTHER 2

FATHER 3

SISTER/BROTHER 4

GRANDMOTHER/GRANDFATHER 5

SON/DAUGHTER 6

FRIEND 7

OTHER (SPECIFY) 99

_____________________________ (STRING 50)

DON’T KNOW d

REFUSED r

E8a NE d OR r

E8d. What is (his/her) home telephone number?

| | | | - | | | | -| | | | | TELEPHONE

(201-989) (200-999) (0000-9999)

NO LANDLINE 0

DON’T KNOW d

REFUSED r

E8a NE d OR r

E8e. Does (he/she) have a cell phone?

YES 1

NO 0 GO TO E8g

DON’T KNOW d GO TO E8g

REFUSED r GO TO E8g

E8e=1

E8f. Can I have that number?

| | | | - | | | | -| | | | | TELEPHONE

(201-989) (200-999) (0000-9999)

DON’T KNOW d

REFUSED r

E8 NE d OR r

E8g. What is (his/her) work telephone number?

| | | | - | | | | -| | | | | TELEPHONE

(201-989) (200-999) (0000-9999)

NO WORK NUMBER 0

DON’T KNOW d

REFUSED r

E8a NE d OR r

E8h. What is (his/her) email address?

INTERVIEWER: ENTER E-MAIL ON NEXT SCREEN

(STRING 50)

EMAIL ADDRESS

DOESN’T HAVE ONE 0 GO TO E8j

DON’T KNOW d GO TO E8j

REFUSED r GO TO E8j

E8H NE 0, d, OR r

E8i. Does (he/she) have another email address?

INTERVIEWER: ENTER E-MAIL ON NEXT SCREEN

(STRING 50)

EMAIL ADDRESS

DON’T KNOW d

REFUSED r

SECOND CONTACT

E8a NE d OR r

E9a. What is the full name of the second person we should contact?

(STRING 50)

FIRST NAME

(STRING 50)

MIDDLE INITIAL/NAME

(STRING 50)

LAST NAME

DON’T KNOW d GO TO END1

REFUSED r GO TO END1

E9a NE d OR r

E9b. What is (his/her) address?

PROBE: Is there an apartment number?

STREET 1

STREET 2

APT. #

CITY

STATE

ZIP

DON’T KNOW d

REFUSED r

E9a NE d OR r

E9c. What is (his/her) relationship to you?

SPOUSE/PARTNER 1

MOTHER 2

FATHER 3

SISTER/BROTHER 4

GRANDMOTHER/GRANDFATHER 5

SON/DAUGHTER 6

FRIEND 7

OTHER (SPECIFY) 99

_____________________________ (STRING 50)

DON’T KNOW d

REFUSED r

E9a NE d OR r

E9d. What is (his/her) home telephone number?

| | | | - | | | | -| | | | | TELEPHONE

(201-989) (200-999) (0000-9999)

NO LANDLINE 0

DON’T KNOW d

REFUSED r

e9a NE d OR r

E9e. Does (he/she) have a cell phone?

YES 1

NO 0 GO TO E9g

DON’T KNOW d GO TO E9g

REFUSED r GO TO E9g

E9E=1

E9f. Can I have that number?

| | | | - | | | | -| | | | | TELEPHONE

(201-989) (200-999) (0000-9999)

DON’T KNOW d

REFUSED r

E9a NE d OR r

E9g. What is (his/her) work telephone number?

| | | | - | | | | -| | | | | TELEPHONE

(201-989) (200-999) (0000-9999)

NO WORK NUMBER 0

DON’T KNOW d

REFUSED r

E9a NE d OR r

E9h. What is (his/her) email address?

(STRING 50)

EMAIL ADDRESS

DOESN’T HAVE ONE 0 GO TO E9j

DON’T KNOW d GO TO E9j

REFUSED r GO TO E9j

E9h NE 0, d, or R

E9i. Does (he/she) have another email address?

(STRING 50)

EMAIL ADDRESS

DON’T KNOW d

REFUSED r

interview completed

END1. Thank you very much for your time. Those are all the questions I have right now. You will receive a $50 gift card. Thank you for your participation in the study.

If MakeDialphone=5

END2. Please hand the phone back to our field locator.