Form NYCHVS 2023 Questi NYCHVS 2023 Questi NYCHVS 2023 Questionnaire Content

2023 New York City Housing and Vacancy Survey

NYCHVS 2023 Questionnaire Content.xlsx

2023 New York City Housing Vacancy Survey

OMB: 0607-0757

Document [xlsx]
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Overview

Front
Occupied Interview
Vacant Interview
URE Interview
Back


Sheet 1: Front

Variable Question Answer Text/FR Instructions Status for 2023 2023 Update Notes
UNIT_FOUND Is there a housing unit at this address?

^ADDRESSFILL

A housing unit is any house, townhouse, apartment, single-room, group of rooms, or other location that is used for residential purposes. It can exist within, over, or under a structure that appears to be non-residential or commercial.

Help Screen Text: A housing unit must meet two conditions:
1. Separateness - occupants live separately from any other occupants in the building.
2. Direct Access - occupants enter the living quarters directly from the outside of the building or through a common hall.
1. Yes
2. No
3. Could not find the sample address.
New
STORIES_FRONT How many stories are in this building?

-Enter 98 for 98 or more
Enter number of stories_____ Keep as is
UNITS_FRONT Interviewer Note: Administrative records show that there are [MAF unit count] units in this building. If that seems right, you can answer with that number, otherwise please enter the correct number.

How many units are in the building?

-Enter 9998 for 9998 or more
Enter number of units____ Keep as is
UNIT_FLOOR What floor is the unit on?

-Enter 0 if basement unit
-Enter 98 for 98 or more
Enter floor_____ Keep as is
ELEV_NO_STEPS Is it possible to go from the sidewalk to a passenger elevator without going up or down any steps or stairs? 1. Yes
2. No
3. No elevator
Keep as is
UNIT_NO_STEPS Is it possible to go from the sidewalk to this unit without going up or down any steps or stairs? 1. Yes
2. No
Keep as is
STAY_NOW If same day as first attempt: Is anyone staying at this address right now?

If not same day as first attempt: Was anyone staying at this address on [date of first attempt]?
1. Yes
2. No
New
STAY_MOST Is there anyone who stays at this address most of the time, even if they are not staying there right now? 1. Yes
2. No
New
STAY_SOME Is there anyone who stays at the address for only part of the year? 1. Yes
2. No
New
URETYPE Do the people who sometimes stay at this address have access to the apartment or house 12 months of the year? 1. Yes, they have access all of the time even though they don't live here (URE)
2. No, they only have the apartment for a short period of time (URE)
New
Soft edit check Based on your answers, it seems like this unit should be classified for the NYCHVS as Occupied. Suppress only New
Soft edit check Based on your answers, it seems like this unit should be classified for the NYCHVS as Vacant. Suppress only New
Soft edit check Based on your answers, it seems like this unit should be classified for the NYCHVS as Usual Residence Elsewhere (URE). Suppress only New
OCC_VAC Is this an Occupied, Vacant, or Usual Residence Elsewhere (URE) unit? 1. Occupied
2. Vacant
3. Usual Residence Elsewhere (URE)
4. Unable to be determined
Modify Edited question based on Census recommendations.
VAC_RESP Who provided the information for this unit?

-Enter all that apply, separate with commas
1. Superintendent
2. Rental office/agent
3. Real estate agent/broker
4. Owner
5. Person staying in the unit
6. Other – Specify
Keep as is
VAC_RESP_SP Specify the 'other' person who provided information for this unit.
Keep as is
INT_ACC Does the respondent require any modifications such as for low-hearing, low-vision, etc? 1. Yes
2. No
New
INT_ACCTYPE What did you do to accommodate the respondent? Open ended field New
INT_PROXY Is this a proxy interview? 1. Yes
2. No
Keep as is
STARTCP CENSUS CAPI SYSTEM

NEW YORK CITY HOUSING AND VACANCY SURVEY - ^YEAR INSTRUMENT

CASE STATUS: ^MSTATUS

DATE: ^DATEFILL TIME: ^TIMEFILL

LOCATION ADDRESS: ^ADDRESSFILL
1. Personal interview
2. Telephone interview
3. Ready to transmit case - no more followup
4. Quit - do not attempt now
Keep as is
NOPHONENUM Enter the phone number.
Keep as is
NOPHONEXTN Enter extension
Keep as is
NOPHONETYP Is this a home, work, mobile or cell, or other type of number?
Keep as is
DIALCP Dial: ^PHONEFILL ^ext
Phone type: ^HO

-Enter your result.
1. Someone answers
2. No contact/Answering machine
3. Recorded message announcing new telephone number
4. Telephone disconnected
5. Not attempted now
Keep as is
SDIAL You dialed the first phone number and no one answered. Another phone number is available.

Dial: ^SPHONE
Phone type: ^SPHTYP

-Enter your result.
1. Someone answers
2. No contact/Answering machine
3. Recorded message announcing new telephone number
4. Telephone disconnected
5. Not attempted now
Keep as is
TDIAL You dialed the second phone number and no one answered. Another phone number is available.

Dial: ^PHONE3
Phone type: ^PHTYP3

-Enter your result.
1. Someone answers
2. No contact/Answering machine
3. Recorded message announcing new telephone number
4. Telephone disconnected
5. Not attempted now
Keep as is
NWPHONE What is the new telephone number?

-Enter phone number

Keep as is
NWEXTN Enter extension
Keep as is
NWCPHO Is this a home, work, mobile or cell, or other type of number?

Current Number: ^PHONEFILL ^ext
1. Home
2. Work
3. Mobile
4. Pager, Beeper, Answering Service
5. Public Pay Phone
6. Toll Free
7. Other
8. Fax
Keep as is
DIALNEW Enter 1 to continue 1. Enter 1 to continue Keep as is
ADDRESS Confirm sample address with respondent:

^ADDRESSFILL
1. Enter 1 to continue Keep as is
INTROB [Occupancy Status - Occupied/Vacant/URE]

Is the respondent ready to complete the interview?
1. Continue with occupied interview
2. Continue with vacant interview
3. Continue with URE interview
4. Noninterview
5. Inconvenient time; schedule appointment
6. Reluctant respondent; hold for refusal followup
7. Other outcome or problem
Modify
PRESS_END Press END after exiting this screen to go to the last unanswered question. 1. Enter 1 to continue Keep as is
NONTYPE What type of Noninterview do you have? 1. Type A
2. Type B
3. Type C
4. Mistake
Keep as is

Sheet 2: Occupied Interview

Variable Module Question Text/FR Instructions Answer Text/FR Instructions Status for 2023 2023 Status Notes


UNITREF Building and Unit Characteristics I'm going to begin by asking some basic questions about where you live.

Should I refer to the place you live as an apartment or a house for the rest of this interview?

Interviewer Note: If respondent requests the term "house," but seems to live in a building with other units, clarify with the respondent that questions will only refer to their unit.

1. Apartment
2. House
Keep as is



BEDROOMS Building and Unit Characteristics How many bedrooms are in your [apartment/ house]?

Interviewer Note: If the apartment is a studio, record bedrooms as 0
Enter number of bedrooms____ Keep as is



ROOMS Building and Unit Characteristics How many rooms are in your [apartment/ house]? Count each separate room. For example, living rooms, kitchens, bedrooms, and dining rooms.

IF NEEDED: A room is an enclosed area bounded by ceiling-to-floor walls, one or more of which may contain a door or an open archway.

Interviewer Note: Do not include bathrooms, hallways, or walk-in closets.
Enter number of rooms_____ Keep as is



FULLBATH_NUM Building and Unit Characteristics How many full bathrooms are in your [apartment/ house]?

IF NEEDED: A full bathroom has a sink with running water, a toilet, and a bathtub or shower.
Enter number of full bathrooms Keep as is



HALFBATH_NUM Building and Unit Characteristics How many half bathrooms are in your [apartment/ house]?

IF NEEDED: A half-bathroom has a toilet and sink, but no bathtub or shower.
Enter number of half bathrooms Keep as is



SHAREDBATH Building and Unit Characteristics Do you share a bathroom with other apartments in your building? 1. Yes
2. No
New



COMPLETEBATH Building and Unit Characteristics In your [apartment/house], do you have a sink, a toilet, and a bathtub or shower? 1. Yes
2. No
New



APP_FRIDGE Building and Unit Characteristics In your [apartment/ house] do you have a…
refrigerator?
1. Yes
2. No
New



APP_STOVE Building and Unit Characteristics In your [apartment/ house] do you have a…
A stove/oven/cooktop?

Interviewer Note: If respondent only has a hot plate or microwave, mark no for Stove/Oven/Cooktop
1. Yes
2. No
New



APP_DISHWASH Building and Unit Characteristics In your [apartment/ house] do you have a…
A dishwasher?
1. Yes
2. No
New



APP_WASHMACH Building and Unit Characteristics In your [apartment/ house] do you have a…
A washing machine?

Interviewer Note: If respondent has a washing machine/dryer combination, enter yes for both washing machine and dryer.
1. Yes
2. No
New



APP_DRYER Building and Unit Characteristics In your [apartment/ house] do you have a…
A dryer?

Interviewer Note: If respondent has a washing machine/dryer combination, enter yes for both washing machine and dryer.
1. Yes
2. No
New



NEWITEM Building and Unit Characteristics [Question about who owns the appliance]
Cut



BROK_APP

Building and Unit Characteristics [Is this appliance/Are all of those appliances] working now?

Interviewer Note: Prompt appliances if necessary. If any part of any appliance is not working, answer No
1. Yes
2. No
New



BROK_FRIDGE
BROK_STOVE
BROK_DISHWASH
BROK_WASHMACH
BROK_DRYER
Building and Unit Characteristics Which appliances are not working?

Interviewer Note: Prompt appliances if necessary. If any part of Stove/Oven/Cooktop is not working, mark as not working. If washing machine/dryer combination is not working, mark both washing machine and dryer as not working
1. Refrigerator
2. Stove/Oven/Cooktop
3. Dishwasher
4. Washing machine
5. Dryer
New



SHAREDKITCH Building and Unit Characteristics Do you share a kitchen with other apartments in your building? 1. Yes
2. No
New



SINK Building and Unit Characteristics In your [apartment/house], do you have a sink with hot and cold running water? 1. Yes
2. No
New



UNIT_CORRECT Building and Unit Characteristics My records indicate there are [no other/[fill number of units from front]] apartments in your building. Is that correct? 1. Yes
2. No
Keep as is



UNIT_COUNT Building and Unit Characteristics How many apartments are in the building?

Enter number of apartments_____ Keep as is



ELEVATOR Building and Unit Characteristics Is there an elevator in your building? 1. Yes
2. No
Keep as is



CONDOCOOP Unit Type Is your [apartment/house] a condo or part of a co-op? 1. Yes, a condo
2. Yes, part of a co-op
3. No
Keep as is



OWN_COOP Unit Type IF NEEDED: My records show that your [apartment/house] is a co-op.

Do you or anyone you live with own shares in the co-op?

1. Yes
2. No, I rent this unit
Keep as is



OWN_CONDO Unit Type IF NEEDED: My records show that your [apartment/house] is a condo.

Do you or anyone you live with own the condo?






1.Yes
2. No, I rent this unit
Keep as is



OWN Unit Type Do you or anyone you live with own the [apartment/house]?

1. Yes
2. No
Keep as is



INHERIT Unit Type Did you or the owner receive the [apartment/house] as a gift or inheritance, or was it purchased?

Interviewer note: If respondent both purchased and inherited the apartment/house, mark "Gift or Inheritance"
1. Gift or inheritance
2. Purchased
Keep as is



CONVRENT Unit Type Did you or anyone you live with rent the [apartment/house] at the time the building became a condo or co-op? 1. Yes
2. No
Keep as is



SUCCESSOR Unit Type Were you or anyone else you live with a successor to someone else's lease?

IF NEEDED: In some cases, a tenant can inherit the apartment from a family member who either died or permanently left the apartment. In general, one may become the tenant of record (the successor) if they lived there for at least 2 years.
1. Yes
2. No
Keep as is



NEWITEM Unit Type Did that person move in on or after July 1 in 1971?

Interviewer Note: By that person, we mean the family member who preceeded the current tenant.
1. Yes, on or after July 1 in 1971
2. No, before July 1 in 1971
New



OWNERBLDG Unit Type Does the owner or landlord live in your building? 1. Yes
2. No
Keep as is



[NEWITEM]
[Unit/building owned by relative]
Cut



NOHEAT Maintenance Deficiencies Next, I’m going to ask about the condition of your [apartment / house].

Last winter, that is from October 2021 through May of 2022, was there a time when you had no heat when you needed it?
1. Yes
2. No
999 Respondent did not live in unit during reference period
Modify Update reference period


NOHEAT_NUM Maintenance Deficiencies How many times was your heat broken for 6 hours or more last winter?

Enter number of times
Keep as is



FIX_311 Fix Maintenance Deficiencies Did you or anyone you live with contact 311 about the heat problem? 1. Yes
2. No
Keep as is



RE311_DK Fix Maintenance Deficiencies Why didn't anyone contact 311 about the problem?

Interviewer Note: Enter all that apply, separate with commas.
1. I/We didn't know we could call 311 about the problem
Keep as is



RE311_TIME Fix Maintenance Deficiencies Why didn't anyone contact 311 about the problem?

Interviewer Note: Enter all that apply, separate with commas.
2. I/We didn't have time to deal with 311
Keep as is



RE311_NOHELP Fix Maintenance Deficiencies Why didn't anyone contact 311 about the problem?

Interviewer Note: Enter all that apply, separate with commas.
3. I/We didn't think 311 would help get the problem fixed
Keep as is



RE311_PAST Fix Maintenance Deficiencies Why didn't anyone contact 311 about the problem?

Interviewer Note: Enter all that apply, separate with commas.
4. I/We had bad experiences with 311 in the past
Keep as is



RE311_PRIVACY Fix Maintenance Deficiencies Why didn't anyone contact 311 about the problem?

Interviewer Note: Enter all that apply, separate with commas.
5. I/We didn't want the city in the apartment/house
Keep as is



RE311_GOV Fix Maintenance Deficiencies Why didn't anyone contact 311 about the problem?

Interviewer Note: Enter all that apply, separate with commas.
6. I/We didn't want to call a government agency
Keep as is



RE311_OWNER Fix Maintenance Deficiencies Why didn't anyone contact 311 about the problem?

Interviewer Note: Enter all that apply, separate with commas.
7. I/We didn't want to get in trouble with the landlord
Keep as is



RE311_FIXED Fix Maintenance Deficiencies Why didn't anyone contact 311 about the problem?

Interviewer Note: Enter all that apply, separate with commas.
8. The problem was fixed right away

Keep as is



RE311_OTHER Fix Maintenance Deficiencies Why didn't anyone contact 311 about the problem?

Interviewer Note: Enter all that apply, separate with commas.
9. Another reason
Keep as is



NOHOTWATER Maintenance Deficiencies At any time last winter, was there a time when you did not have hot water for at least 6 hours? 1. Yes
2. No
3. Yes, but only for maintenance or repairs
Keep as is



ADDHEAT Maintenance Deficiencies When your heat WAS working last winter, did you use additional sources of heat, such as a stove or a space heater?

1. Yes
2. No
Keep as is



LEAKS Maintenance Deficiencies 2 In the last year, have you had any leaks in your [apartment/house]?

Interviewer Note: A leak is when water or moisture enters or causes damage to any interior part of the apartment/house.
1. Yes
2. No
999 Respondent did not live in unit during reference period
Keep as is



MOLD Maintenance Deficiencies 2 In the last year, have you had any mold in your [apartment/house]? 1. Yes
2. No
Keep as is



MUSTY Maintenance Deficiencies 2 In the last year, how often have you
noticed any musty or moldy smells inside your [apartment/house]? Would you say daily, weekly, monthly, a few times, or never?
1. Daily
2. Weekly
3. Monthly
4. A few times
5. Never
Keep as is



ELEVATOR_BROK Maintenance Deficiencies 2 In the last year, was there a time when the elevator was broken or not working for 6 hours or more? 1. Yes
2. No
Keep as is



ELEVATOR_ALLBROK Maintenance Deficiencies 2 When that happened, was there another elevator still working in the building?

Interviewer Note: Mark no if all of the elevators were broken or not working for 6 hours or more at least once.
1. Yes
2. No
Keep as is



RODENTS_UNIT Maintenance Deficiencies At any time in the last 3 months have you seen any evidence of mice or rats inside the [apartment/house]?

Interviewer note: Do not include pets.
1. Yes
2. No
999 Respondent did not live in unit during reference period
Keep as is



RODENTS_BUILD Maintenance Deficiencies At any time in the last 3 months have you seen any evidence of mice or rats inside the BUILDING?

Interviewer note: Do not include pets.
1. Yes
2. No
Keep as is



TOILET_BROK Maintenance Deficiencies 2 At any time in the last 3 months was there a time when your [toilets/toilet] [were/was] not working for at least 6 hours?

1. Yes
2. No
Keep as is



ROACHES_NUM Maintenance Deficiencies Last month, about how many cockroaches did you see in your [apartment/ house] on a typical day?


Interviewer note: Do not include pets.

1. None
2. 1 to 5
3. 6 to 19
4. 20 or more
999 Respondent did not live in unit during reference period
Keep as is



WALLHOLES Maintenance Deficiencies Are there cracks or holes in the walls or ceilings inside your [apartment/ house] now?

Interview Note: Do not include hairline cracks or nail holes.
1. Yes
2. No
Keep as is



FLOORHOLES Maintenance Deficiencies Are there holes in the floors of your [apartment/ house] now?


IF NEEDED: Do not include nail holes or small gaps between the baseboard and the flooring.
1. Yes
2. No
Keep as is



PEELPAINT Maintenance Deficiencies Is there any broken plaster or peeling paint on the ceiling or walls inside of your [apartment/ house] now? 1. Yes
2. No
Keep as is



PEELPAINT_LARGE Maintenance Deficiencies Is any area of broken plaster or peeling paint larger than a letter-sized piece of paper?

IF NEEDED: An 8 1/2 x 11 piece of paper or an A4 piece of paper
1. Yes
2. No
Modify Changed to "letter-sized piece of paper." Added IF NEEDED text


EXTERM_FREQ Maintenance Deficiencies In the last year, how many times have you had an exterminator in your [apartment/house]?

IF NEEDED: Include any exterminator, regardless of whether it is a building service or not.
Enter number of times New



RENOVATE_REAS Maintenance Deficiencies Were any of the problems we discussed in your [apartment/house] caused by renovations or repairs? 1. Yes
2. No
New



RENOVATE Maintenance Deficiencies Is your [apartment/ house] now under renovation? 1. Yes
2. No
New



UNIT_RATING Maintenance Deficiencies On a scale of 1-10, when 1 is the worst and 10 is the best, how would you rate your current [apartment/house] as a place to live?
1. 1
2. 2
3. 3
4. 4
5. 5
6. 6
7. 7
8. 8
9. 9
10. 10
New



CENTRALAIR Maintenance Deficiencies Does your [apartment/ house] have functioning central air conditioning?

IF NEEDED: An air conditioning system that does not have to plug into the wall.
1. Yes
2. No
New



ACUNIT Maintenance Deficiencies Last June, July, or August, did your [apartment/house] have one or more functioning air conditioner that is removable, such as one that goes in a window or through a wall?

Interviewer note:
Include air conditioners that are still working but are in storage.
1. Yes
2. No
999. Respondent did not live here during reference period
New



AC_OFF Maintenance Deficiencies Last June, July, or August, did you ever keep your air conditioner off due to cost when you otherwise would want to use it? 1. Yes
2. No
New



TEMP_HOT Maintenance Deficiencies Last winter, how often was it so hot in your [apartment/ house] because of your heat that you had to open the windows?

[INTERVIEWER: Show Flashcard]
1. Most days
2. Some days
3. A few days
4. Never
999 Respondent did not live in unit during reference period
New



ANIMS Household Roster Do you have any animals that live with you? 1. Yes
2. No
Keep as is



SERVICEANIMAL Household Roster Are any of the animals that live with you a service animal? 1. Yes
2. No
Keep as is



PETTYPE_DOG
PETTYPE_CAT
PETTYPE_OTHER
Household Roster What animals live in your [apartment/house]?
Interviewer note: Enter all that apply, separate with commas

1. Dog(s)
2. Cat(s)
3. Other
Enter number of animals for each type of pet Keep as is



DOGS_NUM Household Roster Enter number of dogs
Keep as is



CATS_NUM Household Roster Enter number of cats
Keep as is



OTHERPETS Household Roster Enter number of other animals.
Keep as is



[NEWITEM] Household Roster [question about building pet rules]
Cut



[NEWITEM]
[Primary residence/official residence]
Cut



HHSIZE Household Roster In this next section, I'm going to ask about you and anyone else who lives with you.

How many people live in your [apartment/house], including you?

Interviewer note: If no people in the [apartment/house] live or stay here for 6 months or more out of the year, enter '888'.
Enter Number of People
Modify Remove pandemic reference.


PNAME_P2 –PNAME_P15 Household Roster What are the names of all the people living or staying here?

IF NEEDED: I don’t need full names, it is ok to just give me first name or initials. I just need some way to refer to them when I ask some follow-up questions.

Interviewer Note: Enter name or initial.
Before exiting roster, confirm you haven't missed anyone, such as babies, small children, lodgers, or people who are away on vacation or at school.
Enter 999 to exit
Enter Name
Modify Changed to ask only about names, instead of first names. Changed "persons" to "people." Renamed variable


LNAME_P2 –LNAME_P15 Household Roster Interviewer Note: Only enter last name if offered by respondent. Otherwise, enter "Refused"
Roster Card
Enter Last Name______________ Cut



RELATION_P2-RELATION_P15 Household Roster What is [person]’s relationship to you?

[INTERVIEWER CODED]

1. Husband/wife
2. Unmarried partner
3. Child
4. Brother/sister (stepbrother/sister)
5. Father/mother
6. Father-in-law/mother-in-law
7. Grandchild
8. Grandparent
9. Other relative (cousin, nephew, etc)
10. Roommate/ Boarder
11. Other non-relative
Keep as is



BDAY_MON_P1-BDAY_MON_P15 Household Roster What is [your/[person]'s] date of birth?

IF NEEDED: This information helps me know what topics to ask about. For example, I may ask about childcare costs or retirement savings depending on the age of the people who live with you.
Enter month_________


Keep as is



BDAY_DAY_P1-BDAY_DAY_P15 Household Roster What is [your/[person]'s] date of birth?

IF NEEDED: This information helps me know what topics to ask about. For example, I may ask about childcare costs or retirement savings depending on the age of the people who live with you.
Enter day__________ Keep as is



BDAY_YEAR_P1-BDAY_YEAR_P15 Household Roster What is [your/[person]'s] date of birth?

IF NEEDED: This information helps me know what topics to ask about. For example, I may ask about childcare costs or retirement savings depending on the age of the people who live with you.
Enter 4 digit year___________ Keep as is



AGE_P1-AGE_P15 Household Roster What is [your/[Person]'s] age?

IF NEEDED: If you are not sure, your best guess is fine
Enter age Keep as is



AGE_MINOR_P1-AGE_MINOR_P15 Household Roster [Are you/Is [person]] under 18?

1. Yes
2. No
Keep as is



AGE_MINOR2_P1-AGE_MINOR2_P15 Household Roster [Are you/Is [person]] under 6? 1. Yes
2. No
Keep as is



AGE_SENIOR_P1-AGE_SENIOR_P15 Household Roster [Are you/Is [person]] 62 or over? 1. Yes
2. No
Keep as is



GENDER_P1-GENDER_P15 Household Roster What is [your/Person's] gender?

IF NEEDED: What gender [do you/does Person] identify as now?

Interviewer Note: Do not read answer choices
1. Male
2. Female
3. Other
Keep as is



GENDER_OTHER_P1-GENDER_OTHER_P15 Household Roster
Please Specify:________________ Keep as is



MARITALSTAT_P1 Race_Ethnicity & Education Are you currently married, divorced, separated, widowed, or have you never been married? 1. Married
2. Divorced
3. Separated
4. Widowed
5. Never married
Keep as is



SPOUSE_RES_P1 Race_Ethnicity & Education Does your spouse live with you or somewhere else? 1. Spouse lives with respondent
2. Spouse lives somewhere else
Keep as is



SPOUSE_LOC_P1 Race_Ethnicity & Education Where does your spouse currently live? 1. New York City
2. Outside of New York City, but in the United States
3. Outside of the United States
Keep as is



SPOUSE_P2-SPOUSE_P15 Race_Ethnicity & Education Does [person] have a spouse or unmarried partner in the [apartment/house]?
1. Yes, a spouse in the household.
2. Yes, an unmarried partner in the household.
3. No partner or spouse in the household
Modify Remove household, replace with apartment/house.


LNSPOUSE_P2-LNSPOUSE_P15 Race_Ethnicity & Education Who is [your/Person's] spouse in the [apartment/house]?

Interviewer Note: Enter person number of spouse

Modify Add question asking which person is spouse


COHABWHO_P2-COHABWHO_P15 Race_Ethnicity & Education Who is [your/Person's] unmarried partner in the [apartment/house]?

Interviewer Note: Enter person number of unmarried partner.

Modify Add question asking which person is unmarried partner


PARENT_P2-PARENT_P15 Race_Ethnicity & Education [Do you/ Does [person]] have a parent or legal guardian in the [apartment/ house]?

Interviewer Note: If "Yes", enter person number(s) of parent(s)/legal guardian(s) in the following questions
1. Yes
2. No
Modify Added text to the interviewer note


SLNPAR1_P
Can Census confirm data structure? We would like this variable to identify the first parent/legal guardian
Race_Ethnicity & Education Who is [your/Person's] parent or legal guardian in the [apartment/house]?

Interviewer Note: Enter person number(s) of parent(s)/legal guardian(s).

Modify Added question asking which person was parent/legal guardian


SLNPAR2_P
Can Census confirm data structure? We would like this variable to identify the second parent/legal guardian
Race_Ethnicity & Education Who is [your/Person's] parent or legal guardian in the [apartment/house]?

Interviewer Note: Enter person number(s) of parent(s)/legal guardian(s).

Modify Added question asking which person was parent/legal guardian


MOVEIN_P1-MOVEIN_P15 Residential History In what year did [you/Person] move into the [apartment/ house]?

Interviewer note: The most recent time the person moved in, if there have been multiple move-ins and move-outs
Enter 4 digit year
Keep as is



MOVE1971_P1- MOVE1971_P15 Residential History Did [you/Person] move in on or after July 1 in 1971? 1. Yes, on or after July 1 in 1971
2. No, before July 1 in 1971
Modify Updated universe


MOVEIN_MON_P1-MOVEIN_MON_P15 Residential History In what month did [you/Person] move into the [apartment/ house]?

Interviewer note: The most recent time the person moved in, if there have been multiple move-ins and move-outs
1. January
2. February
3. March
4. April
5. May
6. June
7. July
8. August
9. September
10. October
11. November
12. December
Modify Updated universe


NEWITEM
[for new movers: Security deposit]
Cut



NEWITEM
[for new movers: Broker's fee]
Cut



NEWITEM
[for new movers: Rent concessions]
Cut `


NEWITEM
[Does renter do work for landlord]
Cut



LEASENOW Residential History Do [you/you or anyone else you live with] currently have a lease for your [apartment/house]?
1. Yes
2. No
Modify Added fill for [apartment/house]


LEASEEVER Residential History Have [you/you or anyone else you live with] ever had a lease for this [apartment/house]? 1. Yes
2. No
New



LEASE_LENGTH Residential History What is the length of the current lease; that is, the total time from when this lease began until it will end? 1. Less than 1 year
2. 1 year
3. More than 1 but less than 2 years
4. 2 years
5. More than 2 years
New



LEASE_YEAR Residential History What year did your current lease start?

IF NEEDED: The lease start date is the effective date, not the date it was signed.
Enter year New



LEASE_MONTH Residential History What month did your current lease start?

IF NEEDED: The lease start date is the effective date, not the date it was signed.
1. January
2. February
3. March
4. April
5. May
6. June
7. July
8. August
9. September
10. October
11. November
12. December
New



RENTREG Residential History Is your [apartment/ house] under Rent Control, Rent Stabilization, or Neither? 1. Under Rent Control
2. Under Rent Stabilization
3. Neither
4. Respondent is not familiar with the programs or whether their apartment/house is subject to them
New



NABE_MOVED Residential History What year did you first move to the neighborhood where you live now?

Interviewer Note: The first time the respondent ever lived in the current neighborhood
Enter year New



NABENOW_RATE Residential History On a scale of 1-10, when 1 is worst and 10 is best, how would you rate your current neighborhood as a place to live? 1. 1
2. 2
3. 3
4. 4
5. 5
6. 6
7. 7
8. 8
9. 9
10. 10
New



NABETHEN_RATE Residential History How would you rate your neighborhood as a place to live when you first moved there in [YEAR]?

IF NEEDED: When 1 is worst and 10 is best…

Interviewer Note: As far back respondent remembers
1. 1
2. 2
3. 3
4. 4
5. 5
6. 6
7. 7
8. 8
9. 9
10. 10
New



LAST_HOMELESS_P1-LAST_HOMELESS_P15 Residential History Before moving into your [apartment/house], [were you/which of the people who live in your [apartment/house], including you, were] homeless or in a temporary housing situation?

Interviewer Note: Code staying with family or friends, staying in a hotel or Airbnb, or sublet that wasn't a primary residence as a temporary housing situation. Temporary can be any length of time, as defined by the respondent.
1. Person 1 (respondent)
2. Person 2
3. Person 3
4. Person 4
5. Person 5
6. Person 6
7. Person 7
8. Person 8
9. Person 9
10. Person 10
11. Person 11
12. Person 12
13. Person 13
14. Person 14
15. Person 15
New



LASTHOME_ZIP Residential History What was the zip code of the last place you lived? Enter Zip Code: ________________ New



LASTEVICTION Residential History (Previously COVID) Did the landlord ever start an eviction proceeding against [you/you or people that lived with you]? You may have received something like this.


Interviewer: Show flashcard
1. Yes
2. No
Cut



LASTEVICTIONACTION Residential History (Previously COVID) What was the result of that eviction proceeding?

IF NEEDED: If there were multiple, please think of the most recent eviction proceeding.

Interviewer: Show flashcard
1. Settled or discontinued and continued to live there
2. Evicted
3. Settled by leaving
4. Took payment for leaving
5. Other
Cut



NEWITEM Residential History [Question about COVID recovery rent support/all types]
Cut



NEWITEM Residential History [Question about eviction prevented because of moratorium]
Cut



NEWITEM Residential History [Question about landlord negotiation and relief]
Cut



SAFETY_RATE Residential History On a scale of 1-10, when 1 is very unsafe and 10 is very safe, how safe are the streets around your [apartment/ house] at night? 1. 1
2. 2
3. 3
4. 4
5. 5
6. 6
7. 7
8. 8
9. 9
10. 10
New



RENTASSIST_SEC8 Housing Costs: Renter I'm now going to ask you some questions about your rental costs.

Is any part of the rent for your [apartment/house] paid by any of the following rental assistance programs?

IF NEEDED: That includes to [you/ you or someone you live with] or directly to the landlord.

[INTERVIEWER: Show Flashcard]

Interviewer Note: Include alternate payments, such as a reduction in property taxes as payment.

Interviewer Note: Enter all that apply, separate with commas.
1. Section 8/Housing Choice Voucher
Keep as is



RENTASSIST_SA Housing Costs: Renter I'm now going to ask you some questions about your rental costs.

Is any part of the rent for your [apartment/house] paid by any of the following rental assistance programs?

IF NEEDED: That includes to [you/ you or someone you live with] or directly to the landlord.

[INTERVIEWER: Show Flashcard]

Interviewer Note: Include alternate payments, such as a reduction in property taxes as payment.

Interviewer Note: Enter all that apply, separate with commas.
2. Shelter Allowance/CityFHEPS
Keep as is



RENTASSIST_RIE Housing Costs: Renter I'm now going to ask you some questions about your rental costs.

Is any part of the rent for your [apartment/house] paid by any of the following rental assistance programs?

IF NEEDED: That includes to [you/ you or someone you live with] or directly to the landlord.

[INTERVIEWER: Show Flashcard]

Interviewer Note: Include alternate payments, such as a reduction in property taxes as payment.

Interviewer Note: Enter all that apply, separate with commas.
3. SCRIE/DRIE
Keep as is



RENTASSIST_OTHER Housing Costs: Renter I'm now going to ask you some questions about your rental costs.

Is any part of the rent for your [apartment/house] paid by any of the following rental assistance programs?

IF NEEDED: That includes to [you/ you or someone you live with] or directly to the landlord.

[INTERVIEWER: Show Flashcard]

Interviewer Note: Include alternate payments, such as a reduction in property taxes as payment.

Interviewer Note: Enter all that apply, separate with commas.
4. Other assistance that pays part of your rent
Keep as is



RENTASSIST_NONE Housing Costs: Renter I'm now going to ask you some questions about your rental costs.

Is any part of the rent for your [apartment/house] paid by any of the following rental assistance programs?

IF NEEDED: That includes to [you/ you or someone you live with] or directly to the landlord.

[INTERVIEWER: Show Flashcard]

Interviewer Note: Include alternate payments, such as a reduction in property taxes as payment.

Interviewer Note: Enter all that apply, separate with commas.
5. None
Keep as is



LOTTERY_RENTER Building and Unit Characteristics Did you or anyone you live with apply to a housing lottery to get your [apartment/house]? 1. Yes
2. No
Keep as is



INCOMEQUALIFY_RENTER Building and Unit Characteristics [Separate from [fill rental assistance program], did/Did] you or anyone you live with have to show that your income was BELOW a certain amount to get your [apartment/house]?

If Needed: This may have been to your building’s developer or to a housing agency, such as HPD or HDC.
1. Yes
2. No
Keep as is



NEWITEM
[Does renter need to re-certify income annually]
Cut



RENTOUTSIDE Housing Costs: Renter Is any part of the rent for your [apartment/house] paid by a person who doesn't live with you or directly by an employer?
1. Yes
2. No
Keep as is



RENTFEES Housing Costs: Renter These next questions will ask about your rent. [Please include amounts paid by [rental assistance programs/outside sources/rent assistance programs and outside sources].

Some landlords charge fees in addition to rent, such as for a dishwasher or a pet. Do [you/you or anyone you live with] pay any fees apart from your rent?

Interviewer Note: Do not include temporary fees, such as a late fee.
1. Yes
2. No
Keep as is



RENTFEES_AMOUNT Housing Costs: Renter How much are the monthly fees for the [apartment/house]?

Interviewer note: Do not include temporary fees, such as a late fee.

Enter Dollar Amount
$________________
Keep as is



RENT_AMOUNT Housing Costs: Renter Last month, how much was the rent for your [apartment/house], [including any fees]?

Interviewer Note: Enter the total amount owed, including any fees
Enter Dollar Amount
$________________
Keep as is



RENTPAID Housing Costs: Renter Last month, was [fill sum of RENT_AMOUNT and RENTFEES_AMOUNT / fill RENT_AMOUNT] the amount paid to the landlord [?/ , including rental assistance programs?/ , including any outside sources?/ , including any rental assistance programs and outside sources?] 1. Yes
2. No
Keep as is



RENTPAID_AMOUNT Housing Costs: Renter How much was paid to the landlord last month for the [apartment/ house] [?/ , including rental assistance programs?/ , including any outside sources?/ , including any rental assistance programs and outside sources?]
Enter Dollar Amount
$________________
Keep as is



RENTASSIST_AMOUNT Housing Costs: Renter Earlier you said some of your rent was paid by [fill from RENTASSIST_*]]

How much of last month's rent was paid by [this rental assistance program/ these rental assistance programs]?

Interviewer Note: Include alternate payments, such as a reduction in property taxes as payment.
Enter Dollar Amount
$________________
Keep as is



RENTOUTSIDE_AMOUNT Housing Costs: Renter Earlier you said some of your rent was paid by someone else or by an employer.
How much of last month's rent was paid by those outside sources?
Enter Dollar Amount
$________________
Keep as is



RENTPAID_P1-RENTPAID_P15 Housing Costs: Renter How much of last month's rent was paid by [person/you]?

Interviewer Note: If people pay rent from a joint account, split the amount evenly among contributors.

Enter Dollar Amount
$________________
Keep as is



RENTPAID_CONF Housing Costs: Renter All of these amounts don't seem to add up to what [you/ you and the people you live with] paid last month. Let's go back and make sure what I have is right.

-Rent Paid by Person (summed): [RENTPAID]
-Amount Paid by Rental Assistance: [RENTASSIST]
-Amount Paid by Outside Sources: [RENTOUTSIDE]
-Amount Reported in RENTPAID_AMOUNT: [RENTAMOUNT]

Keep as is



NEWITEM
[Renter's insurance]
Cut



LATERENT Housing Costs: Renter In the last year, were [you/ you and the people you live with] ever late paying the rent because you didn't have enough money at the time? 1. Yes
2. No
999. Respondent did not live in unit during reference period
Keep as is



LATERENT_NUM Housing Costs: Renter How many times were [you/ you and the people you live with] late paying the rent in the last year?
Enter number of times_______ Keep as is



LESSRENT_REAS_NOMONEY Housing Costs: Renter Which of the following describes why you paid less last month?

Interviewer Note Enter all that apply, separate with commas.

Interviewer: Show Flashcard
1. There was not enough money to pay what was due
Keep as is



LESSRENT_REAS_ESCROW Housing Costs: Renter Which of the following describes why you paid less last month?

Interviewer Note Enter all that apply, separate with commas.

Interviewer: Show Flashcard
2. Payment was withheld because of poor conditions in the apartment/ house
Keep as is



LESSRENT_REAS_PROGRAM Housing Costs: Renter Which of the following describes why you paid less last month?

Interviewer Note Enter all that apply, separate with commas.

Interviewer: Show Flashcard
3. The rental assistance program that pays rent did not send any/all of the payment
Keep as is



LESSRENT_REAS_COURT Housing Costs: Renter Which of the following describes why you paid less last month?

Interviewer Note Enter all that apply, separate with commas.

Interviewer: Show Flashcard
4. A court or housing agency lowered the rent

Keep as is



LESSRENT_REAS_OTH Housing Costs: Renter Which of the following describes why you paid less last month?

Interviewer Note Enter all that apply, separate with commas.

Interviewer: Show Flashcard
5. Another reason
Keep as is



MORERENT_REAS_COURT Housing Costs: Renter Which of the following describes why you paid more last month?

Interviewer Note: Enter all that apply, separate with commas.

Interviewer: Show Flashcard
1. A court or housing agency increased the rent
Keep as is



MORERENT_REAS_PASTRENT Housing Costs: Renter Which of the following describes why you paid more last month?

Interviewer Note: Enter all that apply, separate with commas.

Interviewer: Show Flashcard
2. Rent due from previous months
Keep as is



MORERENT_REAS_FEES Housing Costs: Renter Which of the following describes why you paid more last month?

Interviewer Note: Enter all that apply, separate with commas.

Interviewer: Show Flashcard
3. Additional/temporary fees
Keep as is



MORERENT_REAS_RENO Housing Costs: Renter Which of the following describes why you paid more last month?

Interviewer Note: Enter all that apply, separate with commas.

Interviewer: Show Flashcard
4. Rent increase from work done to the building/apartment
Keep as is



MORERENT_REAS_ADV Housing Costs: Renter Which of the following describes why you paid more last month?

Interviewer Note: Enter all that apply, separate with commas.

Interviewer: Show Flashcard
5. Rent paid in advance
Keep as is



MORERENT_REAS_OTH Housing Costs: Renter Which of the following describes why you paid more last month?

Interviewer Note: Enter all that apply, separate with commas.

Interviewer: Show Flashcard
6. Another reason Keep as is



LATERENT_OWEADD Housing Costs: Renter Do you owe any additonal rent that's more than 30 days past due? 1. Yes
2. No
New



LATERENT_OWE Housing Costs: Renter Do you owe any rent that's more than 30 days past due?
1. Yes
2. No
New



LATERENT_OWEAMT Housing Costs: Renter How much do you owe?

Interviewer note: Include all rent that's more than 30 days past due
Enter Amount New



LASTEVICTIONACTION Housing Costs: Renter Since March 1 2020, did the landlord start an eviction proceeding against [you/you or the people that live with you]? You may have received something like this.

Interviewer Note: Show Flashcard

Interviewer note: Do not include places where you were staying on a temporary basis.
1. Yes
2. No
3. No, I owned my home
Modify This question was previously part of the COVID module


LASTEVICTIONACTION_WHERE Housing Costs: Renter Was that at your current [apartment/house] or a previous place you lived? 1. Current apartment/house
2. Previous residence
Modify This question was previously part of the COVID module


LASTEVICTIONACTION_END Housing Costs: Renter What was the result of that eviction proceeding?

IF NEEDED: If there were multiple cases, please think of the most recent eviction proceeding.

Interviewer Note: Show Flashcard
1. Settled or discontinued and continued to live there
2. Evicted
3. Settled by leaving
4. Took payment for leaving
5. Ongoing
6. Other
Modify This question was previously part of the COVID module.


RENTASSIST_COV Housing Costs: Renter Have you received any of the following?

Interviewer Note: Show Flashcard
1. Emergency Rental Assistance Program (ERAP)
2. Forgiveness from your landlord
3. COVID Rent Relief Program (RRP)
4. Other COVID relief program to help with housing costs
New



RENTPAIDBY_CREDIT Housing Costs: Renter In the last year, did [you/you and the people you live with] pay all or part of the rent by doing any of the following:

Interviewer Note: Enter all that apply, separate with commas.

Interviewer Note: Show Flashcard


1. Charged a credit card
Keep as is



RENTPAIDBY_SAVINGS Housing Costs: Renter In the last year, did [you/you and the people you live with] pay all or part of the rent by doing any of the following:

Interviewer Note: Enter all that apply, separate with commas.

Interviewer Note: Show Flashcard


2. Paid out of savings
Keep as is



RENTPAIDBY_LOAN Housing Costs: Renter In the last year, did [you/you and the people you live with] pay all or part of the rent by doing any of the following:

Interviewer Note: Enter all that apply, separate with commas.

Interviewer Note: Show Flashcard


3. Borrowed money
Keep as is



RENTPAIDBY_ASSET Housing Costs: Renter In the last year, did [you/you and the people you live with] pay all or part of the rent by doing any of the following:

Interviewer Note: Enter all that apply, separate with commas.

Interviewer Note: Show Flashcard


4. Sold something
Keep as is



RENTPAIDBY_OTHER Housing Costs: Renter In the last year, did [you/you and the people you live with] pay all or part of the rent by doing any of the following:

Interviewer Note: Enter all that apply, separate with commas.

Interviewer Note: Show Flashcard


5. Other
New



RENTPAIDBY_NONE Housing Costs: Renter In the last year, did [you/you and the people you live with] pay all or part of the rent by doing any of the following:

Interviewer Note: Enter all that apply, separate with commas.

Interviewer Note: Show Flashcard


6. None of the above Modify Update response numbering


RENTCREDIT_PAIDOFF Housing Costs: Renter Was the credit card paid off in the same month? 1. Yes
2. No
Keep as is



OWNER_P1 Housing Costs: Owner Who currently owns the [apartment/house]?

Interviewer Note: Enter all that apply, separate with commas.
1. Person 1 (respondent)
Keep as is



OWNER_P2 Housing Costs: Owner Who currently owns the [apartment/house]?

Interviewer Note: Enter all that apply, separate with commas.
2. Person 2 Keep as is



OWNER_P3 Housing Costs: Owner Who currently owns the [apartment/house]?

Interviewer Note: Enter all that apply, separate with commas.
3. Person 3 Keep as is



OWNER_P4 Housing Costs: Owner Who currently owns the [apartment/house]?

Interviewer Note: Enter all that apply, separate with commas.
4. Person 4 Keep as is



OWNER_P5 Housing Costs: Owner Who currently owns the [apartment/house]?

Interviewer Note: Enter all that apply, separate with commas.
5. Person 5 Keep as is



OWNER_P6 Housing Costs: Owner Who currently owns the [apartment/house]?

Interviewer Note: Enter all that apply, separate with commas.
6. Person 6 Keep as is



OWNER_P7 Housing Costs: Owner Who currently owns the [apartment/house]?

Interviewer Note: Enter all that apply, separate with commas.
7. Person 7 Keep as is



OWNER_P8 Housing Costs: Owner Who currently owns the [apartment/house]?

Interviewer Note: Enter all that apply, separate with commas.
8. Person 8 Keep as is



OWNER_P9 Housing Costs: Owner Who currently owns the [apartment/house]?

Interviewer Note: Enter all that apply, separate with commas.
9. Person 9 Keep as is



OWNER_P10 Housing Costs: Owner Who currently owns the [apartment/house]?

Interviewer Note: Enter all that apply, separate with commas.
10. Person 10 Keep as is



OWNER_P11 Housing Costs: Owner Who currently owns the [apartment/house]?

Interviewer Note: Enter all that apply, separate with commas.
11. Person 11 Keep as is



OWNER_P12 Housing Costs: Owner Who currently owns the [apartment/house]?

Interviewer Note: Enter all that apply, separate with commas.
12. Person 12 Keep as is



OWNER_P13 Housing Costs: Owner Who currently owns the [apartment/house]?

Interviewer Note: Enter all that apply, separate with commas.
13. Person 13 Keep as is



OWNER_P14 Housing Costs: Owner Who currently owns the [apartment/house]?

Interviewer Note: Enter all that apply, separate with commas.
14. Person 14 Keep as is



OWNER_P15 Housing Costs: Owner Who currently owns the [apartment/house]?

Interviewer Note: Enter all that apply, separate with commas.
15. Person 15 Keep as is



OWNEROUT Housing Costs: Owner Who currently owns the [apartment/house]?

Interviewer Note: Enter all that apply, separate with commas.
100. Co-owned by someone outside of the household Keep as is



FIRSTTIMEOWNER Housing Costs: Owner [Have you/ Have you or Person*/Has Person*/ Have Person* or Person*] owned an apartment or house before? 1. Yes
2. No
Keep as is



PURCHASEYEAR Housing Costs: Owner In what year did [you/you and the owners/the owners] [buy/inherit] the [apartment/ house]?


Enter 4 digit year ______________
Keep as is



PURCHASEPRICE Housing Costs: Owner What was the purchase price of the [apartment/ house]?

Interviewer Note: Record actual purchase price and not current market value
Enter Amount
$_____________________

Keep as is



DOWNPAY_AMT Housing Costs: Owner What was the down payment for the [apartment/ house]?

Interviewer Note: If no down payment, enter $0
READ IF NEEDED: What was the total down payment from all sources? Your best guess is fine.
Enter Amount
$_____________________
Keep as is



HELPDOWNPAY_NYCPROG Housing Costs: Owner Did any of the following help with the down payment?

Interviewer Note: Enter all that apply, separate with commas.

Interviewer Note: Show Flashcard
1. NYC program or grant
Keep as is



HELPDOWNPAY_FEDPROG Housing Costs: Owner Did any of the following help with the down payment?

Interviewer Note: Enter all that apply, separate with commas.

Interviewer Note: Show Flashcard
2. Federal program or grant
Keep as is



HELPDOWNPAY_FEDLOAN Housing Costs: Owner Did any of the following help with the down payment?

Interviewer Note: Enter all that apply, separate with commas.

Interviewer Note: Show Flashcard
3. Federal homebuyer loan
Keep as is



HELPDOWNPAY_NONPROF Housing Costs: Owner Did any of the following help with the down payment?

Interviewer Note: Enter all that apply, separate with commas.

Interviewer Note: Show Flashcard
4. Non-Profit assistance
Keep as is



HELPDOWNPAY_GIFT Housing Costs: Owner Did any of the following help with the down payment?

Interviewer Note: Enter all that apply, separate with commas.

Interviewer Note: Show Flashcard
5. Gift or personal loan
Keep as is



HELPDOWNPAY_NONE Housing Costs: Owner Did any of the following help with the down payment?

Interviewer Note: Enter all that apply, separate with commas.

Interviewer Note: Show Flashcard
6. None Keep as is



LOTTERY_OWNER Building and Unit Characteristics Did you or anyone you live with apply to a housing lottery to get your [apartment/house]? 1. Yes
2. No
Keep as is



INCOMEQUALIFY_OWNER Building and Unit Characteristics [Separate from any down payment assistance, did/Did] you or anyone you live with have to show that your income was BELOW a certain amount to get your [apartment/house]?

If Needed: This may have been to your building’s developer or to a housing agency, such as HPD or HDC.
1. Yes
2. No
Keep as is



HDEBT_FIRSTMORT Housing Costs: Owner Which of the following [do you/do you and the owners/Do the owners] have?

Interviewer Note: Enter all that apply, separate with commas.

Interviewer Note: Do not include commercial mortgages

Interviewer Note: Show Flashcard
1. First Mortgage
Keep as is



HDEBT_SECONDMORT Housing Costs: Owner Which of the following [do you/do you and the owners/Do the owners] have?

Interviewer Note: Enter all that apply, separate with commas.

Interviewer Note: Do not include commercial mortgages

Interviewer Note: Show Flashcard
2. Second Mortgage
Keep as is



HDEBT_HELOC Housing Costs: Owner Which of the following [do you/do you and the owners/Do the owners] have?

Interviewer Note: Enter all that apply, separate with commas.

Interviewer Note: Do not include commercial mortgages

Interviewer Note: Show Flashcard
3. Home Equity Line of Credit
Keep as is



HDEBT_HOMEEQUITY Housing Costs: Owner Which of the following [do you/do you and the owners/Do the owners] have?

Interviewer Note: Enter all that apply, separate with commas.

Interviewer Note: Do not include commercial mortgages

Interviewer Note: Show Flashcard
4. Home Equity Loan
Keep as is



HDEBT_REVMORT Housing Costs: Owner Which of the following [do you/do you and the owners/Do the owners] have?

Interviewer Note: Enter all that apply, separate with commas.

Interviewer Note: Do not include commercial mortgages

Interviewer Note: Show Flashcard
5. Reverse Mortgage
Keep as is



HDEBT_OTHER Housing Costs: Owner Which of the following [do you/do you and the owners/Do the owners] have?

Interviewer Note: Enter all that apply, separate with commas.

Interviewer Note: Do not include commercial mortgages

Interviewer Note: Show Flashcard
6. Something else
Keep as is



HDEBT_NONE Housing Costs: Owner Which of the following [do you/do you and the owners/Do the owners] have?

Interviewer Note: Enter all that apply, separate with commas.

Interviewer Note: Do not include commercial mortgages

Interviewer Note: Show Flashcard
7. None of these
Keep as is



HDEBT_NONE_CONF Housing Costs: Owner Just to confirm, there is no current mortgage for the [apartment/house]. Is that correct?

Interviewer note: If “No” go back through items hodebt* and correct answers as appropriate.
1. Yes
2. No
Keep as is



NEWITEM

Has the [LOAN] been refinanced since ^pymonth ^pyyear?
1. Yes
2. No

Cut



PAY_FIRSTMORT Housing Costs: Owner How much was the most recent payment for the [LOAN]?

IF NEEDED: The last payment amount that was due.

Enter Amount
$_____________________


Keep as is



PAY_SECONDMORT Housing Costs: Owner How much was the most recent payment for the [LOAN]?

IF NEEDED: The last payment amount that was due.

Enter Amount
$_____________________


Keep as is



PAY_HELOC Housing Costs: Owner How much was the most recent payment for the [LOAN]?

IF NEEDED: The last payment amount that was due.

Enter Amount
$_____________________


Keep as is



PAY_HOMEEQUITY Housing Costs: Owner How much was the most recent payment for the [LOAN]?

IF NEEDED: The last payment amount that was due.

Enter Amount
$_____________________


Keep as is



PAY_OTHER Housing Costs: Owner How much was the most recent payment for the [LOAN]?

IF NEEDED: The last payment amount that was due.

Enter Amount
$_____________________


Keep as is



FREQPAY_FIRSTMORT Housing Costs: Owner How often [do you/do you and the owners/do the owners] make a payment on the [LOAN]? 1. Once a month
2. Twice a month
3. Every two weeks
4. Something else (specify)
Keep as is



FREQPAY_SECONDMORT, Housing Costs: Owner How often [do you/do you and the owners/do the owners] make a payment on the [LOAN]? 1. Once a month
2. Twice a month
3. Every two weeks
4. Something else (specify)
Keep as is



FREQPAY_HELOC Housing Costs: Owner How often [do you/do you and the owners/do the owners] make a payment on the [LOAN]? 1. Once a month
2. Twice a month
3. Every two weeks
4. Something else (specify)
Keep as is



FREQPAY_HOMEEQUITY Housing Costs: Owner How often [do you/do you and the owners/do the owners] make a payment on the [LOAN]? 1. Once a month
2. Twice a month
3. Every two weeks
4. Something else (specify)
Keep as is



FREQPAY_OTHER Housing Costs: Owner How often [do you/do you and the owners/do the owners] make a payment on the [LOAN]? 1. Once a month
2. Twice a month
3. Every two weeks
4. Something else (specify)
Keep as is



FREQPAYOTH_FIRSTMORT
Housing Costs: Owner Specify how often [you/you and the owners/the owners] make a payment on the [LOAN].

Interviewer Note: Enter the number of times per year.
Enter Frequency
______________________
Keep as is



FREQPAYOTH_SECONDMORT Housing Costs: Owner Specify how often [you/you and the owners/the owners] make a payment on the [LOAN].

Interviewer Note: Enter the number of times per year.
Enter Frequency
______________________
Keep as is



FREQPAYOTH_HELOC Housing Costs: Owner Specify how often [you/you and the owners/the owners] make a payment on the [LOAN].

Interviewer Note: Enter the number of times per year.
Enter Frequency
______________________
Keep as is



FREQPAYOTH_HOMEEQUITY Housing Costs: Owner Specify how often [you/you and the owners/the owners] make a payment on the [LOAN].

Interviewer Note: Enter the number of times per year.
Enter Frequency
______________________
Keep as is



FREQPAYOTH_OTHER Housing Costs: Owner Specify how often [you/you and the owners/the owners] make a payment on the [LOAN].

Interviewer Note: Enter the number of times per year.
Enter Frequency
______________________
Keep as is



HDEBT_HELOC_LIMIT Housing Costs: Owner What is the total credit limit on the HELOC?

IF NEEDED: By HELOC, I mean a Home Equity Line of Credit
Enter Amount
$_____________________

Modify Changed variable name to reflect question. Moved to be part of loop


TOTAL_FIRSTMORT



Housing Costs: Owner What is the outstanding principal balance on the [LOAN]?

IF NEEDED: If it would help, you can look at your statement or account.

Interviewer note: For Home Equity Line of Credit where there is no balance enter a 0.
Enter Amount
$_____________________
Keep as is



TOTAL_SECONDMORT Housing Costs: Owner What is the outstanding principal balance on the [LOAN]?

IF NEEDED: If it would help, you can look at your statement or account.

Interviewer note: For Home Equity Line of Credit where there is no balance enter a 0.
Enter Amount
$_____________________
Keep as is



TOTAL_HELOC Housing Costs: Owner What is the outstanding principal balance on the [LOAN]?

IF NEEDED: If it would help, you can look at your statement or account.

Interviewer note: For Home Equity Line of Credit where there is no balance enter a 0.
Enter Amount
$_____________________
Keep as is



TOTAL_HOMEEQUITY Housing Costs: Owner What is the outstanding principal balance on the [LOAN]?

IF NEEDED: If it would help, you can look at your statement or account.

Interviewer note: For Home Equity Line of Credit where there is no balance enter a 0.
Enter Amount
$_____________________
Keep as is



TOTAL_OTHER Housing Costs: Owner What is the outstanding principal balance on the [LOAN]?

IF NEEDED: If it would help, you can look at your statement or account.

Interviewer note: For Home Equity Line of Credit where there is no balance enter a 0.
Enter Amount
$_____________________
Keep as is



INT1_FIRSTMORT Housing Costs: Owner What is the current interest rate on the [LOAN]?

Interviewer note: For Home Equity Line of Credit where there is no balance enter a 1.

Interviewer note: For example, 6 1/4%: Enter whole number 6 for Interest - Whole and the fraction for Interest - Fraction.
Enter %
_____________

Keep as is



INT1_SECONDMORT Housing Costs: Owner What is the current interest rate on the [LOAN]?

Interviewer note: For Home Equity Line of Credit where there is no balance enter a 1.

Interviewer note: For example, 6 1/4%: Enter whole number 6 for Interest - Whole and the fraction for Interest - Fraction.
Enter %
_____________

Keep as is



INT1_HELOC Housing Costs: Owner What is the current interest rate on the [LOAN]?

Interviewer note: For Home Equity Line of Credit where there is no balance enter a 1.

Interviewer note: For example, 6 1/4%: Enter whole number 6 for Interest - Whole and the fraction for Interest - Fraction.
Enter %
_____________

Keep as is



INT1_HOMEEQUITY Housing Costs: Owner What is the current interest rate on the [LOAN]?

Interviewer note: For Home Equity Line of Credit where there is no balance enter a 1.

Interviewer note: For example, 6 1/4%: Enter whole number 6 for Interest - Whole and the fraction for Interest - Fraction.
Enter %
_____________

Keep as is



INT1_OTHER Housing Costs: Owner What is the current interest rate on the [LOAN]?

Interviewer note: For Home Equity Line of Credit where there is no balance enter a 1.

Interviewer note: For example, 6 1/4%: Enter whole number 6 for Interest - Whole and the fraction for Interest - Fraction.
Enter %
_____________

Keep as is



INT2_FIRSTMORT Housing Costs: Owner (What is the interest rate on the [LOAN] - Fraction)

Round down to nearest 1/8 percent

Interviewer note: For Home Equity Line of Credit where there is no balance enter a 1.
0. 0 - no fraction
1. 1/8 (.125%)
2. 1/4 (.25%)
3. 3/8 (.375%)
4. 1/2 (.5%)
5. 5/8 (.625%)
6. 3/4 (.75%)
7. 7/8 (.875%)
Keep as is



INT2_SECONDMORT Housing Costs: Owner (What is the interest rate on the [LOAN] - Fraction)

Round down to nearest 1/8 percent

Interviewer note: For Home Equity Line of Credit where there is no balance enter a 1.
0. 0 - no fraction
1. 1/8 (.125%)
2. 1/4 (.25%)
3. 3/8 (.375%)
4. 1/2 (.5%)
5. 5/8 (.625%)
6. 3/4 (.75%)
7. 7/8 (.875%)
Keep as is



INT2_HELOC Housing Costs: Owner (What is the interest rate on the [LOAN] - Fraction)

Round down to nearest 1/8 percent

Interviewer note: For Home Equity Line of Credit where there is no balance enter a 1.
0. 0 - no fraction
1. 1/8 (.125%)
2. 1/4 (.25%)
3. 3/8 (.375%)
4. 1/2 (.5%)
5. 5/8 (.625%)
6. 3/4 (.75%)
7. 7/8 (.875%)
Keep as is



INT2_HOMEEQUITY Housing Costs: Owner (What is the interest rate on the [LOAN] - Fraction)

Round down to nearest 1/8 percent

Interviewer note: For Home Equity Line of Credit where there is no balance enter a 1.
0. 0 - no fraction
1. 1/8 (.125%)
2. 1/4 (.25%)
3. 3/8 (.375%)
4. 1/2 (.5%)
5. 5/8 (.625%)
6. 3/4 (.75%)
7. 7/8 (.875%)
Keep as is



INT2_OTHER Housing Costs: Owner (What is the interest rate on the [LOAN] - Fraction)

Round down to nearest 1/8 percent

Interviewer note: For Home Equity Line of Credit where there is no balance enter a 1.
0. 0 - no fraction
1. 1/8 (.125%)
2. 1/4 (.25%)
3. 3/8 (.375%)
4. 1/2 (.5%)
5. 5/8 (.625%)
6. 3/4 (.75%)
7. 7/8 (.875%)
Keep as is



FIXED_FIRSTMORT Housing Costs: Owner Is the interest rate fixed?

Interviewer Note: Fixed interest for the life of the loan. Answer "No" if resident has an Adjustable Rate Mortgage that is fixed for a period of time only
1. Yes
2. No
Keep as is



FIXED_SECONDMORT Housing Costs: Owner Is the interest rate fixed?

Interviewer Note: Fixed interest for the life of the loan. Answer "No" if resident has an Adjustable Rate Mortgage that is fixed for a period of time only
1. Yes
2. No
Keep as is



FIXED_HELOC Housing Costs: Owner Is the interest rate fixed?

Interviewer Note: Fixed interest for the life of the loan. Answer "No" if resident has an Adjustable Rate Mortgage that is fixed for a period of time only
1. Yes
2. No
Keep as is



FIXED_HOMEEQUITY Housing Costs: Owner Is the interest rate fixed?

Interviewer Note: Fixed interest for the life of the loan. Answer "No" if resident has an Adjustable Rate Mortgage that is fixed for a period of time only
1. Yes
2. No
Keep as is



FIXED_OTHER Housing Costs: Owner Is the interest rate fixed?

Interviewer Note: Fixed interest for the life of the loan. Answer "No" if resident has an Adjustable Rate Mortgage that is fixed for a period of time only
1. Yes
2. No
Keep as is



HINSURE_AMT Housing Costs: Owner How much did [you/you and the owners/the owners] pay for homeowner's insurance last year?

Interviewer note: Do not take a monthly amount and multiply by 12. If needed, ask respondent to specify number of months

If insurance was paid as part of the mortgage, enter 888888888.
If no insurance, enter 999999999.
Enter Amount
$_____________________
888888888 Paid as part of the mortgage
999999999 No insurance
Keep as is



HFLOODINSURE Housing Costs: Owner Is the [apartment/ house] covered by flood insurance? 1. Yes
2. No
Keep as is



HFLOODINSURE_AMT Housing Costs: Owner How much did [you/you and the owners/the owners] pay for flood insurance last year?


Interviewer note: Do not take a monthly amount and multiply by 12. If needed, ask respondent to specify number of months

If flood insurance was paid as part of the mortgage, enter 888888888.
Enter Amount
$_____________________
888888888 Paid as part of the mortgage
Keep as is



PROPTAX_AMT Housing Costs: Owner How much were the property taxes for your [apartment/house] last year?

Interviewer Note: Enter amount due, not what was paid

If property taxes were paid as part of the condominium or homeowners association fees, enter 777777777.
If property taxes were paid as part of the mortgage, enter 888888888.
Enter Amount
$_____________________
777777777 Paid as part of the condominium or homeowners association fees
888888888 Paid as part of the mortgage


Keep as is



LATEMORTGAGE Housing Costs: Owner In the last year, [were you/were you and the owners/were the owners] ever late making the regular mortgage payment because there was not enough money at the time? 1. Yes
2. No
Keep as is



COOPCONDOFEE Condo Co-op Last month, what were the [condo/co-op] maintenance fees for the [apartment/ house]?

Interviewer Note: Exclude payments for any mortgage (loans) on the [condo/ co-op].
Enter Amount
$_____________________
Keep as is



ASSESSMENT Condo Co-op In the last year, have [you/ you or anyone else you live with] paid an assessment on the [condo/co-op]?

IF NEEDED: An assessment is a temporary charge that is in addition to your maintenance fees. For example, It can be used to cover a one-time expense or a major repair or improvement.
1. Yes
2. No
Keep as is



ASSESSMENT_AMT Condo Co-op Last year, how much did [you/ you or anyone else you live with] pay in assessments? This could be either all at once or smaller amounts paid over time.

Enter Amount
$_____________________
Keep as is



NEWITEM
[Question about capital improvements]
Cut



SCHE_DHE Condo Co-op Are [you/you and the people you live with] receiving a Homeowner's Exemption as part of the SCHE or DHE program?

Interviewer Note: These are programs that lower housing costs for owners of 1-3 family homes, condos, or co-ops.

Interviewer Note: SCHE refers to the Senior Citizen Homeowners' Exemption.

Interviewer Note: DHE refers to the Disabled Homeowners' Exemption.
1. Yes
2. No
Keep as is



UTIL_ELECTRIC Utilities Which utilities do [you/you and the people you live with] pay?

Interviewer Note: Enter all that apply, separate with commas.

Interviewer Note: Do not include cable, internet, or phone.

Interviewer Note: Show Flashcard
1. Electricity


Keep as is



UTIL_GAS Utilities Which utilities do [you/you and the people you live with] pay?

Interviewer Note: Enter all that apply, separate with commas.

Interviewer Note: Do not include cable, internet, or phone.

Interviewer Note: Show Flashcard
2. Cooking Gas

Keep as is



UTIL_HEAT Utilities Which utilities do [you/you and the people you live with] pay?

Interviewer Note: Enter all that apply, separate with commas.

Interviewer Note: Do not include cable, internet, or phone.

Interviewer Note: Show Flashcard
3. Heat

Keep as is



UTIL_WATER Utilities Which utilities do [you/you and the people you live with] pay?

Interviewer Note: Enter all that apply, separate with commas.

Interviewer Note: Do not include cable, internet, or phone.

Interviewer Note: Show Flashcard
4. Water/Sewer

Keep as is



UTIL_NONE Utilities Which utilities do [you/you and the people you live with] pay?

Interviewer Note: Enter all that apply, separate with commas.

Interviewer Note: Do not include cable, internet, or phone.

Interviewer Note: Show Flashcard
5. None of these

Keep as is



UTIL_INCLUDED Utilities Which utilities do [you/you and the people you live with] pay?

Interviewer Note: Enter all that apply, separate with commas.

Interviewer Note: Do not include cable, internet, or phone.

Interviewer Note: Show Flashcard
6. All utilities are included in the rent or condo/co-op fees

Keep as is



UTILCOSTS_SUMMER Utilities Last summer, how much did [you/you and the people you live with] pay in a typical month for [electricity/gas/electricity and gas]?

IF NEEDED: By summer, I mean last June, July, and August
Enter Amount
$_____________________
999 Respondent did not live in unit during reference period
Keep as is



UTILCOSTS_WINTER Utilities Last winter, how much did [you/you and the people you live with] pay in a typical month for [electricity/ gas/ electricity and gas]?

IF NEEDED: By winter, I mean last October through May.

Enter Amount
$_____________________
999 Respondent did not live in unit during reference period
Keep as is



UTILCOSTS_HEAT Utilities Last year, what was the total cost of heat?

Interviewer Note: If heat is paid as part of electric bill, record costs under electric costs, not heat costs. Do not take a monthly amount and multiply by 12. If needed, ask respondent to specify number of months.

Enter Amount
$_____________________
999 Respondent did not live in unit during reference period
Keep as is



UTILCOSTS_WATER Utilities Last year, what was the total cost of water and sewer?

Enter Amount
$_____________________
999 Respondent did not live in unit during reference period
Keep as is



NEWITEM
[Question on internet access]
Cut



INTERUPT_UTIL Utilities In the last year, were any of the following services interrupted because you did not have enough money at the time?

Interviewer Note: Enter all that apply, seperate with commas

Interviewer Note: If respondent pays on a combined bill, check all services that were interrupted (e.g., cell and internet)

Interviewer Note: Show Flashcard
1. Electricity, gas, or heat
Keep as is



INTERUPT_PHONE Utilities In the last year, were any of the following services interrupted because you did not have enough money at the time?

Interviewer Note: Enter all that apply, seperate with commas

Interviewer Note: If respondent pays on a combined bill, check all services that were interrupted (e.g., cell and internet)

Interviewer Note: Show Flashcard
2. Landline telephone
Keep as is



INTERUPT_CELL Utilities In the last year, were any of the following services interrupted because you did not have enough money at the time?

Interviewer Note: Enter all that apply, seperate with commas

Interviewer Note: If respondent pays on a combined bill, check all services that were interrupted (e.g., cell and internet)

Interviewer Note: Show Flashcard
3. Cell phone
Keep as is



INTERUPT_NONE Utilities In the last year, were any of the following services interrupted because you did not have enough money at the time?

Interviewer Note: Enter all that apply, seperate with commas

Interviewer Note: If respondent pays on a combined bill, check all services that were interrupted (e.g., cell and internet)

Interviewer Note: Show Flashcard
4. None
Keep as is



PA_FOOD Public Benefits and Coverage Last month, did [you/ you or anyone else who lives with you] receive assistance or payments from any of the following?

Interviewer Note: Enter all that apply, separate with commas

Interviewer Note: Show Flashcard

Interviewer Note: If respondent is unable to itemize specific programs, enter *00 answer choice (category). Do not count rental or housing assistance.
100. (A) Food Assistance
Keep as is



PA_SNAP Public Benefits and Coverage Last month, did [you/ you or anyone else who lives with you] receive assistance or payments from any of the following?

Interviewer Note: Enter all that apply, separate with commas

Interviewer Note: Show Flashcard

Interviewer Note: If respondent is unable to itemize specific programs, enter *00 answer choice (category). Do not count rental or housing assistance.
101. Supplemental Nutrition Assistance Program (SNAP)/Food Stamps/EBT Keep as is



PA_WIC Public Benefits and Coverage Last month, did [you/ you or anyone else who lives with you] receive assistance or payments from any of the following?

Interviewer Note: Enter all that apply, separate with commas

Interviewer Note: Show Flashcard

Interviewer Note: If respondent is unable to itemize specific programs, enter *00 answer choice (category). Do not count rental or housing assistance.
102. Women, Infants and Children (WIC) Keep as is



PA_CA Public Benefits and Coverage Last month, did [you/ you or anyone else who lives with you] receive assistance or payments from any of the following?

Interviewer Note: Enter all that apply, separate with commas

Interviewer Note: Show Flashcard

Interviewer Note: If respondent is unable to itemize specific programs, enter *00 answer choice (category). Do not count rental or housing assistance.
200. (B) Cash Assistance Keep as is



PA_TANF Public Benefits and Coverage Last month, did [you/ you or anyone else who lives with you] receive assistance or payments from any of the following?

Interviewer Note: Enter all that apply, separate with commas

Interviewer Note: Show Flashcard

Interviewer Note: If respondent is unable to itemize specific programs, enter *00 answer choice (category). Do not count rental or housing assistance.
203. Temporary Assistance for Needy Families (TANF) Keep as is



PA_SNA Public Benefits and Coverage Last month, did [you/ you or anyone else who lives with you] receive assistance or payments from any of the following?

Interviewer Note: Enter all that apply, separate with commas

Interviewer Note: Show Flashcard

Interviewer Note: If respondent is unable to itemize specific programs, enter *00 answer choice (category). Do not count rental or housing assistance.
204. Safety Net Assistance (SNA) Keep as is



PA_SHELTER Public Benefits and Coverage Last month, did [you/ you or anyone else who lives with you] receive assistance or payments from any of the following?

Interviewer Note: Enter all that apply, separate with commas

Interviewer Note: Show Flashcard

Interviewer Note: If respondent is unable to itemize specific programs, enter *00 answer choice (category). Do not count rental or housing assistance.
205. Shelter Allowance Keep as is



PA_PA Public Benefits and Coverage Last month, did [you/ you or anyone else who lives with you] receive assistance or payments from any of the following?

Interviewer Note: Enter all that apply, separate with commas

Interviewer Note: Show Flashcard

Interviewer Note: If respondent is unable to itemize specific programs, enter *00 answer choice (category). Do not count rental or housing assistance.
206. Public Assistance Keep as is



PA_DIS Public Benefits and Coverage Last month, did [you/ you or anyone else who lives with you] receive assistance or payments from any of the following?

Interviewer Note: Enter all that apply, separate with commas

Interviewer Note: Show Flashcard

Interviewer Note: If respondent is unable to itemize specific programs, enter *00 answer choice (category). Do not count rental or housing assistance.
300. (C) Disability Benefits Keep as is



PA_SSI Public Benefits and Coverage Last month, did [you/ you or anyone else who lives with you] receive assistance or payments from any of the following?

Interviewer Note: Enter all that apply, separate with commas

Interviewer Note: Show Flashcard

Interviewer Note: If respondent is unable to itemize specific programs, enter *00 answer choice (category). Do not count rental or housing assistance.
307. Supplemental Security Income (SSI) Keep as is



PA_SSDI Public Benefits and Coverage Last month, did [you/ you or anyone else who lives with you] receive assistance or payments from any of the following?

Interviewer Note: Enter all that apply, separate with commas

Interviewer Note: Show Flashcard

Interviewer Note: If respondent is unable to itemize specific programs, enter *00 answer choice (category). Do not count rental or housing assistance.
308. Social Security Disability Insurance (SSDI) Keep as is



PA_DISPEN Public Benefits and Coverage Last month, did [you/ you or anyone else who lives with you] receive assistance or payments from any of the following?

Interviewer Note: Enter all that apply, separate with commas

Interviewer Note: Show Flashcard

Interviewer Note: If respondent is unable to itemize specific programs, enter *00 answer choice (category). Do not count rental or housing assistance.
309. Disability Pension Keep as is



PA_OTH Public Benefits and Coverage Last month, did [you/ you or anyone else who lives with you] receive assistance or payments from any of the following?

Interviewer Note: Enter all that apply, separate with commas

Interviewer Note: Show Flashcard

Interviewer Note: If respondent is unable to itemize specific programs, enter *00 answer choice (category). Do not count rental or housing assistance.
400. (D) Other Benefits Keep as is



PA_OTHHRA Public Benefits and Coverage Last month, did [you/ you or anyone else who lives with you] receive assistance or payments from any of the following?

Interviewer Note: Enter all that apply, separate with commas

Interviewer Note: Show Flashcard

Interviewer Note: If respondent is unable to itemize specific programs, enter *00 answer choice (category). Do not count rental or housing assistance.
410. Another HRA program Keep as is



PA_OTHCITY Public Benefits and Coverage Last month, did [you/ you or anyone else who lives with you] receive assistance or payments from any of the following?

Interviewer Note: Enter all that apply, separate with commas

Interviewer Note: Show Flashcard

Interviewer Note: If respondent is unable to itemize specific programs, enter *00 answer choice (category). Do not count rental or housing assistance.
411. Another City program Keep as is



PA_OTHSTATE Public Benefits and Coverage Last month, did [you/ you or anyone else who lives with you] receive assistance or payments from any of the following?

Interviewer Note: Enter all that apply, separate with commas

Interviewer Note: Show Flashcard

Interviewer Note: If respondent is unable to itemize specific programs, enter *00 answer choice (category). Do not count rental or housing assistance.
412. Another State program Keep as is



PA_OTHFED Public Benefits and Coverage Last month, did [you/ you or anyone else who lives with you] receive assistance or payments from any of the following?

Interviewer Note: Enter all that apply, separate with commas

Interviewer Note: Show Flashcard

Interviewer Note: If respondent is unable to itemize specific programs, enter *00 answer choice (category). Do not count rental or housing assistance.
413. Another Federal program Keep as is



PA_NONE Public Benefits and Coverage Last month, did [you/ you or anyone else who lives with you] receive assistance or payments from any of the following?

Interviewer Note: Enter all that apply, separate with commas

Interviewer Note: Show Flashcard

Interviewer Note: If respondent is unable to itemize specific programs, enter *00 answer choice (category). Do not count rental or housing assistance.
994. No Keep as is



PA_FOOD_AMOUNT Public Benefits and Coverage Last month, how much did [you/ you and anyone else who lives with you] receive from [PROGRAM]?

Interviewer Note: Record total for all members that receive the benefit

Enter Amount
$_____________________
Keep as is



PA_SNAP_AMOUNT Public Benefits and Coverage Last month, how much did [you/ you and anyone else who lives with you] receive from [PROGRAM]?

Interviewer Note: Record total for all members that receive the benefit

Enter Amount
$_____________________
Keep as is



PA_WIC_AMOUNT Public Benefits and Coverage Last month, how much did [you/ you and anyone else who lives with you] receive from [PROGRAM]?

Interviewer Note: Record total for all members that receive the benefit

Enter Amount
$_____________________
Keep as is



PA_CA_AMOUNT Public Benefits and Coverage Last month, how much did [you/ you and anyone else who lives with you] receive from [PROGRAM]?

Interviewer Note: Record total for all members that receive the benefit

Enter Amount
$_____________________
Keep as is



PA_TANF_AMOUNT Public Benefits and Coverage Last month, how much did [you/ you and anyone else who lives with you] receive from [PROGRAM]?

Interviewer Note: Record total for all members that receive the benefit

Enter Amount
$_____________________
Keep as is



PA_SNA_AMOUNT Public Benefits and Coverage Last month, how much did [you/ you and anyone else who lives with you] receive from [PROGRAM]?

Interviewer Note: Record total for all members that receive the benefit

Enter Amount
$_____________________
Keep as is



PA_SHELTER_AMOUNT Public Benefits and Coverage Last month, how much did [you/ you and anyone else who lives with you] receive from [PROGRAM]?

Interviewer Note: Record total for all members that receive the benefit

Enter Amount
$_____________________
Keep as is



PA_PA_AMOUNT Public Benefits and Coverage Last month, how much did [you/ you and anyone else who lives with you] receive from [PROGRAM]?

Interviewer Note: Record total for all members that receive the benefit

Enter Amount
$_____________________
Keep as is



PA_DIS_AMOUNT Public Benefits and Coverage Last month, how much did [you/ you and anyone else who lives with you] receive from [PROGRAM]?

Interviewer Note: Record total for all members that receive the benefit

Enter Amount
$_____________________
Keep as is



PA_SSI_AMOUNT Public Benefits and Coverage Last month, how much did [you/ you and anyone else who lives with you] receive from [PROGRAM]?

Interviewer Note: Record total for all members that receive the benefit

Enter Amount
$_____________________
Keep as is



PA_SSDI_AMOUNT Public Benefits and Coverage Last month, how much did [you/ you and anyone else who lives with you] receive from [PROGRAM]?

Interviewer Note: Record total for all members that receive the benefit

Enter Amount
$_____________________
Keep as is Fixed typo in Spanish (del to de)


PA_DISPEN_AMOUNT Public Benefits and Coverage Last month, how much did [you/ you and anyone else who lives with you] receive from [PROGRAM]?

Interviewer Note: Record total for all members that receive the benefit

Enter Amount
$_____________________
Keep as is



PA_OTH_AMOUNT Public Benefits and Coverage Last month, how much did [you/ you and anyone else who lives with you] receive from [PROGRAM]?

Interviewer Note: Record total for all members that receive the benefit

Enter Amount
$_____________________
Keep as is



PA_OTHHRA_AMOUNT Public Benefits and Coverage Last month, how much did [you/ you and anyone else who lives with you] receive from [PROGRAM]?

Interviewer Note: Record total for all members that receive the benefit

Enter Amount
$_____________________
Keep as is



PA_OTHCITY_AMOUNT Public Benefits and Coverage Last month, how much did [you/ you and anyone else who lives with you] receive from [PROGRAM]?

Interviewer Note: Record total for all members that receive the benefit

Enter Amount
$_____________________
Keep as is



PA_OTHSTATE_AMOUNT Public Benefits and Coverage Last month, how much did [you/ you and anyone else who lives with you] receive from [PROGRAM]?

Interviewer Note: Record total for all members that receive the benefit

Enter Amount
$_____________________
Keep as is



PA_OTHFED_AMOUNT Public Benefits and Coverage Last month, how much did [you/ you and anyone else who lives with you] receive from [PROGRAM]?

Interviewer Note: Record total for all members that receive the benefit

Enter Amount
$_____________________
Keep as is



WORK_P1-WORK_P15 Employment Last week, did [you/person] work for pay at a job or business?

IF NEEDED: Include any work even if you worked only 1 hour or helped without pay in a family business, or were on active duty in the Armed Forces.

Interviewer Note: If the person did not work all last week because he/she was on vacation from his/her job, enter 2.
Include freelance work as work for pay at a job or business.
1. Yes
2. No
Keep as is



EMP_TEMPAGENCY_P1 - EMP_TEMPAGENCY_P15
EMP_TEMPDIRECT_P1 - EMP_TEMPDIRECT_P15
EMP_SELF_P1 - EMP_SELF_P15
EMP_FREE_P1 - EMP_FREE_P15
EMP_APP_P1 - CEMP_APP_P15
EMP_BIZ_P1 - EMP_BIZ_P15
EMP_SALARY_P1 - EMP_SALARY_P15
EMP_HOURLY_P1 - EMP_HOURLY_P15
EMP_OTHER_P1 - EMP_OTHER_P15
Employment [Were you/was person] working for pay as [one/one or more] of the following?

Interviewer note: Enter all that apply, separate with commas.

Interviewer note: Only select “Salaried employee” or “Hourly employee” if none of the other answer options apply

Interviewer Note: Show Flashcard
1. Salaried Employee
2. Hourly Employee
3. Owner or partner in a business with one or more employee
4. Self-employed with no employees
5. Temporary worker staffed through an agency
6. Temporary worker staffed directly
7. Independent contractor/Freelancer
8. Person who received work through an app or a web-based service
9. Other
Modify Modified version of the question fielded in the COVID module in 2021. Variable name will be updated to remove "COV," reference period will change, and flashcard number will change. Removed unnecessary interviewer note.


WORKJOBS_P1-WORKJOBS_P15 Employment Altogether, how many part-time and full-time jobs did [you/person] work at last week?
Enter Number______________
Keep as is



WORKLAST_P1-WORKLAST_P15 Employment When did [you/person] last work, even for a few days?
1. Within the past 12 months
2. 1 to 5 years ago
3. Over 5 years ago or never worked.
Keep as is



WORK52_P1-WORK52_P15 Employment In [fill last calendar year], did [you/person] work EVERY week?

IF NEEDED: Count paid vacation, paid sick leave, and military service as work
1. Yes
2. No
Keep as is



WORKWEEKS_P1-WORKWEEKS_P15 Employment In [fill last calendar year], how MANY weeks did [you/person] work?

IF NEEDED: Include paid time off and include weeks when the person only worked for a few hours.
Enter number of weeks________
Keep as is



WORKHOURS_P1-WORKHOURS_P15 Employment In [fill last calendar year], in the WEEKS WORKED, how many hours did [you/person] usually work each WEEK?
Enter number of hours_______
Keep as is



WORKTYPE_P1-WORKTYPE_P15 Employment Which of the following describes [your/[person]'s] employment last week?

Interviewer Note: Show Flashcard
1. For-profit company or organization
2. Non-profit organization (including tax-exempt and charitable organizations)
3. Government
4. Self-employed or contract work
Modify Removed select all that apply


WORKTYPEPRIM_P1-WORKTYPEPRIM_P15 Employment Which of the following describes [your/[person]'s] PRIMARY employment last week?

IF NEEDED: Since [person] had more than one job, please describe the one at which the most hours were worked

Interviewer Note: Show Flashcard
1. For-profit company or organization
2. Non-profit organization (including tax-exempt and charitable organizations)
3. Government
4. Self-employed or contract work
Modify Removed select all that apply


WORKTYPELAST_P1-WORKTYPELAST_P15 Employment Which of the following describes [your/[person]'s] most recent employment in the past 5 years?

Interviewer Note: Show Flashcard
1. For-profit company or organization
2. Non-profit organization (including tax-exempt and charitable organizations)
3. Government
4. Self-employed or contract work
Modify Removed select all that apply


WORKGOV_P1-WORKGOV_P15 Employment Was this employment with local, state, or federal government? 1. Local government
2. State government
3. Federal government
Keep as is



WORKSCHED_P1-WORKSCHED_P15 Employment On [your/[Person]'s] [primary/current] job, [do you/do they] USUALLY work a daytime schedule or some other schedule?

If Needed: By daytime, I mean a schedule in which most work is done between the hours of 6am and 6pm

INTERVIEWER NOTE:
If person works more than one job, select primary job (job with most hours worked).
1. Daytime- most work is done between 6am and 6pm
2. Some other schedule
Keep as is



BUSINESS_P1- BUSINESS_P15 Income [Do you/Does Person] own a business or are [you/they] a partner in a business?

IF NEEDED:
Do not include (person)'s co-op as a business.
1 Yes
2 No
Keep as is



BUSINESSINC_P1- BUSINESSINC _P15 Income Is the business incorporated, such as an LLC or something similar? 1 Yes
2 No
Keep as is



BUSINESSEMP_P1- BUSINESSEMP _P15 Income [Are you/ Is [person]] also an employee of that business?
IF NEEDED: [Do you/ Does [person]] receive a salary?
1 Yes
2 No
Keep as is



INC_JOB_P1-INC_JOB_P15 Income In [fill last calendar year], did [you/person] receive income from any of these sources?

Interviewer Note: Enter all that apply, separate with commas


Interviewer Note: Show Flashcard
100. (A) Income from a job
Keep as is



INC_SALARY_P1-INC_SALARY_P15 Income In [fill last calendar year], did [you/person] receive income from any of these sources?

Interviewer Note: Enter all that apply, separate with commas


Interviewer Note: Show Flashcard
101. Salary Keep as is



INC_WAGES_P1-INC_WAGES_P15 Income In [fill last calendar year], did [you/person] receive income from any of these sources?

Interviewer Note: Enter all that apply, separate with commas


Interviewer Note: Show Flashcard
102. Wages Keep as is



INC_TIPS_P1-INC_TIPS_P15 Income In [fill last calendar year], did [you/person] receive income from any of these sources?

Interviewer Note: Enter all that apply, separate with commas


Interviewer Note: Show Flashcard
103. Tips Keep as is



INC_SELF_P1-INC_SELF_P15 Income In [fill last calendar year], did [you/person] receive income from any of these sources?

Interviewer Note: Enter all that apply, separate with commas


Interviewer Note: Show Flashcard
104. Income from self-employment Keep as is



INC_BUSINESS_P1-INC_BUSINESS _P15 Income In [fill last calendar year], did [you/person] receive income from any of these sources?

Interviewer Note: Enter all that apply, separate with commas


Interviewer Note: Show Flashcard
105. Income from a business Keep as is



INC_ADD_P1-INC_ADD_P15 Income In [fill last calendar year], did [you/person] receive income from any of these sources?

Interviewer Note: Enter all that apply, separate with commas


Interviewer Note: Show Flashcard
200. (B) Additional Income Keep as is



INC_BONUS_P1-INC_BONUS _P15 Income In [fill last calendar year], did [you/person] receive income from any of these sources?

Interviewer Note: Enter all that apply, separate with commas


Interviewer Note: Show Flashcard
206. Bonuses or commissions Keep as is



INC_STIPEND_P1-INC_STIPEND _P15 Income In [fill last calendar year], did [you/person] receive income from any of these sources?

Interviewer Note: Enter all that apply, separate with commas


Interviewer Note: Show Flashcard
207. Stipends Keep as is



INC_RENTINC_P1-INC_RENTINC _P15 Income In [fill last calendar year], did [you/person] receive income from any of these sources?

Interviewer Note: Enter all that apply, separate with commas


Interviewer Note: Show Flashcard
208. Income from renting some or all of your home Keep as is



INC_RENTPERS_P1-INC_RENTPERS_P15 Income In [fill last calendar year], did [you/person] receive income from any of these sources?

Interviewer Note: Enter all that apply, separate with commas


Interviewer Note: Show Flashcard
209. Income from renting a property that isn't your home Keep as is



INC_RETIRE_P1-INC_RETIRE_P15 Income In [fill last calendar year], did [you/person] receive income from any of these sources?

Interviewer Note: Enter all that apply, separate with commas


Interviewer Note: Show Flashcard
300. (C) Retirement Keep as is



INC_SS_P1-INC_SS_P15 Income In [fill last calendar year], did [you/person] receive income from any of these sources?

Interviewer Note: Enter all that apply, separate with commas


Interviewer Note: Show Flashcard
310. Social Security Keep as is



INC_PENSION_P1-INC_PENSION _P15 Income In [fill last calendar year], did [you/person] receive income from any of these sources?

Interviewer Note: Enter all that apply, separate with commas


Interviewer Note: Show Flashcard
311. Pension Keep as is



INC_RAIL_P1-INC_ RAIL_P15 Income In [fill last calendar year], did [you/person] receive income from any of these sources?

Interviewer Note: Enter all that apply, separate with commas


Interviewer Note: Show Flashcard
312. Railroad retirement Keep as is



INC_OTHRETIRE_P1-INC_OTHRETIRE_P15 Income In [fill last calendar year], did [you/person] receive income from any of these sources?

Interviewer Note: Enter all that apply, separate with commas


Interviewer Note: Show Flashcard
313. Other retirement income Keep as is



INC_DIS_P1-INC_ DIS_P15 Income In [fill last calendar year], did [you/person] receive income from any of these sources?

Interviewer Note: Enter all that apply, separate with commas


Interviewer Note: Show Flashcard
400. (D) Disability and Leave Keep as is



INC_WORKCOMP_P1-INC_WORKCOMP_P15 Income In [fill last calendar year], did [you/person] receive income from any of these sources?

Interviewer Note: Enter all that apply, separate with commas


Interviewer Note: Show Flashcard
414. Workers’ compensation Keep as is



INC_PFL_P1-INC_ PFL_P15 Income In [fill last calendar year], did [you/person] receive income from any of these sources?

Interviewer Note: Enter all that apply, separate with commas


Interviewer Note: Show Flashcard
415. Paid Family Leave (PFL) Keep as is



INC_FMLA_P1-INC_FMLA_P15 Income In [fill last calendar year], did [you/person] receive income from any of these sources?

Interviewer Note: Enter all that apply, separate with commas


Interviewer Note: Show Flashcard
416. Paid Family Medical Leave (FMLA) Keep as is



INC_SUPPINS_P1-INC_SUPPINS_P15 Income In [fill last calendar year], did [you/person] receive income from any of these sources?

Interviewer Note: Enter all that apply, separate with commas


Interviewer Note: Show Flashcard
417. Cash payment from Supplemental Insurance Keep as is



INC_INVEST_P1-INC_INVEST_P15 Income In [fill last calendar year], did [you/person] receive income from any of these sources?

Interviewer Note: Enter all that apply, separate with commas


Interviewer Note: Show Flashcard
500. (E) Interest and Payments Keep as is



INC_INTEREST_P1-INC_INTEREST_P15 Income In [fill last calendar year], did [you/person] receive income from any of these sources?

Interviewer Note: Enter all that apply, separate with commas


Interviewer Note: Show Flashcard
518. Interest of $500 or more Keep as is



INC_DIVIDEND_P1-INC_DIVIDEND_P15 Income In [fill last calendar year], did [you/person] receive income from any of these sources?

Interviewer Note: Enter all that apply, separate with commas


Interviewer Note: Show Flashcard
519. Dividends Keep as is



INC_ANNUITY_P1-INC_ANNUITY_P15 Income In [fill last calendar year], did [you/person] receive income from any of these sources?

Interviewer Note: Enter all that apply, separate with commas


Interviewer Note: Show Flashcard
520. Annuities Keep as is



INC_ESTATE_P1-INC_ESTATE_P15 Income In [fill last calendar year], did [you/person] receive income from any of these sources?

Interviewer Note: Enter all that apply, separate with commas


Interviewer Note: Show Flashcard
521. Estates and trusts Keep as is



INC_ROYALTY_P1-INC_ROYALTY_P15 Income In [fill last calendar year], did [you/person] receive income from any of these sources?

Interviewer Note: Enter all that apply, separate with commas


Interviewer Note: Show Flashcard
522. Royalties Keep as is



INC_OTHERINC_P1-INC_OTHERINC _P15 Income In [fill last calendar year], did [you/person] receive income from any of these sources?

Interviewer Note: Enter all that apply, separate with commas


Interviewer Note: Show Flashcard
600. (F) Other Keep as is



INC_UNEMPL_P1-INC_UNEMPL_P15 Income In [fill last calendar year], did [you/person] receive income from any of these sources?

Interviewer Note: Enter all that apply, separate with commas


Interviewer Note: Show Flashcard
623. Unemployment Keep as is



INC_CHILDSUPP_P1-INC_CHILDSUPP_P15 Income In [fill last calendar year], did [you/person] receive income from any of these sources?

Interviewer Note: Enter all that apply, separate with commas


Interviewer Note: Show Flashcard
624. Child support and alimony Keep as is



INC_SURVIVOR_P1-INC_SURVIVOR_P15 Income In [fill last calendar year], did [you/person] receive income from any of these sources?

Interviewer Note: Enter all that apply, separate with commas


Interviewer Note: Show Flashcard
625. Survivor benefits Keep as is



INC_VET_P1-INC_VET_P15 Income In [fill last calendar year], did [you/person] receive income from any of these sources?

Interviewer Note: Enter all that apply, separate with commas


Interviewer Note: Show Flashcard
626. Veterans’ payments Keep as is



INC_OTHERSOURCE_P1-INC_OTHERSOURCE_P15 Income In [fill last calendar year], did [you/person] receive income from any of these sources?

Interviewer Note: Enter all that apply, separate with commas


Interviewer Note: Show Flashcard
627. Other regular source of income Keep as is



?????
Can Census please verify varibal name? May be INC_NONE_P1-INC_NONE_P15, but needs verification
Income In [fill last calendar year], did [you/person] receive income from any of these sources?

Interviewer Note: Enter all that apply, separate with commas


Interviewer Note: Show Flashcard
994. No Keep as is



INCAMT_JOB_P1-INCAMT_JOB_P15 Income How much did [you/person] earn from [fill from INC_*_P1-P15] in [fill last calendar year]?

IF NEEDED: Report income before taxes.
Interviewer Note: If the income went to multiple people, split the amount evenly among recipients
Enter Amount
$_____________________
Keep as is



INCAMT_SALARY_P1-INCAMT_SALARY_P15 Income How much did [you/person] earn from [fill from INC_*_P1-P15] in [fill last calendar year]?

IF NEEDED: Report income before taxes.
Interviewer Note: If the income went to multiple people, split the amount evenly among recipients
Enter Amount
$_____________________
Keep as is



INCAMT_WAGES_P1-INCAMT_WAGES_P15 Income How much did [you/person] earn from [fill from INC_*_P1-P15] in [fill last calendar year]?

IF NEEDED: Report income before taxes.
Interviewer Note: If the income went to multiple people, split the amount evenly among recipients

Interviewer note: If respondent reports having both wages and tips, but cannot report them separately, put the combined amount under "wages".
Enter Amount
$_____________________
Keep as is



INCAMT_TIPS_P1-INCAMT_ TIPS_P15 Income How much did [you/person] earn from [fill from INC_*_P1-P15] in [fill last calendar year]?

IF NEEDED: Report income before taxes.
Interviewer Note: If the income went to multiple people, split the amount evenly among recipients

Interviewer note: If respondent reports having both wages and tips, but cannot report them separately, put the combined amount under "wages".
Enter Amount
$_____________________
Keep as is



INCAMT_SELF_P1-INCAMT_SELF_P15 Income How much did [you/person] earn from [fill from INC_*_P1-P15] in [fill last calendar year]?

IF NEEDED: Report income before taxes.

Interviewer Note: If the income went to multiple people, split the amount evenly among recipients

Interviewer note: Report net income after operating expenses. If net income was a loss precede amount with a '-'. Breakeven = 1.
Enter Amount
$_____________________
Keep as is



INCAMT_BUSINESS_P1-INCAMT_ BUSINESS _P15 Income How much did [you/person] earn from [fill from INC_*_P1-P15] in [fill last calendar year]?

IF NEEDED: Report income before taxes.
Interviewer Note: If the income went to multiple people, split the amount evenly among recipients

Interviewer note: Report net income after operating expenses. If net income was a loss precede amount with a '-'. Breakeven = 1.
Enter Amount
$_____________________
Keep as is



INCAMT_ADD_P1-INCAMT_ ADD_P15 Income How much did [you/person] earn from [fill from INC_*_P1-P15] in [fill last calendar year]?

IF NEEDED: Report income before taxes.
Interviewer Note: If the income went to multiple people, split the amount evenly among recipients
Enter Amount
$_____________________
Keep as is



INCAMT_BONUS_P1-INCAMT_BONUS _P15 Income How much did [you/person] earn from [fill from INC_*_P1-P15] in [fill last calendar year]?

IF NEEDED: Report income before taxes.
Interviewer Note: If the income went to multiple people, split the amount evenly among recipients
Enter Amount
$_____________________
Keep as is



INCAMT_STIPEND_P1-INCAMT_STIPEND_P15 Income How much did [you/person] earn from [fill from INC_*_P1-P15] in [fill last calendar year]?

IF NEEDED: Report income before taxes.
Interviewer Note: If the income went to multiple people, split the amount evenly among recipients
Enter Amount
$_____________________
Keep as is



INCAMT_RENTINC_P1-INCAMT_RENTINC_P15 Income How much did [you/person] earn from [fill from INC_*_P1-P15] in [fill last calendar year]?

Interviewer Note: Rental income is income from rental of property to others and receipts from boarders or lodgers. Net rental income is the total income received minus expenses (such as property taxes, insurance, repairs, mortgage (if applicable), homeowner association fees, etc.) and can result in a loss.

IF NEEDED: Report income before taxes.
Interviewer Note: If the income went to multiple people, split the amount evenly among recipients

Interviewer Note: Report net income after operating expenses. If net income was a loss precede amount with a '-'. Breakeven = 1.

Enter Amount
$_____________________
Keep as is



INCAMT_RENTPERS_P1-INCAMT_RENTPERS _P15 Income How much did [you/person] earn from [fill from INC_*_P1-P15] in [fill last calendar year]?

Interviewer Note: Rental income is income from rental of property to others and receipts from boarders or lodgers. Net rental income is the total income received minus expenses (such as property taxes, insurance, repairs, mortgage (if applicable), homeowner association fees, etc.) and can result in a loss.

IF NEEDED: Report income before taxes.
Interviewer Note: If the income went to multiple people, split the amount evenly among recipients

Interviewer Note: Report net income after operating expenses. If net income was a loss precede amount with a '-'. Breakeven = 1.
Enter Amount
$_____________________
Keep as is



INCAMT_RETIRE_P1-INCAMT_RETIRE_P15 Income How much did [you/person] earn from [fill from INC_*_P1-P15] in [fill last calendar year]?

IF NEEDED: Report income before taxes.
Interviewer Note: If the income went to multiple people, split the amount evenly among recipients
Enter Amount
$_____________________
Keep as is



INCAMT_SS_P1-INCAMT_SS_P15 Income How much did [you/person] earn from [fill from INC_*_P1-P15] in [fill last calendar year]?

IF NEEDED: Report income before taxes.
Interviewer Note: If the income went to multiple people, split the amount evenly among recipients
Enter Amount
$_____________________
Keep as is



INCAMT_PENSION_P1-INCAMT_PENSION _P15 Income How much did [you/person] earn from [fill from INC_*_P1-P15] in [fill last calendar year]?

IF NEEDED: Report income before taxes.
Interviewer Note: If the income went to multiple people, split the amount evenly among recipients
Enter Amount
$_____________________
Keep as is



INCAMT_RAIL_P1-INCAMT_RAIL_P15 Income How much did [you/person] earn from [fill from INC_*_P1-P15] in [fill last calendar year]?

IF NEEDED: Report income before taxes.
Interviewer Note: If the income went to multiple people, split the amount evenly among recipients
Enter Amount
$_____________________
Keep as is



INCAMT_OTHRETIRE_P1-INCAMT_OTHRETIRE_P15 Income How much did [you/person] earn from [fill from INC_*_P1-P15] in [fill last calendar year]?

IF NEEDED: Report income before taxes.
Interviewer Note: If the income went to multiple people, split the amount evenly among recipients
Enter Amount
$_____________________
Keep as is



INCAMT_WORKCOMP_P1-INCAMT_WORKCOMP_P15 Income How much did [you/person] earn from [fill from INC_*_P1-P15] in [fill last calendar year]?

IF NEEDED: Report income before taxes.
Interviewer Note: If the income went to multiple people, split the amount evenly among recipients
Enter Amount
$_____________________
Keep as is



INCAMT_PFL_P1-INCAMT_PFL_P15 Income How much did [you/person] earn from [fill from INC_*_P1-P15] in [fill last calendar year]?

IF NEEDED: Report income before taxes.
Interviewer Note: If the income went to multiple people, split the amount evenly among recipients
Enter Amount
$_____________________
Keep as is



INCAMT_FMLA_P1-INCAMT_FMLA_P15 Income How much did [you/person] earn from [fill from INC_*_P1-P15] in [fill last calendar year]?

IF NEEDED: Report income before taxes.
Interviewer Note: If the income went to multiple people, split the amount evenly among recipients
Enter Amount
$_____________________
Keep as is



INCAMT_SUPPINS_P1-INCAMT_SUPPINS_P15 Income How much did [you/person] earn from [fill from INC_*_P1-P15] in [fill last calendar year]?

IF NEEDED: Report income before taxes.
Interviewer Note: If the income went to multiple people, split the amount evenly among recipients
Enter Amount
$_____________________
Keep as is



INCAMT_INVEST_P1-INCAMT_INVEST_P15 Income How much did [you/person] earn from [fill from INC_*_P1-P15] in [fill last calendar year]?

IF NEEDED: Report income before taxes.
Interviewer Note: If the income went to multiple people, split the amount evenly among recipients
Enter Amount
$_____________________
Keep as is



INCAMT_INTEREST_P1-INCAMT_INTEREST _P15 Income How much did [you/person] earn from [fill from INC_*_P1-P15] in [fill last calendar year]?

IF NEEDED: Report income before taxes.
Interviewer Note: If the income went to multiple people, split the amount evenly among recipients
Enter Amount
$_____________________
Keep as is



INCAMT_DIVIDEND_P1-INCAMT_DIVIDEND_P15 Income How much did [you/person] earn from [fill from INC_*_P1-P15] in [fill last calendar year]?

IF NEEDED: Report income before taxes.
Interviewer Note: If the income went to multiple people, split the amount evenly among recipients
Enter Amount
$_____________________
Keep as is



INCAMT_ANNUITY_P1-INCAMT_ANNUITY_P15 Income How much did [you/person] earn from [fill from INC_*_P1-P15] in [fill last calendar year]?

IF NEEDED: Report income before taxes.
Interviewer Note: If the income went to multiple people, split the amount evenly among recipients
Enter Amount
$_____________________
Keep as is



INCAMT_ESTATE_P1-INCAMT_ESTATE_P15 Income How much did [you/person] earn from [fill from INC_*_P1-P15] in [fill last calendar year]?

IF NEEDED: Report income before taxes.
Interviewer Note: If the income went to multiple people, split the amount evenly among recipients
Enter Amount
$_____________________
Keep as is



INCAMT_ROYALTY_P1-INCAMT_ROYALTY_P15 Income How much did [you/person] earn from [fill from INC_*_P1-P15] in [fill last calendar year]?

IF NEEDED: Report income before taxes.
Interviewer Note: If the income went to multiple people, split the amount evenly among recipients
Enter Amount
$_____________________
Keep as is



INCAMT_OTHERINC_P1-INCAMT_OTHERINC _P15 Income How much did [you/person] earn from [fill from INC_*_P1-P15] in [fill last calendar year]?

IF NEEDED: Report income before taxes.
Interviewer Note: If the income went to multiple people, split the amount evenly among recipients
Enter Amount
$_____________________
Keep as is



INCAMT_UNEMPL_P1-INCAMT_UNEMPL_P15 Income How much did [you/person] earn from [fill from INC_*_P1-P15] in [fill last calendar year]?

IF NEEDED: Report income before taxes.
Interviewer Note: If the income went to multiple people, split the amount evenly among recipients
Enter Amount
$_____________________
Keep as is



INCAMT_CHILDSUPP_P1-INCAMT_CHILDSUPP_P15 Income How much did [you/person] earn from [fill from INC_*_P1-P15] in [fill last calendar year]?

IF NEEDED: Report income before taxes.
Interviewer Note: If the income went to multiple people, split the amount evenly among recipients
Enter Amount
$_____________________
Keep as is



INCAMT_SURVIVOR_P1-INCAMT_SURVIVOR_P15 Income How much did [you/person] earn from [fill from INC_*_P1-P15] in [fill last calendar year]?

IF NEEDED: Report income before taxes.
Interviewer Note: If the income went to multiple people, split the amount evenly among recipients
Enter Amount
$_____________________
Keep as is



INCAMT_VET_P1-INCAMT_VET_P15 Income How much did [you/person] earn from [fill from INC_*_P1-P15] in [fill last calendar year]?

IF NEEDED: Report income before taxes.
Interviewer Note: If the income went to multiple people, split the amount evenly among recipients
Enter Amount
$_____________________
Keep as is



INCAMT_OTHERSOURCE_P1-INCAMT_OTHERSOURCE_P15 Income How much did [you/person] earn from [fill from INC_*_P1-P15] in [fill last calendar year]?

IF NEEDED: Report income before taxes.
Interviewer Note: If the income went to multiple people, split the amount evenly among recipients
Enter Amount
$_____________________
Keep as is



INC_ONETIME_P1-INC_ONETIME_P 15 Income Separate from what we just talked about, in [fill last calendar year], did [you/person] receive any one-time payments, such as inheritance, settlement of a lawsuit, or buyout from a landlord?

1.Yes, a buyout from a landlord
2.Yes, an inheritance, settlement, or other one-time payment
3. Both
4.No
Keep as is



INC_ONETIME_AMT_P1-INC_ONETIME_AMT_P15 Income You indicated that [you/person] received a [one-time payment/buyout]. About how much did [you/person] receive in [fill last calendar year]?

Interviewer Note: If more than one, please combine.

Interviewer Note: If the one-time payment went to multiple people, split the amount evenly among recipients
Enter Amount
$_____________________
Keep as is



TOTAL_INC_CONF_P1-TOTAL_INC_CONF_P15 Income It seems like [you/person] made [Calculate total income for person] in [fill last calendar year]. Does that seem correct? 1. Yes
2. No
Modify Changed "does that seem right" to "does that seem correct"


MORTDEDUCT_P1-MORTDEDUCT_P15 Housing Costs: Owner Did [you/you or anyone you live with] claim a mortgage interest tax deduction for 2021? 1. Yes
2. No
999. Respondent did not live in unit during reference period
Modify Changed question phrasing to make household level (removed loop) and clarify tax year. Changed answer options


HHINCOME_CONF_TOTAL Income It seems like the combined income for you and the people who live with you was [Calculate total household income] in [fill last calendar year]. Does that seem correct? 1. Yes
2. No
Modify "correct" instead of "right"


EMERG400_RATE Income On a scale of 1 to 10, when 1 is definitely no and 10 is definitely yes, could you pay for an emergency expense that cost $400 now? 1. 1
2. 2
3. 3
4. 4
5. 5
6. 6
7. 7
8. 8
9. 9
10. 10
Cut



NEWITEM
These next questions are about only you, and not anyone else who lives with you.
New



DEBT_STUDENT Debt [Other than [LOAN], ]please tell me all of the types of debt you currently have.

Interviewer Note: Enter all that apply, separate with commas.

Interviewer Note: Show Flashcard
1. Student Loans
Keep as is



DEBT_CAR Debt [Other than [LOAN], ]please tell me all of the types of debt you currently have.

Interviewer Note: Enter all that apply, separate with commas.

Interviewer Note: Show Flashcard
2. Car Loans
Keep as is



DEBT_FAMILY Debt [Other than [LOAN], ]please tell me all of the types of debt you currently have.

Interviewer Note: Enter all that apply, separate with commas.

Interviewer Note: Show Flashcard
3. Loans from relatives and friends
Keep as is



DEBT_CREDIT Debt [Other than [LOAN], ]please tell me all of the types of debt you currently have.

Interviewer Note: Enter all that apply, separate with commas.

Interviewer Note: Show Flashcard
4. Credit Cards
Keep as is



DEBT_MEDICAL Debt [Other than [LOAN], ]please tell me all of the types of debt you currently have.

Interviewer Note: Enter all that apply, separate with commas.

Interviewer Note: Show Flashcard
5. Medical Bills
Keep as is



DEBT_LEGAL Debt [Other than [LOAN], ]please tell me all of the types of debt you currently have.

Interviewer Note: Enter all that apply, separate with commas.

Interviewer Note: Show Flashcard
6. Legal Bills
Keep as is



DEBT_OTHER Debt [Other than [LOAN], ]please tell me all of the types of debt you currently have.

Interviewer Note: Enter all that apply, separate with commas.

Interviewer Note: Show Flashcard
7. Other
Keep as is



?????
Variable unknown, may DEBT_NONE, but please verify variable name
Debt [Other than [LOAN], ]please tell me all of the types of debt you currently have.

Interviewer Note: Enter all that apply, separate with commas.

Interviewer Note: Show Flashcard
8. None Keep as is



DEBT_STUDENT_AMT Debt If you added up all student loans, about how much would they amount to right now?

Interviewer Note: Report unpaid balance(s), or student loans that are outstanding

Enter Amount
$_____________________
Keep as is



DEBT_STUDENT_25K Debt Would they amount to $25,000 or more? 1. Yes
2. No
Keep as is



DEBT_STUDENT_50K Debt (Would they amount to) $50,000 or more? 1. Yes
2. No
Keep as is



DEBT_STUDENT_10K Debt (Would they amount to) $10,000 or more? 1. Yes
2. No
Keep as is



DEBT_STUDENT_75K Debt (Would they amount to) $75,000 or more? 1. Yes
2. No
Keep as is



DEBT_CAR_AMT Debt If you added up all the car loans, about how much would they amount to right now?

Enter Amount
$_____________________
Keep as is



DEBT_CAR_4K Debt Would they amount to $4,000 or more? 1. Yes
2. No
Keep as is



DEBT_CAR_10K Debt (Would they amount to) $10,000 or more? 1. Yes
2. No
Keep as is



DEBT_CAR_1K Debt (Would they amount to) $1,000 or more? 1. Yes
2. No
Keep as is



DEBT_CAR_20K Debt (Would they amount to) $20,000 or more? 1. Yes
2. No
Keep as is



DEBT_FAMILY_AMT Debt If you added up all loans from relatives and friends, about how much would they amount to right now?

Interviewer Note: Record unpaid balance(s), or loans from relatives that are outstanding


Enter Amount
$_____________________
Keep as is



DEBT_FAMILY_4K Debt Would they amount to $4,000 or more? 1. Yes
2. No
Keep as is



DEBT_FAMILY_10K Debt (Would they amount to) $10,000 or more? 1. Yes
2. No
Keep as is



DEBT_FAMILY_1K Debt (Would they amount to) $1,000 or more? 1. Yes
2. No
Keep as is



DEBT_FAMILY_20K Debt (Would they amount to) $20,000 or more? 1. Yes
2. No
Keep as is



DEBT_CREDIT_AMT Debt If you added up all credit card debts, about how much would they amount to right now?

IF NECESSARY: Include store card debt.

IF NECESSARY: Please do not count any new debt that will be paid off this month.


Enter Amount
$_____________________
Keep as is



DEBT_CREDIT_5K Debt Would they amount to $5,000 or more? 1. Yes
2. No
Keep as is



DEBT_CREDIT_10K Debt (Would they amount to) $10,000 or more? 1. Yes
2. No
Keep as is



DEBT_CREDIT_15K Debt (Would they amount to) $15,000 or more? 1. Yes
2. No
Keep as is



DEBT_CREDIT_1K Debt (Would they amount to) $1,000 or more? 1. Yes
2. No
Keep as is



DEBT_MEDICAL_AMT Debt If you added up all medical bills, about how much would they amount to right now?

Interviewer Note: Record unpaid balance(s), or medical bills that are outstanding
Enter Amount
$_____________________
Keep as is



DEBT_MEDICAL_3K Debt Would they amount to $3,000 or more? 1. Yes
2. No
Keep as is



DEBT_MEDICAL_10K Debt (Would they amount to) $10,000 or more? 1. Yes
2. No
Keep as is



DEBT_MEDICAL_25K Debt (Would they amount to) $25,000 or more? 1. Yes
2. No
Keep as is



DEBT_MEDICAL_1K Debt (Would they amount to) $1,000 or more? 1. Yes
2. No
Keep as is



DEBT_LEGAL_AMT Debt If you added up all legal bills, about how much would they amount to right now?

Interviewer Note: Record unpaid balance(s), or legal bills that are outstanding
Enter Amount
$_____________________
Keep as is



DEBT_LEGAL_3K Debt Would they amount to $3,000 or more? 1. Yes
2. No
Keep as is



DEBT_LEGAL_8K Debt (Would they amount to) $8,000 or more? 1. Yes
2. No
Keep as is



DEBT_LEGAL_1K Debt (Would they amount to) $1,000 or more? 1. Yes
2. No
Keep as is



DEBT_LEGAL_20K Debt (Would they amount to) $20,000 or more? 1. Yes
2. No
Keep as is



TOTAL_DEBT_CONF Debt It seems like you have [pipe total debt] in these types of debt, does that seem correct?


• If yes, suppress and continue.
• If no, select the debt type amount that is incorrect and change answer.
• If respondent has a type of debt not listed below, go to DEBT and select debt type.
[• The respondent reported having other debt that is not included in this total. If the total is otherwise correct, suppress and continue.]
Yes
No
Modify "correct" instead of "right"


RELDEBT_1YR Debt Altogether, is that more debt, less debt, or the same amount of debt you had a year ago? 1. More
2. Less
3. About the same
Keep as is



RELDEBT_5YR Debt Altogether, is that more debt, less debt, or the same amount of debt you had FIVE years ago? 1. More
2. Less
3. About the same
Keep as is



COV_INTRO
We want to understand how the pandemic has affected New Yorkers.
New



COV_COVID_DIAG_P1 - COV_COVID_DIAG_P15 COVID Now please think about all of the people living with you currently, including yourself.

[Were you/Which of the people who live in your [apartment/house], including you, were] told by a doctor or other health professional that [you/they] had or likely had coronavirus or COVID 19?

Interviewer Note: Enter all that apply, separate with commas.

Interviewer Note: Interviewer Note: Mark 1 for Yes and 95 for No.
1. Respondent
2. Person 2
3 Person 3
4. Person 4
5. Person 5
6. Person 6
7. Person 7
8. Person 8
9. Person 9
10. Person 10
11. Person 11
12. Person 12
13. Person 13
14. Person 14
15. Person 15
95. None
Keep as is



COV_COVID_HOSP_P1 - COV_COVID_HOSP_P15 COVID [Were you/Which of the people who live in your [apartment/house], including you, were] hospitalized overnight for symptoms of coronavirus or COVID 19?

Interviewer Note: Enter all that apply, separate with commas.

Interviewer Note: Interviewer Note: Mark 1 for Yes and 95 for No.
1. Respondent
2. Person 2
3 Person 3
4. Person 4
5. Person 5
6. Person 6
7. Person 7
8. Person 8
9. Person 9
10. Person 10
11. Person 11
12. Person 12
13. Person 13
14. Person 14
15. Person 15
95. None
Keep as is



COV_COVID_HOSP_MO_P1 - COV_COVID_HOSP_MO_P15
COVID What month and year [were you/was Person] hospitalized?

IF NEEDED: If hospitalized more than one, pick the first hospitalization
Enter month
Keep as is



COV_COVID_HOSP_YR_P1 - COV_COVID_HOSP_YR_P15 COVID What month and year [were you/was Person] hospitalized?

IF NEEDED: If hospitalized more than one, pick the first hospitalization
Enter year Keep as is



FOOD_INTRO
I’m going to read you several statements that people have made about their food situation. For these statements, please tell me whether the statement was often true, sometimes true, or never true for (you/you and the people you live with in the last 12 months—that is, since last (name of current month).
Modify Change of reference period.


FOOD_CHILD_NOT_ENOUGH COVID The [child was/children were] not eating enough because we just couldn't afford food

IF NEEDED: Was that often, sometimes, or never true for [you/ you and the people you live with] in the last 12 months?
1. Often true
2. Sometimes true
3. Never true
Modify Change of reference period. Renamed variable


FOOD_NOT_LAST COVID "The food that [I/we] bought just didn't last, and [I/we] didn't have money to get more."

IF NEEDED:
Was that often, sometimes, or never true for [you/ you and the people you live with] in the last 12 months?
1. Often true
2. Sometimes true
3. Never true
Modify Change of reference period. Renamed variable


FOOD_NOT_BALANCED COVID "[I/We] couldn't afford to eat balanced meals."

IF NEEDED: Was that often, sometimes, or never true for [you/ you and the people you live with] in the last 12 months?
1. Often true
2. Sometimes true
3. Never true
Modify Change of reference period. Renamed variable


FOOD_SKIP_MEAL COVID In the last 12 months, since last [name of current month], did [you/you or the other people you live with] ever cut the size of your meals or skip meals because there wasn't enough money for food? 1. Yes
2. No
Modify Change of reference period. Renamed variable


FOOD_SKIP_MEAL_FREQ COVID How often did this happen—almost every month, some months but not every month, or in only 1 or 2 months? 1. Almost every month
2. Some months but not every month
3. Only 1 or 2 months
Modify Change of reference period. Renamed variable


FOOD_SKIP_BUY COVID In the last 12 months, did you [or the people you live with] ever eat less than you felt you should because there wasn't enough money for food? 1. Yes
2. No
Modify Change of reference period. Renamed variable


FOOD_HUNGRY COVID In the last 12 months, were you [or the people you live with] ever hungry but didn't eat because there wasn't enough money for food? 1. Yes
2. No
Modify Change of reference period. Renamed variable


NEWITEM Race_Ethnicity & Education At any time since ^pymonth ^pyyear, [were you/was Person] in school or college? 1. Yes
2. No
Cut



PLACEEDUC_P1-PLACEEDUC_P15 Race_Ethnicity & Education When [you were/[person] was] last in school, was that in the United States, or someplace else?

IF NEEDED: By in school, I mean pursuing a degree or certificate.

Interviewer Note: If person was last in school in Puerto Rico, mark United States
1. United States
2. Someplace Else
3. Not Applicable
Modify Added IF NEEDED text


EDUC_P1-EDUC_P15 Race_Ethnicity & Education How much school [have you/has [person]] completed?

IF NEEDED: What is the highest level or degree of schooling you have completed?

(Interviewer Coded)
1. No school completed
2. Kindergarten
3. Grade 1 through 11
4. 12th grade - No Diploma
5. Regular high school diploma
6. GED or alternative credential
7. Some college credit, but less than 1 year of college credit
8. 1 or more years of college credit, no degree
9. Associate's degree (for example: AA, AS)
10. Bachelor's degree (for example: BA, BS)
11. Master's degree (for example: MA, MS, MEng, MEd, MSW, MBA)
12. Professional degree beyond a bachelor's degree (for example: MD, DDS, DVM, LLB, JD)
13. Doctorate degree (for example: PhD, EdD)
Keep as is



EDUCSP_P Race_Ethnicity & Education Interviewer note: Specify grade 1 through 11.
Keep as is



COUNTRYEDUC_P1-COUNTRYEDUC_P15 Race_Ethnicity & Education In what country [were you/was person] last in school? 1. Dominican Republic
2. China
3. Jamaica
4. Mexico
5. Guyana
6. Ecuador
7. Haiti
8. Trinidad & Tobago
9. Bangladesh
10. India
11. Colombia
12. Ukraine
13. Russia
14. South Korea (Republic of Korea)
15. Philippines
16. A country not on the list
Keep as is



SECONDSCHL_SPEC_P1-SECONDSCHL_SPEC_P15 Race_Ethnicity & Education Did [you/person] obtain a [Secondary School Certificates Fill] or a similar diploma or certificate? 1. Yes
2. No
Keep as is



SECONDSCHL_GEN_P1-SECONDSCHL_GEN_P15 Race_Ethnicity & Education Did [you/person] obtain a certificate or diploma that is similar to a high school diploma?

IF NEEDED: A high school diploma in the United States is the end of secondary school or generally the equivalent to 12 years of schooling
1. Yes
2. No
Keep as is



SCHLYEARS_P1-SCHLYEARS_P15 Race_Ethnicity & Education How many years of school did [you/person] complete after age 5? Enter number of years_______ Keep as is



COLLYEARS_P1-COLLYEARS_P15 Race_Ethnicity & Education How many years of school or college did [you/person] complete after that, if any? Enter number of years_______ Keep as is



COLLEQUIV_P1-COLLEQUIV_P15 Race_Ethnicity & Education Did [you/person] obtain a certificate or diploma similar to a 4-year college degree?

Interviewer Note: Please code as closely as possible. Do not consider technical certificates or vocational training to be a Professional degree.
1. Yes
2. No
Modify Removed interviewer note referencing manual. Replaced with other interviewer note.


ASSOCEQUIV_P1-ASSOCEQUIV_P15
Did [you/person] complete any post-secondary education?

Interviewer Note: Please code as closely as possible. Do not consider technical certificates or vocational training to be a Professional degree.
1. Yes
2. No
New



GRADSCHL_P1-GRADSCHL_P15,
Race_Ethnicity & Education Did [you/person] obtain any degree or certificate higher than a 4-year college degree?

Interviewer Note: Please code as closely as possible. Do not consider technical certificates or vocational training to be a Professional degree.
1. Yes
2. No
Modify Edited to clarify 4-year college


GRADSCHL_TYPE_P1-GRADSCHL_TYPE_P15 Race_Ethnicity & Education Was that a Master's, Professional, or Doctorate degree?

Interviewer Note: Please code as closely as possible. Do not consider technical certificates or vocational training to be a Professional degree.
1. Master's degree (for example: MA, MS, MEng, MEd, MSW, MBA)
2. Professional degree beyond a bachelor's degree (for MD, DDS, DVM, LLB, JD)
3. Doctorate degree (for example: PhD, EdD)
Keep as is



SCHLNOW_P1-SCHLNOW_P15 Race_Ethnicity & Education At any time in the last 3 months, [were you/was Person] in school or college?
1. Yes
2. No
Keep as is



SCHLNOW_TYPE_P1-SCHLNOW_TYPE_P15 Race_Ethnicity & Education What grade or type of school [were you/was Person] attending? 1. Grade 1 through 12
2. GED program
3. College undergraduate years (freshman to senior)
4. Graduate or professional school beyond a bachelor's degree (for example: MA or PhD program, or medical or law school)
5. Occupational, vocational, or apprenticeship program
6. Literacy or ESL program
Keep as is



SCHLNOW_TYPE_SP Race_Ethnicity & Education Interviewer Note: Enter grade 1 through 12.
Keep as is





These next questions will ask about disability, military status, and race and ethnicity. This information helps us to understand the experiences of ALL New Yorkers.
Keep as is



DIS_HEAR_P1-DIS_HEAR_P15 Disability [Are you/Which of the people who live in your [apartment/house], including you, are] deaf or have serious difficulty hearing?


Interviewer Note: Mark 1 for Yes and 95 for No.
1. Person 1 (respondent)
2. Person 2
3. Person 3
4. Person 4
5. Person 5
6. Person 6
7. Person 7
8. Person 8
9. Person 9
10. Person 10
11. Person 11
12. Person 12
13. Person 13
14. Person 14
15. Person 15
95. None
Modify Alter question phrasing to customize for single-person households when appropriate. Interviewer Note about Yes/No should only appear if HHSIZE=1


DIS_SEE_P1-DIS_SEE_P15 Disability IF NEEDED: [Are you/Which of the people who live in your [apartment/house], including you, are]

blind or have serious difficulty seeing even when wearing glasses?


Interviewer Note: Mark 1 for Yes and 95 for No.
1. Person 1 (respondent)
2. Person 2
3. Person 3
4. Person 4
5. Person 5
6. Person 6
7. Person 7
8. Person 8
9. Person 9
10. Person 10
11. Person 11
12. Person 12
13. Person 13
14. Person 14
15. Person 15
95. None
Modify Alter question phrasing to customize for single-person households when appropriate. Interviewer Note about Yes/No should only appear if HHSIZE=1


DIS_REMEMB_P1-DIS_REMEMB_P15 Disability IF NEEDED: [Do you/Which of the people who live in your [apartment/house], including you,]

have serious difficulty concentrating, remembering, or making decisions because of a physical, mental, or emotional condition?

Interviewer Note: Please answer this question for all household members who are 5 years old or over.

Interviewer Note: Mark 1 for Yes and 95 for No.
1. Person 1 (respondent)
2. Person 2
3. Person 3
4. Person 4
5. Person 5
6. Person 6
7. Person 7
8. Person 8
9. Person 9
10. Person 10
11. Person 11
12. Person 12
13. Person 13
14. Person 14
15. Person 15
95. None
Modify Alter question phrasing to customize for single-person households when appropriate. Interviewer Note about Yes/No should only appear if HHSIZE=1


DIS_WALK_P1-DIS_WALK_P15 Disability IF NEEDED: [Do you/Which of the people who live in your [apartment/house], including you,]

have serious difficulty walking or climbing stairs?

Interviewer Note: Please answer this question for all household members who are 5 years old or over.

Interviewer Note: Mark 1 for Yes and 95 for No.
1. Person 1 (respondent)
2. Person 2
3. Person 3
4. Person 4
5. Person 5
6. Person 6
7. Person 7
8. Person 8
9. Person 9
10. Person 10
11. Person 11
12. Person 12
13. Person 13
14. Person 14
15. Person 15
95. None
Modify Alter question phrasing to customize for single-person households when appropriate. Interviewer Note about Yes/No should only appear if HHSIZE=1


DIS_DRESS_P1-DIS_DRESS_P15 Disability IF NEEDED: [Do you/Which of the people who live in your [apartment/house], including you,]

have difficulty dressing or bathing?

Interviewer Note: Please answer this question for all household members who are 5 years old or over.

Interviewer Note: Mark 1 for Yes and 95 for No.
1. Person 1 (respondent)
2. Person 2
3. Person 3
4. Person 4
5. Person 5
6. Person 6
7. Person 7
8. Person 8
9. Person 9
10. Person 10
11. Person 11
12. Person 12
13. Person 13
14. Person 14
15. Person 15
95. None
Modify Alter question phrasing to customize for single-person households when appropriate. Interviewer Note about Yes/No should only appear if HHSIZE=1


DIS_ERRAND_P1-DIS_ERRAND_P15 Disability [Do you/Which of the adults who live in your [apartment/house], including you,] have difficulty doing errands alone such as visiting a doctor's office or shopping because of a physical, mental, or emotional condition?


Interviewer Note: Mark 1 for Yes and 95 for No.
1. Person 1 (respondent)
2. Person 2
3. Person 3
4. Person 4
5. Person 5
6. Person 6
7. Person 7
8. Person 8
9. Person 9
10. Person 10
11. Person 11
12. Person 12
13. Person 13
14. Person 14
15. Person 15
95. None
Modify Alter question phrasing to customize for single-person households when appropriate. Interviewer Note about Yes/No should only appear if HHSIZE=1


MOD_HAVE Disability Did [you/ you or anyone else you live with] receive any modification or accommodation from your landlord or housing provider to allow you to live safely in your [apartment/house]?

For example, an entrance with a ramp or no stairs, grab bars, wider doorways for a wheelchair or a walker, or a home that is wired for a hearing or vision disability?
1. Yes
2. No
Modify Added additional text


MOD_NEED Disability Do [you/ you or anyone else you live with] need a modification or accommodation that would allow you to live safely in your [apartment/house] that you do not currently have?

For example, an entrance with a ramp or no stairs, grab bars, wider doorways for a wheelchair or a walker, or a home that is wired for a hearing or vision disability?
1. Yes
2. No
Modify Added additional text


MILITARY_P1-MILITARY_P15 Nativity & Language [Have you/Has Person] ever served on active duty in the U.S. Armed Forces, Reserves, or National Guard? 1. Never served in the military
2. Only on active duty for training in the Reserves or National Guard
3. Now on active duty
4. On active duty in the past, but not now
Keep as is



MILITARY_BRANCH_P1-MILITARY_BRANCH_P15 Nativity & Language Which branch of the Armed Forced [do you/does Person/did [you/Person]] work for?
1. U.S. Army
2. U.S. Navy
3. U.S. Air Force
4. U.S. Marine Corps
5. U.S. Coast Guard
Keep as is



HISP_P1-HISP_P15 Race_Ethnicity & Education [Are you/Is Person] of Hispanic, Latino, or Spanish origin? 1. Yes
2. No
Keep as is



HISPINDIG_P1-HISPINDIG_P15 Race_Ethnicity & Education [Do you/Does Person] identify with an indigenous people or tribal group? 1. Yes
2. No
Keep as is



HISPORIG_PR_P1-HISPORIG_PR_P15
Race_Ethnicity & Education Please tell me which group best represents [your/Person's] Hispanic, Latino, or Spanish heritage or ancestry?

Interviewer Note: Enter all that apply, separate with commas

Interviewer Note: Show Flashcard
1. Puerto Rican
Keep as is



HISPORIG_DR_P1-HISPORIG_DR_P15 Race_Ethnicity & Education Please tell me which group best represents [your/Person's] Hispanic, Latino, or Spanish heritage or ancestry?

Interviewer Note: Enter all that apply, separate with commas

Interviewer Note: Show Flashcard
2. Dominican
Keep as is



HISPORIG_CUB_P1-HISPORIG_CUB_P15 Race_Ethnicity & Education Please tell me which group best represents [your/Person's] Hispanic, Latino, or Spanish heritage or ancestry?

Interviewer Note: Enter all that apply, separate with commas

Interviewer Note: Show Flashcard
3. Cuban
Keep as is



HISPORIG_SCA_P1-HISPORIG_SCA_P15 Race_Ethnicity & Education Please tell me which group best represents [your/Person's] Hispanic, Latino, or Spanish heritage or ancestry?

Interviewer Note: Enter all that apply, separate with commas

Interviewer Note: Show Flashcard
4. South/ Central American
Keep as is



HISPORIG_MEX_P1-HISPORIG_MEX_P15 Race_Ethnicity & Education Please tell me which group best represents [your/Person's] Hispanic, Latino, or Spanish heritage or ancestry?

Interviewer Note: Enter all that apply, separate with commas

Interviewer Note: Show Flashcard
5. Mexican-American, Mexican, Chicano
Keep as is



HISPORIG_ELSE_P1-HISPORIG_ELSE_P15 Race_Ethnicity & Education Please tell me which group best represents [your/Person's] Hispanic, Latino, or Spanish heritage or ancestry?

Interviewer Note: Enter all that apply, separate with commas

Interviewer Note: Show Flashcard
6. Something else
Keep as is



RACE_W_P1-RACE_W_P15 Race_Ethnicity & Education What is [your/Person's] race?


Interviewer note: Enter all that apply, separate with commas

Interviewer Note: Show Flashcard
1. White
Keep as is



RACE_B_P1-RACE_B_P15 Race_Ethnicity & Education What is [your/Person's] race?


Interviewer note: Enter all that apply, separate with commas

Interviewer Note: Show Flashcard
2. Black or African American
Keep as is



RACE_AIAN_P1-RACE_AIAN_P15 Race_Ethnicity & Education What is [your/Person's] race?


Interviewer note: Enter all that apply, separate with commas

Interviewer Note: Show Flashcard
3. American Indian or Alaska Native
Keep as is



RACE_A_P1-RACE_A_P15 Race_Ethnicity & Education What is [your/Person's] race?


Interviewer note: Enter all that apply, separate with commas

Interviewer Note: Show Flashcard
4. Asian or Asian American
Keep as is



RACE_NHOP_P1-RACE_NHOP_P15 Race_Ethnicity & Education What is [your/Person's] race?


Interviewer note: Enter all that apply, separate with commas

Interviewer Note: Show Flashcard
5. Native Hawaiian or Other Pacific Islander Keep as is



RACE_OTH_P1-RACE_OTH_P15 Race_Ethnicity & Education What is [your/Person's] race?


Interviewer note: Enter all that apply, separate with commas

Interviewer Note: Show Flashcard
6. Other Keep as is



ASIANORIG_CH_P1-ASIANORIG_CH_P15 Race_Ethnicity & Education Please tell me which group best represents [your/Person's] Asian heritage or ancestry?

Interviewer Note: Enter all that apply, separate with commas

Interviewer Note: Show Flashcard
1. Chinese
Keep as is



ASIANORIG_IND_P1-ASIANORIG_IND_P15 Race_Ethnicity & Education Please tell me which group best represents [your/Person's] Asian heritage or ancestry?

Interviewer Note: Enter all that apply, separate with commas

Interviewer Note: Show Flashcard
2. Indian
Modify Edited to be Indian instead of Asian Indian.


ASIANORIG_KOR_P1-ASIANORIG_KOR_P15 Race_Ethnicity & Education Please tell me which group best represents [your/Person's] Asian heritage or ancestry?

Interviewer Note: Enter all that apply, separate with commas

Interviewer Note: Show Flashcard
3. Korean
Keep as is



ASIANORIG_FIL_P1-ASIANORIG_FIL_P15 Race_Ethnicity & Education Please tell me which group best represents [your/Person's] Asian heritage or ancestry?

Interviewer Note: Enter all that apply, separate with commas

Interviewer Note: Show Flashcard
4. Filipino
Keep as is



ASIANORIG_BGD_P1-ASIANORIG_BGD_P15 Race_Ethnicity & Education Please tell me which group best represents [your/Person's] Asian heritage or ancestry?

Interviewer Note: Enter all that apply, separate with commas

Interviewer Note: Show Flashcard
5. Bangladeshi
New



ASIANORIG_PK_P1-ASIANORIG_PK_P15 Race_Ethnicity & Education Please tell me which group best represents [your/Person's] Asian heritage or ancestry?

Interviewer Note: Enter all that apply, separate with commas

Interviewer Note: Show Flashcard
6. Pakistani New



ASIANORIG_JAPA_P1-ASIANORIG_JAPA_P15 Race_Ethnicity & Education Please tell me which group best represents [your/Person's] Asian heritage or ancestry?

Interviewer Note: Enter all that apply, separate with commas

Interviewer Note: Show Flashcard
7. Japanese Keep as is



ASIANORIG_VIET_P1-ASIANORIG_VIET_P15 Race_Ethnicity & Education Please tell me which group best represents [your/Person's] Asian heritage or ancestry?

Interviewer Note: Enter all that apply, separate with commas

Interviewer Note: Show Flashcard
8. Vietnamese
Keep as is



ASIANORIG_ELSE_P1-ASIANORIG_ELSE_P15 Race_Ethnicity & Education Please tell me which group best represents [your/Person's] Asian heritage or ancestry?

Interviewer Note: Enter all that apply, separate with commas

Interviewer Note: Show Flashcard
9. Something else
Keep as is



PLACEBORN_SELF_P1-PLACEBORN_SELF_P15 Nativity & Language Where [were you/was Person] born? 1. In NYC
2. Elsewhere in the US
3. Outside of the US
Keep as is



PLACEBORN_SPEC_P Nativity & Language Interviewer note: Enter country name Keep as is



MOVEUS_P1-MOVEUS_P15 Nativity & Language In what year did [you/Person] move to the United States?

Interviewer note: Enter the earliest move to the United States.
Enter 4 digit year_________ Keep as is



MOVENYC_P1-MOVENYC_P15 Nativity & Language In what year did [you/Person] first move to New York City?

Enter 4 digit year_________ Keep as is



PLACEBORN_FATHER_P1-PLACEBORN_FATHER_P15 Nativity & Language What country was [your/person's] father born in? Enter country name _________ Keep as is



PLACEBORN_MOTHER_P1-PLACEBORN_MOTHER_P15 Nativity & Language What country was [your/person's] mother born in? Enter country name _________ Keep as is



LANDLINE Sample Coverage Is there a landline telephone in your [apartment/ house]? Do not count cell phones, or any phone line that is used only for a computer or fax machine. 1. Yes
2. No
Cut



CELL_COUNT Sample Coverage How many adults (age 18 and over) that live in your [apartment/house], including you, have a cell phone for personal use? Enter number of people ______ Cut



LANG Nativity & Language What languages [do you speak/are spoken by you or the people you live with]?

Interviewer Note: Enter all that apply, separate with commas


1. English
2. Spanish
3. Mandarin
4. Cantonese
5. Russian
6. Bengali
7. Haitian
8. Yiddish
9. French (incl. Cajun)
10. Yoruba, Twi, Igbo, or other languages of Western Africa
11. Korean
12. Arabic
13. Italian
14. Other
15. None of the above


Modify Altered to make person level and remove "apartment/house". Remove enter up to 3. Answer Text (Column 1)

1. English
2. Albanian
3. Amharic
4. Arabic
5. Armenian
6. Bengali
7. Bosnian
8. Bulgarian
9. Burmese
10. Chinese- Cantonese
11. Chinese- Mandarin
12. Chinese- Other dialect
13. Croatian
14. Czech
15. Dutch
16. Farsi
17. French
18. German
19. Greek
20. Gujarati
Answer Text (Column 2)

21. Haitian Creole
22. Hebrew
23. Hindi
24. Hmong
25. Hungarian
26. Igbo
27. Ilokano
28. Indonesian
29. Italian
30. Japanese
31. Khmer
32. Korean
33. Lao
34. Lithuanian
35. Malayalam
36. Marathi
37. Navajo
38. Nepali
39. Polish
40. Portuguese
Answer Text (Column 3)

41. Punjabi
42. Romanian
43. Russian
44. Serbian
45. Slovak
46. Somali
47. Spanish
48. Swahili
49. Tagalog
50. Tamil
51. Telugu
52. Thai
53. Twi
54. Ukrainian
55. Urdu
56. Vietnamese
57. Yiddish
58. Yoruba
59. Other
60. None of the above
LANG_SPEC Nativity & Language Please Specify

Interviewer Note: If more than one language, enter all separated by commas

New



LANG_ENG_P1-LANG_ENG_P15
LANG_SPAN_P1-LANG_SPAN_P15
LANG_MAN_P1-LANG_MAN_P15
LANG_CANT_P1-LANG_CANT_P15
LANG_RUS_P1-LANG_RUS_P15
LANG_BENG_P1-LANG_BENG_P15
LANG_HAIT_P1-LANG_HAIT_P15
LANG_YIDD_P1-LANG_YIDD_P15
LANG_FREN_P1-LANG_FREN_P15
LANG_YOR_P1-LANG_YOR_P15
LANG_KOR_P1-LANG_KOR_P15
LANG_ARABIC_P1-LANG_ARABIC_P15
LANG_ITAL_P1-LANG_ITAL_P15
LANG_OTH1_P1-LANG_OTH1_P15
LANG_OTH2_P1-LANG_OTH2_P15
LANG_OTH3_P1-LANG_OTH3_P15
LANG_OTH4_P1-LANG_OTH4_P15
LANG_OTH5_P1-LANG_OTH5_P15
Nativity & Language Which people speak [FILL LANGUAGE]?

Interviewer Note: Enter all that apply, separate with commas
1. Person 1
2. Person 2
3. Person 3
4. Person 4
5. Person 5
6. Person 6
7. Person 7
8. Person 8
9. Person 9
10. Person 10
11. Person 11
12. Person 12
13. Person 13
14. Person 14
15. Person 15
95. None
New Fill should fill each language selected.


LANG_PROF_P1-LANG_PROF_P15 Nativity & Language How well [do you/does Person] speak English? Would you say very well, well, not well, or not at all?

1. Very well
2. Well
3. Not well
4. Not at all
New



LANG4PLUS Nativity & Language Interviewer Instruction: If respondent indicates more than 3 languages are spoken in their home, mark “More than 3”. 1. More than 3 languages spoken
2. 3 or fewer languages spoken
Cut





[Native speaker vs heritage speaker]
Cut



COV_STAY COVID Our last section focuses on your experiences during the coronavirus pandemic.

Where did you stay for most of March, April and May of 2020?
1. At my current home
2. At a previous home
3. At my second home
4. At a relative’s home
5. At a non-relative’s home
6. At a hotel or temporary rental
7. At a shelter or living on the street or another homeless situation
8. At a hospital or care facility
9. Did not stay in any one place for six weeks or more.
10. Other
Cut



LASTLOCATION COVID Was that in New York City, somewhere else in New York, Connecticut or New Jersey, somewhere else in the United States, or outside of the United States? 1. In NYC
2. Somewhere else in New York, Connecticut, or New Jersey
3. Somewhere else in the US
4. Outside of the US
Cut



LASTLOCATION_MOBILE COVID Were you in New York City for most of March, April, and May of 2020? 1. Yes
2. No
Cut



LAST_ZIP COVID What was the zip code of the place you were staying for most of those three months? Enter the five digit zip code ________ Cut



COV_LASTLOCATION_BEDS COVID How many bedrooms were in the place you were staying for most of those three months?

Interviewer Note: If the apartment is a studio, record bedrooms as None
Enter number of bedrooms____ Cut



COV_PERSON_P2 - COV_PERSON_P15 COVID [Was Person /Of the people living with you now, who was] living or staying with you for most March, April, and May of 2020?

IF NEEDED: By most, we mean at least six weeks of that period.

Interviewer: Reference Roster Card
2. Person 2
3 Person 3
4. Person 4
5. Person 5
6. Person 6
7. Person 7
8. Person 8
9. Person 9
10. Person 10
11. Person 11
12. Person 12
13. Person 13
14. Person 14
15. Person 15
95. None
Cut



COV_OTHERHH COVID Was there anyone else living or staying with you for most of that period who does not live with you now?

IF NEEDED: By most, we mean at least six weeks of that period, even if it is part time
1. Yes
2. No
Cut



COV_OTHER_COUNT COVID How many people were living or staying with you during that period that do not live with you now?

Enter 7 for 7 or more people.
1. 1
2. 2
3. 3
4. 4
5. 5
6. 6
7. 7
Cut



COV_OTHER_SENIOR COVID [Was that person/Of those [pipe number] people, how many of them were] 62 or older?

Interviewer Note: If no one was 62 or older, enter 0 for None.
Enter 7 for 7 or more.
1. 1
2. 2
3. 3
4. 4
5. 5
6. 6
7. 7
Cut



COV_OTHER_CHILD COVID [Was that person/Of those [pipe number] people, how many of them were] under 18?

Interviewer Note: If no one was under 18, enter 0 for None. Enter 7 for 7 or more.
1. 1
2. 2
3. 3
4. 4
5. 5
6. 6
7. 7
Cut



FNAME_P16-FNAME_P22 COVID How would like me to refer to [this child/each of these [FILL NUMBER FROM COV_OTHER_CHILD] children] when I ask follow up questions?

Interviewer note: Enter '999' to exit
Enter first name or initial
Cut



COV_OTHER_CHILD6_P1 - COV_OTHER_CHILD6_P7 COVID [Was this child/Which of these children were] under 6?

Interviewer note: Enter all that apply, separate with commas.
2. Person 2
3 Person 3
4. Person 4
5. Person 5
6. Person 6
7. Person 7
8. Person 8
9. Person 9
10. Person 10
11. Person 11
12. Person 12
13. Person 13
14. Person 14
15. Person 15
95. None
Cut



COV_W_CHILD_WEEKS_P1 - COV_W_CHILD_WEEKS_P22 COVID For how many weeks of March, April and May of 2020 did [Child] stay with you?


Interviewer note: There were 13 weeks during that period. Enter 13 if the answer is “all of them”
Enter number of weeks Cut



COV_W_CHILD_DAYS_WK_P1 - COV_W_CHILD_DAYS_WK_P22 COVID In a typical week during that time, how many days a week did [Child] spend with you? 1. 1
2. 2
3. 3
4. 4
5. 5
6. 6
7. 7
Cut



COV_W_CHILD_COMPARE_P1 - COV_W_CHILD_COMPARE_P22 COVID Was that more, less, or about the same amount of days [Child] would be staying with you in a typical week before the pandemic?

IF NEEDED: Include any change in number of partial or complete days or nights
1. More
2. Less
3. About the same
Cut



COV_DEC COVID The next few questions are about people you may have lost during the coronavirus pandemic.

Have any of the people you lived with since March 1 2020 died of coronavirus or COVID-19?
1. Yes
2. No
Cut



COV_DEC_WHEN COVID Was that before June 2020?

Interviewer note: If there was more than one person, ask about the first
1. Yes
2. No
Cut



COV_DEC_OTHER COVID Were you close with any people who died of coronavirus or COVID-19? 1. Yes
2. No
Cut



COV_DEC_MANY COVID Were there more than 3 people you were close with who died of coronavirus or COVID-19? 1. Yes
2. No
Cut



COV_DEC_THANK COVID Thank you for answering those questions. I won’t ask more questions about people you’ve lost.
Cut



COVINC_INTRO COVID The following questions are about [your employment situation last year/the employment situation of all the people who live with you now, including yourself, last year. We’ll start with some questions about you]
Cut



NEWITEM COVID Using this card, how has the Covid-19 pandemic changed your job situation?
Select all that apply
1 Furloughed or temporarily laid off
2 Permanently lost a job
3 Left a job due to personal or family reasons
4 Reduced working hours, earnings or income
5 Started working from home
6 Working more hours or jobs
7 Retired due to pandemic
8 None of these
Cut



COV_WORK_P1 - COV_WORK_P15 COVID On March 1 2020, [were you/was person] working for pay at a job or business?

Interviewer Note: Include freelance work as work for pay at a job or business.
1. Yes
2. No
Cut



COV_WORK_MULTI_P1 - COV_WORK_MULTI_P15 COVID [Were you/Was person] working at more than one job or business?

IF NEEDED: Including evening or weekend work

Interviewer note: If the respondent freelances with many clients, count that area of work as one job
1. Yes
2. No
Cut



COV_WORK_FTPT_P1 - COV_WORK_FTPT_P15 COVID [Were you/Was Person] working full time or part time [across all jobs]?

Interviewer Note: Full time means at least 35 hours at all jobs. Part time means less than 35 hours
1. Full time
2. Part time
Cut



COV_EMP_TEMPAGENCY_P1 - COV_EMP_TEMPAGENCY_P15
COV_EMP_TEMPDIRECT_P1 - COV_EMP_TEMPDIRECT_P15
COV_EMP_SELF_P1 - COV_EMP_SELF_P15
COV_EMP_FREE_P1 - COV_EMP_FREE_P15
COV_EMP_APP_P1 - COV_EMP_APP_P15
COV_EMP_BIZ_P1 - COV_EMP_BIZ_P15
COV_EMP_SALARY_P1 - COV_EMP_SALARY_P15
COV_EMP_HOURLY_P1 - COV_EMP_HOURLY_P15
COV_EMP_OTHER_P1 - COV_EMP_OTHER_P15
COVID [Were you/was person] working for pay as [one/one or more] of the following?

Interviewer note: Enter all that apply, separate with commas.

Interviewer note: Check one box for each of the jobs. Only select “Salaried employee” or “Hourly employee” if none of the other answer options apply


Interviewer note: March 1 is a Sunday, if they had a different situation on Monday, use Monday

1. Salaried Employee
2. Hourly Employee
3. Owner or partner in a business with one or more employee
4. Self-employed with no employees
5. Temporary worker staffed through an agency
6. Temporary worker staffed directly
7. Independent contractor/Freelancer
8. Person who received work through an app or a web-based service
9. Other
Cut



COV_WORK_WEEKS_P1 - COV_WORK_WEEKS_P15 COVID Please think about March, April, and May of 2020.

Of the 13 weeks during that period, how many weeks did [you/Person] work for pay?

IF NEEDED: By this we mean any of the jobs [you/they] had on March 1 and any jobs [you/they] had during those 13 weeks.

Interviewer note: If the respondent can more easily answer the number of weeks they did not work, subtract that number from 13.
Enter number of weeks Cut



COV_WORK_WEEKS_1OFF_P1 - COV_WORK_WEEKS_1OFF_P15 COVID Was there at least one week when [you were/Person was] not working at all during that time?

IF NEEDED: Do not include paid vacation or other paid leave
1.Yes
2.No
Cut



COV_BEND_P1-COV_BEND_P15 COVID For these next few questions, we are going to ask about the time from March 1 2020 to now.

Since March 1, did [you/Person] start or stop working for pay as any of the following?

Interviewer Note: Enter all that apply, separate with commas. Enter the position(s) started or stopped on the following screen.

Interviewer: Reference Flashcard 14
1. Start
2. Stop
3. Neither
Cut



COV_START_TEMPAGENCY_P1 - COV_START_TEMPAGENCY_P15
COV_START_TEMPDIRECT_P1 - COV_START_TEMPDIRECT_P15
COV_START_SELF_P1 - COV_START_SELF_P15
COV_START_FREE_P1 - COV_START_FREE_P15
COV_START_APP_P1 - COV_START_APP_P15
COV_START_BIZ_P1 - COV_START_BIZ_P15
COV_START_SALARY_P1 - COV_START_SALARY_P15
COV_START_HOURLY_P1 - COV_START_HOURLY_P15
COV_START_OTHER_P1 - COV_START_OTHER_P15
COV_STOP_TEMPAGENCY_P1 - COV_STOP_TEMPAGENCY_P15
COV_STOP_TEMPDIRECT_P1 - COV_STOP_TEMPDIRECT_P15
COV_STOP_SELF_P1 - COV_STOP_SELF_P15
COV_STOP_FREE_P1 - COV_STOP_FREE_P15
COV_STOP_APP_P1 - COV_STOP_APP_P15
COV_STOP_BIZ_P1 - COV_STOP_BIZ_P15
COV_STOP_SALARY_P1 - COV_STOP_SALARY_P15
COV_STOP_HOURLY_P1 - COV_STOP_HOURLY_P15
COV_STOP_OTHER_P1 - COV_STOP_OTHER_P15
COVID IF NEEDED: For these next few questions, we are going to ask about the time from March 1 2020 to now.
Since March 1, did [you/Person] start or stop working for pay as any of the following?



Interviewer note: Enter the type of work Respondent Name started.

Interviewer Note: If there was more than one instance, select the first event

Interviewer note: If the respondent started working as a freelancer with multiple clients, they should think of all of that work as one job.

Interviewer note: Include furlough or a temporary layoff

Interviewer: Reference Flashcard 14
1. Salaried Employee
2. Hourly Employee
3. Owner or partner in a business with one or more employee
4. Self-employed with no employees
5. Temporary worker staffed through an agency
6. Temporary worker staffed directly
7. Independent contractor/Freelancer
8. Person who received work through an app or a web-based service
9. Other
Cut



COV_LOSE_EPM_MO_P1 - COV_LOSE_EPM_MO_P15,
COV_LOSE_EPM_YR_P1 - COV_LOSE_EPM_YR_P15
COVID What month and year did that stop? Enter Month
Enter Year
Cut



COV_GAIN_EPM_MO_P1 - COV_GAIN_EPM_MO_P15,
COV_GAIN_EPM_YR_P1 - COV_GAIN_EPM_YR_P15
COVID What month and year did that start? Enter Month
Enter Year
Cut



COV_UI _P1 -
COV_UI_P15
COVID [Just to confirm,] [have you/has Person] received unemployment benefits since March 1 2020? 1.Yes
2.No
Cut



COV_UI_CARES_WEEKS_P1 -
COV_UI_CARES_WEEKS_P 15
COVID The CARES Act provided an extra $600 of unemployment benefits in addition to any benefits provided by the state of New York.

How many weeks of the additional $600 in unemployment benefits did [you/Person] receive?
IF NEEDED: There were 16 weeks of additional unemployment benefits in April through July of 2020
Enter number of weeks Cut



COV_INC_CHANGE_P1 - COV_INC_CHANGE_P15 COVID [Earlier you said that [your/Person’s] overall income was [TOT_INC[PERSON]] in 2020]. / Was [your income in 2020/that] more less, or about the same as it was in 2019? 1.More
2.Less
3.About the same
Cut



COV_WORKSITE_P1 - COV_WORKSITE _P15 COVID Did any of [your/Person’s] work require [you/them] to work outside the home during PAUSE, the stay at home period in New York in early 2020?

IF NEEDED: PAUSE was the stay at home period in New York that began on March 22 2020 and ended on June 7 2020.
1.Yes
2.No
Cut



COV_WORKTYPE_P1 - COV_WORKTYPE_P15 COVID What [industry/industries] did [you/Person] work in during PAUSE?


IF NEEDED: What type of work did [you/Person] do?
IF NEEDED: PAUSE was the stay at home period in New York that began on March 22 2020 and ended on June 7 2020.

Interviewer note: Only select “Other” if none of the respondent/person’s jobs fall into categories 1-6. Check only one box for each job.
Enter all that apply, separate with commas
1. Food services (grocery, convenience, or drug stores)
2. Delivery (trucking, warehouse, or postal services)
3. Transit (Public transit, taxi or ride service driver)
4. Healthcare
5. Services (Childcare, homeless, and family services)
6. Building cleaning services
7. Other
8. Did not work during PAUSE
Cut



COV_BIZ_SIZE_P1 - COV_BIZ_SIZE_P15 COVID How many employees did [your/Person's] business have on March 1, 2020?

IF NEEDED: Please do not include contractors. Only include employees who worked directly for [your/Person's] business.

Interviewer note: If there were multiple businesses, ask about the one with more employees.
1. 0
2. 1-4
3.. 5-9
4. 10-19
5. 20-49
6. 50-99
7. 100+
Cut



COV_BIZOPEN_P1 -
COV_BIZOPEN_P15
COVID During PAUSE, the stay at home period in New York in early 2020?, was the business [you owned/Person owned] open, closed some of the time, or closed the whole time?

IF NEEDED: PAUSE was the stay at home period in New York that began on March 22 2020 and ended on June 7 2020.
1. Open
2. Closed some of the time
3. Closed the whole time
4. I did not have a business during that time
Cut




COVID For the following questions, please think about the time since March 1, 2020.
Cut



COV_BIZLAYOFF_P1 - COV_BIZLAYOFF_P15 COVID In that time, how many employees did [your/Person's] business lay off or furlough?

Interviewer note: Include those whose jobs were eliminated and did not work as a result
1. 0
2. 1-4
3. 5-9
4. 10-19
5. 20-49
6. 50-99
7. 100+
Cut



COV_BIZSTIM_P1 - COV_BIZSTIM_P15 COVID Did [your/Person's] business receive a loan or grant through a federal program such as the Paycheck Protection Program (PPP)?

Interviewer Note: Include Small Business Administration Loans Forgiveness,
Economic Injury Disaster Loans (EIDL), and loans or grants from the Small Business Administration
1. Yes
2. No
Cut



COV_BIZSALE_P1 -
COV_BIZSALE_P15
COVID [Were you/was Person] forced to close or sell a business as a result of the pandemic? 1. Yes
2. No
Cut



COV_CARE_INTRO COVID The following questions are about the education and care of the children under the age of 18 in your home during 15 week the period when public schools were closed during the 2019-2020 school year.

IF NEEDED: That is, from March 16 through June 26 2020

Cut



COV_CARE_CHILD_DAYS_P1 - COV_CARE_CHILD_DAYS_P15 COVID In a typical week during that time, how many days a week [were you/was Person] a primary caregiver for [any of the children/Child] in the home?

Count days when [you were/Person was] the primary caregiver for part of the day or shared caregiving responsibilities.
1.1
2.2
3.3
4.4
5.5
6.6
7. 7
8. 0
Cut



COV_CARE_WHERE COVID Where [was [Child]/were the children] cared for on days they lived with you, but you were working?

Interviewer note: Enter all that apply, separate with commas.
1. In the home
2. In someone else’s home
3. In a childcare center
4. Other
Cut



COV_CARE_WHO_P1 - COV_CARE_WHO_P15 COVID Who cared for [[Child]/the children] on days they lived with you, but you were working?

Interviewer note: Enter all that apply, separate with commas.
1. Respondent took care of them
2. Person 2
3 Person 3
4. Person 4
5. Person 5
6. Person 6
7. Person 7
8. Person 8
9. Person 9
10. Person 10
11. Person 11
12. Person 12
13. Person 13
14. Person 14
15. Person 15
16. Relative who doesn’t live in the home
17. Non-relative who doesn’t live in the home
18. They took care of themselves
Cut



COV_SCHOOL_TYPE_P2 - COV_SCHOOL_TYPE_P15 COVID What type of school did [Child] attend during those 15 weeks? 1. Public school
2. Charter school
3. Private or religious school
4. Homeschool
5. Did not attend school
Cut



COV_HOMESCH_DAYS COVID How many days a week [were any of the children/was [Child]] doing distance or remote learning from your home during that time?

Enter number of days Cut



COV_SCH_LIVE_HRS_P2 - COV_SCH_LIVE_HRS_P15 COVID During a typical week in that period, for about how many hours did [Child] interact with their teachers? Enter number of hours Cut



COV_CHILD_SCHOOLWORK_HRS COVID On days the [children were/[Child] was] remote learning from your home, how much time did [you/PCG] spend helping with their school assignments?

IF NEEDED: I understand that more adults in the household may have spent time helping, but for now please think just about the time [PCG] spent.

Interviewer note: Round up to the nearest whole integer.
Enter number of hours Cut



COV_ELEARN_SPACE COVID Did [[Child]/the children each] have a dedicated space for them to do schoolwork or remote learning? 1. Yes
2. No
Cut



COV_DEVICE_OWN_P2 - COV_DEVICE_OWN_P15 COVID [Did [Child] have/Which of the children had] access to their own computer or electronic device they could use for schoolwork during that time?

Interviewer Note: Enter all that apply, separate with commas.
Interviewer Note: If there is only one child in the household, select All for Yes and None for No.
2. Person 2
3 Person 3
4. Person 4
5. Person 5
6. Person 6
7. Person 7
8. Person 8
9. Person 9
10. Person 10
11. Person 11
12. Person 12
13. Person 13
14. Person 14
15. Person 15
95. None
Cut



COV_DEVICE_DOE_P2 - COV_DEVICE_DOE_P15 COVID [Did [Child] get/Which of the children got] a tablet or laptop from a school or the NYC Department of Education?

Interviewer Note: Enter all that apply, separate with commas.
2. Person 2
3 Person 3
4. Person 4
5. Person 5
6. Person 6
7. Person 7
8. Person 8
9. Person 9
10. Person 10
11. Person 11
12. Person 12
13. Person 13
14. Person 14
15. Person 15
95. None
Cut



COV_IEP_P2 - COV_IEP_P15 COVID [Which of the children had/Did [Child] have] an IEP during the 2019-2020 school year?

Interviewer Note: Enter all that apply, separate with commas.
Interviewer Note: This is a plan for special education services.
2. Person 2
3. Person 3
4. Person 4
5. Person 5
6. Person 6
7. Person 7
8. Person 8
9. Person 9
10. Person 10
11. Person 11
12. Person 12
13. Person 13
14. Person 14
15. Person 15
95. None
Cut



COV_ELEARN_EASE COVID On a scale of 1-10, when 1 is the easiest and 10 is the hardest, how hard was it for your family to use the learning tools the school provided? Please include video calls, Google sites, learning applications, and instructions for assignments

IF NEEDED: Pick the hardest of multiple schools/learning situations
1. 1
2. 2
3. 3
4. 4
5. 5
6. 6
7. 7
8. 8
9. 9
10. 10
Cut



COV_WORKLIFE_EASE COVID On a scale of 1-10, when 1 is the easiest and 10 is the hardest, how hard was it to balance family and work responsibilities during the pandemic? 1. 1
2. 2
3. 3
4. 4
5. 5
6. 6
7. 7
8. 8
9. 9
10. 10
Cut



COV_WORKLIFE_SACRIFICE COVID On a scale of 1-10, when 1 is not at all the 10 is the most, how much would you say your career was negatively affected by compromises you had to make because of the pandemic? 1. 1
2. 2
3. 3
4. 4
5. 5
6. 6
7. 7
8. 8
9. 9
10. 10
Cut



COV_COVID_TEST_P1 - COV_COVID_TEST_P15 COVID [Did you get/Which of the people who live in your [apartment/house], including you, got] a swab or a saliva test for coronavirus or COVID 19?

INTERVIEWER NOTE: Include only diagnostic tests such as nasal and throat swabs. Do NOT include antibody tests.

Interviewer Note: Enter all that apply, separate with commas.

Interviewer: Reference Roster Card
1. Respondent
2. Person 2
3 Person 3
4. Person 4
5. Person 5
6. Person 6
7. Person 7
8. Person 8
9. Person 9
10. Person 10
11. Person 11
12. Person 12
13. Person 13
14. Person 14
15. Person 15
95. None
Cut



COV_DIABETES_P1 - COV_DIABETES_P15 COVID [The following questions are about the health status of all the people you live with now, including yourself].

[Have you/Which of the people who live in your [apartment/house], including you, have] been told by a doctor or other health professional that [you/they] had Type 2 diabetes?


INTERVIEWER NOTE: do not include pre-diabetes as diabetes

Interviewer Note: Enter all that apply, separate with commas.

Interviewer: Reference Roster Card
1. Respondent
2. Person 2
3 Person 3
4. Person 4
5. Person 5
6. Person 6
7. Person 7
8. Person 8
9. Person 9
10. Person 10
11. Person 11
12. Person 12
13. Person 13
14. Person 14
15. Person 15
95. None
Cut



COV_HYPERTENSION_P1 - COV_HYPERTENSION_P15 COVID IF NEEDED: [Have you/Which of the people who live in your [apartment/house], including you, have] been told by a doctor or other health professional that [you/they] had

Hypertension, also called high blood pressure?

Interviewer Note: Enter all that apply, separate with commas.

Interviewer: Reference Roster Card
1. Respondent
2. Person 2
3 Person 3
4. Person 4
5. Person 5
6. Person 6
7. Person 7
8. Person 8
9. Person 9
10. Person 10
11. Person 11
12. Person 12
13. Person 13
14. Person 14
15. Person 15
95. None
Cut



COV_HEART_DISEASE_P1 - COV_HEART_DISEASE_P15 COVID IF NEEDED: [Have you/Which of the people who live in your [apartment/house], including you, have] been told by a doctor or other health professional that [you/they] had

Chronic heart disease?

Interviewer Note: Enter all that apply, separate with commas.

Interviewer: Reference Roster Card
1. Respondent
2. Person 2
3 Person 3
4. Person 4
5. Person 5
6. Person 6
7. Person 7
8. Person 8
9. Person 9
10. Person 10
11. Person 11
12. Person 12
13. Person 13
14. Person 14
15. Person 15
95. None
Cut



COV_KIDNEY_DISEASE_P1 - COV_KIDNEY_DISEASE_P15 COVID IF NEEDED: [Have you/Which of the people who live in your [apartment/house], including you, have] been told by a doctor or other health professional that [you/they] had

Chronic kidney disease?

Interviewer Note: Enter all that apply, separate with commas.

Interviewer: Reference Roster Card
1. Respondent
2. Person 2
3 Person 3
4. Person 4
5. Person 5
6. Person 6
7. Person 7
8. Person 8
9. Person 9
10. Person 10
11. Person 11
12. Person 12
13. Person 13
14. Person 14
15. Person 15
95. None
Cut



COV_ASTHMA_P1 - COV_ASTHMA_P15 COVID IF NEEDED: [Have you/Which of the people who live in your [apartment/house], including you, have] been told by a doctor or other health professional that [you/they] had

Asthma?

Interviewer Note: Enter all that apply, separate with commas.

Interviewer: Reference Roster Card
1. Respondent
2. Person 2
3 Person 3
4. Person 4
5. Person 5
6. Person 6
7. Person 7
8. Person 8
9. Person 9
10. Person 10
11. Person 11
12. Person 12
13. Person 13
14. Person 14
15. Person 15
95. None
Cut



COV_COPD_P1 - COV_COPD_P15 COVID IF NEEDED: [Have you/Which of the people who live in your [apartment/house], including you, have] been told by a doctor or other health professional that [you/they] had

Chronic obstructive pulmonary disease, also called COPD, chronic bronchitis, or emphysema?

Interviewer Note: Enter all that apply, separate with commas.

Interviewer: Reference Roster Card
1. Respondent
2. Person 2
3 Person 3
4. Person 4
5. Person 5
6. Person 6
7. Person 7
8. Person 8
9. Person 9
10. Person 10
11. Person 11
12. Person 12
13. Person 13
14. Person 14
15. Person 15
95. None
Cut



COV_LOWIMMUNE_P1 - COV_LOWIMMUNE_P15 COVID IF NEEDED: [Have you/Which of the people who live in your [apartment/house], including you, have] been told by a doctor or other health professional that [you/they] had

An immunosuppressive condition?

IF NEEDED: Such as HIV or an auto-immune disease

Interviewer Note: Enter all that apply, separate with commas.

Interviewer: Reference Roster Card
1. Respondent
2. Person 2
3 Person 3
4. Person 4
5. Person 5
6. Person 6
7. Person 7
8. Person 8
9. Person 9
10. Person 10
11. Person 11
12. Person 12
13. Person 13
14. Person 14
15. Person 15
95. None
Cut



COV_IMMUNE_MED_P1 - COV_IMMUNE_MED_P15 COVID Which of the people who live in your [apartment/house], including you, have taken immune weakening medication or therapy?

IF NEEDED: Such as cancer or lupus treatment or steroids

Interviewer Note: Enter all that apply, separate with commas.

Interviewer: Reference Roster Card
1. Respondent
2. Person 2
3 Person 3
4. Person 4
5. Person 5
6. Person 6
7. Person 7
8. Person 8
9. Person 9
10. Person 10
11. Person 11
12. Person 12
13. Person 13
14. Person 14
15. Person 15
95. None
Cut



COV_IMMUNE_MED_DATE_P1 - COV_IMMUNE_MED_DATE_P15 COVID Did [you/Person] start that treatment or therapy before March 1 2020? 1. Yes
2. No
Cut



COV_SMOKE COVID Do [you/any of the adults who live with you now, including yourself,] smoke or vape every day or nearly every day? 1. Yes
2. No
Cut



COV_DRINK COVID Do [you/any of the adults who live with you now, including yourself,] have 5 or more alcoholic drinks in a day at least once a week? 1. Yes
2. No
Cut



NEWITEM
[Question on COVID impact on job/income]
Cut




COVID Now I'm going to ask about how the pandemic affected your personal finances.
Cut



COV_DEBT_FORGIVE COVID Since March 1 2020, which of these payments were forgiven, cancelled, or delayed because of the pandemic?

Enter all that apply, separate with commas

IF NEEDED: This includes any payment due including rent and mortgage. Include debts of any amount, those where one or more payment was delayed, and those where any portion was forgiven or canceled.

Interviewer: Reference Flashcard 15
1. Student Loans
2. Car Loans
3. Loans from relatives and friends
4. Credit Cards
5. Medical Bills
6. Legal Bills
7. Rent/Mortgage
8. Utilities
9 No payments were forgiven, canceled, or delayed
10 I had no payments due
Cut



COV_DEBT_UNABLE COVID Which of these payments were you unable to pay on time or at all because of the pandemic?

Interviewer Note: Enter all the apply, separate with commas

IF NEEDED: Since March 1 2020

IF NEEDED: Don’t include payments that were deferred, forgiven or cancelled.

Interviewer: Reference Flashcard 16
1. Student Loans
2. Car Loans
3. Loans from relatives and friends
4. Credit Cards
5. Medical Bills
6. Legal Bills
7. Rent/Mortgage
8. Utilities
9 All my payments were paid on time
10 I had no payments due
Cut



COV_DEBT_CAUGHTUP COVID Have you since caught up with your [rent/mortgage] [and] [utilities]? 1. Yes
2. No
Cut



COV_RELDEBT COVID Still thinking back to March 1 2020, do you currently have more debt, less debt, or about the same amount of debt as you had then? 1. More
2. Less
3. About the same
Cut



LASTEVICTIONACTION COVID Since March 1 2020, did the landlord start an eviction proceeding against [you/you or the people that live with you]? You may have received something like this.

Interviewer: Reference Housing Court Examples

Interviewer note: Do not include places where you were staying on a temporary basis.
1. Yes
2. No
3. No, I owned my home
Cut



LASTEVICTIONACTION_WHERE COVID Was that at your current [apartment/house] or a previous place you lived? 1. Current apartment/house
2. Previous residence
Cut



LASTEVICTIONACTION_END COVID What was the result of that eviction proceeding?

IF NEEDED: If there were multiple cases, please think of the most recent eviction proceeding.

Interviewer: Reference Flashcard 17
1. Settled or discontinued and continued to live there
2. Evicted
3. Settled by leaving
4. Took payment for leaving
5. Ongoing
6. Other
Cut



COV_BENEFIT_START_RECENT COVID Earlier you told me you received [Benefit/Benefit and Benefit/Benefit, Benefit, and Benefit].

Did [this benefit/any of these benefits] start after March 1, 2020?
1. Yes
2. No
Cut



COV_INTERNET COVID Since March 1 2020, was there a time when you did not have internet for at least one week at the place you were living or staying? 1 .Yes
2. No
Cut



COV_MENTALHEALTH_HELP COVID We know the pandemic has been difficult for a lot of people. Please continue to think about the time since March 1 2020.

Have any of the adults who live with you now, including yourself, sought help for depression or anxiety?
1. Yes
2. No
Cut



COV_SUBSTANCE_HELP COVID Have any of the adults who live with you now, including yourself, sought treatment for an alcohol or substance abuse problem? 1. Yes
2. No
Cut



R2_BDAY_MON_P1-R2_BDAY_MON_P15,
R2_BDAY_DAY_P1-R2_BDAY_DAY_P15,
R2_BDAY_YEAR_P1-R2_BDAY_YEAR_P15
Second Respondent What is [your/[person]'s] date of birth?

IF NEEDED: This information helps me know what topics to ask about. For example, I may ask about childcare costs or retirement savings depending on the age of the people who live with you.
Enter month_________
Enter day__________
Enter 4 digit year___________

Cut



R2_MOVEIN_P1-R2_MOVEIN_P15 Second Respondent In what year did [you/Person] move into the [apartment/ house]?

Interviewer note: The most recent time the person moved in, if there have been multiple move-ins and move-outs
Enter 4 digit year Cut



R2_MOVE1971_P1- R2_MOVE1971_P15 Second Respondent Did [you/Person] move in on or after July 1 in 1971? 1. Yes, on or after July 1 in 1971
2. No, before July 1 in 1971
Cut



R2_LEASENOW Second Respondent Do [you/you or anyone else you live with] currently have a lease for your apartment?
1. Yes
2. No
Cut



R2_RENTASSIST_SEC8,
R2_RENTASSIST_SA,
R2_RENTASSIST_RIE,
R2_RENTASSIST_OTHER,
R2_RENTASSIST_NONE
Second Respondent I'm now going to ask you some questions about your rental costs.

Is any part of the rent for your [apartment/house] paid by any of the following rental assistance programs?

INTERVIEWER: Reference Flashcard 1

Interviewer Note: Include alternate payments, such as a reduction in property taxes as payment.

IF NEEDED: That includes to [you/ you or someone you live with] or directly to the landlord.

Interviewer Note: Enter all the apply, separate with commas
1. Section 8/Housing Choice Voucher
2. Shelter Allowance/CityFHEPS
3. SCRIE/DRIE
4. Other assistance that pays part of your rent
5. None
Cut



R2_LOTTERY_RENTER Second Respondent Did you or anyone you live with apply to a housing lottery to get your [apartment/house]? 1. Yes
2. No
Cut



R2_INCOMEQUALIFY_RENTER Second Respondent [Separate from [rental assistance program], did/Did] you or anyone you live with have to show that your income was BELOW a certain amount to get your [apartment/house]?

If Needed: This may have been to your building’s developer or to a housing agency, such as HPD or HDC.
1. Yes
2. No
Cut



R2_RENTOUTSIDE Second Respondent Is any part of the rent for your [apartment/house] paid by a person who doesn't live with you or directly by an employer?
1. Yes
2. No
Cut



R2_RENTFEES Second Respondent [These next questions will ask about your rent. Please include amounts paid by [rental assistance programs/outside sources/rent assistance programs and outside sources].

Some landlords charge fees in addition to rent, such as for a dishwasher or a pet. Do [you/you or anyone you live with] pay any fees apart from your rent?

Interviewer Note: Do not include temporary fees, such as a late fee.
1. Yes
2. No
Cut



R2_RENTFEES_AMOUNT Second Respondent How much are the monthly fees for the [apartment/house]?

Interviewer note: Do not include temporary fees, such as a late fee.
Interviewer note: Enter 19998 for $19,998 or more
Enter amount Cut



R2_RENT_AMOUNT Second Respondent Last month, how much was the rent for your [apartment/house], [including any fees]?

Interviewer Note: Enter the total amount owed, including any fees
Enter 29998 for $29,998 or more
$_____.00 Cut



R2_RENTPAID Second Respondent Last month, was [fill sum of RENT_AMOUNT and RENTFEES_AMOUNT / fill RENT_AMOUNT] the amount paid to the landlord [?/ , including rental assistance programs?/ , including any outside sources?/ , including any rental assistance programs and outside sources?] 1. Yes
2. No
Cut



R2_RENTPAID_AMOUNT Second Respondent How much was paid to the landlord last month for the [apartment/ house] [?/ , including rental assistance programs?/ , including any outside sources?/ , including any rental assistance programs and outside sources?]

Interviewer Note: Enter 29998 for $29,998 or more
Enter amount Cut



R2_RENTASSIST_AMOUNT Second Respondent Earlier you said some of your rent was paid by [fill from RENTASSIST_*]]

How much of last month's rent was paid by [this rental assistance program/ these rental assistance programs]?

Interviewer Note: Include alternate payments, such as a reduction in property taxes as payment.
Enter 29998 for $29,998 or more
______dollars Cut



R2_RENTOUTSIDE_AMOUNT Second Respondent Earlier you said some of your rent was paid by someone else or by an employer.
How much of last month's rent was paid by those outside sources?

Interviewer Note: Enter 29998 for $29,998 or more
______dollars Cut



R2_RENTPAID_P1-R2_RENTPAID_P15 Second Respondent How much of last month's rent was paid by [person/you]?

Interviewer Note: If people pay rent from a joint account, split the amount evenly among contributors.
Enter 29998 for $29,998 or more
1. ______ dollars
Cut



R2_OWNER_P1-R2_OWNER_P15 Second Respondent Who currently owns the [apartment/house]?

Interviewer note: Enter all the apply, separate with commas
1. Person 1 (respondent)
2. Person 2
3. Person 3
4. Person 4
5. Person 5
6. Person 6
7. Person 7
8. Person 8
9. Person 9
10. Person 10
11. Person 11
12. Person 12
13. Person 13
14. Person 14
15. Person 15
100. Co-owned by someone outside of the household
Cut



R2_PURCHASEYEAR Second Respondent In what year did [you/you and the owners/the owners] [buy/inherit] the [apartment/ house]? Enter 4 digit year ______________ Cut



R2_PURCHASEPRICE Second Respondent What was the purchase price of the [apartment/ house]?

Interviewer Note: Record actual purchase price and not current market value
Enter 19999998 for $19,999,998 or more
Enter Amount
$_____________________

Cut



R2_DOWNPAY_AMT Second Respondent What was the down payment for the [apartment/ house]?

Interviewer Note: If no down payment, enter $0
Enter 19999998 for $19,999,998 or more
READ IF NEEDED: What was the total down payment from all sources? Your best guess is fine.
Enter Amount
$_____________________
Cut



R2_HDEBT_FIRSTMORT,
R2_HDEBT_SECONDMORT,
R2_HDEBT_HELOC,
R2_HDEBT_HOMEEQUITY,
R2_HDEBT_REVMORT,
R2_HDEBT_OTHER,
R2_HDEBT_NONE
Second Respondent Which of the following [do you/do you and the owners/do the owners] have?

Interviewer Note: Enter all the apply, separate with commas

Interviewer Note: Do not include commercial mortgages


INTERVIEWER: Reference flashcard 6
1. First Mortgage
2. Second Mortgage
3. Home Equity Line of Credit
4. Home Equity Loan
5. Reverse Mortgage
6. Something else
7. None of these
Cut



R2_HDEBT_NONE_CONF Second Respondent Just to confirm, there is no current mortgage for the [apartment/house]. Is that correct?

Interviewer note: If “No” go back through items hodebt* and correct answers as appropriate.
1. Yes
2. No
Cut



R2_HDEBT_HOMEEQUITY_LIMIT Second Respondent What is the total credit limit on the HELOC?

IF NEEDED: By HELOC, I mean a Home Equity Line of Credit
Interviewer Note: Enter 9999998 for $9,999,998 or more
Enter Amount
$_____________________
Cut



R2_PAY_FIRSTMORT,
R2_PAY_SECONDMORT,
R2_PAY_HELOC,
R2_PAY_HOMEEQUITY,
R2_PAY_OTHER
Second Respondent How much was the most recent payment for the [LOAN]?

IF NEEDED: The last payment amount that was due.

-Enter 499998 for $499,998 or more
Enter Amount
$_____________________


Cut



R2_FREQPAY_FIRSTMORT,
R2_FREQPAY_SECONDMORT,
R2_FREQPAY_HELOC,
R2_FREQPAY_HOMEEQUITY,
R2_FREQPAY_OTHER
Second Respondent How often [do you/do you and the owners/do the owners] make a payment on the [LOAN]? 1. Once a month
2. Twice a month
3. Every two weeks
4. Something else (specify)
Cut



R2_FREQPAYOTH_FIRSTMORT,
R2_FREQPAYOTH_SECONDMORT,
R2_FREQPAYOTH_HELOC,
R2_FREQPAYOTH_HOMEEQUITY,
R2_FREQPAYOTH_OTHER
Second Respondent Specify how often [you/you and the owners/the owners] make a payment on the [LOAN].

-Enter 52 for 52 or more.
Enter Frequency
______________________
Cut



R2_TOTAL_FIRSTMORT,
R2_TOTAL_SECONDMORT,
R2_TOTAL_HELOC,
R2_TOTAL_HOMEEQUITY,
R2_TOTAL_OTHER
Second Respondent What is the outstanding principle balance on the [LOAN]?

IF NEEDED: If it would help, you can look at your statement or account.

Interviewer note: For Home Equity Line of Credit where there is no balance enter a 0.

-Enter 19999998 for $19,999,998 or more
Enter Amount
$_____________________
Cut



R2_INT1_FIRSTMORT,
R2_INT1_SECONDMORT,
R2_INT1_HELOC,
R2_INT1_HOMEEQUITY,
R2_INT1_OTHER
Second Respondent What is the current interest rate on the [LOAN]?

Interviewer note: For Home Equity Line of Credit where there is no balance enter a 1.

Interviewer note: For example, 6 1/4%: Enter whole number 6 for Interest - Whole and the fraction for Interest - Fraction.
Enter %
_____________

Cut



R2_INT2_FIRSTMORT,
R2_INT2_SECONDMORT,
R2_INT2_HELOC,
R2_INT2_HOMEEQUITY,
R2_INT2_OTHER
Second Respondent (What is the interest rate on the [LOAN] - Fraction)

Round down to nearest 1/8 percent

Interviewer note: For Home Equity Line of Credit where there is no balance enter a 1.
0. 0 - no fraction
1. 1/8 (.125%)
2. 1/4 (.25%)
3. 3/8 (.375%)
4. 1/2 (.5%)
5. 5/8 (.625%)
6. 3/4 (.75%)
7. 7/8 (.875%)
Cut



R2_FIXED_FIRSTMORT,
R2_FIXED_SECONDMORT,
R2_FIXED_HELOC,
R2_FIXED_HOMEEQUITY,
R2_FIXED_OTHER
Second Respondent Is the interest rate fixed?

Interviewer Note: Fixed interest for the life of the loan. Answer "No" if resident has an Adjustable Rate Mortgage that is fixed for period of time only
1. Yes
2. No
Cut



R2_HINSURE_AMT Second Respondent How much did [you/you and the owners/the owners] pay for homeowner's insurance last year?

Interviewer note: Do not take a monthly amount and multiply by 12. If needed, ask respondent to specify number of months

-Enter 99998 for $99,998 or more
If insurance was paid as part of the mortgage, enter 888888888.
If no insurance, enter 999999999.
Enter Amount
$_____________________
888888888 Paid as part of the mortgage
999999999 No insurance
Cut



R2_HFLOODINSURE Second Respondent Is the [apartment/ house] covered by flood insurance? 1. Yes
2. No
Cut



R2_HFLOODINSURE_AMT Second Respondent How much did [you/you and the owners/the owners] pay for flood insurance last year?


Interviewer note: Do not take a monthly amount and multiply by 12. If needed, ask respondent to specify number of months

-Enter 99998 for $99,998 or more
-If flood insurance was paid as part of the mortgage, enter 888888888.
Enter Amount
$_____________________
888888888 Paid as part of the mortgage
Cut



R2_PROPTAX_AMT Second Respondent How much were the property taxes for your [apartment/house] last year?

Interviewer Note: Enter amount due not what was paid

-Enter 99998 for $99,998 or more

-If property taxes were paid as part of the condominium or homeowners association fees, enter 777777777.
-If property taxes were paid as part of the mortgage, enter 888888888.
Enter Amount
$_____________________
777777777 Paid as part of the condominium or homeowners association fees
888888888 Paid as part of the mortgage


Cut



R2_COOPCONDOFEE Second Respondent Last month, what were the [condo/co-op] maintenance fees for the [apartment/ house]?

Interviewer Note: Exclude payments for any mortgage (loans) on the [condo/ co-op].
Interviewer Note: Enter 19998 for $19,998 or more
Enter Amount
$_____________________
Cut



R2_ASSESSMENT Second Respondent In the last year, have [you/ you or anyone else you live with] paid an assessment on the [condo/co-op]?

IF NEEDED: An assessment is a temporary charge that is in addition to your maintenance fees. For example, It can be used to cover a one-time expense or a major repair or improvement.
1. Yes
2. No
Cut



R2_ASSESSMENT_AMT Second Respondent Last year, how much did [you/ you or anyone else you live with] pay in assessments? This could be either all at once or smaller amounts paid over time.

Interviewer Note: Enter 49998 for $49,998 or more
Enter Amount
$_____________________
Cut



R2_UTIL_ELECTRIC,
R2_UTIL_GAS,
R2_UTIL_HEAT,
R2_UTIL_WATER,
R2_UTIL_NONE,
R2_UTIL_INCLUDED
Second Respondent Which utilities do [you/you and the people you live with] pay?

[INTERVIEWER: Show Flashcard 7]

Interviewer Note: Do not include cable, internet, or phone.
Enter all that apply, separate with commas.
1. Electricity
2. Cooking Gas
3. Heat
4. Water/Sewer
5. None of these
6. All utilities are included in the rent or condo/co-op fees


Cut



R2_UTILCOSTS_SUMMER Second Respondent Last summer, how much did [you/you and the people you live with] pay in a typical month for [electricity/gas/electricity and gas]?

IF NEEDED: By summer, I mean last June, July, and August

-Enter 4998 for $4,998 or more
Enter Amount
$_____________________
999 Respondent did not live in unit during reference period
Cut



R2_UTILCOSTS_WINTER Second Respondent Last winter, how much did [you/you and the people you live with] pay in a typical month for [electricity/ gas/ electricity and gas]?

IF NEEDED: By winter, I mean last October through May.

-Enter 4998 for $4,998 or more
Enter Amount
$_____________________
999 Respondent did not live in unit during reference period
Cut



R2_UTILCOSTS_HEAT Second Respondent Last year, what was the total cost of heat?

Interviewer Note: If heat is paid as part of electric bill, record costs under electric costs, not heat costs. Do not take a monthly amount and multiply by 12. If needed, ask respondent to specify number of months.
If respondent did not live in the [apartment/house] during reference period, enter 999.
-Enter 29998 for $29,998 or more
Enter Amount
$_____________________
999 Respondent did not live in unit during reference period
Cut



R2_UTILCOSTS_WATER Second Respondent Last year, what was the total cost of water and sewer?

Interviewer note: If respondent did not live in the [apartment/house] during reference period, enter 999.
-Enter 9998 for $9,998 or more
Enter Amount
$_____________________
999 Respondent did not live in unit during reference period
Cut



R2_PA_FOOD,
R2_PA_SNAP,
R2_PA_WIC,
R2_PA_CA,
R2_PA_TANF,
R2_PA_SNA,
R2_PA_SHELTER,
R2_PA_PA,
R2_PA_DIS,
R2_PA_SSI,
R2_PA_SSDI,
R2_PA_DISPEN,
R2_PA_OTH,
R2_PA_OTHHRA,
R2_PA_OTHCITY,
R2_PA_OTHSTATE,
R2_PA_OTHFED
Second Respondent Last month, did you or anyone else who lives with you receive assistance or payments from any of the following?

Interviewer Note: Enter all the apply, separate with commas

Interviewer: Show Assistance Sources Card

Interviewer Note: If respondent is unable to itemize specific programs, enter *00 answer choice (category). Do not count rental or housing assistance.
100. (A) Food Assistance
101. Supplemental Nutrition Assistance Program (SNAP)/Food Stamps/EBT
102. Women, Infants and Children (WIC)
200. (B) Cash Assistance
203. Temporary Assistance for Needy Families (TANF)
204. Safety Net Assistance (SNA)
205. Shelter Allowance
206. Public Assistance
300. (C) Disability Benefits
307. Supplemental Security Income (SSI)
308. Social Security Disability Insurance (SSDI)
309. Disability Pension
400. (D) Other Benefits
410. Another HRA program
411. Another City program
412. Another State program
413. Another Federal program
994. No
Cut



R2_PA_FOOD_AMOUNT,
R2_PA_SNAP_AMOUNT,
R2_PA_WIC_AMOUNT,
R2_PA_CA_AMOUNT,
R2_PA_TANF_AMOUNT,
R2_PA_SNA_AMOUNT,
R2_PA_SHELTER_AMOUNT,
R2_PA_PA_AMOUNT,
R2_PA_DIS_AMOUNT,
R2_PA_SSI_AMOUNT,
R2_PA_SSDI_AMOUNT,
R2_PA_DISPEN_AMOUNT,
R2_PA_OTH_AMOUNT,
R2_PA_OTHHRA_AMOUNT,
R2_PA_OTHCITY_AMOUNT,
R2_PA_OTHSTATE_AMOUNT,
R2_PA_OTHFED_AMOUNT
Second Respondent Last month, how much did you and anyone else who lives with you receive from [PROGRAM]?

Interviewer Note: Record total for all members that receive the benefit
Enter 9998 for $9,998 or more
Enter Amount
$_____________________
Cut



R2_WORK_P1-R2_WORK_P15 Second Respondent
Last week, did [you/person] work for pay at a job or business?

INTERVIEWER NOTE: Include any work even if you worked only 1 hour or helped without pay in a family business, or were on active duty in the Armed Forces.
If the person did not work all last week because he/she was on vacation from his/her job, enter 2.
Include freelance work as work for pay at a job or business.
1. Yes
2. No
Cut



R2_WORKJOBS_P1-R2_WORKJOBS_P15 Second Respondent Altogether, how many part-time and full-time jobs did [you/person] work at last week?

Interviewer Note: Enter 5 for 5 or more
Enter Number______________ Cut



R2_WORKLAST_P1-R2_WORKLAST_P15 Second Respondent When did [you/person] last work, even for a few days?
1. Within the past 12 months
2. 1 to 5 years ago
3. Over 5 years ago or never worked.
Cut



R2_WORK52_P1-R2_WORK52_P15 Second Respondent In [fill last calendar year], did [you/person] work EVERY week?

IF NEEDED: Count paid vacation, paid sick leave, and military service as work
1. Yes
2. No
Cut



R2_WORKWEEKS_P1-R2_WORKWEEKS_P15 Second Respondent In [fill last calendar year], how many WEEKS did [you/person] work?

IF NEEDED: Include paid time off and include weeks when the person only worked for a few hours.
Enter number of weeks________ Cut



R2_WORKHOURS_P1-R2_WORKHOURS_P15 Second Respondent In [fill last calendar year], in the WEEKS WORKED, how many hours did [you/person] usually work each WEEK?

Interviewer Note: Enter 97 for 97 or more
Enter number of hours_______ Cut



R2_BUSINESS_P1- R2_BUSINESS_P15 Second Respondent [Do you/Does Person] own a business or are [you/they] a partner in a business?

IF NEEDED:
Do not include (person)'s co-op as a business.
1 Yes
2 No
Cut



R2_BUSINESSINC_P1- R2_BUSINESSINC _P15 Second Respondent Is the business incorporated, such as an LLC or something similar? 1 Yes
2 No
Cut



R2_BUSINESSEMP_P1- R2_BUSINESSEMP _P15 Second Respondent [Are you/ Is [person]] also an employee of that business?
IF NEEDED: [Do you/ Does [person]] receive a salary?
1 Yes
2 No
Cut



R2_INC_JOB_P1-R2_INC_JOB_P15,
R2_INC_SALARY_P1-R2_INC_SALARY_P15,
R2_INC_WAGES_P1-R2_INC_WAGES_P15,
R2_INC_TIPS_P1-R2_INC_TIPS_P15,
R2_INC_SELF_P1-R2_INC_SELF_P15,
R2_INC_BUSINESS_P1-R2_INC_BUSINESS _P15,
R2_INC_ADD_P1-R2_INC_ADD_P15,
R2_INC_BONUS_P1-R2_INC_BONUS _P15,
R2_INC_STIPEND_P1-R2_INC_STIPEND _P15,
R2_INC_RENTINC_P1-R2_INC_RENTINC _P15,
R2_INC_RENTPERS_P1-R2_INC_RENTPERS_P15,
R2_INC_RETIRE_P1-R2_INC_RETIRE_P15,
R2_INC_SS_P1-R2_INC_SS_P15,
R2_INC_PENSION_P1-R2_INC_PENSION _P15,
R2_INC_RAIL_P1-R2_INC_ RAIL_P15,
R2_INC_OTHRETIRE_P1-R2_INC_OTHRETIRE_P15,
R2_INC_DIS_P1-R2_INC_ DIS_P15,
R2_INC_WORKCOMP_P1-R2_INC_WORKCOMP_P15,
R2_INC_PFL_P1-R2_INC_ PFL_P15,
R2_INC_FMLA_P1-R2_INC_FMLA_P15,
R2_INC_SUPPINS_P1-R2_INC_SUPPINS_P15,
R2_INC_INVEST_P1-R2_INC_INVEST_P15,
R2_INC_INTEREST_P1-R2_INC_INTEREST_P15,
R2_INC_DIVIDEND_P1-R2_INC_DIVIDEND_P15,
R2_INC_ANNUITY_P1-R2_INC_ANNUITY_P15,
R2_INC_ESTATE_P1-R2_INC_ESTATE_P15,
R2_INC_ROYALTY_P1-R2_INC_ROYALTY_P15,
R2_INC_OTHERINC_P1-R2_INC_OTHERINC _P15,
R2_INC_UNEMPL_P1-R2_INC_UNEMPL_P15,
R2_INC_CHILDSUPP_P1-R2_INC_CHILDSUPP_P15,
R2_INC_SURVIVOR_P1-R2_INC_SURVIVOR_P15,
R2_INC_VET_P1-R2_INC_VET_P15,
R2_INC_OTHERSOURCE_P1-R2_INC_OTHERSOURCE_P15
Second Respondent In [fill last calendar year], did [you/person] receive income from any of these sources?

Interviewer Note: Enter all the apply, separate with commas


INTERVIEWER: Reference Income Sources Card
100. (A) Income from a job
101. Salary
102. Wages
103. Tips
104. Income from self-employment
105. Income from a business
200. (B) Additional Income
206. Bonuses or commissions
207. Stipends
208. Income from renting some or all of your home
209. Income from renting a property that isn't your home
300. (C) Retirement
310. Social Security
311. Pension
312. Railroad retirement
313. Other retirement income
400. (D) Disability and Leave
414. Workers’ compensation
415. Paid Family Leave (PFL)
416. Paid Family Medical Leave (FMLA)
417. Cash payment from Supplemental Insurance
500. (E) Interest and Payments
518. Interest of $500 or more
519. Dividends
520. Annuities
521. Estates and trusts
522. Royalties
600. (F) Other
623. Unemployment
624. Child support and alimony
625. Survivor benefits
626. Veterans’ payments
627. Other regular source of income
994. No
Cut



R2_R2_INC_SALARY_AMT_P1-R2_INC_SALARY_AMT_P 15,
R2_INC_WAGES_AMT_P1-R2_INC_WAGES AMT_P15,
R2_INC_JOB_AMT_P1-R2_INC_JOB_AMT_P15,
R2_INC_SALARY_AMT_P1-R2_INC_SALARY_AMT_P15,
R2_INC_WAGES_AMT_P1-R2_INC_WAGES AMT_P15,
R2_INC_TIPS_AMT_P1-R2_INC_ TIPS_ AMT_P15,
R2_INC_SELF_AMT_P1-R2_INC_SELFAMT_P15,
R2_INC_BUSINESS_AMT_P1-R2_INC_ BUSINESS _AMT_P15,
R2_INC_ADD_AMT_P1-R2_INC_ ADDAMT_P15,
R2_INC_BONUS_AMT_P1-R2_INC_BONUS _AMT_P15,
R2_INC_STIPEND_AMT_P1-R2_INC_STIPEND_AMT_P15,
R2_INC_RENTINC_AMT_P1-R2_INC_RENTINC_AMT_P15,
R2_INC_RENTPERS_AMT_P1-R2_INC_RENTPERS _AMT_P15,
R2_INC_RETIRE_AMT_P1-R2_INC_RETIRE_AMT_P15,
R2_INC_SS_AMT_P1-R2_INC_SS_AMT_P15,
R2_INC_PENSION_AMT_P1-R2_INC_PENSION _AMT_P15,
R2_INC_RAIL_AMT_P1-R2_INC_RAIL_AMT_P15,
R2_INC_OTHRETIRE_AMT_P1-R2_INC_OTHRETIRE_AMT_P15,
R2_INC_DIS_AMT_P1-R2_INC_DIS_AMT_P15,
R2_INC_WORKCOMP_AMT_P1-R2_INC_WORKCOMP_AMT_P15,
R2_INC_PFL_AMT_P1-R2_INC_PFL_AMT_P15,
R2_INC_FMLA_AMT_P1-R2_INC_FMLA_AMT_P15,
R2_INC_SUPPINS_AMT_P1-R2_INC_SUPPINS_AMT_P15,
R2_INC_INVEST_AMT_P1-R2_INC_INVEST_AMT_P15,
R2_INC_INTEREST_AMT_P1-R2_INC_INTEREST _AMT_P15,
R2_INC_DIVIDEND_AMT_P1-R2_INC_DIVIDEND_AMT_P15,
R2_INC_ANNUITY_AMT_P1-R2_INC_ANNUITY_AMT_P15,
R2_INC_ESTATE_AMT_P1-R2_INC_ESTATE_AMT_P15,
R2_INC_ROYALTY_AMT_P1-R2_INC_ROYALTY_AMT_P15,
R2_INC_OTHERINC_AMT_P1-R2_INC_OTHERINC _AMT_P15,
R2_INC_UNEMPL_AMT_P1-R2_INC_UNEMPL_AMT_P15,
R2_INC_CHILDSUPP_AMT_P1-R2_INC_CHILDSUPP_AMT_P15,
R2_INC_SURVIVOR_AMT_P1-R2_INC_SURVIVOR_AMT_P15,
R2_INC_VET_AMT_P1-R2_INC_VET_AMT_P15,
R2_INC_OTHERSOURCE_AMT_P1-R2_INC_OTHERSOURCE_AMT_P15,
R2_INC_TIPS_AMT_P1-R2_INC_TIPS_AMT_P15
Second Respondent How much did [you/person] earn from [fill from INC_*_P1-P15] in [fill last calendar year]?

IF NEEDED: Report income before taxes.
Interviewer Note: If the income went to multiple people, split the amount evenly among recipients

Interviewer note: If respondent reports having both wages and tips, but cannot report them separately, put the combined amount under "wages".

As appropriate:
-Enter 9999998 for $9,999,998 or more
-Enter 4999998 for $4,999,998 or more
-Enter 999998 for $999,998 or more
-Enter 499998 for $499,998 or more
-Enter 99998 for $99,998 or more
-Enter 49998 for $49,998 or more
-Report net income after operating expenses. If net income was a loss precede amount with a '-'. Breakeven = 1.
Enter Amount
$_____________________
Cut



R2_INC_ONETIME_P1-R2_INC_ONETIME_P 15 Second Respondent Separate from what we just talked about, in [fill last calendar year], did [you/person] receive any one-time payments, such as inheritance, settlement of a lawsuit, or buyout from a landlord?

1 Yes
2 No
1.Yes, a buyout from a landlord
2.Yes, an inheritance, settlement, or other one-time payment
3. Both
4.No
Cut



R2_INC_ONETIME_AMT_P1-R2_INC_ONETIME_AMT_P15 Second Respondent You indicated that [you/person] received a [one-time payment/buyout]. About how much did [you/person] receive in [fill last calendar year]?

Interviewer Note: If more than one, please combine.

Interviewer Note: If the one-time payment went to multiple people, split the amount evenly among recipients
Enter 9999998 for $9,999,998 or more
Enter Amount
$_____________________
Cut



R2_TOTAL_INC_CONF_P1-R2_TOTAL_INC_CONF_P15 Second Respondent It seems like [you/person] made [Calculate total income for person] in [fill last calendar year]. Does that seem right? 1. Yes
2. No
Cut




Sheet 3: Vacant Interview

Variable Vacant Interview Questions Answer Text/FR Instructions Status for 2023 2023 Status Notes
V_UNITREF Is this an apartment or a house?

Interviewer Note: Reference sampled unit address and unit number when appropriate.
1. Apartment
2. House
Keep as is
V_FIRSTOCC If this apartment (house) were to be occupied, would it be the first occupancy since its construction, gut rehabilitation, or creation through conversion or sub-division? 1. Yes, first occupancy
2. No, previously occupied
Cut
V_UNIT_CORRECT My records indicate there are [no other/[fill number of units from front]] apartments in the building. Is that correct? 1. Yes
2. No
Keep as is
V_UNIT_COUNT How many apartments are in the building?

-Enter 9998 for 9998 or more
Enter number of apartments_____ Keep as is
V_REGAGREE Are any of the units in the building subject to a regulatory agreement with the City or State? 1. Yes
2. No
Keep as is
V_STORIES How many stories are in the building?

-Enter 98 for 98 or more
Enter number of stories _________________ Cut
V_UNIT_FLOOR On what floor is this unit?

-Enter 98 for 98 or more
Enter floor of unit ___________________ Cut
V_ELEVATOR Is there an elevator in the building? 1. Yes
2. No
Keep as is
V_ELEV_NO_STEPS Is it possible to go from the sidewalk to a passenger elevator without going up or down any steps or stairs? 1. Yes
2. No
Cut
V_UNIT_NO_STEPS Is it possible to go from the sidewalk to this unit without going up or down any steps or stairs? 1. Yes
2. No
Cut
V_BEDROOMS How many bedrooms are in the [apartment/ house]?

Interviewer Note: If the apartment is a studio, record bedrooms as 0.

-Enter 10 for 10 or more
Enter number of bedrooms____ Keep as is
V_ROOMS How many rooms are in the [apartment/ house]? Count each separate room. For example, living rooms, kitchens, bedrooms, and dining rooms.

IF NEEDED: A room is an enclosed area bounded by ceiling-to-floor walls, one or more of which may contain a door or an open archway.

Interviewer Note: Do not include bathrooms, hallways, or walk-in closets.

-Enter 20 for 20 or more
Enter number of rooms_____ Keep as is
V_FULLBATH_NUM How many full bathrooms are in the [apartment/ house]?

IF NEEDED: A full bathroom has a sink with running water, a toilet, and a bathtub or shower.

-Enter 10 for 10 or more
Enter number of full bathrooms_____ Keep as is
V_HALFBATH_NUM How many half bathrooms are in the [apartment/ house]?

IF NEEDED: A half-bathroom has a toilet and sink, but no bathtub or shower.

-Enter 10 for 10 or more
Enter number of half bathrooms____ Keep as is
V_SHAREDBATH Does the [apartment/house] share a bathroom with other [apartments/units] in the building? 1. Yes
2. No
Modify
V_COMPLETEBATH Does the [apartment/house] have a sink, a toilet, and a bathtub or shower? 1. Yes
2. No
Keep as is
V_APP_FRIDGE Does the [apartment/house] have a…

Refrigerator?
1. Yes
2. No
Keep as is
V_APP_STOVE IF NEEDED: Does the [apartment/house] have a…


Stove/Oven/Cooktop?

Interviewer Note: If respondent only has a hot plate or microwave, mark no for Stove/Oven/Cooktop
1. Yes
2. No
Keep as is
V_APP_DISHWASH IF NEEDED: Does the [apartment/house] have a…

Dishwasher?

1. Yes
2. No
Keep as is
V_APP_WASHMACH IF NEEDED: Does the [apartment/house] have a…

Washing machine?


Interviewer Note: If respondent has a washing machine/dryer combination, enter yes for both washing machine and dryer.
1. Yes
2. No
Keep as is
V_APP_DRYER IF NEEDED: Does the [apartment/house] have a…

Dryer?

Interviewer Note: If respondent has a washing machine/dryer combination, enter yes for both washing machine and dryer.
1. Yes
2. No
Keep as is
V_SINK Does the [apartment/house] have a sink with hot and cold running water? 1. Yes
2. No
Keep as is
V_NEW_FRIDGE IF NEEDED: Please tell me if the following were replaced since the last occupant left the [apartment/house].

The refrigerator?
1. Yes
2. No
Keep as is
V_NEW_STOVE IF NEEDED: Please tell me if the following were replaced since the last occupant left the [apartment/house].

Stove/oven/cooktop?
1. Yes
2. No
Keep as is
V_NEW_DISHWASH IF NEEDED: Please tell me if the following were replaced since the last occupant left the [apartment/house].

Dishwasher?
1. Yes
2. No
Keep as is
V_NEW_WASHMACH IF NEEDED: Please tell me if the following were replaced since the last occupant left the [apartment/house].

Washing machine?
1. Yes
2. No
Keep as is
V_NEW_DRYER IF NEEDED: Please tell me if the following were replaced since the last occupant left the [apartment/house].

Dryer?
1. Yes
2. No
Keep as is
V_NEW_CABINETS IF NEEDED: Please tell me if the following were replaced since the last occupant left the [apartment/house].

Kitchen cabinets?
1. Yes
2. No
3. NA
Keep as is
V_NEW_COUNTER IF NEEDED: Please tell me if the following were replaced since the last occupant left the [apartment/house].

Kitchen countertops?
1. Yes
2. No
3. NA
Keep as is
V_SHAREDKITCH Does the [apartment/house] share a kitchen with other [apartments/units] in the building? 1. Yes
2. No
Keep as is
V_RENOVATE Is the [apartment/ house] now under renovation?
1. Yes
2. No
Keep as is
V_EXTERM_SERV Does the building offer an exterminator service?

IF NECESSARY: Some buildings have a sign-up sheet or an exterminator can be requested.
1. Yes
2. No
Cut
V_CENTRALAIR Does the [apartment/ house] have functioning central air conditioning?

IF NEEDED: An air conditioning system that does not have to plug into the wall.
1. Yes
2. No
Keep as is
V_CONDOCOOP Is the [apartment/house] a condo or part of a co-op? 1. Yes, a condo
2. Yes, part of a co-op
3. No
Keep as is
V_COOPCONDOFEE Last month, what were the [condo/co-op] maintenance fees for the [apartment/ house]?

Interviewer Note: Exclude payments for any mortgage (loans) on the [condo/ co-op].

-Enter 199998 for $19,998 or more
Enter Amount
$_____________________
Keep as is
V_OWNERBLDG Does the owner or landlord live in the building? 1. Yes
2. No
Keep as is
V_OWNERANY Are any of the units in the building owner-occupied? 1. Yes
2. No
Keep as is
V_OWN Before the [apartment /house] became vacant, was it owner or renter occupied? 1. Owner
2. Renter
Keep as is
V_LASTOCC_MO What was the last month and year that occupant lived in the [apartment/house]?
Enter month New
V_LASTOCC_YR What was the last month and year that occupant lived in the [apartment/house]?
Enter year New
V_LASTRENT What was the last rent charged before the unit became vacant?

-Enter 29998 for $29,998 or more
Enter Amount $______________________ Keep as is
V_EVICTED Was the last occupant of the [apartment/house] evicted? 1. Yes
2. No
Keep as is
V_AVAILABLE Is this [apartment/house] available for rent, available for sale only, or not available for rent or sale?

1. Available for rent?
2. Available for sale only?
3. Not available for rent or sale?
Keep as is
V_AVAILABLE_SALE Is this [apartment/house] also available for sale? 1. Yes
2. No
Keep as is
V_VACANTLENGTH When did the [apartment/house] become available for [rent/sale]?
Enter Number of Months _______ Keep as is
V_REASONNOTAVAIL What are the reasons that this [apartment/house] is not available for sale or rent? 1. Rented, not yet occupied
2. Sold, not yet occupied
3. Unit or building is undergoing renovation
4. Unit or building is awaiting renovation
5. Being converted to nonresidential purposes
6. There is a legal dispute involving the unit
7. Being converted or awaiting conversion to condominium or cooperative
8. Held for occasional, seasonal, or recreational use
9. The owner cannot rent or sell at this time due to personal problems (e.g., age or illness)
10. Being held pending sale of building
11. Being held for planned demolition
12. Held for other reasons
Keep as is
V_REASONNOTAVAIL_SP Interviewer Note: Specify why the unit is held for other reasons
Keep as is
V_ASKINGRENT What is the MONTHLY asking rent?

-Enter 29998 for $29,998 or more
Enter Amount $______________________ Keep as is
V_ASKINGPRICE What is the asking price for the [apartment/house]?

-Enter 19999998 for $19,999,998 or more
Enter Amount $______________________ Keep as is

Sheet 4: URE Interview

Variable URE Interview Questions Answer Text/FR Instructions Status for 2023 2023 Status Notes
V_UNITREF I'm going to ask you questions about [fill address]. Should I refer to this address as an apartment or a house?
1. Apartment
2. House
Keep as is
V_UNIT_CORRECT My records indicate there are [no other/[fill number of units from front]] apartments in the building. Is that correct? 1. Yes
2. No
Keep as is
V_UNIT_COUNT How many apartments are in the building?

-Enter 9998 for 9998 or more
Enter number of apartments_____ Keep as is
V_REGAGREE Are any of the units in the building subject to a regulatory agreement with the City or State? 1. Yes
2. No
Keep as is
V_ELEVATOR Is there an elevator in the building? 1. Yes
2. No
Keep as is
V_BEDROOMS How many bedrooms are in the [apartment/ house]?

Interviewer Note: If the apartment is a studio, record bedrooms as 0.

-Enter 10 for 10 or more
Enter number of bedrooms____ Keep as is
V_ROOMS How many rooms are in the [apartment/ house]? Count each separate room. For example, living rooms, kitchens, bedrooms, and dining rooms.

IF NEEDED: A room is an enclosed area bounded by ceiling-to-floor walls, one or more of which may contain a door or an open archway.

Interviewer Note: Do not include bathrooms, hallways, or walk-in closets.

-Enter 20 for 20 or more
Enter number of rooms_____ Keep as is
V_FULLBATH_NUM How many full bathrooms are in the [apartment/ house]?

IF NEEDED: A full bathroom has a sink with running water, a toilet, and a bathtub or shower.

-Enter 10 for 10 or more
Enter number of full bathrooms_____ Keep as is
V_HALFBATH_NUM How many half bathrooms are in the [apartment/ house]?

IF NEEDED: A half-bathroom has a toilet and sink, but no bathtub or shower.

-Enter 10 for 10 or more
Enter number of half bathrooms____ Keep as is
V_SHAREDBATH Does the [apartment/house] share a bathroom with other [apartments/units] in the building? 1. Yes
2. No
Keep as is
V_COMPLETEBATH Does the [apartment/house] have a sink, a toilet, and a bathtub or shower? 1. Yes
2. No
Keep as is
V_APP_FRIDGE Does the [apartment/house] have a…

Refrigerator?
1. Yes
2. No
Keep as is
V_APP_STOVE IF NEEDED: Does the [apartment/house] have a…


Stove/Oven/Cooktop?

Interviewer Note: If respondent only has a hot plate or microwave, mark no for Stove/Oven/Cooktop
1. Yes
2. No
Keep as is
V_APP_DISHWASH IF NEEDED: Does the [apartment/house] have a…

Dishwasher?
1. Yes
2. No
Keep as is
V_APP_WASHMACH IF NEEDED: Does the [apartment/house] have a…

Washing machine?


Interviewer Note: If respondent has a washing machine/dryer combination, enter yes for both washing machine and dryer.
1. Yes
2. No
Keep as is
V_APP_DRYER IF NEEDED: Does the [apartment/house] have a…

Dryer?

Interviewer Note: If respondent has a washing machine/dryer combination, enter yes for both washing machine and dryer.
1. Yes
2. No
Keep as is
V_SINK Does the [apartment/house] have a sink with hot and cold running water? 1. Yes
2. No
Keep as is
V_SHAREDKITCH Does the [apartment/house] share a kitchen with other [apartments/units] in the building? 1. Yes
2. No
Keep as is
V_RENOVATE Is the [apartment/ house] now under renovation?
1. Yes
2. No
Keep as is
V_CENTRALAIR Does the [apartment/ house] have functioning central air conditioning?

IF NEEDED: An air conditioning system that does not have to plug into the wall.
1. Yes
2. No
Keep as is
V_OWNRENT Do the people who sometimes stay at the [apartment/house] own or rent it? 1. Own
2. Rent
New
V_CONDOCOOP Is the [apartment/house] a condo or part of a co-op? 1. Yes, a condo
2. Yes, part of a co-op
3. No
Keep as is
V_COOPCONDOFEE Last month, what were the [condo/co-op] maintenance fees for the [apartment/ house]?

Interviewer Note: Exclude payments for any mortgage (loans) on the [condo/ co-op].

-Enter 199998 for $19,998 or more
Enter Amount
$_____________________
Keep as is
V_OWNERBLDG Does the owner or landlord live in the building? 1. Yes
2. No
Keep as is
V_OWNERANY Are any of the units in the building owner-occupied? 1. Yes
2. No
Keep as is
V_LENGTHOWNRENT How long have the people who sometimes stay here [owned/rented] the [apartment/house]? 1. Less than a week
2. A week - a month
3. A month- a year
4. 1-2 years
5. 3-5 years
6. 6-10 years
7. More than 10 years
New New question, fill based on owner/renter status
V_EVEROCC Have they always lived in the [apartment/house] only part-time? 1. Yes
2. No
New
V_LENGTHURE When did they move somewhere else? 1. Less than a year
2. 1-2 years
3. 3-5 years
4. 6-10 years
5. More than 10 years
New
V_RENT_AMOUNT Last month, how much was the rent for the [apartment/house]? Enter Amount $______________________ New New in URE, same as question asked in occupied interview.

Sheet 5: Back

Variable Question Text/FR Instructions Answer Text/FR Instructions Status for 2023







FOLLOWRESP You said someone else who lives with you would be able to answer some of the questions that I asked. I'd like to ask them these questions. What are the names and phone numbers of the other people who live with you so I can reach them?

Interviewer Note: Enter up to 3 that apply, separate with commas
This answer list should display the names of everyone on lines 2-15 of the roster (respondent is excluded) Cut







PERSON1_FIRST, _x000D_
PERSON1_LAST, _x000D_
PERSON1_PHONE
Thank you again for taking the time to help me. 

My supervisor for the NYCHVS may want to check my work. What is your name and phone number in case they need to reach you?
First Name ________________________ _x000D_
Last Name _________________________ _x000D_
Phone Number (_____) ______ - __________
Keep as is







PERSON_PHTYP Is this a home, work, mobile or cell, or other type of number? 1. Home
2. Work
3. Mobile
4. Pager, Beeper, Answer Service
5. Public Pay Phone
6. Toll Free
7. Other
8. Fax
Keep as is







PERSON2_FIRST-PERSON15_FIRST, _x000D_
PERSON2_LAST-PERSON15_LAST, _x000D_
PERSON2_PHONE-PERSON15_PHONE
(You said someone else who lives with you would be able to answer some of the questions that I asked. I'd like to ask them these questions. What are the names and phone numbers of the other people who live with you so I can reach them?)

Interviewer Note: Enter first name or press enter if no changes
First Name ________________________
Last Name _________________________
Phone Number (_____) ______ - __________
Cut







FOLLOWUP_PREF Which of the people you named is the one best person to answer the questions you skipped? Enter Person Number ___________ Cut





0 0
REVIEW I will review the file before I submit it to make sure I correctly entered your answers. If I need anything else, I’ll call you.
Keep as is





0 0
INT_LANG In what language was the interview conducted? 1. English
2. Spanish
3. Bengali
4. Chinese - Simplified
5. Chinese – Traditional
6. Haitian Creole
7. Russian
8. Other (Specify): ___________________
Keep as is





0 0
INT_LANG_OTHER Interviewer Note: Specify other language
Keep as is





0 0
INT_LANG_CH In what form of spoken Chinese is the interview being conducted? 1. Mandarin
2. Cantonese
3. Other (Specify): ___________________
Keep as is





0 0
INT_LANG_CHSP Interviewer Note: Specify other language
Keep as is





0 0
APNTMT Ask respondent to schedule an appointment to complete the interview. _x000D_
_x000D_
[displays previous appt if applicable]

Keep as is





0 0
APPTDATE Today's date is: DATEFILL_x000D_
Enter appointment date MM/DD/YYYY

Keep as is





0 0
APPTTIME Enter appointment time.
Keep as is





0 0
File Typeapplication/vnd.openxmlformats-officedocument.spreadsheetml.sheet
File Modified0000-00-00
File Created0000-00-00

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