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 |
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? |
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 |
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 |
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 |
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. |
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 Type | application/vnd.openxmlformats-officedocument.spreadsheetml.sheet |
File Modified | 0000-00-00 |
File Created | 0000-00-00 |