0920-1291 Panel Core Questions

ATTACHMENT 2: PANEL CORE QUESTIONS

Variable Name: birthyr

Question Text: In what year were you born?

Values: Year

Variable Name: gender

Question Text: Are you male or female?

Values:

1. Male

2. Female

Variable Name: marstat

Question Text: What is your marital status?

Values:

1. Married, living with spouse

2. Separated

3. Divorced

4. Widowed

5. Single, never married

6. Domestic partnership

Variable Name: child18

Question Text: Are you the parent or guardian of any children under the age of 18?

Values:

1. Yes

2. No

Variable Name: employ

Question Text: Which of the following best describes your current employment status?

Values:

1. Working full time now

2. Working part time now

3. Temporarily laid off

4. Unemployed

5. Retired

6. Permanently disabled

7. Taking care of home or family

8. Student

9. Other

Variable Name: faminc_new

Question Text: Thinking back over the last year, what was your family’s annual income?

Values:

1. Less than $10,000

2. $10,000 - $19,999

3. $20,000 - $29,999

4. $30,000 - $39,999

5. $40,000 - $49,999

6. $50,000 - $59,999

7. $60,000 - $69,999

8. $70,000 - $79,999

9. $80,000 - $99,999

10. $100,000 - $119,999

11. $120,000 - $149,999

12. $150,000 - $199,999

13. $200,000 - $249,999

14. $250,000 - $349,999

15. $350,000 - $499,999

16. $500,000 or more

97. Prefer not to say

zip code

Variable Name: hispanic

Question Text: Are you of Spanish, Latino, or Hispanic origin or descent?

Values:

1. Yes

2. No

Variable Name: speakspanish

Question Text: Do you speak Spanish on a regular basis?

Values:

1. I speak Spanish primarily

2. I speak both Spanish and English equally

3. I speak English primarily but can speak Spanish

4. I cannot speak Spanish

Variable Name: immigrant

Question Text: Which of these statements best describes you?

Values:

1. I am an immigrant to the USA and a naturalized citizen

2. I am an immigrant to the USA but not a citizen

3. I was born in the USA but at least one of my parents is an immigrant

4. My parents and I were born in the USA but at least one of my grandparents was an

immigrant

5. My parents, grandparents and I were all born in the USA

Variable Name: industrynaics

Question Text: Please tell us what company that you work for does

Values:

1. Agriculture, Forestry, Fishing and Hunting

2. Mining, Oil and Gas Extraction, and Utilities

3. Construction

4. Manufacturing

5. Wholesale Trade

6. Retail Trade

7. Transportation and Warehousing

8. Media, Communications, and Digital Entertainment

9. Finance, Accounting, and Consulting

10. Insurance

11. Real Estate, Rental, and Leasing

12. Personal Care and Services

13. Research

14. Engineering, Computer-Related Design, and Architecture

15. Law and Legal Services

16. Education

17. Health Care and Social Assistance

18. Arts, Entertainment, and Recreation

19. Restaurant, Travel and Lodging

20. Non-Profit, Community, Religious and Social Service Organizations

21. Maintenance and Repair Services

22. Government

23. Other

Variable Name: urbanicity

Question Text: In what sort of place do you currently live?

Values:

1. Big city

2. Smaller city

3. Suburban area

4. Small town

5. Rural area

Variable Name: genhealth

Question Text: Would you say your health in general is excellent, very good, good, fair, or

poor?

1. Excellent

2. Very good

3. Good

4. Fair

5. Poor

Variable Name: healthinsur_srg

Question Text: Are you currently covered by any of the following types of health insurance or

health coverage plans?

1. Insurance through a current or former employer or union

2. Insurance purchased directly from an insurance company

3. Medicare, for people 65 and older, or people with certain disabilities

4. Medicaid, Medical Assistance, or any kind of government-assistance plan for those with

low incomes or a disability

5. TRICARE or other military health care

6. VA (including those who have ever used or enrolled for VA health care)

7. Indian Health Service

8. Any other type of health insurance or health coverage plan

9. Not applicable, Not covered by health insurance currently

Variable Name: pp_smoke100

Question Text: Have you smoked at least 100 cigarettes in your entire life?

1. Yes

2. No