Attachment J - HU Failed Edit Follow Up Qts 2024

Attachment J -- HU Failed Edit Follow Up Qts
AMERICAN COMMUNITY SURVEY
Questions in Computer-assisted Telephone Interviewing (CATI) Failed Edit Follow Up (FEFU)
That Differ from Those in the Paper Questionnaire
(Last Updated: 8/27/2021)

Paper Questionnaire Item Number: Roster7
FEFU Screen Name: DIAL1.DRIVING
Before I go any further, for safety purposes, are you driving?
♢ Even if the respondent is using a hands-free device while driving, you must end the call.

❍ 1. Yes
❍ 2. No
FEFU Screen Name: ADDVER
I’d like to verify that I have your correct address.
❍ 1. Yes, address 1 is correct
❍ 2. Yes, address 2 is correct
❍ 3. No

FEFU Screen Name: USTATVER
On (RDATE), was there anyone living or staying at this address for more than two months?

***NOTE: RDATE stands for the Response Date, or the estimated date the respondent completed the
questionnaire.
FEFU Screen Name: CJIC2
On (RDATE) was this housing unit....?
❍ 1. Temporarily Occupied
❍ 2. Vacant
❍ 3. a Group Quarters
❍ 4. for Commercial Use Only

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FEFU Screen Name: CJIC3
On (RDATE) was this housing unit....?
❍ 1. For rent
❍ 2. Rented, not occupied
❍ 3. For sale only
❍ 4. Sold, not occupied
❍ 5. For seasonal, recreational or occasional use
❍ 6. For migrant workers
❍ 7. Other vacant
FEFU Screen Name: VACOTH
Why is this unit Vacant?
❍ 1. Foreclosure
❍ 2. Personal/family reasons
❍ 3. Legal proceedings
❍ 4. Preparing to rent/sell
❍ 5. Held for storage of household furniture
❍ 6. Needs repairs
❍ 7. Currently being repaired/renovated
❍ 8. Specific use housing
❍ 9. Extended absence
❍ 10. Abandoned/possibly to be demolished/possibly condemned
❍ 11. Other

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FEFU Screen Name: CJIC4
How many months has this unit been vacant?
❍ 1. Less than 1 month
❍ 2. 1 up to 2 months
❍ 3. 2 up to 4 months
❍ 4. 4 up to 6 months
❍ 5. 6 up to 12 months
❍ 6. 12 up to 24 months
❍ 7. 24 or more months

FEFU Screen Name: CoverageP
[I’d like to make sure that we’ve included everyone. I see that the household size ( / ) but we have data for
persons.]
I have listed: () How many people were here for more than two months on
()?
01 Sally

P

Smith

02 John

D

Smith

03 Brandon C

Smith

04
05
06
07
.
.
.
20

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FEFU Screen Name: LN_PG2, FN_PG2, MI_PG2
(Last/First) Name (MI)
(INCLUDE everyone living or staying here for more than two months.
INCLUDE anyone else staying here who does not have another place to stay even if they are
here for two months or less.
DO NOT INCLUDE anyone who is living somewhere else for more than two months, such as a
college student living away.)

Paper Questionnaire Item Number: Demographic 2
FEFU Screen Name: RELSHIP

How is related to ? is 's…
❍ 20. Householder
❍ 21. Opposite-sex husband/wife/spouse
❍ 22. Opposite-sex unmarried partner
❍ 23. Same-sex husband/wife/spouse
❍ 24. Same-sex unmarried partner
❍ 25. Biological son or daughter
❍ 26. Adopted son or daughter
❍ 27. Stepson or stepdaughter
❍ 28. Brother or sister
❍ 29. Father or mother
❍ 30. Grandchild
❍ 31. Parent-in-law
❍ 32. Son-in-law or daughter-in-law
❍ 33. Other relative
❍ 34. Roommate or housemate
❍ 35. Foster child
❍ 36. Other nonrelative

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Attachment J -- HU Failed Edit Follow Up Qts

Paper Questionnaire Item Number: Demographic 3
FEFU Screen Name: SEX

(Are you /Is ) male or female?

❍ 1. Male
❍ 2. Female

Paper Questionnaire Item Number: Demographic 4
FEFU Screen Name: P2DOB

What is (’s/your) date of birth?
♢ Enter the month/day/4-digit year

FEFU Screen Name: AGEP
So that makes (/you) as of ?
Is that correct?
❍ 1. Yes
❍ 2. No

FEFU Screen Name: AGEVER
When I calculate {’s/your} age from the birth date provided, that makes
{/you} as of , but the age given on the survey was
. Which is correct as of ?
❍ 1.
❍ 2.

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Attachment J -- HU Failed Edit Follow Up Qts
❍ 3. Neither

FEFU Screen Name: AGEASK
How old {was/were you} as of ?

Paper Questionnaire Item Number: Demographic 5
FEFU Screen Name: HISA
{Is/Are} {/you} of Hispanic, Latino, or Spanish origin?
❍ 1. Yes
❍ 2. No

FEFU Screen Name: HISB
{Is/Are} {/you} Mexican, Mexican American, or Chicano; Puerto Rican; Cuban; or
some other Hispanic, Latino, or Spanish origin; for example, Salvadoran, Dominican,
Colombian, Guatemalan, Spaniard, Ecuadorian, etc.?
♦ Do not encourage more than one response but enter more than response if offered.
♦ Enter all that apply, separate with commas.





1. Mexican, Mexican American, or Chicano
2. Puerto Rican
3. Cuban
4. Another Hispanic, Latino, or Spanish origin – For example, Salvadoran, Dominican,
Colombian, Guatemalan, Spaniard, Ecuadorian, etc.

FEFU Screen Name: HISW
What is that origin? For example, Salvadoran, Dominican, Colombian, Guatemalan,
Spaniard, Ecuadorian, etc.

Paper Questionnaire Item Number: Demographic 6
FEFU Screen Name: RAC
I’m going to read a list of race categories. You may choose one or more races. For this survey,
Hispanic origin is not a race.

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Attachment J -- HU Failed Edit Follow Up Qts
{Is/Are} {/you} White; Black or African American; American Indian or Alaska Native;
Asian; Native Hawaiian or Other Pacific Islander; or Some other race?
♦ Enter all that apply, separate with commas.


11. White



12. Black or African American



13. American Indian or Alaska Native



14. Asian



15. Native Hawaiian or Other Pacific Islander



16. Some other race

FEFU Screen Name: RAC_WI_WHT
What are {his/her/your/’s} White origin or origins? For example, German, Irish,
English, Italian, Lebanese, Egyptian, etc.
FEFU Screen Name: RAC_WI_BLK
What are {his/her/your/’s} Black or African American origin or origins? For example,
African American, Jamaican, Haitian, Nigerian, Ethiopian, Somali, etc.
FEFU Screen Name: RAC_WI_AIAN
What are {his/her/your/’s} American Indian or Alaska Native enrolled or principal
tribe or tribes? For example, Navajo Nation, Blackfeet Tribe, Mayan, Aztec, Native Village of
Barrow Inupiat Traditional Government, Nome Eskimo Community, etc.
FEFU Screen Name: RCWAG
You may choose one or more Asian groups.
{Is /Are you} Chinese, Filipino, Asian Indian, Vietnamese, Korean, Japanese, or of
some other Asian origin?


1. Chinese



2. Filipino



3. Asian Indian



4. Vietnamese



5. Korean



6. Japanese



7. Other Asian

FEFU Screen Name: RAC_WI_ASN

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What are those other Asian origin or origins? For example, Pakistani, Cambodian, Hmong, etc.
FEFU Screen Name: RCWPG
You may choose one or more Pacific Islander groups.
{Is /Are you} Native Hawaiian, Samoan, Chamorro, or of some other Pacific Islander
origin?


1. Native Hawaiian



2. Samoan



3. Chamorro



4. Other Pacific Islander

FEFU Screen Name: RAC_WI_NHPI
What are those other Pacific Islander origin or origins? For example, Tongan, Fijian,
Marshallese, etc.

FEFU Screen Name: RAC_WI_SOR

What is {his/her/’s/your} other race or origin?

Paper Questionnaire Item Number: Housing 2
FEFU Screen Name: BLD

Which best describes this building?
(Include all apartments, flats, etc., even if vacant.)
♦ Self-propelling RVs or motorhomes should be includes in the category “Boat, RV, van, etc.”
Towable RVs, such as travel trailers or fifth-wheel trailers, should be included in the category
“Mobile home.”
❍ 1. mobile home
❍ 2. 1-family detached
❍ 3. 1-family attached
❍ 4. building 2 apartments

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Attachment J -- HU Failed Edit Follow Up Qts
❍ 5. building 3-4 apartments
❍ 6. building 5-9 apartments
❍ 7. building 10-19 apartments
❍ 8. building 20-49 apartments
❍ 6. building 50+ apartments
❍ 7. boat, RV, van, etc.

FEFU Screen Name: YRBLT
About when was this first built?
(If you do not know exact year, give your best estimate.)
♦ If the building was built in the year 2020 or later, enter <1> and enter the specific year on
the following screen.
❍ 1. 2020 or later
❍ 2. 2010 to 2019
❍ 3. 2000 to 2009
❍ 4. 1990 to 1999
❍ 5. 1980 to 1989
❍ 6. 1970 to 1979
❍ 7. 1960 to 1969
❍ 8. 1950 to 1959
❍ 9. 1940 to 1949
❍ 10. 1939 or earlier

FEFU Screen Name: YRBLTW
(What year was this built?)

Paper Questionnaire Item Number: Housing 3
FEFU Screen Name: MVM
When did (you/) move into this ?
♢ Select month

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Attachment J -- HU Failed Edit Follow Up Qts
❍ 1. January
❍ 2. February
❍ 3. March
❍ 4. April
❍ 5. May
❍ 6. June
❍ 7. July
❍ 8. August
❍ 9. September
❍ 10. October
❍ 11. November
❍ 12. December

FEFU Screen Name: MVY
When did (you/) move into this ?
♢ Enter the year the household moved into this (mobile home/ house/ apartment/ unit).

Paper Questionnaire Item Number: Housing 7a
FEFU Screen Name: RWATPR (Puerto Rico Only)
Does this have running water?

Paper Questionnaire Item Number: Housing 7b
FEFU Screen Name: HOTWAT (Puerto Rico Only)
Does this have a water heater?

Paper Questionnaire Item Number: Housing 8
FEFU Screen Name: TEL

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Can you or any member of this household both make and receive phone calls when at this
? Include calls using cell phones, land lines, or other
phone devices.
❍ 1. Yes
❍ 2. No

Paper Questionnaire Item Number: Housing 9a
FEFU Screen Name: LAPTOP
At this , do you or any member of this household
own or use a desktop, or laptop computer?

Paper Questionnaire Item Number: Housing 9b
FEFU Screen Name: SMARTPHONE
At this , do you or any member of this household
own or use a smartphone?

Paper Questionnaire Item Number: Housing 9c
FEFU Screen Name: TABLET
At this , do you or any member of this household
own or use a tablet or other portable wireless computer?

Paper Questionnaire Item Number: Housing 9d
FEFU Screen Name: COMPOTH
At this , do you or any member of this household
own or use some other type of computer?

FEFU Screen Name: COMPOTHW
What is this other type of computer?

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Paper Questionnaire Item Number: Housing 10
FEFU Screen Name: WEB
At this do you or any member of this household
access the Internet?

FEFU Screen Name: SUBSCRIBE
At this , do you or any member of this household
pay a cell phone company or Internet service provider to access the Internet?

Paper Questionnaire Item Number: Housing 11a
FEFU Screen Name: BROADBND
Do you or any member of this household access the internet using a cellular data plan for a
smartphone or other mobile device?
Paper Questionnaire Item Number: Housing 11b
FEFU Screen Name: HISPEED
Do you or any member of this household access the Internet using broadband or high
speed Internet service such as cable, fiber optic, or DSL service installed in this
?

Paper Questionnaire Item Number: Housing 11c
FEFU Screen Name: SATELLITE
Do you or any member of this household access the Internet using a satellite Internet
service installed in this ?
Paper Questionnaire Item Number: Housing 11d
FEFU Screen Name: DIALUP
Do you or any member of this household access the Internet using dial-up Internet
serviced installed in this ?

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Attachment J -- HU Failed Edit Follow Up Qts

Paper Questionnaire Item Number: Housing 11e
FEFU Screen Name: OTHSVCE
Do you or any member of this household access the Internet using some other service?

FEFU Screen Name: OTHSVCEW
What is this other type of Internet service?

Paper Questionnaire Item Number: Housing 14a
FEFU Screen Name: ELE
LAST MONTH, what was the cost of electricity for this ?
♢ Estimate last month’s cost in dollars.

FEFU Screen Name: ELEX
Was the electricity -- Included in rent or condominium fee, or No charge for electricity or
electricity not used?
❍ 1. Included in rent or condominium fee
❍ 2. No charge or electricity not used

Paper Questionnaire Item Number: Housing 14b
FEFU Screen Name: GAS
LAST MONTH, what was the cost of gas for this ?
♢ Estimate last month’s cost in dollars.

FEFU Screen Name: GASX

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Was the gas -- Included in rent or condominium fee, Included in electricity payment, or No
charge or gas not used?
❍ 1. Included in rent or condominium fee
❍ 2. Included in electricity payment
❍ 3. No charge or gas not used

Paper Questionnaire Item Number: Housing 14c
FEFU Screen Name: WAT
IN THE PAST 12 MONTHS, what was the cost of water and sewer for this ?
♢ Estimate past 12 months’ cost in dollars.

FEFU Screen Name: WATX
Was the water and sewer -- Included in rent or condominium fee, or
No charge for water or sewer?
❍ 1. Included in rent or condominium fee
❍ 2. No charge

Paper Questionnaire Item Number: Housing 14d
FEFU Screen Name: FUL
IN THE PAST 12 MONTHS, what was the cost of oil, coal, kerosene, wood, etc., for this
?
♢ Estimate past 12 months’ cost in dollars.

FEFU Screen Name: FULX
Were the Other Fuel costs -- Included in the rent or condominium fee, or No charge or
these fuels are not used?

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Attachment J -- HU Failed Edit Follow Up Qts
❍ 1. Included in rent or condominium fee
❍ 2. No charge, or these fuels not used

Paper Questionnaire Item Number: Housing 16
FEFU Screen Name: CONX
Is this part of a condominium?

FEFU Screen Name: CON
What is the monthly condominium fee?
♢ NOTE: Renters only answer if fee is NOT part of the rent. That is, the fee is paid in addition
to the rent.
♢ Estimate monthly amount in dollars.

Paper Questionnaire Item Number: Housing 18a
FEFU Screen Name: RenterRN
What is the monthly rent?
♢ Estimate monthly rent in dollars.

Paper Questionnaire Item Number: Person 19
FEFU Screen Name: VALW
About how much do you think this would sell for it were for sale?
♢ Estimate value of property in dollars.
♢ Property includes house and lot, mobile home and lot, or apartment.
♢ If resp says any value less than $1,000 (‘50’ or ‘50K’), probe to verify the amount (for
example, $50,000).
♢ If resp doesn’t know exact values, ask for a range and then pick a midpoint.

Paper Questionnaire Item Number: Person

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Attachment J -- HU Failed Edit Follow Up Qts
FEFU Screen Name: PBX1
Where (was /were you) born?
❍ 1. In the United States
❍ 2. Outside the United States

FEFU Screen Name: PBW2 (if PBX1 = 1)
In what state was that?

FEFU Screen Name: PBW3 (if PBX1 = 2)
In what country (were you/was )born?

Paper Questionnaire Item Number: Person 8
FEFU Screen Name: CIT
(Is /Are you) a CITIZEN of the United States?
(How was the citizenship obtained?)
❍ 1. Yes, born in the United States
❍ 2. Yes, born in Puerto Rico, Guam, the U.S. Virgin Islands or Northern Marianas
❍ 3. Yes, born abroad of U.S. citizen parent or parents
❍ 4. Yes, a U.S. citizen by naturalization
❍ 5. No, not a U.S. citizen

FEFU Screen Name: CITW
In what year did (/you) become a naturalized citizen of the United States?

Paper Questionnaire Item Number: Person 9
FEFU Screen Name: YOE

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When did {/you} come to live in {the United States / Puerto Rico}? If
{/you} came to live in {the United States / Puerto Rico} more than once, give the
latest year.

Paper Questionnaire Item Number: Person 10b
FEFU Screen Name: SCHG
What grade or level (was / were you) attending?
❍ 1. Nursery school, preschool
❍ 2. Kindergarten
❍ 3. Grade 1 through 12
❍ 4. College undergraduate years (freshman to senior)
❍ 5. Graduate or professional school beyond a bachelor’s degree (for example: MA
or PhD program, or medical or law school)

FEFU Screen Name: SCHGW
(What grade (was / were you) attending?)

Paper Questionnaire Item Number: Person 11
FEFU Screen Name: SCHL
What is the highest degree or level of school ( has/you have) COMPLETED?
❍ 1. No schooling completed
❍ 2. Nursery school
❍ 3. Kindergarten
❍ 4. Grade 1 through 11
❍ 5. 12th grade - NO DIPLOMA
❍ 6. Regular high school diploma
❍ 7. GED or alternative credential
❍ 8. Some college credit, but less than 1 year of college credit

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Attachment J -- HU Failed Edit Follow Up Qts
❍ 9. 1 or more years of college credit, no degree
❍10. Associate’s degree (for example: AA, AS)
❍11. Bachelor’s degree (for example: BA, BS)
❍12. Master’s degree (for example: MA, MS, MEng, MEd, MSW, MBA)
❍13. Professional degree beyond a bachelor’s degree (for example: MD, DDS,
DVM, LLB, JD)
❍14. Doctorate degree (for example: PhD, EdD)

FEFU Screen Name: SCHLW (if SCHG = 3)
(What is the highest grade ( has/you) have COMPLETED?)

Paper Questionnaire Item Number: Person 15
FEFU Screen Name: MIG
Did (/you) live in this () 1 year ago?

❍ 1. Person is under 1 year old
❍ 2. Yes, this house
❍ 3. No, outside the United States and Puerto Rico
❍ 4. No, different house in the United States or Puerto Rico

FEFU Screen Name: MGW1 (if MIG = 3)
What was that country?

FEFU Screen Name: MGW2 (if MIG = 4)
Where did (/you) live 1 year ago? What was the street address?

FEFU Screen Name: MGW3 (if MIG = 4)

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What was the city, town, or post office?

FEFU Screen Name: MGW4 (if MIG = 4)
What was the U.S. county or municipio in Puerto Rico?

FEFU Screen Name: MGW5 (if MIG = 4)
What was the U.S. state, or was that in Puerto Rico?

FEFU Screen Name: MGW6 (if MIG = 4)
What was the ZIP code?

Paper Questionnaire Item Number: Person 16
FEFU Screen Name: HINS1
(Are you/Is ) currently covered by health insurance through a current or former
employer or union of (yours/ or another family member)?
♢ If the respondent says this person has health coverage through the military, mark ‘2’ and
tell them that military health insurance/coverage will be discussed later.

FEFU Screen Name: HINS2
(Are you/Is ) currently covered by health insurance purchased directly from an
insurance company by (you/you or another family member/ or another family
member)?

FEFU Screen Name: HINS3
(Are you/Is ) currently covered by Medicare, for people age 65 or older, or people
with certain disabilities?

FEFU Screen Name: HINS4

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(Are you/Is ) currently covered by Medicaid, Medical Assistance, or any kind of
government-assistance plan for those with low incomes or a disability?

FEFU Screen Name: HINS5
(Are you/Is ) currently covered by TRICARE or other military health care?

FEFU Screen Name: HINS6
(Are you/Is ) currently covered through the VA or enrolled for VA health care?

FEFU Screen Name: HINS7
(Are you/Is ) currently covered through the Indian Health Service?
FEFU Screen Name: HINS8
(Are you/Is ) currently covered by any other health insurance or health coverage
plan?

FEFU Screen Name: HINSW
What is the name of the health care plan?
Paper Questionnaire Item Number: Person 17a
FEFU Screen Name: HIPREM
Is there a premium for this plan? A premium is a fixed amount of money paid on a regular
basis for health coverage. It does not include copays, deductibles, or other expenses such
as prescription costs.

Paper Questionnaire Item Number: Person 17b
FEFU Screen Name: HISUB
[Do you/Does ] or another family member receive a tax credit or subsidy based on
family income to help pay the premium?

Paper Questionnaire Item Number: Person 21

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FEFU Screen Name: MAR
(Is /Are you) married, widowed, divorced, separated, or never married?
❍ 1. Now married
❍ 2. Widowed
❍ 3. Divorced
❍ 4. Separated
❍ 5. Never married

Paper Questionnaire Item Number: Person 22
FEFU Screen Name: MARHM
In the past 12 months, did (/you) get married?

FEFU Screen Name: MARHW
In the past 12 months, did (/you) become a ()?

FEFU Screen Name: MARHD
In the past 12 months, did (/you) get divorced?

Paper Questionnaire Item Number: Person 23
FEFU Screen Name: MARHT
How many times (has /have you) been married? Is that -❍ 1. Once?
❍ 2. Two times?
❍ 3. Three or more times?

Paper Questionnaire Item Number: Person 27
FEFU Screen Name: VET

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(Has /Have you) ever served on ACTIVE DUTY in the U.S. Armed Forces, Reserves, or
National Guard?

FEFU Screen Name: TRAINING
{Was /Were you} on active duty ONLY FOR TRAINING in the Reserves or National
Guard?

FEFU Screen Name: ACTIVE
{Is /Are you} currently on active duty?

FEFU Screen Name: RESERVES
{Has / Have you} ever been in the Reserves or National Guard?

Paper Questionnaire Item Number: Person 30a
FEFU Screen Name: WRK
During the week of (), did (/you), (did/do) any work for pay at a job or
business?
(Include any work even if (/you) worked only 1 hour, or helped without pay in a
family business or farm for 15 hours or more, or (was/were) on active duty in the Armed
Forces.)
❍ 1. Yes
❍ 2. No – Did not work (or retired)

Paper Questionnaire Item Number: Person 30b
FEFU Screen Name: WRKJ
During the week of (), did (/you) do ANY work for pay, even for as little
as one hour?

Paper Questionnaire Item Number: Person 31a
FEFU Screen Name: PWW1

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During the week of (), at what location did (/you) work?
(What is the street number and street name of the location?)

Paper Questionnaire Item Number: Person 31b
FEFU Screen Name: PWW2
What is the city, town, or post office where {/you} worked during the week of
{} ?

Paper Questionnaire Item Number: Person 31d
FEFU Screen Name: PWW4
What is the name of the county where (/you) worked during the week of
()?

Paper Questionnaire Item Number: Person 31e
FEFU Screen Name: PWW5
What is the state or foreign country where (/you) worked during the week of
()?

Paper Questionnaire Item Number: Person 31f
FEFU Screen Name: PWW6
What is the ZIP Code where (/you) worked during the week of ()?

Paper Questionnaire Item Number: Person 32
FEFU Screen Name: JWTRNS
LAST WEEK, how did /you) USUALLY get to work?
(If he/she//you) usually used more than one method of transportation during the
trip, report the one used for most of the distance.)

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❍ 1. Car, truck, or van
❍ 2. Bus
❍ 3. Subway or elevated rail
❍ 4. Long-distance train or commuter rail
❍ 5. Light rail, streetcar, or trolley
❍ 6. Ferryboat
❍ 7. Taxicab
❍ 8. Motorcycle
❍ 9. Bicycle
❍ 10. Walked
❍ 11. Worked from home
❍ 12. Other method

Paper Questionnaire Item Number: Person 33
FEFU Screen Name: JWRI
During the week of (), how many people, including (/you) usually rode
to work in the car, truck or van?

Paper Questionnaire Item Number: Person 34
FEFU Screen Name: JWLH
During the week of (),, what time did ’s/your> trip to work usually
begin -- (what hour)?

FEFU Screen Name: JWLM
(-- minutes past that hour?)

FEFU Screen Name: JWAM
(-- was that AM or PM?)

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Attachment J -- HU Failed Edit Follow Up Qts
❍ 1. AM
❍ 2. PM

Paper Questionnaire Item Number: Person 35
FEFU Screen Name: JWMN
During the week of (), how many minutes did it usually take (/you) to
get from home to work?
♢ Enter a ONE-WAY commute time for the person’s usual DAILY commute from home to
work last week.

Paper Questionnaire Item Number: Person 36a
FEFU Screen Name: NWLA
During the week of (), (was /were you) on layoff from a job?

Paper Questionnaire Item Number: Person 36b
FEFU Screen Name: NWAB
During the week of (), (was /were you) TEMPORARILY absent from a
job or business?
❍ 1. Yes, on vacation, temporary illness, maternity leave, other family/personal reasons,
bad weather, etc.
❍ 2. No

Paper Questionnaire Item Number: Person 36c
FEFU Screen Name: NWRE
As of the week of (), had (/you) been informed that (/you)
would be recalled to work within the next six months OR been given a date to return to
work?

Paper Questionnaire Item Number: Person 37

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FEFU Screen Name: NWLK
As of the week of (), during the LAST 4 WEEKS, had (/you) been
ACTIVELY looking for work?

Paper Questionnaire Item Number: Person 38
FEFU Screen Name: NWAV
During the week of (), could (/you) have started a job if offered one, or
returned to work if recalled?
❍ 1. YES, could have gone to work
❍ 2. NO, because of temporary illness
❍ 3. NO, because of all other reasons (in school, etc.)
Paper Questionnaire Item Number: Person 39
FEFU Screen Name: WKL
When did {/you} last work, even for a few days?
❍ 1. Within the past 12 months
❍ 2. Between 1 to 5 years ago
❍ 3. Over 5 years ago or never worked

Paper Questionnaire Item Number: Person 40a
FEFU Screen Name: WKWX
During the PAST 12 MONTHS or 52 weeks, did {/ you} work EVERY week? Count paid
vacation, paid sick leave, and military service as work.

❍ 1. Yes
❍ 2. No

Paper Questionnaire Item Number: Person 40b
FEFU Screen Name: WKW

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During the PAST 12 MONTHS or 52 weeks, how many WEEKS did {/ you} work?
Include paid time off and include weeks when {/ you} only worked for a few hours.

Paper Questionnaire Item Number: Person 41
FEFU Screen Name: WKH
During THE PAST 12 MONTHS, in the week WORKED, how many hours did {/you} usually
work each week?

Paper Questionnaire Item Number: Person 42
FEFU Screen Name: COWA
The next series of questions is about the type of employment {/ you} had / you} had more than one job, describe the one at which the most hours were
worked.
I am going to read 5 categories. Please choose the one that best describes {’s/ your}
employment - a private company or organization, government, active duty U.S. Armed Forces or
Commissioned Corps, self-employed, or worked without pay in a for-profit family business or
farm.

❍ 1. Private company or organization
❍ 2. Government
❍ 3. Active duty U.S. Armed Forces or Commissioned Corps
❍ 4. Self-employed
❍ 5. Working without pay in a for-profit family business or farm

FEFU Screen Name: COWB
Did {/ you} work for a for-profit company or non-profit organization?

❍ 1. For- profit company
❍ 2. Non-profit organization

FEFU Screen Name: COWC

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Attachment J -- HU Failed Edit Follow Up Qts
Did {/ you} work for a local, state, or federal government?

❍ 1. Local
❍ 2. State
❍3. Federal

FEFU Screen Name: COWD
Was {’s/ your} self-employed business, professional practice, or farm incorporated or
not incorporated?

❍ 1. Incorporated
❍ 2. Not incorporated

FEFU Screen Name: COWE
Did {/ you} work without pay in this for-profit family business or farm for 15 hours or
more per week?

❍ 1. Yes
❍ 2. No

FEFU Screen Name: INW2
What was the name of the company, business or other employer?

FEFU Screen Name: INMIL
Which branch of the Armed Forces or Commissioned Corps {did / do you} work for?

❍ 1. U.S. Army
❍ 2. U.S. Navy
C3. U.S. Air Force
❍4. U.S. Marine Corps
❍5. U.S. Coast Guard
❍6. U.S. Public Health Service
❍7. National Oceanic and Atmospheric Administration (NOAA)

FEFU Screen Name: INW3

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Attachment J -- HU Failed Edit Follow Up Qts
What kind of business or industry was this? Include the main activity, product, or service provided
at the location where employed. For example: elementary school, residential construction, or
another kind of business.

FEFU Screen Name: INX4
Was this mainly --

❍ 1. Manufacturing
❍ 2. Wholesale trade
C 3. Retail trade
❍ 4. Other (agriculture, construction, service, government, etc.)
Paper Questionnaire Item Number: Person 37
FEFU Screen Name: OCW1
What was {’s/ your} main occupation? For example: 4th grade teacher, entry-level
plumber, or another occupation.

Paper Questionnaire Item Number: Person 37
FEFU Screen Name: OCW2
Describe ’s/your most important activities or duties. For example: instruct and
evaluate students and create lesson plans, assemble and install pipe sections and review
building plans for work details, or other duties.

Paper Questionnaire Item Number: Person 43
FEFU Screen Name: P8_INTRO
Next I’ll ask about income during the last 12 months—that is, from {} to {.
❒ 1. Continue

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Attachment J -- HU Failed Edit Follow Up Qts
Paper Questionnaire Item Number: Person 43a
*If respondent has provided a monetary response in 43a of the paper form, (s)he is asked WAGX.
FEFU Screen Name: WAGX
Did {/you} receive any wages, salary, commissions, bonuses or tips?

*If respondent has not provided a monetary response in 43a of the paper form, (s)he is asked the
following four questions, in lieu of WAGX.
FEFU Screen Name: EARNX
Did receive any wages or salary?

FEFU Screen Name: EARN
How much did {/you} receive in wages and salary from all jobs before taxes and
deduction

FEFU Screen Name: TIPSX
Did {/you} receive any [if EARNX=yes, fill with "additional"] tips, bonuses or
commissions?

FEFU Screen Name: TIPS
How much did {/you} receive in tips, bonuses, or commissions from all jobs before
taxes and deductions?

Paper Questionnaire Item Number: Person 43b
FEFU Screen Name: SEMX
Did (/you) receive any self-employment income from own nonfarm businesses or
farm businesses, including proprietorships and partnerships?

FEFU Screen Name: SEM

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Attachment J -- HU Failed Edit Follow Up Qts

What was the amount of the self-employment income that (/you) received?

FEFU Screen Name: SEML
Was that self-employment income a loss?

Paper Questionnaire Item Number: Person 43c
*If respondent has provided a monetary response in 43a of the paper form, (s)he is asked INTRESTX.
FEFU Screen Name: INTRESTX
Did (/you) receive any interest, dividends, net rental income, royalty income or
income from estates and trusts?

*If respondent has not provided a monetary response in 43a of the paper form, (s)he is asked the
following six questions, in lieu of INTRESTX.
FEFU Screen Name: INTRX
Did receive any interest or dividends? Report even small amounts credited to
an account.

FEFU Screen Name: INTR
What was the amount of interest or dividends that {/you} received?

FEFU Screen Name: RENTX
Did {/you} receive any rental income?

FEFU Screen Name: RENT
What was the net amount?

FEFU Screen Name: ROYALX

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Attachment J -- HU Failed Edit Follow Up Qts

Did receive any royalty income or income from estates and trusts?

FEFU Screen Name: ROYAL
What was the amount?

Paper Questionnaire Item Number: Person 43d
FEFU Screen Name: SSX
Did (/you) receive any Social Security or Railroad Retirement income?

FEFU Screen Name: SS
What was the amount of the Social Security or Railroad Retirement income that
(/you) received?

Paper Questionnaire Item Number: Person 43e
FEFU Screen Name: SSIX
Did (/you) receive any Supplemental Security Income (SSI)?

FEFU Screen Name: SSI
What was the amount of the Supplemental Security Income (SSI) that (/you)
received?

Paper Questionnaire Item Number: Person 43f
FEFU Screen Name: PAX
Did (/you) receive any public assistance or public welfare income?

FEFU Screen Name: PA

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Attachment J -- HU Failed Edit Follow Up Qts

What was the amount of the public assistance or public welfare income that
(/you) received?

Paper Questionnaire Item Number: Person 43g
FEFU Screen Name: SURVDISX
Did (/you) receive any survivor or disability income?

FEFU Screen Name: SURVDIS
What was the amount of the survivor or disability income that (/you) received?

Do not include Social Security.
FEFU Screen Name: PENSIONX
Did (/you) receive a pension or any retirement income from a previous employer
or union, or any regular withdrawals or distributions from retirement accounts such as
401(k), 403(b), IRA, Roth IRA, or other accounts designed specifically for retirement?

FEFU Screen Name: PENSION
What was the amount of the pension or retirement income that (/you) received?
Do not include Social Security.

Paper Questionnaire Item Number: Person 43h
FEFU Screen Name: OIX
Did {/you} receive any other income on a REGULAR basis, such as - - Veterans’
(VA) payments, unemployment compensation, child support or alimony? (Include all
reoccurring income. Do not include one-time lump sum payments such as refunds,
inheritances, withdrawals from savings or IRAs, etc.)

FEFU Screen Name: OI
What was the amount of the other income that (/you) received?

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Attachment J -- HU Failed Edit Follow Up Qts

Paper Questionnaire Item Number: Person 44
FEFU Screen Name: TI
What was the total income for (/you)?

FEFU Screen Name: TIN
I have recorded that {/you} received no income. Is that correct?

FEFU Screen Name: TIL
Was that income a loss?

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