Topical Survey Front/End Matter
Front End of Instrument
Language Thank you for your continued participation in the Census Household Panel! This month’s survey will be short (less than 10 minutes) and will ask you your opinion about various topics relevant to the United States. The information being collected is for research purposes only, and will assist ongoing efforts to understand opinions of the American public.
This
survey is available in English and Spanish. Please select the
language in which you prefer to complete the survey.
If
you would like to change your language selection later, please use
the drop-down menu in the upper right corner of each page to select
the language in which you prefer to complete the survey.
English (1)
Español (2)
<<page break>>
Click the “Continue” button below to begin.
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Privacy
The authority for the collection of this information for the Census Household Panel Topicals 7, 8, 9 (0607-1025) is provided under Title 13, Sections 141, 182, and 193.
[The purpose of collecting information in Topical 7 (May) is to learn about respondents’ opinions on government data collection and data use.
The purpose of collecting information in Topical 8 (June) is to test changes to the Current Population Survey’s Annual Social and Economic Supplement (ASEC) interviewer administered questions for suitability in internet self-response mode.
The purpose of collecting information in Topical 9 (July) is to test changes to the Current Population Survey’s Annual Social and Economic Supplement (ASEC) interviewer administered questions for suitability in internet self-response mode.]
Disclosure of the information provided to us to other Census Bureau staff for work-related purposes is permitted under the Privacy Act of 1974 (5 U.S.C. § 552a). Disclosure of this information is also subject to all of the published routine uses as identified in the Privacy Act System of Records Notice COMMERCE/Census-3 Demographic Survey Collection (Census Bureau Sampling Frame).
Staff (employees and contractors) received training on privacy and confidentiality policies and practices; access to PII is restricted to authorized personnel only. Personally identifiable information collected includes name, address, telephone/cell phone number, DOB or age, email address, race or ethnicity.
FedRAMP-approved computer systems that maintain sensitive information are in compliance with the Federal Information Security Management Act. Unsecured telecommunications to transmit individually identifiable information is prohibited. Information will only be shared with staff and contractors that are special sworn status and sponsors of reimbursable surveys.
Furnishing this information is voluntary. Failure to do so will result in no consequences to you.
We estimate that completing this voluntary survey will take 20 minutes on average. Send comments regarding this estimate or any other aspect of this survey to [email protected]. The U.S. Census Bureau is required by law to protect your information. The Census Bureau is not permitted to publicly release your responses in a way that could identify you. Federal law protects your privacy and keeps your answers confidential (Title 13, United States Code, Section 9 and Title 5, U.S. Code, Section 552a). This collection has been approved by the Office of Management and Budget (OMB). This eight-digit OMB approval number, 0607-1025, confirms this approval and expires on 6/30/2026. If this number were not displayed, we could not conduct this survey.
To learn more about this survey go to: https://www.census.gov/programs-surveys/census-household-panel.html. ** U.S. Census Bureau Notice and Consent Warning **
----
Q1 Our records have your name as ${e://Field/FirstNameFill} ${e://Field/LastNameFill}. Is this correct?
Yes (1)
No (3)
If you need to update the spelling of your name or if your name has legally changed, please email [email protected].
Universe: Q1=3
Q2 Our records have your address as ${e://Field/AddressFill}. Is this your address?
Yes (1)
No (3)
Universe: Q1=3 and Q2=1
Q3 We need a response from the person who originally filled out the panel questionnaire. Please send a link to ${e://Field/FirstNameFill} ${e://Field/LastNameFill} and have them fill out this survey. If you need to update the spelling of your name or if your name has legally changed, please email [email protected].
End of Block: Eligibility
Start of Block: Not Eligible
Universe: Q1 = 3 and Q2 =3.
If Q1 = No
R2a You are not eligible to complete this survey. Thank you for your time.
Skip To: End of Survey If R2a Is Displayed
End of Block: Not Eligible
[TOPICAL SURVEY QUESTIONNAIRES HERE]
Back End of Instrument
Start of Block: Attention Check
Universe: All (Attention check question could appear earlier in Topical Survey.)
Data quality is important to us. Please select square to show you are paying attention.
Circle
Oval
Square
Triangle
End of Block: Attention Check
POC_display Please review the contact information we have for you and indicate whether the information is correct or needs to be updated.
Q3
Our
records have your phone number as ${e://Field/BestPhone}.
Is this correct?
Yes (1)
No (2)
Q4
Is
this number a cell phone or land line?
Cell phone (1)
Land line (2)
Neither (3)
Q5 We send survey invitations via text message. Are text message invitations acceptable on this number?
Yes (1)
No (2)
<<page
break>>
Q6 What is a good phone number to reach you?
________________________________________________________________
Q7 Is this number a cell phone or land line?
Cell phone (1)
Land line (2)
Neither (3)
Q8 We send survey invitations via text message. Are text message invitations acceptable on this number?
Yes (1)
No (2)
Q9
Our
records have your email address as ${m://Email1}.
Is this correct?
Yes (1)
No (2)
<<page
break>>
Q10 We usually send updates, notifications, and survey links via email. What is the best email address for us to reach you?
________________________________________________________________
<<page
break>>
Q11_a
Our records have the following address as your home address where we
will mail incentives for taking surveys. Is this correct?
${e://Field/ADDRESS1}
${e://Field/ADDRESS2}
${e://Field/CITY},
${e://Field/STATE}
${e://Field/ZIP}
Yes (1)
No (2)
Q_11b
Our records have the following address as your home address where we
will mail incentives for taking surveys. Is this correct?
${e://Field/ADDRESS1}
${e://Field/CITY},
${e://Field/STATE}
${e://Field/ZIP}
Yes (1)
No (2)
<<page
break>>
Q12 Please enter your home address.
Address 1 (2) __________________________________________________
Address 2 (3) __________________________________________________
City (4) __________________________________________________
State (5) __________________________________________________
ZIP Code (6) __________________________________________________
End of Block: Contact Update
Start of Block: Submit_Page
Submit_Page That concludes the survey. Please click on the “Submit” button when you are finished. Thank you for participating in the Census Household Panel.
End of Block: Submit_Page
Topical 7 Questionnaire
2030 Census Use of Existing Data Survey
Start of Block: Survey Introduction
Intro
The questions in this survey ask about your opinions on government
data collection and data use. Thank you for agreeing to participate.
This voluntary survey is being conducted under the authority
of Title 13 U.S. Code, Sections 141, and 182. Federal law
requires that your answers are kept confidential (Title 13, U.S.
Code, Section 9) and protects your privacy under the Privacy Act
(Title 5 U.S. Code, Section 552a). Per the Federal
Cybersecurity Enhancement Act of 2015, your data are protected from
cybersecurity risks through screening of the systems that transmit
your data.
The purpose of this survey is to improve
future censuses and Census Bureau surveys. Routine uses of these data
are limited to those identified in the Privacy Act System of Record
Notice titled “COMMERCE/CENSUS-5, Decennial Census Programs.”
Furnishing this information is voluntary; however, failure to
do so will limit the Census Bureau’s ability to gather
information used in the development of survey instruments, and other
communication materials in order to produce materials that are clear
and easy for people to understand.
Personally
Identifiable Information collected includes name, telephone/cellular
phone number, DOB or age, email address, race, or ethnicity. The
information provided to us may be shared with other Census Bureau
staff, contractors and those who have a need to know for work-related
purposes who are sworn to uphold the confidentiality of the data. The
Census Bureau can use your responses only to produce statistics and
is not permitted to publicly release your responses in a way that
could identify you, your business, organization, or institution.
We estimate that completing these screening questions will
take 10 minutes on average. This information collection has been
approved by the Office of Management and Budget (OMB). You can
validate that this survey is a legitimate using the Office of
Management and Budget's approval number 0607-0725, which expires
12/31/2025. We are required to tell you this number to conduct
this survey. Send comments regarding this estimate or any other
aspect of this survey, including suggestions for reducing the time it
takes to complete this survey to [email protected].
End of Block: Survey Introduction
Start of Block: Decennial census questions
DEC1 Every 10 years, the Census Bureau counts the U.S. population. The next census will be in 2030. As far as you know, what questions are asked on the census forms? Select all that apply.
Name (1)
Age (2)
Phone Number (3)
Number of People in Household (4)
Race (5)
Hispanic ethnicity (6)
Sex/Gender (7)
Date of birth (8)
Whether your home is owned or rented (9)
DEC2 How important do you think it is for the Census Bureau to ask the questions they do on the census form?
Very important (1)
Somewhat important (2)
A little important (3)
Not at all important (4)
Page Break |
|
DEC3 If the census were held today, how likely would you be to fill out the census form?
Extremely likely (1)
Very likely (2)
Somewhat likely (3)
Not too likely (4)
Not at all likely (5)
DEC4 If the census were held today, how would you prefer to respond?
By mailing back a paper form (1)
Online (2)
By speaking with an interviewer at home (3)
By telephone (4)
End of Block: Decennial census questions
Start of Block: Decennial uses of admin data
ADMIN1 For you personally, if you did not respond to the next census in 2030, would you rather the Census Bureau get your information from your neighbors or the Census Bureau get your information from other government agencies?
Get information from neighbors (1)
Get information from other government agencies (2)
ADMIN2 If you have to choose, for the next census in 2030 would you prefer that the Census Bureau gets your household’s information from other government agencies or that the Census Bureau send an interviewer to your home to ask for it?
Get information from other government agencies (1)
Get information from interviewer at home (2)
Display This Question:
If adminintro = 1
ADMININTROA The next section asks questions about how the Census Bureau may use existing data to improve the next Census in 2030. Existing data can come from other government agencies, private companies, or other surveys you may have answered in the past. The Census Bureau has done extensive research to make sure any existing data we use is accurate, and up-to-date.
Display This Question:
If adminintro = 2
ADMININTROB The next section asks questions about how the Census Bureau may use existing data to improve the next Census in 2030. Existing data can come from other government agencies, private companies, or other surveys you may have answered in the past.
ADMIN3
For the 2030 Census, the Census Bureau may decide to use existing
data to reduce the number of mail reminders and other ways to urge
participation when people do not submit their forms. If existing data
for your household is adequate, we would use that data to count your
household.
To what extent are you in favor of or against
the Census Bureau using use existing data to reduce the number of
times households are contacted?
Strongly in favor of it (1)
Somewhat in favor of it (2)
Neither in favor nor against it (3)
Somewhat against it (4)
Strongly against it (5)
ADMIN4
For the 2030 Census if your household has adequate existing data, the
Census Bureau may decide to count your household without asking for
your response directly. Instead, we would use existing data to count
your household.
To what extent are you in favor of or
against the Census Bureau using existing data to count your
household?
Strongly in favor of it (1)
Somewhat in favor of it (2)
Neither in favor nor against it (3)
Somewhat against it (4)
Strongly against it (5)
ADMIN5
For the 2030 Census, the Census Bureau may decide to use existing
data to fill in missing data when people do not fully complete their
forms. If existing data for your household is adequate, we would use
that data to complete your form.
To what extent are you
in favor of or against the Census Bureau using existing data for your
household to complete your form if that data is adequate?
Strongly in favor of it (1)
Somewhat in favor of it (2)
Neither in favor nor against it (3)
Somewhat against it (4)
Strongly against it (5)
ADMIN6
For the 2030 Census, the Census Bureau may use existing data to
identify communities for targeted messages that appeal to that
community. For example, if existing data shows that your household
has young children, we might send a message that highlights how the
census can support funding for education.
To what extent
are you in favor of or against the Census Bureau using existing data
to identify communities for targeted messages?
Strongly in favor of it (1)
Somewhat in favor of it (2)
Neither in favor nor against it (3)
Somewhat against it (4)
Strongly against it (5)
ADMIN7
For the 2030 Census, the Census Bureau may use existing data to
adjust information provided by households. For example, a parent may
not include a young child in their household count and existing data
shows the presence of a child. We could add the child to the
household count based on the existing data.
To what
extent are you in favor of or against the Census Bureau using
existing data to adjust information provided by households?
Strongly in favor of it (1)
Somewhat in favor of it (2)
Neither in favor nor against it (3)
Somewhat against it (4)
Strongly against it (5)
ADMIN8
The Census Bureau is planning on using existing data to help with
counting the population for the 2030 Census. Existing data could come
from other government agencies, government surveys you may have
answered in the past, and private
companies.
${e://Field/frametext}
To
what extent are you in favor of or against the Census Bureau using
existing data?
Strongly in favor of it (1)
Somewhat in favor of it (2)
Neither in favor nor against it (3)
Somewhat against it (4)
Strongly against it (5)
ADMIN9
Individuals provide information about themselves to the federal
government for a variety of reasons - including when they apply for
passports, participate in programs such as Medicare, or submit their
tax forms. Being able to use information you provide for additional
purposes can improve the delivery of government benefits and services
and save taxpayer money.
To what extent are you in favor
of or against the information you provided for one purpose being used
by the government in additional ways
Strongly in favor of it (1)
Somewhat in favor of it (2)
Neither in favor nor against it (3)
Somewhat against it (4)
Strongly against it (5)
ADMIN10
The Census Bureau is planning to use information about individuals,
available from private companies, such as your contact information or
age. This information would only be used to produce statistics.
To
what extent are you in favor of or against the Census Bureau
obtaining your information from private companies?
Strongly in favor of it (1)
Somewhat in favor of it (2)
Neither in favor nor against it (3)
Somewhat against it (4)
Strongly against it (5)
End of Block: Decennial uses of admin data
Start of Block: AdminFUs
Display This Question:
If For the 2030 Census, the Census Bureau may decide to use existing data to reduce the number of ma... = Somewhat against it
Or For the 2030 Census, the Census Bureau may decide to use existing data to reduce the number of ma... = Strongly against it
ADMINFU3
Earlier, you were asked this question:
"For
the 2030 Census, the Census Bureau may decide to use existing data to
reduce the number of mail reminders and other ways to urge
participation when people do not submit their forms. If existing data
for your household is adequate, we would use that data to count your
household.
To what extent are you in favor of or against
the Census Bureau using use existing data to reduce the number of
times households are contacted?"
You answered
"${ADMIN3/ChoiceGroup/SelectedChoices}".
Please say more about why you are against the use of existing data.
________________________________________________________________
________________________________________________________________
________________________________________________________________
________________________________________________________________
________________________________________________________________
Display This Question:
If For the 2030 Census if your household has adequate existing data, the Census Bureau may decide to... = Somewhat against it
Or For the 2030 Census if your household has adequate existing data, the Census Bureau may decide to... = Strongly against it
ADMINFU4
Earlier, you were asked this question:
"For
the 2030 Census if your household has adequate existing data, the
Census Bureau may decide to count your household without asking for
your response directly. Instead, we would use existing data to count
your household.
To what extent are you in favor of or
against the Census Bureau using existing data to count your
household?"
You answered
"${ADMIN4/ChoiceGroup/SelectedChoices}".
Please say more about why you are against the use of existing data.
________________________________________________________________
________________________________________________________________
________________________________________________________________
________________________________________________________________
________________________________________________________________
Display This Question:
If For the 2030 Census, the Census Bureau may decide to use existing data to fill in missing data wh... = Somewhat against it
Or For the 2030 Census, the Census Bureau may decide to use existing data to fill in missing data wh... = Strongly against it
ADMINFU5
Earlier, you were asked this question:
"For
the 2030 Census, the Census Bureau may decide to use existing data to
fill in missing data when people do not fully complete their forms.
If existing data for your household is adequate, we would use that
data to complete your form.
To what extent are you
in favor of or against the Census Bureau using existing data for your
household to complete your form if that data is adequate? "
You answered "${ADMIN5/ChoiceGroup/SelectedChoices}".
Please say more about why you are against the use of existing data.
________________________________________________________________
________________________________________________________________
________________________________________________________________
________________________________________________________________
________________________________________________________________
Display This Question:
If The Census Bureau is planning on using existing data to help with counting the population for the... = Somewhat against it
Or The Census Bureau is planning on using existing data to help with counting the population for the... = Strongly against it
ADMINFU6
Earlier, you were asked this question:
"The
Census Bureau is planning on using existing data to help with
counting the population for the 2030 Census. Existing data would come
from other government agencies, government surveys you may have
answered in the past, and private companies.
${e://Field/frametext}
To what extent are you in favor of or against the Census
Bureau using existing data?"
You answered
"${ADMIN8/ChoiceGroup/SelectedChoices}".
Please say more about why you are against the use of existing data.
________________________________________________________________
________________________________________________________________
________________________________________________________________
________________________________________________________________
________________________________________________________________
Display This Question:
If For the 2030 Census, the Census Bureau may use existing data to identify communities for targeted... = Somewhat against it
Or For the 2030 Census, the Census Bureau may use existing data to identify communities for targeted... = Strongly against it
ADMINFU7
Earlier, you were asked this question:
"For
the 2030 Census, the Census Bureau may use existing data to identify
communities for targeted messages that appeal to that community. For
example, if existing data shows that your household has young
children, we might send a message that highlights how the census can
support funding for education.
To what extent are you in
favor of or against the Census Bureau using existing data to identify
communities for targeted messages?"
You answered
"${ADMIN6/ChoiceGroup/SelectedChoices}".
Please say more about why you are against the use of existing data.
________________________________________________________________
________________________________________________________________
________________________________________________________________
________________________________________________________________
________________________________________________________________
Display This Question:
If For the 2030 Census, the Census Bureau may use existing data to adjust information provided by ho... = Somewhat against it
Or For the 2030 Census, the Census Bureau may use existing data to adjust information provided by ho... = Strongly against it
ADMINFU8
Earlier, you were asked this question:
"For
the 2030 Census, the Census Bureau may use existing data to adjust
information provided by households. For example, a parent may include
a college student in their household count and existing data shows
that student living on-campus. We could remove the student from the
household count and add them to the count at the college.
To what extent are you in favor of or against the Census
Bureau using existing data to adjust information provided by
households?"
You answered
"${ADMIN7/ChoiceGroup/SelectedChoices}".
Please say more about why you are against the use of existing data.
________________________________________________________________
________________________________________________________________
________________________________________________________________
________________________________________________________________
________________________________________________________________
Display This Question:
If Individuals provide information about themselves to the federal government for a variety of reaso... = Somewhat against it
Or Individuals provide information about themselves to the federal government for a variety of reaso... = Strongly against it
ADMINFU9
Earlier, you were asked this question:
"Individuals
provide information about themselves to the federal government for a
variety of reasons - including when they apply for passports,
participate in programs such as Medicare, or submit their tax forms.
Being able to use information you provide for additional purposes can
improve the delivery of government benefits and services and save
taxpayer money.
To what extent are you in favor of
or against the information you provided for one purpose being used by
the government in additional ways?"
You answered
"${ADMIN9/ChoiceGroup/SelectedChoices}".
Please say more about why you are against the use of existing data.
________________________________________________________________
________________________________________________________________
________________________________________________________________
________________________________________________________________
________________________________________________________________
Display This Question:
If The Census Bureau is planning to use information about individuals, available from private compan... = Somewhat against it
Or The Census Bureau is planning to use information about individuals, available from private compan... = Strongly against it
ADMINFU10
Earlier, you were asked this question:
"The
Census Bureau is planning to use information about individuals,
available from private companies, such as your contact information or
age. This information would only be used to produce statistics.
To what extent are you in favor of or against the Census
Bureau obtaining your information from private companies?"
You answered "${ADMIN10/ChoiceGroup/SelectedChoices}".
Please say more about why you are against the use of existing data.
________________________________________________________________
________________________________________________________________
________________________________________________________________
________________________________________________________________
________________________________________________________________
End of Block: AdminFUs
Start of Block: ADMINACC
Display This Question:
If For the 2030 Census, the Census Bureau may decide to use existing data to reduce the number of ma... = Somewhat against it
Or For the 2030 Census, the Census Bureau may decide to use existing data to reduce the number of ma... = Strongly against it
Or For the 2030 Census if your household has adequate existing data, the Census Bureau may decide to... = Somewhat against it
Or For the 2030 Census if your household has adequate existing data, the Census Bureau may decide to... = Strongly against it
Or For the 2030 Census, the Census Bureau may decide to use existing data to fill in missing data wh... = Somewhat against it
Or For the 2030 Census, the Census Bureau may decide to use existing data to fill in missing data wh... = Strongly against it
Or The Census Bureau is planning on using existing data to help with counting the population for the... = Somewhat against it
Or The Census Bureau is planning on using existing data to help with counting the population for the... = Strongly against it
Or For the 2030 Census, the Census Bureau may use existing data to identify communities for targeted... = Somewhat against it
Or For the 2030 Census, the Census Bureau may use existing data to identify communities for targeted... = Strongly against it
Or For the 2030 Census, the Census Bureau may use existing data to adjust information provided by ho... = Somewhat against it
Or For the 2030 Census, the Census Bureau may use existing data to adjust information provided by ho... = Strongly against it
Or Individuals provide information about themselves to the federal government for a variety of reaso... = Somewhat against it
Or Individuals provide information about themselves to the federal government for a variety of reaso... = Strongly against it
Or The Census Bureau is planning to use information about individuals, available from private compan... = Somewhat against it
Or The Census Bureau is planning to use information about individuals, available from private compan... = Strongly against it
And If
adminintro = 0
|
ADMINACC You said that you were somewhat or strongly against the use of existing data. If the Census Bureau could confirm the accuracy of existing data, would you be more in favor of using existing data for the 2030 Census?
Yes, I would be more in favor of it (1)
No, I would remain against it (2)
End of Block: ADMINACC
Start of Block: Vacancy Questions
|
VACATE1
To properly count the population, the Census Bureau must determine if
houses and buildings are occupied or vacant. For the next census in
2030, the Census Bureau may use data from other sources to help
determine if a house or building is occupied or vacant.
One
example is using data from utility companies, like water and
electricity companies.
To what extent are you in favor of
or against the Census Bureau using data from utility companies to
determine if a house or building is occupied or vacant?
Strongly in favor of it (1)
Somewhat in favor of it (2)
Neither in favor nor against it (3)
Somewhat against it (4)
Strongly against it (5)
Display This Question:
If To properly count the population, the Census Bureau must determine if houses and buildings are oc... = Neither in favor nor against it
Or To properly count the population, the Census Bureau must determine if houses and buildings are oc... = Somewhat against it
Or To properly count the population, the Census Bureau must determine if houses and buildings are oc... = Strongly against it
VACATE1FU You answered that you are ${VACATE1/ChoiceGroup/SelectedChoices} when asked about the Census Bureau using data from utility companies to determine if a house or building is occupied or vacant. Please tell us more about your answer.
________________________________________________________________
________________________________________________________________
________________________________________________________________
________________________________________________________________
________________________________________________________________
VACATE2
To properly count the population, the Census Bureau must determine if
houses and buildings are occupied or vacant. For the next census in
2030, the Census Bureau may use data from other sources to help
determine if a house or building is occupied or vacant.
Another example is using real estate data from companies like Zillow
or Redfin.
To what extent are you in favor of or against
the Census Bureau using data from real estate data companies to
determine if a house or building is occupied or vacant?
Strongly in favor of it (1)
Somewhat in favor of it (2)
Neither in favor nor against it (3)
Somewhat against it (4)
Strongly against it (5)
Display This Question:
If To properly count the population, the Census Bureau must determine if houses and buildings are oc... = Neither in favor nor against it
Or To properly count the population, the Census Bureau must determine if houses and buildings are oc... = Somewhat against it
Or To properly count the population, the Census Bureau must determine if houses and buildings are oc... = Strongly against it
Q29
You answered that you are ${VACATE2/ChoiceGroup/SelectedChoices}
when asked about the Census Bureau using data from utility companies
to determine if a house or building is occupied or vacant.
Please
tell us more about your answer.
________________________________________________________________
________________________________________________________________
________________________________________________________________
________________________________________________________________
________________________________________________________________
VACATE3
To properly count the population, the Census Bureau must determine if
houses and buildings are occupied or vacant. For the next census in
2030, the Census Bureau may use data from other sources to help
determine if a house or building is occupied or vacant.
Another example is using cell phone location data. The data would not
be linked to individuals and would only be used to help determine
whether a house or building was occupied or vacant.
To
what extent are you in favor of or against the Census Bureau using
cell phone location data to determine if a house or building is
occupied or vacant?
Strongly in favor of it (1)
Somewhat in favor of it (2)
Neither in favor nor against it (3)
Somewhat against it (4)
Strongly against it (5)
Display This Question:
If To properly count the population, the Census Bureau must determine if houses and buildings are oc... = Neither in favor nor against it
Or To properly count the population, the Census Bureau must determine if houses and buildings are oc... = Somewhat against it
Or To properly count the population, the Census Bureau must determine if houses and buildings are oc... = Strongly against it
VACATE3FU
You answered that you are ${VACATE3/ChoiceGroup/SelectedChoices}
when asked about the Census Bureau using cell phone location data to
determine if a house or building is occupied or vacant.
Please
tell us more about your answer.
________________________________________________________________
________________________________________________________________
________________________________________________________________
________________________________________________________________
________________________________________________________________
VACATE4
To properly count the population, the Census Bureau must determine if
houses and buildings are occupied or vacant. For the next census in
2030, the Census Bureau may use data from other sources to help
determine if a house or building is occupied or vacant.
Another example is asking neighbors.
To what extent are
you in favor of or against the Census Bureau asking neighbors if a
house or building is occupied or vacant?
Strongly in favor of it (1)
Somewhat in favor of it (2)
Neither in favor nor against it (3)
Somewhat against it (4)
Strongly against it (5)
Display This Question:
If To properly count the population, the Census Bureau must determine if houses and buildings are oc... = Neither in favor nor against it
Or To properly count the population, the Census Bureau must determine if houses and buildings are oc... = Somewhat against it
Or To properly count the population, the Census Bureau must determine if houses and buildings are oc... = Strongly against it
VACATE4FU
You answered that you are ${VACATE4/ChoiceGroup/SelectedChoices}
when asked about the Census Bureau asking neighbors if a house or
building is occupied or vacant.
Please tell us more
about your answer.
________________________________________________________________
________________________________________________________________
________________________________________________________________
________________________________________________________________
________________________________________________________________
End of Block: Vacancy Questions
Start of Block: Types of Admin data
TYPE1
To what extent are you in favor of or against the Census Bureau
getting the following types of information from other government
agencies?
Your contact information, such as phone numbers
and email addresses
Strongly in favor of it (1)
Somewhat in favor of it (2)
Neither in favor nor against it (3)
Somewhat against it (4)
Strongly against it (5)
TYPE2
To what extent are you in favor of or against the Census Bureau
getting the following types of information from other government
agencies?
Whether your address was occupied or vacant on a
particular date
Strongly in favor of it (1)
Somewhat in favor of it (2)
Neither in favor nor against it (3)
Somewhat against it (4)
Strongly against it (5)
TYPE3
To what extent are you in favor of or against the Census Bureau
getting the following types of information from other government
agencies?
Your demographic information, such as your age
or marital status, reported on other government agency forms
Strongly in favor of it (1)
Somewhat in favor of it (2)
Neither in favor nor against it (3)
Somewhat against it (4)
Strongly against it (5)
TYPE4
To what extent are you in favor of or against the Census Bureau
getting the following types of information from other government
agencies?
Your race and ethnicity you reported on other
government agency forms
Strongly in favor of it (1)
Somewhat in favor of it (2)
Neither in favor nor against it (3)
Somewhat against it (4)
Strongly against it (5)
TYPE5
To what extent are you in favor of or against the Census Bureau
getting the following types of information from other government
agencies?
Your gender you reported on other government
agency forms
Strongly in favor of it (1)
Somewhat in favor of it (2)
Neither in favor nor against it (3)
Somewhat against it (4)
Strongly against it (5)
TYPE6
To what extent are you in favor of or against the Census Bureau
getting the following types of information from other government
agencies?
The number of people in your household
Strongly in favor of it (1)
Somewhat in favor of it (2)
Neither in favor nor against it (3)
Somewhat against it (4)
Strongly against it (5)
End of Block: Types of Admin data
Start of Block: Admin data sources
SOURCE1
To what extent are you in favor of or against the Census Bureau
getting your information from the following sources?
The
Social Security Administration (SSA)
Strongly in favor of it (1)
Somewhat in favor of it (2)
Neither in favor nor against it (3)
Somewhat against it (4)
Strongly against it (5)
SOURCE2
To what extent are you in favor of or against the Census Bureau
getting your information from the following sources?
The
Internal Revenue Service (IRS)
Strongly in favor of it (1)
Somewhat in favor of it (2)
Neither in favor nor against it (3)
Somewhat against it (4)
Strongly against it (5)
SOURCE3
To what extent are you in favor of or against the Census Bureau
getting your information from the following sources?
Department
of Housing and Urban Development (HUD)
Strongly in favor of it (1)
Somewhat in favor of it (2)
Neither in favor nor against it (3)
Somewhat against it (4)
Strongly against it (5)
SOURCE4
To what extent are you in favor of or against the Census Bureau
getting your information from the following sources?
United
States Postal Service (USPS)
Strongly in favor of it (1)
Somewhat in favor of it (2)
Neither in favor nor against it (3)
Somewhat against it (4)
Strongly against it (5)
SOURCE5
To what extent are you in favor of or against the Census Bureau
getting your information from the following sources?
Other
Census Bureau surveys, such as American Community Survey (ACS) or
past decennial censuses
Strongly in favor of it (1)
Somewhat in favor of it (2)
Neither in favor nor against it (3)
Somewhat against it (4)
Strongly against it (5)
SOURCE6
To what extent are you in favor of or against the Census Bureau
getting your information from the following sources?
State
data, such as data from the Department of Motor Vehicles or utility
companies
Strongly in favor of it (1)
Somewhat in favor of it (2)
Neither in favor nor against it (3)
Somewhat against it (4)
Strongly against it (5)
SOURCE7
To what extent are you in favor of or against the Census Bureau
getting your information from the following sources?
A
credit reporting company, such as Experian or Equifax
Strongly in favor of it (1)
Somewhat in favor of it (2)
Neither in favor nor against it (3)
Somewhat against it (4)
Strongly against it (5)
End of Block: Admin data sources
Start of Block: Block 8
PRIV1 Do you think federal government agencies share a single central database of the name, address, and date of birth of U.S. residents?
Yes (1)
No (2)
PRIV2 Do you think federal government agencies SHOULD share a single central database of the name, address, and date of birth of U.S. residents?
Yes (1)
No (2)
PRIV3 In general, how concerned would you say you are about your personal privacy?
Very concerned (1)
Somewhat concerned (2)
A little concerned (3)
Not at all concerned (4)
Display This Question:
If priv = 4
PRIV4 Which of the following statements comes the closest to your opinion?
The benefits the government can provide by collecting data about me are greater than the risks (1)
The risks of the government collecting data about me are greater than the benefits it can provide (2)
Display This Question:
If priv = 5
PRIV5 Which of the following statements comes the closest to your opinion?
The benefits the government can provide by collecting data about me are greater than the risks (1)
The benefits and risks of the government collecting data about me are the same (2)
The risks of the government collecting data about me are greater than the benefits it can provide (3)
PRIV6 How much risk do you think the Census bureau using existing data presents to your privacy?
A lot of risk (1)
Moderate risk (2)
A little risk (3)
No risk (4)
PRIV7 How concerned are you, if at all, about how the government is using the data it collects about you?
Very concerned (1)
Somewhat concerned (2)
A little concerned (3)
Not at all concerned (4)
PRIV8 Which of the following have you ever done to protect your data or maintain your privacy?
|
Yes (1) |
No (2) |
Signed up for the Do Not Call Registry, which removes your phone number from marketing call lists (1) |
|
|
Blocked a smartphone app from tracking your location, contacts, or accessing other details to protect your privacy (2) |
|
|
Changed the settings on your computer or internet browser to increase your privacy (3) |
|
|
Avoided or stopped using a social media service to protect privacy (4) |
|
|
Changed the privacy settings on your social media accounts (5) |
|
|
Refused to answer a survey due to privacy concerns (6) |
|
|
Used more secure methods of communication, such as encrypted emails, to protect your privacy (7) |
|
|
Asked a government department, public service, or private company to delete any information they hold about you (8) |
|
|
Froze your credit or requested a notification when a credit check is performed on you (9) |
|
|
Maintained separate email accounts or alternative phone numbers, to protect your privacy (10) |
|
|
Regularly cleared browser history or deleted cookies (11) |
|
|
Blocked a website from installing cookies (12) |
|
|
Asked a government department, public service, or private company what information they hold about you (13) |
|
|
End of Block: Block 8
Topical 8 Questionnaire
Current Population Survey – Annual Social and Economic Supplement
Health Insurance, Medical Out of Pocket Costs, Migration, Child Care
Question 1
|
Details |
Notes |
Question Text |
Did you have health insurance between January and December 2023?
Health insurance may include employer sponsored insurance, Medicaid, Medicare, or insurance purchased from healthcare.gov |
|
fills |
NA |
|
PERSON- OR hOUSEHOLD- LEVEL |
Person |
|
Question Type |
Radio Button |
|
Answer list |
Yes - 1 No - 2 |
|
Skip Instructions |
IF yes or skip
IF no
|
|
Non-Screen Item |
NA |
|
Question 2
|
Details |
Notes |
Question Text |
Between January and December 2023 were you covered by any of the following types of health insurance or health coverage plans? Do NOT include plans that cover only one type of service, such as dental, drug, or vision plans. |
|
fills |
NA |
|
PERSON- OR hOUSEHOLD- LEVEL |
Person |
|
Question Type |
Checkbox |
|
Answer list |
Insurance through a current or former employer, union, or professional association (of this person or another family member)- 1 Medicare, for people 65 and older, or people with certain disabilities -2 Medicaid, Children’s Health Insurance Program (CHIP), or any kind of government-assistance plan for those with low incomes or disability -3 Insurance purchased directly from an insurance company, a broker, or a State or Federal Marketplace, such as Healthcare.gov -4 Veteran’s health care (enrolled for VA) -5 TRICARE or other military health care -6 Indian Health Service -7 Something not listed -8 I’m not sure -9 No Health Insurance -10
|
|
Skip Instructions |
IF Something not listed OR I’m not sure or skipped (in conjunction with anything else)
IF ANY of the following are checked, Through a job Medicare Medicaid Direct Purchase Veterans TRICARE IHS But NOT Something not listed OR I’m not sure
IF skipped Q1 AND Q2
IF ONLY No Health Insurance selected
|
|
Non-Screen Item |
NA |
|
Question 3
|
Details |
Notes |
Question Text |
Just to confirm, you did NOT have health insurance AT ANY TIME in 2023. Is that correct? |
Denote Fills in the question text by using the ^FILLNAME formatting from SPIDER. |
fills |
|
Enter fill specifications for each question including the name of the Fill |
PERSON- OR hOUSEHOLD- LEVEL |
Person |
|
Question Type |
Radio button |
|
Answer list |
Yes - 1 No – 2
|
|
Skip Instructions |
IF Yes or Skip
IF No
IF this is the second time they have answered Q3 AND “No”
|
Where to go for all responses and non-responses. Default will be proceeding to next linear question. |
Non-Screen Item |
NA |
|
Question 4
|
Details |
Notes |
Question Text |
You selected [something else/I’m not sure], we’d like to ask you more about that plan.
[Was the insurance that you’re not sure how to report/Was the insurance you have that was not listed/Was your insurance] from (mark all that apply):
|
Header text only appears if they selected something, not for those who skipped Q2.
Question text will depend on response to Q2 -> “not sure”/”not listed”/skip |
fills |
NA |
|
PERSON- OR hOUSEHOLD- LEVEL |
Person |
|
Question Type |
Checkbox |
|
Answer list |
A job - 1 The government -2 Some other way - 3 I’m not sure - 4 |
|
Skip Instructions |
IF A job
The government
Some other way OR I'm not sure OR Skip
IF skipped Q1, Q2, Q4
|
|
Non-Screen Item |
NA |
|
Question 5.1
|
Details |
Notes |
Question Text |
You selected [something else/I’m not sure], we’d like to ask you more about that plan.
Was that plan related to military service in any way? |
Header text only appears if they selected something, not for those who skipped Q2.
|
fills |
NA |
|
PERSON- OR hOUSEHOLD- LEVEL |
person |
|
Question Type |
Radio button |
|
Answer list |
Yes -1 No -2
|
SRCEGEN |
Skip Instructions |
IF Yes
IF No or Skip
|
|
Non-Screen Item |
NA |
|
Question 5.2
|
Details |
Notes |
Question Text |
You selected [something else/I’m not sure], we’d like to ask you more about that plan. Was that plan through: |
Header text only appears if they selected something, not for those who skipped Q2.
|
fills |
NA |
|
PERSON- OR hOUSEHOLD- LEVEL |
person |
|
Question Type |
CHECKBOX w/ write-in for 'Other'
|
|
Answer list |
TRICARE -1 CHAMPVA -2 Veterans Administration (VA) Care – 3 Other [write in] - 4 |
SRCEGEN |
Skip Instructions |
Go to Q8
|
|
Non-Screen Item |
NA |
|
Question 6.1
|
Details |
Notes |
Question Text |
You selected [something else/I’m not sure], we’d like to ask you more about that plan. Was that coverage though a JOB with the government or state? |
Header text only appears if they selected something, not for those who skipped Q2.
|
fills |
NA |
|
PERSON- OR hOUSEHOLD- LEVEL |
Person |
|
Question Type |
Radio button
|
|
Answer list |
Yes -1 No -2
|
|
Skip Instructions |
IF Yes
IF No or Skip
|
|
Non-Screen Item |
NA |
|
Question 6.2
|
Details |
Notes |
Question Text |
You selected [something else/I’m not sure], we’d like to ask you more about that plan. Was that coverage: |
Header text only appears if they selected something, not for those who skipped Q2.
|
fills |
NA |
|
PERSON- OR hOUSEHOLD- LEVEL |
Person |
|
Question Type |
Checkbox
|
|
Answer list |
1 Medicaid or Medical Assistance 2 CHIP 3 Medicare 4 Military 5 Indian Health Service 6 Other |
|
Skip Instructions |
IF ANY of the following Medicaid CHIP Medicare IHS
IF Military
IF Other or Skip
|
|
Non-Screen Item |
NA |
|
Question 6.3
|
Details |
Notes |
Question Text |
You selected [something else/I’m not sure], we’d like to ask you more about that plan.
What kind of insurance did you have? |
You if coming from 6.2, they if coming from 7.3.
Header text only appears if they selected something, not for those who skipped Q2.
|
fills |
NA |
|
PERSON- OR hOUSEHOLD- LEVEL |
Person |
|
Question Type |
Textbox/write in
|
|
Answer list |
N/A |
|
Skip Instructions |
|
|
Non-Screen Item |
NA |
|
Question 7.1
|
Details |
Notes |
Question Text |
You selected [something else/I’m not sure], we’d like to ask you more about that plan.
Was your insurance from: (mark all that apply) |
Header text only appears if they selected something, not for those who skipped Q2.
|
fills |
NA |
|
PERSON- OR hOUSEHOLD- LEVEL |
Person |
|
Question Type |
CHECKBOX |
|
Answer list |
1 Parent or spouse’s plan 2 I buy it 3 Some other way 4 I’m not sure
|
|
Skip Instructions |
IF Parent or Spouse
IF I buy it
IF Other or Skip
IF any of the following: I’m not sure Skip Q4 AND Q7.1
|
|
Non-Screen Item |
NA |
|
Question 7.2
|
Details |
Notes |
Question Text |
You selected [something else/I’m not sure], we’d like to ask you more about that plan.
Was that insurance from: |
Header text only appears if they selected something, not for those who skipped Q2.
|
fills |
NA |
|
PERSON- OR hOUSEHOLD- LEVEL |
Person |
|
Question Type |
CHECKBOX |
|
Answer list |
1 Former employer 2 Union 3 Group or association 4 Indian Health Service 5 School 6 Some other way |
|
Skip Instructions |
IF any of the following: Former employer Union Group or association IHS School
IF Some other way or Skip
|
|
Non-Screen Item |
NA |
|
Question 7.3
|
Details |
Notes |
Question Text |
You selected [something else/I’m not sure], we’d like to ask you more about that plan.
Did they get that: |
Header text only appears if they selected something, not for those who skipped Q2.
|
fills |
NA |
|
PERSON- OR hOUSEHOLD- LEVEL |
Person |
|
Question Type |
CHECKBOX |
|
Answer list |
1 Through their job 2 Buy it themselves 3 Some other way
4 Don’t know |
|
Skip Instructions |
IF Job
IF Buy it
IF Some other way, DK, or Skip
|
|
Non-Screen Item |
NA |
|
Question 7.4
|
Details |
Notes |
Question Text |
You selected [something else/I’m not sure], we’d like to ask you more about that plan.
Was that coverage through healthcare.gov [or state exchange portal names] |
Header text only appears if they selected something, not for those who skipped Q2.
|
fills |
NA |
|
PERSON- OR hOUSEHOLD- LEVEL |
Person |
|
Question Type |
Radial Buttons |
|
Answer list |
1 Yes 2 No |
|
Skip Instructions |
|
|
Non-Screen Item |
NA |
|
Question 8
|
Details |
Notes |
Question Text |
Have I recorded all the insurance type(s) you had last year? |
|
fills |
NA |
|
PERSON- OR hOUSEHOLD- LEVEL |
Person |
|
Question Type |
RADIOBUTTON |
|
Answer list |
Yes – 1 No - 0 |
|
Skip Instructions |
IF Yes OR SKIP-> Q11a for group A, Q11b for group B IF No -> Q9 |
|
Non-Screen Item |
NA |
|
Question 9
|
Details |
Notes |
Question Text |
What kind of insurance did you have that you have not reported? |
|
fills |
NA |
|
PERSON- OR hOUSEHOLD- LEVEL |
person |
|
Question Type |
Textbox |
|
Answer list |
– N/A |
|
Skip Instructions |
Go to Q11a or Q11b |
|
Non-Screen Item |
NA |
|
Question 11a
|
Details |
Notes |
Question Text |
Which months did you have health insurance of any type? (January-December 2023) (mark every month that applies): |
|
fills |
NA |
|
PERSON- OR hOUSEHOLD- LEVEL |
person |
|
Question Type |
CHECKBOX |
|
Answer list |
January 2023 -1 February 2023 -2 March 2023 -3 April 2023 -4 May 2023 -5 June 2023 -6 July 2023 -7 August 2023 -8 September 2023 -9 October 2023 -10 November 2023 -11 December 2023 -12
All Months -13
Don’t know - 14
|
|
Skip Instructions |
IF Some months (1-12) marked but not all
IF All months (1-12) marked OR “All months” checked OR DK OR skip
|
|
Non-Screen Item |
NA |
|
Question 12a
|
Details |
Notes |
Question Text |
Just to confirm, you said you only had health insurance in [months] of 2023, is that correct? |
|
fills |
NA |
|
PERSON- OR hOUSEHOLD- LEVEL |
person |
|
Question Type |
Radial button |
|
Answer list |
Yes -1 No -2
|
|
Skip Instructions |
IF yes
IF No
|
|
Non-Screen Item |
NA |
|
Question 13a
|
Details |
Notes |
Question Text |
Which months did you have some type of health insurance? (January-December 2023) (mark every month that applies): |
If possible, we would like question 13a to be prefilled with any items checked in question 11a |
|
NA |
|
PERSON- OR hOUSEHOLD- LEVEL |
person |
|
Question Type |
CHECKBOX |
|
Answer list |
January 2023 -1 February 2023 -2 March 2023 -3 April 2023 -4 May 2023 -5 June 2023 -6 July 2023 -7 August 2023 -8 September 2023 -9 October 2023 -10 November 2023 -11 December 2023 -12
All Months -13
Don’t know - 14
|
|
Skip Instructions |
IF Some months (1-12) marked but not all
IF All months (1-12) marked OR “All months” checked OR DK OR skip
|
|
Non-Screen Item |
NA |
|
Question 11b
|
Details |
Notes |
Question Text |
Did you have health insurance of any type in every month of the year? (January-December 2023) |
|
fills |
NA |
|
PERSON- OR hOUSEHOLD- LEVEL |
Person |
|
Question Type |
RADIOBUTTON |
|
Answer list |
Yes – 1 No – 0
DK- 2 |
|
Skip Instructions |
-> Q14 |
|
Non-Screen Item |
NA |
|
Question 14
|
Details |
Notes |
Question Text |
The previous questions asked about health insurance you had last year, the next questions will ask about health insurance you have right now.
Do you have health insurance NOW?
Health insurance may include employer sponsored insurance, Medicaid, Medicare, or insurance purchased from healthcare.gov |
|
fills |
NA |
|
PERSON- OR hOUSEHOLD- LEVEL |
person |
|
Question Type |
RADIOBUTTON |
|
Answer list |
Yes or Skip – 1 No – 2 |
|
Skip Instructions |
IF yes -> Q15 IF no -> Q16 |
|
Non-Screen Item |
NA |
|
Question 15
|
Details |
Notes |
Question Text |
Are you CURRENTLY covered by any of the following types of health insurance or health coverage plans? Do NOT include plans that cover only one type of service, such as dental, drug, or vision plans. |
See flowchart comment about 'none of the above' |
fills |
NA |
|
PERSON- OR hOUSEHOLD- LEVEL |
person |
|
Question Type |
CHECKBOX |
|
Answer list |
Insurance through a current or former employer, union, or professional association (of this person or another family member)- 1 Medicare, for people 65 and older, or people with certain disabilities -2 Medicaid, Children’s Health Insurance Program (CHIP), or any kind of government-assitance plan for those with low incomes or disability -3 Insurance purchased directly from and insurance company, a broker, or a State or Federal Marketplace, such as Healthcare.gov -4 Veteran’s health care (enrolled for VA) -5 TRICARE or other military health care -6 Indian Health Service -7 Something not listed -8 I’m not sure -9 No Health Insurance -10
|
|
Skip Instructions |
IF Something not listed OR I’m not sure or skipped
IF ANY of the following, Through a job Medicare Medicaid Direct Purchase Veterans TRICARE IHS But NOT Something not listed OR I’m not sure
IF skipped Q1, Q2, Q4, Q14 and Q15
IF ONLY No Health Insurance selected
|
|
Non-Screen Item |
NA |
|
Question 16
|
Details |
Notes |
Question Text |
Just to confirm, you do NOT have health insurance right now. Is that correct?
|
|
fills |
|
|
PERSON- OR hOUSEHOLD- LEVEL |
Person |
|
Question Type |
RADIOBUTTON |
|
Answer list |
Yes – 1 No -2 |
|
Skip Instructions |
Yes -> Q31 No -> Q15 IF No an this is the second time they answer Q16 -> Q19.3 |
|
Non-Screen Item |
NA |
|
Question 17
|
Details |
Notes |
Question Text |
You selected [something else/I’m not sure], we’d like to ask you more about that plan.
Do you have insurance from (mark all that apply): |
Header text only appears if they selected something, not for those who skipped Q15.
|
fills |
NA |
|
PERSON- OR hOUSEHOLD- LEVEL |
person |
|
Question Type |
RADIOBUTTON |
|
Answer list |
A job - 1 The government -2 Some other way -3 I’m not sure -4 |
|
Skip Instructions |
IF a job -> Q18.1 IF the government -> Q19.1 IF other OR I'm not sure -> Q20.1 |
|
Non-Screen Item |
NA |
|
Question 18.1
|
Details |
Notes |
Question Text |
You selected [something else/I’m not sure], we’d like to ask you more about that plan.
Was that plan related to military service in any way? |
Header text only appears if they selected something, not for those who skipped Q15.
|
fills |
NA |
|
PERSON- OR hOUSEHOLD- LEVEL |
person |
|
Question Type |
Radio button |
|
Answer list |
Yes -1 No -2
|
|
Skip Instructions |
IF Yes
IF No or Skip
|
If no, this would make it a “job” coverage |
Non-Screen Item |
NA |
|
Question 18.2
|
Details |
Notes |
Question Text |
You selected [something else/I’m not sure], we’d like to ask you more about that plan.
Was that plan through: |
Header text only appears if they selected something, not for those who skipped Q15.
|
fills |
NA |
|
PERSON- OR hOUSEHOLD- LEVEL |
person |
|
Question Type |
CHECKBOX w/ write-in for 'Other'
|
|
Answer list |
TRICARE -1 CHAMPVA -2 Veterans Administration (VA) Care – 3 Other [write in] - 4 |
|
Skip Instructions |
Go to Q22
|
|
Non-Screen Item |
NA |
|
Question 19.1
|
Details |
Notes |
Question Text |
You selected [something else/I’m not sure], we’d like to ask you more about that plan.
Was that coverage though a JOB with the government or state? |
Header text only appears if they selected something, not for those who skipped Q15.
|
fills |
NA |
|
PERSON- OR hOUSEHOLD- LEVEL |
Person |
|
Question Type |
Radio button
|
|
Answer list |
Yes -1 No -2
|
|
Skip Instructions |
IF Yes
IF No or Skip
|
|
Non-Screen Item |
NA |
|
Question 19.2
|
Details |
Notes |
Question Text |
You selected [something else/I’m not sure], we’d like to ask you more about that plan.
Was that coverage: |
Header text only appears if they selected something, not for those who skipped Q15.
|
fills |
NA |
|
PERSON- OR hOUSEHOLD- LEVEL |
Person |
|
Question Type |
Checkbox
|
|
Answer list |
1 Medicaid or Medical Assistance 2 CHIP 3 Medicare 4 Military 5 Indian Health Service 6 Other |
|
Skip Instructions |
IF ANY of the following Medicaid CHIP Medicare
IF Military
IF Other or Skip
|
|
Non-Screen Item |
NA |
|
Question 19.3
|
Details |
Notes |
Question Text |
You selected [something else/I’m not sure], we’d like to ask you more about that plan.
What kind of insurance did [you/they] have? |
You if coming from 19.2, they if coming from 20.3
Header text only appears if they selected something, not for those who skipped Q15.
|
fills |
NA |
|
PERSON- OR hOUSEHOLD- LEVEL |
Person |
|
Question Type |
Textbox/write in
|
|
Answer list |
N/A |
|
Skip Instructions |
|
|
Non-Screen Item |
NA |
|
Question 20.1
|
Details |
Notes |
Question Text |
You selected [something else/I’m not sure], we’d like to ask you more about that plan.
Was your insurance from: (mark all that apply) |
Header text only appears if they selected something, not for those who skipped Q15.
|
fills |
NA |
|
PERSON- OR hOUSEHOLD- LEVEL |
Person |
|
Question Type |
CHECKBOX |
|
Answer list |
1 Parent or spouse’s plan 2 I buy it 3 Some other way 4 I’m not sure
|
|
Skip Instructions |
IF Parent or Spouse
IF I buy it
IF Other or Skip
IF any of the following: I’m not sure Skip Q17 and Q20.1
|
|
Non-Screen Item |
NA |
|
Question 20.2
|
Details |
Notes |
Question Text |
You selected [something else/I’m not sure], we’d like to ask you more about that plan.
Was that insurance from: |
Header text only appears if they selected something, not for those who skipped Q15.
|
fills |
NA |
|
PERSON- OR hOUSEHOLD- LEVEL |
Person |
|
Question Type |
CHECKBOX |
|
Answer list |
1 Former employer 2 Union 3 Group or association 4 Indian Health Service 5 School 6 Some other way |
|
Skip Instructions |
IF any of the following: Former employer Union Group or association IHS School
IF Some other way or Skip
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Non-Screen Item |
NA |
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Question 20.3
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Details |
Notes |
Question Text |
You selected [something else/I’m not sure], we’d like to ask you more about that plan.
Did they get that: |
Header text only appears if they selected something, not for those who skipped Q15.
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fills |
NA |
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PERSON- OR hOUSEHOLD- LEVEL |
Person |
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Question Type |
CHECKBOX |
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Answer list |
1 Through their job 2 Buy it themselves 3 Some other way
4 Don’t know |
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Skip Instructions |
IF Job
IF Buy it
IF Some other way, DK, or Skip
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Non-Screen Item |
NA |
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Question 20.4
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Details |
Notes |
Question Text |
You selected [something else/I’m not sure], we’d like to ask you more about that plan.
Is that coverage through [state exchange portal names] |
Header text only appears if they selected something, not for those who skipped Q15.
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fills |
NA |
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PERSON- OR hOUSEHOLD- LEVEL |
Person |
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Question Type |
Radial Buttons |
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Answer list |
1 Yes 2 No |
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Skip Instructions |
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Non-Screen Item |
NA |
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Question 22
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Details |
Notes |
Question Text |
Have I recorded all the insurance type(s) you have now? |
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fills |
NA |
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PERSON- OR hOUSEHOLD- LEVEL |
person |
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Question Type |
RADIOBUTTON |
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Answer list |
Yes – 1 No - 0 |
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Skip Instructions |
IF no -> Q23 IF yes -> Q26a or 26b |
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Non-Screen Item |
NA |
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Question 23
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Details |
Notes |
Question Text |
What kind of insurance do you have that you have not reported? |
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fills |
NA |
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PERSON- OR hOUSEHOLD- LEVEL |
person |
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Question Type |
Text box |
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Answer list |
N/A |
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Skip Instructions |
Q26a or 26b |
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Non-Screen Item |
NA |
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Question 26a
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Details |
Notes |
Question Text |
What month did your [^COVERAGENAME] insurance START?
[Help text/blue text: If you had this insurance multiple times in 2023, only mark when you started the insurance this time] |
This question series, Q23-27, is going to loop through for every plan reported in Qs 15-23
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fills |
^COVERAGENAME Inserts their health insurance type reported in Q15-23 |
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PERSON- OR hOUSEHOLD- LEVEL |
person |
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Question Type |
RADIOBUTTON |
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Answer list |
BEFORE January 2023 -1 January 2023 -2 February 2023 -3 March 2023 -4 April 2023 -5 May 2023 -6 June 2023 -7 July 2023 -8 August 2023 -9 September 2023 -10 October 2023 -11 November 2023 -12 December 2023 -13 AFTER December 2023 -14
DK
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Skip Instructions |
IF Before January 2024 or January 2024 and another type of insurance NOW-> Q26a IF Before January 2024 or January 2024 and no other type of insurance NOW-> Q31 IF any months or Feb 2024 or later -> Q27a |
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Non-Screen Item |
NA |
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Question 27a
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Details |
Notes |
Question Text |
Did you have another form of coverage in 2023 before your ^COVERAGENAME insurance started in ^MONTH? |
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fills |
MONTH, COVERAGENAME Fills in month selected in Q26a, and coverage type for this loop |
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PERSON- OR hOUSEHOLD- LEVEL |
person |
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Question Type |
RADIOBUTTON |
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Answer list |
Yes – 1 No – 0 |
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Skip Instructions |
IF yes -> Q28a IF no -> see note |
Go to Q31 if all plans have gone through this loop, Else ask again (Q26a)
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Non-Screen Item |
NA |
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Question 28a
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Details |
Notes |
Question Text |
What health insurances(s) did you have before this one? |
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fills |
Insurance through a current or former employer, union, or professional association (of this person or another family member)- 1 Medicare, for people 65 and older, or people with certain disabilities -2 Medicaid, Children’s Health Insurance Program (CHIP), or any kind of government-assitance plan for those with low incomes or disability -3 Insurance purchased directly from and insurance company, a broker, or a State or Federal Marketplace, such as Healthcare.gov -4 Veteran’s health care (enrolled for VA) -5 TRICARE or other military health care -6 Indian Health Service -7 Other: [Write in 1] [Write in 2] [Write in 3]
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PERSON- OR hOUSEHOLD- LEVEL |
person |
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Question Type |
Checkbox w/ write-in option(s) associated w/ "some other plan" |
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Answer list |
FILL -- List previously recorded plans 2-X Some other plan (write in) -1
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Depending on how many plans there are, store answers with increasing values |
Skip Instructions |
IF previously recorded plan -> see note IF some other plan -> Q29a |
Go to Q31 if all plans have gone through this loop, Else ask again (Q26a)
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Non-Screen Item |
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Question 29a
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Details |
Notes |
Question Text |
What month did that ^HEALTHINSURANCE1 insurance start? |
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fills |
HEALTHINSURANCE1 from selection in 28A |
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PERSON- OR hOUSEHOLD- LEVEL |
person |
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Question Type |
RADIOBUTTON |
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Answer list |
BEFORE January 2023 - 1 January 2023 -2 February 2023 -3 March 2023 -4 April 2023 -5 May 2023 -6 June 2023 -7 July 2023 -8 August 2023 -9 September 2023 -10 October 2023 -11 November 2023 -12 December 2023 -13 AFTER December 2023 -14
DK-15 |
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Skip Instructions |
See note |
Go to Q31 if all plans have gone through this loop, Else ask Q26a again
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Non-Screen Item |
NA |
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Question 30a
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Details |
Notes |
Question Text |
What month did that ^HEALTHINSURANCE2 insurance start? |
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fills |
HEALTHINSURANCE2 from selection in 28A |
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PERSON- OR hOUSEHOLD- LEVEL |
Person |
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Question Type |
RADIOBUTTON |
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Answer list |
BEFORE January 2023 - 1 January 2023 -2 February 2023 -3 March 2023 -4 April 2023 -5 May 2023 -6 June 2023 -7 July 2023 -8 August 2023 -9 September 2023 -10 October 2023 -11 November 2023 -12 December 2023 -13 AFTER December 2023 -14
DK-15 |
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Skip Instructions |
See note |
Go to Q31 if all plans have gone through this loop, Else ask Q26a again
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Non-Screen Item |
NA |
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Q26b
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DETAILS |
NOTES |
QUESTION |
Between January and December 2023 did you have [health insurance type]: |
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ANSWER LIST |
All year (all 12 months) -1 Part of the year (less than 12 months) -2 I did not have [health insurance type] in 2023 -3
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Skip Instructions |
If skip or 1 -> Go to page 5 if all plans through loop, else ask 26b again w/ next insurance type If 2 -> Q27b |
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Q27b
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DETAILS |
NOTES |
QUESTION |
Did you have another form of health insurance in 2023? |
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ANSWER LIST |
Yes – 1 No – 2 |
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Skip Instructions |
If yes -> Q28b If no or skip -> Go to page 5 if all plans through loop, else ask 26b again w/ next insurance type |
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Q28b
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DETAILS |
NOTES |
QUESTION |
What other health insurance(s) did you have in 2023? |
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ANSWER LIST |
ACS list Some other plan(s); (write in) (write in)
Don’t Know
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Skip Instructions |
If Skip or DK -> Go to page 5 if all plans through loop, else ask 26b again w/ next insurance type Else -> Q29b |
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Q29b
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DETAILS |
NOTES |
QUESTION |
Between January and December 2023 did you have this other health insurance: |
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ANSWER LIST |
All year (all 12 months) -1 Part of the year (less than 12 months) -2 |
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Skip Instructions |
1, 2, or skip -> Go to page 5 if all plans through loop, else ask 26b again w/ next insurance type
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Question 31
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Details |
Notes |
Question Text |
I feel like I understand my health insurance better than most people |
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fills |
NA |
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PERSON- OR hOUSEHOLD- LEVEL |
Person |
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Question Type |
RADIOBUTTON |
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Answer list |
Agree -1 Neutral -2 Disagree -3 |
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Skip Instructions |
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Non-Screen Item |
NA |
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Question 32
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Details |
Notes |
Question Text |
How difficult was it to select your health insurance from this list? [reprint Q2] |
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fills |
NA |
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PERSON- OR hOUSEHOLD- LEVEL |
Person |
|
Question Type |
RADIOBUTTON |
|
Answer list |
Not difficult at all -1 A little difficult -2 Very difficult -3 |
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Skip Instructions |
IF not difficult at all
IF A little difficult or very difficult
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Non-Screen Item |
NA |
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Question 33
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Details |
Notes |
Question Text |
What made it difficult? |
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fills |
NA |
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PERSON- OR hOUSEHOLD- LEVEL |
person |
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Question Type |
Checkbox (multi-select) with write in option (textbox) |
|
Answer list |
I wasn’t the person who signed up for it (through my parent, spouse, etc) - 1 I’m not sure what I have - 2 I only know the company name (BCBS, United, Anthem, Aenta) -3 The answer list was too long or confusing - 4 Technical difficulties with the survey – 5 Other reasons:_____ |
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Skip Instructions |
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Non-Screen Item |
NA |
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Question 34
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Details |
Notes |
Question Text |
How difficult was it to report when you had insurance last year? |
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fills |
NA |
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PERSON- OR hOUSEHOLD- LEVEL |
person |
|
Question Type |
RADIOBUTTON |
|
Answer list |
Not difficult at all -1 A little difficult -2 Very difficult -3 |
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Skip Instructions |
IF not difficult at all
IF A little difficult or very difficult
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Non-Screen Item |
NA |
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Question 35
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Details |
Notes |
Question Text |
What made it difficult? |
|
fills |
NA |
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PERSON- OR hOUSEHOLD- LEVEL |
person |
|
Question Type |
Checkbox (multi-select) with write in option (textbox) |
|
Answer list |
I switched plans or went on and off insurance a lot I wasn’t the person who signed up for it (my parent, spouse, etc) I don’t remember when I had insurance last year My insurance situation was complicated The answer list was too long Technical difficulties with the survey Other reasons:_____ |
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Skip Instructions |
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Non-Screen Item |
NA |
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Question 36
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Details |
Notes |
Question Text |
Other than anything you have already told us, was there anything else which made the health insurance questions difficult? |
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fills |
NA |
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PERSON- OR hOUSEHOLD- LEVEL |
person |
|
Question Type |
write in option (textbox) |
|
Answer list |
N/A |
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Skip Instructions |
|
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Non-Screen Item |
NA |
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Question 37
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Details |
Notes |
Question Text |
The last few questions asked about YOUR health insurance, the next few questions will ask about health expenses for you AND other members of your household. |
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fills |
NA |
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PERSON- OR hOUSEHOLD- LEVEL |
person |
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Question Type |
write in option (textbox) |
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Answer list |
N/A |
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Skip Instructions |
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Non-Screen Item |
NA |
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From Q37 of the Health Insurance section:
HIPREM
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Details |
Notes |
Question |
Last year, how much did you pay out-of-pocket for ALL health insurance premiums covering yourself or others in the household?
Include:
DO NOT include:
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|
Answer list |
n/a |
Write-in values |
Universe |
Person has any kind of health insurance last year (all respondents from Health Insurance Q37) |
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HIPREM1
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Details |
Notes |
Question |
If you don't know the exact value, please estimate.
Last year, how much did you pay out-of-pocket for ALL health insurance premiums covering yourself or others in the household?
Include:
DO NOT include:
|
|
Answer list |
Less than $1,000 -1 Between $1,000 and $3,000 -2 Over $3,000 -3 |
These ranges were determined using the 2023 CPS ASEC data |
Universe |
HIPREM is skipped |
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HIPREM2
|
Details |
Notes |
Question |
Was it…? |
|
Answer list |
Less than $100 -1 Between $100 and $500 -2 Over $500 -3 |
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Universe |
HIPREM1=1 |
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A_MEDAMT
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Details |
Notes |
Question |
Last year, how much was paid out-of-pocket for your OWN medical care?
Include:
Include any amount paid out-of-pocket on your behalf by anyone in this household. |
|
Answer list |
n/a |
Write-in values |
Universe |
All in group A |
Consistent with current ASEC is fine |
B_MEDAMT
|
Details |
Notes |
Question |
Last year, how much was paid out-of-pocket for your OWN medical care? Include:
Do NOT include:
Include any amount paid out-of-pocket on your behalf by anyone in this household. |
|
Answer list |
n/a |
Write-in values |
Universe |
All in Group B |
Consistent with current ASEC is fine |
A_MEDAMT1
|
Details |
Notes |
Question |
If you don't know the exact value, please estimate.
Last year, how much was paid out-of-pocket for your OWN medical care?
Include:
Include any amount paid out-of-pocket on your behalf by anyone in this household.
|
|
Answer list |
Less than $1,000 -1 Between $1,000 and $3,000 -2 Over $3,000 -3 |
|
Universe |
Group A AND A_MEDAMT is skipped |
|
B_MEDAMT1
|
Details |
Notes |
Question |
If you don't know the exact value, please estimate.
Last year, how much was paid out-of-pocket for your OWN medical care?
Include:
Do NOT include:
Include any amount paid out-of-pocket on your behalf by anyone in this household. |
|
Answer list |
Less than $1,000 -1 Between $1,000 and $3,000 -2 Over $3,000 -3 |
These ranges were determined using the 2023 CPS ASEC data |
Universe |
Group B AND B_MEDAMT is skipped. |
|
MEDAMT2
|
Details |
Notes |
Question |
Was it…? |
|
Answer list |
Less than $100 -1 Between $100 and $500 -2 Over $500 -3 |
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Universe |
A_MEDAMT1=1 OR B_MEDAMT1=1 |
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A_OTCMEDAMT
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Details |
Notes |
Question |
Last year, how much was paid out-of-pocket for your non-prescription healthcare products?
Include:
Include any amount paid out-of-pocket on your behalf by anyone in this household. |
|
Answer list |
n/a |
Write-in values |
Universe |
Group A |
Consistent with current ASEC is fine |
B_OTCMEDAMT
|
Details |
Notes |
Question |
Last year, how much was paid out-of-pocket for your non-prescription healthcare products?
Include:
Include any amount paid out-of-pocket on your behalf by anyone in this household. |
|
Answer list |
n/a |
Write-in values |
Universe |
Group B |
Consistent with current ASEC is fine |
A_OTCMEDAMT1
|
Details |
Notes |
Question |
If you don't know the exact value, please estimate.
Last year, how much was paid out-of-pocket for your non-prescription healthcare products? Include:
Include any amount paid out-of-pocket on your behalf by anyone in this household. |
|
Answer list |
Less than $1,000 -1 Between $1,000 and $3,000 -2 Over $3,000 -3 |
Shrinking the bin sizes based on survey responses in 2023 CPS ASEC |
Universe |
Group A AND A_OTCMEDAMT is skipped |
|
B_OTCMEDAMT1
|
Details |
Notes |
Question |
If you don't know the exact value, please estimate.
Last year, how much was paid out-of-pocket for your non-prescription healthcare products?
Include:
Include any amount paid out-of-pocket on your behalf by anyone in this household. |
|
Answer list |
Less than $1,000 -1 Between $1,000 and $3,000 -2 Over $3,000 -3 |
Using smallest range brackets here based on guess |
Universe |
Group B AND B_OTCMEDAMT is skipped |
|
OTCMEDAMT2
|
Details |
Notes |
Question |
Was it…? |
|
Answer list |
Less than $100 -1 Between $100 and $500 -2 Over $500 -3 |
|
Universe |
A_OTCAMT1=1 OR B_OTCMEDAMT1=1 |
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MIGSAM
|
Details |
Notes |
Question |
(Were/Was) (you/reference person's name) living at (your/their) current residence one year ago? |
|
Answer list |
0 = NIU 1 = Yes, this residence 2 = No, a difference residence |
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Universe |
A_AGE > 0 |
|
MIGALL
|
Details |
Notes |
Question |
There are (number) other persons in this household at least one year of age. Did (this person/all of these persons) live with (you/reference person's name) in (your/their) current residence one year ago? |
|
Answer list |
1 = Yes, all lived with (reference person) 2 = No, some or all did not live with (reference person) |
|
Universe |
A_AGE > 0 |
|
MIGUS
|
Details |
Notes |
Question |
Were you living in the United States one year ago? |
|
Answer list |
1 = Yes 2 = No |
|
Universe |
MIGSAM = 2 |
|
MIG_ST
|
Details |
Notes |
Question |
What state did (you/reference person's name) live in one year ago? |
|
Answer list |
00 = NIU (Under 1 year old; MIGSAM=1) 01 = Alabama 02 = Alaska 04 = Arizona 05 = Arkansas 06 = California 08 = Colorado 09 = Connecticut 10 = Delaware 11 = District of Columbia 12 = Florida 13 = Georgia 15 = Hawaii 16 = Idaho 17 = Illinois 18 = Indiana 19 = Iowa 20 = Kansas 21 = Kentucky 22 = Louisiana 23 = Maine 24 = Maryland 25 = Massachusetts 26 = Michigan 27 = Minnesota 28 = Mississippi 29 = Missouri 30 = Montana 31 = Nebraska 32 = Nevada 33 = New Hampshire 34 = New Jersey 35 = New Mexico 36 = New York 37 = North Carolina 38 = North Dakota 39 = Ohio 40 = Oklahoma 41 = Oregon 42 = Pennsylvania 44 = Rhode Island 45 = South Carolina 46 = South Dakota 47 = Tennessee 48 = Texas 49 = Utah 50 = Vermont 51 = Virginia 53 = Washington 54 = West Virginia 55 = Wisconsin 56 = Wyoming 96 = Abroad |
|
Universe |
MIGSAM = 2 & MIGUS = 1 |
|
MIGCOU
|
Details |
Notes |
Question |
What county did (you/reference person's name) live in one year ago? |
|
Answer list |
Please see sheet "MIGCOU Answer List" |
|
Universe |
MIG_ST in (01:10, 12:56) |
|
MIGCITY
|
Details |
Notes |
Question |
What city or town did (you/reference person's name) live in one year ago? |
|
Answer list |
Please populate dropdown with place names conditional on state selected (if state missing, provide all US places), using the linked Gazetteer Places data: https://www2.census.gov/geo/docs/maps-data/data/gazetteer/2023_Gazetteer/2023_Gaz_place_national.zip |
|
Universe |
MIG_ST in (01:10, 12:56) |
|
RESNAME
|
Details |
Notes |
Question |
Please provide a street name or other nickname to help you remember this residence. This unique residence name can be a house or building number plus street name, city name, or some other way to refer to the residence. |
|
Answer list |
|
Fill in |
Universe |
MIGSAM=2 |
|
MI1RES
|
Details |
Notes |
Question |
What was (your/reference person's name) main reason for moving to (your/their) current residence? |
|
Answer list |
01 = Family (e.g., birth of a child, moved to help out a parent, divorced) 02 = Nonfamily interpersonal (e.g., moved in with an unmarried partner, wanted to live with friends, didn't like roommate) 03 = Work (e.g., easier commute, got a new job, unemployed, military, vocational work, retired) 04 = Education/training (e.g., graduated college, went to trade school, started an unapid internship, better public school system) 05 = Housing hardship/instability (e.g., housing cost became unaffordable, foreclosure, eviction, landlord negligence (e.g., refusal to provide repairs, pest/mold control, heating)) 06 = Better-suited housing (e.g., found cheaper housing, better neighborhood, wanted to own home, down-sized, wanted specific amenities) 07 = Legal/institutional (e.g., re-entry from prison, foster care) 08 = Health (e.g., moved to a single-floor home after breaking a hip, returned from rehabilitative care) 09 = Natural disaster (e.g., hurricane/tornado damage, frequent flooding, elevated forest fire risk) 10 = Better climate/environment (e.g., found a place close to water, wanted to live in the Southwest, tired of Wisconsin winters, wanted distinct seasons) 11 = Other |
|
Universe |
MIGSAM = 2 |
|
MIOTHER
|
Details |
Notes |
Question |
Please describe why (you/reference person's name) moved to (your/their) current residence. |
|
Answer list |
|
Fill in |
Universe |
MIGSAM = 2 & MI1RES = 11 |
|
A_CCQ1
|
Details |
Notes |
Question |
Did (you/ anyone in this household) PAY for the care of (your/their) (child/children) while (you/they) worked, were in training/education, or were looking for work in 2023?
Include preschool and nursery school; exclude kindergarten |
|
Answer list |
Yes - 1 No - 2 |
|
Universe |
Group A and At least one child in HH age less than 15 |
|
A_CCQ2
|
Details |
Notes |
Question |
Which children needed care while their parents worked or were in training/education?
Select all that apply |
|
Answer list |
Names from roster (only children under 15) |
|
Universe |
Group A and Said yes to A_CCQ1, only include kids 13 and under in the list |
|
A_CCQ3
|
Details |
Notes |
Question |
What is the easiest way for you to tell us how much was paid for child care while (you/name) worked or were in training/education in 2023?? |
|
Answer list |
1 Weekly 2 Every other week (bi-weekly) 3 Twice a month 4 Monthly 7 Yearly |
|
Universe |
Group A and A_CCQ1=1 |
|
A_CCQ4
|
Details |
Notes |
Question |
How much was paid (weekly/every other week (bi-weekly)/twice a month/monthly)? |
|
Answer list |
$[text].00 |
|
Universe |
A_CCQ3=1-4 |
|
A_CCQ5
|
Details |
Notes |
Question |
How many (weekly/every other week/twice a month/monthly) payments did (you/name) make?
Enter number of (weekly (1-52)/every other week (biweekly) (1-26)/twice a month (1-24)/monthly (1-12)) pay periods |
|
Answer list |
|
|
Universe |
Group A and A_CCQ3 = (1, 2, 3, 4) and A_CCQ4 = Response |
|
A_CCQ6
|
Details |
Notes |
Question |
Then (you/name) paid $(amount) altogether in child care while (you/they) worked during 2023. Does that sound about right? |
|
Answer list |
Yes - 1 No - 2 |
|
Universe |
Group A and A_CCQ5=value |
|
A_CCQ7
|
Details |
Notes |
Question |
What is your best estimate of the correct amount (you/name) paid for child care while (you/name) worked in 2023? |
|
Answer list |
$[text].00 |
|
Universe |
Group A and A_CCQ6=2 |
|
B_CHCARE_YN
|
Details |
Notes |
Question |
Which of the children in this household received child care while their parents/guardians worked, were in training/education, or were looking for work in 2023?
Include preschool and nursery school; exclude kindergarten or grade/elementary school |
|
Answer list |
|
See custom answer list table |
Universe |
Group B |
|
B_CHCARE_AMT
|
Details |
Notes |
Question |
How much was paid for child care? |
|
Answer list |
|
See custom answer list table |
Universe |
|
|
CHCARE_TYPE
|
Details |
Notes |
Question |
Which types of child care were used for (name) in 2023? |
|
Answer list |
1- Pre-Kindergarten or 3-K 2- Head Start 3- Preschool/nursery school/daycare center 4- Family daycare/paid care provided in someone else's home 5- Paid babysitter or nanny in your home 6- Free care with a relative 7- Paid care with a relative 8- Other [text] |
|
Universe |
All Households who identified having childcare in A_CCQ1 or CHCARE_YN |
|
CHCARE_SUB
|
Details |
Notes |
Question |
Is/Are the child's/children's care partially or fully covered by government assistance, for instance a voucher or childcare subsidy? |
|
Answer list |
|
See custom answer list table |
Universe |
All Households who identified having childcare in A_CCQ1 or CHCARE_YN |
|
Topical 9 Questionnaire
Current Population Survey – Annual Social and Economic Supplement
Income and Poverty
WEQ1
|
DETAILS |
NOTES |
QUESTION |
Did (^name/you) work at a job or business at any time during 2023? |
|
ANSWER LIST |
1 Yes 2 No |
|
UNIVERSE |
|
|
WEQ2
|
DETAILS |
NOTES |
QUESTION |
Did (^name/you) do any part-time, temporary, or seasonal work even for a few days during 2023? |
|
ANSWER LIST |
1 Yes 2 No |
|
UNIVERSE |
WEQ1=2, Skip |
|
WEQ3
|
DETAILS |
NOTES |
QUESTION |
For whom did (name/you) work, at (your/his/her) longest held job during 2023?
Enter name of company, business, organization or other employer. |
|
ANSWER LIST |
|
Write-in response |
UNIVERSE |
WEQ1=1 or WEQ2=1 |
|
WEQ4
|
DETAILS |
NOTES |
QUESTION |
At (your/name's) longest job last year, were (pronoun) self-employed? |
|
ANSWER LIST |
1 Yes 2 No |
|
UNIVERSE |
WEQ3=value |
|
WEQ5
|
DETAILS |
NOTES |
QUESTION |
Was this business incorporated? |
|
ANSWER LIST |
1 Yes 2 No |
|
UNIVERSE |
WEQ4=1 |
|
A_EIQ1
|
DETAILS |
NOTES |
QUESTION |
What is the easiest way for you to tell us how much (name/you) earned from this employer before taxes and other deductions in 2023? |
|
ANSWER LIST |
1 Weekly 2 Every other week (bi-weekly) 3 Twice a month 4 Monthly 7 Yearly |
|
UNIVERSE |
Group A who worked last year |
|
A_EIQ2
|
DETAILS |
NOTES |
QUESTION |
What was the amount received (every week/every other week/twice a month/monthly)?
Enter 0 for none |
|
ANSWER LIST |
$[text].00 |
|
UNIVERSE |
Group A and A_EIQ1=1,2,3,4 |
|
A_EIQ3
|
DETAILS |
NOTES |
QUESTION |
For how many (weekly/every other week/twice a month/monthly) pay periods did (name/you) earn (fill from Q48aa) from this employer in 2023?
Enter number of (weekly (1-52)/every other week (biweekly) (1-26)/twice a month (1-24)/monthly (1-12)) pay periods |
|
ANSWER LIST |
|
Write in response |
UNIVERSE |
Group A and A_EIQ2=value |
|
A_EIQ4
|
DETAILS |
NOTES |
QUESTION |
Then (name/you) earned (total) altogether from this employer in 2023 before deductions. Does that sound about right? |
|
ANSWER LIST |
Yes - 1 No - 2 |
|
UNIVERSE |
Group A and A_EIQ3=value |
|
A_EIQ5
|
DETAILS |
NOTES |
QUESTION |
What is your best estimate of (name's/your) correct total amount of earnings from this employer during 2023 before deductions?
Previous entries: (amount- Q48aa) per (periodicity-Q48aap) for (number of periods-Q48a1) payments |
|
ANSWER LIST |
$[text].00 |
|
UNIVERSE |
Group A and A_EIQ4=2 |
|
B_EIQ6
|
DETAILS |
QUESTION |
Enter the amount (^name/you) earned from this employer before taxes and other deductions during 2023:
Enter amount Choose frequency Number of payments Total Wages $____,____ . 00 _______________ ________________ ______ Tips $____________ _______________ ________________ ______ Bonuses $____________ _______________ ________________ ______ Overtime pay $____________ _______________ ________________ ______ Commissions $____________ _______________ ________________ ______
Total earnings from this employer in 2023 (before taxes and deductions) ______ |
ANSWER LIST |
Fill in |
UNIVERSE |
Group B who worked last year |
EIQ7
|
DETAILS |
NOTES |
QUESTION |
If you don't know the exact value, please estimate.
How much did (^name/you) earn from this employer before taxes and other deductions during 2023?
|
|
ANSWER LIST |
1 Less than $45,000 2 Between $45,000 and $60,000 3 Over $60,000 |
|
UNIVERSE |
A_EIQ2=skip or B_EIQ6= missing on wages |
|
EIQ8
|
DETAILS |
NOTES |
QUESTION |
Was it…? |
|
ANSWER LIST |
1 Less than $15,000 2 Between $15,000 and $30,000 3 Over $30,000 |
|
UNIVERSE |
EIQ7=1 |
|
A_EIQ9
|
DETAILS |
NOTES |
QUESTION |
Does this amount include all tips, bonuses, overtime pay, or commissions (name/you) may have received from this employer in 2023? |
|
ANSWER LIST |
Yes - 1 No - 2 |
|
UNIVERSE |
Group A and [A_EIQ2=value or EIQ7=value] |
|
A_EIQ10
|
DETAILS |
NOTES |
QUESTION |
How much did (name/you) earn in tips, bonuses, overtime pay, or commissions from this employer in 2023? |
|
ANSWER LIST |
$[text].00 |
|
UNIVERSE |
Group A and A_EIQ9=2 |
|
EIQ11
|
DETAILS |
NOTES |
QUESTION |
If you don't know the exact value, please estimate.
How much did (^name/you) earn in tips, bonuses, overtime pay, or commissions from this employer during 2023? |
|
ANSWER LIST |
1 Less than $1,000 2 Between $1,000 and $3,000 3 Over $3,000 |
|
UNIVERSE |
A_EIQ10=skip or B_EIQ6= some info entered, but no total --missing on at least one of the items in tips, bonus, overtime pay, or commissions |
|
EIQ12
|
DETAILS |
NOTES |
QUESTION |
Was it...? |
|
ANSWER LIST |
1 Less than $100 2 Between $100 and $500 3 Over $500 |
|
UNIVERSE |
EIQ11=1 |
|
A_SPENQ1
|
DETAILS |
NOTES |
QUESTION |
During
2023 did (you/ anyone in this household) receive any pension
income from a previous employer or union? |
|
ANSWER LIST |
Yes - 1 No - 2 |
|
UNIVERSE |
Group A all HH |
|
A_SPENQ2
|
DETAILS |
NOTES |
QUESTION |
Who
received pension income? |
|
ANSWER LIST |
[List of household members who are ages 15 and over] |
|
UNIVERSE |
Group A and A_SPENQ1=1 |
|
A_SPENQ3
|
DETAILS |
NOTES |
QUESTION |
What
was the source of (your/ NAME’s) pension income? Did
(you/he/she) have a pension from a: |
|
ANSWER LIST |
1
Company |
|
UNIVERSE |
Group A HH members identified in A_SPENQ2 |
|
B_SPENQ4
|
DETAILS |
NOTES |
QUESTION |
During
2023, did (^you/ anyone in this household) receive any type of
pension income? |
|
ANSWER LIST |
1 Company pension 2 Union pension 3 Federal Government pension 4 State Government pension 5 Local Government pension 6 U.S. Military pension 7 U.S. Railroad Retirement pension 8 Other pension source ____________________ 9 None of the above |
|
UNIVERSE |
Group B all HH |
|
B_SPENQ5
|
DETAILS |
NOTES |
QUESTION |
Who received pension income from a (^FILL FROM NQ##)? Select all that apply. |
|
ANSWER LIST |
[List of household members who are ages 15 and over] |
|
UNIVERSE |
Group B and B_SPENQ4=1-8 |
|
A_SRETQ6
|
DETAILS |
NOTES |
QUESTION |
At any time during 2023 did (you/ anyone in this household) have any retirement accounts such as a 401(k), 403(b), IRA, or other account designed specifically for retirement savings? |
|
ANSWER LIST |
Yes - 1 No - 2 |
|
UNIVERSE |
Group A all HH |
|
A_SRETQ7
|
DETAILS |
NOTES |
QUESTION |
Who
had such a retirement account? |
|
ANSWER LIST |
Names from Roster |
|
UNIVERSE |
Group A and A_SRETQ6=1 |
|
A_SRETQ8
|
DETAILS |
NOTES |
QUESTION |
What
type of retirement account did (you/name) have? |
|
ANSWER LIST |
1-
401(k) |
|
UNIVERSE |
Group A HH members identified in A_SRETQ7 |
|
B_SRETQ9
|
DETAILS |
NOTES |
QUESTION |
In
2023, did (^you/ anyone in this household) have any retirement
accounts designed specifically for retirement savings? |
|
ANSWER LIST |
1-
401(k) 8- None of the above |
|
UNIVERSE |
Group B all HH |
|
B_SRETQ10
|
DETAILS |
NOTES |
QUESTION |
Who
had a (^FILL FROM account type question)? |
|
ANSWER LIST |
List of HH Members |
|
UNIVERSE |
Group B and B_SRETQ9=1-7 |
|
SRETQ11
|
DETAILS |
NOTES |
QUESTION |
Did (you/NAME) withdraw any money or receive a distribution from (your/his/her) 401(k) account in 2023, including any distributions (you/he/she) may have been required to take)? |
|
ANSWER LIST |
Yes - 1 No - 2 |
|
UNIVERSE |
Person indicated having 401(k) in A_SRETQ8 or B_SRETQ10 |
|
SRETQ12
|
DETAILS |
NOTES |
QUESTION |
Did (you/NAME) withdraw any money or receive a distribution from (your/his/her) 403(b) account in 2023, including any distributions (you/he/she) may have been required to take)? |
|
ANSWER LIST |
Yes - 1 No - 2 |
|
UNIVERSE |
Person indicated having 403(b) in A_SRETQ8 or B_SRETQ10 |
|
SRETQ13
|
DETAILS |
NOTES |
QUESTION |
Did (you/NAME) withdraw any money or receive a distribution from (your/his/her) Roth IRA account in 2023, including any distributions (you/he/she) may have been required to take)? |
|
ANSWER LIST |
Yes - 1 No - 2 |
|
UNIVERSE |
Person indicated having Roth IRA in A_SRETQ8 or B_SRETQ10 |
|
SRETQ14
|
DETAILS |
NOTES |
QUESTION |
Did (you/NAME) withdraw any money or receive a distribution from (your/his/her) Regular IRA account in 2023, including any distributions (you/he/she) may have been required to take)? |
|
ANSWER LIST |
Yes - 1 No - 2 |
|
UNIVERSE |
Person indicated having Regular IRA in A_SRETQ8 or B_SRETQ10 |
|
SRETQ15
|
DETAILS |
NOTES |
QUESTION |
Did (you/NAME) withdraw any money or receive a distribution from (your/his/her) KEOGH plan in 2023, including any distributions (you/he/she) may have been required to take)? |
|
ANSWER LIST |
Yes - 1 No - 2 |
|
UNIVERSE |
Person indicated having KEOGH plan in A_SRETQ8 or B_SRETQ10 |
|
SRETQ16
|
DETAILS |
NOTES |
QUESTION |
Did (you/NAME) withdraw any money or receive a distribution from (your/his/her) SEP plan account in 2023, including any distributions (you/he/she) may have been required to take)? |
|
ANSWER LIST |
Yes - 1 No - 2 |
|
UNIVERSE |
Person indicated having SEP plan in A_SRETQ8 or B_SRETQ10 |
|
SRETQ17
|
DETAILS |
NOTES |
QUESTION |
Did (you/NAME) withdraw any money or receive a distribution from (your/his/her) (Fill other retirement account name) account in 2023, including any distributions (you/he/she) may have been required to take)? |
|
ANSWER LIST |
Yes - 1 No - 2 |
|
UNIVERSE |
Person indicated having other retirement in A_SRETQ8 or B_SRETQ10 |
|
A_APENQ1
|
DETAILS |
NOTES |
QUESTION |
What is the easiest way for you to tell us (name's/your) (first answer fill-in from Q62CR) for 2023? |
|
ANSWER LIST |
1
Weekly |
|
UNIVERSE |
Group A and A_SPENQ3 gt 0 -- person gave a source in A_SPENQ3 |
|
A_APENQ2
|
DETAILS |
NOTES |
QUESTION |
What was the amount received (every week/every other week (bi-weekly)/twice a month/monthly)? |
|
ANSWER LIST |
$[text].00 |
|
UNIVERSE |
Group A and A_APENQ1 = 1, 2, 3, 4, or 7 |
|
A_APENQ3
|
DETAILS |
NOTES |
QUESTION |
How many (weekly/every other week/twice a month (bi-weekly)/monthly) payments did (name/you) receive? Enter number of (weekly (1-52)/every other week (biweekly) (1-26)/twice a month (1-24)/monthly (1-12)) pay periods |
|
ANSWER LIST |
|
Write in |
UNIVERSE |
Group A and A_APENQ2 = (1,2,3,4) AND Q62E1R ge 1 |
|
A_APENQ4
|
DETAILS |
NOTES |
QUESTION |
Then (name/you) received (total) dollars altogether from (first answer fill-in from Q62CR/Q62cS1) in 2023. Does that sound about right? |
|
ANSWER LIST |
Yes - 1 No - 2 |
|
UNIVERSE |
Group A and A_APENQ3 eq (1-52) |
|
A_APENQ5
|
DETAILS |
NOTES |
QUESTION |
What
is your best estimate of the correct amount (name/you) received in
(first answer fill-in from Q62CR/Q62cS1) during 2023? |
|
ANSWER LIST |
$[text].00 |
|
UNIVERSE |
Group A and A_APENQ4 eq 2 |
|
B_APENQ6
|
DETAILS |
NOTES |
QUESTION |
Enter the amount (^you/name) received from (^first answer fill from Q62CR/Q62cS1) in 2023: Enter amount. Choose frequency. Number of payments. Total (^FIRST PENSION SOURCE FILL FROM NQ##) $ ___________ ________________ ________________ $_____ (^SECOND PENSION SOURCE FILL FROM NQ##) $ ___________ ________________ ________________ $_____ |
|
ANSWER LIST |
For drop down periodicity box: 1 Weekly 2 Every other week (bi-weekly) 3 Twice a month 4 Monthly 7 Yearly |
|
UNIVERSE |
Group B and person gave a source in the Pension section |
|
APENQ7
|
DETAILS |
NOTES |
QUESTION |
If you don't know the exact value, please estimate. During 2023, how much did (^name/you) receive from (^first answer fill from Q62CR/Q62cS1)? |
|
ANSWER LIST |
1 Less than $10,000 2 Between $10,000 and $20,000 3 Over $20,000 |
|
UNIVERSE |
A_APENQ2=skip or B_APENQ6= |
|
APENQ8
|
DETAILS |
NOTES |
QUESTION |
Was it…? |
|
ANSWER LIST |
1 Less than $1,000 2 Between $1,000 and $5,000 3 Over $5,000 |
|
UNIVERSE |
APENQ7=1 |
|
A_APENQ9
|
DETAILS |
NOTES |
QUESTION |
What is the easiest way for you to tell us (name's/your) (second answer fill-in from Q62CR/Q62cS1) for 2023? |
|
ANSWER LIST |
1
Weekly |
|
UNIVERSE |
Group A and Person had 2 or more entries in A_SPENQ3 |
|
A_APENQ10
|
DETAILS |
NOTES |
QUESTION |
What was the amount received (every week/every other week (bi-weekly)/twice a month/monthly)? |
|
ANSWER LIST |
$[text].00 |
|
UNIVERSE |
Group A and A_APENQ9 = 1, 2, 3, 4, or 7 |
|
A_APENQ11
|
DETAILS |
NOTES |
QUESTION |
How
many (weekly/every other week/twice a month (bi-weekly)/monthly)
payments did (name/you) receive? |
|
ANSWER LIST |
|
|
UNIVERSE |
Group A, A_APENQ9 = (1,2,3,4) AND A_APENQ10 ge 1 |
|
A_APENQ12
|
DETAILS |
NOTES |
QUESTION |
Then (name/you) received $(total) dollars altogether from (second answer fill-in from Q62CR/Q62cS1) in 2023. Does that sound about right? |
|
ANSWER LIST |
Yes - 1 No - 2 |
|
UNIVERSE |
Group A, A_APENQ11 eq (1-52) |
|
A_APENQ13
|
DETAILS |
NOTES |
QUESTION |
What
is your best estimate of the correct amount (name/you) received in
(second answer fill-in from Q62CR/Q62cS1) during 2023? |
|
ANSWER LIST |
$[text].00 |
|
UNIVERSE |
Group A, A_APENQ12 eq 2 |
|
APENQ14
|
DETAILS |
NOTES |
QUESTION |
If you don't know the exact value, please estimate. During 2023, how much did (^name/you) receive from (^second answer fill from Q62CR/Q62cS1)? |
|
ANSWER LIST |
1 Less than $10,000 2 Between $10,000 and $20,000 3 Over $20,000 |
|
UNIVERSE |
A_APENQ10=skip or B_APENQ6= |
|
APENQ15
|
DETAILS |
NOTES |
QUESTION |
Was it…? |
|
ANSWER LIST |
1 Less than $1,000 2 Between $1,000 and $5,000 3 Over $5,000 |
|
UNIVERSE |
APENQ14=1 |
|
A_AWDRQ17
|
DETAILS |
NOTES |
QUESTION |
How much was (name's/your) (monthly/quarterly/every 6 months) withdrawal or distribution ? |
|
ANSWER LIST |
$[text].00 |
|
UNIVERSE |
A_AWDRQ16 eq <4,5,6,7> |
|
A_AWDRQ18
|
DETAILS |
NOTES |
QUESTION |
How many (monthly/quarterly) withdrawals did (name/you) make or distributions did (name/you) receive? Enter number of (monthly (1-12)/quarterly (1-4)) pay periods |
|
ANSWER LIST |
|
|
UNIVERSE |
A_AWDRQ16 = (4,5,6) AND A_AWDRQ17 ge 1 |
|
A_AWDRQ19
|
DETAILS |
NOTES |
QUESTION |
Then (name/you) withdrew or received a distribution of $(total) altogether from the (1st account type fill-in from Q97CR or Q97DR) in 2023. Does that sound about right? |
|
ANSWER LIST |
Yes - 1 No - 2 |
|
UNIVERSE |
A_AWDRQ18 eq (1-52) |
|
A_AWDRQ20
|
DETAILS |
NOTES |
QUESTION |
What
is your best estimate of the correct amount (name/you) withdrew or
the distribution received from the (1st account type fill-in from
Q97CR or Q97DR) during 2023? |
|
ANSWER LIST |
$[text].00 |
|
UNIVERSE |
A_AWDRQ19 eq 2 |
|
B_AWDRQ21
|
DETAILS |
NOTES |
QUESTION |
Enter the amount of money withdrawn or distributed from (^name's/your) retirement account(s) in 2023: Enter amount. Choose frequency. Number of payments. Total (^FIRST RETIREMENT SOURCE FILL FROM NQ##) $ ___________ ________________ ________________ $_____ (^SECOND RETIREMENT SOURCE FILL FROM NQ##) $ ___________ ________________ ________________ $_____ |
|
ANSWER LIST |
For
drop down periodicity box: 4 Monthly 5 Quarterly 6
Every 6 months 7 Yearly |
|
UNIVERSE |
Group B and indicated a retirement account withdrawal in the source section |
|
AWDRQ22
|
DETAILS |
NOTES |
QUESTION |
If
you don't know the exact value, please estimate. |
|
ANSWER LIST |
1 Less than $10,000 2 Between $10,000 and $20,000 3 Over $20,000 |
|
UNIVERSE |
A_AWDRQ17 = skip or B_AWDRQ21= |
|
AWDRQ23
|
DETAILS |
NOTES |
QUESTION |
Was it…? |
|
ANSWER LIST |
1 Less than $1,000 2 Between $1,000 and $5,000 3 Over $5,000 |
|
UNIVERSE |
AWDRQ22=1 |
|
AWDRQ24
|
DETAILS |
NOTES |
QUESTION |
Did (^you/name) re-invest or "roll over" any of the money into an IRA or some other kind of retirement plan? |
|
ANSWER LIST |
1 Yes 2 No |
|
UNIVERSE |
|
|
AWDRQ25
|
DETAILS |
NOTES |
QUESTION |
How
much did (^you/name) re-invest or “roll over” into an
IRA or some other kind of retirement plan in 2023? |
|
ANSWER LIST |
$[text].00 |
|
UNIVERSE |
AWDRQ24=1 |
|
AWDRQ26
|
DETAILS |
NOTES |
QUESTION |
(^Do/Does) (^you/name) plan to re-invest or roll over any of the money? |
|
ANSWER LIST |
1 Yes 2 No |
|
UNIVERSE |
AWDRQ25=value |
|
AWDRQ27
|
DETAILS |
NOTES |
QUESTION |
How
much (^do/does) (^you/name) plan to re-invest or “roll over”
into an IRA or some other kind of retirement plan? Enter dollar
amount $________________ |
|
ANSWER LIST |
$[text].00 |
|
UNIVERSE |
AWDRQ26=1 |
|
A_AWDRQ28
|
DETAILS |
NOTES |
QUESTION |
What is the easiest way for you to tell us the amount of money withdrawn or distributed from (name’s/your) (2nd account type fill-in from Q97CR or Q97DR) in 2023? |
|
ANSWER LIST |
4 Monthly 5 Quarterly 6 Every 6 Months 7 Yearly |
|
UNIVERSE |
Answered "yes" to MORE THAN ONE of Q98AR1 - Q98AR7; withdrew or received a distribution from their retirement account |
|
A_AWDRQ29
|
DETAILS |
NOTES |
QUESTION |
How much was (name's/your) (monthly/quarterly/every 6 month) withdrawal or distribution? |
|
ANSWER LIST |
$[text].00 |
|
UNIVERSE |
A_AWDRQ28 eq <4,5,6,7> |
|
A_AWDRQ30
|
DETAILS |
NOTES |
QUESTION |
How
many (monthly/quarterly) withdrawals did (name/you) make or
distributions did (name/you) receive? |
|
ANSWER LIST |
|
|
UNIVERSE |
A_AWDRQ28 = (4,5,6) AND A_AWDRQ29 ge 1 |
|
A_AWDRQ31
|
DETAILS |
NOTES |
QUESTION |
Then (name/you) withdrew or received a distribution of $(total) altogether from the (2nd account type fill-in from Q97CR or Q97DR) in 2023. Does that sound about right? |
|
ANSWER LIST |
Yes - 1 No - 2 |
|
UNIVERSE |
A_AWDRQ30 eq (1-52) |
|
A_AWDRQ32
|
DETAILS |
NOTES |
QUESTION |
What
is your best estimate of the correct amount (name/you) withdrew or
the distribution received from the (2nd account type fill-in from
Q97CR or Q97DR) during 2023? |
|
ANSWER LIST |
$[text].00 |
|
UNIVERSE |
A_AWDRQ31 eq 2 |
|
AWDRQ33
|
DETAILS |
NOTES |
QUESTION |
If
you don't know the exact value, please estimate. |
|
ANSWER LIST |
1 Less than $10,000 2 Between $10,000 and $20,000 3 Over $20,000 |
|
UNIVERSE |
A_AWDRQ29=skip or B_AWDRQ21= |
|
AWDRQ34
|
DETAILS |
NOTES |
QUESTION |
Was it…? |
|
ANSWER LIST |
1 Less than $1,000 2 Between $1,000 and $5,000 3 Over $5,000 |
|
UNIVERSE |
AWDRQ33 = 1 |
|
A_AWDRQ35
|
DETAILS |
NOTES |
QUESTION |
Did (you/name) re-invest or "roll over" any of the money into an IRA or some other kind of retirement plan? |
|
ANSWER LIST |
Yes - 1 No - 2 |
|
UNIVERSE |
A_AWDRQ29 is either gt 0 or skipped |
|
A_AWDRQ36
|
DETAILS |
NOTES |
QUESTION |
How much did (you/name) re-invest or “roll over” into an IRA or some other kind of retirement plan in 2023? Dollar amount should not exceed amount of withdrawals reported. |
|
ANSWER LIST |
$[text].00 |
|
UNIVERSE |
A_AWDRQ35 eq <1> |
|
A_AWDRQ37
|
DETAILS |
NOTES |
QUESTION |
(Do/Does) (you/name) plan to re-invest or roll over any of the money? |
|
ANSWER LIST |
Yes - 1 No - 2 |
|
UNIVERSE |
A_AWDRQ35 = 2 |
|
A_AWDRQ38
|
DETAILS |
NOTES |
QUESTION |
How much (do/does) (you/name) plan to re-invest or “roll over” into an IRA or some other kind of retirement plan? Dollar amount should not exceed amount of withdrawals reported. |
|
ANSWER LIST |
$[text].00 |
|
UNIVERSE |
A_AWDRQ37 eq <1> |
|
A_AINTQ39
|
DETAILS |
NOTES |
QUESTION |
Within the (1st account type fill-in from Q97CR/Q97DR) account, how much did (name/you) earn in interest or dividends during 2023? Please include small amounts reinvested or credited to the account. |
|
ANSWER LIST |
$[text].00 |
|
UNIVERSE |
|
|
B_AINTQ40
|
DETAILS |
NOTES |
QUESTION |
Enter the amount of interest or dividends received from (^name's/your) retirement account(s) in 2023. Please include small amounts reinvested or credited to the account. Enter amount. Choose frequency. Number of payments. Total (^FIRST RETIREMENT SOURCE FILL FROM NQ##) $ ___________ ________________ ________________ $_____ (^SECOND RETIREMENT SOURCE FILL FROM NQ##) $ ___________ ________________ ________________ $_____
|
|
ANSWER LIST |
For drop down periodicity box: 1 Weekly 2 Every other week (bi-weekly) 3 Twice a month 4 Monthly 7 Yearly |
|
UNIVERSE |
Group B and indicated having an interest earning retirement account in source section |
|
AINTQ41
|
DETAILS |
NOTES |
QUESTION |
If you don't know the exact value, please estimate. During 2023, how much interest or dividends did (^name/you) receive from (^first answer fill-in from Q97CR/Q97DR)? |
|
ANSWER LIST |
1 Less than $1,000 2 Between $1,000 and $3,000 3 Over $3,000 |
|
UNIVERSE |
A_AINTQ39=skip or B_AINTQ40= |
|
AINTQ42
|
DETAILS |
NOTES |
QUESTION |
Was it…? |
|
ANSWER LIST |
1 Less than $100 2 Between $100 and $500 3 Over $500 |
|
UNIVERSE |
AINTQ40=1 |
|
AINTQ43
|
DETAILS |
NOTES |
QUESTION |
The Census Bureau can estimate the amount earned in this account based on the size of the account. So can you tell us how much money was in (name’s/your) (1st account type fill-in from Q97CR/Q97DR) account at the end of 2023? |
|
ANSWER LIST |
$[text].00 |
|
UNIVERSE |
Ask if A_AINTQ39 and AINTQ40 = skip |
|
AINTQ44
|
DETAILS |
NOTES |
QUESTION |
Within the (2nd account type fill-in from Q97CR/Q97DR) account, how much did (name/you) earn in interest or dividends during 2023? Please include small amounts reinvested or credited to the account. |
|
ANSWER LIST |
$[text].00 |
|
UNIVERSE |
At least two retirement accounts claimed in A_SRETQ8. |
|
AINTQ45
|
DETAILS |
NOTES |
QUESTION |
If
you don't know the exact value, please estimate. |
|
ANSWER LIST |
1 Less than $1,000 2 Between $1,000 and $3,000 3 Over $3,000 |
|
UNIVERSE |
AINTQ43=skip |
|
AINTQ46
|
DETAILS |
NOTES |
QUESTION |
Was it…? |
|
ANSWER LIST |
1 Less than $100 2 Between $100 and $500 3 Over $500 |
|
UNIVERSE |
AINTQ44 = 1 |
|
AINTQ47
|
DETAILS |
NOTES |
QUESTION |
The Census Bureau can estimate the amount earned in this account based on the size of the account. So can you tell us how much money was in (name’s/your) (2nd account type fill-in from Q97CR/Q97DR) account at the end of 2023? |
|
ANSWER LIST |
$[text].00 |
|
UNIVERSE |
Ask if A_AINTQ39 and AINTQ40 = skip |
|
AINTQ48
|
DETAILS |
NOTES |
QUESTION |
Earlier we recorded that (you/name) (have/has) a retirement account, such as a 401(k), 403(b), IRA, or other account designed specifically for retirement savings. Did (you/he/she) contribute any money to (your/his/her) plan(s), for example, through payroll deductions? Do not include amounts reinvested or "rolled over' from other retirement accounts. |
|
ANSWER LIST |
Yes - 1 No - 2 |
|
UNIVERSE |
|
|
B_AINTQ49
|
DETAILS |
NOTES |
QUESTION |
What is the easiest way for you to tell us (^your/roster name's) contribution to (^your/their) retirement account in 2023? |
|
ANSWER LIST |
1 Percent of earnings 2 Annual dollar amount |
|
UNIVERSE |
CONTRIB1=1 |
|
A_AINTQ50
|
DETAILS |
NOTES |
QUESTION |
How much did (you/he/she) contribute to (your/his/her) account(s) in 2023? Enter amount for total contributions to all accounts |
|
ANSWER LIST |
$[text].00 |
|
UNIVERSE |
Group A and AINTQ47=1 (A) |
|
B_AINTQ51
|
DETAILS |
NOTES |
QUESTION |
How much did (you/he/she) contribute to (your/his/her) account(s) in 2023? Total contributions to all accounts. Annual dollar amount: $_________ |
|
ANSWER LIST |
|
|
UNIVERSE |
CONTRIB3a=2 (B) |
|
B_AINTQ52
|
DETAILS |
NOTES |
QUESTION |
What percent of (^your/his/her) earnings did (^you/he/she) contribute to (^your/his/her) account(s) in 2023? Total contributions to all accounts. Percent of earnings: ______% |
|
ANSWER LIST |
|
|
UNIVERSE |
|
|
AINTQ53
|
DETAILS |
NOTES |
QUESTION |
If you don't know the exact value, please estimate. During 2023, how much did (^name/you) receive from (^fill from Q73A1Rc)? |
|
ANSWER LIST |
1 Less than $1,000 2 Between $1,000 and $3,000 3 Over $3,000 |
|
UNIVERSE |
A_AINTQ48=skip or B_AINTQ50 or B_AINTQ51 = skip |
|
AINTQ54
|
DETAILS |
NOTES |
QUESTION |
Was it…? |
|
ANSWER LIST |
1 Less than $100 2 Between $100 and $500 3 Over $500 |
|
UNIVERSE |
AINTQ52 = 1 |
|
A_SNAPQ1
|
DETAILS |
NOTES |
QUESTION |
At any time during 2023, did (you/ anyone in this household) receive benefits from SNAP (the Supplemental Nutritional Assistance Program) or the Food Stamp program, or use a SNAP or food stamp benefit card?
Do not include WIC benefits |
|
ANSWER LIST |
Yes - 1 No - 2 |
|
UNIVERSE |
Group A all HH |
|
A_SNAPQ2
|
DETAILS |
NOTES |
QUESTION |
At
any time during 2023, even for one month, did (you/ anyone in this
household) receive any food assistance from (State Program name)?
|
|
ANSWER LIST |
Yes - 1 No - 2 |
|
UNIVERSE |
Group A all HH |
|
A_SNAPQ3
|
DETAILS |
NOTES |
QUESTION |
Which
of the people now living here were covered by that food assistance
during 2023? |
|
ANSWER LIST |
Names from roster |
|
UNIVERSE |
Group A, (A_SNAPQ1 = 1 or A_SNAPQ2 = 1) and HH larger than 2 people |
|
B_SNAPQ4
|
DETAILS |
NOTES |
QUESTION |
At
any time during 2023, even for one month, did (you/anyone in this
household) receive benefits from SNAP (the Supplemental
Nutritional Assistance Program), the Food Stamp program (, state
program fill/blank) or use a SNAP or food stamp benefit card? |
|
ANSWER LIST |
Yes - 1 No - 2 |
|
UNIVERSE |
Group B all HH |
|
A_MEALQ1
|
DETAILS |
NOTES |
QUESTION |
During
2023, which of the children ages 5 to 18 in this household usually
ate a complete lunch offered at school? |
|
ANSWER LIST |
Names from roster (just children 5-18) |
|
UNIVERSE |
Group A and Households with children ages 5 to 18 |
|
A_MEALQ2
|
DETAILS |
NOTES |
QUESTION |
During
2023, which of the children in this household received free or
reduced price lunches because they qualified for the Federal
School Lunch Program or because their school provided free lunches
to all students? |
|
ANSWER LIST |
Names from roster (just children who indicated lunch receipt on A_MEALQ1) |
|
UNIVERSE |
Group A and children 5-18 who indicated lunch receipt on A_MEALQ1 |
|
B_MEALQ3
|
DETAILS |
NOTES |
QUESTION |
During
2023, did any children in this household usually eat a complete
breakfast and/or lunch provided by the school? |
|
ANSWER LIST |
|
Specialty answer list table |
UNIVERSE |
Group B and Households with children ages 5 to 18 |
|
B_MEALQ4
|
DETAILS |
NOTES |
QUESTION |
During
2023, did any of these children receive free or reduced price
school meals? |
|
ANSWER LIST |
|
Specialty answer list table |
UNIVERSE |
Group B and Any child that received breakfast and lunch on B_MEALQ3, only include children in roster who had an answer other than "did not eat meals offered by school" |
|
B_MEALQ5
|
DETAILS |
NOTES |
QUESTION |
During
2023, did any of these children receive free or reduced price
school meals? |
|
ANSWER LIST |
|
Specialty answer list table |
UNIVERSE |
Group B and No children received both breakfast and lunch on B_MEALQ3, but at least one selected lunch; only include children in roster who answered "lunch" |
|
B_MEALQ6
|
DETAILS |
NOTES |
QUESTION |
During 2023, did any of these children receive free- or reduced price school meals? Select all that apply for each child. |
|
ANSWER LIST |
|
Specialty answer list table |
UNIVERSE |
Group B and No children received both breakfast and lunch on B_MEALQ3, but at least one selected breakfast; only include children in roster who answered "breakfast" |
|
File Type | application/vnd.openxmlformats-officedocument.wordprocessingml.document |
Author | Aleia Clark Fobia (CENSUS/CBSM FED) |
File Modified | 0000-00-00 |
File Created | 2024-07-29 |