Parent_Caregiver Survey

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Contents
1. Information
2. Family Background
3. Parent Calendar
4. Parent Health
5. BRIEF2A Placeholder
6. Income
7. Child Calendar
8. Child Health
9. Child Expectations
10. Child Family Background
11. Parent/Caregiver Debrief
12. Parent/Caregiver Restart Interview
13. Parent/Caregiver Breakoff
14. Parent/Caregiver Incentive

NLSY27 Specifications Formatting
Parent Information (PINF)
PRELOADS:
MODE: CAPI for administered via project laptop, CAWI for web administration
HHROSTER: A roster/array variable listing each household (HH) member who lives in the
household.
o HH_UID: Unique ID for each member of the household
o HH_NAME: Name of the household member (Confirmed/updated in Parent Information)
o HH_AGE: Age of the household member (Confirmed/updated in Parent Information)
o HH_SEX: Sex (male/female) of the household member (Confirmed/updated in Parent
Information)
o HH_RACE: Race/ethnicity of the household member f
o HH_EMPLOY: Current employment status of household member aged 15+
o HH_EDUC: Highest education level of household member (non-eligible youth) aged 18+
o HH_MART: Marital status of household member
o HH_ELIGIBLEYOUTH: Flag if the household member is an eligible youth
o HH_PLG: Flag if the household member is a parent or legal guardian of an eligible youth
o HH_CG: Flag if the household member is a caregiver of an eligible youth
o HH_PLGID1: If ELIGIBLEYOUTH = 1, the ID number of their 1st parent or guardian
o HH_PLGNAME1: If ELIGIBLEYOUTH = 1, the name of their 1st parent or guardian
o HH_PLGID2: If ELIGIBLEYOUTH = 1, the ID number of their 2nd parent or guardian
o HH_PLGNAME2: If ELIGIBLEYOUTH = 1, the name of their 2nd parent or guardian
1. HH_CGID: If ELIGIBLEYOUTH = 1, the ID number of their caregiver
o HH_CGNAME: If ELIGIBLEYOUTH = 1, the name of their caregiver
o HH_YOUTHPLG_#: Indicator for relationship of adult household member to eligible youth
(_#), where 1= bio parent, 2= step-parent, 3= adoptive parent, 4= foster parent, 5=legal
guardian, 6=mother figure, 7=father figure, 8=other relative, 9=other non-relative
RESSELECT: Indicator variable for whether HHS respondent was the parent/caregiver selected
for an interview.
HHSINFORMANT_UID: HH_UID of HHS respondent
YOUTHROSTER: Roster of eligible youth in the household created in ES019_LOOP_END
YOUTH_UID_#: Household ID number of the eligible youth.
YOUTH_NAME_#: Name of the eligible youth.
YOUTH_AGE_#: Youth current age
YOUTH_DOB_#: Youth date of birth
YOUTH_DOBYEAR_#: Youth year of birth
YOUTHROSTERNUM: Total number of eligible youth in the household, created in ES019_LOOP_END,
updated in HHS
SPCUID: HHID of primary P/C selected for interview
SPCNAME: Name of parent/guardian selected for parent/caregiver interview
SPCSEX: Parent’s sex
SPCAGE: Parent’s age
SPCMART: Parent’s marital status
0. Never-married

1. Married
2. Separated
3. Divorced
4. Widowed
SPCPART: Indicator for residential partner of selected parent/caregiver:
0. None
1. Married and living with spouse
2. Married, no spouse in household
3. Cohabiting with partner
SPCEDUC: Parent’s highest level of education
SPCPARTNER: Name of parent/caregiver’s partner
SPCSPOUSE: Name of parent/caregiver’s spouse
HHID of Selected P/C’s spouse
SPCSPOUSEID:
SPCPARTNERID: HHID of Selected P/C’s partner
SPCPHONE: Phone number of selected P/C from HHS
SPCEMAIL: Email address of selected P/C from HHS
ALTPCUID: HHID of alternate P/C selected for interview
ALTPCNAME: Name of alternate parent/guardian selected for parent/caregiver interview
ALTPCSEX: alternate parent’s sex
ALTPCAGE: alternate parent’s age
ALTPCMART: alternate parent’s marital status
0. Never-married
1. Married
2. Separated
3. Divorced
4. Widowed
ALTPCPART: Indicator for residential partner of alternate parent/caregiver:
0. None
1. Married and living with spouse
2. Married, no spouse in household
3. Cohabiting with partner
ALTPCEDUC: Alternate parent’s highest level of education
ALTPCPARTNER: Name of alternate parent/caregiver’s partner
ALTPCSPOUSE: Name of alternate parent/caregiver’s spouse
ALTSPOUSEID: HHID of Selected P/C’s spouse
ALTPARTNERID: HHID of Selected P/C’s partner
ALTCPHONE: Phone number of alternate P/C from HHS
ALTCEMAIL: Email address of alternate P/C from HHS
YOUTH_MOTHER: If bio mom in household MOTHER=1, if adoptive mom in household MOTHER=2
YOUTH_FATHER: If bio or adopted dad in household FATHER=1, if adoptive father in household,
FATHER=2
YOUTH_BIOMOMUID: Part of YOUTHROSTER where BIODADID=HHID of person identified as female
and biological parent of youth
YOUTH_BIODADUID: Part of YOUTHROSTER where BIODADID=HHID of person identified as male and
biological parent of youth

HHSINFORMANT_UID: Roster ID of HHS informant
General Programming Instructions
All items are required.

Display DK “don’t know” and REF “prefer not to answer” items only after respondent attempts to
advance to the next screen without selecting/entering a response.

Capture item level timing.
Include a time/date stamp at beginning and end of module.
If the FI initiates this module, please start it in CAPI mode. The Disposition code will remain at 540
for the Parent/Caregiver instrument and sub-code 1001. Questions PINF_001 to PINF_010 are
designed to be completed by the FI in person using CAPI. Starting at question PINF_011 the
instrument switches to CASI for self-administration by the interviewer. In cases when the
respondent is not available or cannot complete the interview at that time and the parent needs to
complete the survey via the web, the interview will be triggered to switch to CAWI by Disposition
code 350 (and sub-code 1001 indicating that the P/C Web Survey invitation email has been
initiated). This code will automatically be triggered 1 day after the Disposition code for the CAPI
Youth Interview is noted as completed. This will not only help with initiating the web survey for the
parent or caregiver but also ensure that their interview is only started after a youth interview has
been completed.

PINF_001
ASK

All respondents

QUESTION TYPE

Radio button
CREATE FILL_CONDEC: IF MODE = CAPI, FILL_CONDEC:
1. CONTINUE
0. DECLINE
ELSE, IF MODE = CAWI, FILL_CONDEC:
1. Continue
0. Decline

FILLS (ENG)

FILLS (SPAN)

ENGLISH

CREATE FILL_CONDEC: IF MODE = CAPI, FILL_CONDEC:
1. CONTINUE
0. DECLINE
ELSE, IF MODE = CAWI, FILL_CONDEC:
1. Continuar
0. Negarse

The Bureau of Labor Statistics estimates that it will take between 60-90 minutes per respondent to
complete this survey. If you have any comments regarding this estimate or any other aspect of the
survey including suggestions for reducing the time needed to respond, you may send them to the
Bureau of Labor Statistics, National Longitudinal Surveys (OMB No. xxx, Exp. xxx) at
[email protected].
^{FILL_CONDEC}

SPANISH

La Oficina de Estadísticas Laborales calcula que cada participante tardará entre 60 y 90 minutos en
completar esta encuesta. Si tiene algún comentario sobre esta estimación o sobre cualquier otro
aspecto de la encuesta, incluidas sugerencias para reducir el tiempo necesario para responder, puede
enviarlo a la Oficina de Estadísticas Laborales, Encuestas Longitudinales Nacionales (n.º de OMB xxx,
exp. xxx) a [email protected].
^{FILL_CONDEC}

RANGE
LIMITS
LOOP MAX
PROGRAM. NOTES
CHECK (ENG)
CHECK (SPAN)
HELP TEXT (ENG)
HELP TEXT (SPAN)
MODE

CAPI, CAWI

NOTES
LEAD-IN

CONSENT

NEXT

If PINF_001 = 1: PINF_002
Else END

PINF_002
ASK

All respondents

QUESTION TYPE

Computer Check

FILLS (ENG)
FILLS (SPAN)
ENGLISH
SPANISH
RANGE
LIMITS
LOOP MAX
DO NOT DISPLAY SCREEN.
PROGRAM. NOTES

RECORD INTERVIEW DATE AS [DOI]
UPDATE YOUTH_CURRENTAGE: IF YOUTHDOB NOT MISSING, THEN CALCULATE
CURRENTAGE BY SUBTRACTING YOUTH_DOB FROM TODAY’S DATE/365.
Else set YOUTH_CURRENTAGE=YOUTH_AGE

CHECK (ENG)
CHECK (SPAN)
HELP TEXT (ENG)
HELP TEXT (SPAN)
MODE

CAPI, CAWI

NOTES
LEAD-IN
NEXT

PINF_001
PINF_003

PINF_003
ASK

All respondents

QUESTION TYPE

Radio button
Create fill, FILL_SPCNAME: Fill with ‘SPCNAME’ from sample preload
CREATE FILL_PCSELECT: IF MODE = CAPI, FILL_PCSELECT:
INTERVIEWER: THE PARENT CHOSEN TO RESPOND TO THIS INTERVIEW IS
^{Fill_SPCNAME}.
IS THIS THE CORRECT PERSON?
1. YES
0. NO
ELSE, IF MODE = CAWI, FILL_PCSELECT:
For this interview, we want to ensure that we are talking to the right person. Are you
[FILL ‘SPCNAME’]?
1. Yes
0. No

FILLS (ENG)

Create fill, FILL_SPCNAME: Fill with ‘SPCNAME’ from sample preload

FILLS (SPAN)

CREATE FILL_PCSELECT: IF MODE = CAPI, FILL_PCSELECT:
INTERVIEWER: THE PARENT CHOSEN TO RESPOND TO THIS INTERVIEW IS
^{Fill_SPCNAME}.
IS THIS THE CORRECT PERSON?
1. YES
0. NO
ELSE, IF MODE = CAWI, FILL_PCSELECT:
Para esta entrevista, queremos asegurarnos de hablar con la persona adecuada. ¿Es
usted [FILL ‘SPCNAME’]?
1. Sí
0. No

ENGLISH

^{FILL_PCSELECT}

SPANISH

^{FILL_PCSELECT}

RANGE
LIMITS
LOOP MAX

PROGRAM. NOTES

If PINF_003=1, set:
RPC_UID=SPCUID.
PCNAME=SPCNAME
PCPHONE=SPCPHONE
PCEMAIL=SPCEMAIL
PCSEX=SPCSEX
PCAGE=SPCAGE
PCMART=SPCMART
PCPART=SPCPART
PCEDUC=SPCEDUC
PCSPOUSE=SPCSPOUSE

PCPARTNER=SPCPARTNER
PCSPOUSEID=SPCSPOUSEID
PCPARTNERID=SPCPARTNERID
Create variable YOUTH_RPCPLG and add to the youth roster for each youth.
Set YOUTH_RPCPLG= HH_YOUTHPLG_# for the household member with
HH_UID=RPC_UID in relation to that youth
CHECK (ENG)
CHECK (SPAN)
HELP TEXT (ENG)
HELP TEXT (SPAN)
MODE

CAPI, CAWI

NOTES
LEAD-IN

PINF_002

NEXT

If PINF_003 = 1 and If RPC_UID ≠ HHSINFORMANT_UID: PINF_006
Else if PINF_003=1 and RPC_UID = HHSINFORMANT_UID: PINF_010
Else, if CAWI and PINF_003 = 0, DK or REF: PINF_072
Else if ALTPCUID is missing: END
Else PINF_004

PINF_004
ASK

MODE = CAPI AND PINF_003 =0

QUESTION TYPE

Radio button

FILLS (ENG)

Create fill, FILL_ALTPCNAME: ‘ALTPCNAME’

FILLS (SPAN)
Create fill, FILL_ALTPCNAME: ‘ALTPCNAME’
INTERVIEWER: IS ^{FILL_ALTPCNAME} AVAILABLE TO COMPLETE THE SURVEY?
ENGLISH
1. YES
0. NO
INTERVIEWER: IS ^{FILL_ALTPCNAME} AVAILABLE TO COMPLETE THE SURVEY?
SPANISH
1. YES
0. NO
RANGE
LIMITS
LOOP MAX
PROGRAM. NOTES
CHECK (ENG)
CHECK (SPAN)
HELP TEXT (ENG)
HELP TEXT (SPAN)
MODE

CAPI

NOTES
LEAD-IN

MODE = CAPI, PINF_003 = 0

NEXT

If PINF_004 = 1: PINF_005
Else PINF_071

PINF_005
ASK

IF PINF_004 = 1

QUESTION TYPE

Radio button

FILLS (ENG)

Use fill, FILL_SPCNAME from PINF_003
Use fill, FILL_ALTPCNAME from PINF_004

FILLS (SPAN)

Use fill, FILL_SPCNAME from PINF_003
Use fill, FILL_ALTPCNAME from PINF_004

ENGLISH

SPANISH

[INTERVIEWER INSTRUCTIONS: FROM THE LIST OF PARENT/CAREGIVER NAMES BELOW, CHOOSE THE
CORRECT PERSON SELECTED TO DO THE SURVEY.]
1. ^{Fill_SPCNAME}
2. ^{Fill_ALTPCNAME}
[INTERVIEWER INSTRUCTIONS: FROM THE LIST OF PARENT/CAREGIVER NAMES BELOW, CHOOSE THE
CORRECT PERSON SELECTED TO DO THE SURVEY.]
1. ^{Fill_SPCNAME}
2. ^{Fill_ALTPCNAME}

RANGE
LIMITS
LOOP MAX
If PINF_005=1, Set:

PROGRAM. NOTES

RPC_UID=SPC
PCNAME=SPCNAME
PCPHONE=SPCPHONE
PCEMAIL=SPCEMAIL
PCSEX=SPCSEX
PCAGE=SPCAGE
PCMART=SPCMART
PCPART=SPCPART
PCEDUC=SPCEDUC
PCSPOUSE=SPCSPOUSE
PCPARTNER=SPCPARTNER
PCSPOUSEID=SPCSPOUSEID
PCPARTNERID=SPCPARTNERID
Else if PINF_005=2, set:
RPC_UID=ALTPC
PCNAME=ALTPCNAME
PCPHONE=ALTPCPHONE
PCEMAIL=ALTPCEMAIL
PCSEX=ALTPCSEX
PCAGE=ALTPCAGE
PCMART=ALTPCMART
PCPART=ALTPCPART
PCEDUC=ALTPCEDUC

PCSPOUSE=ALTPCSPOUSE
PCPARTNER=ALTPCPARTNER
PCSPOUSEID=ALTPSPOUSEID
PCPARTNERID=ALTPCPARTNERID
Create variable YOUTH_RPCPLG and add to the youth roster for each youth.
Set YOUTH_RPCPLG= HH_YOUTHPLG_# for the household member with
HH_UID=RPC_UID in relation to that youth
CHECK (ENG)
CHECK (SPAN)
HELP TEXT (ENG)
HELP TEXT (SPAN)
MODE

CAPI

NOTES
LEAD-IN

If PINF_004 = 1

NEXT

If RPC_UID ≠ HHSINFORMANT_UID: PINF_006
If RPC_UID = HHSINFORMANT_UID: PINF_010

PINF_006
RPC_UID ≠ HHSINFORMANT_UID AND (PINF_003=1 or PINF_004=1)

ASK
QUESTION
TYPE

Radio button
Create fill, FILL_ADDRESS1: Fill with ‘ADDRESS1’ from sample preload
Create fill, FILL_ADDRESS2: Fill with ‘ADDRESS1’ from sample preload
Create fill, FILL_CITY: Fill with ‘CITY’ from sample preload
Create fill, FILL_ZIP: Fill with ‘ZIP’ from sample preload
Create FILL_CAPI: If MODE = CAPI, FILL_CAPI:

FILLS (ENG)

INTERVIEWER: SHOW ADDDRESS BELOW TO PARENT/CAREGIVER. ONLY MINOR CHANGES LIKE
CHANGING “APARTMENT” TO “UNIT” SHOULD BE MADE. IF THE PARTICIPANT INDICATES THAT THE
ADDRESS NUMBER, STREET, OR UNIT NUMBER IS INCORRECT, YOU SHOULD PAUSE THE
INTERVIEW AND CALL YOUR FS.
1.
0.

YES
NO

Else, if MODE = CAWI, FILL_CAPI:
1.
0.

Yes
No

Create fill, FILL_ADDRESS1: Fill with ‘ADDRESS1’ from sample preload
Create fill, FILL_ADDRESS2: Fill with ‘ADDRESS1’ from sample preload
Create fill, FILL_CITY: Fill with ‘CITY’ from sample preload
Create fill, FILL_ZIP: Fill with ‘ZIP’ from sample preload
Create FILL_CAPI: If MODE = CAPI, FILL_CAPI:

FILLS (SPAN)

INTERVIEWER: SHOW ADDDRESS BELOW TO PARENT/CAREGIVER. ONLY MINOR CHANGES LIKE
CHANGING “APARTMENT” TO “UNIT” SHOULD BE MADE. IF THE PARTICIPANT INDICATES THAT THE
ADDRESS NUMBER, STREET, OR UNIT NUMBER IS INCORRECT, YOU SHOULD PAUSE THE
INTERVIEW AND CALL YOUR FS.
1.
0.

YES
NO

Else, if MODE = CAWI, FILL_CAPI:
1.
0.

Sí
No

The address we have recorded for you is listed below.
ENGLISH

Is all of your address information correct?
^{FILL_CAPI}

Street: ^{FILL_ADDRESS1}
^{FILL_ADDRESS2}
City:

^{FILL_CITY}

Zip code: ^{FILL_ZIP}
La dirección que registramos figura a continuación.
¿Son correctos todos los datos de su dirección?
^{FILL_CAPI}
SPANISH

Calle:

^{FILL_ADDRESS1}
^{FILL_ADDRESS2}

Ciudad: ^{FILL_CITY}
Código postal: ^{FILL_ZIP}
RANGE
LIMITS
LOOP MAX
PROGRAM.
NOTES
CHECK (ENG)
CHECK (SPAN)
HELP
TEXT (ENG)
HELP
TEXT (SPAN)
MODE

CAPI, CAWI

NOTES
LEAD-IN

PINF_003 = 1, PINF_005

NEXT

If PINF_006 = 0: f_PINF_007
Else PINF_008

f_PINF_007
ADDRESS1/ADDRESS2/CITY/ZIP
PINF_006 = 0
ASK
QUESTION TYPE

FILLS (ENG)

ADDRESS1: Text and Numeric
ADDRESS2: Text and Numeric
City: Text
Zip: Numeric
FILL_ADDRESS1: Fill with ‘ADDRESS1’ from sample preload
FILL_ADDRESS2: Fill with ‘ADDRESS1’ from sample preload
FILL_CITY: Fill with ‘CITY’ from sample preload
FILL_ZIP: Fill with ‘ZIP’ from sample preload
Create FILL_INTINST: FILL_INTINST: If MODE = CAPI, FILL_INTINST:
INTERVIEWER: USE THE SPACES BELOW TO CORRECT ANY ADDRESS INFORMATION.
Else, if MODE = CAWI, FILL_INTINST:
Please use the spaces below to correct your address information.
FILL_ADDRESS1: Fill with ‘ADDRESS1’ from sample preload
FILL_ADDRESS2: Fill with ‘ADDRESS1’ from sample preload
FILL_CITY: Fill with ‘CITY’ from sample preload
FILL_ZIP: Fill with ‘ZIP’ from sample preload

FILLS (SPAN)

Create FILL_INTINST: FILL_INTINST: If MODE = CAPI, FILL_INTINST:
INTERVIEWER: USE THE SPACES BELOW TO CORRECT ANY ADDRESS INFORMATION.
Else, if MODE = CAWI, FILL_INTINST:
Use los espacios de abajo para corregir la información de su dirección.

^{FILL_INTINST}

ENGLISH

Street: ^{FILL_ADDRESS1} [ADDRESS1]
^{FILL_ADDRESS2} [ADDRESS2]
City:

^{FILL_CITY} [CITY]

Zip code: ^{FILL_ZIP} [ZIP]
^{FILL_INTINST}
Calle:
SPANISH

^{FILL_ADDRESS1} [ADDRESS1]
^{FILL_ADDRESS2} [ADDRESS2]

Ciudad: ^{FILL_CITY} [CITY]
Código postal: ^{FILL_ZIP} [ZIP]
RANGE

ZIP: 00001 TO 99999

LIMITS

ADDRESS1: Max 60 characters
ADDRESS2: Max 60 characters
CITY: Max 60 characters
ZIP: Max 5 digits

LOOP MAX
PROGRAM. NOTES

ALLOW RESPONDENT/INTERVIEWER TO EDIT EACH PIECE OF ADDRESS INFORMATION
LISTED ABOVE

CHECK (ENG)
CHECK (SPAN)
HELP TEXT (ENG)
HELP TEXT (SPAN)
MODE

CAPI, CAWI

NOTES
LEAD-IN
NEXT

If PINF_006 = 0
PINF_008

PINF_008
ASK

RPC_UID ≠ HHSINFORMANT_UID

QUESTION TYPE

Radio
Create fill, FILL_PCPHONE: Fill with ‘PCPHONE’ from PINF_005
Create FILL_YESNO: If MODE = CAPI, FILL_YESNO:
1. YES
0. NO
Else, if MODE = CAWI, FILL_YESNO:
1. Yes
0. No

FILLS (ENG)

FILLS (SPAN)

Create fill, FILL_PCPHONE: Fill with ‘PCPHONE’ from PINF_005
Create FILL_YESNO: If MODE = CAPI, FILL_YESNO:
1. YES
0. NO
Else, if MODE = CAWI, FILL_YESNO:
1. Sí
0. No
The telephone number we have recorded for you is ^{FILL_PCPHONE}

ENGLISH

Is your telephone number correct?
^{FILL_YESNO}
El número de teléfono que tenemos registrado es ^{FILL_PCPHONE}

SPANISH

¿Es correcto su número de teléfono?
^{FILL_YESNO}

RANGE
LIMITS
LOOP MAX
PROGRAM. NOTES

Phone number should be displayed with hyphens after 3rd and 6th digit (XXX-XXX-XXXX)

CHECK (ENG)
CHECK (SPAN)
HELP TEXT (ENG)
HELP TEXT (SPAN)
MODE

CAPI, CAWI

NOTES
LEAD-IN

PINF_006, PINF_007

NEXT

If PINF_008 = 0: PINF_009;
else PINF_009a

PINF_009
ASK

RPC_UID ≠ HHSINFORMANT_UID AND PINF_008 = 0

QUESTION TYPE

Numeric
Create FILL_CORPHONE: IF MODE = CAPI, FILL_CORPHONE:
INTERVIEWER: ENTER THE CORRECT TELEPHONE NUMBER BELOW.
ENTER TELEPHONE NUMBER
Else, if MODE = CAWI, FILL_CORPHONE:
Please use the space below to correct your telephone number.

FILLS (ENG)

FILLS (SPAN)

Telephone:
Create FILL_CORPHONE: IF MODE = CAPI, FILL_CORPHONE:
INTERVIEWER: ENTER THE CORRECT TELEPHONE NUMBER BELOW.
ENTER TELEPHONE NUMBER
Else, if MODE = CAWI, FILL_CORPHONE:
Use el espacio de abajo para corregir su número de teléfono.
Teléfono:

ENGLISH

^{FILL_CORPHONE} __________

SPANISH

^{FILL_CORPHONE} __________

RANGE

PINF_009: 0000000001 TO 9999999999

LIMITS

PINF_009: Max 10 digits

LOOP MAX
PROGRAM. NOTES
CHECK (ENG)
CHECK (SPAN)

HARD CHECK: If less than 10 digits are entered, or if all of the same digit is entered (i.e.,
1111111111), display: ‘Please enter a valid telephone number, including area code’.
HARD CHECK: If less than 10 digits are entered, or if all of the same digit is entered (i.e.,
1111111111), display: ‘Ingrese un número de teléfono válido e incluya el código de área’.

HELP TEXT (ENG)
HELP TEXT (SPAN)
MODE

CAPI, CAWI

NOTES
LEAD-IN

If PINF_008 = 0

NEXT

Else if RPC_UID=HHSINFORMANT_UID: PINF_010
Else PINF_009a

PINF_009a
ASK

RPC_UID≠HHSINFORMANT_UID

QUESTION TYPE

Radio button

FILLS (ENG)

Use fill from PINF_008: FILL_YESNO

FILLS (SPAN)
Use fill from PINF_008: FILL_YESNO
May we text you at this number with important information about this study? You may opt out at any
time to stop receiving text messages. Carrier messaging and data fees may apply.
ENGLISH
^{FILL_YESNO}

SPANISH

¿Podemos enviarle mensajes de texto a este número con información importante sobre el estudio?
Puede optar dejar de recibir mensajes de texto en cualquier momento. Pueden aplicarse tarifas de
mensajería y datos del operador.
^{FILL_YESNO}

RANGE
LIMITS
LOOP MAX
PROGRAM. NOTES
CHECK (ENG)

I

CHECK (SPAN)
HELP TEXT (ENG)
HELP TEXT (SPAN)
MODE

CAPI

NOTES
LEAD-IN
NEXT

PINF_008, PINF_009
PINF_010

PINF_010
ASK

AllPINF_003=1 or PINF_004=1

QUESTION TYPE

Informational
Create FILL_PINFINTRO: If MODE = CAPI: FILL_PINFINTRO: For the rest of the interview,
I’ll hand you the laptop so that you can enter your answers yourself. After I explain a
few of the features that you will be using you will answer the rest of the questions
yourself, in private.
Else, if MODE = CAWI, FILL_PINFINTRO: Now that we have confirmed your information we
will go on to the rest of the interview. Please answer these questions in private.

FILLS (ENG)

Create FILL_RETURN: IF MODE = CAPI: FILL_RETURN: Then you can return the laptop to
me.
[INTERVIEWER: CLICK NEXT AND HAND LAPTOP TO RESPONDENT]
Else, if MODE = CAWI, FILL_RETURN: BLANK

FILLS (SPAN)

Create FILL_PINFINTRO: If MODE = CAPI: FILL_PINFINTRO: Para el resto de la entrevista,
le pasaré la computadora portátil para que usted que pueda ingresar las respuestas
por su cuenta. Después de que le explique algunas de las funciones que usará,
responderá el resto de las preguntas por su cuenta, en privado.
Else, if MODE = CAWI, FILL_PINFINTRO: Ahora que hemos confirmado su información,
pasaremos al resto de la entrevista. Responda estas preguntas en privado.
Create FILL_RETURN: IF MODE = CAPI: FILL_RETURN: Cuando termine, puede devolverme
la computadora portátil.
[INTERVIEWER: CLICK NEXT AND HAND LAPTOP TO RESPONDENT]
Else, if MODE = CAWI, FILL_RETURN: BLANK

ENGLISH
SPANISH

^{FILL_PINFINTRO}
When you are done with the survey and click “Submit,” your responses will be locked so that no one
can see how you answered the questions. ^{FILL_RETURN}
^{FILL_PINFINTRO}
Cuando haya terminado la encuesta y haga clic en “Submit” (Enviar), sus respuestas quedarán
bloqueadas para que nadie pueda ver cómo respondió las preguntas. ^{FILL_RETURN}

RANGE
LIMITS
LOOP MAX
PROGRAM. NOTES
CHECK (ENG)
CHECK (SPAN)
HELP TEXT (ENG)
HELP TEXT (SPAN)
MODE

CAPI, CAWI

NOTES
LEAD-IN

PINF_005, PINF_009, PINF_008, PINF_009a

NEXT

PINF_010a

PINF_010a
ASK

PINF_003=1 or PINF_004=1

QUESTION TYPE

Numeric

FILLS (ENG)
FILLS (SPAN)
To protect your privacy, if you need to pause the survey for any reason, you will need a PIN to restart
the survey where you left off. Please choose a four-digit number you will remember or write the
number down somewhere safe. This PIN is unique to you and will help keep your information
private. Please do not share it with others.
ENGLISH

Enter 4-digit PIN:

[PINF_010a_PIN]

Re-enter PIN:

[PINF_010a_CONFIRM]

Para proteger su privacidad, si necesita pausar la encuesta por cualquier motivo, necesitará un PIN
para retomar la encuesta en donde la dejó. Elija un número de cuatro dígitos que pueda recordar o
anótelo en un lugar seguro. Este PIN es único a usted y le ayudará a mantener la privacidad de su
información. No la comparta con nadie.
SPANISH

Ingrese su PIN de 4 dígitos:

[PINF_010a_PIN]

Vuelva a ingresar su PIN:

[PINF_010a_CONFIRM]

RANGE
LIMITS
LOOP MAX
PROGRAM. NOTES
If PINF_010a_PIN=0000, display hard check:
The PIN cannot be all zeros. Please select a different PIN.

CHECK (ENG)

If PINF_010a_PIN less than 4 digits, display hard check:
Please create a pin with 4 digits.
If PINF_010a_PIN≠PINF_010a_CONFIRM, display hard check:
The PINs you entered don’t match. Please re-enter the same 4-digit number to create
your PIN.
If PINF_010a_PIN=0000, display hard check: El PIN no puede ser todos ceros. Seleccione
un PIN diferente.

CHECK (SPAN)

If PINF_010a_PIN less than 4 digits, display hard check: Cree un PIN de 4 dígitos.
If PINF_010a_PIN≠PINF_010a_CONFIRM, display hard check: Los PIN que ingresó no
coinciden. Vuelva a ingresar el mismo número de 4 dígitos para crear su PIN.

HELP TEXT (ENG)
HELP TEXT (SPAN)

MODE

CAPI, CAWI

NOTES
LEAD-IN
NEXT

PINF_010
PINF_011

PINF_011
ASK

PINF_003=1 or PINF_004=1

QUESTION TYPE

Informational

FILLS (ENG)

Create FILL_PINFINTRO2: If MODE = CAPI: FILL_PINFINTRO2: click the [Back] button.
If you have questions about how to use the laptop, please ask me now. Otherwise, click
the [Next] button to continue on your own.
Else, if MODE = CAWI, FILL_PINFINTRO2: click the [Back] button.

FILLS (SPAN)

Create FILL_PINFINTRO2: If MODE = CAPI: FILL_PINFINTRO2: haga clic el botón “Back”
(Atrás). Si tiene alguna duda sobre cómo usar la computadora portátil, pregúnteme
ahora. De lo contrario, haga clic el botón “Next” (Siguiente) para continuar por su
cuenta.
Else, if MODE = CAWI, FILL_PINFINTRO2: click the [Back] button.
Now we will go over a few instructions that will help you complete the survey.

ENGLISH

Most questions in this section allow you to click on your response. However, some questions
will require you to type in a number for your response. For these questions, please click on
the text box for your answer, and type in your response. When you are done, please click the
[Next] button to continue.
If you want to go back to a previous question, ^{FILL_PINFINTRO2}
Ahora, repasaremos algunas instrucciones que lo(a) ayudarán a completar la encuesta.

SPANISH

La mayoría de las preguntas de esta sección le permiten hacer clic en su respuesta. Sin
embargo, algunas preguntas requerirán que escriba un número para su respuesta. Para estas
preguntas, haga clic en el cuadro de texto para escribir su respuesta. Cuando termine, haga
clic en el botón “Next” (Siguiente) para continuar.
Si desea volver a una pregunta anterior, ^{FILL_PINFINTRO2}

RANGE
LIMITS
LOOP MAX
PROGRAM. NOTES
CHECK (ENG)
CHECK (SPAN)
HELP TEXT (ENG)
HELP TEXT (SPAN)
MODE

CASI, CAWI

NOTES
LEAD-IN

PINF_010a

NEXT

If RPC_UID ≠ HHSINFORMANT_UID: PINF_012;
Else: PINF_031_LOOP_BEGIN

PINF_012
ASK

RPC_UID ≠ HHSINFORMANT_UID

QUESTION TYPE

Radio
Create fill, FILL_HHSInformant: Fill with 'HHSInformant' from sample preload
Use fill created in PINF_003, FILL_PCNAME
Create fill, FILL_PCSEX:
If PCSEX=1 then FILL_PCSEX: ‘male’
Else if PCSEX=2 then FILL_PCSEX: ‘female’
Else FILL_PCSEX: ‘unknown’
Create fill,
If PCAGE not missing, FILL_PCAGE: ‘PCAGE’ from PINF_005
Else FILL_PCAGE: ‘unknown’
Create fill, FILL_SPOUSENAME: Fill with ‘PCSPOUSE’ from PINF_005
Create fill, FILL_PCPARTNER: Fill with ‘PCPARTNER’ from PINF_005

FILLS (ENG)

Create fill, FILL_PCEDUC:
If PCEDUC=0, FILL_PCEDUC= ‘none’
Else if PCEDUC=1, FILL PCEDUC= ‘high school equivalency, such as GED (General
Education Development) or HiSET (High School Equivalency Test)’
Else if PCEDUC=2, FILL_PCEDUC= ‘a high school diploma (Regular 12-year program)’
Else if PCEDUC=3, FILL_PCEDUC= ‘Associate/Junior college (AA, AS)’
Else if PCEDUC=4, FILL_PCEDUC= ‘a bachelor's degree (BA, BS)’
Else if PCEDUC=5, FILL_PCEDUC= ‘a master's degree (MA, MBA, MS)’
Else if PCEDUC=6, FILL_PCEDUC= ‘a doctoral degree (PhD, EdD)’
Else if PCEDUC=7, FILL_PCEDUC= ‘a professional degree (MD, DDS, JD)’
Else FILL_PCEDUC= ‘unknown’
Create fill, FILL_PCMARSTAT.
If PCMART=1, FILL_PCMARSTAT= ‘You are married’
Else if PCMART=2, FILL PCMARSTAT= ‘You are separated’
Else if PCMART=3, FILL_PCMARSTAT= ‘You are divorced’
Else if PCMART=4, FILL_PCMARSTAT= ‘You are widowed’
Else if PCMART=0, FILL_PCMARSTAT= ‘You are never married’
Else FILL_PCMARSTAT= ‘Your marital status was not reported’
Create fill, FILL_PCPART: If PCSPOUSE not missing, FILL_PCPART: ' to
^{FILL_SPOUSENAME}.';
Else, if PCPART = 1 or 2, FILL_PCPART: ‘.’
Else, if PCPART = 3, FILL_PCPART: ‘and you are living with your partner,
^{FILL_PCPARTNER}.’
Else, FILL_PCPART: ‘.’

FILLS (SPAN)

Create fill, FILL_HHSInformant: Fill with 'HHSInformant' from sample preload
Use fill created in PINF_003, FILL_PCNAME

Create fill, FILL_PCSEX:
If PCSEX=1 then FILL_PCSEX: ‘masculino’
Else if PCSEX=2 then FILL_PCSEX: ‘femenina’
Else FILL_PCSEX: ‘desconocido’
Create fill,
If PCAGE not missing, FILL_PCAGE: ‘PCAGE’ from PINF_005
Else FILL_PCAGE: ‘desconocido’
Create fill, FILL_SPOUSENAME: Fill with ‘PCSPOUSE’ from PINF_005
Create fill, FILL_PCPARTNER: Fill with ‘PCPARTNER’ from PINF_005
Create fill, FILL_PCEDUC:
If PCEDUC=0, FILL_PCEDUC= ‘ninguno’
Else if PCEDUC=1, FILL PCEDUC= ‘un título equivalente al de la escuela
secundaria/preparatoria, como el Desarrollo de Educación General (GED, por sus siglas
en inglés) o la Prueba de Equivalencia de Escuela Secundaria (HiSET, por sus siglas en
inglés)’
Else if PCEDUC=2, FILL_PCEDUC= ‘un diploma de escuela secundaria/preparatoria
(programa regular de 12 años)’
Else if PCEDUC=3, FILL_PCEDUC= ‘un título de dos años (Associate)/escuela semisuperior
(AA, AS, por sus siglas en inglés)’
Else if PCEDUC=4, FILL_PCEDUC= ‘un título de cuatro años (BA, BS, por sus siglas en
inglés)’
Else if PCEDUC=5, FILL_PCEDUC= ‘una maestría (MA, MS, por sus siglas en inglés)’
Else if PCEDUC=6, FILL_PCEDUC= ‘un doctorado (PhD, EdD, por sus siglas en inglés)’
Else if PCEDUC=7, FILL_PCEDUC= ‘un título profesional (MD, DDS, JD, por sus siglas en
inglés)’
Else FILL_PCEDUC= ‘unknown’
Create fill, FILL_PCMARSTAT.
If PCMART=1, FILL_PCMARSTAT= ‘Está casado(a)’
Else if PCMART=2, FILL PCMARSTAT= ‘Está separado(a)’
Else if PCMART=3, FILL_PCMARSTAT= ‘Está divorciado(a)’
Else if PCMART=4, FILL_PCMARSTAT= ‘Es viudo(a)’
Else if PCMART=0, FILL_PCMARSTAT= ‘Nunca se casó’
Else FILL_PCMARSTAT= ‘No se informó su estado civil’
Create fill, FILL_PCPART: If PCPART = 1 and PCSPOUSE not missing, FILL_PCPART: ' con
^{FILL_SPOUSENAME}.';
Else, if PCPART = 1 or 2, FILL_PCPART: ‘.’
Else, if PCPART = 3, FILL_PCPART: ‘y vive con su pareja, ^{FILL_PCPARTNER}.’
Else, FILL_PCPART: ‘.’
Here is the information that ^{Fill_HHSInformant} provided about you. Your name is
^{Fill_PCNAME}, your sex is ^{Fill_PCSEX}, you are ^{Fill_PCAGE}.
^{FILL_PCMARSTAT}^{}Fill_PCPART} The highest educational degree you have completed is
^{Fill_PCEDUC}.
ENGLISH

Is all of this information correct?
1. Yes
0. No

Esta es la información que ^{Fill_HHSInformant} nos dio sobre usted. Su nombre es
^{Fill_PCNAME}, su sexo es ^{Fill_PCSEX}, usted es ^{Fill_PCAGE}.
^{FILL_PCMARSTAT}^{Fill_PCPART}. El título educativo más alto que completó es
^{Fill_PCEDUC}.
SPANISH

¿Es correcta toda esta información?
1. Sí
0. No

RANGE
LIMITS
LOOP MAX
PROGRAM. NOTES
CHECK (ENG)
CHECK (SPAN)
HELP TEXT (ENG)
HELP TEXT (SPAN)
MODE

CASI, CAWI

NOTES
LEAD-IN

PINF_011

NEXT

If PINF_012=1: PINF_031_LOOP_BEGIN
Else f_PINF_013

f_PINF_013
PINF_013_1/PINF_013_2/PINF_013_3/PINF_013_4/PINF_013_5/PINF_013_6/PINF_013_7
ASK
RPC_UID ≠ HHSINFORMANT_UID AND PINF_012 = 0
QUESTION TYPE

Checkbox

FILLS (ENG)
FILLS (SPAN)
Which information is not correct? Select all information that is not correct from list below.
Name [PINF_013_1]
Sex [PINF_013_2]
Age [PINF_013_3]
ENGLISH
Marital Status [PINF_013_4]
Information on partner or spouse [PINF_013_5]
Highest educational degree received [PINF_013_6]
None, all information is correct [PINF_013_7]
¿Qué parte no está bien? Seleccione de la siguiente lista toda la información que no sea correcta.
Nombre [PINF_013_1]
Sexo [PINF_013_2]
Edad [PINF_013_3]
SPANISH
Estado civil [PINF_013_4]
Información sobre pareja/cónyuge [PINF_013_5]
Título educativo más alto recibido [PINF_013_6]
Nada, toda la información es correcta [PINF_013_7]
RANGE
LIMITS
LOOP MAX
Display PINF_013_7 if left blank.
PROGRAM. NOTES

Allow multiple responses for 1 through 6. If 7 selected, do not allow another response 16 and vice versa (i.e., 7 is exclusive).
Code variable as 1 if item is checked, 0 if not checked.

CHECK (ENG)
CHECK (SPAN)
HELP TEXT (ENG)
HELP TEXT (SPAN)
MODE

CASI, CAWI

NOTES
LEAD-IN

PINF_012 = 0

NEXT

If PINF_013_1=1: f_PINF_014
Else if PINF_013_2=1: PINF_015
Else if PINF_013_3=1: PINF_016
Else if PINF_013_4=1: PINF_017
Else if PINF_013_5=1: PINF_021
Else if PINF_013_6=1: PINF_029

Else: : PINF_031_LOOP_BEGIN

f_PINF_014
PINF_014_FN/PINF_014_LN
ASK
If RPC_UID ≠ HHSINFORMANT_UID AND PINF_013_1=1
PINF_014_FN: Text
QUESTION TYPE
PINF_014_LN: Text
FILLS (ENG)
FILLS (SPAN)
What is your name?
ENGLISH

First name: __________ [PINF_014_FN]
Last name: __________ [PINF_014_LN]
¿Cuál es su nombre?

SPANISH

Nombre: __________ [PINF_014_FN]
Apellido: __________ [PINF_014_LN]

RANGE
LIMITS

PINF_014_FN: Max 30 characters
PINF_014_LN: Max 30 characters

LOOP MAX
PROGRAM. NOTES

SET PCNAME = PINF_014_FN AND PINF_014_LN

CHECK (ENG)
CHECK (SPAN)
HELP TEXT (ENG)
HELP TEXT (SPAN)
MODE

CASI, CAWI

NOTES
LEAD-IN

PINF_013

NEXT

If PINF_013_2=1: PINF_015
Else if PINF_013_3=1: PINF_016
Else if PINF_013_4=1: PINF_017
Else if PINF_013_5=1: PINF_021
Else if PINF_013_6=1: PINF_029
Else PINF_031_LOOP_BEGIN

PINF_015
ASK

RPC_UID ≠ HHSINFORMANT_UID AND PINF_013_2=1

QUESTION TYPE

Radio

FILLS (ENG)
FILLS (SPAN)
What is your sex?
ENGLISH

1. Male
2. Female
¿Cuál es su sexo?

SPANISH

1. Masculino
2. Femenina

RANGE
LIMITS
LOOP MAX
PROGRAM. NOTES

If PINF_015 ≠ DK or REF, SET PCSEX = PINF_015

CHECK (ENG)
CHECK (SPAN)
HELP TEXT (ENG)
HELP TEXT (SPAN)
MODE

CASI, CAWI

NOTES
LEAD-IN

PINF_013, PINF_014

NEXT

If PINF_013_3=1: PINF_016
Else if PINF_013_4=1: PINF_017
Else if PINF_013_5=1: PINF_021
Else if PINF_013_6=1: PINF_029
Else PINF_031_LOOP_BEGIN

PINF_016
ASK

RPC_UID ≠ HHSINFORMANT_UID AND PINF_013_3=1

QUESTION TYPE

Numeric

FILLS (ENG)
FILLS (SPAN)
ENGLISH

What is your correct age? __________

SPANISH

¿Cuál es su edad correcta? __________

RANGE

PINF_016: 001 to 120

LIMITS

PINF_016: Max 3 digits

LOOP MAX
PROGRAM. NOTES

If PINF_016 ≠ DK or REF, SET PCAGE = PINF_016

CHECK (ENG)
CHECK (SPAN)
HELP TEXT (ENG)
HELP TEXT (SPAN)
MODE

If PINF_016 out of range, display hard check:
‘Please enter an age between 1 and 120.’
If PINF_016 out of range, display hard check:
‘Ingrese una edad entre 1 y 120.’
CASI, CAWI

NOTES
LEAD-IN

f_PINF_013, f_PINF_014. PINF_015

NEXT

If PINF_013_4=1: PINF_017
Else if PINF_013_5=1: PINF_021
Else if PINF_013_6=1: PINF_029
Else PINF_031_LOOP_BEGIN

PINF_017
ASK

RPC_UID ≠ HHSINFORMANT_UID AND PINF_013_4=1

QUESTION TYPE

Radio

FILLS (ENG)
FILLS (SPAN)
What is your marital status? Are you ...
1. Married
2. Separated
ENGLISH

3. Divorced
4. Widowed
0. Never married
¿Cuál es su estado civil? ¿Está usted...?
1. Casado(a)
2. Separado(a)

SPANISH

3. Divorciado(a)
4. Viudo(a)
0. Nunca se casó

RANGE
LIMITS
LOOP MAX
PROGRAM. NOTES

If PINF_017≠ DK or REF, SET PCMART=PINF_017

CHECK (ENG)
CHECK (SPAN)
HELP TEXT (ENG)
HELP TEXT (SPAN)
MODE

CASI, CAWI

NOTES
LEAD-IN

PINF_013, PINF_014. PINF_015, PINF_016

NEXT

If PINF_017=1: PINF_018
Else if PINF_017=2: PINF_024
Else if PINF_017=0 or 3 or 4: PINF_021
Else if PINF_013_5=1: PINF_021
Else if PINF_013_6=1: PINF_029
Else PINF_031_LOOP_BEGIN

PINF_018
ASK

RPC_UID ≠ HHSINFORMANT_UID AND PINF_017 = 1

QUESTION TYPE

Radio

FILLS (ENG)
FILLS (SPAN)
Is your spouse living in the household?
ENGLISH

1. Yes
0. No
¿Vive su cónyuge en el hogar?

SPANISH

1. Sí
0. No

RANGE
LIMITS
LOOP MAX
PROGRAM. NOTES
CHECK (ENG)
CHECK (SPAN)
HELP TEXT (ENG)
HELP TEXT (SPAN)
MODE

CASI, CAWI

NOTES
LEAD-IN

If PINF_017 = 1

NEXT

If PINF_018 = 1: PINF_019
Else PINF_021

PINF_019
ASK

RPC_UID ≠ HHSINFORMANT_UID AND PINF_018 = 1

QUESTION TYPE

Radio with special response option

FILLS (ENG)
FILLS (SPAN)

Create fill, FILL_ADULTLIST: Radio button list of HHNAME(s) from ADULTROSTER minus
HHNAME of the respondent
Create fill, FILL_ADULTLIST: Radio button list of HHNAME(s) from ADULTROSTER minus
HHNAME of the respondent
What is your spouse's name? Select from the list below.
^{FILL_ADULTLIST}

ENGLISH
-9. My spouse is not listed on the roster.
¿Cómo se llama su cónyuge? Seleccione de la siguiente lista.
^{FILL_ADULTLIST}
SPANISH
-9. Mi cónyuge no figura en la lista.
RANGE
LIMITS
LOOP MAX
PROGRAM. NOTES

SHOW NUMBERED LIST OF NAMES PROVIDED BY INFORMANT IN HOUSEHOLD ROSTER.
IF -9 NOT SELECTED, UPDATE PCSPOUSE WITH HHNAME SELECTED IN PINF_019

CHECK (ENG)
CHECK (SPAN)
HELP TEXT (ENG)
HELP TEXT (SPAN)
MODE

CASI, CAWI

NOTES
LEAD-IN

PINF_018 = 1

NEXT

If PINF_019 = -9: f_PINF_020
Else PINF_025

f_PINF_020
PINF_020_FN/PINF_020_LN
RPC_UID ≠ HHSINFORMANT_UID AND PINF_019 = -9
ASK
QUESTION TYPE

PINF_020_FN: Text
PINF_020_LN: Text

FILLS (ENG)
FILLS (SPAN)
Please enter your spouse's name.
ENGLISH

First name: __________ [PINF_020_FN]
Last name: __________ [PINF_020_LN]
Ingrese el nombre de su cónyuge.

SPANISH

Nombre: __________ [PINF_020_FN]
Apellido: __________ [PINF_020_LN]

RANGE
LIMITS

PINF_020_FN: Max 30 characters
PINF_020_LN: Max 30 characters

LOOP MAX
PROGRAM. NOTES
CHECK (ENG)
CHECK (SPAN)
HELP TEXT (ENG)
HELP TEXT (SPAN)
MODE

CASI, CAWI

NOTES
LEAD-IN

PINF_019 = -9

NEXT

If PINF_013_6=1: PINF_029;
Else: PINF_031_LOOP_BEGIN

PINF_021
ASK

PINF_013_5=1 or (PINF_017 = 0 or 3 or 4) or (PINF_017=1 and PINF_018≠1)

QUESTION TYPE

Radio

FILLS (ENG)
FILLS (SPAN)
Do you have a spouse or partner living in the household?
1. Yes, spouse
ENGLISH

2. Yes, partner
0. No
¿Tiene cónyuge o pareja que viva en el hogar?
1. Sí, cónyuge

SPANISH

2. Sí, pareja
0. No

RANGE
LIMITS
LOOP MAX
PROGRAM. NOTES
CHECK (ENG)
CHECK (SPAN)
HELP TEXT (ENG)
HELP TEXT (SPAN)
MODE

CASI, CAWI

NOTES
LEAD-IN

PINF_017 = 0 or 2, PINF_018≠1

NEXT

If PINF_021 = 1 or 2: PINF_022
Else PINF_024

PINF_022
ASK

RPC_UID ≠ HHSINFORMANT_UID AND PINF_021 = 1 OR 2

QUESTION TYPE

Radio with special radio response option

FILLS (ENG)

Use fill from PINF_019: FILL_ADULTLIST

FILLS (SPAN)

Use fill from PINF_019: FILL_ADULTLIST
What is your spouse or partner's name? Select from the list below.

ENGLISH

^{FILL_ADULTLIST}
-9. My spouse or partner is not listed on the roster
¿Cómo se llama su cónyuge o pareja? Seleccione de la siguiente lista.

SPANISH

^{FILL_ADULTLIST}
-9. Mi cónyuge o pareja no figura en la lista

RANGE
LIMITS
LOOP MAX
SHOW NUMBERED LIST OF NAMES PROVIDED BY INFORMANT IN HOUSEHOLD ROSTER.
DO NOT DISPLAY RPC_UID (RESPONDING PARTICIPANT) ON THE LIST.
PROGRAM. NOTES

CREATE VAR PARSPARID (UNIQUE ID) FOR NEW PARTNER. SET PARSPARID=HHID FOR
SELECTED ROSTER MEMBER IN PINF_022.
IF PINF_021=1, UPDATE PCSPOUSE=PINF_022 and PCSPOUSEID=HHID(PINF_022).
IF PINF_021=2, UPDATE PCPARTNER=PINF_022 and PCPARTNERID=HHID(PINF_022).

CHECK (ENG)
CHECK (SPAN)
HELP TEXT (ENG)
HELP TEXT (SPAN)
MODE

CASI, CAWI

NOTES
LEAD-IN

PINF_021 = 1 or 2

NEXT

If PINF_022=-9: f_PINF_023
Else if PINF_017 = 0 OR 2: PINF_024
Else PINF_025

f_PINF_023
PINF_023_FN/PINF_023_LN
ASK
IF RPC_UID ≠ HHSINFORMANT_UID AND PINF_022 = -9
PINF_023_FN: Text
QUESTION TYPE
PINF_023_LN: Text
FILLS (ENG)
FILLS (SPAN)
Please enter your spouse or partner's name.
ENGLISH

First name: __________ [PINF_023_FN]
Last name: __________ [PINF_023_LN]
Ingrese el nombre de su cónyuge/pareja.

SPANISH

Nombre: __________ [PINF_023_FN]
Apellido: __________ [PINF_023_LN]

RANGE
LIMITS

PINF_023_FN: Max 30 characters
PINF_023_LN: Max 30 characters

LOOP MAX
PROGRAM. NOTES

CREATE VAR PARSPARID (UNIQUE ID) FOR NEW PARTNER.
IF PINF_021=1, UPDATE PCSPOUSE=f_PINF_023.
IF PINF_021=2, UPDATE PCPARTNER=f_PINF_023

CHECK (ENG)
CHECK (SPAN)
HELP TEXT (ENG)
HELP TEXT (SPAN)
MODE

CASI, CAWI

NOTES
LEAD-IN

PINF_022 = -9

NEXT

If PINF_013_6=1: PINF_029;
Else: PINF_031_LOOP_BEGIN

PINF_024
ASK

PINF_017 = 0 OR 2 or PINF_021 =0 or DK or REF

QUESTION TYPE

Radio

FILLS (ENG)
FILLS (SPAN)
Are you currently in a cohabiting relationship?

ENGLISH

By cohabitating relationships, we mean romantic or sexual relationships in which partners
establish one household and live together for a period of at least three months.
1. Yes
0. No
¿Tiene en este momento una relación de convivencia?

SPANISH

Por “relaciones de convivencia” nos referimos a las relaciones románticas o sexuales en las
que los miembros de la pareja establecen un hogar y viven juntos durante un período de al
menos tres meses.
1. Sí
0. No

RANGE
LIMITS
LOOP MAX
PROGRAM. NOTES
CHECK (ENG)
CHECK (SPAN)
HELP TEXT (ENG)
HELP TEXT (SPAN)
MODE

CASI, CAWI

NOTES
LEAD-IN
NEXT

PINF_017, PINF_021
PINF_025

PINF_025
ASK

RPC_UID ≠ HHSINFORMANT_UID

QUESTION TYPE

Computer Check

FILLS (ENG)
FILLS (SPAN)
ENGLISH
SPANISH
RANGE
LIMITS
LOOP MAX
This is a computer check. Do not display this screen.
PROGRAM. NOTES

CREATE OLDPARSPARID=PCPARTNERID: Household ID of parent/caregiver spouse or
partner from the household screener.
NEW SPOUSE/PARTNER IDENTIFIED FOR THE RESPONDING PARENT:
1. PARSPARID ≠ OLDPARSPARID
0. PARSPARID = OLDPARSPARID

CHECK (ENG)
CHECK (SPAN)
HELP TEXT (ENG)
HELP TEXT (SPAN)
MODE

CASI, CAWI

NOTES
LEAD-IN

PINF_019, PINF_020, PINF_022, PINF_023, PINF_024

NEXT

If PINF_025=1: PINF_026
Else if PINF_013_6 = 1: PINF_029
Else: PINF_031_LOOP_BEGIN

PINF_026
ASK

RPC_UID ≠ HHSINFORMANT_UID AND PINF_025 = 1

QUESTION TYPE

Radio

FILLS (ENG)
FILLS (SPAN)
Do you need to correct the name of your spouse/partner?
ENGLISH

1. Yes
0. No
¿Necesita corregir el nombre de su cónyuge/pareja?

SPANISH

1. Sí
0. No

RANGE
LIMITS
LOOP MAX
PROGRAM. NOTES
CHECK (ENG)
CHECK (SPAN)
HELP TEXT (ENG)
HELP TEXT (SPAN)
MODE

CASI, CAWI

NOTES
LEAD-IN

PINF_025 = 1

NEXT

If PINF_026 = 1: PINF_027
Else if PINF_013_6 = 1: PINF_029
Else: PINF_031_LOOP_BEGIN

PINF_027
ASK

RPC_UID ≠ HHSINFORMANT_UID AND PINF_026 = 1

QUESTION TYPE

Radio with button special radio response option

FILLS (ENG)

Use fill from PINF_019: FILL_ADULTLIST

FILLS (SPAN)

Use fill from PINF_019: FILL_ADULTLIST
What is your spouse or partner's name? Select from the list below.

ENGLISH

^{FILL_ADULTLIST}
-9. My spouse or partner is not listed on the roster
¿Cómo se llama su cónyuge o pareja? Seleccione de la siguiente lista.

SPANISH

^{FILL_ADULTLIST}
-9. Mi cónyuge o pareja no figura en la lista

RANGE
LIMITS
LOOP MAX
PROGRAM. NOTES

SHOW NUMBERED LIST OF NAMES PROVIDED BY INFORMANT IN HOUSEHOLD ROSTER.
If PINF_021=1, UPDATE PCSPOUSE=PINF_027.
If PINF_021=2, UPDATE PCPARTNER=PINF_027

CHECK (ENG)
CHECK (SPAN)
HELP TEXT (ENG)
HELP TEXT (SPAN)
MODE

CASI, CAWI

NOTES
LEAD-IN

PINF_026

NEXT

If PINF_027=-9: f_PINF_028
Else If PINF_013_6=1: PINF_029
Else: PINF_031_LOOP_BEGIN

f_PINF_028
PINF_028_FN/PINF_028_LN
ASK
RPC_UID ≠ HHSINFORMANT_UID AND PINF_027 = -9
QUESTION TYPE

Text

FILLS (ENG)
FILLS (SPAN)
Please enter your spouse's name.
ENGLISH

First name: __________ [PINF_028_FN]
Last name: __________ [PINF_028_LN]
Ingrese el nombre de su cónyuge.

SPANISH

Nombre: __________[PINF_028_FN]
Apellido: __________ [PINF_028_LN]

RANGE
LIMITS

PINF_028_FN: Max 30 characters
PINF_028_LN: Max 30 characters

LOOP MAX
PROGRAM. NOTES

UPDATE PCSPOUSE = f_PINF_028

CHECK (ENG)
CHECK (SPAN)
HELP TEXT (ENG)
HELP TEXT (SPAN)
MODE

CASI, CAWI

NOTES
LEAD-IN
NEXT

PINF_027 = -9
If PINF_013_6=1: PINF_029; else PINF_031_LOOP_BEGIN

PINF_029
ASK

RPC_UID ≠ HHSINFORMANT_UID AND PINF_013_6 = 1

QUESTION TYPE

Radio

FILLS (ENG)
FILLS (SPAN)
What is the highest educational degree that you have received?
0. None
1. High school equivalency such as GED (General Education Development) or HiSET (High
School Equivalency Test)
2. High school diploma (Regular 12-year program)
ENGLISH

3. Associate/Junior college (AA, AS)
4. Bachelor's degree (BA, BS)
5. Master's degree (MA, MBA, MS)
6. Doctoral degree (PhD, EdD)
7. Professional degree (MD, DDS, JD)
¿Cuál es el título educativo más alto que ha recibido?
0. Ninguno
1. Título equivalente al de la escuela secundaria/preparatoria, como el Desarrollo de
Educación General (GED, por sus siglas en inglés) o la Prueba de Equivalencia de Escuela
Secundaria (HiSET, por sus siglas en inglés)
2. Diploma de escuela secundaria/preparatoria (programa regular de 12 años)

SPANISH

3. Título de dos años (Associate)/escuela semisuperior (AA, AS, por sus siglas en inglés)
4. Título de cuatro años (BA, BS, por sus siglas en inglés)
5. Maestría (MA, MBA, MS, por sus siglas en inglés)
6. Doctorado (PhD, EdD, por sus siglas en inglés)
7. Título profesional (MD, DDS, JD, por sus siglas en inglés)

RANGE
LIMITS
LOOP MAX
PROGRAM. NOTES

If PINF_029≠DK or REF, SET PCEDUC = PINF_029

CHECK (ENG)
CHECK (SPAN)
HELP TEXT (ENG)
HELP TEXT (SPAN)
MODE
NOTES

CASI, CAWI

LEAD-IN
NEXT

PINF_013, PINF_014, PINF_015, PINF_016, PINF_017, PINF_025, PINF_026, PINF_027,
PINF_028
PINF_031_LOOP_BEGIN

PINF_031_LOOP_BEGIN
ASK

PINF_003=1 or PINF_004=1 (Begin PINF LOOP 1)

QUESTION TYPE

Computer Check

FILLS (ENG)
FILLS (SPAN)
ENGLISH
SPANISH
RANGE
LIMITS
LOOP MAX
PROGRAM. NOTES

15
This is a computer check. Do not display this screen.
LOOP THROUGH PINF Loop 1: f_PINF_032_# - PINF_069_# for each roster line in
YOUTHROSTER until YOUTHROSTERNUM is reached, with a max of 15 times

CHECK (ENG)
CHECK (SPAN)
HELP TEXT (ENG)
HELP TEXT (SPAN)
MODE

CASI, CAWI

NOTES
LEAD-IN
NEXT

PINF_011, f_PINF_013, f_PINF_014, PINF_015, PINF_016, PINF_017, PINF_025, PINF_026,
PINF_029
If RPC_UID ≠ HHSINFORMANT_UID: f_PINF_032
Else PINF_041

f_PINF_032_#
PINF_032_#/PINF_032_OTHER_#
ASK
RPC_UID ≠ HHSINFORMANT_UID (continue PINF LOOP 1)
PINF_032_#: Radio
QUESTION TYPE
PINF_032_OTHER_#: Text
FILLS (ENG)
Create fill, FILL_YOUTHNAME_#: Fill with YOUTHNAME_# from sample preload
FILLS (SPAN)

Create fill, FILL_YOUTHNAME_#: Fill with YOUTHNAME_# from sample preload
What is your relationship to ^{YOUTHNAME_#}?
1. Biological parent
2. Step-parent
3. Adoptive parent
4. Relative guardian

ENGLISH

5. Foster parent
6. Non-relative guardian
7. Parental figure relative
8. Parental figure non-relative
99. Other
Please tell us your relationship to ^{YOUTHNAME_#}: _______________________________
[PINF_032_OTHER_#]
¿Cuál es su relación con ^{YOUTHNAME_#}?
1. Padre/madre biológico(a)
2. Padrastro/madrastra
3. Padre/madre adoptivo(a)
4. Tutor(a) familiar

SPANISH

5. Padre/madre de cuidado temporal
6. Tutor(a) no familiar
7. Figura parental familiar
8. Figura parental no familiar
99. Otro
Díganos su relación con ^{YOUTHNAME_#}: _______________________________
[PINF_032_OTHER_#]

RANGE
LIMITS

PINF_032_OTHER_#: Max 60 characters

LOOP MAX

15
LOOP THROUGH PINF Loop 1: f_PINF_032_# - PINF_069_# for each roster line in
YOUTHROSTER until YOUTHROSTERNUM is reached, with a max of 15 times.
Update HH_YOUTHPLG and YOUTH_RPCPLG with the response to PINF_032
If PINF_032_# = 99, display PINF_032_OTHER textbox with label: Please tell us your
relationship to ^{YOUTHNAME_#}:

PROGRAM. NOTES

CHECK (ENG)

CHECK (SPAN)
HELP TEXT (ENG)
HELP TEXT (SPAN)
MODE

CASI, CAWI

NOTES
LEAD-IN
NEXT

PINF_031_LOOP_BEGIN
PINF_033_#

PINF_033_#
ASK

RPC_UID ≠ HHSINFORMANT_UID (continue PINF LOOP 1)

QUESTION TYPE

Informational

FILLS (ENG)

Use fill, created in PINF_32_#: FILL_YOUTHNAME_#

FILLS (SPAN)
ENGLISH

Use fill, created in PINF_32_#: FILL_YOUTHNAME_#
We now need to verify some information about ^{Fill_YOUTHNAME_#}. Please tell us if the
following information is correct ...

SPANISH

Ahora necesitamos verificar información sobre ^{Fill_YOUTHNAME_#}. Díganos si la siguiente
información es correcta...

RANGE
LIMITS
LOOP MAX
PROGRAM. NOTES

15
LOOP THROUGH PINF Loop 1: f_PINF_032_# - PINF_069_# for each roster line in
YOUTHROSTER until YOUTHROSTERNUM is reached, with a max of 15 times.
Create variable PINFLOOP1[#].YOUTH_UID=YOUTH_UID_#

CHECK (ENG)
CHECK (SPAN)
HELP TEXT (ENG)
HELP TEXT (SPAN)
MODE

CASI, CAWI

NOTES
LEAD-IN
NEXT

PINF_031_LOOP_BEGIN, PINF_032_#
PINF_034_#

PINF_034_#
ASK
QUESTION TYPE

FILLS (ENG)

FILLS (SPAN)

ENGLISH

RPC_UID ≠ HHSINFORMANT_UID (continue PINF LOOP 1)
Radio
Use fill, created in PINF_32_#: FILL_YOUTHNAME_#
Create fill, FILL_YOUTHDOB_#: Fill with long form of 'YOUTHDOB_#’ (e.g. January 1,
2012) from sample preload
Use fill, created in PINF_002: Fill_CURRENTAGE_#
Create fill, FILL_YOUTHSEX_#: If YOUTHSEX_#=1, FILL_YOUTHSEX_#: ‘male’;
Else, if YOUTHSEX_#=2, FILL_YOUTHSEX_#: ‘female’;
Else, FILL_YOUTHSEX_#: ‘unknown’
Use fill, created in PINF_32_#: FILL_YOUTHNAME_#
Create fill, FILL_YOUTHDOB_#: Fill with long form of 'YOUTHDOB_#’ (e.g. January 1,
2012) from sample preload
Use fill, created in PINF_002: Fill_CURRENTAGE_#
Create fill, FILL_YOUTHSEX_#: If YOUTHSEX_#=1, FILL_YOUTHSEX_#: ‘masculino’;
Else, if YOUTHSEX_#=2, FILL_YOUTHSEX_#: ‘femenina’;
Else, FILL_YOUTHSEX_#: ‘desconocido’
^{Fill_YOUTHNAME_#} was born on ^{Fill_YOUTHDOB_#}. That makes ^{Fill_YOUTHNAME_#}
^{Fill_CURRENTAGE_#} today. Their sex is ^{Fill_YOUTHSEX_#}. Is this all correct?
1. Yes
0. No

SPANISH

^{Fill_YOUTHHNAME_#} nació el ^{Fill_YOUTHDOB_# }. Con esta información,
^{Fill_YOUTHNAME_#} tiene ^{Fill_CURRENTAGE_#} hoy. El sexo es ^{Fill_YOUTHSEX_#}. ¿Es
todo esto correcto?
1. Sí
0. No

RANGE
LIMITS
LOOP MAX
PROGRAM. NOTES

15
LOOP THROUGH PINF Loop 1: f_PINF_032_# - PINF_069_# for each roster line in
YOUTHROSTER until YOUTHROSTERNUM is reached, with a max of 15 times.

CHECK (ENG)
CHECK (SPAN)
HELP TEXT (ENG)
HELP TEXT (SPAN)
MODE

CASI, CAWI

NOTES
LEAD-IN

PINF_033_#

NEXT

If PINF_034_#=0: f_PINF_035_#
Else PINF_043_#

f_PINF_035_#
PINF_035_1_#/PINF_035_2_#/PINF_035_3_#
PINF_034_# = 0 (continue PINF LOOP 1)
ASK
QUESTION TYPE

Checkbox

FILLS (ENG)
FILLS (SPAN)
Which information is not correct? Choose all information not correct from the list below and
click “Next” to continue.
ENGLISH

1. Spelling of name (name correct) [PINF_035_1_#]
2. Sex [PINF_035_2_#]
3. Date of birth [PINF_035_3_#]
¿Qué parte no está bien? Elija toda la información que no sea correcta de la lista que aparece
a continuación y haga clic en “Next” (Siguiente) para continuar.

SPANISH

1. Ortografía del nombre (nombre correcto) [PINF_035_1_#]
2. Sexo [PINF_035_2_#]
3. Fecha de nacimiento [PINF_035_3_#]

RANGE
LIMITS
LOOP MAX
PROGRAM. NOTES

15
LOOP THROUGH PINF LOOP 1: f_PINF_032_# - PINF_069_# for each roster line in
YOUTHROSTER until YOUTHROSTERNUM is reached, with a max of 15 times.
Allow multiple responses. Code variable as 1 if checked, 0 if not.

CHECK (ENG)
CHECK (SPAN)
HELP TEXT (ENG)
HELP TEXT (SPAN)
MODE

CASI, CAWI

NOTES
LEAD-IN

NEXT

PINF_034_# =0
If PINF_035_1_# = 1: PINF_036_#
Else if PINF_035_2_# = 1: PINF_037_#
Else if PINF_035_3_# = 1: f_PINF_038_#
Else PINF_043_#

PINF_036_#
ASK

PINF_035_1_#=1 (continue PINF LOOP 1)

QUESTION TYPE

Text

FILLS (ENG)

Use fill, created in PINF_32_#: FILL_YOUTHNAME_#

FILLS (SPAN)

Use fill, created in PINF_32_#: FILL_YOUTHNAME_#

ENGLISH

What is the correct spelling of ^{YOUTHNAME_#}'s name? Please enter the correct spelling of
“^{YOUTHNAME_#}” and then click “Next” to continue.
First name: ____________________

SPANISH

¿Cuál es la ortografía correcta del nombre de ^{YOUTHNAME_#}? Ingrese la ortografía
correcta de “^{YOUTHNAME_#}” y haga clic en “Next” (Siguiente) para continuar.
Nombre: ____________________

RANGE
LIMITS

PINF_036_#: Max 30 characters

LOOP MAX

15
LOOP THROUGH PINF LOOP 1: f_PINF_032_# - PINF_069_# for each roster line in
YOUTHROSTER until YOUTHROSTERNUM is reached, with a max of 15 times.
If PINF_036_#≠DK or REF, Update YOUTHNAME_#

PROGRAM. NOTES
CHECK (ENG)
CHECK (SPAN)
HELP TEXT (ENG)
HELP TEXT (SPAN)
MODE

CASI, CAWI

NOTES
LEAD-IN
NEXT

PINF_035_#
If PINF_035_2_# = 1: PINF_037_#
Else if PINF_035_3_# = 1: f_PINF_038_#
Else: PINF_043_#

PINF_037_#
ASK

PINF_035_2_# = 1 (continue PINF LOOP 1)

QUESTION TYPE

Radio

FILLS (ENG)

Use fill, created in PINF_32_#: FILL_YOUTHNAME_#

FILLS (SPAN)

Use fill, created in PINF_32_#: FILL_YOUTHNAME_#
What is ^{FILL_YOUTHNAME_#}’s sex?

ENGLISH

1. Male
2. Female
¿Cuál es el sexo de ^{FILL_YOUTHNAME_#}?

SPANISH

1. Masculino
2. Femenina

RANGE
LIMITS
LOOP MAX
PROGRAM. NOTES

15
LOOP THROUGH PINF LOOP 1: f_PINF_032_# - PINF_069_# for each roster line in
YOUTHROSTER until YOUTHROSTERNUM is reached, with a max of 15 times.
Update YOUTHSEX_#

CHECK (ENG)
CHECK (SPAN)
HELP TEXT (ENG)
HELP TEXT (SPAN)
MODE

CASI, CAWI

NOTES
LEAD-IN

f_PINF_035_#, PINF_036_#

NEXT

If PINF_035_3_# = 1: f_PINF_038_#
Else: PINF_043_#

f_PINF_038_#
PINF_038_MONTH_#/PINF_038_DAY_#/PINF_038_YEAR_#
ASK
RPC_UID ≠ HHSINFORMANT_UID AND PINF_035_3_# = (continue PINF LOOP 1)
PINF_038_MONTH_#: Dropdown
QUESTION TYPE
PINF_038_DAY_#: Numeric
PINF_038_YEAR_#: Dropdown
FILLS (ENG)
Use fill, created in PINF_32_#: FILL_YOUTHNAME_#
FILLS (SPAN)

ENGLISH

Use fill, created in PINF_32_#: FILL_YOUTHNAME_#
What is ^{YOUTHNAME_#}'s correct date of birth?
Month: {-Select-} [PINF_038_MONTH_#]
Day _________ [PINF_038_DAY_#]
Year {-Select-} [PINF_038_YEAR_#]
¿Cuál es la fecha de nacimiento correcta de ^{YOUTHNAME_#}?

SPANISH

RANGE (ENG)

RANGE (SPAN)

Mes: {-Seleccione-} [PINF_038_MONTH_#]
Día _________ [PINF_038_DAY_#]
Año {-Seleccione-} [PINF_038_YEAR_#]
PINF_038_MONTH_#: List months in order: 1 = “January”, 2 = “February”, … 12 =
“December”
(Span)
1 = “January
2 = “February”
3 = “March”
4 = “April”
5 = “May”
6 = “June”
7 = “July”
8 = “August”
9 = “September”
10 = “October”
11 = “November”
12 = “December”
PINF_038_DAY_#: 1-31
PINF_038_YEAR_#: List years 2008-2017 in reverse chronological order
PINF_038_MONTH_#: List months in order: 1 = “Enero”, 2 = “Febrero”, … 12 =
“Diciembre”
(Span)
1 = “Enero”
2 = “Febrero”
3 = “Marzo”
4 = “Abril”
5 = “Mayo”
6 = “Junio”
7 = “Julio”
8 = “Agosto”
9 = “Septiembre”
10 = “Octubre”

LIMITS
LOOP MAX

PROGRAM. NOTES

CHECK (ENG)
CHECK (SPAN)

11 = “Noviembre”
12 = “Diciembre”
PINF_038_DAY_#: 1-31
PINF_038_YEAR_#: List years 2008-2017 in reverse chronological order
PINF_038_DAY_#: Max 2 digits
15
LOOP THROUGH PINF LOOP 1: f_PINF_032_# - PINF_069_# for each roster line in
YOUTHROSTER until YOUTHROSTERNUM is reached, with a max of 15 times.
IF f_PINF_038_# NOT MISSING, THEN CALCULATE AGE ON DATE OF INTERVIEW BY
SUBTRACTING YOUTHDOB_# FROM TODAY’S DATE, AND UPDATE CURRENTAGE_#. IF
f_PINF_038_# NOT MISSING, Update YOUTHDOB_# to f_PINF_038_#
If any field= DK or REF, DISPLAY SOFT CHECK:
Your answers are very important. Please consider entering a response.
If any field= DK or REF, DISPLAY SOFT CHECK:
Sus respuestas son muy importantes. Ingrese una respuesta.

HELP TEXT (ENG)
HELP TEXT (SPAN)
MODE

CASI, CAWI

NOTES
LEAD-IN

f_PINF_035_#, PINF_036_#, PINF_037_#

NEXT

If PINF_038_MONTH_#≠-DK or REF and PINF_038_YEAR_#≠DK or REF: PINF_040_#
Else : PINF_043_#

PINF_040_#
ASK
QUESTION TYPE
FILLS (ENG)
FILLS (SPAN)

ENGLISH

RPC_UID ≠ HHSINFORMANT_UID AND PINF_038_MONTH_#≠-DK or REF and
PINF_038_YEAR_#≠DK or REF) (continue PINF LOOP 1)
Radio
Use fill, created in PINF_32_#: FILL_YOUTHNAME_#
Use fill, created in PINF_002: Fill_CURRENTAGE_#
Use fill, created in PINF_32_#: FILL_YOUTHNAME_#
Use fill, created in PINF_002: Fill_CURRENTAGE_#
This would make ^{Fill_YOUTHNAME_#} ^{Fill_CURRENTAGE_#}. Is that correct?
1. Yes
0. No
Con esta información, ^{Fill_YOUTHNAME_#} tendría ^{Fill_CURRENTAGE_#}. ¿Es eso
correcto?

SPANISH

1.
0.

Sí
No

RANGE
LIMITS
LOOP MAX

PROGRAM. NOTES

15
LOOP THROUGH PINF LOOP 1: f_PINF_032_# - PINF_069_# for each roster line in
YOUTHROSTER until YOUTHROSTERNUM is reached, with a max of 15 times.
IF RESPONDENT ANSWERS "NO" (PINF_040_#=0), DISPLAY HARD CHECK WITH LINK TO
RETURN TO f_PINF_038_# ‘Click here to Update Date of Birth’
(link is included in ‘Update Date of Birth’)

CHECK (ENG)
CHECK (SPAN)
HELP TEXT (ENG)
HELP TEXT (SPAN)
MODE

CASI, CAWI

NOTES
LEAD-IN
NEXT

PINF_038
PINF_043_#

PINF_041_#
ASK

RPC_UID = HHSINFORMANT_UID (continue PINF LOOP 1)

QUESTION TYPE

Radio
Use fill, created in PINF_32_#: FILL_YOUTHNAME_#
Create fill, FILL_YOUTHPLG_#: If HH_YOUTHPLG_# =1, FILL_YOUTHPLG_#: ‘biological
parent’;
Else, if HH_YOUTHPLG_# =2, FILL_YOUTHPLG_#: ‘step-parent’’;
Else, if HH_YOUTHPLG_# =3, FILL_YOUTHPLG_#: ‘adoptive parent’;
Else, if HH_YOUTHPLG_# =4, FILL_YOUTHPLG_#: ‘foster parent’;
Else, if HH_YOUTHPLG_# =5, FILL_YOUTHPLG_#: ‘legal guardian’;
Else if HH_YOUTHPLG_#=6, FILL_YOUTHPLG_#: ‘mother figure’
Else if HH_YOUTHPLG_#=7, FILL_YOUTHPLG_#: ‘father figure’
Else if HH_YOUTHPLG_#=8, FILL_YOUTHPLG_#: ‘relative guardian’
Else if HH_YOUTHPLG_#=9, FILL_YOUTHPLG_#: ‘non-relative guardian’
Else, FILL_YOUTHPLG_#: ‘unknown’
Use fill, created in PINF_32_#: FILL_YOUTHNAME_#
Create fill, FILL_YOUTHPLG_#: If HH_YOUTHPLG_# =1, FILL_YOUTHPLG_#: ‘padre/madre
biológico(a)’;
Else, if HH_YOUTHPLG_# =2, FILL_YOUTHPLG_#: ‘padrastro/madrastra’’;
Else, if HH_YOUTHPLG_# =3, FILL_YOUTHPLG_#: ‘padre/madre adoptivo(a)’;
Else, if HH_YOUTHPLG_# =4, FILL_YOUTHPLG_#: ‘padre/madre de cuidado temporal’;
Else, if HH_YOUTHPLG_# =5, FILL_YOUTHPLG_#: ‘tutor(a) legal’;
Else if HH_YOUTHPLG_#=6, FILL_YOUTHPLG_#: ‘figura materna’
Else if HH_YOUTHPLG_#=7, FILL_YOUTHPLG_#: ‘figura paterna’
Else if HH_YOUTHPLG_#=8, FILL_YOUTHPLG_#: ‘tutor(a) pariente’
Else if HH_YOUTHPLG_#=9, FILL_YOUTHPLG_#: ‘tutor(a) no pariente’
Else, FILL_YOUTHPLG_#: ‘se desconoce’

FILLS (ENG)

FILLS (SPAN)

ENGLISH

My information says that your relationship to ^{Fill_YOUTHNAME_#} is ^{Fill_YOUTHPLG_#}.
Is this correct?
1. Yes
0. No

SPANISH

Mi información dice que su relación con ^{Fill_YOUTHNAME_#} es la de ^{Fill_YOUTHPLG_#}.
¿Es esto correcto?
1. Sí
0. No

RANGE
LIMITS
LOOP MAX
PROGRAM. NOTES
CHECK (ENG)
CHECK (SPAN)
HELP TEXT (ENG)

15
LOOP THROUGH PINF LOOP 1: f_PINF_032_# - PINF_069_# for each roster line in
YOUTHROSTER until YOUTHROSTERNUM is reached, with a max of 15 times.

HELP TEXT (SPAN)
MODE

CASI, CAWI

NOTES
LEAD-IN

PINF_034_#, PINF_035_#, PINF_036_#, PINF_037_#, PINF_040_#

NEXT

If PINF_041_# = 1: PINF_043_#;
Else PINF_042_#

f_PINF_042_#
PINF_042_#/PINF_042_OTHER_#
ASK
PINF_041≠1 (continue PINF LOOP 1)
PINF_042_#: Radio
QUESTION TYPE
PINF_042_OTHER_#: Text
FILLS (ENG)
Use fill, created in PINF_32_#: FILL_YOUTHNAME_#
FILLS (SPAN)

Use fill, created in PINF_32_#: FILL_YOUTHNAME_#
What is your relationship to ^{Fill_YOUTHNAME_#}? If more than one of these categories
apply, please choose the one that appears first in the list.
1. Biological parent
2. Step-parent
3. Adoptive parent
4. Relative guardian

ENGLISH

5. Foster parent
6. Non-relative guardian
7. Parental figure relative
8. Parental figure non-relative
9. Other
Please tell us your relationship to ^{YOUTHNAME_#}: _______________________________
[PINF_042_OTHER]
¿Cuál es su relación con ^{Fill_YOUTHNAME_#}? Si se aplica más de una de estas categorías,
elija la que aparezca en primer lugar en la lista.
1. Padre/madre biológico(a)
2. Padrastro/madrastra
3. Padre/madre adoptivo(a)
4. Tutor(a) familiar

SPANISH

5. Padre/madre de cuidado temporal
6. Tutor(a) no familiar
7. Figura parental familiar
8. Figura parental no familiar
9. Otros
Díganos su relación con ^{YOUTHNAME_#}: _______________________________
[PINF_042_OTHER]

RANGE
LIMITS

PINF_042_OTHER_#: Max 60 characters

LOOP MAX

15
LOOP THROUGH PINF LOOP 1: f_PINF_032_# - PINF_069_# for each roster line in
YOUTHROSTER until YOUTHROSTERNUM is reached, with a max of 15 times.

PROGRAM. NOTES

IF PINF_042_# = 9, display PINF_042_OTHER_#: ‘Please tell us your relationship to
^{YOUTHNAME_#}.
(SPAN)
LOOP THROUGH PINF LOOP 1: f_PINF_032_# - PINF_069_# for each roster line in
YOUTHROSTER until YOUTHROSTERNUM is reached, with a max of 15 times.
IF PINF_042_# = 9, display PINF_042_OTHER_#: ‘Díganos su relación con
^{YOUTHNAME_#}.
Update HH_YOUTHPLG and YOUTH_RPCPLG with the response to PINF_042
CHECK (ENG)
CHECK (SPAN)
HELP TEXT (ENG)
HELP TEXT (SPAN)
MODE

CASI, CAWI

NOTES
LEAD-IN
NEXT

If PINF_041_#
PINF_043_#

PINF_043_#
ASK
QUESTION TYPE
FILLS (ENG)

FILLS (SPAN)

ENGLISH

All (Continue PINF LOOP 1)
Radio
Use fill, created in PINF_32_#: FILL_YOUTHNAME_#
Create fill, FILL_YOUTHPLG2_#: If HH_YOUTHPLG_# =1, FILL_YOUTHPLG2_#: ‘Other than
you, does another’;
Else, FILL_YOUTHPLG2_#: ‘Does a’
Use fill, created in PINF_32_#: FILL_YOUTHNAME_#
Create fill, FILL_YOUTHPLG2_#: If HH_YOUTHPLG_# =1, FILL_YOUTHPLG2_#: ‘Aparte de
usted, ¿otro(a)’;
Else, FILL_YOUTHPLG2_#: ‘¿Otro(a)’
^{Fill_YOUTHPLG2_#} biological parent of ^{Fill_YOUTHNAME_#} live at this address?
1. Yes
0. No

SPANISH

^{Fill_YOUTHPLG2_#} padre/madre biológico(a) de ^{Fill_YOUTHNAME_#} vive en esta
dirección?
1. Sí
0. No

RANGE
LIMITS
LOOP MAX
PROGRAM. NOTES

15
LOOP THROUGH PINF LOOP 1: f_PINF_032_# - PINF_069_# for each roster line in
YOUTHROSTER until YOUTHROSTERNUM is reached, with a max of 15 times.

CHECK (ENG)
CHECK (SPAN)
HELP TEXT (ENG)
HELP TEXT (SPAN)
MODE

CASI, CAWI

NOTES
LEAD-IN

NEXT

PINF_031_LOOP_BEGIN, PINF_034_#, PINF_035_#, PINF_036_#, PINF_037_#,
PINF_038_#, PINF_040_#, PINF_041_#, PINF_042_#
If PINF_043_# = 1 and other HH member with YOUTHPLG=1: PINF_044_#;
Else if PINF_043_# = 1 AND No other HH member with YOUTHPLG=1: PINF_045_#;
Else if LOOPNUMBER>1: PINF_046_#;
Else if MOTHER≠1: PINF_048_#;
else if FATHER ≠1: PINF_059_#;
else PINF_068_#

PINF_044_#
ASK
QUESTION TYPE
FILLS (ENG)
FILLS (SPAN)

ENGLISH

PINF_043_# = 1 and (YOUTH_MOTHER=1 or YOUTH_FATHER=1) (Continue PINF Loop 1)
Radio
Use fill, created in PINF_032_#: FILL_YOUTHNAME_#
Create 'FILL_HHNAMEPLG_#': Fill HH_NAME_# from preload where HH_YOUTHPLG_#=1
Use fill, created in PINF_32_#: FILL_YOUTHNAME_#
Create 'FILL_HHNAMEPLG_#': Fill HHNAME_# from preload where YOUTHPLG_#=1
I have ^{Fill_HHNAMEPLG_#}_#}, ^{Fill_YOUTHNAME_#}’s biological parent, as living in the
household. Is this correct?
1. Yes
0. No

SPANISH

Registré a ^{Fill_HHNAMEPLG_#} como padre/madre biológico(a) de ^{Fill_YOUTHNAME_#}
que vive en el mismo hogar. ¿Es esto correcto?
1. Sí
0. No

RANGE
LIMITS
LOOP MAX
PROGRAM. NOTES

15
LOOP THROUGH PINF Loop 1: f_PINF_032_# - PINF_069_# for each roster line in
YOUTHROSTER until YOUTHROSTERNUM is reached, with a max of 15 times.

CHECK (ENG)
CHECK (SPAN)
HELP TEXT (ENG)
HELP TEXT (SPAN)
MODE

CASI, CAWI

NOTES
LEAD-IN
NEXT

If PINF_043_#=1
If PINF_044_# = 1 (yes): PINF_068_#; Else PINF_045_#

PINF_045_#
ASK
QUESTION TYPE
FILLS (ENG)
FILLS (SPAN)
ENGLISH

PINF_044_# = 0 OR ((PINF_043=1_# AND (BIOMOMID= missing or BIODADID=missing))
(Continue PINF Loop 1)
Radio
Use fill, created in PINF_32_#: FILL_YOUTHNAME
Use fill from PINF_019: FILL_ADULTLIST
Use fill, created in PINF_32_#: FILL_YOUTHNAME
Use fill from PINF_019: FILL_ADULTLIST
Who is ^{Fill_YOUTHNAME}'s biological parent who lives here?
^{FILL_ADULTLIST}
¿Cuál es el padre/madre biológico(a) de ^{Fill_YOUTHNAME} que vive aquí?

SPANISH

^{FILL_ADULTLIST}

RANGE
LIMITS
LOOP MAX

PROGRAM. NOTES

15
SHOW LIST OF PARENTS, OTHER LEGAL GUARDIANS, OR CAREGIVERS COLLECTED IN
HOUSEHOLD SCREENER AND ALLOW R TO SELECT NUMBER CORRESPONDING TO
PERSON ON THE LIST. IF HHSEX=2 FOR SELECTED HOUSEHOLD MEMBER, SET
YOUTH_MOTHER=1; IF HHSEX=1 FOR SELECTED HOUSEHOLD MEMBER, SET
YOUTH_FATHER=1; IF HHSEX=2 FOR SELECTED HOUSEHOLD MEMBER, SET
YOUTH_BIOMOMUID=HH_UID. IF HHSEX=1 FOR SELECTED HOUSEHOLD MEMBER, SET
YOUTH_BIODADUID=HH_UID.
LOOP THROUGH PINF Loop 1: f_PINF_032_# - PINF_069_# for each roster line in
YOUTHROSTER until YOUTHROSTERNUM is reached, with a max of 15 times.

CHECK (ENG)
CHECK (SPAN)
HELP TEXT (ENG)
HELP TEXT (SPAN)
MODE

CASI, CAWI

NOTES
LEAD-IN

PINF_043_#, PINF_044_#

NEXT

IF YOUTH_MOTHER≠1: PINF_048_#; else if YOUTH_FATHER≠1: PINF_059_#; Else
PINF_068_#

PINF_046_#
ASK

LOOPNUMBER>1 AND YOUTH_MOTHER≠1 (Continue PINF Loop 1)

QUESTION TYPE

Radio

FILLS (ENG)

Use fill, created in PINF_32_#: FILL_YOUTHNAME_#

FILLS (SPAN)

ENGLISH

Use fill, created in PINF_32_#: FILL_YOUTHNAME_#
Does ^{Fill_YOUTHNAME_#} have the same biological mother as any of the other youth we
have talked about already?
1. Yes
0. No

SPANISH

¿Tiene ^{Fill_YOUTHNAME_#} la misma madre biológica que alguno(a) de las otros(as)
jóvenes de los(as) que ya hemos hablado?
1. Sí
0. No

RANGE
LIMITS
LOOP MAX
PROGRAM. NOTES

15
LOOP THROUGH PINF Loop 1: f_PINF_032_# - PINF_069_# for each roster line in
YOUTHROSTER until YOUTHROSTERNUM is reached, with a max of 15 times.

CHECK (ENG)
CHECK (SPAN)
HELP TEXT (ENG)
HELP TEXT (SPAN)
MODE

CASI, CAWI

NOTES
LEAD-IN
NEXT

PINF_043_#
If PINF_046_#=1: PINF_047_#; Else PINF_048_#

PINF_047_#
ASK
QUESTION TYPE
FILLS (ENG)
FILLS (SPAN)

PINF_046_#=1 (Continue PINF Loop 1)
Checkbox
Use fill, created in PINF_32_#: FILL_YOUTHNAME_#
FILL Each YOUTHNAME from YOUTHROSTER
Use fill, created in PINF_32_#: FILL_YOUTHNAME_#
FILL Each YOUTHNAME from YOUTHROSTER
With which youth does ^{Fill_YOUTHNAME_#} share a biological mother?
1. ^{Fill_YOUTHNAME_#}

ENGLISH

2. ^{Fill_YOUTHNAME_#}
3. ^{Fill_YOUTHNAME_#}
Etc.
0. None of the above
¿Con qué joven(es) comparte ^{Fill_YOUTHNAME_#} una madre biológica?
1. ^{Fill_YOUTHNAME_#}

SPANISH

2. ^{Fill_YOUTHNAME_#}
3. ^{Fill_YOUTHNAME_#}
Etc.
0. Ninguno(a) de las anteriores

RANGE
LIMITS
LOOP MAX

PROGRAM. NOTES

15
DISPLAY YOUTHNAME OF ALL YOUTHS THAT HAVE ALREADY BEEN LOOPED. UPDATE
NONRESROSTER, ADD YOUTHID TO NEXT AVAILABLE NRYOUTH# VARIABLE
Allow multiple selection for all YOUTHNAME entries, excluding 0. If 0, do not allow other
entries to be checked, and vice versa.
LOOP THROUGH PINF Loop 1: f_PINF_032_# - PINF_069_# for each roster line in
YOUTHROSTER until YOUTHROSTERNUM is reached, with a max of 15 times.

CHECK (ENG)
CHECK (SPAN)
HELP TEXT (ENG)
HELP TEXT (SPAN)
MODE

CASI, CAWI

NOTES
LEAD-IN

PINF_046_#=1

NEXT

If PINF_047_#=0 or DK or REF: PINF_048_#
else if YOUTH_FATHER≠1: PINF_057_#
Else PINF_068_#

PINF_048_#
ASK

MOTHER≠1YOUTH_MOTHER≠1 and (PINF_046_# ≠1 or PINF_047_#=0 or DK or REF)

QUESTION TYPE

Text

FILLS (ENG)

Use fill, created in PINF_32_#: FILL_YOUTHNAME_#

FILLS (SPAN)
ENGLISH
SPANISH

Use fill, created in PINF_32_#: FILL_YOUTHNAME_#
Can you tell me the first name of ^{Fill_YOUTHNAME_#}'s biological mother?
Enter first name: __________
¿Puede decirme el primer nombre de la madre biológica de ^{Fill_YOUTHNAME_#}
Ingrese el nombre: __________

RANGE
LIMITS

Max 30 characters

LOOP MAX

15
CREATE VAR BIOMOMNAME_# FOR YOUTH AND SET EQUAL TO ‘PINF_048_#’.

PROGRAM. NOTES

LOOP THROUGH PINF Loop 1: f_PINF_032_# - PINF_069_# for each roster line in
YOUTHROSTER until YOUTHROSTERNUM is reached, with a max of 15 times.

CHECK (ENG)
CHECK (SPAN)
HELP TEXT (ENG)
HELP TEXT (SPAN)
MODE

CASI, CAWI

NOTES
LEAD-IN

PINF_043_#, PINF_045_#, PINF_046_#, PINF_047_#

NEXT

If PINF_048_# = DK or REF and If YOUTH_FATHER=1: PINF_068_#;
Else If PINF_048_# = DK or REF and YOUTH_FATHER≠1: PINF_059_#;
Else PINF_049_#

PINF_049_#
ASK

PINF_046_# ≠1 and PINF_048_# ≠ DK or REF (Continue PINF Loop 1)

QUESTION TYPE

Numeric with special response option

FILLS (ENG)

Create fill, FILL_BIOMOMNAME_#: Fill with 'BIOMOMNAME_#’ created in PINF_048_#.

FILLS (SPAN)

Create fill, FILL_BIOMOMNAME_#: Fill with 'BIOMOMNAME_#’ created in PINF_048_#.
How far does ^{Fill_BIOMOMNAME_#} live from here?

ENGLISH

Enter number of miles __________
-9. Youth's biological mother is deceased
¿A qué distancia vive ^{Fill_BIOMOMNAME_#} de aquí?

SPANISH

Ingrese el número de millas __________
-9. La madre biológica de los(as) jóvenes ha fallecido

RANGE

00000-99999

LIMITS

Max 5 digits

LOOP MAX

15
CREATE VAR BIOMOMDECEASED_#. IF PINF_049_#=-9 SET BIOMOMDECEASED_#=1, ELSE
SET BIOMOMDECEASED_#=0

PROGRAM. NOTES

CHECK (ENG)
CHECK (SPAN)

LOOP THROUGH PINF Loop 1: f_PINF_032_# - PINF_069_# for each roster line in
YOUTHROSTER until YOUTHROSTERNUM is reached, with a max of 15 times.
If out of range, display hard check “Please enter a number of miles between 0 and
99,999.”
If out of range, display hard check “Introduzca un número de millas entre 0 y 99,000.”

HELP TEXT (ENG)
HELP TEXT (SPAN)
MODE

CASI, CAWI

NOTES
LEAD-IN
NEXT

If PINF_048_#
If PINF_049_# = -9: PINF_050_#; Else: PINF_052_#

PINF_050_#
ASK

PINF_049_#= -9 (Continue PINF Loop 1)

QUESTION TYPE

Dropdown

FILLS (ENG)

Create fill, FILL_INTERVIEWYEAR: ‘DOI_YEAR’

FILLS (SPAN)

Create fill, FILL_INTERVIEWYEAR: ‘DOI_YEAR’
In what year did she die?

ENGLISH
SPANISH
RANGE
LIMITS
LOOP MAX
PROGRAM. NOTES
CHECK (ENG)
CHECK (SPAN)

Select year: { - Select - }
¿En qué año murió?
Seleccione el año: { - Seleccione - }
List years 2008 to 2030 in reverse chronological order: 2030, 2029, 2028, 2027, … 2008
(Do not display future years)
Max 4 digits
15
DO NOT DISPLAY YEARS THAT ARE IN THE FUTURE ON DOI.
LOOP THROUGH PINF Loop 1: f_PINF_032_# - PINF_069_# for each roster line in
YOUTHROSTER until YOUTHROSTERNUM is reached, with a max of 15 times.
HARD CHECK: IF ENTRY IS OUTSIDE OF RANGE OR IN FUTURE ON DOI, DISPLAY: ‘Please
enter a year between 2008 and ^{FILL_INTERVIEWYEAR}.}’
HARD CHECK: IF ENTRY IS OUTSIDE OF RANGE OR IN FUTURE ON DOI, DISPLAY: ‘Ingrese
un año entre 2008 y ^{FILL_INTERVIEWYEAR}.’

HELP TEXT (ENG)
HELP TEXT (SPAN)
MODE

CASI, CAWI

NOTES
LEAD-IN
NEXT

PINF_049_# = -9
PINF_051_#

PINF_051_#
ASK

PINF_049_# =-9 (Continue PINF Loop 1)

QUESTION TYPE

Numeric

FILLS (ENG)

Use fill, created in PINF_49_#: FILL_BIOMOMNAME_#

FILLS (SPAN)

Use fill, created in PINF_49_#: FILL_BIOMOMNAME_#

ENGLISH
SPANISH

What was ^{Fill_BIOMOMNAME_#}'s age when she died?
Enter age in years: __________
¿Qué edad tenía ^{Fill_BIOMOMNAME_#} cuando murió?
Ingrese la edad en años: __________

RANGE

12-120

LIMITS

Max 3 digits

LOOP MAX

15
LOOP THROUGH PINF Loop 1: f_PINF_032_# - PINF_069_# for each roster line in
YOUTHROSTER until YOUTHROSTERNUM is reached, with a max of 15 times.

PROGRAM. NOTES
CHECK (ENG)
CHECK (SPAN)
HELP TEXT (ENG)
HELP TEXT (SPAN)
MODE

CASI, CAWI

NOTES
LEAD-IN
NEXT

PINF_050_#
PINF_054_#

PINF_052_#
ASK

PINF_046_# ≠1 and PINF_048_# ≠ DK or REF and PINF_049_# ≠-9 (Continue PINF Loop 1)

QUESTION TYPE

Numeric

FILLS (ENG)

Use fill, created in PINF_49_#: FILL_BIOMOMNAME_#

FILLS (SPAN)

Use fill, created in PINF_49_#: FILL_BIOMOMNAME_#

ENGLISH
SPANISH

How old was ^{Fill_[BIOMOMNAME_#} on her last birthday?
Enter age in years: __________
¿Qué edad tenía ^{Fill_[BIOMOMNAME_#} en su último cumpleaños?
Ingrese la edad en años: __________

RANGE

18-120

LIMITS

Max 3 digits

LOOP MAX

15
LOOP THROUGH PINF Loop 1: f_PINF_032_# - PINF_069_# for each roster line in
YOUTHROSTER until YOUTHROSTERNUM is reached, with a max of 15 times.

PROGRAM. NOTES
CHECK (ENG)
CHECK (SPAN)
HELP TEXT (ENG)
HELP TEXT (SPAN)
MODE

CASI, CAWI

NOTES
LEAD-IN
NEXT

PINF_049_#
PINF_053_#

PINF_053_#

QUESTION TYPE

YOUTH_MOTHER ≠1 and PINF_046_# ≠1 and PINF_048_# ≠ DK or REF and PINF_049_# ≠9 (Continue PINF Loop 1)
Radio

FILLS (ENG)

Use fill, created in PINF_49_#: FILL_BIOMOMNAME_#

FILLS (SPAN)

Use fill, created in PINF_49_#: FILL_BIOMOMNAME_#

ASK

What is ^{BIOMOMNAME_#}'s marital status?
1. Married
ENGLISH

2. Separated
3. Divorced
4. Widowed
0. Never married
¿Cuál es el estado civil de ^{BIOMOMNAME_#}?
1. Casada

SPANISH

2. Separada
3. Divorciada
4. Viuda
0. Nunca se casó

RANGE
LIMITS
LOOP MAX
PROGRAM. NOTES

15
LOOP THROUGH PINF Loop 1: f_PINF_032_# - PINF_069_# for each roster line in
YOUTHROSTER until YOUTHROSTERNUM is reached, with a max of 15 times.

CHECK (ENG)
CHECK (SPAN)
HELP TEXT (ENG)
HELP TEXT (SPAN)
MODE

CASI, CAWI

NOTES
LEAD-IN
NEXT

PINF_052_#
PINF_054_#

PINF_054_#
ASK
QUESTION TYPE

FILLS (ENG)

FILLS (SPAN)

YOUTH_MOTHER ≠1 and (PINF_046_# ≠1 or PINF_047 = 0) and PINF_048_# ≠ DK or REF
(Continue PINF Loop 1)
Radio
Use fill, created in PINF_49_#: FILL_BIOMOMNAME_#
Create fill, FILL_BIOMOMDECEASED: If 'BIOMOMDECEASED_#’=1,
FILL_BIOMOMDECEASED: ‘was’;
Else, FILL_BIOMOMDECEASED: ‘is’.
Create fill, FILL_BIOMOMDECEASED2: If 'BIOMOMDECEASED_#’=1,
FILL_BIOMOMDECEASED2: ‘had’;
Else, FILL_BIOMOMDECEASED2: ‘has’
Use fill, created in PINF_49_#: FILL_BIOMOMNAME_#
Create fill, FILL_BIOMOMDECEASED: If 'BIOMOMDECEASED_#’=1,
FILL_BIOMOMDECEASED: ‘fue’;
Else, FILL_BIOMOMDECEASED: ‘es’.
Create fill, FILL_BIOMOMDECEASED2: If 'BIOMOMDECEASED_#’=1,
FILL_BIOMOMDECEASED2: ‘consiguió’;
Else, FILL_BIOMOMDECEASED2: ‘ha conseguido’
What ^{Fill_BIOMOMDECEASED} the highest educational degree that ^{Fill_BIOMOMNAME_#}
^{Fill_BIOMOMDECEASED2} received?
1. High school equivalency such as GED (General Education Development) or HiSET (High
School Equivalency Test)
2. High school diploma (Regular 12-year program)

ENGLISH

3. Associate/Junior college (AA, AS)
4. Bachelor's degree (BA, BS)
5. Master's degree (MA, MS)
6. Doctoral degree (PhD, EdD)
7. Professional degree (MD, DDS, JD)
0. None
¿Cuál ^{Fill_BIOMOMDECEASED} el título educativo más alto que ^{Fill_BIOMOMNAME_#}
^{Fill_BIOMOMDECEASED2}?
1. Título equivalente al de la escuela secundaria/preparatoria, como el Desarrollo de
Educación General (GED, por sus siglas en inglés) o la Prueba de Equivalencia de Escuela
Secundaria (HiSET, por sus siglas en inglés)
2. Diploma de escuela secundaria/preparatoria (programa regular de 12 años)

SPANISH

3. Título de dos años (Associate)/escuela semisuperior (AA, AS, por sus siglas en inglés)
4. Título de cuatro años (BA, BS, por sus siglas en inglés)
5. Maestría (MA, MS, por sus siglas en inglés)
6. Doctorado (PhD, EdD, por sus siglas en inglés)
7. Título profesional (MD, DDS, JD, por sus siglas en inglés)
0. Ninguno

RANGE

LIMITS
LOOP MAX
PROGRAM. NOTES

15
LOOP THROUGH PINF Loop 1f_PINF_032_# - PINF_069_# for each roster line in
YOUTHROSTER until YOUTHROSTERNUM is reached, with a max of 15 times.

CHECK (ENG)
CHECK (SPAN)
HELP TEXT (ENG)
HELP TEXT (SPAN)
MODE

CASI, CAWI

NOTES
LEAD-IN
NEXT

PINF_053_#, PINF_051_#
If PINF_049_#=-9: PINF_056_#; ELSE, PINF_055_#

PINF_055_#

QUESTION TYPE

YOUTH_MOTHER ≠1 and PINF_046_# ≠1 and PINF_048_# ≠ DK or REF and PINF_049≠-9
(Continue PINF Loop 1)
Radio

FILLS (ENG)

Use fill, created in PINF_49_#: FILL_BIOMOMNAME_#

FILLS (SPAN)

Use fill, created in PINF_49_#: FILL_BIOMOMNAME_#

ASK

Is ^{Fill_BIOMOMNAME_#} currently working full-time, part-time, or not at all?
ENGLISH

1. Full-time
2. Part-time
0. Not at all
¿^{Fill_BIOMOMNAME_#} trabaja en este momento a tiempo completo, a tiempo parcial o no
trabaja en absoluto?

SPANISH

1. Tiempo completo
2. Tiempo parcial
0. No trabaja

RANGE
LIMITS
LOOP MAX
PROGRAM. NOTES

15
LOOP THROUGH PINF Loop 1: f_PINF_032_# - PINF_069_# for each roster line in
YOUTHROSTER until YOUTHROSTERNUM is reached, with a max of 15 times.

CHECK (ENG)
CHECK (SPAN)
HELP TEXT (ENG)
HELP TEXT (SPAN)
MODE

CASI, CAWI

NOTES
LEAD-IN
NEXT

PINF_054_#
PINF_056_#

PINF_056_#
ASK
QUESTION TYPE
FILLS (ENG)
FILLS (SPAN)

YOUTH_MOTHER ≠1 and PINF_046_# ≠1 and PINF_048_# ≠ DK or REF and (Continue
PINF Loop 1)
Checkbox
Use fill, created in PINF_49_#: FILL_BIOMOMNAME_#
Use fill, created in PINF_54_#: FILL_BIOMOMDECEASED
Use fill, created in PINF_49_#: FILL_BIOMOMNAME_#
Use fill, created in PINF_54_#: FILL_BIOMOMDECEASED
What ^{Fill_BIOMOMDECEASED} ^{Fill_BIOMOMNAME_#}’s race and/or ethnicity? Select all
that apply.
1. American Indian or Alaska Native?
2. Asian?

ENGLISH

3. Black or African American?
4. Hispanic or Latino?
5. Middle Eastern or North African?
6. Native Hawaiian or Pacific Islander?
7. White?
¿Cuál ^{Fill_BIOMOMDECEASED} la raza y/o el origen étnico de ^{Fill_BIOMOMNAME_#}?
Seleccione todas las opciones que correspondan.
1. Indígena de las Américas o nativa de Alaska
2. Asiática

SPANISH

3. Negra o afroamericana
4. Hispana o latina
5. De Medio Oriente o África del norte
6. Nativa de Hawái o de otras islas del Pacífico
7. Blanca

RANGE
LIMITS
LOOP MAX
PROGRAM. NOTES

15
LOOP THROUGH PINF Loop 1: f_PINF_032_# - PINF_069_# for each roster line in
YOUTHROSTER until YOUTHROSTERNUM is reached, with a max of 15 times.
Allow multiple responses to be selected.

CHECK (ENG)
CHECK (SPAN)
HELP TEXT (ENG)
HELP TEXT (SPAN)
MODE

CASI, CAWI

NOTES
LEAD-IN

PINF_054_#, PINF_055_#

NEXT

If LOOPNUMBER>1 and YOUTH_FATHER≠1: PINF_057_#; Else if YOUTH_FATHER≠1:
PINF_059_#; Else PINF_068_#

PINF_057_#
ASK

LOOPNUMBER>1 AND YOUTH_FATHER≠1 (Continue PINF Loop 1)

QUESTION TYPE

Radio

FILLS (ENG)

Use fill, created in PINF_32_#: FILL_YOUTHNAME_#

FILLS (SPAN)

Use fill, created in PINF_32_#: FILL_YOUTHNAME_#

ENGLISH

Does ^{Fill_YOUTHNAME_#} have the same biological father as any of the other youth we
have talked about already?
1. Yes
0. No

SPANISH

¿Tiene ^{Fill_YOUTHNAME_#} el mismo padre biológico que alguno(a) de las otros(as) jóvenes
de los(as) que ya hemos hablado?
1. Sí
0. No

RANGE
LIMITS
LOOP MAX
PROGRAM. NOTES

15
LOOP THROUGH PINF Loop 1: f_PINF_032_# - PINF_069_# for each roster line in
YOUTHROSTER until YOUTHROSTERNUM is reached, with a max of 15 times.

CHECK (ENG)
CHECK (SPAN)
HELP TEXT (ENG)
HELP TEXT (SPAN)
MODE

CASI, CAWI

NOTES
LEAD-IN
NEXT

PINF_47_#, PINF_056_#
If PINF_057_#=1: PINF_058_#; Else PINF_059_#

PINF_058_#
ASK

PINF_057_# =1 (Continue PINF Loop 1)

QUESTION TYPE

Checkbox

FILLS (ENG)

Use fill, created in PINF_32_#: FILL_YOUTHNAME_#

FILLS (SPAN)

Use fill, created in PINF_32_#: FILL_YOUTHNAME_#
With which youth does ^{Fill_YOUTHNAME_#} share a biological father?
1. ^[Fill_YOUTHNAME_#}

ENGLISH

2. ^[Fill_YOUTHNAME_#}
3. ^[Fill_YOUTHNAME_#}
Etc.
0. None of the above
¿Con qué joven(es) comparte ^{Fill_YOUTHNAME_#} un padre biológico?
1. ^[Fill_YOUTHNAME_#}

SPANISH

2. ^[Fill_YOUTHNAME_#}
3. ^[Fill_YOUTHNAME_#}
Etc.
0. Ninguno de las anteriores

RANGE
LIMITS
LOOP MAX

PROGRAM. NOTES

15
DISPLAY YOUTHNAME_# OF ALL YOUTHS THAT HAVE ALREADY BEEN LOOPED
Allow multiple responses for all entries other than 0. If 0 is selected, do not allow any
other entries to be selected, and vice versa.
LOOP THROUGH PINF Loop 1: f_PINF_032_# - PINF_069_# for each roster line in
YOUTHROSTER until YOUTHROSTERNUM is reached, with a max of 15 times.

CHECK (ENG)
CHECK (SPAN)
HELP TEXT (ENG)
HELP TEXT (SPAN)
MODE

CASI, CAWI

NOTES
LEAD-IN
NEXT

PINF_057_#=1
If PINF_058_#=0 or DK or REF: PINF_059_#; else PINF_068_#

PINF_059_#

QUESTION TYPE

YOUTH_FATHER≠1 and (PINF_057_# ≠1 or PINF_058_#=0 or DK or REF) (continue PINF
Loop 1)
Text

FILLS (ENG)

Use fill, created in PINF_32_#: FILL_YOUTHNAME_#

FILLS (SPAN)

Use fill, created in PINF_32_#: FILL_YOUTHNAME_#

ASK

ENGLISH
SPANISH

Can you tell me the first name of ^{Fill_YOUTHNAME_#}'s biological father?
Enter first name: __________
¿Puede decirme el primer nombre del padre biológico de ^{Fill_YOUTHNAME_#}?
Ingrese el nombre: __________

RANGE
LIMITS

Max 30 characters

LOOP MAX

15
CREATE VAR BIODADNAME_# for youth, set equal to ‘PINF_059_#’

PROGRAM. NOTES

LOOP THROUGH PINF Loop 1: f_PINF_032_# - PINF_069_# for each roster line in
YOUTHROSTER until YOUTHROSTERNUM is reached, with a max of 15 times.

CHECK (ENG)
CHECK (SPAN)
HELP TEXT (ENG)
HELP TEXT (SPAN)
MODE

CASI, CAWI

NOTES
LEAD-IN
NEXT

PINF_043_#, PINF_045_#, PINF_048_#, PINF_056_#, PINF_057_#, PINF_058_#
If PINF_059_# = DK or REF: PINF_068_#; Else PINF_060_#

PINF_060_#
ASK

PINF_057_# ≠1 and PINF_059_# ≠ DK or REF (Continue PINF Loop 1)

QUESTION TYPE

Numeric Radio with special response option

FILLS (ENG)

Create fill, FILL_BIODADNAME_#: Fill with ' BIODADNAME_#’ created in PINF_059_#.

FILLS (SPAN)

Create fill, FILL_BIODADNAME_#: Fill with ' BIODADNAME_#’ created in PINF_059_#.
How far does ^{Fill_BIODADNAME_#} live from here?

ENGLISH

Enter number of miles __________
-9. Youth's biological father is deceased
¿A qué distancia vive ^{Fill_BIODADNAME_#} de aquí?

SPANISH

Ingrese el número de millas __________
-9. El padre biológico de los(as) jóvenes ha fallecido

RANGE

00000-99999

LIMITS

Max 5 digits

LOOP MAX

15
CREATE VAR BIODADDECEASED_#. IF PINF_060_#=-9 SET BIODADDECEASED_#=1; ELSE
SET BIODADDECEASED_#=0

PROGRAM. NOTES

CHECK (ENG)
CHECK (SPAN)

LOOP THROUGH PINF Loop 1: f_PINF_032_# - PINF_069_# for each roster line in
YOUTHROSTER until YOUTHROSTERNUM is reached, with a max of 15 times.
If response out of range, display hard check: “Please enter a number of miles between 0
and 99,999.”
If out of range, display hard check “Introduzca un número de millas entre 0 y 99,000.”

HELP TEXT (ENG)
HELP TEXT (SPAN)
MODE

CASI, CAWI

NOTES
LEAD-IN
NEXT

PINF_059_#
If PINF_060_# = -9: PINF_061_#; Else PINF_063_#

PINF_061_#
ASK

PINF_060_# = -9 (Continue PINF Loop 1)

QUESTION TYPE

Numeric

FILLS (ENG)

Create fill, FILL_INTERVIEWYEAR: ‘DOI_YEAR’

FILLS (SPAN)

Create fill, FILL_INTERVIEWYEAR: ‘DOI_YEAR’
In what year did he die?

ENGLISH
SPANISH
RANGE
LIMITS
LOOP MAX
PROGRAM. NOTES
CHECK (ENG)
CHECK (SPAN)

Select year: { - Select - }
¿En qué año murió?
Seleccione el año: { - Seleccione - }
List years 2008 to 20530 in reverse chronological order: 2030, 2029, 2028, 2027, 2026,
2025, 2024, 2023 … 2008 (Do not display future years)
Max 4 digits
15
LOOP THROUGH PINF Loop 1: f_PINF_032_# - PINF_069_# for each roster line in
YOUTHROSTER until YOUTHROSTERNUM is reached, with a max of 15 times.
HARD CHECK: IF ENTRY IS OUT OF RANGE OR IN THE FUTURE ON DOI, DISPLAY: ‘Please
enter a year between 2008 and ^{FILL_INTERVIEWYEAR}DD.’
HARD CHECK: IF ENTRY IS OUT OF RANGE OR IN THE FUTURE ON DOI, DISPLAY: ‘Ingrese
un año entre 2008 y ^{FILL_INTERVIEWYEAR}.’

HELP TEXT (ENG)
HELP TEXT (SPAN)
MODE

CASI, CAWI

NOTES
LEAD-IN
NEXT

PINF_060_# = -9
PINF_062_#

PINF_062_#
ASK

PINF_060_#=-9 (Continue PINF Loop 1)

QUESTION TYPE

Numeric

FILLS (ENG)

Use fill, created in PINF_60_#: FILL_BIODADNAME_#

FILLS (SPAN)

Use fill, created in PINF_60_#: FILL_BIODADNAME_#

ENGLISH
SPANISH
RANGE

What was ^{Fill_BIODADNAME_#}'s age when he died?
Enter age in years: __________
¿Qué edad tenía ^{Fill_BIODADNAME_#}cuando murió?
Ingrese la edad en años: __________
12-120

LIMITS

Max 3 digits

LOOP MAX

15
LOOP THROUGH PINF Loop 1: f_PINF_032_# - PINF_069_# for each roster line in
YOUTHROSTER until YOUTHROSTERNUM is reached, with a max of 15 times.

PROGRAM. NOTES
CHECK (ENG)
CHECK (SPAN)
HELP TEXT (ENG)
HELP TEXT (SPAN)
MODE

CASI, CAWI

NOTES
LEAD-IN
NEXT

PINF_061_#
PINF_065_#

PINF_063_#
ASK

PINF_057_# ≠1 and PINF_059_# ≠ DK or REF and PINF_060_#≠-9 (Continue PINF Loop 1)

QUESTION TYPE

Numeric

FILLS (ENG)

Use fill, created in PINF_60_#: FILL_BIODADNAME_#

FILLS (SPAN)

Use fill, created in PINF_60_#: FILL_BIODADNAME_#

ENGLISH
SPANISH

How old was ^{Fill_BIODADNAME_#} on his last birthday?
Enter age in years: __________
¿Qué edad tenía ^{Fill_BIODADNAME_#} en su último cumpleaños?
Ingrese la edad en años: __________

RANGE

18-120

LIMITS

Max 3 digits

LOOP MAX

15
LOOP THROUGH PINF Loop 1: f_PINF_032_# - PINF_069_# for each roster line in
YOUTHROSTER until YOUTHROSTERNUM is reached, with a max of 15 times.

PROGRAM. NOTES
CHECK (ENG)
CHECK (SPAN)
HELP TEXT (ENG)
HELP TEXT (SPAN)
MODE

CASI, CAWI

NOTES
LEAD-IN
NEXT

PINF_060_#
PINF_064_#

PINF_064_#

QUESTION TYPE

PINF_057_# ≠1 and PINF_059_# ≠ DK or REF and PINF_060_# ≠ -9 (Continue PINF Loop
1)
Radio

FILLS (ENG)

Use fill, created in PINF_60_#: FILL_BIODADNAME_#

FILLS (SPAN)

Use fill, created in PINF_60_#: FILL_BIODADNAME_#

ASK

What is ^{Fill_BIODADNAME_#}'s marital status?
1. Married
ENGLISH

2. Separated
3. Divorced
4. Widowed
0. Never married
¿Cuál es el estado civil de ^{Fill_BIODADNAME_#}?
1. Casado

SPANISH

2. Separado
3. Divorciado
4. Viudo
0. Nunca se casó

RANGE
LIMITS
LOOP MAX
PROGRAM. NOTES

15
LOOP THROUGH PINF Loop 1: f_PINF_032_# - PINF_069_# for each roster line in
YOUTHROSTER until YOUTHROSTERNUM is reached, with a max of 15 times.

CHECK (ENG)
CHECK (SPAN)
HELP TEXT (ENG)
HELP TEXT (SPAN)
MODE

CASI, CAWI

NOTES
LEAD-IN
NEXT

PINF_063_#
PINF_065_#

PINF_065_#
ASK
QUESTION TYPE

FILLS (ENG)

FILLS (SPAN)

YOUTH_FATHER≠1 and PINF_057_# ≠1 and PINF_059_# ≠ DK or REF (Continue PINF Loop
1)
Radio
Use fill, created in PINF_60_#: FILL_BIODADNAME_#
Create fill, FILL_BIODADDECEASED: If 'BIODADDECEASED_#’=1, FILL_BIODADDECEASED:
‘was’;
Else, FILL_BIODADDECEASED: ‘is’
Create fill, FILL_BIODADDECEASED2: If 'BIODADDECEASED_#’=1,
FILL_BIODADDECEASED2: ‘had’;
Else, FILL_BIODADDECEASED2: ‘has’
Use fill, created in PINF_60_#: FILL_BIODADNAME_#
Create fill, FILL_BIODADDECEASED: If 'BIODADDECEASED_#’=1, FILL_BIODADDECEASED:
‘fue’;
Else, FILL_BIODADDECEASED: ‘es’
Create fill, FILL_BIODADDECEASED2: If 'BIODADDECEASED_#’=1,
FILL_BIODADDECEASED2: ‘consiguió’;
Else, FILL_BIODADDECEASED2: ‘consiguió’
What ^{Fill_BIODADDECEASED} the highest educational degree that ^{Fill_BIODADNAME_#}
^{Fill_BIODADDECEASED2} received?
1. High school equivalency such as GED (General Education Development) or HiSET (High
School Equivalency Test)
2. High school diploma (Regular 12-year program)

ENGLISH

3. Associate/Junior college (AA, AS)
4. Bachelor's degree (BA, BS)
5. Master's degree (MA, MS)
6. Doctoral degree (PhD, EdD)
7. Professional degree (MD, DDS, JD)
0. None
¿Cuál ^{Fill_BIODADDECEASED} el título educativo más alto que ^{Fill_BIODADNAME_#}
^{Fill_BIODADDECEASED2}?
1. Título equivalente al de la escuela secundaria/preparatoria, como el Desarrollo de
Educación General (GED, por sus siglas en inglés) o la Prueba de Equivalencia de Escuela
Secundaria (HiSET, por sus siglas en inglés)
2. Diploma de escuela secundaria/preparatoria (programa regular de 12 años)

SPANISH

3. Título de dos años (Associate)/escuela semisuperior (AA, AS, por sus siglas en inglés)
4. Título de cuatro años (BA, BS, por sus siglas en inglés)
5. Maestría (MA, MS, por sus siglas en inglés)
6. Doctorado (PhD, EdD, por sus siglas en inglés)
7. Título profesional (MD, DDS, JD, por sus siglas en inglés)
0. Ninguno

RANGE

LIMITS
LOOP MAX
PROGRAM. NOTES

15
LOOP THROUGH PINF Loop 1: f_PINF_032_# - PINF_069_# for each roster line in
YOUTHROSTER until YOUTHROSTERNUM is reached, with a max of 15 times.

CHECK (ENG)
CHECK (SPAN)
HELP TEXT (ENG)
HELP TEXT (SPAN)
MODE

CASI, CAWI

NOTES
LEAD-IN
NEXT

PINF_062_#, PINF_064_#
If PINF_060_#=-9: PINF_067_#; PINF_066_#

PINF_066_#
ASK

PINF_057_# ≠1 and PINF_059_# ≠ DK or REF and PINF_060_# ≠ -9 (Continue PINF Loop 1)

QUESTION TYPE

Radio

FILLS (ENG)

Use fill, created in PINF_60_#: FILL_BIODADNAME_#

FILLS (SPAN)

Use fill, created in PINF_60_#: FILL_BIODADNAME_#
Is ^{Fill_BIODADNAME_#} currently working full-time, part-time, or not at all?

ENGLISH

1. Full-time
2. Part-time
0. Not at all

¿^{Fill_BIODADNAME_#} trabaja en este momento a tiempo completo, a tiempo parcial o no
trabaja en absoluto?

SPANISH

1. Tiempo completo
2. Tiempo parcial
0. No trabaja

RANGE
LIMITS
LOOP MAX
PROGRAM. NOTES

15
LOOP THROUGH PINF Loop 1: f_PINF_032_# - PINF_069_# for each roster line in
YOUTHROSTER until YOUTHROSTERNUM is reached, with a max of 15 times.

CHECK (ENG)
CHECK (SPAN)
HELP TEXT (ENG)
HELP TEXT (SPAN)
MODE

CASI, CAWI

NOTES
LEAD-IN
NEXT

PINF_065_#
PINF_067_#

PINF_067_#
ASK
QUESTION TYPE
FILLS (ENG)
FILLS (SPAN)

YOUTH_FATHER≠1 and PINF_057_# ≠1 and PINF_059_# ≠ DK or REF (Continue PINF Loop
1)
Radio
Use fill, created in PINF_60_#: FILL_BIODADNAME_#
Use fill, created in PINF_65_#: FILL_BIODADDECEASED
Use fill, created in PINF_60_#: FILL_BIODADNAME_#
Use fill, created in PINF_65_#: FILL_BIODADDECEASED
What ^{Fill_BIODADDECEASED} ^{Fill_BIODADNAME_#}’s race and/or ethnicity? Select all that
apply.
1. American Indian or Alaska Native
2. Asian

ENGLISH

3. Black or African American
4. Hispanic or Latino
5. Middle Eastern or North African
6. Native Hawaiian or Pacific Islander
7. White
¿Cuál ^{Fill_BIODADDECEASED} la raza y/o el origen étnico de ^{Fill_BIODADNAME_#}?
Seleccione todas las opciones que correspondan.
1. Indígena de las Américas o nativo de Alaska
2. Asiático

SPANISH

3. Negro o afroamericano
4. Hispano o latino
5. De Medio Oriente o África del norte
6. Nativo de Hawái o de otras islas del Pacífico
7. Blanco

RANGE
LIMITS
LOOP MAX
PROGRAM. NOTES

15
LOOP THROUGH PINF Loop 1: f_PINF_032_# - PINF_069_# for each roster line in
YOUTHROSTER until YOUTHROSTERNUM is reached, with a max of 15 times.

CHECK (ENG)
CHECK (SPAN)
HELP TEXT (ENG)
HELP TEXT (SPAN)
MODE

CASI, CAWI

NOTES
LEAD-IN
NEXT

PINF_066_#, PINF_065_#
PINF_068_#

PINF_068_#
ASK

All

QUESTION TYPE

Computer check

FILLS (ENG)
FILLS (SPAN)
ENGLISH
SPANISH
RANGE
LIMITS
LOOP MAX

PROGRAM. NOTES

15
LOOP THROUGH PINF Loop 1: f_PINF_032_# - PINF_069_# for each roster line in
YOUTHROSTER until YOUTHROSTERNUM is reached, with a max of 15 times.
This is a computer check, do not display screen.
IF YOUTH_MOTHER≠1 OR 2 AND YOUTH_FATHER≠1 OR 2 FOR YOUTH IN THE
HOUSEHOLD, SET PINF_068_# = 1. ELSE, SET PINF_068_# = 0.

CHECK (ENG)
CHECK (SPAN)
HELP TEXT (ENG)
HELP TEXT (SPAN)
MODE

CASI, CAWI

NOTES
LEAD-IN
NEXT

PINF_043_#, PINF_044_#, PINF_045_#, PINF_047_#, PINF_048_#, PINF_056_#,
PINF_058_#, PINF_059_#,
If PINF_068_# = 1: PINF_069_#; Else PINF_070_LOOP_END

PINF_069_#
ASK

PINF_068_#=1 (Continue PINF Loop 1)

QUESTION TYPE

Radio

FILLS (ENG)

Use fill, created in PINF_32_#: FILL_YOUTHNAME_#

FILLS (SPAN)

Use fill, created in PINF_32_#: FILL_YOUTHNAME_#
Is ^{Fill_YOUTHNAME_#} currently living without any parent or guardian figure?

ENGLISH

1. Yes
0. No

¿Vive ^{Fill_YOUTHNAME_#} en este momento sin ninguna figura paterna/materna o tutor(a)?
SPANISH

1. Sí
0. No

RANGE
LIMITS
LOOP MAX
PROGRAM. NOTES

15
LOOP THROUGH PINF Loop 1 f_PINF_032_# - PINF_069_# for each roster line in
YOUTHROSTER until YOUTHROSTERNUM is reached, with a max of 15 times.

CHECK (ENG)
CHECK (SPAN)
HELP TEXT (ENG)
HELP TEXT (SPAN)
MODE

CASI, CAWI

NOTES
LEAD-IN
NEXT

PINF_068_#
PINF_070_LOOP_END

PINF_070_LOOP_END
ASK

All (End PINF Loop 1)

QUESTION TYPE

Computer check

FILLS (ENG)
FILLS (SPAN)
ENGLISH
SPANISH
RANGE
LIMITS
LOOP MAX

PROGRAM. NOTES

15
LOOP THROUGH PINF Loop 1: f_PINF_032_# - PINF_069_# for each roster line in
YOUTHROSTER until YOUTHROSTERNUM is reached, with a max of 15 times.
CREATE NON-RESIDENT PARENT ROSTER NONRESROSTER WITH FOLLOWING VARIABLES:
NONRES_PARENT_UID (Unique ID for each non-residential parent)
NONRES_NAME (Equal to BIOMOMNAME OR BIODADNAME)
NONRES_SEX (IF BIOMOM NONRESSEX=2, IF BIODAD NONRESSEX=1)
NONRES_DECEASED=1 if BIODADDECEASED or BIOMOMDECEASED=1, else 0
NONRES_YOUTH1_UID= YOUTH_UID for eligible youth affiliated with this parent
NONRES_YOUTH1NAME= YOUTHNAME for first youth associated with non-res parent
NONRES_YOUTH2_UID= YOUTH_UID for eligible youth affiliated with this parent
NONRES_YOUTH2NAME= YOUTHNAME for second youth associated with non-res parent
NONRES_YOUTH3_UID= YOUTH_UID for eligible youth affiliated with this parent
NONRES_YOUTH3NAME= YOUTHNAME for third youth associated with non-res parent
NONRES_YOUTH4_UID= YOUTH_UID for eligible youth affiliated with this parent
NONRES_YOUTH4NAME= YOUTHNAME for fourth youth associated with non-res parent
Etc.
CREATE VAR NONRESCOUNT AND SET EQUAL TO NUMBER OF NON-RESIDENTIAL
PARENTS ON NONRESROSTER

CHECK (ENG)
CHECK (SPAN)
HELP TEXT (ENG)
HELP TEXT (SPAN)
MODE

CASI, CAWI

NOTES
LEAD-IN

PINF_068_#, PINF_069_#

NEXT

If LOOPNUMBER<YOUTHROSTERNUM, RETURN TO PINF_031_LOOP_BEGIN;
ELSE: PFAM_001

f_PINF_071
PINF_071_MON/ PINF_071_TUE/ PINF_071_WED/ PINF_071_THU/ PINF_071_FRI/ PINF_071_SAT/
PINF_071_SUN
PINF_004_# = 0 OR DK OR REF
ASK
QUESTION TYPE

Multigrid, Checkbox

FILLS (ENG)

Use fill created in PINF_003, FILL_PCNAME

FILLS (SPAN)

Use fill created in PINF_003, FILL_PCNAME
Generally, what would be good days and times in the next week for me to come back and
speak with ^{Fill_PCNAME}?
COLUMN HEADERS:
2. Morning
3. Afternoon
4. Evening
ROW ITEMS:

ENGLISH

Monday [PINF_071_MON]
Tuesday [PINF_071_TUE]
Wednesday [PINF_071_WED]
Thursday [PINF_071_THU]
Friday [PINF_071_FRI]
Saturday [PINF_071_SAT]
Sunday [PINF_071_SUN]
En general, ¿cuáles serían días y horarios convenientes la próxima semana para que yo vuelva
y hable con ^{Fill_PCNAME}?
COLUMN HEADERS:
1.
2.
3.

SPANISH

Por la mañana
Por la tarde
Por la noche
ROW ITEMS:
Lunes [PINF_071_MON]
Martes [PINF_071_TUE]
Miércoles [PINF_071_WED]
Jueves [PINF_071_THU]
Viernes [PINF_071_FRI]
Sábado [PINF_071_SAT]
Domingo [PINF_071_SUN]

RANGE

LIMITS
LOOP MAX
PROGRAM. NOTES

ALLOW RESPONDENT TO SELECT ANY OF THESE BOXES, INCLUDING EVERY SINGLE BOX.
Code variable as 1 if checked, 0 if not

CHECK (ENG)
CHECK (SPAN)
HELP TEXT (ENG)
HELP TEXT (SPAN)
MODE

CAPI

NOTES
LEAD-IN
NEXT

PINF_004 = 0 or DK or REF
END

PINF_072
ASK

PINF_003_# = 0 or DK or REF and MODE=CAWI

QUESTION TYPE

Informational

FILLS (ENG)
FILLS (SPAN)

ENGLISH

It appears that you are not the correct respondent for this interview. We are sorry for the
inconvenience and will have someone from our team contact the appropriate parent or
caregiver in the household for this interview.

SPANISH

Parece que usted no es la persona indicada para esta entrevista. Disculpe las molestias y un
miembro de nuestro equipo se comunicara con el padre, madre o tutor(a) legal del hogar
para esta entrevista.

RANGE
LIMITS
LOOP MAX
PROGRAM. NOTES

DO NOT ALLOW BACK NAVIGATION FROM THIS ITEM

CHECK (ENG)
CHECK (SPAN)
HELP TEXT (ENG)
HELP TEXT (SPAN)
MODE

CAWI

NOTES
LEAD-IN
NEXT

PINF_003 = 0 or DK or REF
END

NLSY27 Specifications Formatting
Parent/Caregiver Survey, Family Background
PRELOADS:
PRELOAD THE FOLLOWING VARIABLES FROM THE HOUSEHOLD SCREENER:
PCNAME: Name of selected parent or caregiver
PCAGE: Age of selected parent or caregiver
PCPARTNER: HH_NAME of the person on the household roster who is identified as partner
PCSPOUSEE: HH_NAME of the person on the household roster who is identified as spouse
PCSPOUSEID: HH_UID of the person on the household roster who is identified as spouse
PCPARTNERID: HH_UID of the person on the household roster who is identified as partner
RPC_ID: HHID of selected parent/caregiver
From the youth roster: YOUTH_NAME
YOUTH_UID
YOUTH_BIOMOMID: BIOMOMID is unique ID for household member or non-residential parent identified as
biological parent and Sex=2 (female)
YOUTH_BIODADID: BIODADID is unique ID for household member or non-residential parent identified as biological
parent and Sex=1 (male)father
PRELOAD THE FOLLOWING VARIALBES FROM PARENT INFORMATION MODULE:
NONRESROSTER: Non-resident parent roster
NONRES_PARENT_UID: Unique person ID of non-resident parent
NONRES_NAME: Equal to BIOMOMNAME OR BIODADNAME
NONRES_SEX: IF BIOMOM NONRES_SEX=2, IF BIODAD NONRES_SEX=1
NONRES_DECEASED: 1 if BIODADDECEASED or BIOMOMDECEASED=1, else 0
NONRES_YOUTH1_NAME, NONRES_YOUTH2_NAME, NONRES_YOUTH3_NAME, NONRES_YOUTH4_NAME , etc.:
YOUTH_NAME for eligible youth affiliated with this parent
NONRESCOUNT: Equal to number of non-residential parents on NONRESROSTER

CREATE THE FOLLOWING LIST FOR DROPDOWN QUESTIONS:
MONTHLIST
RESPONSE OPTIONS ENGLISH
1. January
2. February
3. March
4. April
5. May
6. June
7. July
8. August
9. September
10. October
11. November
12. December

STATEEXPAND

RESPONSE OPTIONS SPANISH
1. Enero
2. Febrero
3. Marzo
4. Abril
5. Mayo
6. Junio
7. Julio
8. Agosto
9. Septiembre
10. Octubre
11. Noviembre
12. Diciembre

1. Alabama
2. Alaska
3. Arizona
4. Arkansas
5. California
6. Colorado
7. Connecticut
8. Delaware
9. District of Columbia
10. Florida
11. Georgia
12. Hawaii
13. Idaho
14. Illinois
15. Indiana
16. Iowa
17. Kansas
18. Kentucky
19. Louisiana
20. Maine
21. Maryland
22. Massachusetts
23. Michigan
24. Minnesota
25. Mississippi
26. Missouri
27. Montana
28. Nebraska
29. Nevada
30. New Hampshire
31. New Jersey
32. New Mexico
33. New York
34. North Carolina
35. North Dakota
36. Ohio
37. Oklahoma
38. Oregon
39. Pennsylvania
40. Rhode Island
41. South Carolina
42. South Dakota
43. Tennessee
44. Texas
45. Utah
46. Vermont
47. Virginia
48. Washington
49. West Virginia

50. Wisconsin
51. Wyoming
52. American Samoa
53. Guam
54. Northern Mariana Islands
55. Puerto Rico
56. US Virgin Islands
0. Other
COUNTRYLIST
1. Afghanistan
2. Albania
3. Algeria
4. Andorra
5. Angola
6. Antigua and Barbuda
7. Argentina
8. Armenia
9. Australia
10. Austria
11. Azerbaijan
12. The Bahamas
13. Bahrain
14. Bangladesh
15. Barbados
16. Belarus
17. Belgium
18. Belize
19. Benin
20. Bhutan
21. Bolivia
22. Bosnia and Herzegovina
23. Botswana
24. Brazil
25. Brunei
26. Bulgaria
27. Burkina Faso
28. Burundi
29. Cabo Verde
30. Cambodia
31. Cameroon
32. Canada
33. Central African Republic
34. Chad
35. Chile
36. China
37. Colombia
38. Comoros
39. Congo, Democratic Republic of the

40. Congo, Republic of the
41. Costa Rica
42. Côte d’Ivoire
43. Croatia
44. Cuba
45. Cyprus
46. Czech Republic
47. Denmark
48. Djibouti
49. Dominica
50. Dominican Republic
51. East Timor (Timor-Leste)
52. Ecuador
53. Egypt
54. El Salvador
55. Equatorial Guinea
56. Eritrea
57. Estonia
58. Eswatini
59. Ethiopia
60. Fiji
61. Finland
62. France
63. Gabon
64. The Gambia
65. Georgia
66. Germany
67. Ghana
68. Greece
69. Grenada
70. Guatemala
71. Guinea
72. Guinea-Bissau
73. Guyana
74. Haiti
75. Honduras
76. Hungary
77. Iceland
78. India
79.Indonesia
80. Iran
81. Iraq
82. Ireland
83. Israel
84. Italy
85. Jamaica
86. Japan
87. Jordan
88. Kazakhstan

89. Kenya
90. Kiribati
91. Korea, North
92. Korea, South
93. Kosovo
94. Kuwait
95. Kyrgyzstan
96. Laos
97. Latvia
98. Lebanon
99. Lesotho
100. Liberia
101. Libya
102. Liechtenstein
103. Lithuania
104. Luxembourg
105. Madagascar
106. Malawi
107. Malaysia
108. Maldives
109. Mali
110. Malta
111. Marshall Islands
112. Mauritania
113. Mauritius
114. Mexico
115. Micronesia, Federated States of
116. Moldova
117. Monaco
118. Mongolia
119. Montenegro
120. Morocco
121. Mozambique
122. Myanmar (Burma)
123. Namibia
124. Nauru
125. Nepal
126. Netherlands
127. New Zealand
128. Nicaragua
129. Niger
130. Nigeria
131. North Macedonia
132. Norway
133. Oman
134. Pakistan
135. Palau
136. Panama
137. Papua New Guinea

138. Paraguay
139. Peru
140. Philippines
141. Poland
142. Portugal
143. Qatar
144. Romania
145. Russia
146. Rwanda
147. Saint Kitts and Nevis
148. Saint Lucia
149. Saint Vincent and the Grenadines
150. Samoa
151. San Marino
152. São Tomé and Príncipe
153. Saudi Arabia
154. Senegal
155. Serbia
156. Seychelles
157. Sierra Leone
158. Singapore
159. Slovakia
160. Slovenia
161. Solomon Islands
162. Somalia
163. South Africa
164. Spain
165. Sri Lanka
166. Sudan
167. Sudan, South
168. Suriname
169. Sweden
170. Switzerland
171. Syria
172. Taiwan
173. Tajikistan
174. Tanzania
175. Thailand
176. Togo
177. Tonga
178. Trinidad and Tobago
179. Tunisia
180. Turkey (Türkiye)
181. Turkmenistan
182. Tuvalu
183. Uganda
184. Ukraine
185. United Arab Emirates
186. United Kingdom

187. United States or its territories
188. Uruguay
189. Uzbekistan
190. Vanuatu
191. Vatican City
192. Venezuela
193. Vietnam
194. Yemen
195. Zambia
196. Zimbabwe
0. Other
GENERAL PROGRAMMING NOTES:
ALL ITEMS ARE REQUIRED.
DISPLAY DK (-2) AND REF (-1) BY DEFAULT ON EACH PAGE AT LOADING.

PFAM_001
ASK

All respondents

QUESTION TYPE

Radio button

FILLS (ENG)
FILLS (SPAN)
Now we would like to ask you some questions about your characteristics and background.
Were you born in the United States or its territories?

ENGLISH

1. Yes
0. No
Ahora, quisiera hacerle algunas preguntas sobre sus características y antecedentes.
¿Nació en los Estados Unidos o en sus territorios?

SPANISH

1. Sí
0. No
RANGE
LIMITS
LOOP MAX
PROGRAM. NOTES
CHECK (ENG)
CHECK (SPAN)
HELP TEXT (ENG)
HELP TEXT (SPAN)
MODE

CASI / CAWI

NOTES
LEAD-IN
NEXT

PINF_070_LOOP_END
If PFAM_001=1: PFAM_003;
If PFAM_001=0: f_PFAM_002;
Else: PFAM_005

f_PFAM_002
PFAM_002a / PFAM_002OTHER
ASK
If PFAM_001 = 0
QUESTION TYPE

Dropdown / Textbox

FILLS (ENG)
FILLS (SPAN)
In which country were you born? If the country is not listed, please type “Other” into the text box
and select “Other”.
ENGLISH

{ - Select - } [PFAM_002a]
Enter other country in which you were born: ___________ [PFAM_002OTHER]
¿En qué país nació? Si el país no está en la lista, escriba “Otro” en el cuadro de texto y seleccione
“Otro”.

SPANISH

{ - Seleccione - } [PFAM_002a]
Ingrese otro país en el que nació: ___________ [PFAM_002OTHER]

RANGE

COUNTRYLIST

LIMITS

PFAM_002OTHER = max 50 characters

LOOP MAX
PROGRAM. NOTES

Only display PFAM_002OTHER if PFAM_002a = 0

CHECK (ENG)
CHECK (SPAN)
HELP TEXT (ENG)
HELP TEXT (SPAN)
MODE

CASI / CAWI

NOTES
LEAD-IN
NEXT

If PFAM_001 = 0
If PFAM_002=187: f_PFAM_003; Else: PFAM_004

f_PFAM_003
PFAM_003a / PFAM_003OTHER
ASK
If PFAM_001 = 1 or PFAM_002a = 187
QUESTION TYPE

Dropdown / Textbox

FILLS (ENG)
FILLS (SPAN)
In what state or territory were you born?
ENGLISH

{ - Select - } [PFAM_003a]
Enter other location where were you born: ___________ [PFAM_003OTHER]
¿En qué estado o territorio nació?

SPANISH

{ - Seleccione - } [PFAM_003a]
Ingrese otro lugar donde nació: ___________ [PFAM_003OTHER]

RANGE

STATEEXPAND

LIMITS

PFAM_003OTHER = max 50 characters

LOOP MAX
PROGRAM. NOTES

Only display PFAM_003OTHER if PFAM_003a = 0

CHECK (ENG)
CHECK (SPAN)
HELP TEXT (ENG)
HELP TEXT (SPAN)
MODE

CASI / CAWI

NOTES
LEAD-IN
NEXT

If PFAM_001 = 1, PFAM_002 = 187
If PFAM_003a=0, 52, 53, 54, 55, or 56: PFAM_004;
Else: PFAM_005

PFAM_004
ASK

If PFAM_001= 0 or PFAM_003 = 0, 52, 53, 54, 55, or 56

QUESTION TYPE

Numeric

FILLS (ENG)

Create fill, FILL_INTERVIEWYEAR: ‘DOI_YEAR’

FILLS (SPAN)

Create fill, FILL_INTERVIEWYEAR: ‘DOI_YEAR’
In what year did you first come to the United States to live?

ENGLISH

Year: ________________
¿En qué año vino a vivir por primera vez a los Estados Unidos?

SPANISH

Año: ________________

RANGE

1900-2030

LIMITS

Max 4 digits

LOOP MAX
PROGRAM. NOTES

CHECK (ENG)

CHECK (SPAN)

Create variable PCDOBYEAR=(year at DOI)-(PCAGE +2)
HARD CHECK: IF OUT OF RANGE OR IN FUTURE ON DOI, DISPLAY: Please enter a year
between 1900 and ^{FILL_INTERVIEWYEAR}.
SOFT CHECK: If PFAM_004 before PCDOBYEAR, DISPLAY: The year you first came to the
United States to live should be after you were born. Please update your answer, if
necessary.
HARD CHECK: IF OUT OF RANGE OR IN FUTURE ON DOI, DISPLAY: Ingrese un año entre
1900 y ^{FILL_INTERVIEWYEAR}.
SOFT CHECK: If PFAM_004 before PCDOBYEAR, DISPLAY: El año en que vino por primera vez
a vivir a los Estados Unidos debe ser posterior a su nacimiento. Actualice su respuesta, de
ser necesario.

HELP TEXT (ENG)
HELP TEXT (SPAN)
MODE

CASI / CAWI

NOTES
LEAD-IN
NEXT

If PFAM_001= 0; PFAM_003 = 0, 52, 53, 54, 55, or 56; PFAM_002
PFAM_005

PFAM_005
ASK

All respondents

QUESTION TYPE

Radio button

FILLS (ENG)
FILLS (SPAN)
Do you now speak any language other than English at home?
ENGLISH

SPANISH

1. Yes
0. No
¿Habla ahora en casa algún idioma que no sea el inglés?
1. Sí
0. No

RANGE
LIMITS
LOOP MAX
PROGRAM. NOTES
CHECK (ENG)
CHECK (SPAN)
HELP TEXT (ENG)
HELP TEXT (SPAN)
MODE

CASI / CAWI

NOTES
LEAD-IN
NEXT

PFAM_001, PFAM_003, PFAM_004
If PFAM_005=1: PFAM_006; Else: PFAM_007

f_PFAM_006
PFAM_006ARAB / PFAM_006CHIN / PFAM_006FREN / PFAM_006GERM / PFAM_006GREE / PFAM_006HEBR /
PFAM_006ITAL / PFAM_006JAPA / PFAM_006KORE / PFAM_006NORW / PFAM_006POLI / PFAM_006PORT /
PFAM_006RUSS / PFAM_006SPAN / PFAM_006SWED / PFAM_006VIET / PFAM_006OTHER /
PFAM_006OTHER_TX
ASK
If PFAM_005 = 1
QUESTION TYPE

Checkbox / Textbox

FILLS (ENG)
FILLS (SPAN)
What language(s) do you speak at home? Please select all that apply.

ENGLISH

1. Arabic [PFAM_006ARAB]
2. Chinese [PFAM_006CHIN]
3. French [PFAM_006FREN]
4. German [PFAM_006GERM]
5. Greek [PFAM_006GREE]
6. Hebrew [PFAM_006HEBR]
7. Italian [PFAM_006ITAL]
8. Japanese [PFAM_006JAPA]
9. Korean [PFAM_006KORE]
10. Norwegian [PFAM_006NORW]
11. Polish [PFAM_006POLI]
12. Portuguese [PFAM_006PORT]
13. Russian [PFAM_006RUSS]
14. Spanish [PFAM_006SPAN]
15. Swedish [PFAM_006SWED]
16. Vietnamese [PFAM_006VIET]
17. Other [PFAM_006OTHER]
What other language(s) do you speak at home? _________________ [PFAM_006OTHER_TX]
¿Qué idioma(s) habla en casa? Seleccione todas las que correspondan.

SPANISH

1. Árabe [PFAM_006ARAB]
2. Chino [PFAM_006CHIN]
3. Francés [PFAM_006FREN]
4. Alemán [PFAM_006GERM]
5. Griego [PFAM_006GREE]
6. Hebreo [PFAM_006HEBR]
7. Italiano [PFAM_006ITAL]
8. Japonés [PFAM_006JAPA]
9. Coreano [PFAM_006KORE]
10. Noruego [PFAM_006NORW]
11. Polaco [PFAM_006POLI]
12. Portugués [PFAM_006PORT]
13. Ruso [PFAM_006RUSS]
14. Español [PFAM_006SPAN]
15. Sueco [PFAM_006SWED]
16. Vietnamita [PFAM_006VIET]
17. Otros [PFAM_006OTHER]

¿Qué otro(s) idioma(s) habla en casa? _________________ [PFAM_006OTHER_TX]
RANGE
LIMITS

PFAM_006OTHER_TX = max 50 characters

LOOP MAX
PROGRAM. NOTES

Only display PFAM_0036OTHER_TX if PFAM_006_OTHER is selected

CHECK (ENG)
CHECK (SPAN)
HELP TEXT (ENG)
HELP TEXT (SPAN)
MODE

CASI / CAWI

NOTES
LEAD-IN
NEXT

PFAM_005
f_PFAM_007

f_PFAM_007
PFAM_007AI / PFAM_007AS / PFAM_007BL / PFAM_007HI / PFAM_007ME / PFAM_007NH / PFAM_007WT
ASK
All respondents
QUESTION TYPE

Checkbox

FILLS (ENG)
FILLS (SPAN)
What is your race and/or ethnicity? Select all that apply.

ENGLISH

1. American Indian or Alaska Native [PFAM_007AI]
2. Asian [PFAM_007AS]
3. Black or African American [PFAM_007BL]
4. Hispanic or Latino [PFAM_007HI]
5. Middle Eastern or North African [PFAM_007ME]
6. Native Hawaiian or Pacific Islander [PFAM_007NH]
7. White [PFAM_007WT]
¿Cuál es su raza u origen étnico? Seleccione todas las opciones que correspondan.

SPANISH

1. Indígena de las Américas o nativo(a) de Alaska [PFAM_007AI]
2. Asiático(a) [PFAM_007AS]
3. Negro(a) o afroamericano(a) [PFAM_007BL]
4. Hispano(a) o latino(a) [PFAM_007HI]
5. De Medio Oriente o África del norte [PFAM_007ME]
6. Nativo(a) de Hawái o de otras islas del Pacífico [PFAM_007NH]
7. Blanco(a) [PFAM_007WT]

RANGE
LIMITS
LOOP MAX
PROGRAM. NOTES

Code each variable as 1 if checked, 0 if not.

CHECK (ENG)
CHECK (SPAN)
HELP TEXT (ENG)
HELP TEXT (SPAN)
MODE

CASI / CAWI

NOTES
LEAD-IN

NEXT

PFAM_005 , f_PFAM_006
If PFAM_007AS=1: PFAM_008;
Else if PFAM_007BL=1: PFAM_009;
Else if PFAM_007HI=1: PFAM_010;
Else if PFAM_007ME=1: PFAM_011;
Else if PFAM_007NH=1: PFAM_012;
Else if PFAM_007WT=1: PFAM_013;
Else: PFAM_014

f_PFAM_008
PFAM_008CI / PFAM_008AI / PFAM_008FI / PFAM_008VI / PFAM_008KO / PFAM_008JA / PFAM_008AA
ASK
If PFAM_007AS = 1
QUESTION TYPE

Checkbox

FILLS (ENG)
FILLS (SPAN)
You said that you are “Asian” in the previous question. What is your ancestry or ethnic origin?
Select all that apply.

ENGLISH

1. Chinese [PFAM_008CI]
2. Asian Indian [PFAM_008AI]
3. Filipino [PFAM_008FI]
4. Vietnamese [PFAM_008VI]
5. Korean [PFAM_008KO]
6. Japanese [PFAM_008JA]
7. Another Asian group (for example, Pakistani, Hmong, Afghan, etc.) [PFAM_008AA]
Usted indicó que es asiático(a) en la pregunta anterior. ¿Cuál es su ascendencia u origen étnico?
Seleccione todas las opciones que correspondan.

SPANISH

1. Chino(a) [PFAM_008CI]
2. Asiático(a) indio(a) [PFAM_008AI]
3. Filipino(a) [PFAM_008FI]
4. Vietnamita [PFAM_008VI]
5. Coreano(a) [PFAM_008KO]
6. Japonés(a) [PFAM_008JA]
7. Otro grupo asiático(a) (por ejemplo, pakistaní, hmong, afgano/a, etc.) [PFAM_008AA]

RANGE
LIMITS
LOOP MAX
PROGRAM. NOTES

Code each variable as 1 if checked, 0 if not.

CHECK (ENG)
CHECK (SPAN)
HELP TEXT (ENG)
HELP TEXT (SPAN)
MODE

CASI / CAWI

NOTES
LEAD-IN

NEXT

f_PFAM_007
If PFAM_007BL=1: PFAM_009;
Else if PFAM_007HI=1: PFAM_010;
Else if PFAM_007ME=1: PFAM_011;
Else if PFAM_007NH=1: PFAM_012;
Else if PFAM_007WT=1: PFAM_013;
Else: PFAM_014

f_PFAM_009
PFAM_009AF / PFAM_009JA / PFAM_0009HA / PFAM_009NI / PFAM_009ET / PFAM_009SO / PFAM_009AB
ASK
If PFAM_007BL = 1
QUESTION TYPE

Checkbox

FILLS (ENG)
FILLS (SPAN)
You said that you are “Black or African American” in the previous question. What is your ancestry
or ethnic origin? Select all that apply.

ENGLISH

8. African American [PFAM_009AF]
9. Jamaican [PFAM_009JA]
10. Haitian [PFAM_009HA]
11. Nigerian [PFAM_009NI]
12. Ethiopian [PFAM_009ET]
13. Somali [PFAM_009SO]
14. Another African or Caribbean group (for example, Trinidadian and Tobagonian, Ghanian,
Congolese, etc.) [PFAM_009AB]
Usted indicó que es negro(a) o afroamericano(a). ¿Cuál es su ascendencia u origen étnico?
Seleccione todas las opciones que correspondan.

SPANISH

8. Afroamericano(a) [PFAM_009AF]
9. Jamaiquino(a) [PFAM_009JA]
10. Haitiano(a) [PFAM_009HA]
11. Nigeriano(a) [PFAM_009NI]
12. Etíope [PFAM_009ET]
13. Somalí [PFAM_009SO]
14. Otro grupo africano o caribeño (por ejemplo, trinitenses y tobagones, ghaneses, congoleños,
etc.) [PFAM_009AB]

RANGE
LIMITS
LOOP MAX
PROGRAM. NOTES

Code each variable as 1 if checked, 0 if not.

CHECK (ENG)
CHECK (SPAN)
HELP TEXT (ENG)
HELP TEXT (SPAN)
MODE

CASI / CAWI

NOTES
LEAD-IN

NEXT

f_PFAM_007, f_PFAM_008
If PFAM_007HI=1: PFAM_010;
Else if PFAM_007ME=1: PFAM_011;
Else if PFAM_007NH=1: PFAM_012;
Else if PFAM_007WT=1: PFAM_013;
Else: PFAM_014

f_PFAM_010
PFAM_010MX / PFAM_010PR / PFAM_010SA / PFAM_010CU / PFAM_010DO / PFAM_010GU / PFAM_010AH
ASK
If PFAM_007HI = 1
QUESTION TYPE

Checkbox

FILLS (ENG)
FILLS (SPAN)
You said that you are “Hispanic or Latino” in the previous question. What is your ancestry or
ethnic origin? Select all that apply.

ENGLISH

15. Mexican [PFAM_010MX]
16. Puerto Rican [PFAM_010PR]
17. Salvadoran [PFAM_010SA]
18. Cuban [PFAM_010CU]
19. Dominican [PFAM_010DO]
20. Guatemalan [PFAM_010GU]
21. Another Hispanic or Latino group (for example, Colombian, Honduran, Spaniard, etc.)
[PFAM_010AH]
Usted indicó que es hispano(a) o latino(a) en la pregunta anterior. ¿Cuál es su ascendencia u
origen étnico? Seleccione todas las opciones que correspondan.

SPANISH

15. Mexicano(a) [PFAM_010MX]
16. Puertorriqueño(a) [PFAM_010PR]
17. Salvadoreño(a) [PFAM_010SA]
18. Cubano(a) [PFAM_010CU]
19. Dominicano(a) [PFAM_010DO]
20. Guatemalteco(a) [PFAM_010GU]
21. Otro grupo hispano o latino (por ejemplo, colombiano/a, hondureño/a, español/a, etc.)
[PFAM_010AH]

RANGE
LIMITS
LOOP MAX
PROGRAM. NOTES

Code each variable as 1 if checked, 0 if not.

CHECK (ENG)
CHECK (SPAN)
HELP TEXT (ENG)
HELP TEXT (SPAN)
MODE

CASI / CAWI

NOTES
LEAD-IN
NEXT

f_PFAM_007, f_PFAM_008, f_PFAM_009
If PFAM_007ME=1: PFAM_011;
Else if PFAM_007NH=1: PFAM_012;
Else if PFAM_007WT=1: PFAM_013;
Else: PFAM_014

f_PFAM_011
PFAM_011LE / PFAM_011IR / PFAM_011EG / PFAM_011SY / PFAM_011IQ / PFAM_011IS / PFAM_011AM
ASK
If PFAM_007ME = 1
QUESTION TYPE

Checkbox

FILLS (ENG)
FILLS (SPAN)
You said that you are “Middle Eastern or North African” in the previous question. What is your
ancestry or ethnic origin? Select all that apply.

ENGLISH

22. Lebanese [PFAM_011LE]
23. Iranian [PFAM_011IR]
24. Egyptian [PFAM_011EG]
25. Syrian [PFAM_011SY]
26. Iraqi [PFAM_011IQ]
27. Israeli [PFAM_011IS]
28. Another Middle Eastern or North African group (for example, Moroccan, Yemeni, Kurdish,
etc.) [PFAM_011AM]
Usted indicó que es de Medio Oriente o África del norte en la pregunta anterior. ¿Cuál es su
ascendencia u origen étnico? Seleccione todas las opciones que correspondan.

SPANISH

22. Libanés(a) [PFAM_011LE]
23. Iraní [PFAM_011IR]
24. Egipcio(a) [PFAM_011EG]
25. Sirio(a) [PFAM_011SY]
26. Iraquí [PFAM_011IQ]
27. Israelí [PFAM_011IS]
28. Otro grupo del Medio Oriente o África del norte (por ejemplo, marroquí, yemení, kurdo, etc.)
[PFAM_011AM]

RANGE
LIMITS
LOOP MAX
PROGRAM. NOTES

Code each variable as 1 if checked, 0 if not.

CHECK (ENG)
CHECK (SPAN)
HELP TEXT (ENG)
HELP TEXT (SPAN)
MODE

CASI / CAWI

NOTES
LEAD-IN
NEXT

f_PFAM_007, f_PFAM_008, f_PFAM_009, f_PFAM_010
If PFAM_007NH=1: PFAM_012;
Else if PFAM_007WT=1: PFAM_013;
Else: PFAM_014

f_PFAM_012
PFAM_012NH / PFAM_012SA / PFAM_012CH / PFAM_012TO / PFAM_012FI / PFAM_012MA / PFAM_012AP
ASK
If PFAM_007NH = 1
QUESTION TYPE

Checkbox

FILLS (ENG)
FILLS (SPAN)
You said that you are “Native Hawaiian or Pacific Islander” in the previous question. What is your
ancestry or ethnic origin? Select all that apply.

ENGLISH

29. Native Hawaiian [PFAM_012NH]
30. Samoan [PFAM_012SA]
31. Chamorro [PFAM_012CH]
32. Tongan [PFAM_012TO]
33. Fijian [PFAM_012FI]
34. Marshallese [PFAM_012MA]
35. Another Pacific Islander group (for example, Chuukese, Palauan, Tahitian, etc.)
[PFAM_012AP]
Usted indicó que es Nativo(a) de Hawái o de otras islas del Pacífico en la pregunta anterior. ¿Cuál
es su ascendencia u origen étnico? Seleccione todas las opciones que correspondan.

SPANISH

29. Hawaiano(a) nativo(a) [PFAM_012NH]
30. Samoano(a) [PFAM_012SA]
31. Chamorro(a) [PFAM_012CH]
32. Tongano(a) [PFAM_012TO]
33. Fiyiano(a) [PFAM_012FI]
34. Marshalés(a) [PFAM_012MA]
35. Otro grupo de isleños del Pacífico (por ejemplo, chuukenses, palauanos, tahitianos, etc.)
[PFAM_012AP]

RANGE
LIMITS
LOOP MAX
PROGRAM. NOTES

Code each variable as 1 if checked, 0 if not.

CHECK (ENG)
CHECK (SPAN)
HELP TEXT (ENG)
HELP TEXT (SPAN)
MODE

CASI / CAWI

NOTES
LEAD-IN
NEXT

f_PFAM_007, f_PFAM_008, f_PFAM_009, f_PFAM_010, f_PFAM_011
If PFAM_007WT=1: PFAM_013;
Else: PFAM_014

f_PFAM_013
PFAM_013EN / PFAM_013GE / PFAM_013IR / PFAM_013IT / PFAM_013PO / PFAM_013SC / PFAM_013AE
ASK
If PFAM_007WT = 1
QUESTION TYPE

Checkbox

FILLS (ENG)
FILLS (SPAN)
You said that you are “White” in the previous question. What is your ancestry or ethnic origin?
Select all that apply.

ENGLISH

36. English [PFAM_013EN]
37. German [PFAM_013GE]
38. Irish [PFAM_013IR]
39. Italian [PFAM_013IT]
40. Polish [PFAM_013PO]
41. Scottish [PFAM_013SC]
42. Another European group (for example, French, Swedish, Norwegian, etc.) [PFAM_013AE]
Usted indicó que es blanco(a) en la pregunta anterior. ¿Cuál es su ascendencia u origen étnico?
Seleccione todas las opciones que correspondan.

SPANISH

36. Inglés(a) [PFAM_013EN]
37. Alemán(a) [PFAM_013GE]
38. Irlandés(a) [PFAM_013IR]
39. Italiano(a) [PFAM_013IT]
40. Polaco(a) [PFAM_013PO]
41. Escocés(a) [PFAM_013SC]
42. Otro grupo europeo (por ejemplo, francés/a, sueco/a, noruego/a, etc.) [PFAM_013AE]

RANGE
LIMITS
LOOP MAX
PROGRAM. NOTES

Code each variable as 1 if checked, 0 if not.

CHECK (ENG)
CHECK (SPAN)
HELP TEXT (ENG)
HELP TEXT (SPAN)
MODE

CASI / CAWI

NOTES
LEAD-IN
NEXT

f_PFAM_007, f_PFAM_008, f_PFAM_009, f_PFAM_010, f_PFAM_011, f_PFAM_012
PFAM_014

PFAM_014
ASK

All respondents

QUESTION TYPE

Radio button

FILLS (ENG)
FILLS (SPAN)
What is your sex?
ENGLISH

1. Male
2. Female
¿Cuál es su sexo?

SPANISH

1. Masculino
2. Femenina

RANGE
LIMITS
LOOP MAX
PROGRAM. NOTES
CHECK (ENG)
CHECK (SPAN)
HELP TEXT (ENG)
HELP TEXT (SPAN)
MODE

CASI / CAWI

NOTES
LEAD-IN
NEXT

f_PFAM_007, f_PFAM_008, f_PFAM_009, f_PFAM_010, f_PFAM_011, f_PFAM_012,
f_PFAM_013
PFAM_016

PFAM_016
ASK

All respondents

QUESTION TYPE

Radio button

FILLS (ENG)
FILLS (SPAN)
The next few questions are about your religious background.
First, in what religion were you raised? If more than one, please select the most recent religion
that you practiced as a child.

ENGLISH

1. Protestant (for example, Baptist, Methodist, Non-denominational or independent, Lutheran,
Presbyterian, Pentecostal, Episcopalian, Reformed, Church of Christ, etc.)
2. Roman Catholic
3. Mormon (Church of Jesus Christ of Latter-day Saints or LDS)
4. Orthodox (such as Greek, Russian, or some other Orthodox church)
5. Jewish
6. Muslim
7. Buddhist
8. Hindu
9. Atheist
10. Agnostic
11. Something else
12. Nothing in particular
Las siguientes preguntas son sobre sus antecedentes religiosos.
En primer lugar, ¿con qué religión creció? Si hay más de una, seleccione la religión más reciente
que practicó durante su infancia.

SPANISH

1. Protestante (por ejemplo, bautistas, metodistas, no denominacionales o independiente,
luteranos, presbiterianos, pentecostales, episcopales, reformados, Iglesia de Cristo, etc.)
2. Iglesia Católica Romana
3. Mormón(a) (Iglesia de Jesucristo de los Santos de los Últimos Días o LSD, por sus siglas en
inglés)
4. Iglesia Ortodoxa (como la griega, la rusa o alguna otra iglesia ortodoxa)
5. Judío(a)
6. Musulmán(a)
7. Budista
8. Hindú
9. Ateo(a)
10. Agnóstico(a)
11. Otra
12. Ninguna en particular

RANGE
LIMITS
LOOP MAX
PROGRAM. NOTES
CHECK (ENG)

CHECK (SPAN)
HELP TEXT (ENG)
HELP TEXT (SPAN)
MODE

CASI / CAWI

NOTES
LEAD-IN
NEXT

PFAM_014
IF PFAM_016=1, 2, 3, 4, or 11: PFAM_017;
Else PFAM_018

PFAM_017
ASK

PFAM_016 = 1, 2, 3, 4 OR 11

QUESTION TYPE

Radio button

FILLS (ENG)
FILLS (SPAN)
Still thinking about the religion, were you raised as a born-again or evangelical Christian, or not?
ENGLISH

1. Yes, born-again, or evangelical Christian
0. No, not born-again or evangelical Christian
Siguiendo con la religión, ¿creció como cristiano(a) renacido(a) o evangélico(a), o no?

SPANISH

1. Sí, cristiano(a) renacido(a) o cristiano(a) evangélico(a)
0. No, ni cristiano(a) renacido(a) ni cristiano(a) evangélico(a)

RANGE
LIMITS
LOOP MAX
PROGRAM. NOTES
CHECK (ENG)
CHECK (SPAN)
HELP TEXT (ENG)
HELP TEXT (SPAN)
MODE

CASI / CAWI

NOTES
LEAD-IN
NEXT

PFAM_016 = 1, 2, 3, 4, 11
PFAM_018

PFAM_018
ASK

All respondents

QUESTION TYPE

Radio button

FILLS (ENG)
FILLS (SPAN)
What is your current religious preference, if any? If more than one, please select the most recent
religion that you practiced.

ENGLISH

1. Protestant (for example, Baptist, Methodist, Non-denominational or independent, Lutheran,
Presbyterian, Pentecostal, Episcopalian, Reformed, Church of Christ, etc.)
2. Roman Catholic
3. Mormon (Church of Jesus Christ of Latter-day Saints or LDS)
4. Orthodox (such as Greek, Russian, or some other Orthodox church)
5. Jewish
6. Muslim
7. Buddhist
8. Hindu
9. Atheist
10. Agnostic
11. Something else
12. Nothing in particular
¿Cuál es su preferencia religiosa actual, si es que tiene alguna? Si hay más de una, seleccione la
religión más reciente que haya practicado.

SPANISH

1. Protestante (por ejemplo, bautistas, metodistas, no denominacionales o independiente, luteranos,
presbiterianos, pentecostales, episcopales, reformados, Iglesia de Cristo, etc.)
2. Iglesia Católica Romana
3. Mormón(a) (Iglesia de Jesucristo de los Santos de los Últimos Días o LSD, por sus siglas en inglés)
4. Iglesia Ortodoxa (como la griega, la rusa o alguna otra iglesia ortodoxa)
5. Judío(a)
6. Musulmán(a)
7. Budista
8. Hindú
9. Ateo(a)
10. Agnóstico(a)
11. Otra
12. Ninguna en particular

RANGE
LIMITS
LOOP MAX
PROGRAM. NOTES
CHECK (ENG)
CHECK (SPAN)
HELP TEXT (ENG)
HELP TEXT (SPAN)
MODE

CASI / CAWI

NOTES
LEAD-IN
NEXT

PFAM_016, PFAM_017
IF PFAM_018=1, 2, 3, 4 OR 11: PFAM_019
Else: PFAM_020

PFAM_019
ASK

PFAM_018 = 1, 2, 3, 4, OR 11

QUESTION TYPE

Radio button

FILLS (ENG)
FILLS (SPAN)
Would you describe yourself as a born-again or evangelical Christian, or not?
ENGLISH

1. Yes, born-again, or evangelical Christian
0. No, not born-again or evangelical Christian
¿Se describiría a sí mismo(a) como cristiano(a) renacido(a) o evangélico(a), o no?

SPANISH

1. Sí, cristiano(a) renacido(a) o cristiano(a) evangélico(a)
0. No, ni cristiano(a) renacido(a) ni cristiano(a) evangélico(a)

RANGE
LIMITS
LOOP MAX
PROGRAM. NOTES
CHECK (ENG)
CHECK (SPAN)
HELP TEXT (ENG)
HELP TEXT (SPAN)
MODE

CASI / CAWI

NOTES
LEAD-IN
NEXT

PFAM_018 = 1, 2, 3, 4, 11
PFAM_020

PFAM_020
ASK

All respondents

QUESTION TYPE

Radio button

FILLS (ENG)
FILLS (SPAN)
In the past 12 months, how often have you attended a worship service (like church, synagogue, or
mosque service or mass)?

ENGLISH

1. Never
2. Once or twice
3. Less than once a month (3-12 times)
4. About once a month (12 times)
5. About twice a month (24 times)
6. About once a week
7. Several times a week
8. Every day
En los últimos 12 meses, ¿con qué frecuencia ha asistido a un servicio religioso (como un servicio o
misa de iglesia, sinagoga o mezquita)?

SPANISH

1. Nunca
2. Una o dos veces
3. Menos de una vez al mes (3-12 veces)
4. Aproximadamente una vez al mes (12 veces)
5. Unas dos veces al mes (24 veces)
6. Alrededor de una vez por semana
7. Varias veces a la semana
8. Todos los días

RANGE
LIMITS
LOOP MAX
PROGRAM. NOTES
CHECK (ENG)
CHECK (SPAN)
HELP TEXT (ENG)
HELP TEXT (SPAN)
MODE

CASI / CAWI

NOTES
LEAD-IN
NEXT

PFAM_018, PFAM_019
PFAM_021

PFAM_021
ASK

All respondents

QUESTION TYPE

Radio button

FILLS (ENG)
FILLS (SPAN)
The next questions are about interaction you may or may not have had with the criminal justice
system.
ENGLISH

Did you ever serve time in prison, jail, or some other correctional facility as a juvenile or adult?
1. Yes
0. No
Las siguientes preguntas son sobre la interacción que ha tenido o no con el sistema de justicia penal.
¿Alguna vez estuvo en prisión, en la cárcel o en algún otro centro penitenciario como menor o adulto?

SPANISH

1.
0.

Sí
No

RANGE
LIMITS
LOOP MAX
PROGRAM. NOTES
CHECK (ENG)
CHECK (SPAN)
HELP TEXT (ENG)
HELP TEXT (SPAN)
MODE

CASI / CAWI

NOTES
LEAD-IN
NEXT

PFAM_020
PFAM_021 = 1: PFAM_022;
ELSE: PFAM_028

PFAM_022
ASK

PFAM_021 = 1

QUESTION TYPE

Numeric

FILLS (ENG)
FILLS (SPAN)
How many times did you serve time in prison, jail, or some other correctional facility?
ENGLISH

Number of Times: _________
¿Cuántas veces estuvo en prisión, en la cárcel o en algún otro centro penitenciario?

SPANISH

Número de veces: _________

RANGE

1-99

LIMITS

Max 2 digits

LOOP MAX
PROGRAM. NOTES
CHECK (ENG)
CHECK (SPAN)

HARD CHECK: IF OUT OF RANGE, DISPLAY: Previously you reported that you served time in
jail, prison or other correctional facility. If this is not correct, please click here to update
your response. [DISPLAY LINK TO RETURN TO PFAM_021: ‘Update response’]
HARD CHECK: IF OUT OF RANGE, DISPLAY: Antes, usted informó que cumplió una condena
en la cárcel, prisión u otro centro penitenciario. Si esto no es correcto, haga clic aquí para
actualizar su respuesta. [DISPLAY LINK TO RETURN TO PFAM_021: ‘Actualizar respuesta’]

HELP TEXT (ENG)
HELP TEXT (SPAN)
MODE

CASI / CAWI

NOTES
LEAD-IN
NEXT

PFAM_021 = 1
f_PFAM_023

f_PFAM_023
PFAM_CJ_FIRST_START_MO/PFAM_CI_FIRST_START_YR
ASK
PFAM_022 = 1-99
PFAM_CJ_FIRST_START_MO: Dropdown
QUESTION TYPE
PFAM_CJ_FIRST_START_YR: Numeric
CREATE FILL_CJFIRST: IF PFAM_022 > 1, FILL_CJFIRST: ‘first’;
FILLS (ENG)
ELSE; FILL_CJFIRST: BLANK
Use fill, FILL_INTERVIEWYEAR from PFAM_004: ‘DOI_YEAR’
CREATE FILL_CJFIRST: IF PFAM_022 > 1, FILL_CJFIRST: ‘primera vez’;
FILLS (SPAN)
ELSE; FILL_CJFIRST: BLANK
Use fill, FILL_INTERVIEWYEAR from PFAM_004: ‘DOI_YEAR’
Thinking of the ^{FILL_CJFIRST} time that you served time in prison, jail, or some other correctional
facility, when did you enter the jail, prison, or correctional facility (month and year)?
ENGLISH

It may be helpful to refer to the calendar. Remember you can always access the calendar by clicking on
the button at the top left of the screen.
Month: {Select} [PFAM_CJ_FIRST_START_MO]
Year: ___________ [PFAM_CJ_FIRST_START_YR]
Pensando en la ^{FILL_CJFIRST} que cumplió una condena en la cárcel, prisión o algún otro centro
penitenciario, ¿cuándo ingresó en la cárcel, prisión o centro penitenciario (mes y año)?

SPANISH

Podría ser útil consultar el calendario. Recuerde que siempre puede acceder al calendario haciendo clic
en el botón ubicado en la parte superior izquierda de la pantalla.
Mes: {Seleccione} [PFAM_CJ_FIRST_START_MO]
Año: ___________ [PFAM_CJ_FIRST_START_YR]

RANGE
LIMITS

PFAM_CJ_FIRST_START_MO: Month entries in order: January, February, March, etc.
through December
PFAM_CJ_FIRST_START_YR: 1900 - 2030
PFAM_CJ_FIRST_START_YR: Max 4 digits

LOOP MAX
PROGRAM. NOTES

CHECK (ENG)

DISPLAY CALENDAR. ADD DATE TO CALENDAR WITH LABEL “Entered Prison or Jail”.
HARD CHECK: IF PFAM_CJ_FIRST_START_YR OUT OF RANGE, DISPLAY: Please enter a year
between 1900 and ^{FILL_INTERVIEWYEAR}.
HARD CHECK: If month/year combination is in the future on DOI, display: You have
entered a date in the future. Please enter a date in the past.
SOFT CHECK: If PFAM_023_YR before PCDOBYEAR, DISPLAY: Time spent in a correctional
facility should be after you were born. Please update your answer, if necessary.
HARD CHECK: IF PFAM_CJ_FIRST_START_YR OUT OF RANGE, DISPLAY: Ingrese un año
entre el 1900 y ^{FILL_INTERVIEWYEAR}.

CHECK (SPAN)

HARD CHECK: If month/year combination is in the future on DOI, display: Ingresó una
fecha en el futuro. Ingrese una fecha en el pasado.
SOFT CHECK: If PFAM_023_YR before PCDOBYEAR, DISPLAY: El tiempo pasado en un
correccional debe ser posterior a su nacimiento. Actualice su respuesta, de ser necesario.

HELP TEXT (ENG)
HELP TEXT (SPAN)
MODE

CASI / CAWI

NOTES
LEAD-IN
NEXT

PFAM_022
f_PFAM_024

f_PFAM_024
PFAM_024 _MO/PFAM_024_YR
ASK
PFAM_022 >0
PFAM_CJ_024_MO: Dropdown
QUESTION TYPE
PFAM_CJ_024_YR: Numeric
CREATE FILL_CJFIRST: IF PFAM_022 > 1, FILL_CJFIRST: ‘first’;
FILLS (ENG)
ELSE, FILL_CJFIRST: BLANK
Use fill from f_PFAM_004: FILL_INTERVIEWYEAR
CREATE FILL_CJFIRST: IF PFAM_022 > 1, FILL_CJFIRST: ‘primera vez’
FILLS (SPAN)
ELSE, FILL_CJFIRST: BLANK
Use fill from f_PFAM_004: FILL_INTERVIEWYEAR
This date has been automatically added to your calendar in the row for “Residence” marked by
“Entered Prison or Jail.”
ENGLISH

That ^{FILL_CJFIRST} time that you served time in prison, jail, or some other correctional facility, when
did you leave the jail, prison, or correctional facility?
Month: {Select} [PFAM_024_MO]
Year: ___________ [PFAM_024_YR]
Esta fecha se ha añadido automáticamente a su calendario en la fila de “Residence” (Residencia),
marcada como “Entered Prison or Jail” (Ingresó en una prisión o cárcel).

SPANISH

Respecto de esa ^{FILL_CJFIRST} que cumplió una condena en la cárcel, prisión o algún otro centro
correccional, ¿cuándo salió de la cárcel, la prisión o del centro correccional?
Mes: {Seleccione} [PFAM_024_MO]
Año: ___________ [PFAM_024_YR]

RANGE
LIMITS

PFAM_024_MO: Month entries in order: January, February, March, etc. through
December
PFAM_024_YR: 1900 - 2030
PFAM_024_YR: Max 4 digits

LOOP MAX
PROGRAM. NOTES

DISPLAY CALENDAR. ADD DATE TO CALENDAR WITH LABEL “Left Prison or Jail”. FOR
[DROPDOWN] MONTH PLEASE USE A STANDARD LIST OF MONTHS FOR PARTICIPANTS TO
SELECT WITH TEXT LABELS AND ASSIGNED TO THE NUMBER OF THE MONTH 1-12.
HARD CHECK: IF PFAM_024_YR OUT OF RANGE, DISPLAY: Please enter a year between
1900 and ^{FILL_INTERVIEWYEAR}.
HARD CHECK: If month/year combination is in the future on DOI, display: You have
entered a date in the future. Please enter a date in the past.

CHECK (ENG)

HARD CHECK: If month/year combination reported in PFAM_024 is BEFORE month/year
combination reported in PFAM_023, display: The date that you left a correctional facility
should be after the date that you entered the correctional facility. Please update your
answer, as appropriate.
SOFT CHECK: If PFAM_024_YR before PCDOBYEAR, DISPLAY: Time spent in a correctional
facility should be after you were born. Please update your answer, if necessary.

HARD CHECK: IF PFAM_024_YR OUT OF RANGE, DISPLAY: Ingrese un año entre 1900 y
^{FILL_INTERVIEWYEAR}.
HARD CHECK: If month/year combination is in the future on DOI, display: Ingresó una
fecha en el futuro. Ingrese una fecha en el pasado.
CHECK (SPAN)

HARD CHECK: If month/year combination reported in PFAM_024 is BEFORE month/year
combination reported in PFAM_023, display: La fecha de salida del centro penitenciario
debe ser posterior a la fecha de ingreso. Actualice su respuesta según corresponda.
SOFT CHECK: If PFAM_024_YR before PCDOBYEAR, DISPLAY: El tiempo pasado en un
correccional debe ser posterior a su nacimiento. Actualice su respuesta, de ser necesario.

HELP TEXT (ENG)
HELP TEXT (SPAN)
MODE

CASI / CAWI

NOTES
LEAD-IN
NEXT

f_PFAM_023
PFAM_025

PFAM_025
ASK

PFAM_022 = 1-99

QUESTION TYPE

Informational

FILLS (ENG)
FILLS (SPAN)
This date has been automatically added to your calendar in the row for “Residence” marked by “Left
ENGLISH Prison or Jail”
SPANISH

Esta fecha se ha añadido automáticamente a su calendario en la fila de “Residence” (Residencia),
marcada como “Left Prison or Jail” (Salió de la prisión o cárcel).

RANGE
LIMITS
LOOP MAX
PROGRAM. NOTES
CHECK (ENG)
CHECK (SPAN)
HELP TEXT (ENG)
HELP TEXT (SPAN)
MODE

CASI / CAWI

NOTES
LEAD-IN
NEXT

f_PFAM_024
IF PFAM_022 > 1: f_PFAM_026;
ELSE: PFAM_028

f_PFAM_026
PFAM_026_MO/PFAM_026_YR
ASK
PFAM_022 > 1
PFAM_026_MO: Dropdown
QUESTION TYPE
PFAM_026_YR: Numeric
FILLS (ENG)
Use fill from f_PFAM_004: FILL_INTERVIEWYEAR
FILLS (SPAN)
Use fill from f_PFAM_004: FILL_INTERVIEWYEAR
Thinking of the most recent time that you served time in prison, jail, or some other correctional
facility, when did you enter the jail, prison, or correctional facility (month and year)?
ENGLISH

Month: {Select} [PFAM_026_MO]
Year: ___________ [PFAM_026_YR]
Pensando en la vez más reciente que cumplió una condena en la cárcel, prisión o algún otro centro
penitenciario, ¿cuándo ingresó en la cárcel, prisión o centro penitenciario (mes y año)?

SPANISH

Mes: {Seleccione} [PFAM_026_MO]
Año: ___________ [PFAM_026_YR]

RANGE
LIMITS

PFAM_026_MO: Month entries in order: January, February, March, etc. through
December
PFAM_026_YR: 1900 - 2030
PFAM_026_YR: Max 4 digits

LOOP MAX
PROGRAM. NOTES

CHECK (ENG)

DISPLAY CALENDAR. ADD DATE TO CALENDAR WITH LABEL “Entered Prison or Jail”.
HARD CHECK: IF PFAM_026_YR OUT OF RANGE, DISPLAY: Please enter a year between
1900 and ^{FILL_INTERVIEWYEAR}.
HARD CHECK: If month/year combination is in the future on DOI, display: You have
entered a date in the future. Please enter a date in the past.
SOFT CHECK: If PFAM_026_YR before PCDOBYEAR, DISPLAY: Time spent in a correctional
facility should be after you were born. Please update your answer, if necessary.
HARD CHECK: IF PFAM_026_YR OUT OF RANGE, DISPLAY: Ingrese un año entre 1900 y
^{FILL_INTERVIEWYEAR}.

CHECK (SPAN)

HARD CHECK: If month/year combination is in the future on DOI, display: Ingresó una
fecha en el futuro. Ingrese una fecha en el pasado.
SOFT CHECK: If PFAM_026_YR before PCDOBYEAR, DISPLAY: El tiempo pasado en un
correccional debe ser posterior a su nacimiento. Actualice su respuesta, de ser necesario.

HELP TEXT (ENG)
HELP TEXT (SPAN)
MODE

CASI / CAWI

NOTES
LEAD-IN
NEXT

PFAM_022 > 1; PFAM_025
f_PFAM_027

f_PFAM_027
PFAM_027 _MO/PFAM_027_YR
ASK
PFAM_022 > 1
PFAM_027_MO: Dropdown
QUESTION TYPE
PFAM_027_YR: Numeric
FILLS (ENG)
Use fill from f_PFAM_004: FILL_INTERVIEWYEAR
FILLS (SPAN)
Use fill from f_PFAM_004: FILL_INTERVIEWYEAR
This date has been automatically added to your calendar in the row for “Residence” marked by
“Entered Prison or Jail”
ENGLISH

The most recent time that you served time in prison, jail, or some other correctional facility, when did
you leave the jail, prison, or correctional facility?
Month: {Select} [PFAM_027_MO]
Year: ___________ [PFAM_027_YR]
Esta fecha se ha añadido automáticamente a su calendario en la fila de “Residence” (Residencia),
marcada como “Entered Prison or Jail” (Ingresó en una prisión o cárcel).

SPANISH

Esa vez más reciente que cumplió una condena en la cárcel, prisión o algún otro centro correccional,
¿cuándo fue que salió de la cárcel, la prisión o del centro correccional?
Mes: {Seleccione} [PFAM_027_MO]
Año: ___________ [PFAM_027_YR]

RANGE
LIMITS

PFAM_027_MO: Month entries in order: January, February, March, etc. through
December
PFAM_027_YR: 1900 - 2030
PFAM_027_YR: Max 4 digits

LOOP MAX
PROGRAM. NOTES

DISPLAY CALENDAR. ADD DATE TO CALENDAR WITH LABEL “Left Prison or Jail”.
HARD CHECK: IF PFAM_027_YR OUT OF RANGE, DISPLAY: Please enter a year between
1900 and ^{FILL_INTERVIEWYEAR}.
HARD CHECK: If month/year combination is in the future on DOI, display: You have
entered a date in the future. Please enter a date in the past.

CHECK (ENG)

HARD CHECK: If month/year combination reported in PFAM_027 is BEFORE month/year
combination reported in PFAM_026, display: The date that you left a correctional facility
should be after the date that you entered the correctional facility. Please update your
answer, as appropriate.
SOFT CHECK: If PFAM_027_YR before PCDOBYEAR, DISPLAY: Time spent in a correctional
facility should be after you were born. Please update your answer, if necessary.
HARD CHECK: IF PFAM_027_YR OUT OF RANGE, DISPLAY: Ingrese un año entre 1900 y
^{FILL_INTERVIEWYEAR}.

CHECK (SPAN)

HARD CHECK: If month/year combination is in the future on DOI, display: Ingresó una
fecha en el futuro. Ingrese una fecha en el pasado.

HARD CHECK: If month/year combination reported in PFAM_027 is BEFORE month/year
combination reported in PFAM_026, display: La fecha de salida del centro penitenciario
debe ser posterior a la fecha de ingreso. Actualice su respuesta según corresponda.
SOFT CHECK: If PFAM_027_YR before PCDOBYEAR, DISPLAY: El tiempo pasado en un
correccional debe ser posterior a su nacimiento. Actualice su respuesta, de ser necesario.
HELP TEXT (ENG)
HELP TEXT (SPAN)
MODE

CASI / CAWI

NOTES
LEAD-IN
NEXT

f_PFAM_026
PFAM_028

PFAM_028
ASK

All respondents

QUESTION TYPE

Radio button

FILLS (ENG)
FILLS (SPAN)
Now we would like to ask about your family when you were growing up.
Did you live with both biological parents together from birth until age 14?
ENGLISH
1. Yes
0. No
Ahora, quisiera hacerle preguntas sobre su familia cuando crecía.
¿Vivió con ambos padres/madres biológicos(as) juntos desde su nacimiento hasta los 14 años?
SPANISH
1. Sí
0. No
RANGE
LIMITS
LOOP MAX
PROGRAM. NOTES
CHECK (ENG)
CHECK (SPAN)
HELP TEXT (ENG)
HELP TEXT (SPAN)
MODE

CASI / CAWI

NOTES
LEAD-IN
NEXT

PFAM_021=0; PFAM_025, f_PFAM_027, PFAM_022=0
IF PFAM_028 = 0: PFAM_029;
ELSE: PFAM_033

PFAM_029
ASK

PFAM_028 = 0

QUESTION TYPE

Radio button

FILLS (ENG)
FILLS (SPAN)
Which parent didn't you always live with?
ENGLISH

1. Biological Mother
2. Biological Father
3. Both
¿Con qué padre/madre no ha vivido siempre?

SPANISH

1. Madre biológica
2. Padre biológico
3. Ambos(as)

RANGE
LIMITS
LOOP MAX
PROGRAM. NOTES
CHECK (ENG)
CHECK (SPAN)
HELP TEXT (ENG)
HELP TEXT (SPAN)
MODE

CASI / CAWI

NOTES
LEAD-IN
NEXT

PFAM_028=0
f_PFAM_030

f_PFAM_030
PFAM_030/PFAM_030_OTHER
ASK
PFAM_028 = 0
PFAM_030: Radio button
QUESTION TYPE
PFAM_030_OTHER: Text
CREATE FILL_PARLIVE: IF PFAM_029 = 1, FILL_PARLIVE: ‘your mother’;
ELSE, IF PFAM_029 = 2, FILL_PARLIVE: ‘your father’;
FILLS (ENG)
ELSE, IF PFAM_029 = 3, FILL_PARLIVE: ‘both parents’;
ELSE, FILL_PARLIVE: ‘your parent or parents’
CREATE FILL_PARLIVE: IF PFAM_029 = 1, FILL_PARLIVE: ‘su madre’;
ELSE, IF PFAM_029 = 2, FILL_PARLIVE: ‘su padre’;
FILLS (SPAN)
ELSE, IF PFAM_029 = 3, FILL_PARLIVE: ‘ambos(as)’;
ELSE, FILL_PARLIVE: ‘su padre/madre o padres/madres’
What was the reason you did not live with ^{FILL_PARLIVE}?

ENGLISH

1. One or both parents died
2. Parents became separated or divorced
3. I was adopted
4. I left home
5. Some other reason
Please tell us the other reason you did not live with ^{FILL_PARLIVE}.
_____________________________ [PFAM_030_OTHER]
¿Cuál fue la razón por la que no vivió con ^{FILL_PARLIVE}?

SPANISH

1. Uno(a) o ambos(as) murieron
2. Los(as) padres/madres se separaron o divorciaron
3. Fui adoptado(a)
4. Me fui de casa
5. Alguna otra razón
Díganos la otra razón por la que no vivió con ^{FILL_PARLIVE}. _____________________________
[PFAM_030_OTHER]

RANGE
LIMITS

PFAM_030_OTHER: Max 120 characters

LOOP MAX

PROGRAM. NOTES

CHECK (ENG)
CHECK (SPAN)
HELP TEXT (ENG)
HELP TEXT (SPAN)

If PFAM_030 = 5, DISPLAY PFAM_030_OTHER: Please tell us the other reason you did not
live with ^{FILL_PARLIVE}.
SPAN: Díganos la otra razón por la que no vivió con ^{FILL_PARLIVE}.

MODE

CASI / CAWI

NOTES
LEAD-IN
NEXT

PFAM_029
IF PFAM_029 = 1 OR 3: f_PFAM_031;
ELSE: f_PFAM_032

f_PFAM_031
PFAM_031 / PFAM_031_0 / PFAM_031_1 / PFAM_031_2 / PFAM_031_AND1 / PFAM_031_3 / PFAM_031_4 /
PFAM_031_AND2 / PFAM_031_5 / PFAM_031_6 / PFAM_031_AND3 / PFAM_031_7 / PFAM_031_8
ASK
PFAM_029 = 1 or 3
PFAM_031: Radio button
PFAM_031_0: Text
PFAM_031_1: Numeric
PFAM_031_2: Numeric
PFAM_031_AND1: Radio button
PFAM_031_3: Numeric
QUESTION TYPE
PFAM_031_4: Numeric
PFAM_031_AND2: Radio button
PFAM_031_5: Numeric
PFAM_031_6: Numeric
PFAM_031_AND3: Radio button
PFAM_031_7: Numeric
PFAM_031_8: Numeric
FILLS (ENG)
FILLS (SPAN)
Did you ever live with your biological mother from birth until age 14? [PFAM_031]
1. Yes
0. No

At what ages did you live with your biological mother? [PFAM_031_0]
From age:_____ [PFAM_031_1]
To age:_____ [PFAM_031_2]

ENGLISH

Did you live with your biological mother at another age? [PFAM_031_AND1]
1. Yes
0. No
From age:_____ [PFAM_031_3]
To age: _____ [PFAM_031_4]
Did you live with your biological mother at another age? [PFAM_031_AND2]
1. Yes
0. No
From age:_____ [PFAM_031_5]
To age:_____ [PFAM_031_6]

Did you live with your biological mother at another age? [PFAM_031_AND3]
1. Yes
0. No
From age:_____ [PFAM_031_7]
To age:_____ [PFAM_031_8]
Desde su nacimiento hasta los 14 años, ¿vivió alguna vez con su madre biológica? [PFAM_031]
1. Sí
0. No
¿A que edades vivió con su madre biológica? [PFAM_031_0]
Desde la edad: _____ [PFAM_031_1]
Hasta la edad:_____ [PFAM_031_2]
¿Vivió con su madre biológica a otra edad? [PFAM_031_AND1]
1. Sí
0. No
SPANISH

Desde la edad:_____ [PFAM_031_3]
Hasta la edad: _____ [PFAM_031_4]
¿Vivió con su madre biológica a otra edad? [PFAM_031_AND2]
1. Sí
0. No
Desde la edad:_____ [PFAM_031_5]
Hasta la edad: _____ [PFAM_031_6]
¿Vivió con su madre biológica a otra edad? [PFAM_031_AND3]
1. Sí
0. No

RANGE

LIMITS

Desde la edad:_____ [PFAM_031_7]
Hasta la edad: _____ [PFAM_031_8]
PFAM_031_1: 0-99
PFAM_031_2: 0-99
PFAM_031_3: 0-99
PFAM_031_4: 0-99
PFAM_031_5: 0-99
PFAM_031_6: 0-99
PFAM_031_7: 0-99
PFAM_031_8: 0-99
PFAM_031_1: Max 2 digits
PFAM_031_2: Max 2 digits

PFAM_031_3: Max 2 digits
PFAM_031_4: Max 2 digits
PFAM_031_5: Max 2 digits
PFAM_031_6: Max 2 digits
PFAM_031_7: Max 2 digits
PFAM_031_8: Max 2 digits
LOOP MAX

PROGRAM. NOTES

CHECK (ENG)

SHOW PFAM_031
If PFAM_031 = 1: DISPLAY PFAM_031_0, PFAM_031_1, PFAM_031_2, AND
PFAM_031_AND1
If PFAM_031_AND1 IS CHECKED, DISPLAY PFAM_031_3 AND PFAM_031_4 AND
PFAM_031_AND2 ON THE SAME SCREEN.
IF PFAM_031_AND2 IS CHECKED, DISPLAY PFAM_031_5 AND PFAM_031_6 AND
PFAM_031_AND3.
IF PFAM_031_AND3 IS CHECKED, DISPLAY PFAM_031_7 AND _PFAM_031_8.
IF PFAM_031_1> PCAGE OR
PFAM_031_2 > PCAGE OR
PFAM_031_3 > PCAGE OR
PFAM_031_4 > PCAGE OR
PFAM_031_5 > PCAGE OR
PFAM_031_6 > PCAGE OR
PFAM_031_7 > PCAGE OR
PFAM_031_8 > PCAGE OR, DISPLAY HARD CHECK:
Please enter an age equal to or less than your current age.
IF PFAM_031_1> PFAM_031_2 OR
PFAM_031_3 > PFAM_031_4 OR
PFAM_031_5 > PFAM_031_6 OR
PFAM_031_7 > PFAM_031_8, DISPLAY HARD CHECK:
The age you stopped living with your biological mother should be after the age you
began living with your biological mother. Please update your answer.
If age ranges entered in each set (e.g., PFAM_031_1 through PFAM_031_2) overlap
with an age range entered in another set (e.g., PFAM_031_3 through PFAM_031_4),
display hard check: “The ages you entered overlap. Please review your answers.”

CHECK (SPAN)

If age entered in any field is >14, display hard check: “This question asks about birth
until the age of 14. Please review your answers.”
IF PFAM_031_1> PCAGE OR
PFAM_031_2 > PCAGE OR
PFAM_031_3 > PCAGE OR
PFAM_031_4 > PCAGE OR
PFAM_031_5 > PCAGE OR
PFAM_031_6 > PCAGE OR
PFAM_031_7 > PCAGE OR
PFAM_031_8 > PCAGE OR, DISPLAY HARD CHECK:
Ingrese una edad igual o inferior a su edad actual.
IF PFAM_031_1> PFAM_031_2 OR
PFAM_031_3 > PFAM_031_4 OR
PFAM_031_5 > PFAM_031_6 OR

PFAM_031_7 > PFAM_031_8, DISPLAY HARD CHECK: La edad en la que dejó de vivir
con su madre biológica debe ser después de la edad en que empezó a vivir con su
madre biológica. Actualice su respuesta.
If age ranges entered in each set (e.g., PFAM_031_1 through PFAM_031_2) overlap
with an age range entered in another set (e.g., PFAM_031_3 through PFAM_031_4),
display hard check: “Las edades ingresadas se superponen. Revise sus respuestas.”
If age entered in any field is >14, display hard check: “Esta pregunta se refiere al
nacimiento hasta los 14 años. Revise sus respuestas.”
HELP TEXT (ENG)
HELP TEXT (SPAN)
MODE

CASI / CAWI

NOTES
LEAD-IN
NEXT

PFAM_030
IF PFAM_029 = 2 or 3: f_PFAM_032;
ELSE: PFAM_033

f_PFAM_032
PFAM_032 / PFAM_032_0 / PFAM_032_1 / PFAM_032_2 / PFAM_032_AND1 / PFAM_032_3 / PFAM_032_4 /
PFAM_032_AND2 / PFAM_032_5 / PFAM_032_6 / PFAM_032_AND3 / PFAM_032_7/PFAM_032_8
ASK
PFAM_029 = 2 or 3
PFAM_032: Radio button
PFAM_032_0: Text
PFAM_032_1: Numeric
PFAM_032_2: Numeric
PFAM_032_AND1: Radio button
PFAM_032_3: Numeric
QUESTION TYPE
PFAM_032_4: Numeric
PFAM_032_AND2: Radio button
PFAM_032_5: Numeric
PFAM_032_6: Numeric
PFAM_032_AND3: Radio button
PFAM_032_7: Numeric
PFAM_032_8: Numeric
FILLS (ENG)
FILLS (SPAN)
Did you ever live with your biological father from birth until age 14? [PFAM_032]
1. Yes
0. No
At what ages did you live with your biological father? [PFAM_032_0]
From age:_____ [PFAM_032_1]
To age:_____ [PFAM_032_2]

ENGLISH

Did you live with your biological father at another age? [PFAM_032_AND1]
1. Yes
0. No
From age:_____ [PFAM_032_3]
To age: _____ [PFAM_032_4]
Did you live with your biological father at another age.?. [PFAM_032_AND2]
1. Yes
0. No
From age:_____ [PFAM_032_5]
To age:_____ [PFAM_032_6]
Did you live with your biological father at another age? [PFAM_032_AND3]
From age:_____ [PFAM_032_7]
To age:_____ [PFAM_032_8]

Desde su nacimiento hasta los 14 años, ¿vivió alguna vez con su madre biológica? [PFAM_032]
1. Sí
0. No
¿A que edades vivió con su padre biológico? [PFAM_032_0]
Desde la edad: _____ [PFAM_032_1]
Hasta la edad:_____ [PFAM_032_2]
¿Vivió con su padre biológico a otra edad? [PFAM_032_AND1]
1. Sí
0. No
SPANISH

Desde la edad:_____ [PFAM_032_3]
Hasta la edad: _____ [PFAM_032_4]
¿Vivió con su padre biológico a otra edad? [PFAM_032_AND2]
1. Sí
0. No
Desde la edad:_____ [PFAM_032_5]
Hasta la edad: _____ [PFAM_032_6]
¿Vivió con su padre biológico a otra edad? [PFAM_032_AND3]
1. Sí
0. No

RANGE

LIMITS

Desde la edad:_____ [PFAM_032_7]
Hasta la edad: _____ [PFAM_032_8]
PFAM_032_1: 0-99
PFAM_032_2: 0-99
PFAM_032_3: 0-99
PFAM_032_4: 0-99
PFAM_032_5: 0-99
PFAM_032_6: 0-99
PFAM_032_7: 0-99
PFAM_032_8: 0-99
PFAM_032_1: Max 2 digits
PFAM_032_2: Max 2 digits
PFAM_032_3: Max 2 digits
PFAM_032_4: Max 2 digits
PFAM_032_5: Max 2 digits
PFAM_032_6: Max 2 digits
PFAM_032_7: Max 2 digits
PFAM_032_8: Max 2 digits

LOOP MAX
PROGRAM. NOTES

SHOW PFAM_032

If PFAM_032 = 1: DISPLAY PFAM_032_0, PFAM_032_1, PFAM_032_2 AND
PFAM_032_AND1
If PFAM_032_AND1 IS CHECKED, DISPLAY PFAM_032_3 AND PFAM_032_4 AND
PFAM_032_AND2 ON THE SAME SCREEN.
IF PFAM_032_AND2 IS CHECKED, DISPLAY PFAM_032_5 AND PFAM_032_6 AND
PFAM_032_AND3.
IF PFAM_032_AND3 IS CHECKED, DISPLAY PFAM_032_7 AND _PFAM_032_8.
IF PFAM_032_1> PCAGE OR
PFAM_032_2 > PCAGE OR
PFAM_032_3 > PCAGE OR
PFAM_032_4 > PCAGE OR
PFAM_032_5 > PCAGE OR
PFAM_032_6 > PCAGE OR
PFAM_032_7 > PCAGE OR
PFAM_032_8 > PCAGE OR, DISPLAY HARD CHECK:
Please enter an age equal to or less than your current age.
CHECK (ENG)

IF PFAM_032_1> PFAM_032_2 OR
PFAM_032_3 > PFAM_032_4 OR
PFAM_032_5 > PFAM_032_6 OR
PFAM_032_7 > PFAM_032_8, DISPLAY HARD CHECK:
The age you stopped living with your biological father should be after the age you began
living with your biological father. Please update your answer.
If age ranges entered in each set (e.g., PFAM_032_1 through PFAM_032_2) overlap with
an age range entered in another set (e.g., PFAM_032_3 through PFAM_032_4), display
hard check: “The ages you entered overlap. Please review your answers.”

CHECK (SPAN)

If age entered in any field is >14, display hard check: “This question asks about birth until
the age of 14. Please review your answers.”
IF PFAM_032_1> PCAGE OR
PFAM_032_2 > PCAGE OR
PFAM_032_3 > PCAGE OR
PFAM_032_4 > PCAGE OR
PFAM_032_5 > PCAGE OR
PFAM_032_6 > PCAGE OR
PFAM_032_7 > PCAGE OR
PFAM_032_8 > PCAGE OR, DISPLAY HARD CHECK:
Ingrese una edad igual o inferior a su edad actual.
IF PFAM_032_1> PFAM_032_2 OR
PFAM_032_3 > PFAM_032_4 OR
PFAM_032_5 > PFAM_032_6 OR
PFAM_032_7 > PFAM_032_8, DISPLAY HARD CHECK:
La edad en la que dejó de vivir con su padre biológico debe ser después de la edad en
que empezó a vivir con su padre biológico. Actualice su respuesta.
If age ranges entered in each set (e.g., PFAM_032_1 through PFAM_032_2) overlap with
an age range entered in another set (e.g., PFAM_032_3 through PFAM_032_4), display
hard check: “Las edades ingresadas se superponen. Revise sus respuestas.”
If age entered in any field is >14, display hard check: “Esta pregunta se refiere al
Nacimiento hasta los 14 años. Revise sus respuestas.”

HELP TEXT (ENG)
HELP TEXT (SPAN)
MODE

CASI / CAWI

NOTES
LEAD-IN
NEXT

PFAM_030, f_PFAM_031
PFAM_033

PFAM_033
ASK

All respondents

QUESTION TYPE

Numeric

FILLS (ENG)
FILLS (SPAN)
How many brothers and sisters do you have in total? Please include full, half- and step-siblings even if
you never lived with them.
ENGLISH

Number of brothers and sisters: ___________

¿Cuántos(as) hermanos(as) tiene en total? Incluya a los(as) hermanos(as) de sangre, medios(as)
hermanos(as) o hermanastros(as) aunque nunca haya vivido con ellos(as).
SPANISH

Número de hermanos(as): ___________

RANGE

0-99

LIMITS

Max 2 digits

LOOP MAX
PROGRAM. NOTES
CHECK (ENG)
CHECK (SPAN)
HELP TEXT (ENG)
HELP TEXT (SPAN)
MODE

CASI / CAWI

NOTES
LEAD-IN
NEXT

PFAM_028, f_PFAM_031, f_PFAM_032
PFAM_034

PFAM_034
ASK

All respondents

QUESTION TYPE

Radio button

FILLS (ENG)
FILLS (SPAN)
Which of the following best describes the community in which you were living at age 14?

ENGLISH

1. Large or mid-sized city (At least 100,000 residents)
2. Suburb
3. Small city or town
4. Rural area
5. Indian reservation
6. Military base

¿Cuál de las siguientes opciones describe mejor la comunidad en la que vivía a los 14 años?

SPANISH

1. Ciudad grande o mediana (al menos 100,000 habitantes)
2. Suburbio
3. Pequeña ciudad o pueblo
4. Zona rural
5. Reserva indígena
6. Base militar

RANGE
LIMITS
LOOP MAX
PROGRAM. NOTES
CHECK (ENG)
CHECK (SPAN)
HELP TEXT (ENG)
HELP TEXT (SPAN)
MODE

CASI / CAWI

NOTES
LEAD-IN
NEXT

PFAM_033
PFAM_035

PFAM_035
ASK

All respondents

QUESTION TYPE

Numeric

FILLS (ENG)
FILLS (SPAN)
Next, there are a few questions about your parents. In what year was your mother born?
ENGLISH

Year: ________________
Las siguientes preguntas son sobre sus padres/madres. ¿En qué año nació su madre?

SPANISH

Año: ________________

RANGE

1880-2000

LIMITS
LOOP MAX
PROGRAM. NOTES
CHECK (ENG)

HARD CHECK: IF OUT OF RANGE, DISPLAY: Please enter a number between 1880-2000.

CHECK (SPAN)

HARD CHECK: IF OUT OF RANGE, DISPLAY: Ingrese un número entre 1880 y 2000.

HELP TEXT (ENG)
HELP TEXT (SPAN)
MODE

CASI / CAWI

NOTES
LEAD-IN
NEXT

PFAM_034
If PFAM_035=DK or REF: PFAM_036;
Else: PFAM_037

PFAM_036
ASK

If PFAM_035=-1, -2

QUESTION TYPE

Numeric

FILLS (ENG)
FILLS (SPAN)
Do you know about what year she was born? An estimate would be helpful.
ENGLISH
Year: ________________
¿Sabe aproximadamente en qué año nació? Una estimación sería útil.
SPANISH
Año: ________________
RANGE
1880-2000
LIMITS
LOOP MAX
PROGRAM. NOTES
CHECK (ENG)

HARD CHECK: IF OUT OF RANGE, DISPLAY: Please enter a number between 1880-2000.

CHECK (SPAN)

HARD CHECK: IF OUT OF RANGE, DISPLAY: Ingrese un número entre 1880 y 2000.

HELP TEXT (ENG)
HELP TEXT (SPAN)
MODE

CASI / CAWI

NOTES
LEAD-IN
NEXT

PFAM_035
PFAM_037

PFAM_037
ASK

All respondents

QUESTION TYPE

Radio button

FILLS (ENG)
FILLS (SPAN)
What is the highest educational degree that your mother received?

ENGLISH

0. None
1. High school equivalency such as GED (General Education Development) or HiSET (High School
Equivalency Test)
2. High school diploma (Regular 12-year program)
3. Associate/Junior college (AA, AS)
4. Bachelor's degree (BA, BS)
5. Master's degree (MA, MBA, MS)
6. Doctoral degree (PhD, EdD)
7. Professional degree (MD, DDS, JD)
¿Cuál es el título educativo más alto que obtuvo su madre?

SPANISH

0. Ninguno
1. Título equivalente al de la escuela secundaria/preparatoria, como el Desarrollo de Educación
General (GED, por sus siglas en inglés) o la Prueba de Equivalencia de Escuela Secundaria (HiSET, por
sus siglas en inglés)
2. Diploma de escuela secundaria/preparatoria (programa regular de 12 años)
3. Título de dos años (Associate)/escuela semisuperior (AA, AS, por sus siglas en inglés)
4. Título de cuatro años (BA, BS, por sus siglas en inglés)
5. Maestría (MA, MBA, MS, por sus siglas en inglés)
6. Doctorado (PhD, EdD, por sus siglas en inglés)
7. Título profesional (MD, DDS, JD, por sus siglas en inglés)

RANGE
LIMITS
LOOP MAX
PROGRAM. NOTES
CHECK (ENG)
CHECK (SPAN)
HELP TEXT (ENG)
HELP TEXT (SPAN)
MODE

CASI / CAWI

NOTES
LEAD-IN
NEXT

PFAM_035, PFAM_036
PFAM_038

PFAM_038
ASK

All respondents

QUESTION TYPE

Numeric

FILLS (ENG)
FILLS (SPAN)
Next are a few questions about your father.
ENGLISH

In what year was your father born?
Year: ________________
Las siguientes preguntas son sobre su padre.

SPANISH

¿En qué año nació su padre?
Año: ________________

RANGE

1880-2000

LIMITS
LOOP MAX
PROGRAM. NOTES
CHECK (ENG)

HARD CHECK: IF OUT OF RANGE, DISPLAY: Please enter a number between 1880-2000.

CHECK (SPAN)

HARD CHECK: IF OUT OF RANGE, DISPLAY: Ingrese un número entre 1880 y 2000.

HELP TEXT (ENG)
HELP TEXT (SPAN)
MODE

CASI / CAWI

NOTES
LEAD-IN
NEXT

PFAM_037
If PFAM_038=DK or REF: PFAM_039;
Else: PFAM_040

PFAM_039
ASK

If PFAM_038=DK or REF

QUESTION TYPE

Numeric

FILLS (ENG)
FILLS (SPAN)
Do you know about what year he was born? An estimate would be helpful.
ENGLISH

Year: ________________
¿Sabe aproximadamente en qué año nació? Una estimación sería útil.

SPANISH

Año: ________________

RANGE

1880-2000

LIMITS
LOOP MAX
PROGRAM. NOTES
CHECK (ENG)

HARD CHECK: IF OUT OF RANGE, DISPLAY: Please enter a number between 1880-2000.

CHECK (SPAN)

HARD CHECK: IF OUT OF RANGE, DISPLAY: Ingrese un número entre 1880 y 2000.

HELP TEXT (ENG)
HELP TEXT (SPAN)
MODE

CASI / CAWI

NOTES
LEAD-IN
NEXT

PFAM_038
PFAM_040

PFAM_040
ASK

All respondents

QUESTION TYPE

Radio button

FILLS (ENG)
FILLS (SPAN)
What is the highest educational degree that your father received?

ENGLISH

0. None
1. High school equivalency such as GED (General Education Development) or HiSET (High School
Equivalency Test)
2. High school diploma (Regular 12-year program)
3. Associate/Junior college (AA, AS)
4. Bachelor's degree (BA, BS)
5. Master's degree (MA, MBA, MS)
6. Doctoral degree (PhD, EdD)
7. Professional degree (MD, DDS, JD)
¿Cuál es el título educativo más alto que obtuvo su padre?

SPANISH

0. Ninguno
1. Título equivalente al de la escuela secundaria/preparatoria, como el Desarrollo de Educación
General (GED, por sus siglas en inglés) o la Prueba de Equivalencia de Escuela Secundaria (HiSET, por
sus siglas en inglés)
2. Diploma de escuela secundaria/preparatoria (programa regular de 12 años)
3. Título de dos años (Associate)/escuela semisuperior (AA, AS, por sus siglas en inglés)
4. Título de cuatro años (BA, BS, por sus siglas en inglés)
5. Maestría (MA, MBA, MS, por sus siglas en inglés)
6. Doctorado (PhD, EdD, por sus siglas en inglés)
7. Título profesional (MD, DDS, JD, por sus siglas en inglés)

RANGE
LIMITS
LOOP MAX
PROGRAM. NOTES
CHECK (ENG)
CHECK (SPAN)
HELP TEXT (ENG)
HELP TEXT (SPAN)
MODE

CASI / CAWI

NOTES
LEAD-IN
NEXT

PFAM_038, PFAM_039
IF PCSPOUSEID=missing AND PCPARTNERID=missing: PFAM_072; Else: PFAM_041

PFAM_041
ASK

If PCSPOUSEID≠missing OR PCPARTNERID≠missing

QUESTION TYPE

Radio button
CREATE FILL: PCSPOUSENAME from preload information
CREATE FILL: PCPARTNERNAME from preload information
FILLS (ENG)
CREATE FILL_SPNAME: IF PCSPOUSENAME ≠ missing, FILL_SPNAME: ^{PCSPOUSENAME}
ELSE, IF PCPARTNERNAME ≠ MISSING, FILL_SPNAME: ^{PCPARTNERNAME}
ELSE, FILL_SPNAME: your PCSPOUSE or partner
CREATE FILL: PCSPOUSENAME from preload information
CREATE FILL: PCPARTNERNAME from preload information
FILLS (SPAN)
CREATE FILL_SPNAME: IF PCSPOUSENAME ≠ missing, FILL_SPNAME: ^{PCSPOUSENAME}
ELSE, IF PCPARTNERNAME ≠ MISSING, FILL_SPNAME: ^{PCPARTNERNAME}
ELSE, FILL_SPNAME: su cónyuge o pareja
The next few questions are about ^{FILL_SPNAME}'s background.

ENGLISH

Was ^{FILL_SPNAME} born in the United States or its territories?
1. Yes
0. No
Las siguientes preguntas son sobre los antecedentes de ^{FILL_SPNAME}.

SPANISH

¿Nació ^{FILL_SPNAME} en los Estados Unidos o en sus territorios?
1. Sí

0. No

RANGE
LIMITS
LOOP MAX
PROGRAM. NOTES
CHECK (ENG)
CHECK (SPAN)
HELP TEXT (ENG)
HELP TEXT (SPAN)
MODE

CASI / CAWI

NOTES
LEAD-IN
NEXT

PFAM_040
IF PFAM_041=1: PFAM_043;
Else if PFAM_041=0: f_PFAM_042
Else: PFAM_045

f_PFAM_042
PFAM_042a / PFAM_042OTHER
ASK
If PFAM_041 = 0
QUESTION TYPE
FILLS (ENG)

FILLS (SPAN)

ENGLISH

Dropdown / Textbox
CREATE FILL: PCSPOUSENAME from preload information
CREATE FILL_SPNAME: IF PCSPOUSE ≠ missing, FILL_SPNAME: ^{PCSPOUSE}
ELSE, IF PCPARTNER ≠ MISSING, FILL_SPNAME: ^{PCPARTNER}
ELSE, FILL_SPNAME: ‘your spouse or partner’
CREATE FILL: PCSPOUSENAME from preload information
CREATE FILL_SPNAME: IF PCSPOUSE ≠ missing, FILL_SPNAME: ^{PCSPOUSE}
ELSE, IF PCPARTNER ≠ MISSING, FILL_SPNAME: ^{PCPARTNER}
ELSE, FILL_SPNAME: su cónyuge o pareja
In which country was ^{FILL_SPNAME} born?
{ - Select - } [PFAM_042a]
Enter country in which ^{FILL_SPNAME} was born: ___________ [PFAM_042OTHER]
¿En qué país nació ^{FILL_SPNAME}?

SPANISH

{ - Seleccione - } [PFAM_042a]
Ingrese el país en el que nació ^{FILL_SPNAME}: ___________ [PFAM_042OTHER]

RANGE

COUNTRYLIST

LIMITS

PFAM_042OTHER = max 50 characters

LOOP MAX
PROGRAM. NOTES

ONLY DISPLAY PFAM_042OTHER if PFAM_042a = 197

CHECK (ENG)
CHECK (SPAN)
HELP TEXT (ENG)
HELP TEXT (SPAN)
MODE

CASI / CAWI

NOTES
LEAD-IN
NEXT

If PFAM_041 = 0
If PFAM_042a=187: f_PFAM_043;
Else: PFAM_044

f_PFAM_043
PFAM_043a / PFAM_043OTHER
ASK
If PFAM_041 = 1 or PFAM_042a = 187
QUESTION TYPE

Dropdown / Textbox

FILLS (ENG)
FILLS (SPAN)
In what state or territory was ^{FILL_SPNAME} born?
ENGLISH

{ - Select - } [PFAM_043a]
Enter other location where ^{FILL_SPNAME} was born: ___________ [PFAM_043OTHER]
¿En qué estado o territorio nació ^{FILL_SPNAME} ?

SPANISH

{ - Seleccione - } [PFAM_043a]
Ingrese otra ubicación donde nació ^{FILL_SPNAME}: ___________ [PFAM_043OTHER]

RANGE

STATEEXPAND

LIMITS

PFAM_043OTHER = max 50 characters

LOOP MAX
PROGRAM. NOTES

ONLY DISPLAY PFAM_043OTHER IF PFAM_043A = 0

CHECK (ENG)
CHECK (SPAN)
HELP TEXT (ENG)
HELP TEXT (SPAN)
MODE

CASI / CAWI

NOTES
LEAD-IN
NEXT

If PFAM_041 = 1, PFAM_042 = 187
If PFAM_043a=0, 52, 53, 54, 55, or 56: PFAM_044;
Else: PFAM_045

PFAM_044
ASK

If PFAM_041= 0 or PFAM_043 = 0, 52, 53, 54, 55, or 56

QUESTION TYPE

Numeric

FILLS (ENG)

Use fill from f_PFAM_004: FILL_INTERVIEWYEAR

FILLS (SPAN)
ENGLISH

Use fill from f_PFAM_004: FILL_INTERVIEWYEAR
In what year did ^{FILL_SPNAME} first come to the United States to live?
Year: ________________
¿En qué año llegó ^{FILL_SPNAME} por primera vez a vivir a los Estados Unidos?

SPANISH

Año: ________________

RANGE

1900-2030

LIMITS

Max 4 digits

LOOP MAX
PROGRAM. NOTES
HARD CHECK: IF OUT OF RANGE, DISPLAY: Please enter a year between 1900 and
^{FILL_INTERVIEWYEAR}.
CHECK (ENG)

HARD CHECK: IF PFAM_044 IS IN THE FUTURE ON DOI, DISPLAY: You have entered a date
in the future. Please enter a date in the past.
HARD CHECK: IF OUT OF RANGE, DISPLAY: Ingrese un año entre 1900 y
^{FILL_INTERVIEWYEAR}.

CHECK (SPAN)

HARD CHECK: IF PFAM_044 IS IN THE FUTURE ON DOI, DISPLAY: Ingresó una fecha en el
futuro. Ingrese una fecha en el pasado.

HELP TEXT (ENG)
HELP TEXT (SPAN)
MODE

CASI / CAWI

NOTES
LEAD-IN
NEXT

If PFAM_041= 0 or PFAM_043 = 0, 52, 53, 54, 55, or 56
PFAM_045

PFAM_045
ASK

PCSPOUSEID ≠ MISSING OR PCPARTNERID ≠ MISSING

QUESTION TYPE

Radio button

FILLS (ENG)

USE FILL_SPNAME CREATED IN PFAM_041

FILLS (SPAN)
USE FILL_SPNAME CREATED IN PFAM_041
Does ^{FILL_SPNAME} now speak any language other than English at home?
ENGLISH

1. Yes
0. No
¿Habla ^{FILL_SPNAME} ahora en casa algún idioma que no sea el inglés?

SPANISH

1. Sí
0. No

RANGE
LIMITS
LOOP MAX
PROGRAM. NOTES
CHECK (ENG)
CHECK (SPAN)
HELP TEXT (ENG)
HELP TEXT (SPAN)
MODE

CASI / CAWI

NOTES
LEAD-IN
NEXT

f PFAM_041, f_PFAM_043, PFAM_044
IF PFAM_045 = 1: f_PFAM_046;
ELSE: PFAM_047

f_PFAM_046
PFAM_046ARA/PFAM_046CHI/PFAM_046FRE/PFAM_046GRM/PFAM_046GRK/PFAM_046HEB/PFAM_046ITA/P
FAM_046JPN/PFAM_046KOR/PFAM_046NOR/PFAM_046POL/PFAM_046POR/PFAM_046RUS/PFAM_046SPA/P
FAM_046SWE/PFAM_046VIET/PFAM_046OTH/PFAM_046OTH_TX
ASK
PCSPOUSEID ≠ MISSING OR PCPARTNERID ≠ MISSING
QUESTION TYPE

Radio button

FILLS (ENG)

USE FILL_SPNAME CREATED IN PFAM_041

FILLS (SPAN)

USE FILL_SPNAME CREATED IN PFAM_041
What language(s) does ^{FILL_SPNAME} speak at home? Please select all that
apply.

ENGLISH

1. Arabic [PFAM_046ARA]
2. Chinese [PFAM_046CHI]
3. French [PFAM_046FRE]
4. German [PFAM_046GRM]
5. Greek [PFAM_046GRK]
6. Hebrew [PFAM_046HEB]
7. Italian [PFAM_046ITA]
8. Japanese [PFAM_046JPN]
9. Korean [PFAM_046KOR]
10. Norwegian [PFAM_046NOR]
11. Polish [PFAM_046POL]
12. Portuguese [PFAM_046POR]
13. Russian [PFAM_046RUS]
14. Spanish [PFAM_046SPA]
15. Swedish [PFAM_046SWE]
16. Vietnamese [PFAM_046VIE]
17. Other [PFAM_046OTH]
Please specify: ____________________________ [PFAM_046OTH_TX]
¿Qué idioma(s) habla ^{FILL_SPNAME} en casa? Seleccione todas las que
correspondan.

SPANISH

1. Árabe [PFAM_046ARA]
2. Chino [PFAM_046CHI]
3. Francés [PFAM_046FRE]
4. Alemán [PFAM_046GRM]
5. Griego [PFAM_046GRK]
6. Hebreo [PFAM_046HEB]
7. Italiano [PFAM_046ITA]
8. Japonés [PFAM_046JPN]
9. Coreano [PFAM_046KOR]
10. Noruego [PFAM_046NOR]
11. Polaco [PFAM_046POL]
12. Portugués [PFAM_046POR]
13. Ruso [PFAM_046RUS]
14. Español [PFAM_046SPA]
15. Sueco [PFAM_046SWE]
16. Vietnamita [PFAM_046VIE]
17. Otros [PFAM_046OTH]

Especifique: ____________________________ [PFAM_046OTH_TX]
RANGE
LIMITS
LOOP MAX
PROGRAM. NOTES

Code variable as 1 if checked, 0 if not.
Only display PFAM_046OTH_TX IF f_PFAM_046OTH = 1 (checked)

CHECK (ENG)
CHECK (SPAN)
HELP TEXT (ENG)
HELP TEXT (SPAN)
MODE

CASI / CAWI

NOTES
LEAD-IN
NEXT

PFAM_045 = 1
f_PFAM_047

f_PFAM_047
PFAM_047AMI/PFAM_047ASI/PFAM_047BLA/PFAM_047HIS/PFAM_047MID/PFAM_047PAC/PFAM_047WHT
ASK
PCSPOUSEID ≠ MISSING OR PCPARTNERID ≠ MISSING
QUESTION TYPE

Radio button

FILLS (ENG)

USE FILL_SPNAME CREATED IN PFAM_041

FILLS (SPAN)

ENGLISH

USE FILL_SPNAME CREATED IN PFAM_041
What is ^{FILL_SPNAME}’s race and/or ethnicity? Select all that apply.
1. American Indian or Alaska Native [PFAM_047AMI]
2. Asian [PFAM_047ASI]
3. Black or African American [PFAM_047BLA]
4. Hispanic or Latino[PFAM_047HIS]
5. Middle Eastern or North African [PFAM_047MID]
6. Native Hawaiian or Pacific Islander [PFAM_047PAC]
7. White [PFAM_047WHT]
¿Cuál es la raza y/o el origen étnico de ^{FILL_SPNAME}? Seleccione todas las opciones que
correspondan.

SPANISH

1. Indígena de las Américas o nativo(a) de Alaska [PFAM_047AMI]
2. Asiático(a) [PFAM_047ASI]
3. Negro(a) o afroamericano(a) [PFAM_047BLA]
4. Hispano(a) o latino(a)[PFAM_047HIS]
5. De Medio Oriente o África del norte [PFAM_047MID]
6. Nativo(a) de Hawái o de otras islas del Pacífico [PFAM_047PAC]
7. Blanco(a) [PFAM_047WHT]

RANGE
LIMITS
LOOP MAX
PROGRAM. NOTES
CHECK (ENG)
CHECK (SPAN)
HELP TEXT (ENG)
HELP TEXT (SPAN)
MODE

CASI / CAWI

NOTES
LEAD-IN
NEXT

f_PFAM_046, PFAM_045
PFAM_048

PFAM_048
ASK

PCSPOUSEID ≠ MISSING OR PCPARTNERID ≠ MISSING

QUESTION TYPE

Radio button

FILLS (ENG)

USE FILL_SPNAME CREATED IN PFAM_041

FILLS (SPAN)
USE FILL_SPNAME CREATED IN PFAM_041
What is ^{FILL_SPNAME}’s sex?
ENGLISH

1. Male
2. Female
¿Cuál es el sexo de ^{FILL_SPNAME}?

SPANISH

1. Masculino
2. Femenina

RANGE
LIMITS
LOOP MAX
PROGRAM. NOTES
CHECK (ENG)
CHECK (SPAN)
HELP TEXT (ENG)
HELP TEXT (SPAN)
MODE

CASI / CAWI

NOTES
LEAD-IN
NEXT

f_PFAM_047
PFAM_049

PFAM_049
ASK

PCSPOUSEID ≠ MISSING OR PCPARTNERID ≠ MISSING

QUESTION TYPE

Radio button

FILLS (ENG)

USE FILL_SPNAME CREATED IN PFAM_041

FILLS (SPAN)
USE FILL_SPNAME CREATED IN PFAM_041
And now a few questions about ^{FILL_SPNAME}’s religious background. First, in what religion was
^{FILL_SPNAME} raised? If more than one, please select the most recent religion that ^{FILL_SPNAME}
practiced as a child.

ENGLISH

1. Protestant (for example, Baptist, Methodist, Non-denominational or independent, Lutheran,
Presbyterian, Pentecostal, Episcopalian, Reformed, Church of Christ, etc.)
2. Roman Catholic
3. Church of Jesus Christ of Latter-day Saints or LDS. (Mormon)
4. Orthodox (such as Greek, Russian, or some other Orthodox church)
5. Jewish
6. Muslim
7. Buddhist
8. Hindu
9. Atheist
10. Agnostic
11. Something else
12. Nothing in particular
Ahora, le haré algunas preguntas sobre el contexto religioso de ^{FILL_SPNAME}. En primer lugar, ¿con
qué religión creció ^{FILL_SPNAME}? Si hay más de una, seleccione la religión más reciente que
^{FILL_SPNAME} practicó durante su infancia.

SPANISH

1. Protestante (por ejemplo, bautistas, metodistas, no denominacionales o independiente, luteranos,
presbiterianos, pentecostales, episcopales, reformados, Iglesia de Cristo, etc.)
2. Iglesia Católica Romana
3. Iglesia de Jesucristo de los Santos de los Últimos Días o LDS, por sus siglas en inglés, (Mormón(a))
4. Iglesia Ortodoxa (como la griega, la rusa o alguna otra iglesia ortodoxa)
5. Judío(a)
6. Musulmán(a)
7. Budista
8. Hindú
9. Ateo(a)
10. Agnóstico(a)
11. Otra
12. Ninguna en particular

RANGE
LIMITS
LOOP MAX
PROGRAM. NOTES
CHECK (ENG)
CHECK (SPAN)
HELP TEXT (ENG)

HELP TEXT (SPAN)
MODE

CASI / CAWI

NOTES
LEAD-IN
NEXT

PFAM_048
IF PFAM_049=1, 2, 3, 4 OR 11: PFAM_050;
Else: PFAM_051

PFAM_050
ASK

PFAM_049=1, 2, 3, 4 OR 11

QUESTION TYPE

Radio button

FILLS (ENG)

USE FILL_SPNAME CREATED IN PFAM_041

FILLS (SPAN)
USE FILL_SPNAME CREATED IN PFAM_041
Was ^{FILL_SPNAME} raised as a born-again or evangelical Christian, or not?
ENGLISH

1. Yes, born-again, or evangelical Christian
0. No, not born-again or evangelical Christian
¿Creció ^{FILL_SPNAME} como cristiano(a) renacido(a) o evangélico(a), o no?

SPANISH

1. Sí, cristiano(a) renacido(a) o cristiano(a) evangélico(a)
0. No, ni cristiano(a) renacido(a) ni cristiano(a) evangélico(a)

RANGE
LIMITS
LOOP MAX
PROGRAM. NOTES
CHECK (ENG)
CHECK (SPAN)
HELP TEXT (ENG)
HELP TEXT (SPAN)
MODE

CASI / CAWI

NOTES
LEAD-IN
NEXT

PFAM_049 = 1, 2, 3, 4, 11
PFAM_051

PFAM_051
ASK

PCSPOUSEID ≠ MISSING OR PCPARTNERID ≠ MISSING

QUESTION TYPE

Radio button

FILLS (ENG)

USE FILL_SPNAME CREATED IN PFAM_041

FILLS (SPAN)
USE FILL_SPNAME CREATED IN PFAM_041
What is ^{FILL_SPNAME}’s current religious preference, if any? First, in what religion was
^{FILL_SPNAME} raised? If more than one, please select the most recent religion that ^{FILL_SPNAME}
practices now.

ENGLISH

1. Protestant (for example, Baptist, Methodist, Non-denominational or independent, Lutheran,
Presbyterian, Pentecostal, Episcopalian, Reformed, Church of Christ, etc.)
2. Roman Catholic
3. Church of Jesus Christ of Latter-day Saints or LDS. (Mormon)
4. Orthodox (such as Greek, Russian, or some other Orthodox church)
5. Jewish
6. Muslim
7. Buddhist
8. Hindu
9. Atheist
10. Agnostic
11. Something else
12. Nothing in particular
¿Cuál es la preferencia religiosa actual de ^{FILL_SPNAME}, si es que tiene alguna? En primer lugar,
¿con qué religión creció ^{FILL_SPNAME}? Si hay más de una, seleccione la religión más reciente que
^{FILL_SPNAME} practica actualmente.

SPANISH

1. Protestante (por ejemplo, bautistas, metodistas, no denominacionales o independiente, luteranos,
presbiterianos, pentecostales, episcopales, reformados, Iglesia de Cristo, etc.)
2. Iglesia Católica Romana
3. Iglesia de Jesucristo de los Santos de los Últimos Días o LDS, por sus siglas en inglés. (Mormón(a))
4. Iglesia Ortodoxa (como la griega, la rusa o alguna otra iglesia ortodoxa)
5. Judío(a)
6. Musulmán(a)
7. Budista
8. Hindú
9. Ateo(a)
10. Agnóstico(a)
11. Otra
12. Ninguna en particular

RANGE
LIMITS
LOOP MAX
PROGRAM. NOTES
CHECK (ENG)
CHECK (SPAN)
HELP TEXT (ENG)

HELP TEXT (SPAN)
MODE

CASI / CAWI

NOTES
LEAD-IN
NEXT

PFAM_049, PFAM_050
IF PFAM_051=1, 2, 3, 4 OR 11: PFAM_052;
Else: PFAM_053

PFAM_052
ASK

PFAM_051=1, 2, 3, 4 OR 11

QUESTION TYPE

Radio button

FILLS (ENG)

USE FILL_SPNAME CREATED IN PFAM_041

FILLS (SPAN)
USE FILL_SPNAME CREATED IN PFAM_041
Would ^{FILL_SPNAME} currently describe themselves as a born-again or evangelical Christian, or not?
ENGLISH

1. Yes, born-again, or evangelical Christian
0. No, not born-again or evangelical Christian
¿Se describiría ^{FILL_SPNAME} en este momento como cristiano(a) renacido(a) o evangélico(a), o no?

SPANISH

1. Sí, cristiano(a) renacido(a) o cristiano(a) evangélico(a)
0. No, ni cristiano(a) renacido(a) ni cristiano(a) evangélico(a)

RANGE
LIMITS
LOOP MAX
PROGRAM. NOTES
CHECK (ENG)
CHECK (SPAN)
HELP TEXT (ENG)
HELP TEXT (SPAN)
MODE

CASI / CAWI

NOTES
LEAD-IN
NEXT

PFAM_051 = 1, 2, 3, 4, 11
PFAM_053

PFAM_053
ASK

PCSPOUSEID ≠ MISSING OR PCPARTNERID ≠ MISSING

QUESTION TYPE

Radio button

FILLS (ENG)

USE FILL_SPNAME CREATED IN PFAM_041

FILLS (SPAN)
USE FILL_SPNAME CREATED IN PFAM_041
In the past 12 months, how often has ^{FILL_SPNAME} attended a worship service (like a church,
synagogue or mosque service or mass)?

ENGLISH

1. Never
2. Once or twice
3. Less than once a month / 3-12 times
4. About once a month / 12 times
5. About twice a month / 24 times
6. About once a week
7. Several times a week
8. Every day
En los últimos 12 meses, ¿con qué frecuencia ha asistido ^{FILL_SPNAME} a un servicio religioso (como
un servicio o misa de iglesia, sinagoga o mezquita)?

SPANISH

1. Nunca
2. Una o dos veces
3. Menos de una vez al mes (3-12 veces)
4. Aproximadamente una vez al mes (12 veces)
5. Unas dos veces al mes (24 veces)
6. Alrededor de una vez por semana
7. Varias veces a la semana
8. Todos los días

RANGE
LIMITS
LOOP MAX
PROGRAM. NOTES
CHECK (ENG)
CHECK (SPAN)
HELP TEXT (ENG)
HELP TEXT (SPAN)
MODE

CASI / CAWI

NOTES
LEAD-IN
NEXT

PFAM_051, PFAM_052
PFAM_054

PFAM_054
ASK

PCSPOUSEID ≠ MISSING OR PCPARTNERID ≠ MISSING

QUESTION TYPE

Radio button

FILLS (ENG)

USE FILL_SPNAME CREATED IN PFAM_041

FILLS (SPAN)
USE FILL_SPNAME CREATED IN PFAM_041
Did ^{FILL_SPNAME} ever serve time in prison, jail, or some other correctional facility as a juvenile or
adult?
ENGLISH

1.
0.

Yes
No

¿Alguna vez estuvo ^{FILL_SPNAME} en prisión, en la cárcel o en algún otro centro penitenciario como
menor o adulto?
SPANISH

1.
0.

Sí
No

RANGE
LIMITS
LOOP MAX
PROGRAM. NOTES
CHECK (ENG)
CHECK (SPAN)
HELP TEXT (ENG)
HELP TEXT (SPAN)
MODE

CASI / CAWI

NOTES
LEAD-IN
NEXT

PFAM_053
IF PFAM_054 = 1: PFAM_055,
ELSE: PFAM_058

PFAM_055
ASK

PFAM_054 = 1

QUESTION TYPE

Numeric

FILLS (ENG)

USE FILL_SPNAME CREATED IN PFAM_041

FILLS (SPAN)
USE FILL_SPNAME CREATED IN PFAM_041
How many times did ^{FILL_SPNAME} serve time in prison, jail, or some other correctional facility?
ENGLISH

Number of Times: _________
¿Cuántas veces estuvo ^{FILL_SPNAME} en prisión, en la cárcel o en algún otro centro penitenciario?

SPANISH

Número de veces: _________

RANGE

1-99

LIMITS

Max 2 digits

LOOP MAX
PROGRAM. NOTES
CHECK (ENG)

CHECK (SPAN)

IF OUT OF RANGE, DISPLAY: Previously you reported that ^{FILL_SPNAME} served time in
jail, prison or other correctional facility. If this is not correct, please click here to update
your response. [DISPLAY LINK TO RETURN TO PFAM_054: ‘Update response’]
IF OUT OF RANGE, DISPLAY: Antes, usted informó que ^{FILL_SPNAME} cumplió una
condena en la cárcel, prisión u otro centro penitenciario. Si esto no es correcto, haga clic
aquí para actualizar su respuesta. [DISPLAY LINK TO RETURN TO PFAM_054: ‘Actualizar
respuesta’]

HELP TEXT (ENG)
HELP TEXT (SPAN)
MODE

CASI / CAWI

NOTES
LEAD-IN
NEXT

PFAM_054 = 1
f_PFAM_056

f_PFAM_056
PFAM_056_MO/PFAM_056_YR
ASK
PFAM_054 = 1
PFAM_056_MO: Dropdown
QUESTION TYPE
PFAM_056_YR: Numeric
CREATE FILL_CJRECENT: IF PFAM_055 > 1, FILL_CJRECENT: ‘most recent’;
ELSE; FILL_CJRECENT: BLANK
FILLS (ENG)
USE FILL_SPNAME CREATED IN PFAM_041
Use fill created in f_PFAM_004: FILL_INTERVIEWYEAR
CREATE FILL_CJRECENT: IF PFAM_055 > 1, FILL_CJRECENT: ‘más reciente’
ELSE; FILL_CJRECENT: BLANK
FILLS (SPAN)
USE FILL_SPNAME CREATED IN PFAM_041
Use fill created in f_PFAM_004: FILL_INTERVIEWYEAR
Thinking of the ^{FILL_CJRECENT} time that ^{FILL_SPNAME} served time in prison, jail, or some other
correctional facility, when did ^{FILL_SPNAME} enter the jail, prison, or correctional facility?
ENGLISH

SPANISH

Month: {Select} [PFAM_056_MO]
Year: ___________ [PFAM_056_YR]
Pensando en la vez ^{FILL_CJRECENT} que cumplió una condena en la cárcel, prisión o algún otro
centro penitenciario, ¿cuándo fue que ^{FILL_SPNAME} ingresó en la cárcel, prisión o centro
penitenciario?
Mes: {Seleccione} [PFAM_056_MO]
Año: ___________ [PFAM_056_YR]

RANGE
LIMITS

PFAM_056_MO: Month entries in order: January, February, March, etc. through
December
PFAM_056_YR: 1900 - 2030
PFAM_056_YR: Max 4 digits

LOOP MAX
PROGRAM. NOTES

DISPLAY CALENDAR. ADD DATE TO CALENDAR WITH LABEL “^{FILL_SPNAME} entered
Prison or Jail”.
SPAN: “^{FILL_SPNAME} ingresó en prisión o en la cárcel”.
HARD CHECK: IF PFAM_056_YR OUT OF RANGE, DISPLAY: Please enter a year between
1900 – ^{FILL_INTERVIEWYEAR}.

CHECK (ENG)

HARD CHECK: If month/year combination is in the future on DOI, display: You have
entered a date in the future. Please enter a date in the past.
HARD CHECK: IF PFAM_056_YR OUT OF RANGE, DISPLAY: Ingrese un año entre 1900 y
^{FILL_INTERVIEWYEAR}.

CHECK (SPAN)

HARD CHECK: If month/year combination is in the future on DOI, display: Ingresó una
fecha en el futuro. Ingrese una fecha en el pasado.

HELP TEXT (ENG)
HELP TEXT (SPAN)
MODE

CASI / CAWI

NOTES
LEAD-IN
NEXT

PFAM_055
f_PFAM_057

f_PFAM_057
PFAM_057 _MO/PFAM_057_YR
ASK
PFAM_054 = 1
PFAM_057_MO: Dropdown
QUESTION TYPE
PFAM_057_YR: Numeric
USE FILL_SPNAME CREATED IN PFAM_041
FILLS (ENG)
Use fill created in f_PFAM_004: FILL_INTERVIEWYEAR
Use fill created in f_PFAM_056: FILL_CJRECENT
USE FILL_SPNAME CREATED IN PFAM_041
FILLS (SPAN)
Use fill created in f_PFAM_004: FILL_INTERVIEWYEAR
Use fill created in f_PFAM_056: FILL_CJRECENT
The ^{FILL_CJRECENT} time that ^{FILL_SPNAME} served time in prison, jail, or some other correctional
facility, when did ^{FILL_SPNAME} leave the jail, prison, or correctional facility?
ENGLISH

Month: {Select} [PFAM_057_MO]
Year: ___________ [PFAM_057_YR]
-9. My spouse or partner is still in prison, jail, or other correctional facility.
Pensando en la vez ^{FILL_CJRECENT} que cumplió una condena en la cárcel, prisión o algún otro
centro penitenciario, ¿cuándo fue que ^{FILL_SPNAME} salió de la cárcel, prisión o centro
penitenciario?

SPANISH

Mes: {Seleccione} [PFAM_057_MO]
Año: ___________ [PFAM_057_YR]
-9. Mi cónyuge o pareja sigue en prisión, en la cárcel o en otro centro penitenciario.

RANGE
LIMITS

PFAM_057_MO: Month entries in order: January, February, March, etc. through
December
PFAM_057_YR: 1900 - 2030
PFAM_057_YR: Max 4 digits

LOOP MAX

PROGRAM. NOTES

CHECK (ENG)

CHECK (SPAN)

HELP TEXT (ENG)
HELP TEXT (SPAN)

DISPLAY CALENDAR. ADD DATE TO CALENDAR WITH LABEL “^{FILL_SPNAME} left Prison or
Jail”.
SPAN: “^{FILL_SPNAME} salió de la prisión o cárcel”.
HARD CHECK: IF PFAM_057_YR OUT OF RANGE, DISPLAY: Please enter a year between
1900 ^{FILL_INTERVIEWYEAR}.
HARD CHECK: If month/year combination is in the future on DOI, display: You have
entered a date in the future. Please enter a date in the past.
HARD CHECK: IF PFAM_057_YR OUT OF RANGE, DISPLAY: Ingrese un año entre 1900 y
{FILL_INTERVIEWYEAR}.
HARD CHECK: If month/year combination is in the future on DOI, display: Ingresó una fecha
en el futuro. Ingrese una fecha en el pasado.

MODE

CASI / CAWI

NOTES
LEAD-IN
NEXT

f_PFAM_056
PFAM_058

PFAM_058
ASK

PCSPOUSEID ≠ MISSING OR PCPARTNERID ≠ MISSING

QUESTION TYPE

Radio button

FILLS (ENG)

USE FILL_SPNAME CREATED IN PFAM_041

FILLS (SPAN)
USE FILL_SPNAME CREATED IN PFAM_041
Next there are some questions about ^{FILL_SPNAME}’s family when they were growing up.
ENGLISH

Did ^{FILL_SPNAME} live with both biological parents together from birth until age 14?
1.
0.

Yes
No

Las siguientes preguntas son sobre la familia de ^{FILL_SPNAME} cuando estaba creciendo.

SPANISH

¿Vivió ^{FILL_SPNAME} con ambos padres/madres biológicos(as) juntos desde su nacimiento hasta los
14 años?
1.
0.

Sí
No

RANGE
LIMITS
LOOP MAX
PROGRAM. NOTES
CHECK (ENG)
CHECK (SPAN)
HELP TEXT (ENG)
HELP TEXT (SPAN)
MODE

CASI / CAWI

NOTES
LEAD-IN
NEXT

f_PFAM_053; PFAM_054 = 0, f_PFAM_057
IF PFAM_058 = 0: PFAM_059,
ELSE: PFAM_063

PFAM_059
ASK

PFAM_058 = 0

QUESTION TYPE

Radio button

FILLS (ENG)
FILLS (SPAN)
Which parent didn't they always live with?
ENGLISH

1. Biological Mother
2. Biological Father
3. Both
¿Con qué padre/madre no vivió siempre?

SPANISH

1. Madre biológica
2. Padre biológico
3. Ambos(as)

RANGE
LIMITS
LOOP MAX
PROGRAM. NOTES
CHECK (ENG)
CHECK (SPAN)
HELP TEXT (ENG)
HELP TEXT (SPAN)
MODE

CASI / CAWI

NOTES
LEAD-IN
NEXT

PFAM_058 = 0
f_PFAM_060

f_PFAM_060
PFAM_060/PFAM_060_OTHER
ASK
PFAM_059 = 1, 2 or 3
PFAM_060: Radio button
QUESTION TYPE
PFAM_060_OTHER: Text
CREATE FILL_SPPARLIVE: IF PFAM_059 = 1, FILL_SPPARLIVE: their mother;
ELSE, IF PFAM_059 = 2, FILL_SPPARLIVE: their father;
FILLS (ENG)
ELSE, IF PFAM_059 = 3, FILL_SPPARLIVE: both parents;
ELSE, FILL_SPPARLIVE: their parent or parents
CREATE FILL_SPPARLIVE: IF PFAM_059 = 1, FILL_SPPARLIVE: su madre;
ELSE, IF PFAM_059 = 2, FILL_SPPARLIVE: su padre;
FILLS (SPAN)
ELSE, IF PFAM_059 = 3, FILL_SPPARLIVE: ambos(as) padres/madres;
ELSE, FILL_SPPARLIVE: su padre/madre o padres/madres
What was the reason they did not live with ^{FILL_SPPARLIVE}?

ENGLISH

1. One or both parents died
2. Parents became separated or divorced
3. They were adopted
4. They left home
5. Some other reason
Please tell us the other reason they did not live with their ^{FILL_SPPARLIVE}:
__________________________ [PFAM_060_OTHER]
¿Cuál fue la razón por la que no vivió con ^{FILL_SPPARLIVE}?

SPANISH

1. Uno(a) o ambos(as) murieron
2. Los(as) padres/madres se separaron o divorciaron
3. Fue adoptado(a)
4. Se fue de casa
5. Alguna otra razón
Díganos la otra razón por la que no vivió con ^{FILL_SPPARLIVE}: __________________________
[PFAM_060_OTHER]

RANGE
LIMITS

PFAM_060_OTHER: Max 120 characters

LOOP MAX

PROGRAM. NOTES

If PFAM_060= 5, DISPLAY PFAM_030_OTHER: Please tell us the other reason you did not
live with ^{FILL_SPPARLIVE }.
SPAN: Díganos la otra razón por la que no vivió con ^{FILL_SPPARLIVE }.

CHECK (ENG)
CHECK (SPAN)
HELP TEXT (ENG)
HELP TEXT (SPAN)
MODE

CASI / CAWI

NOTES
LEAD-IN
NEXT

PFAM_059
If PFAM_059=1 or 3: f_PFAM_061; Else PFAM_062

f_PFAM_061
PFAM_061 / PFAM_061_0 / PFAM_061_1/ / PFAM_061_2/ / PFAM_061_AND1/ / PFAM_061_3/ /
PFAM_061_4/ / PFAM_061_AND2 / PFAM_061_5/ / PFAM_061_6/ / PFAM_061_AND3 / PFAM_061_7/ /
PFAM_061_8
ASK
PFAM_059 = 1 or 3
PFAM_061: Radio button
PFAM_061_0: Text
PFAM_061_1: Numeric
PFAM_061_2: Numeric
PFAM_061_AND1: Radio button
PFAM_061_3: Numeric
QUESTION TYPE
PFAM_061_4: Numeric
PFAM_061_AND2: Radio button
PFAM_061_5: Numeric
PFAM_061_6: Numeric
PFAM_061_AND3: Radio button
PFAM_061_7: Numeric
PFAM_061_8: Numeric
FILLS (ENG)
USE FILL_SPNAME CREATED IN PFAM_041
FILLS (SPAN)
USE FILL_SPNAME CREATED IN PFAM_041
At what ages did ^{FILL_SPNAME} live with their biological mother?
Enter ages into the text boxes below or select "My spouse or partner never lived with their biological
mother."
If your spouse or partner lived with their biological mother more than once, please enter the ages into
the text boxes then select "^{FILL_SPNAME} lived with their biological mother at another age" to enter
another age range.

ENGLISH

From age:_____ [PFAM_061_1]
To age:_____ [PFAM_061_2]
-9. My spouse or partner never lived with their biological mother.
^{FILL_SPNAME} lived with their biological mother at another age. [PFAM_061_AND1]
And from age:_____ [PFAM_061_3]
To age: _____ [PFAM_061_4]
^{FILL_SPNAME} lived with their biological mother at another age. [PFAM_061_AND2]
From age:_____ [PFAM_061_5]
To age:_____ [PFAM_061_6]
^{FILL_SPNAME} lived with their biological mother at another age. [PFAM_061_AND3]

From age:_____ [PFAM_061_7]
To age:_____ [PFAM_061_8]
¿A qué edad vivía ^{FILL_SPNAME} con su madre biológica?
Ingrese las edades en los cuadros de texto a continuación o seleccione "Mi cónyuge o pareja nunca
vivió con su madre biológica".
Si su cónyuge o pareja vivió con su madre biológica más de una vez, ingrese las edades en los cuadros
de texto y luego seleccione "^{FILL_SPNAME} vivió con su madre biológica a otra edad" para ingresar
otro rango de edad.
Desde de la edad:_____ [PFAM_061_1]
Hasta la edad: _____ [PFAM_061_2]
-9. Mi cónyuge o pareja nunca ha vivido con su madre biológica.
SPANISH

^{FILL_SPNAME} vivió con su madre biológica a otra edad. [PFAM_061_AND1]
Y desde la edad:_____ [PFAM_061_3]
Hasta la edad: _____ [PFAM_061_4]
^{FILL_SPNAME} vivió con su madre biológica a otra edad. [PFAM_061_AND2]
Desde la edad: _____ [PFAM_061_5]
Hasta la edad:_____ [PFAM_061_6]
^{FILL_SPNAME} vivía con su madre biológica a otra edad. [PFAM_061_AND3]

RANGE

LIMITS

Desde la edad:_____ [PFAM_061_7]
Hasta la edad:_____ [PFAM_061_8]
PFAM_061_1: 0-99
PFAM_061_2: 0-99
PFAM_061_3: 0-99
PFAM_061_4: 0-99
PFAM_061_5: 0-99
PFAM_061_6: 0-99
PFAM_061_7: 0-99
PFAM_061_8: 0-99
PFAM_061_1: Max 2 digits
PFAM_061_2: Max 2 digits
PFAM_061_3: Max 2 digits
PFAM_061_4: Max 2 digits
PFAM_061_5: Max 2 digits
PFAM_061_6: Max 2 digits
PFAM_061_7: Max 2 digits
PFAM_061_8: Max 2 digits

LOOP MAX

PROGRAM. NOTES

SHOW PFAM_061
If PFAM_061 = 1: DISPLAY PFAM_061_0, PFAM_061_1, PFAM_061_2 AND
PFAM_061_AND1
If PFAM_061_AND1 IS CHECKED, DISPLAY PFAM_061_3 AND PFAM_061_4 AND
PFAM_061_AND2 ON THE SAME SCREEN.

CHECK (ENG)

IF PFAM_061_AND2 IS CHECKED, DISPLAY PFAM_061_5 AND PFAM_061_6 AND
PFAM_061_AND3.
IF PFAM_061_AND3 IS CHECKED, DISPLAY PFAM_061_7 AND _PFAM_061_8.
IF PFAM_061_1> PFAM_061_2 OR
PFAM_061_3 > PFAM_061_4 OR
PFAM_061_5 > PFAM_061_6 OR
PFAM_061_7 > PFAM_061_8, DISPLAY HARD CHECK:
The age your spouse or partner stopped living with their biological mother should be
after the age they began living with their biological mother. Please update your answer.
If age ranges entered in each set (e.g., PFAM_061_1 through PFAM_061_2) overlap with
an age range entered in another set (e.g., PFAM_061_3 through PFAM_061_4), display
hard check: “The ages you entered overlap. Please review your answers.”
If age entered in any field is >14, display hard check: “This question asks about birth until
the age of 14. Please review your answers.”
IF PFAM_061_1> PFAM_061_2 OR
PFAM_061_3 > PFAM_061_4 OR
PFAM_061_5 > PFAM_061_6 OR
PFAM_061_7 > PFAM_061_8, DISPLAY HARD CHECK:
La edad en que su cónyuge o pareja dejó de vivir con su madre biológica debe ser
después de la edad en que empezó a vivir con su madre biológica. Actualice su respuesta.

CHECK (SPAN)

If age ranges entered in each set (e.g., PFAM_061_1 through PFAM_061_2) overlap with
an age range entered in another set (e.g., PFAM_061_3 through PFAM_061_4), display
hard check: “Las edades ingresadas se superponen. Revise sus respuestas.”
If age entered in any field is >14, display hard check: “Esta pregunta se refiere al
nacimiento hasta los 14 años. Revise sus respuestas.”

HELP TEXT (ENG)
HELP TEXT (SPAN)
MODE

CASI / CAWI

NOTES
LEAD-IN
NEXT

PFAM_060
IF PFAM_059 = 2 or 3: f_PFAM_062;
ELSE: PFAM_063

f_PFAM_062
PFAM_062 / PFAM_062_0 / PFAM_062_1 / PFAM_062_2 / PFAM_062_AND1 / PFAM_062_3 / PFAM_062_4 /
PFAM_062_AND2 / PFAM_062_5 / PFAM_062_6 / PFAM_062_AND3 / PFAM_062_7 / PFAM_062_8
ASK
PFAM_059 = 2 or 3
PFAM_062: Radio button
PFAM_062_0: Text
PFAM_062_1: Numeric
PFAM_062_2: Numeric
PFAM_062_AND1: Radio button
PFAM_062_3: Numeric
QUESTION TYPE
PFAM_062_4: Numeric
PFAM_062_AND2: Radio button
PFAM_062_5: Numeric
PFAM_062_6: Numeric
PFAM_062_AND3: Radio button
PFAM_062_7: Numeric
PFAM_062_8: Numeric
FILLS (ENG)
USE FILL_SPNAME CREATED IN PFAM_041
FILLS (SPAN)
USE FILL_SPNAME CREATED IN PFAM_041
Did ^{FILL_SPNAME} live with their biological father from birth until age 14? [PFAM_062]
1. Yes
0. No

At what ages did ^{FILL_SPNAME} live with their biological father? [PFAM_062_0]
From age:_____ [PFAM_062_1]
To age:_____ [PFAM_062_2]

ENGLISH

Did ^{FILL_SPNAME} live with their biological father at another age? [PFAM_062_AND1]
1. Yes
0. No
From age:_____ [PFAM_062_3]
To age: _____ [PFAM_062_4]
Did ^{FILL_SPNAME} live with their biological father at another age? [PFAM_062_AND2]
1. Yes
0. No
From age:_____ [PFAM_062_5]
To age:_____ [PFAM_062_6]
Did ^{FILL_SPNAME} live with their biological father at another age? [PFAM_062_AND3]
1. Yes

0. No
From age:_____ [PFAM_062_7]
To age:_____ [PFAM_062_8]
Desde su nacimiento hasta los 14 años, ¿vivió ^{FILL_SPNAME} con su padre biológico?
1. Sí
0. No
¿A que edades vivió ^{FILL_SPNAME} con su padre biológico? [PFAM_62_0]
Desde la edad:_____ [PFAM_062_1]
Hasta la edad: _____ [PFAM_062_2]
¿Vivió ^{FILL_SPNAME} con su padre biológico a otra edad? [PFAM_062_AND1]
1. Sí
0. No
SPANISH

Desde la edad:_____ [PFAM_062_3]
Hasta la edad: _____ [PFAM_062_4]
¿Vivió ^{FILL_SPNAME} con su padre biológico a otra edad? [PFAM_062_AND2]
1. Sí
0. No
Desde la edad:_____ [PFAM_062_5]
Hasta la edad: _____ [PFAM_062_6]
¿Vivió ^{FILL_SPNAME} con su padre biológico a otra edad? [PFAM_062_AND3]
1. Sí
0. No

RANGE

LIMITS

Desde la edad:_____ [PFAM_062_7]
Hasta la edad: _____ [PFAM_062_8]
PFAM_062_1: 0-99
PFAM_062_2: 0-99
PFAM_062_3: 0-99
PFAM_062_4: 0-99
PFAM_062_5: 0-99
PFAM_062_6: 0-99
PFAM_062_7: 0-99
PFAM_062_8: 0-99
PFAM_062_1: Max 2 digits
PFAM_062_2: Max 2 digits
PFAM_062_3: Max 2 digits
PFAM_062_4: Max 2 digits
PFAM_062_5: Max 2 digits

PFAM_062_6: Max 2 digits
PFAM_062_7: Max 2 digits
PFAM_062_8: Max 2 digits
LOOP MAX

PROGRAM. NOTES

CHECK (ENG)

CHECK (SPAN)

SHOW PFAM_062
If PFAM_062 = 1: DISPLAY PFAM_062_0, PFAM_062_1, PFAM_062_2 AND PFAM_062_AND1
If PFAM_062_AND1 IS CHECKED, DISPLAY PFAM_062_3 AND PFAM_062_4 AND
PFAM_062_AND2 ON THE SAME SCREEN.
IF PFAM_062_AND2 IS CHECKED, DISPLAY PFAM_062_5 AND PFAM_062_6 AND
PFAM_062_AND3.
IF PFAM_062_AND3 IS CHECKED, DISPLAY PFAM_062_7 AND _PFAM_062_8.
IF PFAM_062_1> PFAM_062_2 OR
PFAM_062_3 > PFAM_062_4 OR
PFAM_062_5 > PFAM_062_6 OR
PFAM_062_7 > PFAM_062_8, DISPLAY HARD CHECK:
The age your spouse or partner stopped living with their biological father should be after
the age they began living with their biological father. Please update your answer.
If age ranges entered in each set (e.g., PFAM_062_1 through PFAM_062_2) overlap with an
age range entered in another set (e.g., PFAM_062_3 through PFAM_062_4), display hard
check: “The ages you entered overlap. Please review your answers.”
If age entered in any field is >14, display hard check: “This question asks about birth until
the age of 14. Please review your answers.”
IF PFAM_062_1> PFAM_062_2 OR
PFAM_062_3 > PFAM_062_4 OR
PFAM_062_5 > PFAM_062_6 OR
PFAM_062_7 > PFAM_062_8, DISPLAY HARD CHECK:
The age your spouse or partner stopped living with their biological father should be after
the age they began living with their biological father. Please update your answer.
If age ranges entered in each set (e.g., PFAM_062_1 through PFAM_062_2) overlap with an
age range entered in another set (e.g., PFAM_062_3 through PFAM_062_4), display hard
check: “The ages you entered overlap. Please review your answers.”
If age entered in any field is >14, display hard check: “Esta pregunta se refiere al nacimiento
hasta los 14 años. Revise sus respuestas.”

HELP TEXT (ENG)
HELP TEXT (SPAN)
MODE

CASI / CAWI

NOTES
LEAD-IN

PFAM_060, f_PFAM_061

NEXT

PFAM_063

PFAM_063
ASK

If PCSPOUSEID ≠ MISSING OR PCPARTNERID ≠ MISSING

QUESTION TYPE

Numeric

FILLS (ENG)

USE FILL_SPNAME CREATED IN PFAM_041

FILLS (SPAN)
USE FILL_SPNAME CREATED IN PFAM_041
How many brothers and sisters does ^{FILL_SPNAME} have in total? Please include full, half- and stepsiblings even if ^{FILL_SPNAME} never lived with them.
ENGLISH

Number of brothers and sisters: ___________

¿Cuántos hermanos(as) tiene ^{FILL_SPNAME} en total? Incluya a los(as) hermanos(as) de sangre,
medios(as) hermanos(as) o hermanastros(as) aunque ^{FILL_SPNAME} nunca haya vivido con ellos(as).
SPANISH

Número de hermanos(as): ___________

RANGE

0-99

LIMITS

Max 2 digits

LOOP MAX
PROGRAM. NOTES
CHECK (ENG)
CHECK (SPAN)

HARD CHECK: IF OUT OF RANGE, DISPLAY: Please enter a number corresponding to how
many siblings they have 0-99.
HARD CHECK: IF OUT OF RANGE, DISPLAY: Ingrese un número correspondiente a cuántos
hermanos(as) tiene entre el 0 y el 99.

HELP TEXT (ENG)
HELP TEXT (SPAN)
MODE

CASI / CAWI

NOTES
LEAD-IN
NEXT

PFAM_058, f_PFAM_061, f_PFAM_062
PFAM_064

PFAM_064
ASK

If PCSPOUSEID ≠ MISSING OR PCPARTNERID ≠ MISSING

QUESTION TYPE

Radio button

FILLS (ENG)

USE FILL_SPNAME CREATED IN PFAM_041

FILLS (SPAN)
USE FILL_SPNAME CREATED IN PFAM_041
Which of the following best describes the community in which ^{FILL_SPNAME} was living at age 14?

ENGLISH

1. Large or mid-sized city (At least 100,000 residents)
2. Suburb
3. Small city or town
4. Rural area
5. Indian reservation
6. Military base

¿Cuál de las siguientes opciones describe mejor la comunidad en la que vivía ^{FILL_SPNAME} a los
14 años?

SPANISH

1. Ciudad grande o mediana (al menos 100,000 habitantes)
2. Suburbio
3. Pequeña ciudad o pueblo
4. Zona rural
5. Reserva indígena
6. Base militar

RANGE
LIMITS
LOOP MAX
PROGRAM. NOTES
CHECK (ENG)
CHECK (SPAN)
HELP TEXT (ENG)
HELP TEXT (SPAN)
MODE

CASI / CAWI

NOTES
LEAD-IN
NEXT

PFAM_063
PFAM_065

PFAM_065
ASK

If PCSPOUSEID ≠ MISSING OR PCPARTNERID ≠ MISSING

QUESTION TYPE

Numeric

FILLS (ENG)

USE FILL_SPNAME CREATED IN PFAM_041

FILLS (SPAN)
USE FILL_SPNAME CREATED IN PFAM_041
Now I have a few questions about ^{FILL_SPNAME}'s parents.
ENGLISH

In what year was ^{FILL_SPNAME}'s mother born?
Year: ________________
Ahora tengo algunas preguntas sobre los padres de ^{FILL_SPNAME}.

SPANISH

¿En qué año nació la madre de ^{FILL_SPNAME}?
Año: ________________

RANGE

1880-2000

LIMITS
LOOP MAX
PROGRAM. NOTES
CHECK (ENG)

HARD CHECK: IF OUT OF RANGE, DISPLAY: Please enter a number between 1880-2000.

CHECK (SPAN)

HARD CHECK: IF OUT OF RANGE, DISPLAY: Ingrese un número entre 1880 y 2000.

HELP TEXT (ENG)
HELP TEXT (SPAN)
MODE

CASI / CAWI

NOTES
LEAD-IN
NEXT

PFAM_064
If PFAM_065=DK or REF: PFAM_066; Else: PFAM_067

PFAM_066
ASK

If PFAM_065=DK or REF

QUESTION TYPE

Numeric

FILLS (ENG)
FILLS (SPAN)
Do you know about what year she was born? An estimate would be helpful.
ENGLISH
Year: ________________
¿Sabe aproximadamente en qué año nació? Una estimación sería útil.
SPANISH
Año:________________
RANGE
1880-2000
LIMITS
LOOP MAX
PROGRAM. NOTES
CHECK (ENG)

HARD CHECK: IF OUT OF RANGE, DISPLAY: Please enter a number between 1880-2000.

CHECK (SPAN)

HARD CHECK: IF OUT OF RANGE, DISPLAY: Ingrese un número entre 1880 y 2000.

HELP TEXT (ENG)
HELP TEXT (SPAN)
MODE

CASI / CAWI

NOTES
LEAD-IN
NEXT

PFAM_065
PFAM_067

PFAM_067
ASK

If PCSPOUSEID ≠ MISSING OR PCPARTNERID ≠ MISSING

QUESTION TYPE

Radio button

FILLS (ENG)

USE FILL_SPNAME CREATED IN PFAM_041

FILLS (SPAN)
USE FILL_SPNAME CREATED IN PFAM_041
What is the highest educational degree that ^{FILL_SPNAME}’s mother received?

ENGLISH

0. None
1. High school equivalency such as GED (General Education Development) or HiSET (High School
Equivalency Test)
2. High school diploma (Regular 12-year program)
3. Associate/Junior college (AA, AS)
4. Bachelor's degree (BA, BS)
5. Master's degree (MA, MBA, MS)
6. Doctoral degree (PhD, EdD)
7. Professional degree (MD, DDS, JD)
¿Cuál es el título educativo más alto que obtuvo la madre de ^{FILL_SPNAME}?

SPANISH

0. Ninguno
1. Título equivalente al de la escuela secundaria/preparatoria, como el Desarrollo de Educación
General (GED, por sus siglas en inglés) o la Prueba de Equivalencia de Escuela Secundaria (HiSET, por
sus siglas en inglés)
2. Diploma de escuela secundaria/preparatoria (programa regular de 12 años)
3. Título de dos años (Associate)/escuela semisuperior (AA, AS, por sus siglas en inglés)
4. Título de cuatro años (BA, BS, por sus siglas en inglés)
5. Maestría (MA, MBA, MS, por sus siglas en inglés)
6. Doctorado (PhD, EdD, por sus siglas en inglés)
7. Título profesional (MD, DDS, JD, por sus siglas en inglés)

RANGE
LIMITS
LOOP MAX
PROGRAM. NOTES
CHECK (ENG)
CHECK (SPAN)
HELP TEXT (ENG)
HELP TEXT (SPAN)
MODE

CASI / CAWI

NOTES
LEAD-IN
NEXT

PFAM_065, PFAM_066
PFAM_068

PFAM_068
ASK

If PCSPOUSEID ≠ MISSING OR PCPARTNERID ≠ MISSING

QUESTION TYPE

Numeric

FILLS (ENG)

USE FILL_SPNAME CREATED IN PFAM_041

FILLS (SPAN)
USE FILL_SPNAME CREATED IN PFAM_041
Now, a few questions about ^{FILL_SPNAME}'s father.
ENGLISH

In what year was ^{FILL_SPNAME}'s father born?
Year: ________________
Ahora, unas preguntas sobre el padre de ^{FILL_SPNAME}.

SPANISH

¿En qué año nació el padre de ^{FILL_SPNAME}?
Año: ________________

RANGE

1880-2000

LIMITS
LOOP MAX
PROGRAM. NOTES
CHECK (ENG)

HARD CHECK: IF OUT OF RANGE, DISPLAY: Please enter a number between 1880-2000.

CHECK (SPAN)

HARD CHECK: IF OUT OF RANGE, DISPLAY: Ingrese un número entre 1880 y 2000.

HELP TEXT (ENG)
HELP TEXT (SPAN)
MODE

CASI / CAWI

NOTES
LEAD-IN
NEXT

PFAM_067
If PFAM_068=DK or REF: PFAM_069;
Else: PFAM_070

PFAM_069
ASK

If PFAM_068=DK or REF

QUESTION TYPE

Numeric

FILLS (ENG)
FILLS (SPAN)
Do you know about what year he was born? An estimate would be helpful.
ENGLISH

Year: ________________
¿Sabe aproximadamente en qué año nació? Una estimación sería útil.

SPANISH

Año: ________________

RANGE

1880-2000

LIMITS
LOOP MAX
PROGRAM. NOTES
CHECK (ENG)

HARD CHECK: IF OUT OF RANGE, DISPLAY: Please enter a number between 1880-2000.

CHECK (SPAN)

HARD CHECK: IF OUT OF RANGE, DISPLAY: Ingrese un número entre 1880 y 2000.

HELP TEXT (ENG)
HELP TEXT (SPAN)
MODE

CASI / CAWI

NOTES
LEAD-IN
NEXT

PFAM_068
PFAM_070

PFAM_070
ASK

If PCSPOUSEID ≠ MISSING OR PCPARTNERID ≠ MISSING

QUESTION TYPE

Radio button

FILLS (ENG)

USE FILL_SPNAME CREATED IN PFAM_041

FILLS (SPAN)
USE FILL_SPNAME CREATED IN PFAM_041
What is the highest educational degree that ^{FILL_SPNAME}'s father received?

ENGLISH

0. None
1. High school equivalency such as GED (General Education Development) or HiSET (High School
Equivalency Test)
2. High school diploma (Regular 12-year program)
3. Associate/Junior college (AA, AS)
4. Bachelor's degree (BA, BS)
5. Master's degree (MA, MBA, MS)
6. Doctoral degree (PhD, EdD)
7. Professional degree (MD, DDS, JD)
¿Cuál es el título educativo más alto que obtuvo el padre de ^{FILL_SPNAME}?

SPANISH

0. Ninguno
1. Título equivalente al de la escuela secundaria/preparatoria, como el Desarrollo de Educación
General (GED, por sus siglas en inglés) o la Prueba de Equivalencia de Escuela Secundaria (HiSET, por
sus siglas en inglés)
2. Diploma de escuela secundaria/preparatoria (programa regular de 12 años)
3. Título de dos años (Associate)/escuela semisuperior (AA, AS, por sus siglas en inglés)
4. Título de cuatro años (BA, BS, por sus siglas en inglés)
5. Maestría (MA, MBA, MS, por sus siglas en inglés)
6. Doctorado (PhD, EdD, por sus siglas en inglés)
7. Título profesional (MD, DDS, JD, por sus siglas en inglés)

RANGE
LIMITS
LOOP MAX
PROGRAM. NOTES
CHECK (ENG)
CHECK (SPAN)
HELP TEXT (ENG)
HELP TEXT (SPAN)
MODE

CASI / CAWI

NOTES
LEAD-IN
NEXT

PFAM_068, PFAM_069
PFAM_071

PFAM_071
ASK

If PCSPOUSEID ≠ MISSING OR PCPARTNERID ≠ MISSING

QUESTION TYPE

Numeric

FILLS (ENG)

USE FILL_SPNAME CREATED IN PFAM_041

FILLS (SPAN)
USE FILL_SPNAME CREATED IN PFAM_041
How many times has ^{FILL_SPNAME} been legally married? Please include their current marriage if
they are married now.
ENGLISH
Number of Times: _________

SPANISH

¿Cuántas veces ha estado ^{FILL_SPNAME} casado(a) legalmente? Incluya su matrimonio actual si está
casado(a) en este momento.
Número de veces: _________

RANGE

0-99

LIMITS

Max 2 digits

LOOP MAX
PROGRAM. NOTES
CHECK (ENG)
CHECK (SPAN)
HELP TEXT (ENG)
HELP TEXT (SPAN)
MODE

CASI / CAWI

NOTES
LEAD-IN
NEXT

PFAM_070
PFAM_072

PFAM_072
ASK

All respondents (Begin PFAM Loop 1)

QUESTION TYPE

Computer Check

FILLS (ENG)
FILLS (SPAN)
ENGLISH
SPANISH
RANGE
LIMITS
LOOP MAX

PROGRAM. NOTES

15
This is a computer check. Do not display.
PFAM Loop 1: Repeat PFAM_073_# through PFAM_101_# for all non-residential parents
attached to eligible youths in the household for whom
NONRES_PARENT_UID≠PCSPOUSEID and NONRES_PARENT_UID≠PCPARTNERID until
NONRESCOUNT is reached with 15 max.

CHECK (ENG)
CHECK (SPAN)
HELP TEXT (ENG)
HELP TEXT (SPAN)
MODE

CASI / CAWI

NOTES
LEAD-IN
NEXT

PFAM_040, PFAM_071
PFAM_073_#

PFAM_073_#
NONRES_PARENT_UID≠PCSPOUSEID and NONRES_PARENT_UID≠PCPARTNERID (Continue
PFAM LOOP 1)
QUESTION TYPE
Informational
CREATE FILL_NONRES_NAME_#: preload from NONRESROSTER created in
PINF_070_LOOP_END
FILLS (ENG)
CREATE FILL_NRYOUTH: preload from YOUTH_NAME created in PINF_070_LOOP_END all
youth names (NONRES_YOUTH1_NAME, NONRES_YOUTH2_NAME, etc.) affiliated
with NONRES_NAME_#, separated by ‘and’.
CREATE FILL_NONRESNAME_#: preload from NONRESROSTER created in
PINF_070_LOOP_END
FILLS (SPAN)
CREATE FILL_NRYOUTH: preload from YOUTH_NAME created in PINF_070_LOOP_END all
youth names (NONRES_YOUTH1_NAME, NONRES_YOUTH2_NAME, etc.) affiliated
with NONRES_NAME_#, separated by ‘y’.
Now we would like to ask you some questions about the background of ^{FILL_NONRES_NAME_#],
ENGLISH biological parent of ^{FILL_NRYOUTH}.
ASK

SPANISH

Ahora, quisiera hacerle preguntas sobre los antecedentes de ^{FILL_NONRES_NAME_#], padre/madre
biológico(a) de ^{FILL_NRYOUTH}.

RANGE
LIMITS
LOOP MAX

PROGRAM. NOTES

15
PFAM LOOP 1: Repeat PFAM_073_# through PFAM_101_# for all non-residential parents
attached to eligible youths in the household for whom NONRES_PARENT_UID≠PCSPOUSEID
and NONRES_PARENT_UID≠PCPARTNERID until NONRESCOUNT is reached with 15 max.
Create variable PFAMLOOP1[#].NONRES_PARENT_UID= NONRES_PARENT_UID

CHECK (ENG)
CHECK (SPAN)
HELP TEXT (ENG)
HELP TEXT (SPAN)
MODE

CASI / CAWI

NOTES
LEAD-IN
NEXT

PFAM_072
PFAM_075

PFAM_075_#_#
NONRES_PARENT_UID≠PCSPOUSEID and NONRES_PARENT_UID≠PCPARTNERID
(Begin/End PFAM LOOP 1a)
QUESTION TYPE
Radio button
USE FILL_NONRES_NAME_# CREATED IN PFAM_073_#
FILLS (ENG)
CREATE FILL_YOUTHNAME_#_#: EACH YOUTH ASSOCIATED WITH NONRES_NAME_#,
USED TO CREATE FILL_NRYOUTH_# IN PFAM_073_#
USE FILL_NONRES_NAME_# CREATED IN PFAM_073_#
FILLS (SPAN)
CREATE FILL_YOUTHNAME_#_#: EACH YOUTH ASSOCIATED WITH NONRES_NAME_#,
USED TO CREATE FILL_NRYOUTH_# IN PFAM_073_#
Since ^{FILL_YOUTHNAME_#_#} turned 10 years old, have they had any contact with
^{FILL_NONRES_NAME_#}?
ASK

ENGLISH

By contact we mean in-person, a phone call between ^{FILL_NONRES_NAME_#} and the youth or a
letter from ^{FILL_NONRES_NAME_#}?
1. Yes
0. No
Desde que ^{FILL_YOUTHNAME_#_#} cumplió los 10 años, ¿ha tenido algún contacto con
^{FILL_NONRES_NAME_#}?

SPANISH

Por “contacto” entendemos contacto en persona, una llamada telefónica entre
^{FILL_NONRES_NAME_#} y el(la) joven o una carta de ^{FILL_NONRES_NAME_#}.

1. Sí
0. No
RANGE
LIMITS
LOOP MAX

PROGRAM. NOTES

15
PFAM LOOP 1a: Repeat PFAM_075_#_# for all youth associated with this
NONRES_PARENT_UID with 15 max.
Create variable PFAMLOOP1a[#].YOUTH_UID= YOUTH_UID
IF PFAM_075_#_# = 1, SET PARCONTACT_#_# = 1

CHECK (ENG)
CHECK (SPAN)
HELP TEXT (ENG)
HELP TEXT (SPAN)
MODE

CASI / CAWI

NOTES
LEAD-IN
NEXT

PFAM_073
IF LOOPNUMBER< NUMBER OF YOUTH ATTACHED TO NONRES_PARENT_UID, RETURN TO
PFAM_074_#_#

ELSE, IF PFAM_075_#_#=1 for any youth: PFAM_077_#; Else PFAM_102

PFAM_077_#
ASK

PFAM_075_#_# = 1 (Continue PFAM LOOP 1)

QUESTION TYPE

Radio button
USE FILL_NONRES_NAME_# CREATED FROM PFAM_073_#

FILLS (ENG)

USE FILL_NONRES_NAME_# CREATED FROM PFAM_073_#

FILLS (SPAN)

Was ^{FILL_NONRES_NAME_#} born in the United States or its territories?
ENGLISH

SPANISH

1. Yes
0. No
¿Nació ^{FILL_NONRES_NAME_#} en los Estados Unidos o en sus territorios?
1. Sí
0. No

RANGE
LIMITS
LOOP MAX

PROGRAM. NOTES

15
PFAM LOOP 1: Repeat PFAM_073_# through PFAM_101_# for all non-residential parents
attached to eligible youths in the household for whom
NONRES_PARENT_UID≠PCSPOUSEID and NONRES_PARENT_UID≠PCPARTNERID until
NONRESCOUNT is reached with 15 max.

CHECK (ENG)
CHECK (SPAN)
HELP TEXT (ENG)
HELP TEXT (SPAN)
MODE

CASI / CAWI

NOTES
LEAD-IN
NEXT

PFAM_075_#_#
IF PFAM_077_#=1: PFAM_079_#;
ELSE, IF PFAM_077_#=0: PFAM_078_#:
Else: PFAM_081_#

f_PFAM_078_#
PFAM_078a_# / PFAM_078OTHER_#
ASK
If PFAM_077_# = 0 (continue PFAM LOOP 1)
PFAM_078a_#: Dropdown
QUESTION TYPE
PFAM_078OTHER_#: Textbox
FILLS (ENG)
USE FILL_NONRES_NAME_# CREATED IN PFAM_073_#
FILLS (SPAN)

ENGLISH

USE FILL_NONRES_NAME_# CREATED IN PFAM_073_#
In which country was ^{FILL_NONRES_NAME_#} born?
{ - Select - } [PFAM_078a_#]
Enter country in which ^{FILL_NONRES_NAME} was born: ___________ [PFAM_078OTHER_#]
¿En qué país nació ^{FILL_NONRES_NAME_#}?

SPANISH

{ - Seleccione - } [PFAM_078a_#]
Ingrese el país en el que nació ^{FILL_NONRES_NAME}: ___________ [PFAM_078OTHER_#]

RANGE

COUNTRYLIST

LIMITS

PFAM_078OTHER_# = max 50 characters

LOOP MAX

15
Only display PFAM_078OTHER_# if PFAM_078a_# = 197

PROGRAM. NOTES

PFAM LOOP 1: Repeat PFAM_073_# through PFAM_101_# for all non-residential parents
attached to eligible youths in the household for whom
NONRES_PARENT_UID≠PCSPOUSEID and NONRES_PARENT_UID≠PCPARTNERID until
NONRESCOUNT is reached with 15 max.

CHECK (ENG)
CHECK (SPAN)
HELP TEXT (ENG)
HELP TEXT (SPAN)
MODE

CASI / CAWI

NOTES
LEAD-IN
NEXT

If PFAM_077_# = 0
If PFAM_078_#=187: PFAM_079_#;
Else: PFAM_080_#

f_PFAM_079_#
PFAM_079a_# / PFAM_079OTHER_#
ASK
If PFAM_077_# = 1 or PFAM_078a_# = 187 (continue PFAM LOOP 1)
PFAM_079a_#: Dropdown
QUESTION TYPE
PFAM_079OTHER_#: Textbox
FILLS (ENG)
USE FILL_NONRES_NAME_# CREATED IN PFAM_073_#
FILLS (SPAN)

ENGLISH

USE FILL_NONRES_NAME_# CREATED IN PFAM_073_#
In what state or territory was ^{FILL_NONRES_NAME_#} born?
{ - Select - } [PFAM_079a_#]
Enter other location where ^{FILL_NONRES_NAME_#} was born: ___________
[PFAM_079OTHER_#]
¿En qué estado o territorio nació ^{FILL_NONRES_NAME_#}?

SPANISH

{ - Seleccione - } [PFAM_079a_#]
Ingrese otra ubicación donde nació ^{FILL_NONRES_NAME_#} : ___________
[PFAM_079OTHER_#]

RANGE

STATEEXPAND

LIMITS

PFAM_079OTHER_#: Max 50 characters

LOOP MAX

15
Only display PFAM_079OTHER_# if PFAM_079a_# = 0

PROGRAM. NOTES

PFAM LOOP 1: Repeat PFAM_073_# through PFAM_101_# for all non-residential parents
attached to eligible youths in the household for whom
NONRES_PARENT_UID≠PCSPOUSEID and NONRES_PARENT_UID≠PCPARTNERID until
NONRESCOUNT is reached with 15 max.

CHECK (ENG)
CHECK (SPAN)
HELP TEXT (ENG)
HELP TEXT (SPAN)
MODE

CASI / CAWI

NOTES
LEAD-IN
NEXT

If PFAM_077_# = 1, PFAM_078_# = 187
If PFAM_079a_#=0, 52, 53, 54, 55, or 56: PFAM_080; Else: PFAM_081_#

PFAM_080_#
ASK
QUESTION TYPE
FILLS (ENG)
FILLS (SPAN)
ENGLISH

If PFAM_077_#= 0 or PFAM_079_# = 0, 52, 53, 54, 55, or 56 (continue PFAM LOOP 1)
Numeric
USE FILL_NONRES_NAME_# CREATED IN PFAM_073_#
USE FILL_INTERVIEWYEAR CREATED IN PFAM_004
USE FILL_NONRES_NAME_# CREATED IN PFAM_073_#
USE FILL_INTERVIEWYEAR CREATED IN PFAM_004
In what year did ^{FILL_NONRES_NAME_#} first come to the United States to live?
Year: ________________
¿En qué año llegó ^{FILL_NONRES_NAME_#} por primera vez a vivir a los Estados Unidos?

SPANISH

Año: ________________

RANGE

1900-2030

LIMITS

Max 4 digits

LOOP MAX

15
PFAM LOOP 1: Repeat PFAM_073_# through PFAM_101_# for all non-residential parents
attached to eligible youths in the household for whom
NONRES_PARENT_UID≠PCSPOUSEID and NONRES_PARENT_UID≠PCPARTNERID until
NONRESCOUNT is reached with 15 max.

PROGRAM. NOTES

HARD CHECK: IF OUT OF RANGE, DISPLAY: Please enter a number between 1900^{FILL_INTERVIEWYEAR}.
CHECK (ENG)

HARD CHECK: If PFAM_080_# is in the future on DOI, display: You have entered a date in
the future. Please enter a date in the past.
HARD CHECK: IF OUT OF RANGE, DISPLAY: Ingrese un número entre 1900 y
^{FILL_INTERVIEWYEAR}.

CHECK (SPAN)

HARD CHECK: If PFAM_080_# is in the future on DOI, display: Ingresó una fecha en el
futuro. Ingrese una fecha en el pasado.

HELP TEXT (ENG)
HELP TEXT (SPAN)
MODE

CASI / CAWI

NOTES
LEAD-IN
NEXT

PFAM_079_# = 0, 52, 53, 54, 55, or 56, PFAM_078_#
PFAM_081_#

PFAM_081_#

QUESTION TYPE

≠SPOUSEIDNONRES_PARENT_UID≠PCSPOUSEID and
≠PARTNERIDNONRES_PARENT_UID≠PCPARTNERID (Continue PFAM LOOP 1)
Radio button

FILLS (ENG)

USE FILL_NONRES_NAME_# CREATED IN PFAM_073_#

ASK

FILLS (SPAN)
USE FILL_NONRES_NAME_# CREATED IN PFAM_073_#
What is ^{FILL_NONRES_NAME_#}’s sex?
ENGLISH

1. Male
2. Female
¿Cuál es el sexo de ^{FILL_NONRES_NAME_#}?

SPANISH

1. Masculino
2. Femenina

RANGE
LIMITS
LOOP MAX

PROGRAM. NOTES

15
PFAM LOOP 1: Repeat PFAM_073_# through PFAM_101_# for all non-residential parents
attached to eligible youths in the household for whom
NONRES_PARENT_UID≠PCSPOUSEID and NONRES_PARENT_UID≠PCPARTNERID until
NONRESCOUNT is reached with 15 max.

CHECK (ENG)
CHECK (SPAN)
HELP TEXT (ENG)
HELP TEXT (SPAN)
MODE

CASI / CAWI

NOTES
LEAD-IN
NEXT

f_PFAM_080_#
PFAM_082_#

PFAM_082_#

QUESTION TYPE

NONRES_PARENT_UID≠PCSPOUSEID and NONRES_PARENT_UID≠PCPARTNERID (Continue
PFAM LOOP 1)
Radio button

FILLS (ENG)

USE FILL_NONRES_NAME_# CREATED IN PFAM_073_#

ASK

FILLS (SPAN)
USE FILL_NONRES_NAME_# CREATED IN PFAM_073_#
Next there are a few questions about ^{FILL_NONRES_NAME_#}'s religious background. First, in what
religion was ^{FILL_NONRES_NAME_#} raised? If more than one, please select the most recent religion
that ^{FILL_NONRES_NAME_#} practiced as a child.

ENGLISH

1. Protestant (for example, Baptist, Methodist, Non-denominational or independent, Lutheran,
Presbyterian, Pentecostal, Episcopalian, Reformed, Church of Christ, etc.)
2. Roman Catholic
3. Church of Jesus Christ of Latter-day Saints or LDS. (Mormon)
4. Orthodox (such as Greek, Russian, or some other Orthodox church)
5. Jewish
6. Muslim
7. Buddhist
8. Hindu
9. Atheist
10. Agnostic
11. Something else
12. Nothing in particular
Las siguientes preguntas son sobre el contexto religioso de ^{FILL_NONRES_NAME_#} En primer lugar,
¿con qué religión creció ^{FILL_NONRES_NAME_#} ? Si hay más de una, seleccione la religión más
reciente que ^{FILL_NONRES_NAME_#} practicó durante su infancia.

SPANISH

1. Protestante (por ejemplo, bautistas, metodistas, no denominacionales o independiente, luteranos,
presbiterianos, pentecostales, episcopales, reformados, Iglesia de Cristo, etc.)
2. Iglesia Católica Romana
3. Iglesia de Jesucristo de los Santos de los Últimos Días o LDS, por sus siglas en inglés. (Mormón(a))
4. Iglesia Ortodoxa (como la griega, la rusa o alguna otra iglesia ortodoxa)
5. Judío(a)
6. Musulmán(a)
7. Budista
8. Hindú
9. Ateo(a)
10. Agnóstico(a)
11. Otra
12. Ninguna en particular

RANGE
LIMITS
LOOP MAX
PROGRAM. NOTES
CHECK (ENG)

15
PFAM LOOP 1: Repeat PFAM_073_# through PFAM_101_# for all non-residential parents
attached to eligible youths in the household for whom
NONRES_PARENT_UID≠PCSPOUSEID and NONRES_PARENT_UID≠PCPARTNERID until
NONRESCOUNT is reached with 15 max.

CHECK (SPAN)
HELP TEXT (ENG)
HELP TEXT (SPAN)
MODE

CASI / CAWI

NOTES
LEAD-IN
NEXT

PFAM_081_#
IF PFAM_082_#=1, 2, 3, 4, OR 11: PFAM_083_#;
Else: PFAM_084_#

PFAM_083_#
ASK

IF PFAM_082_#=1, 2, 3, 4 OR 11 (Continue PFAM LOOP 1)

QUESTION TYPE

Radio button

FILLS (ENG)

USE FILL_NONRES_NAME_# CREATED IN PFAM_073_#

FILLS (SPAN)
USE FILL_NONRES_NAME_# CREATED IN PFAM_073_#
Was ^{FILL_NONRES_NAME_#} raised as a born-again or evangelical Christian, or not?
ENGLISH

1. Yes, born-again, or evangelical Christian
0. No, not born-again or evangelical Christian
¿Creció ^{FILL_NONRES_NAME_#} como cristiano(a) renacido(a) o evangélico(a), o no?

SPANISH

1. Sí, cristiano(a) renacido(a) o cristiano(a) evangélico(a)
0. No, ni cristiano(a) renacido(a) ni cristiano(a) evangélico(a)

RANGE
LIMITS
LOOP MAX
PROGRAM. NOTES

15
PFAM LOOP 1: Repeat PFAM_073_# through PFAM_101_# for all non-residential parents
attached to eligible youths in the household for whom
NONRES_PARENT_UID≠PCSPOUSEID and NONRES_PARENT_UID≠PCPARTNERID until
NONRESCOUNT is reached with 15 max.

CHECK (ENG)
CHECK (SPAN)
HELP TEXT (ENG)
HELP TEXT (SPAN)
MODE

CASI / CAWI

NOTES
LEAD-IN
NEXT

PFAM_082_# = 1, 2, 3, 4, 11
PFAM_084_#

PFAM_084_#

QUESTION TYPE

NONRES_PARENT_UID≠PCSPOUSEID and NONRES_PARENT_UID≠PCPARTNERID (Continue
PFAM LOOP 1)
Radio button

FILLS (ENG)

USE FILL_NONRES_NAME_# CREATED IN PFAM_073_#

ASK

FILLS (SPAN)
USE FILL_NONRES_NAME_# CREATED IN PFAM_073_#
Did ^{FILL_NONRES_NAME_#} ever serve time in prison, jail, or some other correctional facility as a
juvenile or adult?
ENGLISH

1. Yes
0. No
¿Alguna vez estuvo ^{FILL_NONRES_NAME_#} en prisión, en la cárcel o en algún otro centro
penitenciario como menor o adulto?

SPANISH

1.
0.

Sí
No

RANGE
LIMITS
LOOP MAX
PROGRAM. NOTES

15
PFAM LOOP 1: Repeat PFAM_073_# through PFAM_101_# for all non-residential parents
attached to eligible youths in the household for whom
NONRES_PARENT_UID≠PCSPOUSEID and NONRES_PARENT_UID≠PCPARTNERID until
NONRESCOUNT is reached with 15 max.

CHECK (ENG)
CHECK (SPAN)
HELP TEXT (ENG)
HELP TEXT (SPAN)
MODE

CASI / CAWI

NOTES
LEAD-IN
NEXT

PFAM_082_#, PFAM_083_#
IF PFAM_084_# = 1: PFAM_085_#,
ELSE: PFAM_088_#

PFAM_085_#
ASK

PFAM_084_# = 1 (Continue PFAM LOOP 1)

QUESTION TYPE

Numeric

FILLS (ENG)

USE FILL_NONRES_NAME_# CREATED IN PFAM_073_#

FILLS (SPAN)
USE FILL_NONRES_NAME_# CREATED IN PFAM_073_#
How many times did ^{FILL_NONRES_NAME_#} serve time in prison, jail, or some other correctional
facility?
ENGLISH
Number of Times: _________

SPANISH

¿Cuántas veces estuvo ^{FILL_NONRES_NAME_#} en prisión, en la cárcel o en algún otro centro
penitenciario?
Número de veces: _________

RANGE

1-99

LIMITS

Max 2 digits

LOOP MAX

15
PFAM LOOP 1: Repeat PFAM_073_# through PFAM_101_# for all non-residential parents
attached to eligible youths in the household for whom
NONRES_PARENT_UID≠PCSPOUSEID and NONRES_PARENT_UID≠PCPARTNERID until
NONRESCOUNT is reached with 15 max.
IF OUT OF RANGE, DISPLAY: Previously you reported that ^{FILL_NONRES_NAME_#} } has
been in jail, prison or other correctional facility. If this is not correct, please click here to
update your response. [DISPLAY LINK TO RETURN TO PFAM_084_#: ‘Update response’]
IF OUT OF RANGE, DISPLAY: Antes, usted informó que ^{FILL_NONRES_NAME_#}} ha
estado en la cárcel, prisión u otro centro penitenciario. Si esto no es correcto, haga clic aquí
para actualizar su respuesta. [DISPLAY LINK TO RETURN TO PFAM_084_#: ‘Actualizar
respuesta’]

PROGRAM. NOTES

CHECK (ENG)

CHECK (SPAN)
HELP TEXT (ENG)
HELP TEXT (SPAN)
MODE

CASI / CAWI

NOTES
LEAD-IN
NEXT

PFAM_084_# = 1
f_PFAM_086_#

f_PFAM_086_#
PFAM_086_MO_#/PFAM_086_YR_#
ASK
PFAM_085_# ≠ 0 (Continue PFAM LOOP 1)
PFAM_086_MO_#: Dropdown
QUESTION TYPE
PFAM_086_YR_#: Numeric
USE FILL_NONRES_NAME_# CREATED IN PFAM_073_#
USE FILL_INTERVIEWYEAR CREATED in PFAM_004
FILLS (ENG)
CREATE FILL_CJRECENT2: IF PFAM_085 > 1, FILL_CJRECEN2T: ‘most recent’;
ELSE; FILL_CJRECENT2: BLANK
USE FILL_NONRES_NAME_# CREATED IN PFAM_073_#
USE FILL_INTERVIEWYEAR CREATED in PFAM_004
FILLS (SPAN)
CREATE FILL_CJRECENT2: IF PFAM_085 > 1, FILL_CJRECEN2T: ‘más reciente’;
ELSE; FILL_CJRECENT2: BLANK
Thinking of the ^{FILL_CJRECENT2} time that ^{FILL_NONRES_NAME_#} served time in prison, jail, or
some other correctional facility, when did ^{FILL_NONRES_NAME_#} enter the jail, prison, or
correctional facility?
ENGLISH
Month: {Select} [PFAM_086_MO_#]
Year: ___________ [PFAM_086_YR_#]

SPANISH

Pensando en la vez ^{FILL_CJRECENT2} que ^{FILL_NONRES_NAME_#} cumplió una condena en la
cárcel, prisión o algún otro centro penitenciario, ¿cuándo fue que ^{FILL_NONRES_NAME_#} ingresó
en la cárcel, prisión o centro penitenciario?
Mes: {Seleccione} [PFAM_086_MO_#]
Año: ___________[PFAM_086_YR_#]

RANGE
LIMITS

PFAM_086_#_MO: Month entries in order: January, February, March, etc. through
December
PFAM_086_YR_#: 1900 - 2030
PFAM_086_YR_#: Max 4 digits

LOOP MAX

15
DISPLAY CALENDAR. ADD DATE TO CALENDAR WITH LABEL “^{FILL_NONRES_NAME_#}
Entered Prison or Jail”.

PROGRAM. NOTES

PFAM LOOP 1: Repeat PFAM_073_# through PFAM_101_# for all non-residential parents
attached to eligible youths in the household for whom
NONRES_PARENT_UID≠PCSPOUSEID and NONRES_PARENT_UID≠PCPARTNERID until
NONRESCOUNT is reached with 15 max.
HARD CHECK: IF PFAM_086_YR_# OUT OF RANGE, DISPLAY: Please enter a year between
1900 - ^{FILL_INTERVIEWYEAR}.

CHECK (ENG)

CHECK (SPAN)

HARD CHECK: If month/year combination is in the future on DOI, display: You have
entered a date in the future. Please enter a date in the past.
HARD CHECK: IF PFAM_086_YR_# OUT OF RANGE, DISPLAY: Ingrese un año entre 1900 y
^{FILL_INTERVIEWYEAR}.

HARD CHECK: If month/year combination is in the future on DOI, display: Ingresó una
fecha en el futuro. Ingrese una fecha en el pasado.
HELP TEXT (ENG)
HELP TEXT (SPAN)
MODE

CASI / CAWI

NOTES
LEAD-IN
NEXT

PFAM_085_#
f_PFAM_087_#

f_PFAM_087_#
PFAM_087 _MO_#/PFAM_087_YR_#
ASK
PFAM_085_# ≠ 0 (Continue PFAM LOOP 1)
PFAM_087_MO_#: Dropdown
QUESTION TYPE
PFAM_087_YR_#: Numeric
USE FILL_NONRES_NAME_# CREATED IN PFAM_073_#
FILLS (ENG)
USE FILL_INTERVIEWYEAR CREATED in PFAM_004
Use fill from f_PFAM_086: FILL_CJRECENT2
USE FILL_NONRES_NAME_# CREATED IN PFAM_073_#
FILLS (SPAN)
USE FILL_INTERVIEWYEAR CREATED in PFAM_004
Use fill from f_PFAM_086: FILL_CJRECENT2
The {FILL_CJRECENT2} time that ^{FILL_NONRES_NAME_#} served time in prison, jail, or some other
correctional facility, when did ^{FILL_NONRES_NAME_#} leave the jail, prison, or correctional facility?
ENGLISH

Month: {Select} [PFAM_087_MO_#]
Year: ___________ [PFAM_087_YR_#]
-9. This parent is still in prison, jail, or other correctional facility.
Pensando en la vez {FILL_CJRECENT2} que ^{FILL_NONRES_NAME_#} cumplió una condena en la
cárcel, prisión o algún otro centro penitenciario, ¿cuándo fue que ^{FILL_NONRES_NAME_#} salió de
la cárcel, prisión o centro penitenciario?

SPANISH

Mes: {Seleccione} [PFAM_087_MO_#]
Año: ___________ [PFAM_087_YR_#]
-9. Este padre/madre sigue en prisión, en la cárcel o en otro centro penitenciario.

RANGE
LIMITS
LOOP MAX

PROGRAM. NOTES

CHECK (ENG)

PFAM_087_MO: Month entries in order: January, February, March, etc. through
December
PFAM_087_YR: 1900 - 2030
PFAM_087_YR: Max 4 digits
15
DISPLAY CALENDAR. ADD DATE TO CALENDAR WITH LABEL “^{FILL_NONRES_NAME_#} left
Prison or Jail”.
PFAM LOOP 1: Repeat PFAM_073_# through PFAM_101_# for all non-residential parents
attached to eligible youths in the household for whom
NONRES_PARENT_UID≠PCSPOUSEID and NONRES_PARENT_UID≠PCPARTNERID until
NONRESCOUNT is reached with 15 max.
HARD CHECK: IF PFAM_087_YR_# OUT OF RANGE, DISPLAY: Please enter a year between
1900 – ^{FILL_INTERVIEWYEAR}.
HARD CHECK: If month/year combination is in the future on DOI, display: You have
entered a date in the future. Please enter a date in the past.
HARD CHECK: If month/year combination reported in PFAM_087 is BEFORE month/year
combination reported in PFAM_086, display: The date that this parent left a correctional
facility should be after the date that they entered the correctional facility.

HARD CHECK: IF PFAM_087_YR_# OUT OF RANGE, DISPLAY: Ingrese un año entre 1900 y
^{FILL_INTERVIEWYEAR}.
CHECK (SPAN)

HARD CHECK: If month/year combination is in the future on DOI, display: Ingresó una
fecha en el futuro. Ingrese una fecha en el pasado.
HARD CHECK: If month/year combination reported in PFAM_087 is BEFORE month/year
combination reported in PFAM_086, display: La fecha en la que este padre/madre salió del
centro penitenciario debe ser después de la fecha en que ingresó al centro penitenciario.

HELP TEXT (ENG)
HELP TEXT (SPAN)
MODE

CASI / CAWI

NOTES
LEAD-IN
NEXT

f_PFAM_086
PFAM_088

PFAM_088_#
ASK

NON_RES_PARENT_LOOP(Continue PFAM LOOP 1)

QUESTION TYPE

Radio button

FILLS (ENG)

USE FILL_NONRES_NAME_# CREATED IN PFAM_073_#

FILLS (SPAN)
USE FILL_NONRES_NAME_# CREATED IN PFAM_073_#
Next there are some questions about ^{FILL_NONRES_NAME_#}’s family when they were growing up.
ENGLISH

Did ^{FILL_NONRES_NAME_#} live with both biological parents together from birth until age 14?
1. Yes
0. No
Las siguientes preguntas son sobre la familia de ^{FILL_NONRES_NAME_#} cuando estaba creciendo.

SPANISH

¿Vivió ^{FILL_NONRES_NAME_#} con ambos padres/madres biológicos(as) juntos desde su nacimiento
hasta los 14 años?
1. Sí

RANGE
LIMITS
LOOP MAX
PROGRAM. NOTES

15
PFAM LOOP 1: Repeat PFAM_073_# through PFAM_101_# for all non-residential parents
attached to eligible youths in the household for whom
NONRES_PARENT_UID≠PCSPOUSEID and NONRES_PARENT_UID≠PCPARTNERID until
NONRESCOUNT is reached with 15 max.

CHECK (ENG)
CHECK (SPAN)
HELP TEXT (ENG)
HELP TEXT (SPAN)
MODE

CASI / CAWI

NOTES
LEAD-IN
NEXT

PFAM_084_# = 0; PFAM_085_# = 0; PFAM_087_#
IF PFAM_088_# = 0: PFAM_089_#,
ELSE: PFAM_094_#

PFAM_089_#
ASK

PFAM_088_# = 0 (Continue PFAM LOOP 1)

QUESTION TYPE

Radio button

FILLS (ENG)
FILLS (SPAN)
Which parent didn't they always live with?
ENGLISH

1. Biological Mother
2. Biological Father
3. Both
¿Con qué padre/madre no vivió siempre?

SPANISH

1. Madre biológica
2. Padre biológico
3. Ambos(as)

RANGE
LIMITS
LOOP MAX
PROGRAM. NOTES

15
PFAM LOOP 1: Repeat PFAM_073_# through PFAM_101_# for all non-residential parents
attached to eligible youths in the household for whom
NONRES_PARENT_UID≠PCSPOUSEID and NONRES_PARENT_UID≠PCPARTNERID until
NONRESCOUNT is reached with 15 max.

CHECK (ENG)
CHECK (SPAN)
HELP TEXT (ENG)
HELP TEXT (SPAN)
MODE

CASI / CAWI

NOTES
LEAD-IN
NEXT

PFAM_088_# = 0
f_PFAM_090_#

f_PFAM_090_#
PFAM_090_#/PFAM_090_OTHER_#
ASK
PFAM_089_# = 1, 2, 3 or DK or REF (Continue PFAM LOOP 1)
PFAM_090_#: Radio button
QUESTION TYPE
PFAM_090_#_OTHER: Text
CREATE FILL_NRPARLIVE: IF PFAM_089 = 1, FILL_NRPARLIVE: their mother;
ELSE, IF PFAM_089 = 2, FILL_NRPARLIVE: their father;
FILLS (ENG)
ELSE, IF PFAM_089 = 3, FILL_NRPARLIVE: both parents;
ELSE, FILL_NRPARLIVE: their parent or parents
CREATE FILL_NRPARLIVE: IF PFAM_089 = 1, FILL_NRPARLIVE: su madre;
ELSE, IF PFAM_089 = 2, FILL_NRPARLIVE: su padre;
FILLS (SPAN)
ELSE, IF PFAM_089 = 3, FILL_NRPARLIVE: ambos(as) padres/madres;
ELSE, FILL_NRPARLIVE: su padre/madre o padres/madres
What was the reason they did not live with ^{FILL_NRPARLIVE}?

ENGLISH

1. One or both parents died
2. Parents became separated or divorced
3. They were adopted
4. They left home
5. Some other reason
Please tell us the other reason they did not live with their ^{FILL_SPPARLIVE}:
__________________________ [PFAM_090_OTHER_#]
¿Cuál fue la razón por la que no vivió con ^{FILL_NRPARLIVE}?

SPANISH

1. Uno(a) o ambos(as) murieron
2. Los(as) padres/madres se separaron o divorciaron
3. Fue adoptado(a)
4. Se fue de casa
5. Alguna otra razón
Díganos la otra razón por la que no vivió con ^{FILL_SPPARLIVE}: __________________________
[PFAM_090_OTHER_#]

RANGE
LIMITS

PFAM_060_OTHER: Max 120 characters

LOOP MAX

15
PFAM LOOP 1: Repeat PFAM_073_# through PFAM_101_# for all non-residential parents
attached to eligible youths in the household for whom
NONRES_PARENT_UID≠PCSPOUSEID and NONRES_PARENT_UID≠PCPARTNERID until
NONRESCOUNT is reached with 15 max.

PROGRAM. NOTES

IF PFAM_090_# = 5, DISPLAY PFAM_090_OTHER_#: Please tell us the other
reason they did not live with their ^{FILL_SPPARLIVE}:
CHECK (ENG)
CHECK (SPAN)
HELP TEXT (ENG)
HELP TEXT (SPAN)
MODE
NOTES

CASI / CAWI

LEAD-IN
NEXT

PFAM_089_#
If PFAM_089_#=1 or 3: f_PFAM_091_#;
Else if PFAM_089_#=2: f_PFAM_092_#
Else: PFAM_093

f_PFAM_091_#
PFAM_091 / PFAM_091_0 / PFAM_091_1_#/_# / PFAM_091_2_#/_# / PFAM_091_AND1_#/_# /
PFAM_091_3_#/_# / PFAM_091_4_#/_# / PFAM_091_AND2_#/_# / PFAM_091_5_#/_# / PFAM_091_6_#/_# /
PFAM_091_AND3_#/_# / PFAM_091_7_#/_# / PFAM_091_8_#
ASK
PFAM_089_# = 1 or 3 (Continue PFAM LOOP 1)
PFAM_091: Radio button
PFAM_091_0: Text
PFAM_091_#_1: Numeric
PFAM_091_#_2: Numeric
PFAM_091_#_AND1: Radio button
PFAM_091_#_3: Numeric
QUESTION TYPE
PFAM_091_#_4: Numeric
PFAM_091_#_AND2: Radio button
PFAM_091_#_5: Numeric
PFAM_091_#_6: Numeric
PFAM_091_#_AND3: Radio button
PFAM_091_#_7: Numeric
PFAM_091_#_8: Numeric
FILLS (ENG)
USE FILL_NONRES_NAME_# CREATED IN PFAM_073_#
FILLS (SPAN)
USE FILL_NONRES_NAME_# CREATED IN PFAM_073_#
Did ^{FILL_NONRES_NAME_#} live with their biological mother from birth until age 14? [PFAM_091]
1. Yes
0. No

At what ages did ^{FILL_NONRES_NAME_#} live with their biological mother? [PFAM_091_0]
From age:_____ [PFAM_091_1_#]
To age:_____ [PFAM_091_2_#]

ENGLISH

Did this parent live with their biological mother at another age [PFAM_091_AND1_#]
1. Yes
0. No
From age:_____ [PFAM_091_3_#]
To age: _____ [PFAM_091_4_#]
Did this parent live with their biological mother at another age [PFAM_091_AND2_#]
1. Yes
0. No
From age:_____ [PFAM_091_5_#]
To age:_____ [PFAM_091_6_#]

Did this parent live with their biological mother at another age? [PFAM_091_AND3_#]
From age:_____ [PFAM_091_7_#]
To age:_____ [PFAM_091_8_#]
Desde su nacimiento hasta los 14 años, ¿vivió ^{FILL_NONRES_NAME_#} con su madre biológica?
[PFAM_091]
1. Sí
0. No
¿A que edades vivió ^{FILL_NONRES_NAME_#} con su madre biológica? [PFAM_091_0]
Desde la edad: _____ [PFAM_091_
1_#]
Hasta la edad:_____ [PFAM_091_2_#]
¿Vivió este padre/madre con su madre biológica a otra edad? [PFAM_091_AND1_#]
1. Sí
0. No
SPANISH

Desde la edad:_____ [PFAM_091_3_#]
Hasta la edad: _____ [PFAM_091_4_#]
¿Vivió este padre/madre con su madre biológica a otra edad? [PFAM_091_AND2]
1. Sí
0. No
Desde la edad:_____ [PFAM_091_5]
Hasta la edad: _____ [PFAM_091_6]
¿Vivió este padre/madre con su madre biológica a otra edad? [PFAM_091_AND3]
1. Sí
0. No

RANGE

LIMITS

Desde la edad:_____ [PFAM_091_7]
Hasta la edad: _____ [PFAM_091_8]
PFAM_091_#_1: 0-99
PFAM_091_#_2: 0-99
PFAM_091_#_3: 0-99
PFAM_091_#_4: 0-99
PFAM_091_#_5: 0-99
PFAM_091_#_6: 0-99
PFAM_091_#_7: 0-99
PFAM_091_#_8: 0-99
PFAM_091_#_1: Max 2 digits
PFAM_091_#_2: Max 2 digits
PFAM_091_#_3: Max 2 digits
PFAM_091_#_4: Max 2 digits

LOOP MAX

PROGRAM. NOTES

CHECK (ENG)

PFAM_091_#_5: Max 2 digits
PFAM_091_#_6: Max 2 digits
PFAM_091_#_7: Max 2 digits
PFAM_091_#_8: Max 2 digits
15
SHOW PFAM_091
If PFAM_091 = 1: DISPLAY PFAM_091_0, PFAM_091_1_#, PFAM_091_2_# AND
PFAM_091_AND1_#
If PFAM_091_AND1_# IS CHECKED, DISPLAY PFAM_091_3_# AND PFAM_091_4_# AND
PFAM_091_AND2_# ON THE SAME SCREEN.
IF PFAM_091_AND2_# IS CHECKED, DISPLAY PFAM_091_5_# AND PFAM_091_6_# AND
PFAM_091_AND3_#.
IF PFAM_091_AND3_# IS CHECKED, DISPLAY PFAM_091_7_# AND _PFAM_091_8_#.
PFAM LOOP 1: Repeat PFAM_073_# through PFAM_101_# for all non-residential parents
attached to eligible youths in the household for whom
NONRES_PARENT_UID≠PCSPOUSEID and NONRES_PARENT_UID≠PCPARTNERID until
NONRESCOUNT is reached with 15 max.
IF PFAM_091_1> PFAM_091_2 OR
PFAM_091_3 > PFAM_091_4 OR
PFAM_091_5 > PFAM_091_6 OR
PFAM_091_7 > PFAM_091_8, DISPLAY HARD CHECK:
The age this parent stopped living with their biological mother should be after the age
they began living with their biological mother. Please update your answer.
If age ranges entered in each set (e.g., PFAM_091_1 through PFAM_091_2) overlap with
an age range entered in another set (e.g., PFAM_091_3 through PFAM_091_4), display
hard check: “The ages you entered overlap. Please review your answers.”
If age entered in any field is >14, display hard check: “This question asks about birth until
the age of 14. Please review your answers.”
IF PFAM_091_1> PFAM_091_2 OR
PFAM_091_3 > PFAM_091_4 OR
PFAM_091_5 > PFAM_091_6 OR
PFAM_091_7 > PFAM_091_8, DISPLAY HARD CHECK: La edad en la que este padre/madre
dejó de vivir con su madre biológica debe ser después de la edad en que empezó a vivir
con su madre biológica. Actualice su respuesta.

CHECK (SPAN)

If age ranges entered in each set (e.g., PFAM_091_1 through PFAM_091_2) overlap with
an age range entered in another set (e.g., PFAM_091_3 through PFAM_091_4), display
hard check: “Las edades ingresadas se superponen. Revise sus respuestas.”
If age entered in any field is >14, display hard check: “Esta pregunta se refiere al
nacimiento hasta los 14 años. Revise sus respuestas.”

HELP TEXT (ENG)
HELP TEXT (SPAN)
MODE

CASI / CAWI

NOTES
LEAD-IN
NEXT

PFAM_090_#
IF PFAM_089_# = 2 or 3: f_PFAM_092_#;

ELSE: PFAM_093_#

f_PFAM_092_#
PFAM_092 / PFAM_092_0 / PFAM_092_1_#/_# / PFAM_092_2_#/_# / PFAM_092_AND1_#/_# /
PFAM_092_3_#/_# / PFAM_092_4_#/_# / PFAM_092_AND2_#/_# / PFAM_092_5_#/_# / PFAM_092_6_#/_#
/ PFAM_092_AND3_#/_# / PFAM_092_7_#/_# / PFAM_092_8_#
ASK
PFAM_089_# = 2 or 3 (Continue PFAM LOOP 1)
PFAM_092: Radio button
PFAM_092_0: Text
PFAM_092_1_#: Numeric
PFAM_092_2_#: Numeric
PFAM_092_AND1_#: Radio button
PFAM_092_3_#: Numeric
QUESTION TYPE
PFAM_092_4_#: Numeric
PFAM_092_AND2_#: Radio button
PFAM_092_5_#: Numeric
PFAM_092_6_#: Numeric
PFAM_092_AND3_#: Radio button
PFAM_092_7_#: Numeric
PFAM_092_8_#: Numeric
FILLS (ENG)
USE FILL_NONRES_NAME_# CREATED IN PFAM_073_#
FILLS (SPAN)
USE FILL_NONRES_NAME_# CREATED IN PFAM_073_#
Did ^{FILL_NONRES_NAME_#} live with their biological father from birth until age 14? [PFAM_092]
1. Yes
0. No

At what ages did ^{FILL_NONRES_NAME_#} live with their biological father? [PFAM_092_0]
From age:_____ [PFAM_092_1_#]
To age:_____ [PFAM_092_2_#]
Did this parent live with their biological father at another age? [PFAM_092_AND1_#]
ENGLIS 1. Yes
0. No
H
From age:_____ [PFAM_092_3_#]
To age: _____ [PFAM_092_4_#]
Did this parent live with their biological father at another age?. [PFAM_092_AND2_#]
1. Yes
0. No
From age:_____ [PFAM_092_5_#]
To age:_____ [PFAM_092_6_#]
Did this parent live with their biological father at another age? [PFAM_092_AND3_#]
1. Yes

0. No
From age:_____ [PFAM_092_7_#]
To age:_____ [PFAM_092_8_#]
Desde su nacimiento hasta los 14 años, ¿vivió ^{FILL_NONRES_NAME_#} con su padre biológico?
[PFAM_092]
1. Sí
0. No
¿A que edades vivió ^{FILL_NONRES_NAME_#} con su padre biológico? [PFAM_092_0]
Desde la edad: _____
[PFAM_092_1_#]
Hasta la edad:_____ [PFAM_092_2_#]
¿Vivió este padre/madre con su padre biológico a otra edad? [PFAM_092_AND1_#]
1. Sí
0. No

SPANIS
H
Desde la edad:_____ [PFAM_092_3_#]
Hasta la edad: _____ [PFAM_092_4_#]
¿Vivió este padre/madre con su padre biológico a otra edad? [PFAM_092_AND2]
1. Sí
0. No
Desde la edad:_____ [PFAM_092_5]
Hasta la edad: _____ [PFAM_092_6]
¿Vivió este padre/madre con su padre biológico a otra edad? [PFAM_092_AND3]
1. Sí
0. No
Desde la edad:_____ [PFAM_092_7]
Hasta la edad: _____ [PFAM_092_8]
PFAM_092_1_#: 0-99
PFAM_092_2_#: 0-99
PFAM_092_3_#: 0-99
PFAM_092_4_#: 0-99
RANGE
PFAM_092_5_#: 0-99
PFAM_092_6_#: 0-99
PFAM_092_7_#: 0-99
PFAM_092_8_#: 0-99
PFAM_092_1_#: Max 2 digits
LIMITS
PFAM_092_2_#: Max 2 digits
PFAM_092_3_#: Max 2 digits

LOOP MAX

PFAM_092_4_#: Max 2 digits
PFAM_092_5_#: Max 2 digits
PFAM_092_6_#: Max 2 digits
PFAM_092_7_#: Max 2 digits
PFAM_092_8_#: Max 2 digits
15
SHOW PFAM_092
If PFAM_092 = 1: DISPLAY PFAM_092_0, PFAM_092_1_#, PFAM_092_2_#
AND PFAM_092_AND1_#
If PFAM_092_AND1_# IS CHECKED, DISPLAY PFAM_092_3_# AND
PFAM_092_4_# AND PFAM_092_AND2_# ON THE SAME SCREEN.

PROGRAM. NOTES

IF PFAM_092_AND2_# IS CHECKED, DISPLAY PFAM_092_5_# AND
PFAM_092_6_# AND PFAM_092_AND3_#.
IF PFAM_092_AND3_# IS CHECKED, DISPLAY PFAM_092_7_# AND
_PFAM_092_8_#.

CHECK (ENG)

CHECK (SPAN)

PFAM LOOP 1: Repeat PFAM_073_# through PFAM_101_# for all nonresidential parents attached to eligible youths in the household for whom
NONRES_PARENT_UID≠PCSPOUSEID and
NONRES_PARENT_UID≠PCPARTNERID until NONRESCOUNT is reached with 15
max.
IF PFAM_092_1> PFAM_092_2 OR
PFAM_092_3 > PFAM_092_4 OR
PFAM_092_5 > PFAM_092_6 OR
PFAM_092_7 > PFAM_092_8, DISPLAY HARD CHECK:
The age this parent stopped living with their biological father should be after
the age they began living with their biological father. Please update your
answer.
If age ranges entered in each set (e.g., PFAM_092_1 through PFAM_092_2)
overlap with an age range entered in another set (e.g., PFAM_092_3 through
PFAM_092_4), display hard check: “The ages you entered overlap. Please
review your answers.”
If age entered in any field is >14, display hard check: “This question asks
about birth until the age of 14. Please review your answers.”
IF PFAM_092_1> PFAM_092_2 OR
PFAM_092_3 > PFAM_092_4 OR
PFAM_092_5 > PFAM_092_6 OR
PFAM_092_7 > PFAM_092_8, DISPLAY HARD CHECK:
La edad en la que este padre/madre dejó de vivir con su padre biológico
debe ser después de la edad en que empezó a vivir con su padre
biológico. Actualice su respuesta.
If age ranges entered in each set (e.g., PFAM_092_1 through
PFAM_092_2) overlap with an age range entered in another set (e.g.,

PFAM_092_3 through PFAM_092_4), display hard check: “Las edades
ingresadas se superponen. Revise sus respuestas.”
If age entered in any field is >14, display hard check: “Esta pregunta se
refiere al nacimiento hasta los 14 años. Revise sus respuestas.”
HELP TEXT (ENG)
HELP TEXT (SPAN)
MODE

CASI / CAWI

NOTES
LEAD-IN

PFAM_090_#, f_PFAM_091_#

NEXT

PFAM_093_#

PFAM_093_#
ASK

Any PFAM_075_#_# = 1 (Continue PFAM LOOP 1)

QUESTION TYPE

Numeric

FILLS (ENG)

USE FILL_NONRES_NAME_# CREATED IN PFAM_073_#

FILLS (SPAN)
USE FILL_NONRES_NAME_# CREATED IN PFAM_073_#
How many brothers and sisters does ^{FILL_NONRES_NAME_#} have in total? Please include full, halfand step-siblings even if ^{FILL_NONRES_NAME_#} never lived with them.
ENGLISH

Number of brothers and sisters: ___________

¿Cuántos hermanos y hermanas tiene ^{FILL_NONRES_NAME_#} en total? Incluya a los(as)
hermanos(as) de sangre, medios(as) hermanos(as) o hermanastros(as) aunque
^{FILL_NONRES_NAME_#} nunca haya vivido con ellos.
SPANISH

Número de hermanos y hermanas: ___________

RANGE

0-99

LIMITS

Max 2 digits

LOOP MAX

15
PFAM LOOP 1: Repeat PFAM_073_# through PFAM_101_# for all non-residential parents
attached to eligible youths in the household for whom
NONRES_PARENT_UID≠PCSPOUSEID and NONRES_PARENT_UID≠PCPARTNERID until
NONRESCOUNT is reached with 15 max.
HARD CHECK: IF OUT OF RANGE, DISPLAY: Please enter a number corresponding to how
many siblings ^{FILLNONRES_NAME_#} has 0-99.
HARD CHECK: IF OUT OF RANGE, DISPLAY: Ingrese un número correspondiente a
cuántos(as) hermanos(as) tiene ^{FILLNONRES_NAME_#} entre el 0 y el 99.

PROGRAM. NOTES
CHECK (ENG)
CHECK (SPAN)
HELP TEXT (ENG)
HELP TEXT (SPAN)
MODE

CASI / CAWI

NOTES
LEAD-IN
NEXT

PFAM_088_#, f_PFAM_091_#, f_PFAM_092_#
PFAM_094_#

PFAM_094_#
ASK

PFAM_075_#_# = 1 (Continue PFAM LOOP 1)

QUESTION TYPE

Radio button

FILLS (ENG)

USE FILL_NONRES_NAME_# CREATED IN PFAM_073_#

FILLS (SPAN)
USE FILL_NONRES_NAME_# CREATED IN PFAM_073_#
Which of the following best describes the community in which ^{NONRES_NAME_#} was living at age
14?

ENGLISH

1. Large or mid-sized city (At least 100,000 residents)
2. Suburb
3. Small city or town
4. Rural area
5. Indian reservation
6. Military base

¿Cuál de las siguientes opciones describe mejor la comunidad en la que vivía ^{NONRES_NAME_#} a
los 14 años?

SPANISH

1. Ciudad grande o mediana (al menos 100,000 habitantes)
2. Suburbio
3. Pequeña ciudad o pueblo
4. Zona rural
5. Reserva indígena
6. Base militar

RANGE
LIMITS
LOOP MAX
PROGRAM. NOTES

15
PFAM LOOP 1: Repeat PFAM_073_# through PFAM_101_# for all non-residential parents
attached to eligible youths in the household for whom
NONRES_PARENT_UID≠PCSPOUSEID and NONRES_PARENT_UID≠PCPARTNERID until
NONRESCOUNT is reached with 15 max.

CHECK (ENG)
CHECK (SPAN)
HELP TEXT (ENG)
HELP TEXT (SPAN)
MODE

CASI / CAWI

NOTES
LEAD-IN
NEXT

PFAM_093_#
PFAM_095_#

PFAM_095_#
ASK

PFAM_075_#_# = 1 (Continue PFAM LOOP 1)

QUESTION TYPE

Numeric

FILLS (ENG)

USE FILL_NONRES_NAME_# CREATED IN PFAM_073_#

FILLS (SPAN)
USE FILL_NONRES_NAME_# CREATED IN PFAM_073_#
The next few questions are about ^{NONRES_NAME_#}'s parents.
In what year was ^{NONRES_NAME_#}'s mother born?
ENGLISH

Year: ________________

Las siguientes preguntas son sobre los padres de ^{NONRES_NAME_#}.
¿En qué año nació la madre de ^{NONRES_NAME_#}?
SPANISH

Año: ________________

RANGE

1880-2000

LIMITS

Max 4 digits

LOOP MAX

15
PFAM LOOP 1: Repeat PFAM_073_# through PFAM_101_# for all non-residential parents
attached to eligible youths in the household for whom
NONRES_PARENT_UID≠PCSPOUSEID and NONRES_PARENT_UID≠PCPARTNERID until
NONRESCOUNT is reached with 15 max.
HARD CHECK: IF OUT OF RANGE, DISPLAY: Please enter a year between 1880 and 2000.

PROGRAM. NOTES
CHECK (ENG)
CHECK (SPAN)

HARD CHECK: IF OUT OF RANGE, DISPLAY: Ingrese un año entre 1880 y 2000.

HELP TEXT (ENG)
HELP TEXT (SPAN)
MODE

CASI / CAWI

NOTES
LEAD-IN
NEXT

PFAM_094_#
PFAM_095_# = DK or REF: PFAM_096_#;
ELSE: PFAM_097_#

PFAM_096_#
ASK

PFAM_095_# = DK or REF (Continue PFAM LOOP 1)

QUESTION TYPE

Numeric

FILLS (ENG)

USE FILL_NONRES_NAME_# CREATED IN PFAM_073_#

FILLS (SPAN)
USE FILL_NONRES_NAME_# CREATED IN PFAM_073_#
Do you know about what year she was born? An estimate would be helpful.
ENGLISH

Year: ________________

¿Sabe aproximadamente en qué año nació? Una estimación sería útil.
SPANISH

Año: ________________

RANGE

1880-2000

LIMITS

Max 4 digits

LOOP MAX

15
PFAM LOOP 1: Repeat PFAM_073_# through PFAM_101_# for all non-residential parents
attached to eligible youths in the household for whom
NONRES_PARENT_UID≠PCSPOUSEID and NONRES_PARENT_UID≠PCPARTNERID until
NONRESCOUNT is reached with 15 max.
HARD CHECK: IF OUT OF RANGE, DISPLAY: Please enter a year between 1880 and 2000.

PROGRAM. NOTES
CHECK (ENG)
CHECK (SPAN)

HARD CHECK: IF OUT OF RANGE, DISPLAY: Ingrese un año entre 1880 y 2000.

HELP TEXT (ENG)
HELP TEXT (SPAN)
MODE

CASI / CAWI

NOTES
LEAD-IN
NEXT

PFAM_095_# = DK or REF
PFAM_097_#

PFAM_097_#
ASK

PFAM_075_#_# = 1 (Continue PFAM LOOP 1)

QUESTION TYPE

Radio button

FILLS (ENG)

USE FILL_NONRES_NAME_# CREATED IN PFAM_073_#

FILLS (SPAN)
USE FILL_NONRES_NAME_# CREATED IN PFAM_073_#
What is the highest educational degree that ^{NONRES_NAME_#}'s mother received?

ENGLISH

0. None
1. High school equivalency such as GED (General Education Development) or HiSET (High School
Equivalency Test)
2. High school diploma (Regular 12-year program)
3. Associate/Junior college (AA, AS)
4. Bachelor's degree (BA, BS)
5. Master's degree (MA, MBA, MS)
6. Doctoral degree (PhD, EdD)
7. Professional degree (MD, DDS, JD)

¿Cuál es el título educativo más alto que obtuvo la madre de ^{NONRES_NAME_#}?

SPANISH

0. Ninguno
1. Título equivalente al de la escuela secundaria/preparatoria, como el Desarrollo de Educación
General (GED, por sus siglas en inglés) o la Prueba de Equivalencia de Escuela Secundaria (HiSET, por
sus siglas en inglés)
2. Diploma de escuela secundaria/preparatoria (programa regular de 12 años)
3. Título de dos años (Associate)/escuela semisuperior (AA, AS, por sus siglas en inglés)
4. Título de cuatro años (BA, BS, por sus siglas en inglés)
5. Maestría (MA, MBA, MS, por sus siglas en inglés)
6. Doctorado (PhD, EdD, por sus siglas en inglés)
7. Título profesional (MD, DDS, JD, por sus siglas en inglés)

RANGE
LIMITS
LOOP MAX
PROGRAM. NOTES

15
PFAM LOOP 1: Repeat PFAM_073_# through PFAM_101_# for all non-residential parents
attached to eligible youths in the household for whom
NONRES_PARENT_UID≠PCSPOUSEID and NONRES_PARENT_UID≠PCPARTNERID until
NONRESCOUNT is reached with 15 max.

CHECK (ENG)
CHECK (SPAN)
HELP TEXT (ENG)
HELP TEXT (SPAN)
MODE

CASI / CAWI

NOTES
LEAD-IN
NEXT

PFAM_095_#, PFAM_096_#
PFAM_098_#

PFAM_098_#
ASK

PFAM_075_#_# = 1 (Continue PFAM LOOP 1)

QUESTION TYPE

Numeric

FILLS (ENG)

USE FILL_NONRES_NAME_# CREATED IN PFAM_073_#

FILLS (SPAN)
USE FILL_NONRES_NAME_# CREATED IN PFAM_073_#
Next are a few questions about ^{NONRES_NAME_#}'s father.
In what year was ^{NONRES_NAME_#}'s father born?
ENGLISH

Year: ________________

Las siguientes preguntas son sobre el padre de ^{NONRES_NAME_#}.
¿En qué año nació el padre de ^{NONRES_NAME_#}?
SPANISH

Año: ________________

RANGE

1880-2000

LIMITS

Max 4 digits

LOOP MAX

15
PFAM LOOP 1: Repeat PFAM_073_# through PFAM_101_# for all non-residential parents
attached to eligible youths in the household for whom
NONRES_PARENT_UID≠PCSPOUSEID and NONRES_PARENT_UID≠PCPARTNERID until
NONRESCOUNT is reached with 15 max.
HARD CHECK: IF OUT OF RANGE, DISPLAY: Please enter a year between 1880 and 2000.

PROGRAM. NOTES
CHECK (ENG)
CHECK (SPAN)

HARD CHECK: IF OUT OF RANGE, DISPLAY: Ingrese un año entre 1880 y 2000.

HELP TEXT (ENG)
HELP TEXT (SPAN)
MODE

CASI / CAWI

NOTES
LEAD-IN
NEXT

PFAM_097_#
PFAM_098_# = DK OR REF: PFAM_099_#;
ELSE: PFAM_100_#

PFAM_099_#
ASK

PFAM_098_# = DK or REF (Continue PFAM LOOP 1)

QUESTION TYPE

Numeric

FILLS (ENG)

USE FILL_NONRES_NAME_# CREATED IN PFAM_073_#

FILLS (SPAN)
USE FILL_NONRES_NAME_# CREATED IN PFAM_073_#
Do you know about what year he was born? An estimate would be helpful.
ENGLISH

Year: ________________

¿Sabe aproximadamente en qué año nació? Una estimación sería útil.
SPANISH

Año: ________________

RANGE

1880-2000

LIMITS

Max 4 digits

LOOP MAX

CHECK (ENG)

15
PFAM LOOP 1: Repeat PFAM_073_# through PFAM_101_# for all non-residential parents
attached to eligible youths in the household for whom
NONRES_PARENT_UID≠PCSPOUSEID and NONRES_PARENT_UID≠PCPARTNERID until
NONRESCOUNT is reached with 15 max.
HARD CHECK: IF OUT OF RANGE, DISPLAY: Please enter a year between 1880 and 2000.

CHECK (SPAN)

HARD CHECK: IF OUT OF RANGE, DISPLAY: Ingrese un año entre 1880 y 2000.

PROGRAM. NOTES

HELP TEXT (ENG)
HELP TEXT (SPAN)
MODE

CASI / CAWI

NOTES
LEAD-IN
NEXT

PFAM_098_# = DK or REF
PFAM_100_#

PFAM_100_#
ASK

Any PFAM_075_#_# = 1 (Continue PFAM LOOP 1)

QUESTION TYPE

Radio button

FILLS (ENG)

USE FILL_NONRES_NAME_# CREATED IN PFAM_073_#

FILLS (SPAN)
USE FILL_NONRES_NAME_# CREATED IN PFAM_073_#
What is the highest educational degree that ^{NONRES_NAME_#}'s father received?

ENGLISH

SPANISH

0. None
1. High school equivalency such as GED (General Education Development) or HiSET (High School
Equivalency Test)
2. High school diploma (Regular 12-year program)
3. Associate/Junior college (AA, AS)
4. Bachelor's degree (BA, BS)
5. Master's degree (MA, MBA, MS)
6. Doctoral degree (PhD, EdD)
7. Professional degree (MD, DDS, JD)
¿Cuál es el título educativo más alto que obtuvo el padre de ^{NONRES_NAME_#}?
0. Ninguno
1. Título equivalente al de la escuela secundaria/preparatoria, como el Desarrollo de Educación
General (GED, por sus siglas en inglés) o la Prueba de Equivalencia de Escuela Secundaria (HiSET, por
sus siglas en inglés)
2. Diploma de escuela secundaria/preparatoria (programa regular de 12 años)
3. Título de dos años (Associate)/escuela semisuperior (AA, AS, por sus siglas en inglés)
4. Título de cuatro años (BA, BS, por sus siglas en inglés)
5. Maestría (MA, MBA, MS, por sus siglas en inglés)
6. Doctorado (PhD, EdD, por sus siglas en inglés)
7. Título profesional (MD, DDS, JD, por sus siglas en inglés)

RANGE
LIMITS
LOOP MAX
PROGRAM. NOTES

15
PFAM LOOP 1: Repeat PFAM_073_# through PFAM_101_# for all non-residential parents
attached to eligible youths in the household for whom
NONRES_PARENT_UID≠PCSPOUSEID and NONRES_PARENT_UID≠PCPARTNERID until
NONRESCOUNT is reached with 15 max.

CHECK (ENG)
CHECK (SPAN)
HELP TEXT (ENG)
HELP TEXT (SPAN)
MODE

CASI / CAWI

NOTES
LEAD-IN
NEXT

PFAM_098_#, PFAM_099_#
PFAM_101_#

PFAM_101_#
ASK

Any PFAM_075_#_# = 1 (Continue PFAM LOOP 1)

QUESTION TYPE

Numeric

FILLS (ENG)

USE FILL_NONRES_NAME_# CREATED IN PFAM_073_#

FILLS (SPAN)
USE FILL_NONRES_NAME_# CREATED IN PFAM_073_#
How many times has ^{NONRES_NAME} been legally married? Please include their current marriage if
they are married now.
ENGLISH

Number of Times: ________________

¿Cuántas veces ha estado casado(a) legalmente ^{NONRES_NAME}? Incluya su matrimonio actual si
está casado(a) en este momento.
SPANISH

Número de veces: ________________

RANGE

0-99

LIMITS

Max 2 digits

LOOP MAX

15
PFAM LOOP 1: Repeat PFAM_073_# through PFAM_101_# for all non-residential parents
attached to eligible youths in the household for whom
NONRES_PARENT_UID≠PCSPOUSEID and NONRES_PARENT_UID≠PCPARTNERID until
NONRESCOUNT is reached with 15 max.

PROGRAM. NOTES
CHECK (ENG)
CHECK (SPAN)
HELP TEXT (ENG)
HELP TEXT (SPAN)
MODE

CASI / CAWI

NOTES
LEAD-IN
NEXT

PFAM_100_#
PFAM_102_#

PFAM_102_#
ASK
QUESTION TYPE

NONRES_PARENT_UID≠PCSPOUSEID and NONRES_PARENT_UID≠PCPARTNERID (End
PFAM LOOP 1)
Computer Check

FILLS (ENG)
FILLS (SPAN)
ENGLISH
SPANISH
RANGE
LIMITS
LOOP MAX

PROGRAM. NOTES

15
PFAM LOOP 1: Repeat PFAM_073_# through PFAM_101_# for all non-residential parents
attached to eligible youths in the household for whom
NONRES_PARENT_UID≠PCSPOUSEID and NONRES_PARENT_UID≠PCPARTNERID until
NONRESCOUNT is reached with 15 max.
This is a computer check. Do not display.

CHECK (ENG)
CHECK (SPAN)
HELP TEXT (ENG)
HELP TEXT (SPAN)
MODE

CASI / CAWI

NOTES
LEAD-IN
NEXT

PFAM_75_#_#, PFAM_076_#, PFAM_101_#
IF LOOP NUMBER < NONRESCOUNT: PFAM_072;
ELSE: PCAL_001

NLSY27 Specifications Formatting
Parent/Caregiver Survey, Parent Calendar
PRELOADS:
YOUTHROSTERNUM: Total number of eligible youth in YOUTHROSTER, HHS
PCMART: Parent’s marital status, PINF
PCPART: Indicator for residential partner, PINF
ADULTLIST: List of household members aged 18 and above, PINF
PCSPOUSE: Name of responding P/C spouse, PINF
PCPARTNER: Name of responding P/C unmarried partner, PINF
YOUTHDOBYOUTH_DOB: for each eligible youth
HHNAMEHH_NAME: names of all household members, HHS
ADULTROSTER: list of all adult household members from HHS
DERIVED VARIABLES:
PCPARTNUM - Count of reported spouses and cohabiting partners from partner roster; derived from
PCAL-011
PCPARTCURR – Flag for current partner/caregiver - set equal to 1 for current partner of
partner/caregiver, 0 for all others; derived from PCAL-011 and PCAL-012
TEENPARENT- Flag for whether responding parent/caregiver was under 18 when oldest eligible youth
was born

Paradata:
Capture item level timing.
Include a time/date stamp at beginning and end of module.
General Notes:
• Do not display response option numbers/letters.
• Do not display DK and REF on each screen at loading.
o If R tries to move forward without providing a response, display DK (‘Don’t know’) and REF (‘Prefer
not to answer’) on screen. For Spanish: display DK (‘No lo sé’) and REF (‘Prefiero no contestar’) on
screen
 Unless otherwise noted, include a soft prompt for R to respond or select DK/REF option:
“Your answers are very important. Please consider selecting a response.”
 For Spanish: “Sus respuestas son muy importantes. Considere la posibilidad de seleccionar
una respuesta.”
o If R still tries to move forward without answering, assign REF code to missing response.

PCAL_001
ASK

All respondents

QUESTION TYPE

Informational
Create fill, FILL_PCAL_001_1
If YOUTHROSTERNUM=1, FILL_PCAL_001_1: “child”
Else, FILL_PCAL_001_1: “children”

FILLS (ENG)

Create fill, FILL_PCAL_001_2
If YOUTHROSTERNUM=1, FILL_PCAL_001_2: “birth”
Else, FILL_PCAL_001_2: “births”
Create fill, FILL_PCAL_001_3
If YOUTHROSTERNUM=1, FILL_PCAL003_001_3: “child’s life”
Else, FILL_PCAL_001_3: “children’s lives”
Create fill, FILL_PCAL_001_1
If YOUTHROSTERNUM=1, FILL_PCAL001: “su hijo(a)”
Else, FILL_PCAL001: “sus hijos(as)”

FILLS (SPAN)

Create fill, FILL_PCAL_001_2
If YOUTHROSTERNUM=1, FILL_PCAL001: “el nacimiento”
Else, FILL_PCAL001: “los nacimientos”
Create fill, FILL_PCAL_001_3
If YOUTHROSTERNUM=1, FILL_PCAL003: “la vida de su hijo(a)”
Else, FILL_PCAL003: “la vida de sus hijos(as)“

ENGLISH

SPANISH

Now we would like to find out a little about your life history. In this section we are especially
interested in your marriage and cohabitation history. Since this survey is mainly concerned with your
^{FILL_PCAL_001_01} who will be in our study, we will concentrate on events which have happened
since their ^{FILL_PCAL_001_02}. Later in the survey, there will be more questions specifically about
events in your ^{FILL_PCAL_001_03} such as living arrangements.
Ahora, quisiera saber un poco sobre la historia de su vida. En esta sección, nos interesa especialmente
saber de su historial de matrimonio y de convivencia. Dado que esta encuesta se refiere
principalmente a ^{FILL_PCAL_001_01} en nuestro estudio, nos enfocaremos en los acontecimientos
que han sucedido desde ^{FILL_PCAL_001_02}. Más adelante en la encuesta, habrá más preguntas
específicas sobre los acontecimientos de ^{FILL_PCAL_001_03}, como cuestiones de vivienda.

RANGE
LIMITS
LOOP MAX
PROGRAM. NOTES
CHECK (ENG)
CHECK (SPAN)
HELP TEXT (ENG)
HELP TEXT (SPAN)
MODE
NOTES

CAWI, CASI

LEAD-IN
NEXT

PFAM_102
PCAL_002

PCAL_002
ASK

All respondents

QUESTION TYPE

Informational

FILLS (ENG)
FILLS (SPAN)
In order to keep all the dates straight, most people find it easier to use a calendar. We find that people
are often better at recalling the dates of events if they think of them in relation to important
ENGLISH milestones in their lives such as the date of their marriage or the birthdates of their children. You can
access the calendar during this section of the survey by clicking on the calendar icon in the top left of
your screen.
Para tener todas las fechas claras, a la mayoría de las personas les resulta más fácil usar un calendario.
Descubrimos que suelen recordar mejor las fechas de los acontecimientos si piensan en ellos en
SPANISH relación con hitos importantes de su vida, como la fecha de su matrimonio o la del nacimiento de sus
hijos(as). Puede acceder al calendario durante esta sección de la encuesta haciendo clic en el ícono del
calendario ubicado en la parte superior izquierda de su pantalla.
RANGE
LIMITS
LOOP MAX
PROGRAM. NOTES

DISPLAY CALENDAR

CHECK (ENG)
CHECK (SPAN)
HELP TEXT (ENG)
HELP TEXT (SPAN)
MODE

CAWI, CASI

NOTES
LEAD-IN
NEXT

PCAL_001
PCAL_003

PCAL_003
ASK

All respondents

QUESTION TYPE

Informational
Create fill, FILL_PCAL_003
If YOUTHROSTERNUM=1, FILL_PCAL_003: “date of your child who is”
Else, FILL_PCAL_003: “dates of your children who are”

FILLS (ENG)

FILLS (SPAN)

ENGLISH

SPANISH

Create fill, FILL_PCAL_003
If YOUTHROSTERNUM=1, FILL_PCAL_003: “la fecha de nacimiento de su hijo(a)
que participa”
Else, FILL_PCAL_003: “las fechas de nacimiento de sus hijo(a)s que participan”

As you can see, this calendar has months and years across the top and a space listed for events down
the side. Each month of a particular year is represented by a box. If you click on the box for a particular
month, the calendar will expand to show you days. The calendar will automatically display the birth
^{PCAL_003} in the study.
Como puede ver, este calendario tiene los meses y los años en la parte superior y un espacio para los
acontecimientos en el costado. Los meses de cada año concreto están representados por casillas. Si le
hace clic a la casilla de un mes concreto, el calendario se ampliará para mostrarle los días. El
calendario mostrará automáticamente ^{PCAL_003} en el estudio.

RANGE
LIMITS
LOOP MAX
PROGRAM. NOTES

CREATE TEENPARENT=1 IF PCAGE-YOUTHAGE(oldest youth)<18. Else
TEENPARENT=0.

CHECK (ENG)
CHECK (SPAN)
HELP TEXT (ENG)
HELP TEXT (SPAN)
MODE

CAWI, CASI

NOTES
LEAD-IN

PCAL_002

NEXT

PCAL_007

PCAL_007
ASK

All respondents

QUESTION TYPE

Informational

FILLS (ENG)
FILLS (SPAN)
To access the calendar, just click on the calendar icon at the top left of your screen. Feel free to refer
to it as much or as little as you want to help you answer the survey questions. People often find it
especially useful when answering questions about their marriage and cohabitation, residential moves,
ENGLISH
and the schooling and living arrangements of their children. As you provide time periods and dates in
the survey, they will be automatically added to your calendar.

SPANISH

Para acceder al calendario, haga clic en el ícono del calendario ubicado en la parte superior izquierda
de su pantalla. Siéntase libre de consultarlo tanto o tan poco como quiera para responder las
preguntas de la encuesta. Las personas suelen encontrarlo especialmente útil a la hora de responder
preguntas sobre su matrimonio y convivencia, las mudanzas residenciales, y la escolarización y
vivienda de sus hijos(as). A medida que nos dé períodos de tiempo y fechas en la encuesta, se irán
añadiendo automáticamente a su calendario.

RANGE
LIMITS
LOOP MAX
PROGRAM. NOTES
CHECK (ENG)
CHECK (SPAN)
HELP TEXT (ENG)
HELP TEXT (SPAN)
MODE

CAWI, CASI

NOTES
LEAD-IN
NEXT

PCAL_003
PCAL_008

PCAL_008
ASK

All respondents

QUESTION TYPE

Informational

FILLS (ENG)
FILLS (SPAN)
These next questions are about marriages and cohabitating relationships.

ENGLISH

In a legal marriage, spouses may live together in the same household, but there may be times when
married spouses live apart, for example when away for work or on military assignments.
Some couples live together in cohabitating relationships without being legally married. By cohabitating
relationships, we mean romantic or sexual relationships in which partners establish one household
and live together for a period of at least three months.
Las siguientes preguntas son sobre matrimonios y relaciones de convivencia.

SPANISH

En un matrimonio legal, los(as) cónyuges pueden vivir juntos(as) en el mismo hogar, pero puede haber
ocasiones en que quienes están casados(as) vivan separados(as), por ejemplo, cuando trabajan en
otro lugar o tienen asignaciones militares.
Algunas parejas en relaciones de convivencia viven juntas sin estar legalmente casadas. Por
“relaciones de convivencia” nos referimos a las relaciones románticas o sexuales en las que los
miembros de la pareja establecen un hogar y viven juntos durante un período de al menos tres meses.

RANGE
LIMITS
LOOP MAX
PROGRAM. NOTES
CHECK (ENG)
CHECK (SPAN)
HELP TEXT (ENG)
HELP TEXT (SPAN)
MODE

CAWI, CASI

NOTES
LEAD-IN
NEXT

PCAL_007
If PCMART>=1: PCAL_010
Else: PCAL_009

PCAL_009
ASK

PCMART<1

QUESTION TYPE

Radio button

FILLS (ENG)
FILLS (SPAN)
Have you ever been legally married or lived with someone in a cohabitating relationship?

ENGLISH

By cohabitating relationships, we mean romantic or sexual relationships in which partners establish
one household and live together for a period of at least three months.

1. Yes
0. No
¿Alguna vez has estado legalmente casado(a) o has vivido con alguien en una relación de convivencia?

SPANISH

Por “relaciones de convivencia” nos referimos a las relaciones románticas o sexuales en las que los
miembros de la pareja establecen un hogar y viven juntos durante un período de al menos tres meses.

1. Sí
0. No
RANGE
LIMITS
LOOP MAX
PROGRAM. NOTES
CHECK (ENG)
CHECK (SPAN)
HELP TEXT (ENG)
HELP TEXT (SPAN)
MODE

CAWI, CASI

NOTES
LEAD-IN
NEXT

PCAL_008
PCAL_009=1: PCAL_010
Else: PCAL_071

PCAL_010
ASK

PCMART>=1 or PCAL_009=1

QUESTION TYPE

Numeric
Create fill, FILL_PCAL_010:
If PCPART>0, FILL_PCAL_010: “Including your current partner, how”
Else, FILL_PCAL_010: “How”

FILLS (ENG)

Create fill, FILL_PCAL_010:
If PCPART>0, FILL_PCAL_010: “Incluyendo a su pareja actual, ¿con cuántas”
Else, FILL_PCAL_010: “¿Con cuántas”

FILLS (SPAN)

^{FILL_PCAL_010} many partners in total have you ever been legally married to or lived with in a
cohabitating relationship?
ENGLISH By cohabitating relationships, we mean romantic or sexual relationships in which partners establish one
household and live together for a period of at least three months.
Enter Number: ________________
^{FILL_PCAL_010} parejas en total ha estado casado(a) legalmente o ha convivido?
SPANISH

Por “relaciones de convivencia” nos referimos a las relaciones románticas o sexuales en las que los
miembros de la pareja establecen un hogar y viven juntos durante un período de al menos tres meses.

RANGE

Ingrese un número: ________________
0-15

LIMITS

2 digits

LOOP MAX
PROGRAM. NOTES

CHECK (ENG)

CHECK (SPAN)

SOFT CHECK IF PCAL_010=0:
“Earlier, you reported having a current spouse or partner or answered that you have been
legally married or lived in a cohabiting relationship..”Please include your current spouse or
cohabiting partner in your number.”
HARD CHECK IF PCAL_010 IS >15: ‘Please enter a number of partners to whom you were
legally married or lived with in a cohabiting relationship between 1 and 15.’
SOFT CHECK IF PCAL_010=0:
“Antes indicó tener un cónyuge o pareja actual o respondió que ha estado casado(a)
legalmente o que ha vivido en una relación de convivencia. Incluya a su cónyuge o pareja
de convivencia actual en su número.” (Return R to PCAL_009)
HARD CHECK IF PCAL_010 IS >15: ‘Ingrese un número de parejas con las que estuvo
casado(a) legalmente o convivió entre el 1 y el 15.’

HELP TEXT (ENG)
HELP TEXT (SPAN)
MODE

CAWI, CASI

NOTES
LEAD-IN
NEXT

PCAL_008, PCAL_009
If PCAL_010=0 or DK or REF: PCAL_071
Else: PCAL_011

f_PCAL_011
PCAL_011NAME_X
ASK

PCMART>=1 or PCAL_009=1
Roster and textbox
QUESTION TYPE
Radio button
Create fill, FILL_PCAL_011:
If PCPART>1, FILL_PCAL_011: “current”
FILLS (ENG)
Else, FILL_PCAL_011: “most recent”
NUMPART: ‘PCAL_010’
Create fill, FILL_PCNUM: ‘PCPARTNUM’
Create fill, FILL_PCAL_011:
If PCPART>1, FILL_PCAL_011: “actual”
FILLS (SPAN)
Else, FILL_PCAL_011: “más reciente”
NUMPART: ‘PCAL_010’
Create fill, FILL_PCNUM: ‘PCPARTNUM’
In order to refer to them in later questions, please provide a unique name or nickname for each of the
partners whom you have ever been legally married to or lived with in a cohabitating relationship.
Please begin with the first partner you ever married or lived with and continue through with your
^{FILL_ PCAL_011} one. List each partner on a separate row in the table below.
[PCAL_011NAME_1]
ENGLISH

[PCAL_011NAME_2]
[PCAL_011NAME_3]
[PCAL_011NAME_4]
[PCAL_011NAME_5]
Para referirme a estas personas en preguntas posteriores, deme un nombre o apodo único de cada
una de las parejas con las que ha estado legalmente casado(a) o con las que vivió en una relación de
convivencia.
Empiece por la primera pareja con la que se casó o vivió y continúe con la ^{FILL_ PCAL_011}. Enumere
a cada pareja en una fila separada de la tabla siguiente.
[PCAL_011NAME_1]

SPANISH

[PCAL_011NAME_2]
[PCAL_011NAME_3]
[PCAL_011NAME_4]
[PCAL_011NAME_5]

RANGE

LIMITS
LOOP MAX

PROGRAM. NOTES

SYSTEM PROVIDE A TABLE FOR THE R TO LIST ALL SPOUSES OR PARTNERS. PLEASE LIST UP
TO 5 RESPONSE BLANKS PER SCREEN AND INCLUDE A BUTTON BELOW THE LIST TO “ADD
MORE PARTNERS” (FOR SPAN: “AÑADIR MÁS PAREJAS”). IF THE BUTTON IS SELECTED,
REPEAT THE PROCESS ON THE NEXT SCREEN TO ALLOW UP TO 15 PARTNERS.
CREATE VAR PCPARTNUM AND SET EQUAL TO NUMBER OF ROWS WITH ENTRIES IN
PCAL_011 (COUNT OF PARTNERS).).

CHECK (ENG)

CHECK (SPAN)

If PCPARTNUM≠PCAL_010, display soft check:
You reported that you have had ^{PCAL_010} partners to whom you were married or
with whom you cohabited, but you listed ^{PCPARTNUM} partners. Please add partners
you may have missed by clicking "Back" or update the number of partners you reported
by clicking here. (EMBED LINK TO RETURN TO PCAL_010 in “clicking here”).
If PCPARTNUM≠PCAL_010, display soft check:
Informó que tuvo ^{PCAL_010} parejas con las que estuvo casado o con las que cohabitó,
pero incluyó ^{PCPARTNUM} parejas. Agregue las parejas que no haya incluido haciendo
clic en "Atrás" o actualice el número de parejas que informó haciendo clic aquí. (EMBED
LINK TO RETURN TO PCAL_010 in “clic aquí”).

HELP TEXT (ENG)
HELP TEXT (SPAN)
MODE

CAWI, CASI

NOTES
LEAD-IN
NEXT

PCAL_010
If PCPARTNUM>0: PCAL_011a
If PCPARTNUM=0: PCAL_071

f_PCAL_011a
PCAL_011MAR_X
ASK

PCPARTNUM>0

QUESTION TYPE

Radio button

FILLS (ENG)

Create fill, FILL_ PCAL_011NAME_X: ‘PCAL_011NAME_X’

FILLS (SPAN)
Create fill, FILL_ PCAL_011NAME_X: ‘PCAL_011NAME_X’
For each partner below, please indicate whether you were ever legally married to them or not.
TABLE ROWS:

ENGLISH

1. ^{FILL_PCAL_011NAME_X}
2. ^{FILL_PCAL_011NAME_X}
3. ^{FILL_PCAL_011NAME_X}
4. ^{FILL_PCAL_011NAME_X}
5. ^{FILL_PCAL_011NAME_X}
6. ^{FILL_PCAL_011NAME_X}
7. ^{FILL_PCAL_011NAME_X}
8. ^{FILL_PCAL_011NAME_X}
9. ^{FILL_PCAL_011NAME_X}
10. ^{FILL_PCAL_011NAME_X}
11. ^{FILL_PCAL_011NAME_X}
12. ^{FILL_PCAL_011NAME_X}
13. ^{FILL_PCAL_011NAME_X}
14. ^{FILL_PCAL_011NAME_X}
15. ^{FILL_PCAL_011NAME_X]
TABLE COLUMNS:
1. Yes
0. No
TABLE HEADER:
Ever Legally Married
Indique si alguna vez estuvo casado(a) legalmente con una de las parejas que figuran a continuación.
TABLE ROWS:

SPANISH

1. ^{FILL_PCAL_011NAME_X}
2. ^{FILL_PCAL_011NAME_X}
3. ^{FILL_PCAL_011NAME_X}
4. ^{FILL_PCAL_011NAME_X}
5. ^{FILL_PCAL_011NAME_X}
6. ^{FILL_PCAL_011NAME_X}
7. ^{FILL_PCAL_011NAME_X}
8. ^{FILL_PCAL_011NAME_X}
9. ^{FILL_PCAL_011NAME_X}
10. ^{FILL_PCAL_011NAME_X}

11. ^{FILL_PCAL_011NAME_X}
12. ^{FILL_PCAL_011NAME_X}
13. ^{FILL_PCAL_011NAME_X}
14. ^{FILL_PCAL_011NAME_X}
15. ^{FILL_PCAL_011NAME_X]
TABLE COLUMNS:
1. Sí
0. No
TABLE HEADER:
Casamiento legal alguna vez
RANGE
LIMITS
LOOP MAX
DISPLAY A TABLE OF ALL SPOUSES OR PARTNERS REPORTED IN PCAL_011 AS ROWS (UP TO
15) AND LEGALLY MARRIED YES/NO AS COLUMNS.
DO NOT DISPLAY EMPTY ROWS.
PROGRAM. NOTES

CREATE SPROSTER: ROSTER OF ALL PARTNERS COLLECTED IN PCAL_011. INLCUDE
PCAL_011NAME_X AND PCAL_011MAR_X IN ROSTER ARRAY.

CHECK (ENG)
CHECK (SPAN)
HELP TEXT (ENG)
HELP TEXT (SPAN)
MODE

CAWI, CASI

NOTES
LEAD-IN
NEXT

PCAL_011
If PCPART>0: PCAL_012
If PCPART=0: PCAL_019

PCAL_012/PCAL_012b
ASK

PCPART>0

QUESTION TYPE

Radio button

FILLS (ENG)

Use FILL_ PCAL_011NAME_X: ‘PCAL_011NAME_X’ from PCAL_011a

FILLS (SPAN)
Use FILL_ PCAL_011NAME_X: ‘PCAL_011NAME_X’ from PCAL_011a
PCAL_012
Please select your current partner from the list of partners you provided:
1. ^{FILL_PCAL_011NAME_X}
2. ^{FILL_PCAL_011NAME_X}
3. ^{FILL_PCAL_011NAME_X}
4. ^{FILL_PCAL_011NAME_X}
5. ^{FILL_PCAL_011NAME_X}
6. ^{FILL_PCAL_011NAME_X}
7. ^{FILL_PCAL_011NAME_X}
ENGLISH

PCAL_012b
8. ^{FILL_PCAL_011NAME_X}
9. ^{FILL_PCAL_011NAME_X}
10. ^{FILL_PCAL_011NAME_X}
11. ^{FILL_PCAL_011NAME_X}
12. ^{FILL_PCAL_011NAME_X}
13. ^{FILL_PCAL_011NAME_X}
14. ^{FILL_PCAL_011NAME_X}
15. ^{FILL_PCAL_011NAME_X]
-8. My current partner is not listed on this screen.

PCAL_012
Seleccione a su pareja actual de la lista de parejas que nos dio:
1. ^{FILL_PCAL_011NAME_X}
2. ^{FILL_PCAL_011NAME_X}
3. ^{FILL_PCAL_011NAME_X}
4. ^{FILL_PCAL_011NAME_X}
5. ^{FILL_PCAL_011NAME_X}
6. ^{FILL_PCAL_011NAME_X}
7. ^{FILL_PCAL_011NAME_X}
SPANISH

PCAL_012b
8. ^{FILL_PCAL_011NAME_X}
9. ^{FILL_PCAL_011NAME_X}
10. ^{FILL_PCAL_011NAME_X}
11. ^{FILL_PCAL_011NAME_X}
12. ^{FILL_PCAL_011NAME_X}
13. ^{FILL_PCAL_011NAME_X}
14. ^{FILL_PCAL_011NAME_X}
15. ^{FILL_PCAL_011NAME_X]
-8. Mi pareja actual no aparece en esta pantalla.

RANGE
LIMITS
LOOP MAX
CREATE VAR PCPARTCURR AND SET EQUAL TO 1 FOR PARTNER SELECTED. SET EQUAL TO 0
FOR ALL OTHERS ON PARTNER ROSTER.

PROGRAM. NOTES

SORT SPROSTER SO PCPARTCURR = 1 (CURRENT SPOUSE/PARTNER) APPEARS FIRST, THEN
SORT REMAINING ROSTER LINES IN ORDER REPORTED. IF NONE IN PCPARTCURR = 1, SORT
SPROSTER IN REVERSE ORDER OF REPORTED (MOST RECENT FIRST).
PLEASE INCLUDE A BUTTON BELOW THE LIST TO “MY CURRENT PARTNER IS NOT LISTED
ON THIS SCREEN” (FOR SPAN: “MI PAREJA ACTUAL NO APARECE EN ESTA PANTALLA”. IF
THE BUTTON IS SELECTED, DISPLAY RESPONSES 8 through 15. INCLUDE THE BUTTON AT
THE BOTTOM OF THE SCREEN EACH TIME TO ALLOW THE RESPONDENT TO FIND THEIR
PARTNER.

CHECK (ENG)
CHECK (SPAN)
HELP TEXT (ENG)
HELP TEXT (SPAN)
MODE

CAWI, CASI

NOTES
LEAD-IN
NEXT

PCAL_011a
If PCPART= 2: PCAL_019
Else: PCAL_013

PCAL_013
ASK

PCPART=1 or 3

QUESTION TYPE

Radio button
Create fill, FILL_PCAL_013_1:
If PCPART=1 and PCSPOUSE not missing, FILL_ PCAL_013_1: PCSPOUSE
Else if PCPARTNER not missing, FILL_PCAL_013_1: PCPARTNER
Else FILL_PCAL_013_1: ‘unknown name’

FILLS (ENG)

FILLS (SPAN)

Create fill, FILL_PCAL_013_2:
If PCMART = 1, FILL_PCAL_013: “spouse”
Else, FILL_PCAL_013: “partner”
Create fill, FILL_PCAL_013_1:
If PCPART=1 and PCSPOUSE not missing, FILL_ PCAL_013_1: PCSPOUSE
Else, if PCPARTNER not missing, FILL_PCAL_013_1: PCPARTNER
Else FILL_PCAL_013_1: ‘nombre desconocido’
Create fill, FILL_PCAL_013_2:
If PCMART = 1, FILL_PCAL_013: “cónyuge”
Else, FILL_PCAL_013: “pareja”

Just to confirm, we have ^{FILL_PCAL_013_1} as your current ^{FILL_PCAL_013_2}. living in your
household. Is that correct?
ENGLISH

1. Yes
0. No
Para confirmar, tenemos registrado que ^{FILL_PCAL_013_1} es su ^{FILL_PCAL_013_2} actual,
viviendo en su hogar. ¿Es correcto?

SPANISH

1. Sí
0. No

RANGE
LIMITS
LOOP MAX
PROGRAM. NOTES
CHECK (ENG)
CHECK (SPAN)
HELP TEXT (ENG)
HELP TEXT (SPAN)
MODE

CAWI, CASI

NOTES
LEAD-IN
NEXT

PCAL_012
PCAL_013=0: PCAL_014
Else: PCAL_018

PCAL_014
ASK

PCAL_013=0

QUESTION TYPE
FILLS (ENG)

Radio button, special radio
Create fill, FILL_ADULTLIST: Radio button list of HHNAME(s) from ADULTROSTER minus
HHNAME on line 1 (i.e., do not include the informant’s name on the list)

FILLS (SPAN)

Create fill, FILL_ADULTLIST: Radio button list of HHNAME(s) from ADULTROSTER minus
HHNAME on line 1 (i.e., do not include the informant’s name on the list)

Please select your current spouse or partner from the list of household members.
ENGLISH

^{FILL_ADULTLIST}
-9. Not applicable, my current spouse or cohabiting partner is not on this list
Seleccione a su cónyuge o pareja actual de la lista de miembros del hogar.

SPANISH

^{FILL_ADULTLIST}
-9. No corresponde, mi cónyuge o pareja actual no está en esta lista

RANGE
LIMITS
LOOP MAX
PROGRAM. NOTES

Make option -9 an exclusive option.
DISPLAY HH ROSTER IN REVERSE ORDER SO THAT MEMBERS ARE LISTED FROM OLDEST TO
YOUNGEST.

CHECK (ENG)
CHECK (SPAN)
HELP TEXT (ENG)
HELP TEXT (SPAN)
MODE

CAWI, CASI

NOTES
LEAD-IN
NEXT

PCAL_013
If PCAL_014 = -9: PCAL_015
Else: PCAL_018

PCAL_015
ASK

PCAL_014 = -9

QUESTION TYPE

Textbox

FILLS (ENG)
FILLS (SPAN)
What is the name of your current spouse or cohabiting partner who is missing from the list?
ENGLISH

NAME: ______________________________
¿Cuál es el nombre de su cónyuge o pareja actual con la que convive que no está en la lista?

SPANISH

NOMBRE: ______________________________

RANGE
LIMITS

Max 20 characters

LOOP MAX
PROGRAM. NOTES

UPDATE VARIABLE ‘PCPARTNER’

CHECK (ENG)
CHECK (SPAN)
HELP TEXT (ENG)
HELP TEXT (SPAN)
MODE

CAWI, CASI

NOTES
LEAD-IN
NEXT

PCAL_014
PCAL_016

PCAL_016
ASK

PCAL_014 = -9

QUESTION TYPE

Radio button
Create fill, FILL_ PCPARTNER:
FILLS (ENG)
Fill ‘PCPARTNER’
Create fill, FILL_ PCPARTNER:
FILLS (SPAN)
Fill ‘PCPARTNER’
Does ^{FILL_PCPARTNER} currently live with you?
1. Yes
0. No

ENGLISH

¿Vive ^{FILL_PCPARTNER} actualmente con usted?
SPANISH

1. Sí
0. No

RANGE
LIMITS
LOOP MAX
PROGRAM. NOTES
CHECK (ENG)
CHECK (SPAN)
HELP TEXT (ENG)
HELP TEXT (SPAN)
MODE

CAWI, CASI

NOTES
LEAD-IN
NEXT

PCAL_015
PCAL_017

PCAL_017
ASK

PCAL_014= - 9

QUESTION TYPE

Radio button
Use fill, FILL_PCPARTNER:
FILLS (ENG)
Fill ‘PCPARTNER’
Use fill, FILL_PCPARTNER:
FILLS (SPAN)
Fill ‘PCPARTNER’
Are you currently married to ^{FILL_PCPARTNER}?

ENGLISH

1. Yes
0. No
¿Está casado(a) en este momento con ^{FILL_PCPARTNER}?

SPANISH

1. Sí
0. No

RANGE
LIMITS
LOOP MAX
PROGRAM. NOTES

IF PCAL_017=1 SET PCSPOUSE=PCPARTNER

CHECK (ENG)
CHECK (SPAN)
HELP TEXT (ENG)
HELP TEXT (SPAN)
MODE

CAWI, CASI

NOTES
LEAD-IN
NEXT

PCAL_016
PCAL_018

PCAL_018
ASK

IF PCPART=1 or 3

QUESTION TYPE

Radio button
Create fill, FILL_PCAL_018
If PCSPOUSE≠missing, FILL_PCAL_018: “spouse”
Else, FILL_PCAL_018: “partner”

FILLS (ENG)

FILLS (SPAN)

Create fill, FILL_PCAL_018
If PCSPOUSE≠missing, FILL_PCAL_018: “cónyuge”
Else, FILL_PCAL_018: “pareja”

We have your ^{FILL_PCAL_018} as currently living in your household. Is that correct?
ENGLISH

1. Yes
0. No
Tenemos registrado que su ^{FILL_PCAL_018} vive actualmente en su hogar. ¿Es eso correcto?

SPANISH

1. Sí
0. No

RANGE
LIMITS
LOOP MAX
PROGRAM. NOTES
CHECK (ENG)
CHECK (SPAN)
HELP TEXT (ENG)
HELP TEXT (SPAN)
MODE

CAWI, CASI

NOTES
LEAD-IN
NEXT

PCAL_013, PCAL_014, PCAL_017
If PCAL_018=0: PCAL_019
Else: PCAL_022 (Begin PCAL LOOP 1)

PCAL_019
ASK

PCPART=0 or 2 OR (PCPART = 1 or 3 AND PCAL_018 = 0)

QUESTION TYPE

Radio button

FILLS (ENG)
FILLS (SPAN)
Do you have a spouse or partner who currently lives with you?
ENGLISH

1. Yes
0. No
¿Tiene un cónyuge o pareja que viva actualmente con usted?

SPANISH

1. Sí
0. No

RANGE
LIMITS
LOOP MAX
PROGRAM. NOTES
CHECK (ENG)
CHECK (SPAN)
HELP TEXT (ENG)
HELP TEXT (SPAN)
MODE

CAWI, CASI

NOTES
LEAD-IN
NEXT

PCAL_011, PCAL_011a, PCAL_012, PCAL_017, PCAL_018
If PCAL_019=1: PCAL_022 (Begin PCAL LOOP 1)
Else: PCAL_020

PCAL_020
ASK

PCAL_019≠1

QUESTION TYPE

Radio button

FILLS (ENG)
FILLS (SPAN)
Do you have a spouse who currently does not live with you?
ENGLISH

1. Yes
0. No
¿Tiene un cónyuge que en este momento no viva con usted?

SPANISH

1. Sí
0. No

RANGE
LIMITS
LOOP MAX
PROGRAM. NOTES
CHECK (ENG)
CHECK (SPAN)
HELP TEXT (ENG)
HELP TEXT (SPAN)
MODE

CAWI, CASI

NOTES
LEAD-IN
NEXT

PCAL_019
PCAL_022 (Begin PCAL LOOP 1)

PCAL_022_#
ASK

PCPARTNUM>0 (Begin PCAL LOOP 1)

QUESTION TYPE

Informational
Create Fill, FILL_PCAL_SPOUSEPARTNER:
If PCAL_011MAR_X=1 FILL: “spouse”
ELSE FILL “partner”

FILLS (ENG)

Create Fill, FILL_PCAL_SPNAME:
’PCAL_011_X’
Create fill, FILL_PASTCURRENT.
If FILL_PCAL_011NAME_X selected on PCAL_012, FILL_PASTCURRENT: ‘current’
Else FILL_PASTCURRENT: ‘past’
Create Fill, FILL_PCAL_SPOUSEPARTNER:
If PCAL_011MAR_X=1 FILL: “cónyuge”
ELSE FILL“pareja”

FILLS (SPAN)

Create Fill, FILL_PCAL_SPNAME: ’PCAL_011_X’
Create fill, FILL_PASTCURRENT.
If FILL_PCAL_011NAME_X selected on PCAL_012, FILL_PASTCURRENT: ‘actual’
Else FILL_PASTCURRENT: ‘anterior’

ENGLISH

The next questions are about your ^{FILL_PASTCURRENT} ^{FILL_PCAL_SPOUSEPARTNER},
^{FILL_PCAL_SPNAME}.

SPANISH

Las siguientes preguntas son sobre su ^{FILL_PCAL_SPOUSEPARTNER} ^{FILL_PASTCURRENT},
^{FILL_PCAL_SPNAME}.

RANGE
LIMITS
LOOP MAX
PROGRAM. NOTES

15
Loop through PCAL LOOP1 (f_PCAL_022 - f_PCAL_069) until loop number=PCPARTNUM
or a maximum of 15 loops is reached

CHECK (ENG)
CHECK (SPAN)
HELP TEXT (ENG)
HELP TEXT (SPAN)
MODE

CAWI, CASI

NOTES
LEAD-IN
NEXT

PCAL_018, PCAL_019, PCAL_020
(PCPART=2 or PCAL_020 =1) and PCPARTCURR=1 OR (PCAL_011MAR_X=1 and
PCPARTCURR≠1)]: PCAL_023
Else: PCAL_024

PCAL_023_#

QUESTION TYPE

[((PCPART=2 or PCAL_020=1) and PCPARTCURR=1) OR (PCAL_011MAR_X=1 and
PCPARTCURR≠1)] (Continue PCAL LOOP 1)
Radio button

FILLS (ENG)

Use fill from PCAL_011: FILL_PCAL_011NAME_X

ASK

FILLS (SPAN)
Use fill from PCAL_011: FILL_PCAL_011NAME_X
Did you ever live with ^{FILL_PCAL_011NAME_X}?
ENGLISH

1. Yes
0. No
¿Ha vivido alguna vez con ^{FILL_PCAL_011NAME_X}?

SPANISH

1. Sí
0. No

RANGE
LIMITS
LOOP MAX
PROGRAM. NOTES

15
Loop through PCAL LOOP1 (f_PCAL_022 - f_PCAL_069) until loop number=PCPARTNUM
or maximum loops (15) is reached

CHECK (ENG)
CHECK (SPAN)
HELP TEXT (ENG)
HELP TEXT (SPAN)
MODE

CAWI, CASI

NOTES
LEAD-IN
NEXT

f_PCAL_022
f_PCAL_024

f_PCAL_024_#
PCAL_024_MO_#/PCAL_024_YR_#
ASK
If PCPARTNUM>0 (Continue PCAL LOOP 1)
PCAL_024_MO: Dropdown
QUESTION TYPE
PCAL_024_YR: Numeric
Create fill, FILL_PCAL_024
If PCAL_023 = 0, FILL_PCAL_024: “marry”
Else, FILL_PCAL_024: “start living with”
FILLS (ENG)
Use fill from PCAL_011: FILL_PCAL_011NAME_X

FILLS (SPAN)

Create fill, FILL_INTERVIEWYEAR: ‘DOI_YEAR’
Create fill, FILL_PCAL_024
If PCAL_023 = 0, FILL_PCAL_024: “se casó con”
Else, FILL_PCAL_024: “empezó a vivir con”
Use fill from PCAL_011: FILL_PCAL_011NAME_X’

Create fill, FILL_INTERVIEWYEAR: ‘DOI_YEAR’
In what month and year did you ^{FILL_PCAL_024} ^{FILL_PCAL_011NAME_X}} for the first time? Your
best estimate is fine.
ENGLISH

Month: { - Select - } [PCAL_024_MO_#]
Year: _______ [PCAL_024_YR_#]
¿En qué mes y año ^{FILL_PCAL_024} ^{FILL_PCAL_011NAME_X} por primera vez? Proporcione su
mejor estimación.

SPANISH

Mes: { - Seleccione - } [PCAL_024_MO_#]
Año: _______ [PCAL_024_YR_#]
PCAL_024_MO: List months in order. 1 = “January”, 2 = “February”, … 12 = “December”
PCAL_024_YR: 1950-2030
Spanish:

LIMITS

1 = “Enero”
2 = “Febrero”
3 = “Marzo”
4 = “Abril”
5 = “Mayo”
6 = “Junio”
7 = “Julio”
8 = “Agosto”
9 = “Septiembre”
10 = “Octubre”
11 = “Noviembre”
12 = “Diciembre”
PCAL_024_YR: 4 digits

LOOP MAX

15

PROGRAM. NOTES

DISPLAY CALENDAR.

RANGE

CHECK (ENG)
CHECK (SPAN)

Loop through PCAL LOOP1 (f_PCAL_022 - f_PCAL_069) until loop number=PCPARTNUM or
maximum loops (15) is reached.
If PCAL_024_YR OUT OF RANGE OR IN THE FUTURE ON DOI, DISPLAY HARD CHECK:
Please enter a year between 1950 and ^{FILL_INTERVIEWYEAR}
If PCAL_024_YR OUT OF RANGE OR IN THE FUTURE ON DOI, DISPLAY HARD CHECK:
Ingrese un año entre 1950 y ^{FILL_INTERVIEWYEAR}

HELP TEXT (ENG)
HELP TEXT (SPAN)
MODE

CAWI, CASI

NOTES
LEAD-IN
NEXT

PCAL_023, f_PCAL_022
PCAL_025

PCAL_025_#
ASK

If PCPARTNUM>0 (Continue PCAL LOOP 1)

QUESTION TYPE

Numeric
Use fill from PCAL_011: FILL_PCAL_011_X

FILLS (ENG)

Create fill, FILL_PCAL_025
If PCAL_023 = 0, FILL_PCAL_025: “got married”
Else, FILL_PCAL_025: “began living together”
Use fill from PCAL_011: FILL_PCAL_011_X

FILLS (SPAN)

Create fill, FILL_PCAL_025
If PCAL_023 = 0, FILL_PCAL_025: “se casaron”
Else, FILL_PCAL_025: “empezaron a vivir juntos(as)”
How old was ^{FILL_PCAL_011_X} when you ^{FILL_PCAL_025}?

ENGLISH

Age: ____________
¿Qué edad tenía ^{FILL_PCAL_011_X} cuando ^{FILL_PCAL_025}?

SPANISH

Edad: ____________

RANGE

14-99

LIMITS

2 digits

LOOP MAX

15
Loop through PCAL LOOP1 (f_PCAL_022 - f_PCAL_069) until loop number=PCPARTNUM or
maximum loops (15) is reached
HARD CHECK IF PCAL_025 IS OUT OF RANGE:
Please enter an age for your partner between 14 and 99.
HARD CHECK IF PCAL_025 IS OUT OF RANGE:
Ingrese una edad para su pareja entre 14 y 99 años.

PROGRAM. NOTES
CHECK (ENG)
CHECK (SPAN)
HELP TEXT (ENG)
HELP TEXT (SPAN)
MODE

CAWI, CASI

NOTES
LEAD-IN

f_PCAL_024

NEXT

If PCAL_025=DK or REF: PCAL_026
If PCPARTCURR=1 AND PCAL_011MAR_X=1: f_PCAL_032
If PCPARTCURR=1 AND PCAL_011MAR_X=0: f_PCAL_033
Else: PCAL_027

PCAL_026_#
ASK

PCAL_025=DK (Continue PCAL LOOP 1)

QUESTION TYPE

Radio button

FILLS (ENG)

Use fill from PCAL_011: FILL_PCAL_011_X

FILLS (SPAN)
Use fill from PCAL_011: FILL_PCAL_011_X
What is your best guess? Was ^{FILL_PCAL_011_X}...
1.
2.
3.
4.
5.

ENGLISH

Younger than 20 years old?
20 to 24 years old?
25 to 40 years old?
41 to 55 years old?
Older than 55 years old?

¿Podría darme su mejor estimación? Tenía ^{FILL_PCAL_011_X}...

SPANISH

1.
2.
3.
4.
5.

¿Menos de 20 años?
¿De 20 a 24 años?
¿De 25 a 40 años?
¿De 41 a 55 años?
¿Más de 55 años?

RANGE
LIMITS
LOOP MAX
PROGRAM. NOTES

15
Loop through PCAL LOOP1 (f_PCAL_022 - f_PCAL_069) until loop number=PCPARTNUM
or maximum loops (15) is reached

CHECK (ENG)
CHECK (SPAN)
HELP TEXT (ENG)
HELP TEXT (SPAN)
MODE

CAWI, CASI

NOTES
LEAD-IN
NEXT

PCAL_025=-2
PCPARTCURR=1 AND PCAL_011MAR_X=1: f_PCAL_032
If PCPARTCURR=1 AND PCAL_011MAR_X=0: f_PCAL_033
Else: PCAL_027

PCAL_027_#
ASK

PCPARTCURR≠1 (Continue PCAL LOOP 1)

QUESTION TYPE

Radio button
Use fill from PCAL_025: FILL_PCAL_025

FILLS (ENG)

Use fill from PCAL_011: FILL_PCAL_011_X
Use fill from PCAL_025: FILL_PCAL_025

FILLS (SPAN)

Use fill from PCAL_011: FILL_PCAL_011_X

At the time you ^{FILL_PCAL_025} what was the highest educational degree/certificate that
^{FILL_PCAL_011_X} had received?
1. None
2. High school equivalency such as GED (General Education Development) or HiSET (High
School Equivalency Test)
3. High school diploma (Regular 12-year program)
4. Associate’s/Junior College (AA, AS)
5. Bachelor’s degree (BA, BS)
6. Master’s degree (MA, MBA, MS)
7. Doctoral degree (PhD, EdD)
8. Professional degree (MD, DDS, JD)

ENGLISH

En el momento en que ^{FILL_PCAL_025}, ¿cuál era el título educativo/certificado más alto que había
recibido ^{FILL_PCAL_011_X}?

SPANISH

1. Ninguno
2. Título equivalente al de la escuela secundaria/preparatoria, como el Desarrollo de
Educación General (GED, por sus siglas en inglés) o la Prueba de Equivalencia de Escuela
Secundaria (HiSET, por sus siglas en inglés)
3. Diploma de escuela secundaria (programa regular de 12 años)
4. Título de dos años (Associate)/escuela semisuperior (AA, AS, por sus siglas en inglés)
5. Título de cuatro años (BA, BS, por sus siglas en inglés)
6. Maestría (MA, MBA, MS, por sus siglas en inglés)
7. Doctorado (PhD, EdD, por sus siglas en inglés)
8. Título profesional (MD, DDS, JD, por sus siglas en inglés)

RANGE
LIMITS
LOOP MAX

15

PROGRAM. NOTES

Loop through PCAL LOOP1 (f_PCAL_022 - f_PCAL_069) until loop
number=PCPARTNUM or maximum loops (15) is reached.

CHECK (ENG)
CHECK (SPAN)
HELP TEXT (ENG)
HELP TEXT (SPAN)
MODE
NOTES

CAWI, CASI

LEAD-IN
NEXT

PCAL_025, PCAL_026
f_PCAL_028

f_PCAL_028_#
PCAL_028AI_#/PCAL_028AS_#/PCAL_028BL_#/PCAL_028HI_#/PCAL_028ME_#/PCAL_028NH_#/PCAL_028WT_#
ASK
PCPARTCURR≠1 (Continue PCAL LOOP 1)
QUESTION TYPE

Checkbox

FILLS (ENG)

Use fill from PCAL_011: FILL_PCAL_011_X

FILLS (SPAN)
Use fill from PCAL_011: FILL_PCAL_011_X
What is ^{FILL_PCAL_011_X}’s race and/or ethnicity? Select all that apply.

ENGLISH

1. American Indian or Alaska Native [PCAL_028AI_#]
2. Asian [PCAL_028AS_#]
3. Black or African American [PCAL_028BL_#]
4. Hispanic or Latino [PCAL_028HI_#]
5. Middle Eastern or North African [PCAL_028ME_#]
6. Native Hawaiian or Pacific Islander [PCAL_028NH_#]
7. White [PCAL_028WT_#]
¿Cuál es la raza y/o el origen étnico de ^{FILL_PCAL_011_X}? Seleccione todas las opciones que
correspondan.

SPANISH

1.
2.
3.
4.
5.
6.
7.

Indígena de las Américas o nativo(a) de Alaska [PCAL_028AI_#]
Asiático(a) [PCAL_028AS_#]
Negro(a) o afroamericano(a) [PCAL_028BL_#]
Hispano(a) o latino(a) [PCAL_028HI_#]
De Medio Oriente o África del norte [PCAL_028ME_#]
Nativo(a) de Hawái o de otras islas del Pacífico [PCAL_028NH_#]
Blanco(a) [PCAL_028WT_#]

RANGE
LIMITS
LOOP MAX
PROGRAM. NOTES

15
Loop through PCAL LOOP1 (f_PCAL_022 - f_PCAL_069) until loop number=PCPARTNUM or
maximum loops (15) is reached
Add help text as hover text for each response option.

CHECK (ENG)
CHECK (SPAN)

HELP TEXT (ENG)

DISPLAY HOVER OVER HELP TEXT CORRESPONDING TO EACH RESPONSE OPTION LISTED
BELOW:
1. American Indian or Alaska Native: For example, Navajo Nation, Blackfeet Tribe of the
Blackfeet Indian Reservation of Montana, Native Village of Barrow Inupiat Traditional
Government, Nome Eskimo Community, Aztec, Maya, etc.
2. Asian: For example, Chinese, Asian Indian, Filipino, Vietnamese, Korean, Japanese,
etc.
3. Black or African American: For example, African American, Jamaican, Haitian,
Nigerian, Ethiopian, Somali, etc.
4. Hispanic or Latino: For example, Mexican, Puerto Rican, Salvadoran, Cuban,
Dominican, Guatemalan, etc.
5. Middle Eastern or North African: For example, Lebanese, Iranian, Egyptian, Syrian,
Iraqi, Israeli, etc.
6. Native Hawaiian or Pacific Islander: For example, Native Hawaiian, Samoan,
Chamorro, Tongan, Fijian, Marshallese, etc.
7. White: For example, English, German, Irish, Italian, Polish, Scottish, etc.

DISPLAY HOVER OVER HELP TEXT CORRESPONDING TO EACH RESPONSE OPTION LISTED
BELOW:
1. Indígena de las Américas o nativo(a) de Alaska: Por ejemplo, de la Nación Navajo,
Tribu Blackfeet de la Reserva Indígena Blackfeet de Montana, Pueblo Nativo del
Gobierno Tradicional Inupiat de Barrow, Comunidad Esquimal Nome, Azteca o Maya.
2. Asiático(a): Por ejemplo, chino(a), indio(a) asiático(a), filipino(a), vietnamita,
coreano(a), japonés(a), etc.
3. Negro(a) o afroamericano(a): Por ejemplo, afroamericano(a), jamaicano(a),
haitiano(a), nigeriano(a), etíope, somalí, etc.
4. Hispano o latino: Por ejemplo, mexicano(a), puertorriqueño(a), salvadoreño(a),
cubano(a), dominicano(a), guatemalteco(a), etc.
5. De Medio Oriente o África del norte: Por ejemplo, libanés(a), iraní, egipcio(a),
sirio(a), iraquí, israelí, etc.
6. Nativo(a) de Hawái o de otras islas del Pacífico: Por ejemplo, nativo(a) hawaiano(a),
samoano(a), chamorro(a), tongano(a), fiyiano(a), marshalés(a), etc.
7. Blanco(a): Por ejemplo, inglés(a), alemán(a), irlandés(a), italiano(a), polaco(a),
escocés(a), etc.

HELP TEXT (SPAN)

MODE

CAWI, CASI

NOTES
LEAD-IN
NEXT

PCAL_027
PCAL_029

PCAL_029_#
ASK

PCPARTCURR≠1 (Continue PCAL LOOP1)

QUESTION TYPE

Radio

FILLS (ENG)

Use fill from PCAL_011: FILL_PCAL_011_X

FILLS (SPAN)
Use fill from PCAL_011: FILL_PCAL_011_X
What is ^{FILL_PCAL_011_X}’s sex?
ENGLISH

1.

Male

2. Female

¿Cuál es el sexo de ^{FILL_PCAL_011_X}?
SPANISH

1.
2.

Masculino
Femenino

RANGE
LIMITS
LOOP MAX
PROGRAM. NOTES

15
Loop through PCAL LOOP1 (f_PCAL_022 - f_PCAL_069) until loop number=PCPARTNUM or
maximum loops (15) is reached

CHECK (ENG)
CHECK (SPAN)
HELP TEXT (ENG)
HELP TEXT (SPAN)
MODE

CAWI, CASI

NOTES
LEAD-IN
NEXT

PCAL_028
If PCAL_011MAR_X=1 and PCAL_023=0: PCAL_030
Else If PCAL_011MAR_X=1: PCAL_032
Else: PCAL_033

PCAL_030_#
ASK

PCAL_011MAR_X = 1 and PCAL_023 = 0 (Continue PCAL LOOP1)

QUESTION TYPE

Radio button

FILLS (ENG)

Use fill from PCAL_011: FILL_PCAL_011_X

FILLS (SPAN)
Use fill from PCAL_011: FILL_PCAL_011_X
What is your current marital status with ^{FILL_PCAL_011_X}?
1.
2.
3.
4.

ENGLISH

Still married
AnnulmentDivorced
Annulled marriage
Widowed (^{FILL_PCAL_011_X} died)

¿Cuál es su estado civil actual con ^{FILL_PCAL_011_X}?
Obtuvo un divorcio legal o una anulación de ^{FILL_PCAL_011_X}?
SPANISH

1.
2.
3.
4.

Todavía casado(a)
Divorciado(a)
Matrimonio anulado
Viudo(a) (^{FILL_PCAL_011_X} murió)

RANGE
LIMITS
LOOP MAX
PROGRAM. NOTES

15
Loop through PCAL LOOP1 (f_PCAL_022 - f_PCAL_069) until loop number=PCPARTNUM or
maximum loops (15) is reached.

CHECK (ENG)
CHECK (SPAN)
HELP TEXT (ENG)
HELP TEXT (SPAN)
MODE

CAWI, CASI

NOTES
LEAD-IN

NEXT

PCAL_029
If PCAL_030=31 and PCAL_023=0 AND IF PCAL LOOP 1 NUM<PCPARTNUM: Loop again
(PCAL_022)
Else if PCAL_030=1 and PCAL_023=0: PCAL_ 071
Else If PCAL_030=1: PCAL_043
Else: PCAL_031

f_PCAL_031_#
PCAL_031_MO_#/PCAL_031_YR_#
ASK
PCAL_030≠3 (Continue PCAL LOOP1)
PCAL_031_MO: Dropdown
QUESTION TYPE
PCAL_31_YR: Numeric
Use fill from PCAL_011: FILL_PCAL_011_X
Create fill, FILL_PCAL_031:
If PCAL_030 = 2, FILL_PCAL_031: “was your legal divorce from ^{FILL_PCAL_011_X}
obtained”
If PCAL_030 = 3, FILL_PCAL_031: “was your marriage to ^{FILL_PCAL_011_X} annulled”
If PCAL_030=4, FILL_PCAL_031: “did ^{FILL_PCAL_011_X} die”
Else FILL_PCAL_031: “did your relationship with ^{FILL_PCAL_011_X} end”

FILLS (ENG)

Create fill, FILL_PCAL_031_2
If PCAL_023 = 0, FILL_PCAL_031_2: “married”
Else, FILL_PCAL_031_2: “started living with”
Use fill from PCAL_024_#: FILL_INTERVIEWYEAR
Use fill from PCAL_011: FILL_PCAL_011_X

FILLS (SPAN)

Create fill, FILL_PCAL_031:
If PCAL_030 = 2, FILL_PCAL_031: “se obtuvo su divorcio legal de ^{FILL_PCAL_011_X}”
If PCAL_030 = 3, FILL_PCAL_031: “se anuló su matrimonio con ^{FILL_PCAL_011_X}”
If PCAL_030=4, FILL_PCAL_031: “murió ^{FILL_PCAL_011_X}”
Else FILL_PCAL_031: “terminó su relación con ^{FILL_PCAL_011_X}”
Create fill, FILL_PCAL_031_2
If PCAL_023 = 0, FILL_PCAL_031_2: “se casó con”
Else, FILL_PCAL_031_2: “comenzó a vivir con”
Use fill from PCAL_024_#: FILL_INTERVIEWYEAR

In what month and year ^{FILL_PCAL_031}?
ENGLISH

Month: { - Select - } [PCAL_031_MO_#]
Year: _______ [PCAL_031_YR_#]
¿En qué mes y año ^{FILL_PCAL_031}?

SPANISH

Mes: { - Seleccione - } [PCAL_031_MO_#]
Año: _______ [PCAL_031_YR_#]

RANGE

PCAL_031_MO: List months in order. 1 = “January”, 2 = “February”, … 12 = “December”
PCAL_031_YR: 1950-2030
Spanish:

LIMITS
LOOP MAX
PROGRAM. NOTES

CHECK (ENG)

1 = “Enero”
2 = “Febrero”
3 = “Marzo”
4 = “Abril”
5 = “Mayo”
6 = “Junio”
7 = “Julio”
8 = “Agosto”
9 = “Septiembre”
10 = “Octubre”
11 = “Noviembre”
12 = “Diciembre”
PCAL_031_YR: 4 digits
15
DISPLAY CALENDAR.
Loop through PCAL LOOP1 (f_PCAL_022 - f_PCAL_069) until loop number=PCPARTNUM or
maximum loops (15) is reached.
If PCAL_031_YR OUT OF RANGE OR IN THE FUTURE ON DOI, DISPLAY HARD CHECK:
Please enter a year between 1950 and ^{FILL_INTERVIEWYEAR}.

IF PCAL_031_YR_# < PCAL_024_YR_# OR (PCAL_031_YR_# = PCAL_024_YR_# AND
PCAL_031_MO_# > PCAL_024_MO_#), display soft check: You previously reported
that you ^{FILL_PCAL_031_2} ^{FILL_PCAL_011_X} in ^{PCAL_024_MO_#}
^{PCAL_024_YR_#}. Please review your answer.
If PCAL_031_YR OUT OF RANGE OR IN THE FUTURE ON DOI, DISPLAY HARD CHECK:
Ingrese un año entre 1950 y ^{FILL_INTERVIEWYEAR}.

CHECK (SPAN)

IF PCAL_031_YR_# < PCAL_024_YR_# OR (PCAL_031_YR_# = PCAL_024_YR_# AND
PCAL_031_MO_# > PCAL_024_MO_#), display soft check: Anteriormente informó
que ^{FILL_PCAL_031_2} ^{FILL_PCAL_011_X} en ^{PCAL_024_MO_#} de
^{PCAL_024_YR_#}. Por favor, revise su respuesta.

HELP TEXT (ENG)
HELP TEXT (SPAN)
MODE

CAWI, CASI

NOTES
LEAD-IN
NEXT

PCAL_030
IF PCAL LOOP 1 NUM<PCPARTNUM: Loop again (PCAL_022)
Else: PCAL_ 071

PCAL_032_#
ASK

PCAL_023 ≠ 0 (Continue PCAL LOOP1)

QUESTION TYPE

Radio button

FILLS (ENG)

Use fill from PCAL_011: FILL_PCAL_011_X

FILLS (SPAN)
Use fill from PCAL_011: FILL_PCAL_011_X
Were you legally married to ^{FILL_PCAL_011_X} when you began living together for the first time?
ENGLISH

1. Yes
0. No
¿Estaba casado(a) legalmente con ^{FILL_PCAL_011_X} cuando empezaron a vivir juntos(as) por
primera vez?

SPANISH

1. Sí
0. No

RANGE
LIMITS
LOOP MAX
PROGRAM. NOTES

15
Loop through PCAL LOOP1 (f_PCAL_022 - f_PCAL_069) until loop number=PCPARTNUM or
maximum loops (15) is reached.

CHECK (ENG)
CHECK (SPAN)
HELP TEXT (ENG)
HELP TEXT (SPAN)
MODE

CAWI, CASI

NOTES
LEAD-IN
NEXT

PCAL_025, PCAL_026, PCAL_029
PCAL_033

PCAL_033_#
ASK

PCAL_023 ≠ 0 (Continue PCAL LOOP1)

QUESTION TYPE

Radio button
Use fill from PCAL_011: FILL_PCAL_011_X
Create FILL_PCAL_033:
FILLS (ENG)
If PCAL_024_YR=missing, FILL: “you started living together”;
ELSE FILL: ‘PCAL_024_MO_#’‘PCAL_024_YR_#’
Use fill from PCAL_011: FILL_PCAL_011_X
Create FILL_PCAL_033:
FILLS (SPAN)
If PCAL_024_YR=missing, FILL: “empezaron a vivir juntos(as)”;
ELSE FILL: ‘PCAL_024_MO_#’ ‘PCAL_024_YR_#’
Have you lived with ^{FILL_PCAL_011_X} continuously since ^{FILL_PCAL_033}?

ENGLISH

1. Yes
0. No

¿Vivió con ^{FILL_PCAL_011_X} continuamente desde que ^{FILL_PCAL_033}?
SPANISH

1. Sí
0. No

RANGE
LIMITS
LOOP MAX
PROGRAM. NOTES

15
Loop through PCAL LOOP1 (f_PCAL_022 - f_PCAL_069) until loop number=PCPARTNUM or
maximum loops (15) is reached.

CHECK (ENG)
CHECK (SPAN)
HELP TEXT (ENG)
HELP TEXT (SPAN)
MODE

CAWI, CASI

NOTES
LEAD-IN
NEXT

PCAL_025, PCAL_026, PCAL_029, PCAL_032
PCAL_033 = 1 or DK or REF: PCAL_048
Else: PCAL_034

f_PCAL_034_#
PCAL_034_MO_#/PCAL_034_YR_#
ASK
PCAL_033 = 0 (Continue PCAL LOOP 1)
PCAL_034_MO: Dropdown
QUESTION TYPE
PCAL_34_YR: Numeric
Use fill from PCAL_011: FILL_PCAL_011_X
Use fill from PCAL_024_#: FILL_INTERVIEWYEAR
FILLS (ENG)
Use fill from PCAL_031_X: FILL_PCAL_031_2
Use fill from PCAL_011: FILL_PCAL_011_X
Use fill from PCAL_024_#: FILL_INTERVIEWYEAR
In what month and year did you first stop living with ^{FILL_PCAL_011_X}?

FILLS (SPAN)

ENGLISH

Month: { - Select - } [PCAL_034_MO_#]
Year: _______ [PCAL_034_YR_#]
¿En qué mes y año dejó de vivir por primera vez con ^{FILL_PCAL_011_X}?

SPANISH

Mes: { - Seleccione - } [PCAL_034_MO_#]
Año: _______ [PCAL_034_YR_#]
PCAL_034_MO: List months in order. 1 = “January”, 2 = “February”, … 12 = “December”
PCAL_034_YR: 1950-2030
Spanish:

RANGE

LIMITS
LOOP MAX
PROGRAM. NOTES

CHECK (ENG)

1 = “Enero”
2 = “Febrero”
3 = “Marzo”
4 = “Abril”
5 = “Mayo”
6 = “Junio”
7 = “Julio”
8 = “Agosto”
9 = “Septiembre”
10 = “Octubre”
11 = “Noviembre”
12 = “Diciembre”
PCAL_034_YR: 4 digits
15
DISPLAY CALENDAR.
Loop through PCAL LOOP1 (f_PCAL_022 - f_PCAL_069) until loop number=PCPARTNUM or
maximum loops (15) is reached.
If PCAL_034_YR OUT OF RANGE OR IN THE FUTURE ON DOI, DISPLAY HARD CHECK:
Please enter a year between 1950 and ^{FILL_INTERVIEWYEAR}

IF PCAL_034_YR_# < PCAL_024_YR_# OR (PCAL_034_YR_# = PCAL_024_YR_# AND
PCAL_034_MO_# > PCAL_024_MO_#), display hard check:
You previously reported that you ^{FILL_PCAL_031_2} ^{FILL_PCAL_011NAME_X} in
^{PCAL_024_MO_#} ^{PCAL_024_YR_#}. Please review your answer.
If PCAL_034_YR OUT OF RANGE OR IN THE FUTURE ON DOI, DISPLAY HARD CHECK:
Ingrese un año entre 1950 y ^{FILL_INTERVIEWYEAR}
CHECK (SPAN)

IF PCAL_034_YR_# < PCAL_024_YR_# OR (PCAL_034_YR_# = PCAL_024_YR_# AND
PCAL_034_MO_# > PCAL_024_MO_#), display hard check:
Anteriormente informó que ^{FILL_PCAL_031_2} ^{FILL_PCAL_011NAME_X} en
^{PCAL_024_MO_#} de ^{PCAL_024_YR_#}. Por favor, revise su respuesta.

HELP TEXT (ENG)
HELP TEXT (SPAN)
MODE

CAWI, CASI

NOTES
LEAD-IN
NEXT

PCAL_033
PCAL_035

PCAL_035_#
ASK

PCAL_033=0 (Continue PCAL LOOP 1)

QUESTION TYPE

Radio button

FILLS (ENG)

Use fill from PCAL_011: FILL_PCAL_011_X

FILLS (SPAN)
Use fill from PCAL_011: FILL_PCAL_011_X
During this time that you were living with ^{FILL_PCAL_011_X} were there any changes in your marital
status?
ENGLISH

1. Yes
0. No
Durante el tiempo que estuvo viviendo con ^{FILL_PCAL_011_X}, ¿hubo algún cambio en su estado
civil?

SPANISH

1. Sí
0. No

RANGE
LIMITS
LOOP MAX
PROGRAM. NOTES

15
Loop through PCAL LOOP1 (f_PCAL_022 - f_PCAL_069) until loop number=PCPARTNUM or
maximum loops (15) is reached.

CHECK (ENG)
CHECK (SPAN)
HELP TEXT (ENG)
HELP TEXT (SPAN)
MODE

CAWI, CASI

NOTES
LEAD-IN
NEXT

PCAL_034
If PCAL_035=1: PCAL_037
Else: PCAL_043

PCAL_037_#_#
ASK

PCAL_035=1 (Begin PCAL LOOP 1a)

QUESTION TYPE

Radio button
Create Fill, FILL_PCAL_FIRSTNEXT:
FILLS (ENG)
IF LOOPNUMBER=1 FILL: “first”;
ELSE FILL: “next”
Create Fill, FILL_PCAL_FIRSTNEXT:
FILLS (SPAN)
IF LOOPNUMBER=1 FILL: “la primera vez”;
ELSE FILL: “la siguiente vez”
What was the ^{FILL_PCAL_FIRSTNEXT} change in marital status? Did you . . .
1.
2.
3.
4.
5.

ENGLISH

Become legally married?
Reunite?
Get a legal separation only?
Get a legal divorce?
Get an annulment?

¿Cuál fue ^{FILL_PCAL_FIRSTNEXT} que hubo un cambio en su estado civil? Cuando...

SPANISH

1.
2.
3.
4.
5.

Se casó legalmente
Volvió con esa persona
Obtuvo solo una separación legal
Obtuvo un divorcio legal
Obtuvo una anulación

RANGE
LIMITS
LOOP MAX
PROGRAM. NOTES
CHECK (ENG)
CHECK (SPAN)

5
IF PCAL_035 = 1, LOOP THROUGH PCAL LOOP 1A (PCAL_037 – PCAL_041) UNTIL
PCAL_041= 0 OR MAX LOOP NUM (5) REACHED.
IF LOOP NUM = 1 AND IF PCAL_011MAR_X (does not equal) 1 AND PCAL_037_# = 3, 4,
OR 5, DISPLAY SOFT CHECK: You have not previously indicated that you are married to
^{FILL_PCAL_011_X}. Please check your answer.
IF LOOP NUM = 1 AND IF PCAL_011MAR_X (does not equal) 1 AND PCAL_037_# = 3, 4, OR
5, DISPLAY SOFT CHECK: No ha indicado previamente que está casado(a) con
^{FILL_PCAL_011_X}. Revise su respuesta.

HELP TEXT (ENG)
HELP TEXT (SPAN)
MODE

CAWI, CASI

NOTES
LEAD-IN
NEXT

PCAL_035
If PCAL_037=1: PCAL_039
If PCAL_037=3, 4, 5: PCAL_038
Else: PCAL_041

f_PCAL_038_#_#
PCAL_038_MO_#_#/PCAL_038_YR_#_#
ASK
PCAL_037 = 3 or 4 or 5 (Continue PCAL LOOP 1a)
PCAL_038_MO: Dropdown
QUESTION TYPE
PCAL_38_YR: Numeric
Create fill, FILL_PCAL_038:
If PCAL_037 = 3, FILL_PCAL_038: “legal separation”
Else if PCAL_037 = 4, FILL_PCAL_038: “legal divorce”
FILLS (ENG)
Else, if PCAL_037 = 5, FILL_PCAL_038: “annulment

FILLS (SPAN)

Use fill from PCAL_024_#: FILL_INTERVIEWYEAR
Create fill, FILL_PCAL_038:
If PCAL_037 = 3, FILL_PCAL_038: “la separación legal”
Else if PCAL_037 = 4, FILL_PCAL_038: “el divorcio legal”
Else, if PCAL_037 = 5, FILL_PCAL_038: “la anulación”

Use fill from PCAL_024_#: FILL_INTERVIEWYEAR
In what month and year was the ^{FILL_PCAL_038} obtained?
ENGLISH

Month: { - Select - } [PCAL_038_MO_#_#]
Year: _______ [PCAL_038_YR_#_#]
¿En qué mes y año se obtuvo ^{FILL_PCAL_038}?

SPANISH

Mes: { - Seleccione - } [PCAL_038_MO_#_#]
Año: _______ [PCAL_038_YR_#_#]

RANGE

LIMITS
LOOP MAX
PROGRAM. NOTES
CHECK (ENG)

PCAL_038_MO: List months in order. 1 = “January”, 2 = “February”, … 12 = “December”
PCAL_038_YR: 1950-2030
Spanish:
1 = “Enero”
2 = “Febrero”
3 = “Marzo”
4 = “Abril”
5 = “Mayo”
6 = “Junio”
7 = “Julio”
8 = “Agosto”
9 = “Septiembre”
10 = “Octubre”
11 = “Noviembre”
12 = “Diciembre”
PCAL_038_YR: 4 digits
5
DISPLAY CALENDAR.
IF PCAL_035 = 1, LOOP THROUGH PCAL LOOP 1A (PCAL_037 – PCAL_041) UNTIL
PCAL_041= 0 OR MAX LOOP NUM (5) REACHED.
If PCAL_038_YR OUT OF RANGE OR IN THE FUTURE ON DOI, DISPLAY HARD CHECK:

Please enter a year between 1950 and ^{FILL_INTERVIEWYEAR}.
IF PCAL_038_YR_# < PCAL_024_YR_# OR (PCAL_038_YR_# = PCAL_024_YR_# AND
PCAL_038_MO_# > PCAL_024_MO_#)), display hard check: You previously reported that
you married ^{FILL_PCAL_011_X} in ^{PCAL_024_MO_#} ^{PCAL_024_YR_#}. Please
review your answer.
If PCAL_038_YR OUT OF RANGE OR IN THE FUTURE ON DOI, DISPLAY HARD CHECK:
Ingrese un año entre 1950 y ^{FILL_INTERVIEWYEAR}.
CHECK (SPAN)

IF PCAL_038_YR_# < PCAL_024_YR_# OR (PCAL_038_YR_# = PCAL_024_YR_# AND
PCAL_038_MO_# > PCAL_024_MO_#)), display hard check: Anteriormente informó que se
casó con ^{FILL_PCAL_011_X} en ^{PCAL_024_MO_#} de ^{PCAL_024_YR_#}. Revise su
respuesta.

HELP TEXT (ENG)
HELP TEXT (SPAN)
MODE

CAWI, CASI

NOTES
LEAD-IN
NEXT

PCAL_037
PCAL_041

f_PCAL_039_#_#
PCAL_039_MO_#_#/PCAL_039_YR_#_#
ASK
PCAL_037 = 1 (Continue PCAL LOOP 1a)
PCAL_039_MO: Dropdown
QUESTION TYPE
PCAL_039_YR: Numeric
Use fill from PCAL_011: FILL_PCAL_011_X
Use fill from PCAL_037: FILL_PCAL_FIRSTNEXT
FILLS (ENG)
Use fill from PCAL_024_#: FILL_INTERVIEWYEAR
Use fill from PCAL_034_#: FILL_PCAL_031_2
Use fill from PCAL_011: FILL_PCAL_011_X
Use fill from PCAL_037: FILL_PCAL_FIRSTNEXT
FILLS (SPAN)
Use fill from PCAL_024_#: FILL_INTERVIEWYEAR
Use fill from PCAL_034_#: FILL_PCAL_031_2
In what month and year did you ^{FILL_PCAL_FIRSTNEXT} marry ^{FILL_PCAL_011_X}?
ENGLISH

Month: { - Select - } [PCAL_039_MO_#_#]
Year: _______ [PCAL_039_YR_#_#]
¿En qué mes y año fue ^{FILL_PCAL_FIRSTNEXT} que se casó con ^{FILL_PCAL_011_X}?

SPANISH

Mes: { - Seleccione - } [PCAL_039_MO_#_#]
Año: _______ [PCAL_039_YR_#_#]

RANGE

LIMITS
LOOP MAX

PROGRAM. NOTES

CHECK (ENG)

PCAL_039_MO: List months in order. 1 = “January”, 2 = “February”, … 12 = “December”
PCAL_039_YR: 1950-2030
Spanish:
1 = “Enero”
2 = “Febrero”
3 = “Marzo”
4 = “Abril”
5 = “Mayo”
6 = “Junio”
7 = “Julio”
8 = “Agosto”
9 = “Septiembre”
10 = “Octubre”
11 = “Noviembre”
12 = “Diciembre”
PCAL_039_YR: 4 digits
5
DISPLAY CALENDAR. FOR [DROPDOWN] MONTH PLEASE USE A STANDARD LIST OF
MONTHS FOR PARTICIPANTS TO SELECT WITH TEXT LABELS AND ASSIGNED TO THE
NUMBER OF THE MONTH 1-12.
IF PCAL_035 = 1, LOOP THROUGH PCAL LOOP 1A (PCAL_037 – PCAL_041) UNTIL
PCAL_041= 0 OR MAX LOOP NUM (5) REACHED.
If PCAL_039_YR OUT OF RANGE OR IN THE FUTURE ON DOI, DISPLAY HARD CHECK:
Please enter a year between 1950 and ^{FILL_INTERVIEWYEAR}.

011MAR_X = 1 AND IF PCAL_039_YR_# < PCAL_024_YR_# OR (PCAL_039_YR_# =
PCAL_024_YR_# AND PCAL_039_MO_# > PCAL_024_MO_#):
You previously reported that you ^{FILL_PCAL_031_2} ^{FILL_PCAL_011_X} in
^{PCAL_024_MO_#} ^{PCAL_024_YR_#}. Please review your answer.
If PCAL_039_YR OUT OF RANGE OR IN THE FUTURE ON DOI, DISPLAY HARD CHECK:
Ingrese un año entre 1950 y ^{FILL_INTERVIEWYEAR}.
CHECK (SPAN)

IF 011MAR_X = 1 AND IF PCAL_039_YR_# < PCAL_024_YR_# OR (PCAL_039_YR_# =
PCAL_024_YR_# AND PCAL_039_MO_# > PCAL_024_MO_#):
Anteriormente informó que ^{FILL_PCAL_031_2} ^{FILL_PCAL_011_X} en
^{PCAL_024_MO_#} de ^{PCAL_024_YR_#}. Revise su respuesta.

HELP TEXT (ENG)
HELP TEXT (SPAN)
MODE

CAWI, CASI

NOTES
LEAD-IN
NEXT

PCAL_037
PCAL_041

PCAL_041_#_#
ASK

PCAL_035=1 (End PCAL LOOP 1a)

QUESTION TYPE

Radio button

FILLS (ENG)

Use fill from PCAL_011: FILL_PCAL_011_X

FILLS (SPAN)
Use fill from PCAL_011: FILL_PCAL_011_X
During this time that you were living with ^{FILL_PCAL_011_X} was there another change in your
marital status?
ENGLISH

1. Yes
0. No
Durante este tiempo que estuvo viviendo con ^{FILL_PCAL_011_X}, ¿hubo algún otro cambio en su
estado civil?

SPANISH

1. Sí
0. No

RANGE
LIMITS
LOOP MAX
PROGRAM. NOTES

5
IF PCAL_035 = 1, LOOP THROUGH PCAL LOOP 1A (PCAL_037 – PCAL_041) UNTIL
PCAL_041= 0 OR MAX LOOP NUM (5) REACHED.

CHECK (ENG)
CHECK (SPAN)
HELP TEXT (ENG)
HELP TEXT (SPAN)
MODE

CAWI, CASI

NOTES
LEAD-IN
NEXT

PCAL_037, PCAL_038, PCAL_039
If PCAL_041≠0 AND PCAL LOOP 1a<5: PCAL_037
Else: PCAL_043

PCAL_043_#
ASK

PCAL_033 = 0 or PCAL_030=3 (Continue PCAL LOOP 1)

QUESTION TYPE

Radio button
Use fill from PCAL_011: FILL_PCAL_011_X

FILLS (ENG)

FILLS (SPAN)
Use fill from PCAL_011: FILL_PCAL_011_X
At the time you first stopped living with ^{FILL_PCAL_011_X}}, what was your legal relationship with
^{FILL_PCAL_011_X}?
0.
1.
2.
3.
4.

ENGLISH

Never legally married
Legally married
Legally separated
Divorced
Widowed

En el momento en que dejó de vivir con ^{FILL_PCAL_011_X}, ¿cuál era su relación legal con
^{FILL_PCAL_011_X}?
SPANISH

0.
1.
2.
3.
4.

No estaban casados(as) legalmente
Estaban casados(as) legalmente
Estaban separados(as) legalmente
Estaban divorciado(as)
Eran viudos(as)

RANGE
LIMITS
LOOP MAX
PROGRAM. NOTES

15
Loop through PCAL LOOP1 (f_PCAL_022 - f_PCAL_069) until loop number=PCPARTNUM or
maximum loops (15) is reached.

CHECK (ENG)
CHECK (SPAN)
HELP TEXT (ENG)
HELP TEXT (SPAN)
MODE

CAWI, CASI

NOTES
LEAD-IN
NEXT

PCAL_030, PCAL_035, PCAL_041
If PCAL_043=4: PCAL_069
Else: PCAL_044

PCAL_044_#
ASK

PCAL_033 =0 or PCAL_030=3 (Continue PCAL LOOP 1)

QUESTION TYPE

Radio button

FILLS (ENG)

Use fill from PCAL_011: FILL_PCAL_011_X

FILLS (SPAN)
Use fill from PCAL_011: FILL_PCAL_011_X
Did you ever live with ^{FILL_PCAL_011_X} again?
ENGLISH

1. Yes
0. No
¿Ha vivido alguna vez con ^{FILL_PCAL_011_X}?

SPANISH

1. Sí
0. No

RANGE
LIMITS
LOOP MAX
PROGRAM. NOTES

15
Loop through PCAL LOOP1 (f_PCAL_022 - f_PCAL_069) until loop number=PCPARTNUM or
maximum loops (15) is reached.

CHECK (ENG)
CHECK (SPAN)
HELP TEXT (ENG)
HELP TEXT (SPAN)
MODE

CAWI, CASI

NOTES
LEAD-IN
NEXT

PCAL_043
If PCAL_044=1: PCAL_046 (Begin PCAL LOOP 1b)
Else: PCAL_068

f_PCAL_046_#_#
PCAL_046_MO_#_#/PCAL_046_YR_#_#
ASK
PCAL_044=1 (Begin PCAL LOOP 1b)
PCAL_046_MO: Dropdown
QUESTION TYPE
PCAL_046_YR: Numeric
Use fill from PCAL_011: FILL_PCAL_011_X
FILLS (ENG)
Use fill from PCAL_024_#: FILL_INTERVIEWYEAR
Use fill from PCAL_031: FILL_PCAL_031_2
Use fill from PCAL_011: FILL_PCAL_011_X
FILLS (SPAN)
Use fill from PCAL_024_#: FILL_INTERVIEWYEAR
Use fill from PCAL_031: FILL_PCAL_031_2
When did you next start living with ^{FILL_PCAL_011_X} again?
ENGLISH

Month: { - Select - } [PCAL_046_MO_#]
Year: _______ [PCAL_046_YR_#]
¿Cuándo fue la siguiente vez que volvió a vivir con ^{FILL_PCAL_011_X}?

SPANISH

Mes: { - Seleccione - } [PCAL_046_MO_#]
Año: _______ [PCAL_046_YR_#]
PCAL_046_MO: List months in order. 1 = “January”, 2 = “February”, … 12 = “December”
PCAL_046_YR: 1950-2030
Spanish:

RANGE

LIMITS

1 = “Enero”
2 = “Febrero”
3 = “Marzo”
4 = “Abril”
5 = “Mayo”
6 = “Junio”
7 = “Julio”
8 = “Agosto”
9 = “Septiembre”
10 = “Octubre”
11 = “Noviembre”
12 = “Diciembre”
PCAL_046_YR: 4 digits

LOOP MAX

5
DISPLAY CALENDAR.

PROGRAM. NOTES

LOOP THROUGH PCAL LOOP 1b (PCAL_046 – PCAL_066) UNTIL PCAL_066≠1 OR MAX
LOOPS (5) REACHED.

CHECK (ENG)

If PCAL_046_YR OUT OF RANGE OR IN THE FUTURE ON DOI, DISPLAY HARD CHECK:
Please enter a year between 1950 and ^{FILL_INTERVIEWYEAR}.
PCAL_046_YR_# < PCAL_024_YR_# OR (PCAL_046_YR_# = PCAL_024_YR_# AND
PCAL_046_MO_# > PCAL_024_MO_#) display hard check:

You previously reported that you ^{FILL_PCAL_031_2} ^{FILL_PCAL_011_X} in
^{PCAL_024_MO_#} ^{PCAL_024_YR_#}. Please review your answer.
If PCAL_046_YR OUT OF RANGE OR IN THE FUTURE ON DOI, DISPLAY HARD CHECK:
Ingrese un año entre 1950 y ^{FILL_INTERVIEWYEAR}.
CHECK (SPAN)

IF PCAL_046_YR_# < PCAL_024_YR_# OR (PCAL_046_YR_# = PCAL_024_YR_# AND
PCAL_046_MO_# > PCAL_024_MO_#) display hard check:
Anteriormente informó que ^{FILL_PCAL_031_2} ^{FILL_PCAL_011_X} en
^{PCAL_024_MO_#} de ^{PCAL_024_YR_#}. Revise su respuesta.

HELP TEXT (ENG)
HELP TEXT (SPAN)
MODE

CAWI, CASI

NOTES
LEAD-IN
NEXT

PCAL_044=1
PCAL_047

PCAL_047_#_#
ASK

PCAL_044=1 (Continue PCAL LOOP 1b)

QUESTION TYPE

Radio button

FILLS (ENG)

Use fill from PCAL_011: FILL_PCAL_011_X

FILLS (SPAN)
Use fill from PCAL_011: FILL_PCAL_011_X
Between the time you left and the time you moved back in with ^{FILL_PCAL_011_X} was there any
change in your marital status with ^{FILL_PCAL_011_X}?
ENGLISH

1. Yes
0. No
Entre el momento en que se fue y el momento en que volvió a vivir con ^{FILL_PCAL_011_X}, ¿hubo
algún cambio en su estado civil con ^{FILL_PCAL_011_X}?

SPANISH

1. Sí
0. No

RANGE
LIMITS
LOOP MAX
PROGRAM. NOTES

5
LOOP THROUGH PCAL LOOP 1b (PCAL_046 – PCAL_066) UNTIL PCAL_066≠1 OR MAX
LOOPS (5) REACHED.

CHECK (ENG)
CHECK (SPAN)
HELP TEXT (ENG)
HELP TEXT (SPAN)
MODE

CAWI, CASI

NOTES
LEAD-IN
NEXT

PCAL_046
If PCAL_047=1: PCAL_050 (begin PCAL LOOP 1b_1)
Else: PCAL_056

PCAL_048_#_#
ASK

PCAL_033 = 1 or DK or REF (Continue PCAL LOOP 1b)

QUESTION TYPE

Radio button

FILLS (ENG)

Use fill from PCAL_011: FILL_PCAL_011_X

FILLS (SPAN)
Use fill from PCAL_011: FILL_PCAL_011_X
Since you started living with ^{FILL_PCAL_011_X} has there been any change in your and
^{FILL_PCAL_011_X}’s marital status?
ENGLISH

1. Yes
0. No
Desde que empezó a vivir con ^{FILL_PCAL_011_X}, ¿ha habido algún cambio en su estado civil y en el
de ^{FILL_PCAL_011_X}?

SPANISH

1. Sí
0. No

RANGE
LIMITS
LOOP MAX
PROGRAM. NOTES

5
LOOP THROUGH PCAL LOOP 1b (PCAL_046 – PCAL_066) UNTIL PCAL_066≠1 OR MAX
LOOPS (5) REACHED.

CHECK (ENG)
CHECK (SPAN)
HELP TEXT (ENG)
HELP TEXT (SPAN)
MODE

CAWI, CASI

NOTES
LEAD-IN

NEXT

PCAL_033, PCAL_046
If PCAL_048=1: PCAL_050 (begin PCAL LOOP 1b_1)
Else if PCPARTCURR=0: PCAL_068
Else if PCAL LOOP 1 NUM<PCPARTNUM: PCAL_022
Else if PCAL LOOP 1 NUM=PCPARTNUM: PCAL_071

PCAL_050_#_#_#
ASK

PCAL_047 = 1 or PCAL_048 = 1 (Begin PCAL LOOP 1b_1)

QUESTION TYPE

Radio button

FILLS (ENG)

Use fill from PCAL_037: FILL_PCAL_FIRSTNEXT

FILLS (SPAN)
Use fill from PCAL_037: FILL_PCAL_FIRSTNEXT
What was the ^{FILL_PCAL_FIRSTNEXT} change in marital status? Did you . . .
1.
2.
3.
4.
5.

ENGLISH

Become legally married?
Reunite?
Get a legal separation only?
Get a legal divorce?
Get an annulment?

¿Cuál fue ^{FILL_PCAL_FIRSTNEXT} que hubo un cambio en su estado civil? Cuando...
SPANISH

1.
2.
3.
4.
5.

Se casó legalmente
Volvió con esa persona
Obtuvo solo una separación legal
Obtuvo un divorcio legal
Obtuvo una anulación

RANGE
LIMITS
LOOP MAX
PROGRAM. NOTES
CHECK (ENG)
CHECK (SPAN)

5
Loop through PCAL LOOP1b_1 (f_PCAL_050 - f_PCAL_054) until PCAL_053=0 or
PCAL_054=0 or MAX LOOPS (5) is REACHED
IF LOOP NUM = 1 AND IF PCAL_011MAR_X (does not equal) 1 AND PCAL_050_# = 3, 4,
OR 5, DISPLAY SOFT CHECK: You have not previously indicated that you are married to
^{FILL_PCAL_011_X}. Please check your answer.
IF LOOP NUM = 1 AND IF PCAL_011MAR_X (does not equal) 1 AND PCAL_050_# = 3, 4, OR
5, DISPLAY SOFT CHECK: No ha indicado previamente que está casado(a) con
^{FILL_PCAL_011_X}. Revise su respuesta.

HELP TEXT (ENG)
HELP TEXT (SPAN)
MODE

CAWI, CASI

NOTES
LEAD-IN
NEXT

PCAL_047, PCAL_048
If PCAL_050=1: PCAL_052
If PCAL_050=3,4,5: PCAL_051
Else: PCAL_053

f_PCAL_051_#_#_#
PCAL_051_MO_#_#_#/PCAL_051_YR_#_#_#
ASK
PCAL_050 = 3, 4, 5 (Continue PCAL LOOP 1b_1)
PCAL_051_MO_#_#_#: Dropdown
QUESTION TYPE
PCAL_051_YR_#_#_#: Numeric
Create fill, FILL_PCAL_050:
If PCAL_050 = 3, FILL_ PCAL_050: “legal separation”
Else if PCAL_050 = 4, FILL_ PCAL_050: “legal divorce”
Else, if PCAL_050 = 5, FILL_ PCAL_050: “annulment”

FILLS (ENG)

FILLS (SPAN)

Use fill from PCAL_024_#: FILL_INTERVIEWYEAR
031_#: FILL_PCAL_031_2
Create fill, FILL_PCAL_050:
If PCAL_050 = 3, FILL_ PCAL_050: “la separación legal”
Else if PCAL_050 = 4, FILL_ PCAL_050: “el divorcio legal”
Else, if PCAL_050 = 5, FILL_ PCAL_050: “la anulación”

Use fill from PCAL_024_#: FILL_INTERVIEWYEAR
031_#: FILL_PCAL_031_2
In what month and year was the ^{FILL_ PCAL_050} obtained?
ENGLISH

Month: { - Select - } [PCAL_051_MO_#_#_#]
Year: _______ [PCAL_051_YR_#_#_#]
¿En qué mes y año se obtuvo ^{FILL_ PCAL_050}?

SPANISH

Mes: { - Seleccione - } [PCAL_051_MO_#_#_#]
Año: _______ [PCAL_051_YR_#_#_#]
PCAL_051_MO_#_#_#: List months in order. 1 = “January”, 2 = “February”, … 12 =
“December”
PCAL_051_YR: 1950-2030
Spanish:

RANGE

LIMITS

1 = “Enero”
2 = “Febrero”
3 = “Marzo”
4 = “Abril”
5 = “Mayo”
6 = “Junio”
7 = “Julio”
8 = “Agosto”
9 = “Septiembre”
10 = “Octubre”
11 = “Noviembre”
12 = “Diciembre”
PCAL_051_YR_#_#_#: 4 digits

LOOP MAX
PROGRAM. NOTES

CHECK (ENG)

5
DISPLAY CALENDAR.
Loop through PCAL LOOP1b_1 (f_PCAL_050 - f_PCAL_054) until PCAL_053=0 or
PCAL_054=0 or MAX LOOPS (5) is REACHED
If PCAL_051_YR OUT OF RANGE OR IN THE FUTURE ON DOI, DISPLAY HARD CHECK:
Please enter a year between 1950 and ^{FILL_INTERVIEWYEAR}.
IF PCAL_051_YR_# < PCAL_024_YR_# OR (PCAL_051_YR_# = PCAL_024_YR_# AND
PCAL_051_MO_# > PCAL_024_MO_#)), display hard check: You previously reported that
you first ^{FILL_PCAL_031_2} with ^{FILL_PCAL_011_X} in ^{PCAL_024_MO_#}
^{PCAL_024_YR_#}. Please review your answer.
If PCAL_051_YR OUT OF RANGE OR IN THE FUTURE ON DOI, DISPLAY HARD CHECK:
Ingrese un año entre 1950 y ^{FILL_INTERVIEWYEAR}.

CHECK (SPAN)

IF PCAL_051_YR_# < PCAL_024_YR_# OR (PCAL_051_YR_# = PCAL_024_YR_# AND
PCAL_051_MO_# > PCAL_024_MO_#)), display hard check:
Anteriormente informó que la primera vez que ^{FILL_PCAL_031_2} ^{FILL_PCAL_011_X}
en ^{PCAL_024_MO_#} de ^{PCAL_024_YR_#}. Revise su respuesta.

HELP TEXT (ENG)
HELP TEXT (SPAN)
MODE

CAWI, CASI

NOTES
LEAD-IN
NEXT

PCAL_050=3, 4, 5
If PCAL_033=1: PCAL_053
Else: PCAL_054

f_PCAL_052_#_#_#
PCAL_052_MO_#_#_#/PCAL_052_YR_#_#_#
ASK
PCAL_050 = 1 (Continue PCAL LOOP 1b_1)
PCAL_052_MO: Dropdown
QUESTION TYPE
PCAL_052_YR: Numeric
Use fill from PCAL_011: FILL_PCAL_011_X
Use fill from PCAL_024_#: FILL_INTERVIEWYEAR
FILLS (ENG)
Create fill, FILL_PCAL_052.
If PCAL_032=0 and PCAL_033=1, FILL_PCAL_052: ‘first’
Else FILL_PCAL_052: ‘next’
Use fill from PCAL_011: FILL_PCAL_011_X
Use fill from PCAL_024_#: FILL_INTERVIEWYEAR
FILLS (SPAN)

Create fill, FILL_PCAL_052.
If PCAL_032=0 and PCAL_033=1, FILL_PCAL_052: ‘la primera vez’
Else FILL_PCAL_052: ‘la próxima vez’
In what month and year did you ^{FILL_PCAL_052} marry ^{FILL_PCAL_011_X}?

ENGLISH

Month: { - Select - } [PCAL_052_MO_#_#_#]
Year: _______ [PCAL_052_YR_#_#_#]
¿En qué mes y año fue ^{FILL_PCAL_FIRSTNEXT} que se casó con ^{FILL_PCAL_011_X}?

SPANISH

Mes: { - Seleccione - } [PCAL_052_MO_#_#_#]
Año: _______ [PCAL_052_YR_#_#_#]
PCAL_052_MO_#_#_#: List months in order. 1 = “January”, 2 = “February”, … 12 =
“December”
PCAL_052_YR: 1950-2030
Spanish:

RANGE

LIMITS
LOOP MAX
PROGRAM. NOTES

1 = “Enero”
2 = “Febrero”
3 = “Marzo”
4 = “Abril”
5 = “Mayo”
6 = “Junio”
7 = “Julio”
8 = “Agosto”
9 = “Septiembre”
10 = “Octubre”
11 = “Noviembre”
12 = “Diciembre”
PCAL_052_YR_#_#_#: 4 digits
5
DISPLAY CALENDAR.

Loop through PCAL LOOP1b_1 (f_PCAL_050 - f_PCAL_054) until PCAL_053=0 or
PCAL_054=0 or MAX LOOPS (5) is REACHED.
If PCAL_052_YR OUT OF RANGE OR IN THE FUTURE ON DOI, DISPLAY HARD CHECK:
Please enter a year between 1950 and ^{FILL_INTERVIEWYEAR}.
CHECK (ENG)

If PCAL_011MAR_X = 1 AND IF PCAL_052_YR_# < PCAL_024_YR_# OR (PCAL_052_YR_# =
PCAL_024_YR_# AND PCAL_052_MO_# > PCAL_024_MO_#):
You previously reported that you married ^{FILL_PCAL_011_X} in ^{PCAL_024_MO_#}
^{PCAL_024_YR_#}. Please review your answer.
If PCAL_052_YR OUT OF RANGE OR IN THE FUTURE ON DOI, DISPLAY HARD CHECK:
Ingrese un año entre 1950 y ^{FILL_INTERVIEWYEAR}.

CHECK (SPAN)

If PCAL_011MAR_X = 1 AND IF PCAL_052_YR_# < PCAL_024_YR_# OR (PCAL_052_YR_# =
PCAL_024_YR_# AND PCAL_052_MO_# > PCAL_024_MO_#):
Anteriormente informó que se casó con ^{FILL_PCAL_011_X} en ^{PCAL_024_MO_#} de
^{PCAL_024_YR_#}. Revise su respuesta.

HELP TEXT (ENG)
HELP TEXT (SPAN)
MODE

CAWI, CASI

NOTES
LEAD-IN
NEXT

PCAL_050
If PCAL_033=1: PCAL_053
Else: PCAL_054

PCAL_053_#_#_#
ASK

If PCAL_033 = 1 and PCAL_048 = 1 (Continue PCAL LOOP 1b_1)

QUESTION TYPE

Radio button

FILLS (ENG)

Use fill from PCAL_011: FILL_PCAL_011_X

FILLS (SPAN)
Use fill from PCAL_011: FILL_PCAL_011_X
Was there another change in the marital status between you and ^{FILL_PCAL_011_X}?
ENGLISH

1. Yes
0. No
¿Hubo algún otro cambio en el estado civil entre usted y ^{FILL_PCAL_011_X}?

SPANISH

1. Sí
0. No

RANGE
LIMITS
LOOP MAX
PROGRAM. NOTES

5
Loop through PCAL LOOP1b_1 (f_PCAL_050 - f_PCAL_054) until PCAL_053=0 or
PCAL_054=0 or MAX LOOPS (5) is REACHED.

CHECK (ENG)
CHECK (SPAN)
HELP TEXT (ENG)
HELP TEXT (SPAN)
MODE

CAWI, CASI

NOTES
LEAD-IN
NEXT

PCAL_051, PCAL_050
IF PCAL_053=1 and PCAL Loop 1b_1<5: PCAL_050
IF PCAL_033=1 IF PCAL LOOP 1 NUM<PCPARTNUM: PCAL_022
Else IF PCAL_033=1: PCAL_071 (End PCAL LOOP 1b)
ELSE PCAL_056

PCAL_054_#_#_#
ASK

If PCAL_033 = 0 and PCAL_048 = 1 (End PCAL LOOP 1b_1)

QUESTION TYPE

Radio button

FILLS (ENG)

Use fill from PCAL_011: FILL_PCAL_011_X

FILLS (SPAN)
Use fill from PCAL_011: FILL_PCAL_011_X
Between the time you left and the time you moved back in with ^{FILL_PCAL_011_X}, was there
another change in your marital status?
ENGLISH

1. Yes
0. No
Entre el momento en que se fue y el momento en que volvió a vivir con ^{FILL_PCAL_011_X}, ¿hubo
algún otro cambio en su estado civil?

SPANISH

1. Sí
0. No

RANGE
LIMITS
LOOP MAX
PROGRAM. NOTES

5
Loop through PCAL LOOP1b_1 (f_PCAL_050 - f_PCAL_054) until PCAL_053=0 or
PCAL_054=0 or MAX LOOPS (5) is REACHED.

CHECK (ENG)
CHECK (SPAN)
HELP TEXT (ENG)
HELP TEXT (SPAN)
MODE

CAWI, CASI

NOTES
LEAD-IN
NEXT

PCAL_051, PCAL_052
IF PCAL_054=1 and PCAL LOOP 1b_1 NUM<5: PCAL_050
Else: PCAL_056

PCAL_056_#_#
ASK

PCAL_033 ≠ 1 (Continue PCAL LOOP 1b)

QUESTION TYPE

Radio button
Use fill from PCAL_011: FILL_PCAL_011_X
Create FILL_PCAL_TOGETHERAGAIN:
FILLS (ENG)
IF PCAL_046_YR_#_#=missing, FILL_PCAL_TOGETHERAGAIN: “you started living with
^{FILL_PCAL_011_X} again”
ELSE FILL_PCAL_TOGETHERAGAIN: ‘PCAL_046_MO_#_#’ ‘PCAL_046_YR_#_#’
Use fill from PCAL_011: FILL_PCAL_011_X
Create FILL_PCAL_TOGETHERAGAIN:
FILLS (SPAN)
IF PCAL_046_YR_#_#=missing, FILL_PCAL_TOGETHERAGAIN: “comenzó a vivir con
^{FILL_PCAL_011_X} de nuevo”
ELSE FILL_PCAL_TOGETHERAGAIN: ‘PCAL_046_MO_#_#’ ‘PCAL_046_YR_#_#’
Have you lived with ^{FILL_PCAL_011_X} continuously since ^{FILL_PCAL_TOGETHERAGAIN}?

ENGLISH

1. Yes
0. No

¿Vivió con ^{FILL_PCAL_011_X} continuamente desde que ^{FILL_PCAL_TOGETHERAGAIN}?
SPANISH

1. Sí
0. No

RANGE
LIMITS
LOOP MAX
PROGRAM. NOTES

5
LOOP THROUGH PCAL LOOP 1b (PCAL_046 – PCAL_066) UNTIL PCAL_066≠1 OR MAX
LOOPS (5) REACHED.

CHECK (ENG)
CHECK (SPAN)
HELP TEXT (ENG)
HELP TEXT (SPAN)
MODE

CAWI, CASI

NOTES
LEAD-IN
NEXT

PCAL_047, PCAL_054
If PCAL_056=1: PCAL_058
Else: PCAL_057

f_PCAL_057_#_#
PCAL_057_MO_#_#/PCAL_057_YR_#_#
ASK
PCAL_056 ≠ 1 (Continue PCAL LOOP 1b)
PCAL_057_MO_#_#: Dropdown
QUESTION TYPE
PCAL_057_YR_#_#: Numeric
Use fill from PCAL_011: FILL_PCAL_011_X
FILLS (ENG)
Use fill from PCAL_024_#: FILL_INTERVIEWYEAR
Use fill from PCAL_011: FILL_PCAL_011_X
FILLS (SPAN)
Use fill from PCAL_024_#: FILL_INTERVIEWYEAR
In what month and year did you next stop living with ^{FILL_PCAL_011_X}?
ENGLISH

Month: { - Select - } [PCAL_057_MO_#_#]
Year: _______ [PCAL_057_YR_#_#]
¿En qué mes y año dejó de vivir con ^{FILL_PCAL_011_X} la siguiente vez?

SPANISH

Mes: { - Seleccione - } [PCAL_057_MO_#_#]
Año: _______ [PCAL_057_YR_#_#]
PCAL_057_MO_#_#: List months in order. 1 = “January”, 2 = “February”, … 12 =
“December”
PCAL_057_YR: 1950-2030
Spanish:

RANGE

LIMITS
LOOP MAX
PROGRAM. NOTES

CHECK (ENG)

1 = “Enero”
2 = “Febrero”
3 = “Marzo”
4 = “Abril”
5 = “Mayo”
6 = “Junio”
7 = “Julio”
8 = “Agosto”
9 = “Septiembre”
10 = “Octubre”
11 = “Noviembre”
12 = “Diciembre”
PCAL_057_YR_#_#: 4 digits

5
DISPLAY CALENDAR.
LOOP THROUGH PCAL LOOP 1b (PCAL_046 – PCAL_066) UNTIL PCAL_066≠1 OR MAX
LOOPS (5) REACHED.
If PCAL_057_YR OUT OF RANGE OR IN THE FUTURE ON DOI, DISPLAY HARD CHECK:
Please enter a year between 1950 and ^{FILL_INTERVIEWYEAR}.
IF PCAL_057_YR_# < PCAL_046_YR_# OR (PCAL_057_YR_# = PCAL_046_YR_# AND
PCAL_057_MO_# > PCAL_046_MO_#), display hard check:
You previously reported that you next started living with ^{FILL_PCAL_011NAME_X} in
^{PCAL_046_MO_#} ^{PCAL_046_YR_#}. Please review your answer.

If PCAL_057_YR OUT OF RANGE OR IN THE FUTURE ON DOI, DISPLAY HARD CHECK:
Ingrese un año entre 1950 y ^{FILL_INTERVIEWYEAR}.
CHECK (SPAN)

IF PCAL_057_YR_# < PCAL_046_YR_# OR (PCAL_057_YR_# = PCAL_046_YR_# AND
PCAL_057_MO_# > PCAL_046_MO_#), display hard check:
Anteriormente informó que comenzó a vivir nuevamente con ^{FILL_PCAL_011NAME_X}
en ^{PCAL_046_MO_#} de ^{PCAL_046_YR_#}. Revise su respuesta.

HELP TEXT (ENG)
HELP TEXT (SPAN)
MODE

CAWI, CASI

NOTES
LEAD-IN
NEXT

PCAL_056
PCAL_058

PCAL_058_#_#
ASK

PCAL_033 = 0 (Continue PCAL LOOP 1b)

QUESTION TYPE

Radio button

FILLS (ENG)

Use fill from PCAL_011: FILL_PCAL_011_X

FILLS (SPAN)
Use fill from PCAL_011: FILL_PCAL_011_X
During this time that you were living with ^{FILL_PCAL_011_X}, were there any changes in your marital
status?
ENGLISH

1. Yes
0. No
Durante el tiempo que estuvo viviendo con ^{FILL_PCAL_011_X}, ¿hubo algún cambio en su estado
civil?

SPANISH

1. Sí
0. No

RANGE
LIMITS
LOOP MAX
PROGRAM. NOTES

5
LOOP THROUGH PCAL LOOP 1b (PCAL_046 – PCAL_066) UNTIL PCAL_066≠1 OR MAX
LOOPS (5) REACHED.

CHECK (ENG)
CHECK (SPAN)
HELP TEXT (ENG)
HELP TEXT (SPAN)
MODE

CAWI, CASI

NOTES
LEAD-IN
NEXT

PCAL_056=1, PCAL_057
If PCAL_058=1: PCAL_060 (Begin PCAL LOOP 1b_2)
Else IF PCAL_056=1 and PCAL LOOP 1 NUM<PCPARTNUM: PCAL_022
Else If PCAL_056=1 PCAL_071
Else: PCAL_065

PCAL_060_#_#_#
ASK

PCAL_058=1 (Begin PCAL LOOP 1b_2)

QUESTION TYPE

Radio button

FILLS (ENG)

Use fill from PCAL_037: FILL_PCAL_FIRSTNEXT

FILLS (SPAN)
Use fill from PCAL_037: FILL_PCAL_FIRSTNEXT
What was the ^{FILL_PCAL_FIRSTNEXT} change in marital status? Did you . . .
1.
2.
3.
4.
5.

ENGLISH

Become legally married?
Reunite?
Get a legal separation only?
Get a legal divorce?
Get an annulment?

¿Cuál fue ^{FILL_PCAL_FIRSTNEXT} que hubo un cambio en su estado civil? Cuando...

SPANISH

1.
2.
3.
4.
5.

Se casó legalmente
Volvió con esa persona
Obtuvo solo una separación legal
Obtuvo un divorcio legal
Obtuvo una anulación

RANGE
LIMITS
LOOP MAX
PROGRAM. NOTES
CHECK (ENG)
CHECK (SPAN)

5
Loop through PCAL LOOP 1b_2 (PCAL_060-PCAL_063) until PCAL_063≠ 1 or max loops (5)
reached.
IF LOOP NUM = 1 AND IF PCAL_011MAR_X (does not equal) 1 AND PCAL_060_# = 3, 4,
OR 5, DISPLAY SOFT CHECK: You have not previously indicated that you are married to
^{FILL_PCAL_011_X}. Please check your answer.
IF LOOP NUM = 1 AND IF PCAL_011MAR_X (does not equal) 1 AND PCAL_060_# = 3, 4, OR
5, DISPLAY SOFT CHECK: No ha indicado previamente que está casado(a) con
^{FILL_PCAL_011_X}. Revise su respuesta.

HELP TEXT (ENG)
HELP TEXT (SPAN)
MODE

CAWI, CASI

NOTES
LEAD-IN
NEXT

PCAL_058
PCAL_060=1: PCAL_062
If PCAL_060=3,4,5: PCAL_061
Else: PCAL_063 (End PCAL LOOP 1b_2)

f_PCAL_061_#_#_#
PCAL_061_MO_#_#_#/PCAL_061_YR_#_#_#
ASK
PCAL_060=3 or 4 or 5 (Continue PCAL LOOP 1b_2)
PCAL_061_MO_#_#_#: Dropdown
QUESTION TYPE
PCAL_061_YR_#_#_#: Numeric
Create fill, FILL_PCAL_061.
If PCAL_060 = 3, FILL_PCAL_061: “legal separation”
Else if PCAL_060 = 4, FILL_PCAL_061: “legal divorce”
FILLS (ENG)
Else, if PCAL_060 = 5, FILL_PCAL_061: “annulment

FILLS (SPAN)

Use fill from PCAL_024_#: FILL_INTERVIEWYEAR
Create fill, FILL_PCAL_061.
If PCAL_060 = 3, FILL_PCAL_061: “la separación legal”
Else if PCAL_060 = 4, FILL_PCAL_061: “el divorcio legal”
Else, if PCAL_060 = 5, FILL_PCAL_061:“la anulación”

Use fill from PCAL_024_#: FILL_INTERVIEWYEAR
In what month and year was the ^{FILL_PCAL_061} obtained?
ENGLISH

Month: { - Select - } [PCAL_061_MO_#_#_#]
Year: _______ [PCAL_061_YR_#_#_#]
¿En qué mes y año obtuvo ^{FILL_PCAL_061}?

SPANISH

Mes: { - Seleccione - } [PCAL_061_MO_#_#_#]
Año: _______ [PCAL_061_YR_#_#_#]
PCAL_061_MO_#_#_#: List months in order. 1 = “January”, 2 = “February”, … 12 =
“December”
PCAL_061_YR: 1950-2030
Spanish:

RANGE

LIMITS
LOOP MAX
PROGRAM. NOTES

1 = “Enero”
2 = “Febrero”
3 = “Marzo”
4 = “Abril”
5 = “Mayo”
6 = “Junio”
7 = “Julio”
8 = “Agosto”
9 = “Septiembre”
10 = “Octubre”
11 = “Noviembre”
12 = “Diciembre”
PCAL_061_YR_#_#_#: 4 digits
5
DISPLAY CALENDAR.

Loop through PCAL LOOP 1b_2 (PCAL_060-PCAL_063) until PCAL_063≠ 1 or max loops (5)
reached.
If PCAL_061_YR OUT OF RANGE OR IN THE FUTURE ON DOI, DISPLAY HARD CHECK:
Please enter a year between 1950 and ^{FILL_INTERVIEWYEAR}.

CHECK (ENG)

IF LOOP NUM = 1 AND (IF PCAL_061_YR_# < PCAL_046_YR_# OR (PCAL_061_YR_# =
PCAL_046_YR_# AND PCAL_061_MO_# > PCAL_046_MO_#)), display hard check: You
previously reported that you started living with ^{FILL_PCAL_011_X} in
^{PCAL_046_MO_#} ^{PCAL_046_YR_#}. Please review your answer.
IF LOOP NUM > 1 AND (IF PCAL_061_YR_# < PCAL_062_YR_# OR (PCAL_061_YR_# =
PCAL_062_YR_# AND PCAL_061_MO_# > PCAL_062_MO_#)), display hard check: You
previously reported that you married ^{FILL_PCAL_011_X} in ^{PCAL_062_MO_#}
^{PCAL_062_YR_#}. Please review your answer.
If PCAL_061_YR OUT OF RANGE OR IN THE FUTURE ON DOI, DISPLAY HARD CHECK:
Ingrese un año entre 1950 y ^{FILL_INTERVIEWYEAR}.

CHECK (SPAN)

IF LOOP NUM = 1 AND (IF PCAL_061_YR_# < PCAL_046_YR_# OR (PCAL_061_YR_# =
PCAL_046_YR_# AND PCAL_061_MO_# > PCAL_046_MO_#)), display hard check:
Anteriormente informó que comenzó a vivir con ^{FILL_PCAL_011_X} en
^{PCAL_046_MO_#} de ^{PCAL_046_YR_#}. Revise su respuesta.
IF LOOP NUM > 1 AND (IF PCAL_061_YR_# < PCAL_062_YR_# OR (PCAL_061_YR_# =
PCAL_062_YR_# AND PCAL_061_MO_# > PCAL_062_MO_#)), display hard check:
Anteriormente informó que se casó con ^{FILL_PCAL_011_X} en ^{PCAL_062_MO_#} de
^{PCAL_062_YR_#}. Revise su respuesta.

HELP TEXT (ENG)
HELP TEXT (SPAN)
MODE

CAWI, CASI

NOTES
LEAD-IN
NEXT

PCAL_060=3, 4, 5
PCAL_063 (End PCAL LOOP 1b_2)

f_PCAL_062_#_#_#
PCAL_062_MO_#_#_#/PCAL_062_YR_#_#_#
ASK
PCAL_060=1 (Continue PCAL LOOP 1b_2)
PCAL_062_MO_#_#_#: Dropdown
QUESTION TYPE
PCAL_062_YR_#_#_#: Numeric
Use fill from PCAL_011: FILL_PCAL_011_X
FILLS (ENG)
Use fill from PCAL_037: FILL_PCAL_FIRSTNEXT
Use fill from PCAL_024_#: FILL_INTERVIEWYEAR
Use fill from PCAL_011: FILL_PCAL_011_X
FILLS (SPAN)
Use fill from PCAL_037: FILL_PCAL_FIRSTNEXT
Use fill from PCAL_024_#: FILL_INTERVIEWYEAR
In what month and year did you ^{FILL_PCAL_FIRSTNEXT} marry ^{FILL_PCAL_011_X}?
ENGLISH

Month: { - Select - } [PCAL_062_MO_#_#_#]
Year: _______ [PCAL_062_YR_#_#_#]
¿En qué mes y año fue ^{FILL_PCAL_FIRSTNEXT} que se casó con ^{FILL_PCAL_011_X}?

SPANISH

Mes: { - Seleccione - } [PCAL_062_MO_#_#_#]
Año: _______ [PCAL_062_YR_#_#_#]
PCAL_062_MO_#_#_#: List months in order. 1 = “January”, 2 = “February”, … 12 =
“December”
PCAL_062_YR: 1950-2030
Spanish:

RANGE

LIMITS
LOOP MAX
PROGRAM. NOTES

CHECK (ENG)

1 = “Enero”
2 = “Febrero”
3 = “Marzo”
4 = “Abril”
5 = “Mayo”
6 = “Junio”
7 = “Julio”
8 = “Agosto”
9 = “Septiembre”
10 = “Octubre”
11 = “Noviembre”
12 = “Diciembre”
PCAL_062_YR_#_#_#: 4 digits
5
DISPLAY CALENDAR.
Loop through PCAL LOOP 1b_2 (PCAL_060-PCAL_063) until PCAL_063≠ 1 or max loops (5)
reached.
If PCAL_062_YR OUT OF RANGE OR IN THE FUTURE ON DOI, DISPLAY HARD CHECK:
Please enter a year between 1950 and ^{FILL_INTERVIEWYEAR}.
If PCAL_011MAR_X = 1 AND IF PCAL_062_YR_# < PCAL_052_YR_# OR (PCAL_062_YR_# =
PCAL_052_YR_# AND PCAL_062_MO_# > PCAL_052_MO_#):

You previously reported that you married ^{FILL_PCAL_011_X} in ^{PCAL_052_MO_#}
^{PCAL_052_YR_#}. Please review your answer.
If PCAL_062_YR OUT OF RANGE OR IN THE FUTURE ON DOI, DISPLAY HARD CHECK:
Ingrese un año entre 1950 y ^{FILL_INTERVIEWYEAR}.
CHECK (SPAN)

If PCAL_011MAR_X = 1 AND IF PCAL_062_YR_# < PCAL_052_YR_# OR (PCAL_062_YR_# =
PCAL_052_YR_# AND PCAL_062_MO_# > PCAL_052_MO_#):
Anteriormente informó que se casó con ^{FILL_PCAL_011_X} en ^{PCAL_052_MO_#} de
^{PCAL_052_YR_#}. Revise su respuesta.

HELP TEXT (ENG)
HELP TEXT (SPAN)
MODE

CAWI, CASI

NOTES
LEAD-IN
NEXT

PCAL_060=1
PCAL_063 (End PCAL LOOP 1b_2)

PCAL_063_#_#_#
ASK

PCAL_058=1 (End PCAL LOOP 1b_2)

QUESTION TYPE

Radio button

FILLS (ENG)

Use fill from PCAL_011: FILL_PCAL_011_X

FILLS (SPAN)
Use fill from PCAL_011: FILL_PCAL_011_X
During this time that you were living with ^{FILL_PCAL_011_X} was there another change in your
marital status?
ENGLISH

1. Yes
0. No
Durante este tiempo que estuvo viviendo con ^{FILL_PCAL_011_X}, ¿hubo algún otro cambio en su
estado civil?

SPANISH

1. Sí
0. No

RANGE
LIMITS
LOOP MAX
PROGRAM. NOTES

5
Loop through PCAL LOOP 1b_2 (PCAL_060-PCAL_063) until PCAL_063≠ 1 or max loops (5)
reached.

CHECK (ENG)
CHECK (SPAN)
HELP TEXT (ENG)
HELP TEXT (SPAN)
MODE

CAWI, CASI

NOTES
LEAD-IN
NEXT

PCAL_060, PCAL_061, PCAL_062
IF PCAL_063=1 and PCAL LOOP 1b_2<5: PCAL_060
ELSE IF PCAL_033=1 and IF PCAL LOOP 1 NUM<PCPARTNUM: PCAL_022
Else if PCAL_033=1: PCAL_071
ELSE: PCAL_065

PCAL_065_#_#
ASK

PCAL_033 = 0 (Continue PCAL LOOP 1b)

QUESTION TYPE

Radio button

FILLS (ENG)

Use fill from PCAL_011: FILL_PCAL_011_X

FILLS (SPAN)
Use fill from PCAL_011: FILL_PCAL_011_X
At the time you next stopped living with ^{FILL_PCAL_011_X}, what was the legal status of you and
^{FILL_PCAL_011_X}…}?
0.
1.
2.
3.
4.

ENGLISH

Never legally married
Legally married
Legally separated
Divorced
Widowed

En el momento en que dejó de vivir con ^{FILL_PCAL_011_X}, ¿cuál era la situación legal de usted y
^{FILL_PCAL_011_X}?
SPANISH

0.
1.
2.
3.
4.

No estaban casados(as) legalmente
Estaban casados(as) legalmente
Estaban separados(as) legalmente
Estaban divorciado(as)
Eran viudos(as)

RANGE
LIMITS
LOOP MAX
PROGRAM. NOTES

5
LOOP THROUGH PCAL LOOP 1b (PCAL_046 – PCAL_066) UNTIL PCAL_066≠1 OR MAX
LOOPS (5) REACHED.

CHECK (ENG)
CHECK (SPAN)
HELP TEXT (ENG)
HELP TEXT (SPAN)
MODE

CAWI, CASI

NOTES
LEAD-IN
NEXT

PCAL_058, PCAL_063
If PCAL_065=4: PCAL_069
Else: PCAL_066 (End PCAL LOOP 1b)

PCAL_066_#_#
ASK

PCAL_033 = 0 (End PCAL LOOP 1b)

QUESTION TYPE

Radio button

FILLS (ENG)

Use fill from PCAL_011: FILL_PCAL_011_X

FILLS (SPAN)
Use fill from PCAL_011: FILL_PCAL_011_X
Did you ever live with ^{FILL_PCAL_011_X} again?
ENGLISH

1. Yes
0. No
¿Ha vivido alguna vez con ^{FILL_PCAL_011_X}?

SPANISH

1. Sí
0. No

RANGE
LIMITS
LOOP MAX
PROGRAM. NOTES

5
LOOP THROUGH PCAL LOOP 1b (PCAL_046 – PCAL_066) UNTIL PCAL_066≠1 OR MAX
LOOPS (5) REACHED.

CHECK (ENG)
CHECK (SPAN)
HELP TEXT (ENG)
HELP TEXT (SPAN)
MODE

CAWI, CASI

NOTES
LEAD-IN
NEXT

PCAL_048, PCAL_054, PCAL_064, PCAL_065
If PCAL_066=1 and PCAL LOOP 1b NUM<5: PCAL_046
IF PCAL_033=1 or PCAL_056=1 and IF PCAL LOOP 1 NUM<PCPARTNUM: PCAL_022
Else if PCAL_033=1 or PCAL_056=1: PCAL_071
Else: PCAL_068

PCAL_068_#
If PCAL_033 ≠ 1 AND PCAL_056 ≠ 1 and PCAL_043≠4 and PCAL_065≠4 (Continue PCAL
LOOP 1)
Radio button

ASK
QUESTION TYPE
FILLS (ENG)

FILLS (SPAN)
How did this relationship finally end?
1.
2.
3.
4.
5.
6.

ENGLISH

Break-up
Annulment
Legal separation only (no legal divorce)
Legal divorce
Death of partner
My spouse/partner and I are still together but not living together

¿Cómo terminó finalmente esta relación?

SPANISH

1.
2.
3.
4.
5.
6.

Corte de la relación
Anulación
Solo separación legal (no divorcio legal)
Divorcio legal
Fallecimiento de la pareja
Mi cónyuge/pareja y yo seguimos junto(as) pero no convivimos

RANGE
LIMITS
LOOP MAX
PROGRAM. NOTES

15
Loop through PCAL LOOP1 (f_PCAL_022 - f_PCAL_069) until loop number=PCPARTNUM
or maximum loops (15) is reached.

CHECK (ENG)
CHECK (SPAN)
HELP TEXT (ENG)
HELP TEXT (SPAN)
MODE

CAWI, CASI

NOTES
LEAD-IN
NEXT

PCAL_044, PCAL_066
If PCAL_068_#≠PCAL_037_# AND PCAL_068=3, 4, 5: PCAL_069 (End PCAL LOOP 1)
Else IF PCAL LOOP 1 NUM<PCPARTNUM: PCAL_022
Else: PCAL_071

f_PCAL_069_#
PCAL_069_MO_#/PCAL_069_YR_#
ASK
If PCAL_033 ≠ 1 AND PCAL_056 ≠ 1 and PCAL_068_#≠PCAL_037_# (End PCAL LOOP 1)
PCAL_069_MO_#: Dropdown
QUESTION TYPE
PCAL_069_YR_#: Numeric
Use fill from PCAL_011: FILL_PCAL_011_X
Create fill FILL_PCAL_SEPDIV:
IF PCAL_068=3 FILL_PCAL_SEPDIV: “did you and ^{FILL_PCAL_011_X} separate”;
ELSE If PCAL_068=4 FILL_PCAL_SEPDIV: “was your legal divorce from
FILLS (ENG)
^{FILL_PCAL_011_X} obtained”;
ELSE IF PCAL_068=5 OR IF PCAL_043=4 OR IF PCAL_065 = 4, FILL_PCAL_SEPDIV: “did
^{FILL_PCAL_011_X} die”

FILLS (SPAN)

Use fill from PCAL_024_#: FILL_INTERVIEWYEAR
Use fill from PCAL_011: FILL_PCAL_011_X
Create fill FILL_PCAL_SEPDIV:
IF PCAL_068=3 FILL_PCAL_SEPDIV: “se separaron usted y ^{FILL_PCAL_011_X}”;
ELSE If PCAL_068=4 FILL_PCAL_SEPDIV: "se obtuvo el divorcio legal de
^{FILL_PCAL_011_X}”;
ELSE IF PCAL_068=5 OR IF PCAL_043=4 OR IF PCAL_065 = 4, FILL_PCAL_SEPDIV: “murió
^{FILL_PCAL_011_X}”

Use fill from PCAL_024_#: FILL_INTERVIEWYEAR
In what month and year ^{FILL_PCAL_SEPDIV}?
ENGLISH

{ - Select - } [PCAL_069_MO_#]
Year: _______ [PCAL_069_YR_#]
¿En qué mes y año ^{FILL_PCAL_SEPDIV}?

SPANISH

{ - Seleccione - } [PCAL_069_MO_#]
Año: _______ [PCAL_069_YR_#]
PCAL_069_MO_#: List months in order. 1 = “January”, 2 = “February”, … 12 =
“December”
PCAL_069_YR: 1950-2030
Spanish:

RANGE

1
2
3
4
5
6
7
8
9
10
11
12

= “Enero”
= “Febrero”
= “Marzo”
= “Abril”
= “Mayo”
= “Junio”
= “Julio”
= “Agosto”
= “Septiembre”
= “Octubre”
= “Noviembre”
= “Diciembre”

LIMITS

PCAL_069_YR_#: 4 digits

LOOP MAX

15
DISPLAY CALENDAR.
Loop through PCAL LOOP1 (f_PCAL_022 - f_PCAL_069) until loop number=PCPARTNUM or
maximum loops (15) is reached.
If PCAL_069_YR OUT OF RANGE OR IN THE FUTURE ON DOI, DISPLAY HARD CHECK:
Please enter a year between 1950 and ^{FILL_INTERVIEWYEAR}.

PROGRAM. NOTES

CHECK (ENG)

IF PCAL_069_YR_# < PCAL_024_YR_# OR (PCAL_069_YR_# = PCAL_024_YR_# AND
PCAL_069_MO_# > PCAL_024_MO_#), display hard check: You previously reported that
you ^{FILL_PCAL_031} ^{FILL_PCAL_011_X} in ^{PCAL_024_MO_#} ^{PCAL_024_YR_#}.
Please review your answer.
If PCAL_069_YR OUT OF RANGE OR IN THE FUTURE ON DOI, DISPLAY HARD CHECK:
Ingrese un año entre 1950 y ^{FILL_INTERVIEWYEAR}.

CHECK (SPAN)

IF PCAL_069_YR_# < PCAL_024_YR_# OR (PCAL_069_YR_# = PCAL_024_YR_# AND
PCAL_069_MO_# > PCAL_024_MO_#), display hard check: Anteriormente informó que
^{FILL_PCAL_031} ^{FILL_PCAL_011_X} en ^{PCAL_024_MO_#} de ^{PCAL_024_YR_#}.
Revise su respuesta.

HELP TEXT (ENG)
HELP TEXT (SPAN)
MODE

CAWI, CASI

NOTES
LEAD-IN
NEXT

PCAL_065, PCAL_068
IF PCAL LOOP 1 NUM<PCPARTNUM: PCAL_022
Else: PCAL_071

f_PCAL_071
PCAL_071A/PCAL_071B/PCAL_071C/PCAL_071D/PCAL_071E/PCAL_071F/PCAL_071G/PCAL_071H/PCAL_071I
ASK
All respondents
QUESTION TYPE

FILLS (ENG)

FILLS (SPAN)

Radio grid
Create fill, FILL_CHILDDOB.
If YOUTH_DOB of oldest youth not missing, FILL_CHILDDOB: ‘YOUTH_DOB’ of oldest
youth
IF ‘YOUTH_DOB’ = -DK OR REF OR IS INCOMPLETE, CREATE ‘YOUTH_DOBSUB’:
‘YOUTH_DOBSUB’ = CURRENT DATE – YOUTH_AGE
Else FILL_CHILDDOB: ‘YOUTH_DOBSUB’ of oldest youth
Create fill FILL_PCAL071.
If TEENPARENT=1, FILL_PCAL071: ‘Since your 18th birthday’
Ele FILL_PCAL071: ‘Since ^{FILL_CHILDDOB}’
Create fill, FILL_CHILDDOB.
If YOUTH_DOB of oldest youth not missing, FILL_CHILDDOB: ‘YOUTH_DOB’ of oldest
youth
IF ‘YOUTH_DOB’ = -DK OR REF OR IS INCOMPLETE, CREATE ‘YOUTH_DOBSUB’:
‘YOUTH_DOBSUB’ = CURRENT DATE – YOUTH_AGE
Else FILL_CHILDDOB: ‘YOUTH_DOBSUB’ of oldest youth

Create fill FILL_PCAL071.
If TEENPARENT=1, FILL_PCAL071: ‘Desde que cumplió los 18 años’
Ele FILL_PCAL071: ‘Desde ^{FILL_CHILDDOB}’
Sometimes people go through hard times or need some help. These next questions are about
government programs that assist individuals and families, and whether or not you might have received
assistance from them.
^{FILL_PCAL071}, have you ever…
COLUMN HEADERS:
1. Yes
0. No

ENGLISH

ROW ITEMS:
a. Lived in a public housing project? [PCAL_071A]
b. Received rental certificates or vouchers from a public agency? [PCAL_071B]
c. Received transportation assistance, such as gas vouchers, bus passes, or help
registering, repairing, or insuring a car? [PCAL_071C]
d. Received government childcare services or assistance so you could go to work or
school or training? [PCAL_071D]
e. Received help paying energy bills? [PCAL_071E]
f. Received food assistance from the Women, Infants, and Children (WIC) or
Supplemental Nutrition Assistance (SNAP) or Food Stamps programs? [PCAL_071F]
g. Received cash assistance from Supplemental Security Income or SSI?
[PCAL_071G]
h. Received cash assistance from Temporary Assistance for Needy Families (TANF),
Aid to Families with Dependent Children (AFDC), or other government programs to
help low-income families? [PCAL_071H]
i. Received other non-cash assistance from the government because you had
income that was too low to meet your needs? [PCAL_071I]

A veces las personas pasan por momentos difíciles o necesitan ayuda. Las siguientes preguntas son
sobre programas gubernamentales que ayudan a las personas y a las familias, y sobre si ha recibido o
no ayuda de estos.
^{FILL_PCAL071}, alguna vez…
COLUMN HEADERS:
1. Sí
0. No

SPANISH

ROW ITEMS:
a. ¿Vivió en un proyecto de viviendas públicas? [PCAL_071A]
b. ¿Recibió certificados o cupones de alquiler de una agencia pública? [PCAL_071B]
c. ¿Recibió ayuda para el transporte, como cupones de gasolina, pases de autobús o
ayuda para registrar, reparar o asegurar un coche? [PCAL_071C]
d. ¿Recibió servicios de cuidado infantil o ayuda del gobierno para poder ir a
trabajar, a la escuela o a una capacitación? [PCAL_071D]
e. ¿Recibió ayuda para pagar las facturas de la luz? [PCAL_071E]
f. ¿Recibió ayuda alimentaria del Programa para Mujeres, Bebés y Niños (WIC, por
sus siglas en inglés) o del Programa de Asistencia Nutricional Suplementaria (SNAP,
por sus siglas en inglés) o del programa de cupones para alimentos? [PCAL_071F]
g. ¿Recibió ayuda en efectivo de la Seguridad de Ingreso Suplementario (SSI, por sus
siglas en inglés)? [PCAL_071G]
h. ¿Recibió asistencia en efectivo de Asistencia Temporal para Familias Necesitadas
(TANF, por sus siglas en inglés), Ayuda a Familias con Hijos Dependientes (AFDC, por
sus siglas en inglés) u otros programas gubernamentales de ayuda a familias de bajos
ingresos? [PCAL_071H]
i. ¿Recibió otra ayuda no monetaria del gobierno porque sus ingresos eran
demasiado bajos para cubrir sus necesidades? [PCAL_071I]

RANGE
LIMITS
LOOP MAX
PROGRAM. NOTES
CHECK (ENG)
CHECK (SPAN)
HELP TEXT (ENG)
HELP TEXT (SPAN)
MODE

CAWI, CASI

NOTES
LEAD-IN

NEXT

PCAL_009, PCAL_018, PCAL_031, PCAL_063, PCAL_066, PCAL_068, PCAL_069
If PCAL_071A=1: PCAL_072
Else if PCAL_071B=1: PCAL_073
Else if PCAL_071C=1: PCAL_074
Else if PCAL_071D=1: PCAL_075
Else if PCAL_071E=1: PCAL_076
Else if PCAL_071F=1: PCAL_077

Else if PCAL_071G=1: PCAL_078
Else if PCAL_071H=1: PCAL_079
Else if PCAL_071I=1: PCAL_080
Else: PCAL_081

PCAL_072
ASK

PCAL_071A = 1

QUESTION TYPE

Numeric

FILLS (ENG)
FILLS (SPAN)
During how many years of the past five years have you lived in a public housing project?
ENGLISH

If you have not lived in a public housing project in the last five years, please enter “0.”
Number of years: ________________
¿Durante cuántos años de los últimos cinco ha vivido en un proyecto de viviendas públicas?

SPANISH

Si no ha vivido en un proyecto de viviendas públicas en los últimos cinco años, ingrese “0”.

RANGE

Número de años: ________________
0-5

LIMITS
LOOP MAX
PROGRAM. NOTES

DISPLAY CALENDAR

CHECK (ENG)

IF PCAL_072 OUT OF RANGE: Please enter a number of years between 0 and 5.

CHECK (SPAN)

IF PCAL_072 OUT OF RANGE: Ingrese un número de años entre 0 y 5.

HELP TEXT (ENG)
HELP TEXT (SPAN)
MODE

CAWI, CASI

NOTES
LEAD-IN

NEXT

PCAL_071
If PCAL_071B=1: PCAL_073
Else if PCAL_071C=1: PCAL_074
Else if PCAL_071D=1: PCAL_075
Else if PCAL_071E=1: PCAL_076
Else if PCAL_071F=1: PCAL_077
Else if PCAL_071G=1: PCAL_078
Else if PCAL_071H=1: PCAL_079
Else if PCAL_071I=1: PCAL_080
Else: PCAL_081

PCAL_073
ASK

PCAL_071B=1

QUESTION TYPE

Numeric

FILLS (ENG)
FILLS (SPAN)
During how many years of the past five years have you received rental certificates or vouchers from a
public agency?
ENGLISH

If you have not received rental certificates or vouchers from a public agency in the last five years,
please enter “0.”
Number of years: ________________
¿Durante cuántos años de los últimos cinco ha recibido certificados o cupones de alquiler de una
agencia pública?

SPANISH

RANGE

Si no ha recibido certificados o cupones de alquiler de una agencia pública en los últimos cinco años,
ingrese “0”.
Número de años: ________________
0-5

LIMITS
LOOP MAX
PROGRAM. NOTES

DISPLAY CALENDAR

CHECK (ENG)

IF PCAL_073 OUT OF RANGE: Please enter a number of years between 0 and 5.

CHECK (SPAN)

IF PCAL_073 OUT OF RANGE: Ingrese un número de años entre 0 y 5.

HELP TEXT (ENG)
HELP TEXT (SPAN)
MODE

CAWI, CASI

NOTES
LEAD-IN

NEXT

PCAL_071, PCAL_072
If PCAL_071C=1: PCAL_074
Else if PCAL_071D=1: PCAL_075
Else if PCAL_071E=1: PCAL_076
Else if PCAL_071F=1: PCAL_077
Else if PCAL_071G=1: PCAL_078
Else if PCAL_071H=1: PCAL_079
Else if PCAL_071I=1: PCAL_080
Else: PCAL_081

PCAL_074
ASK

PCAL_071C=1

QUESTION TYPE

Numeric

FILLS (ENG)
FILLS (SPAN)
During how many years of the past five years have you received transportation assistance, such as gas
vouchers, bus passes, or help registering, repairing, or insuring a car?
ENGLISH

If you have not received transportation assistance in the last five years, please enter “0.”
Number of years: ________________
¿Durante cuántos años de los últimos cinco ha recibido ayuda para el transporte, como cupones de
gasolina, pases de autobús o ayuda para registrar, reparar o asegurar un coche?

SPANISH

RANGE

Si no ha recibido ayuda para el transporte en los últimos cinco años, ingrese “0”.
Número de años: ________________
0-5

LIMITS
LOOP MAX
PROGRAM. NOTES

DISPLAY CALENDAR

CHECK (ENG)

IF PCAL_074 OUT OF RANGE: Please enter a number of years between 0 and 5.

CHECK (SPAN)

IF PCAL_074 OUT OF RANGE: Ingrese un número de años entre 0 y 5.

HELP TEXT (ENG)
HELP TEXT (SPAN)
MODE

CAWI, CASI

NOTES
LEAD-IN

NEXT

PCAL_071, PCAL_072, PCAL_073
If PCAL_071D=1: PCAL_075
Else if PCAL_071E=1: PCAL_076
Else if PCAL_071F=1: PCAL_077
Else if PCAL_071G=1: PCAL_078
Else if PCAL_071H=1: PCAL_079
Else if PCAL_071I=1: PCAL_080
Else: PCAL_081

PCAL_075
ASK

PCAL_071D=1

QUESTION TYPE

Numeric

FILLS (ENG)
FILLS (SPAN)
During how many years of the past five years have you received government childcare services or
assistance so you could go to work or school or training?
ENGLISH

If you have not received government childcare services or assistance in the last five years, please enter
“0.”
Number of years: ________________
¿Durante cuántos años de los últimos cinco ha recibido servicios de cuidado infantil o ayuda del
gobierno para poder ir a trabajar, a la escuela o a una capacitación?

SPANISH

RANGE

Si no ha recibido servicios o ayudas gubernamentales para el cuidado infantil en los últimos cinco años,
ingrese “0”.
Número de años: ________________
0-5

LIMITS
LOOP MAX
PROGRAM. NOTES

DISPLAY CALENDAR

CHECK (ENG)

IF PCAL_075 OUT OF RANGE: Please enter a number of years between 0 and 5.

CHECK (SPAN)

IF PCAL_075 OUT OF RANGE: Ingrese un número de años entre 0 y 5.

HELP TEXT (ENG)
HELP TEXT (SPAN)
MODE

CAWI, CASI

NOTES
LEAD-IN

NEXT

PCAL_071, PCAL_072, PCAL_073, PCAL_074
If PCAL_071E=1: PCAL_076
Else if PCAL_071F=1: PCAL_077
Else if PCAL_071G=1: PCAL_078
Else if PCAL_071H=1: PCAL_079
Else if PCAL_071I=1: PCAL_080
Else: PCAL_081

PCAL_076
ASK

PCAL_071E=1

QUESTION TYPE

Numeric

FILLS (ENG)
FILLS (SPAN)
During how many years of the past five years have you received help paying energy bills?
ENGLISH

If you have not received help paying energy bills in the last five years, please enter “0.”
Number of years: ________________
¿Durante cuántos años de los últimos cinco ha recibido ayuda para pagar las facturas de la luz?

SPANISH

Si no ha recibido ayuda para pagar las facturas de la luz en los últimos cinco años, ingrese “0”.

RANGE

Número de años: ________________
0-5

LIMITS
LOOP MAX
PROGRAM. NOTES

DISPLAY CALENDAR

CHECK (ENG)

IF PCAL_076 OUT OF RANGE: Please enter a number of years between 0 and 5.

CHECK (SPAN)

IF PCAL_076 OUT OF RANGE: Ingrese un número de años entre 0 y 5.

HELP TEXT (ENG)
HELP TEXT (SPAN)
MODE

CAWI, CASI

NOTES
LEAD-IN

NEXT

PCAL_071, PCAL_072, PCAL_073, PCAL_074, PCAL_075
If PCAL_071F=1: PCAL_077
Else if PCAL_071G=1: PCAL_078
Else if PCAL_071H=1: PCAL_079
Else if PCAL_071I=1: PCAL_080
Else: PCAL_081

PCAL_077
ASK

PCAL_071F=1

QUESTION TYPE

Numeric

FILLS (ENG)
FILLS (SPAN)
During how many years of the past five years have you received food assistance from the Women,
Infants, and Children (WIC) or Supplemental Nutrition Assistance (SNAP) or Food Stamps programs?
ENGLISH

SPANISH

If you have not received food assistance in the last five years, please enter “0.”
Number of years: ________________
¿Durante cuántos años de los últimos cinco ha recibido ayuda alimentaria del Programa para Mujeres,
Bebés y Niños (WIC) o del Programa de Asistencia Nutricional Suplementaria (SNAP) o del programa de
cupones para alimentos?
Si no ha recibido ayuda alimentaria en los últimos cinco años, ingrese “0”.

RANGE

Número de años: ________________
0-5

LIMITS
LOOP MAX
PROGRAM. NOTES

DISPLAY CALENDAR

CHECK (ENG)

IF PCAL_077 OUT OF RANGE: Please enter a number of years between 0 and 5.

CHECK (SPAN)

IF PCAL_077 OUT OF RANGE: Ingrese un número de años entre 0 y 5.

HELP TEXT (ENG)
HELP TEXT (SPAN)
MODE

CAWI, CASI

NOTES
LEAD-IN
NEXT

PCAL_071, PCAL_072, PCAL_073, PCAL_074, PCAL_075, PCAL_076
If PCAL_071G=1: PCAL_078
Else if PCAL_071H=1: PCAL_079
Else if PCAL_071I=1: PCAL_080
Else: PCAL_081

PCAL_078
ASK

PCAL_071G=1

QUESTION TYPE

Numeric

FILLS (ENG)
FILLS (SPAN)
During how many years of the past five years have you received cash assistance from Supplemental
Security Income or SSI?
ENGLISH

If you have not received cash assistance from Supplemental Security Income or SSI in the last five years,
please enter “0.”
Number of years: ________________
¿Durante cuántos años de los últimos cinco ha recibido ayuda en efectivo de la Seguridad de Ingreso
Suplementario o SSI?

SPANISH

RANGE

Si no ha recibido ayuda en efectivo de la Seguridad de Ingreso Suplementario o SSI en los últimos cinco
años, ingrese “0”.
Número de años: ________________
0-5

LIMITS
LOOP MAX
PROGRAM. NOTES

DISPLAY CALENDAR

CHECK (ENG)

IF PCAL_078 OUT OF RANGE: Please enter a number of years between 0 and 5.

CHECK (SPAN)

IF PCAL_078 OUT OF RANGE: Ingrese un número de años entre 0 y 5.

HELP TEXT (ENG)
HELP TEXT (SPAN)
MODE

CAWI, CASI

NOTES
LEAD-IN
NEXT

PCAL_071, PCAL_072, PCAL_073, PCAL_074, PCAL_075, PCAL_076, PCAL_077
If PCAL_071H=1: PCAL_079
Else if PCAL_071I=1: PCAL_080
Else: PCAL_081

PCAL_079
ASK

PCAL_071H=1

QUESTION TYPE

Numeric

FILLS (ENG)
FILLS (SPAN)
During how many years of the past five years have you received cash assistance from Temporary
Assistance for Needy Families (TANF), Aid to Families with Dependent Children (AFDC), or other
government programs to help low-income families?
ENGLISH

SPANISH

If you have not received cash assistance from TANF, AFDC, or other government programs in the last
five years, please enter “0.”
Number of years: ________________
¿Durante cuántos años de los últimos cinco ha recibido asistencia en efectivo de Asistencia Temporal
para Familias Necesitadas (TANF, por sus siglas en inglés), Ayuda a Familias con Hijos Dependientes
(AFDC, por sus siglas en inglés) u otros programas gubernamentales de ayuda a familias de bajos
ingresos?
Si no ha recibido ayuda en efectivo de TANF, AFDC u otros programas gubernamentales en los últimos
cinco años, ingrese “0”.

RANGE

Número de años: ________________
0-5

LIMITS
LOOP MAX
PROGRAM. NOTES

DISPLAY CALENDAR

CHECK (ENG)

IF PCAL_079 OUT OF RANGE: Please enter a number of years between 0 and 5.

CHECK (SPAN)

IF PCAL_079 OUT OF RANGE: Ingrese un número de años entre 0 y 5.

HELP TEXT (ENG)
HELP TEXT (SPAN)
MODE

CAWI, CASI

NOTES
LEAD-IN
NEXT

PCAL_071, PCAL_072, PCAL_073, PCAL_074, PCAL_075, PCAL_076, PCAL_077, PCAL_078
If PCAL_071I=1: PCAL_080
Else: PCAL_081

PCAL_080
ASK

PCAL_071I=1

QUESTION TYPE

Numeric

FILLS (ENG)
FILLS (SPAN)
During how many years of the past five years have you received other non-cash assistance from the
government because you had income that was too low to meet your needs?
ENGLISH

If you have not received other non-cash assistance from the government in the last five years, please
enter “0.”
Number of years: ________________
¿Durante cuántos años de los últimos cinco recibió otra ayuda no monetaria del gobierno porque sus
ingresos eran demasiado bajos para cubrir sus necesidades?

SPANISH

RANGE

Si no ha recibido ninguna otra ayuda no monetaria del gobierno en los últimos cinco años, ingrese “0”.
Número de años: ________________
0-5

LIMITS
LOOP MAX
PROGRAM. NOTES

DISPLAY CALENDAR

CHECK (ENG)

IF PCAL_080 OUT OF RANGE: Please enter a number of years between 0 and 5.

CHECK (SPAN)

IF PCAL_080 OUT OF RANGE: Ingrese un número de años entre 0 y 5.

HELP TEXT (ENG)
HELP TEXT (SPAN)
MODE

CAWI, CASI

NOTES
LEAD-IN
NEXT

PCAL_071, PCAL_072, PCAL_073, PCAL_074, PCAL_075, PCAL_076, PCAL_077, PCAL_078,
PCAL_079
PCAL_081

PCAL_081
ASK

All respondents

QUESTION TYPE

Radio button

FILLS (ENG)
FILLS (SPAN)
These questions are about your experiences during the early part of the coronavirus pandemic, also
known as the COVID-19 outbreak.
Please think about the time from March 2020 through July 2020.
ENGLISH

Was there a change in where you lived during this time? This could mean temporarily living in a
different place or a permanent move.
1. Yes
0. No
Estas preguntas son sobre sus experiencias durante la primera parte de la pandemia de coronavirus,
también conocida como “brote de COVID-19”.
Piense en el período de tiempo entre marzo de 2020 y julio de 2020.

SPANISH

¿Hubo algún cambio en el lugar donde vivía durante este tiempo? Esto podría significar que vivió
temporalmente en un lugar diferente o que tuvo una mudanza permanente.
1. Sí
0. No

RANGE
LIMITS
LOOP MAX
PROGRAM. NOTES
CHECK (ENG)
CHECK (SPAN)
HELP TEXT (ENG)
HELP TEXT (SPAN)
MODE

CAWI, CASI

NOTES
LEAD-IN
NEXT

PCAL_071, PCAL_072, PCAL_073, PCAL_074, PCAL_075, PCAL_076, PCAL_077, PCAL_078,
PCAL_079, PCAL_080
PCAL_082

PCAL_082
ASK

All respondents

QUESTION TYPE

Radio button

FILLS (ENG)
FILLS (SPAN)
Was there a change in who you lived with between March and July 2020? This could mean a
temporary or permanent change in the people you lived with.
ENGLISH

1. Yes
0. No
¿Hubo algún cambio en la persona con la que vivía entre marzo y julio de 2020? Esto podría significar
un cambio temporal o permanente en las personas con las que vivía.

SPANISH

1. Sí
0. No

RANGE
LIMITS
LOOP MAX
PROGRAM. NOTES
CHECK (ENG)
CHECK (SPAN)
HELP TEXT (ENG)
HELP TEXT (SPAN)
MODE

CAWI, CASI

NOTES
LEAD-IN
NEXT

PCAL_081
PCAL_083

f_PCAL_083
PCAL_083A/PCAL_083B/PCAL_083C/PCAL_083D/PCAL_083E/PCAL_083E_SPECIFY
ASK
All respondents
Radio grid: PCAL_083A, PCAL_083B, PCAL_083C, PCAL_083D, PCAL_083E
QUESTION TYPE
Text: PCAL_083E_SPECIFY
FILLS (ENG)
FILLS (SPAN)
During the initial COVID-19 outbreak from March to July of 2020, many people were “quarantined,”
meaning they stayed at home and severely limited contact with people outside of their home, only
leaving the house for necessities. Which of the following quarantine scenarios did you or the people
you were living with experience during the COVID-19 outbreak between March and July of 2020?
Please answer yes or no for each of the following.
COLUMN HEADERS:
1. Yes
0. No

ENGLISH

ROW ITEMS:
a. Voluntary quarantine due to fear of COVID-19 exposure [PCAL_083A]
b. Voluntary quarantine due to a confirmed or suspected COVID-19 case in the
household [PCAL_083B]
c. Mandated self-isolation or quarantine by a medical professional due to confirmed
or suspected COVID-19 case, where you were not allowed to go out for any reason
including groceries [PCAL_083C]
d. “Stay-at-home" or “Shelter-in-place" order by local government and/or employer
urging people to stay home (usually you could still take walks and socialize outdoors
while maintaining social distancing) [PCAL_083D]
e. Another quarantine scenario
Please describe: ___________________________________________ [PCAL_083E]
[PCAL_083E_SPECIFY]
Durante el brote inicial de COVID-19, de marzo a julio de 2020, muchas personas tuvieron que hacer
“cuarentena”, lo que significa que se quedaron en casa y limitaron mucho el contacto con personas
externas a su hogar; solo salían de casa para cubrir sus necesidades. ¿Cuál de los siguientes escenarios
de cuarentena experimentaron usted o las personas con las que vivía durante el brote de COVID-19
entre marzo y julio de 2020? Responda “Sí” o “No” para cada opción.

SPANISH

COLUMN HEADERS:
1. Sí
0. No
ROW ITEMS:
a. Cuarentena voluntaria por temor a la exposición al COVID-19 [PCAL_083A]
b. Cuarentena voluntaria debido a un caso confirmado o sospechoso de COVID-19
en el hogar [PCAL_083B]
c. Autoaislamiento obligatorio o cuarentena requerida por un profesional médico
debido a un caso confirmado o sospechoso de COVID-19, en el que no se le permitió
salir por ningún motivo, incluso para hacer las compras [PCAL_083C]
d. Orden de “quedarse en casa” o de “refugiarse en un lugar” por parte del
gobierno local y/o del empleador en la que se instaba a las personas a quedarse en

casa (normalmente se podía seguir dando paseos y socializando al aire libre si se
mantenía el distanciamiento social) [PCAL_083D]
e. Otro escenario de cuarentena
Describa: ___________________________________________) [PCAL_083E]
[PCAL_083E_SPECIFY]
RANGE
LIMITS

PCAL_083E_SPECIFY: 100 characters

LOOP MAX
PROGRAM. NOTES

If response “E” is selected, display PCAL_083E_SPECIFY

CHECK (ENG)
CHECK (SPAN)
HELP TEXT (ENG)
HELP TEXT (SPAN)
MODE

CAWI, CASI

NOTES
LEAD-IN
NEXT

PCAL_082
PCAL_084

PCAL_084
ASK

All respondents

QUESTION TYPE

Radio button

FILLS (ENG)
FILLS (SPAN)
During the initial COVID-19 outbreak from March to July 2020, did anyone in your family or any of your
close friends die because of COVID-19?
ENGLISH

1. Yes
0. No
Durante el brote inicial de COVID-19 de marzo a julio de 2020, ¿murió alguien de su familia o alguna
de sus amistades más cercanas a causa de la COVID-19?

SPANISH

1. Sí
0. No

RANGE
LIMITS
LOOP MAX
PROGRAM. NOTES
CHECK (ENG)
CHECK (SPAN)
HELP TEXT (ENG)
HELP TEXT (SPAN)
MODE

CAWI, CASI

NOTES
LEAD-IN
NEXT

PCAL_083
If PCAL_084=0: PCAL_086
Else: PCAL_085

f_PCAL_085
PCAL_085A/PCAL_085B/PCAL_085C/PCAL_085D/PCAL_085E/PCAL_085F/PCAL_085G/PCAL_085H/
PCAL_085H_SPECIFY
ASK
PCAL_084 ≠ 0
Radio grid: PCAL_085A, PCAL_085B, PCAL_085C, PCAL_085D, PCAL_085E, PCAL_085F,
QUESTION TYPE
PCAL_085G, PCAL_085H
Text: PCAL_085H_SPECIFY
FILLS (ENG)
FILLS (SPAN)
Who died of COVID-19 during the initial COVID-19 outbreak (March to July 2020)? For family
members, note that this may include biological, step, or adoptive parents, children, siblings, or others.
Please answer yes or no for each of the following.
COLUMN HEADERS:
1. Yes
0. No

ENGLISH

ROW ITEMS:
a. Your spouse or partner [PCAL_085A]
b. Your parent or parental figure [PCAL_085B]
c. Your child or a child under your care [PCAL_085C]
d. Your sibling [PCAL_085D]
e. Your grandparent [PCAL_085E]
f. Other family member(s) of yours (for example, aunt, uncle, cousin) [PCAL_085F]
g. Your close friend [PCAL_085G]
h. Some other person
Please describe:_______________________________) [PCAL_085H]
[PCAL_085H_SPECIFY]
¿Quién murió de COVID-19 durante el brote inicial (de marzo a julio de 2020)? En el caso de los
miembros de la familia, tenga en cuenta que puede incluir a los padres/madres biológicos(as),
adoptivos(as) o madrastras/padrastros, hijos(as), hermanos(as) u otros(as). Responda “Sí” o “No” para
cada opción.
COLUMN HEADERS:
1. Sí
0. No

SPANISH

RANGE

ROW ITEMS:
a. Su cónyuge o pareja [PCAL_085A]
b. Su padre/madre o figura parental [PCAL_085B]
c. Su hijo(a) o un(a) niño(a) a su cargo [PCAL_085C]
d. Su hermano(a) [PCAL_085D]
e. Su abuelo(a) [PCAL_085E]
f. Otro(s) familiar(es) suyo(s) (por ejemplo, tía, tío, prima, primo) [PCAL_085F]
g. Un(a) amigo(a) cercano(a) [PCAL_085G]
h. Alguna otra persona
Describa: _______________________________) [PCAL_085H]
[PCAL_085H_SPECIFY]

LIMITS

PCAL_085H_SPECIFY: 100 characters

LOOP MAX
PROGRAM. NOTES

If response “H” is selected, display PCAL_085H_SPECIFY

CHECK (ENG)
CHECK (SPAN)
HELP TEXT (ENG)
HELP TEXT (SPAN)
MODE

CAWI, CASI

NOTES
LEAD-IN
NEXT

PCAL_084
PCAL_086

PCAL_086
ASK

All respondents

QUESTION TYPE

Radio button

FILLS (ENG)
FILLS (SPAN)
Did you lose any job(s) during the initial COVID-19 outbreak (March to July 2020)?
ENGLISH

1. Yes
0. No
¿Perdió empleo durante el brote inicial de COVID-19 (de marzo a julio de 2020)?

SPANISH

1. Sí
0. No

RANGE
LIMITS
LOOP MAX
PROGRAM. NOTES
CHECK (ENG)
CHECK (SPAN)
HELP TEXT (ENG)
HELP TEXT (SPAN)
MODE

CAWI, CASI

NOTES
LEAD-IN
NEXT

PCAL_085; PCAL_084
PCAL_087

PCAL_087
ASK

All respondents

QUESTION TYPE

Radio button

FILLS (ENG)
FILLS (SPAN)
Did you quit any job(s) during the initial COVID-19 outbreak (March to July 2020)?
ENGLISH

1. Yes
0. No
¿Dejó algún trabajo durante el brote inicial de COVID-19 (de marzo a julio de 2020)?

SPANISH

1. Sí
0. No

RANGE
LIMITS
LOOP MAX
PROGRAM. NOTES
CHECK (ENG)
CHECK (SPAN)
HELP TEXT (ENG)
HELP TEXT (SPAN)
MODE

CAWI, CASI

NOTES
LEAD-IN
NEXT

PCAL_086
PCAL_088

PCAL_088
ASK

All respondents

QUESTION TYPE

Radio button

FILLS (ENG)
FILLS (SPAN)
Did you start a new job during the initial COVID-19 outbreak (March to July 2020)?
ENGLISH

1. Yes
0. No
¿Comenzó un nuevo trabajo durante el brote inicial de COVID-19 (de marzo a julio de 2020)?

SPANISH

1. Sí
0. No

RANGE
LIMITS
LOOP MAX
PROGRAM. NOTES
CHECK (ENG)
CHECK (SPAN)
HELP TEXT (ENG)
HELP TEXT (SPAN)
MODE

CAWI, CASI

NOTES
LEAD-IN
NEXT

PCAL_087
PCAL_089

f_PCAL_089
PCAL_089A/PCAL_089B/PCAL_089C/PCAL_089D/PCAL_089E/PCAL_089F/PCAL_089G/PCAL_089H/
PCAL_089H_SPECIFY
ASK
All respondents
PCAL_089A/PCAL_089B/PCAL_089C/PCAL_089D/PCAL_089E/PCAL_089F/PCAL_089G/PCAL_089:
QUESTION
Radio grid
TYPE
PCAL_089H_SPECIFY: textbox
FILLS (ENG)
FILLS (SPAN)
Did you experience significant changes with your job (e.g., workload, hours, pay, etc.) because of or
during the initial COVID-19 outbreak (March to July 2020)? Please answer yes or no for each of the
following.
COLUMN HEADERS:
1. Yes
0. No

ENGLISH

ROW ITEMS:
a. Switched to working remotely [PCAL_089A]
b. Increase in work hours [PCAL_089B]
c. Decrease in work hours [PCAL_089C]
d. Increase in workload [PCAL_089D]
e. Decrease in workload [PCAL_089E]
f. Salary or wages cut [PCAL_089F]
g. Salary or wages increased [PCAL_089G]
h. Some other significant change
Please describe: ___________________________________________) [PCAL_089H]
[PCAL_089H_SPECIFY]
¿Experimentó cambios significativos en su trabajo (por ejemplo, carga de trabajo, horas, salario, etc.) a
causa del brote inicial de COVID-19 o durante este (de marzo a julio de 2020)? Responda “Sí” o “No”
para cada opción.
COLUMN HEADERS:
1. Sí
0. No

SPANISH

ROW ITEMS:
a. Pasó a trabajar a distancia [PCAL_089A]
b. Aumento de las horas de trabajo [PCAL_089B]
c. Disminución de las horas de trabajo [PCAL_089C]
d. Aumento de la carga de trabajo [PCAL_089D]
e. Disminución de la carga de trabajo [PCAL_089E]
f. Recorte de sueldo o salario [PCAL_089F]
g. Aumento del sueldo o salario [PCAL_089G]
h. Algún otro cambio significativo
Describa: ___________________________________________) [PCAL_089H]
[PCAL_089H_SPECIFY]

RANGE
LIMITS

PCAL_089H_SPECIFY: 100 characters

LOOP MAX
PROGRAM.
If response “H” is selected, display PCAL_089H_SPECIFY
NOTES
CHECK (ENG)
CHECK (SPAN)
HELP
TEXT (ENG)
HELP
TEXT (SPAN)
MODE
CAWI, CASI
NOTES
LEAD-IN
NEXT

PCAL_088
PCAL_090

PCAL_090
ASK

All respondents

QUESTION TYPE

Radio button, with special response

FILLS (ENG)
FILLS (SPAN)
Did anyone else in your household lose their job or lose a significant amount of their income as a
result of the COVID-19 outbreak (March to July 2020)?
ENGLISH

1. Yes
0. No
-9. Not applicable, there were no other adults living in my household during this time.
¿Alguien más de su hogar perdió empleo o una parte importante de sus ingresos como consecuencia
del brote de COVID-19 (de marzo a julio de 2020)?

SPANISH

1. Sí
0. No
-9. No corresponde, no había otros adultos viviendo en mi hogar durante este tiempo.

RANGE
LIMITS
LOOP MAX
PROGRAM. NOTES
CHECK (ENG)
CHECK (SPAN)
HELP TEXT (ENG)
HELP TEXT (SPAN)
MODE

CAWI, CASI

NOTES
LEAD-IN
NEXT

PCAL_089
PHEA_001

NLSY27 Specifications Formatting
Parent Health (PHEA)
PRELOADS:
PRELOAD THE FOLLOWING VARIABLES FROM THE HOUSEHOLD SCREENER:
YOUTH_NAME: Name of the eligible youth, copied from HHNAME

HH_ANYPLG: 0/1 flag for whether a household member was reported as a parent or legal guardian for
any youth on the roster

OLDESTYOUTH: Name of oldest youth on youth roster
PRELOAD THE FOLLOWING VARIALBES FROM THE PARENT INFORMATION MODULE

PRELOAD THE FOLLOWING VARIABLES FROM THE PARENT INFORMATION MODULE:
PCPARTNER: HHNAME of the person on the household roster who is identified as partner of P/C
respondent
PCSPOUSE: HHNAME of the person on the household roster who is identified as spouse of P/C
respondent
PCSPOUSEID: HHID of the person on the household roster who is identified as spouse of P/C respondent
PCPARTNERID: HHID of the person on the household roster who is identified as partner of P/C
respondent
NONRESROSTER:
NONRES_PARENT_UID (Unique ID for each non-residential parent)
NONRES_NAME: Equal to BIOMOMNAME OR BIODADNAME
NONRES_DECEASED: 1 if BIODADDECEASED or BIOMOMDECEASED=1, else 0

NONRES_YOUTH1_NAME, NONRES_YOUTH2_NAME, NONRES_YOUTH3_NAME, NONRES_YOUTH4_NAME , etc.:
YOUTH_NAME for eligible youth affiliated with this parent
Paradata:
Capture item level timing.
Include a time/date stamp at beginning and end of module.
General Notes:
• Do not display response option numbers/letters.
• Do not display DK and REF on each screen at loading.
o If R tries to move forward without providing a response, display DK (‘Don’t know’) and REF (‘Prefer
not to answer’) on screen.
 Unless otherwise noted, include a soft prompt for R to respond or select DK/REF option:
“Your answers are very important. Please consider selecting a response.”
o If R still tries to move forward without answering, assign REF code to missing response.



Unless otherwise noted, include a soft prompt for R to respond or select DK/REF option:
“Your answers are very important. Please consider selecting a response.”

If R still tries to move forward without answering, assign REF code to missing response.

PHEA_001
ASK

All respondents

QUESTION TYPE

Radio button

FILLS (ENG)
FILLS (SPAN)
The next few questions are about your health.

ENGLISH

In general, how is your physical health?
5. Excellent
4. Very good
3. Good
2. Fair
1. Poor
Las siguientes preguntas son sobre su salud.

SPANISH

En general, ¿cómo está su estado de salud físico?
5. Excelente
4. Muy bien
3. Bien
2. Regular
1. Mal

RANGE
LIMITS
LOOP MAX
PROGRAM. NOTES
CHECK (ENG)
CHECK (SPAN)
HELP TEXT (ENG)
HELP TEXT (SPAN)
MODE

CASI/CAWI

NOTES
LEAD-IN
NEXT

PCAL_90
PHEA_002

PHEA_002
ASK

All respondents

QUESTION TYPE

Radio button

FILLS (ENG)
FILLS (SPAN)
In general, how is your mental or emotional health?
ENGLISH

SPANISH

5. Excellent
4. Very good
3. Good
2. Fair
1. Poor
En general, ¿cómo está su estado de salud mental o emocional?
5. Excelente
4. Muy bien
3. Bien
2. Regular
1. Mal

RANGE
LIMITS
LOOP MAX
PROGRAM. NOTES
CHECK (ENG)
CHECK (SPAN)
HELP TEXT (ENG)
HELP TEXT (SPAN)
MODE

CASI/CAWI

NOTES
LEAD-IN
NEXT

PHEA_001
PHEA_003

PHEA_003
ASK

All respondents

QUESTION TYPE

Radio button

FILLS (ENG)
FILLS (SPAN)

ENGLISH

SPANISH

Do you have any long-term health problem or condition that limits the type or amount of
employment you can accept?
1. Yes
0. No
¿Tiene algún problema o afección de salud a largo plazo que limite el tipo o la cantidad de
empleo que puede aceptar?
1. Sí
0. No

RANGE
LIMITS
LOOP MAX
PROGRAM. NOTES
CHECK (ENG)
CHECK (SPAN)
HELP TEXT (ENG)
HELP TEXT (SPAN)
MODE

CASI/CAWI

NOTES
LEAD-IN
NEXT

PHEA_002
PHEA_004

PHEA_004
ASK

All respondents

QUESTION TYPE

Radio button

FILLS (ENG)

Fill OLDESTYOUTH from HHS

FILLS (SPAN)

ENGLISH

SPANISH

Fill OLDESTYOUTH from HHS
Do you have, or since ^{FILL_OLDESTYOUTH}'s birth, have you ever had, any serious longstanding medical condition(s), such as severe heart problems, cancer, or a potentially lifethreatening disease?
1. Yes
0. No
¿Tiene o ha tenido desde el nacimiento de ^{FILL_OLDESTYOUTH} alguna afección grave de larga
duración, como problemas graves del corazón, cáncer o una enfermedad que pone en peligro la
vida?
1. Sí
0. No

RANGE
LIMITS
LOOP MAX
PROGRAM. NOTES
CHECK (ENG)
CHECK (SPAN)
HELP TEXT (ENG)
HELP TEXT (SPAN)
MODE

CASI/CAWI

NOTES
LEAD-IN
NEXT

PHEA_003
fPHEA_005

f_PHEA_005
PHEA_005HEIGHTFT / PHEA_005HEIGHTIN
ASK
All respondents
Numeric: PHEA_005HEIGHTFT / PHEA_005HEIGHTIN
QUESTION TYPE
Special radio button
FILLS (ENG)
FILLS (SPAN)
How tall are you without your shoes?
ENGLISH

Feet: _____________ [PHEA_005HEIGHTFT]
Inches _____________ [PHEA_005HEIGHTIN]
-8. I prefer to report height in centimeters
¿Cuánto mide sin zapatos?

SPANISH

RANGE
LIMITS

Pies: _____________ [PHEA_005HEIGHTFT]
Pulgadas: _____________ [PHEA_005HEIGHTIN]
-8. Prefiero ingresar la altura en centímetros
PHEA_005HEIGHTFT: RANGE = 2-6
PHEA_005HEIGHTIN: RANGE = 0-11
PHEA_005HEIGHTFT: LIMIT = 1 digit
PHEA_005HEIGHTIN: LIMIT = 2 digits

LOOP MAX
PROGRAM. NOTES
CHECK (ENG)
CHECK (SPAN)

INCLUDE SEPARATE NUMBOX FOR FEET AND INCHES ON SAME ROW WITH
CORRESPONDING LABELS; ALSO INCLUDE A SINGLE SELECT OPTION TO REPORT HEIGHT
IN CENTIMETERS DIRECTLY BELOW NUMBOX ENTRIES.
PHEA_005HEIGHTFT: Please enter a number of feet between 2 and 6.
PHEA_005HEIGHTIN: Please enter a number of inches between 0 and 11.
PHEA_005HEIGHTFT: Ingrese un número de pies entre 2 y 6.
PHEA_005HEIGHTIN: Ingrese un número de pulgadas entre 0 y 11.

HELP TEXT (ENG)
HELP TEXT (SPAN)
MODE

CASI/CAWI

NOTES
LEAD-IN
NEXT

PHEA_004
If f_PHEA_005=-8: f_PHEA_006; Else: f_PHEA_007

f_PHEA_006
PHEA_006HEIGHTCEN
ASK
IF PHEA_005 = -8
QUESTION TYPE

Numeric

FILLS (ENG)
FILLS (SPAN)
ENGLISH
SPANISH

How tall are you in centimeters without your shoes?
Centimeters: _____________ [PHEA_006HEIGHTCEN]
¿Cuánto mide en centímetros sin zapatos?

RANGE

Centímetros: _____________ [PHEA_006HEIGHTCEN]
PHEA_006HEIGHTCEN: RANGE = 60-213

LIMITS

PHEA_006HEIGHTCEN: LIMIT = 3 digits

LOOP MAX
PROGRAM. NOTES
CHECK (ENG)
CHECK (SPAN)

IF PHEA_006HEIGHTCEN OUT OF RANGE, DISPLAY HARD CHECK: Please enter a number
of centimeters between 60 and 213.
IF PHEA_006HEIGHTCEN OUT OF RANGE, DISPLAY HARD CHECK: Ingrese un número de
centímetros entre 60 y 213.

HELP TEXT (ENG)
HELP TEXT (SPAN)
MODE

CASI/CAWI

NOTES
LEAD-IN
NEXT

f_PHEA_005
f_PHEA_007

f_PHEA_007
PHEA_007WEIGHTLB
ASK
QUESTION TYPE

All respondents
Numeric: PHEA_007WEIGHTLB
Special radio button

FILLS (ENG)
FILLS (SPAN)
Approximately how much do you weigh?
ENGLISH

Pounds: _____________ [PHEA_007WEIGHTLB]
-8. I prefer to report weight in kilograms
¿Cuánto pesa aproximadamente?

SPANISH

Libras: _____________ [PHEA_007WEIGHTLB]

RANGE

-8. Prefiero informar el peso en kilogramos
PHEA_007WEIGHTLB: RANGE = 10-500

LIMITS

PHEA_007WEIGHTLB: LIMIT = 3 digits

LOOP MAX
PROGRAM. NOTES
CHECK (ENG)
CHECK (SPAN)

INCLUDE SEPARATE NUMERIC INPUT FOR PHEA_007WEIGHTLB AND INCLUDE A SINGLE
SELECT OPTION TO REPORT WEIGHT IN KILOGRAMS DIRECTLY BELOW NUMBOX ENTRY.
IF PHEA_007WEIGHTLB OUT OF RANGE, DISPLAY HARD CHECK: Please enter a number of
pounds between 10 and 500.
IF PHEA_007WEIGHTLB OUT OF RANGE, DISPLAY HARD CHECK: Ingrese un número de
libras entre 10 y 500.

HELP TEXT (ENG)
HELP TEXT (SPAN)
MODE

CASI/CAWI

NOTES
LEAD-IN
NEXT

f_PHEA_005 / f_PHEA_006
If f_PHEA_007=-8: f_PHEA_008; Else PHEA_009

f_PHEA_008
PHEA_008WEIGHTKILO
ASK
IF PHEA_007 = -8
QUESTION TYPE

Numeric

FILLS (ENG)
FILLS (SPAN)
ENGLISH
SPANISH
RANGE

Approximately how much do you weigh?
Kilograms: _____________ [PHEA_008WEIGHTKILO]
¿Cuánto pesa aproximadamente?
Kilogramos: PHEA_005HEIGHTFT: Please enter a number of feet between 2 and 9.
PHEA_008WEIGHTKILO: RANGE = 4.5-227.0

LIMITS

PHEA_008WEIGHTKILO: LIMIT = 3 digits and one decimal place

LOOP MAX
PROGRAM. NOTES
CHECK (ENG)
CHECK (SPAN)

IF PHEA_008WEIGHTKILO OUT OF RANGE, DISPLAY HARD CHECK: Please enter a number
of kilograms between 4.5 and 227.
IF PHEA_008WEIGHTKILO OUT OF RANGE, DISPLAY HARD CHECK: Ingrese un número de
kilogramos entre 4.5 y 227.

HELP TEXT (ENG)
HELP TEXT (SPAN)
MODE

CASI/CAWI

NOTES
LEAD-IN
NEXT

f_PHEA_007
PHEA_009

PHEA_009
ASK

All respondents

QUESTION TYPE

Computer Check

FILLS (ENG)
FILLS (SPAN)
ENGLISH
SPANISH
RANGE
LIMITS
LOOP MAX
This is a computer check. Do not display this screen.

PROGRAM. NOTES

Is there another parent on the household roster—i.e. does anyone else on HHROSTER
have HH_ANYPLG=1?
1. Yes
0. No
If yes, set PLGNAME=HH_NAME for person on HHROSTER with HH_ANYPLG=1.

CHECK (ENG)
CHECK (SPAN)
HELP TEXT (ENG)
HELP TEXT (SPAN)
MODE

CASI/CAWI

NOTES
LEAD-IN
NEXT

f_PHEA_007 / f_PHEA_008
If PHEA_009=1: PHEA_010; Else: PHEA_014

f_PHEA_010
PHEA_010HEIGHTFT / PHEA_010HEIGHTIN
ASK
If PHEA_009 = 1
Numeric: PHEA_010HEIGHTFT / PHEA_010HEIGHTIN
QUESTION TYPE
Special radio button
FILLS (ENG)
FILL PLGNAME from PHEA_009
FILLS (SPAN)

ENGLISH

FILL PLGNAME from PHEA_009
Approximately what is ^{PLGNAME}’s height without shoes?
Feet: _____________ [PHEA_010HEIGHTFT]
Inches _____________ [PHEA_010HEIGHTIN]
-8. I prefer to report height in centimeters
¿Cuánto mide aproximadamente ^{PLGNAME} sin zapatos?

SPANISH

RANGE
LIMITS

Pies: _____________ [PHEA_010HEIGHTFT]
Pulgadas: _____________ [PHEA_010HEIGHTIN]
-8. Prefiero ingresar la altura en centímetros
PHEA_010HEIGHTFT: RANGE = 2-6
PHEA_010HEIGHTIN: RANGE = 0-11
PHEA_010HEIGHTFT: LIMIT = 1 digit
PHEA_010HEIGHTIN: LIMIT = 2 digits

LOOP MAX
PROGRAM. NOTES

CHECK (ENG)

CHECK (SPAN)

INCLUDE SEPARATE NUMBOX FOR FEET AND INCHES ON SAME ROW WITH
CORRESPONDING LABELS; ALSO INCLUDE A SINGLE SELECT OPTION TO REPORT HEIGHT
IN CENTIMETERS DIRECTLY BELOW NUMBOX ENTRIES.
IF PHEA_010HEIGHTFT OUT OF RANGE, DISPLAY HARD CHECK: Please enter a number of
feet between 2 and 6.
IF PHEA_010HEIGHTIN OUT OF RANGE, DISPLAY HARD CHECK: Please enter a number of
inches between 0 and 11.
IF PHEA_010HEIGHTFT OUT OF RANGE, DISPLAY HARD CHECK: Ingrese un número de
pies entre 2 y 6.
IF PHEA_010HEIGHTIN OUT OF RANGE, DISPLAY HARD CHECK: Ingrese un número de
pulgadas entre 0 y 11.

HELP TEXT (ENG)
HELP TEXT (SPAN)
MODE

CASI/CAWI

NOTES
LEAD-IN
NEXT

PHEA_009
If f_PHEA_010=-8: f_PHEA_011; Else: f_PHEA_012

f_PHEA_011
PHEA_011HEIGHTCEN
ASK
IF f_PHEA_010 = -8
QUESTION TYPE

Numeric

FILLS (ENG)

FILL PLGNAME from PHEA_009

FILLS (SPAN)
ENGLISH
SPANISH

FILL PLGNAME from PHEA_009
Approximately what is ^{PLGNAME}’s height in centimeters without shoes?
Centimeters: _____________ [PHEA_011HEIGHTCEN]
¿Cuál es aproximadamente la altura de ^{PLGNAME}en centímetros sin zapatos?

RANGE

Centímetros: _____________ [PHEA_011HEIGHTCEN]
PHEA_011HEIGHTCEN: RANGE = 60-213

LIMITS

PHEA_011HEIGHTCEN: LIMIT = 3 digits

LOOP MAX
PROGRAM. NOTES
CHECK (ENG)
CHECK (SPAN)

IF PHEA_011HEIGHTCEN OUT OF RANGE, DISPLAY HARD CHECK: Please enter a number
of centimeters between 60 and 213.
IF PHEA_011HEIGHTCEN OUT OF RANGE, DISPLAY HARD CHECK: Ingrese un número de
centímetros entre 60 y 213.

HELP TEXT (ENG)
HELP TEXT (SPAN)
MODE

CASI/CAWI

NOTES
LEAD-IN
NEXT

f_PHEA_010
f_PHEA_012

f_PHEA_012
PHEA_012WEIGHTLB
ASK
QUESTION TYPE
FILLS (ENG)

All respondents
Numeric: PHEA_012WEIGHTLB
Special radio button
FILL PLGNAME from PHEA_009

FILLS (SPAN)

FILL PLGNAME from PHEA_009
Approximately how much does ^{PLGNAME} weigh?

ENGLISH

Pounds: _____________ [PHEA_012WEIGHTLB]
-8. I prefer to report weight in kilograms
¿Cuánto pesa aproximadamente ^{PLGNAME}?

SPANISH

Libras: _____________ [PHEA_012WEIGHTLB]

RANGE

-8. Prefiero informar el peso en kilogramos
PHEA_012WEIGHTLB: RANGE = 10-500

LIMITS

PHEA_012WEIGHTLB: LIMIT = 3 digits

LOOP MAX
PROGRAM. NOTES
CHECK (ENG)
CHECK (SPAN)

INCLUDE SEPARATE NUMERIC INPUT FOR PHEA_012WEIGHTLB AND INCLUDE A SINGLE
SELECT OPTION TO REPORT WEIGHT IN KILOGRAMS DIRECTLY BELOW NUMBOX ENTRY.
IF PHEA_012WEIGHTLB OUT OF RANGE, DISPLAY HARD CHECK: Please enter a number of
pounds between 10 and 500.
IF PHEA_012WEIGHTLB OUT OF RANGE, DISPLAY HARD CHECK: Ingrese un número de
libras entre 10 y 500.

HELP TEXT (ENG)
HELP TEXT (SPAN)
MODE

CASI/CAWI

NOTES
LEAD-IN
NEXT

f_PHEA_010 / f_PHEA_011
If f_PHEA_012=-8: PHEA_013; Else: PHEA_014

f_PHEA_013
PHEA_0013WEIGHTKILO
ASK
IF f_PHEA_012 = -8
QUESTION TYPE

Numeric

FILLS (ENG)

FILL PLGNAME from PHEA_009

FILLS (SPAN)
ENGLISH
SPANISH
RANGE

FILL PLGNAME from PHEA_009
Approximately how much does ^{PLGNAME} weigh?
Kilograms: _____________ [PHEA_013WEIGHTKILO]
¿Cuánto pesa aproximadamente ^{PLGNAME}?
Kilogramos: _____________ [PHEA_013WEIGHTKILO]
PHEA_013WEIGHTKILO: RANGE = 4.5-227.0

LIMITS

PHEA_013WEIGHTKILO: LIMIT = 3 digits and 1 decimal point

LOOP MAX
PROGRAM. NOTES
CHECK (ENG)
CHECK (SPAN)

IF PHEA_013WEIGHTKILO OUT OF RANGE, DISPLAY HARD CHECK: Please enter a number
of kilograms between 4.5 and 227.
IF PHEA_013WEIGHTKILO OUT OF RANGE, DISPLAY HARD CHECK: Ingrese un número de
kilogramos entre 4.5 y 227.

HELP TEXT (ENG)
HELP TEXT (SPAN)
MODE

CASI/CAWI

NOTES
LEAD-IN
NEXT

f_PHEA_012
PHEA_014

PHEA_014
ASK

All respondents (Begin PHEA Loop 1)

QUESTION TYPE

Computer check

FILLS (ENG)
FILLS (SPAN)
ENGLISH
SPANISH
RANGE
LIMITS
LOOP MAX

15
This is a computer check. Do not display this screen.

PROGRAM. NOTES

Loop PHEA Loop 1 (f_PHEA_014 through PHEA_019) FOR EACH NON-RESIDENTIAL
PARENT ON NONRESROSTER
Create Var: NRPARENTQCOUNT Set equal to number of roster lines on NONRESROSTER

CHECK (ENG)
CHECK (SPAN)
HELP TEXT (ENG)
HELP TEXT (SPAN)
MODE

CASI/CAWI

NOTES
LEAD-IN
NEXT

f_PHEA_007 / f_PHEA_008 / f_PHEA_012 / f_PHEA_013
If NRPARENTQCOUNT > 0: PHEA_015; Else: PHEA_019

f_PHEA_015_#
PHEA_015HEIGHTFT_# / PHEA_015HEIGHTIN_#
ASK
If NRPARENTQCOUNT > 0 (Continue PHEA Loop 1)
Numeric: PHEA_015HEIGHTFT_# / PHEA_015HEIGHTIN_#
QUESTION TYPE
Special radio button
CREATE FILL, FILL_NRYOUTHNAMES: FILL ALL YOUTH NAMES ASSOCIATED WITH
NONRESPARENT FROM NONRESROSTER, (NONRES_YOUTH#_NAME), SEPARATED BY
“and”
FILLS (ENG)
CREATE FILL FILL_NONRESNAME: ‘NONRESNAME’
CREATE FILL_WASIS: IF NONRES_DECEASED=1, FILL_WASIS: ‘was’
ELSE, FILL_WASIS: ‘is’
CREATE FILL, FILL_NRYOUTHNAMES: FILL ALL YOUTH NAMES ASSOCIATED WITH
NONRESPARENT FROM NONRESROSTER, (NONRES_YOUTH#_NAME), SEPARATED BY “y”
FILLS (SPAN)
CREATE FILL FILL_NONRESNAME: ‘NONRESNAME’
CREATE FILL_WASIS: IF NONRES_DECEASED=1, FILL_WASIS: ‘era’
ELSE, FILL_WASIS: ‘es’
The next couple of questions are about ^{FILL_NRYOUTHNAMES}'s birth parent,
^{NONRESNAME}.
ENGLISH

Approximately what ^{FILL_WASIS} their height without shoes?
Feet: _____________ [PHEA_015HEIGHTFT_#]
Inches: _____________ [PHEA_015HEIGHTIN_#]
-8. I prefer to report height in centimeters
Las siguientes preguntas son sobre el(la) padre/madre biológico(a) de ^{FILL_NRYOUTHNAMES},
^{NONRESNAME}.

SPANISH

RANGE
LIMITS
LOOP MAX

¿Aproximadamente cuál ^{FILL_WASIS} su altura sin zapatos?
Pies: _____________ [PHEA_015HEIGHTFT_#]
Pulgadas: _____________ [PHEA_015HEIGHTIN_#]
-8. Prefiero ingresar la altura en centímetros
PHEA_015HEIGHTFT_#: RANGE = 2-6
PHEA_015HEIGHTIN_#: RANGE = 0-11
PHEA_015HEIGHTFT_#: LIMIT = 1 digit
PHEA_015HEIGHTIN_#: LIMIT = 2 digits
15
Loop PHEA Loop 1 (f_PHEA_014 through PHEA_019) FOR EACH NON-RESIDENTIAL
PARENT ON NONRESROSTER

PROGRAM. NOTES

CHECK (ENG)

Create variable PHEALOOP1[#].NONRES_PARENT_UID= NONRES_PARENT_UID
INCLUDE SEPARATE NUMBOX FOR FEET AND INCHES ON SAME ROW WITH
CORRESPONDING LABELS; ALSO INCLUDE A SINGLE SELECT OPTION TO REPORT HEIGHT
IN CENTIMETERS DIRECTLY BELOW NUMBOX ENTRIES.
IF PHEA_015HEIGHTFT_# OUT OF RANGE, DISPLAY HARD CHECK: Please enter a number
of feet between 2 and 6.
IF PHEA_015HEIGHTIN_# OUT OF RANGE, DISPLAY HARD CHECK: Please enter a number
of inches between 0 and 11.

CHECK (SPAN)

IF PHEA_015HEIGHTFT_# OUT OF RANGE, DISPLAY HARD CHECK: Ingrese un número de
pies entre 2 y 6.
IF PHEA_015HEIGHTIN_# OUT OF RANGE, DISPLAY HARD CHECK: Ingrese un número de
pulgadas entre 0 y 11.

HELP TEXT (ENG)
HELP TEXT (SPAN)
MODE

CASI/CAWI

NOTES
LEAD-IN
NEXT

PHEA_014
If PHEA_015_#=-8: PHEA_016_#; Else: PHEA_017_#

f_PHEA_016_#
PHEA_016HEIGHTCEN_#
ASK
IF PHEA_015_# = -8 (Continue PHEA Loop 1)
QUESTION TYPE
FILLS (ENG)
FILLS (SPAN)
ENGLISH
SPANISH

Numeric
CREATE FILL_WASIS: IF NRDECEASED=1, FILL_WASIS: ‘was’
ELSE, FILL_WASIS: ‘is’
CREATE FILL_WASIS: IF NRDECEASED=1, FILL_WASIS: ‘era’
ELSE, FILL_WASIS: ‘es’
Approximately what ^{FILL_WASIS} their height without shoes?
Centimeters: _____________ [PHEA_016HEIGHTCEN_#]
¿Aproximadamente cuál ^{FILL_WASIS} su altura sin zapatos?

RANGE

Centímetros: _____________ [PHEA_016HEIGHTCEN_#]
PHEA_016HEIGHTCEN_#: RANGE = 60-213

LIMITS

PHEA_016HEIGHTCEN_#: LIMIT = 3 digits

LOOP MAX

15
Loop PHEA Loop 1 (f_PHEA_014 through PHEA_019) FOR EACH NON-RESIDENTIAL
PARENT ON NONRESROSTER

PROGRAM. NOTES
CHECK (ENG)
CHECK (SPAN)

IF PHEA_016HEIGHTCEN_# OUT OF RANGE, DISPLAY HARD CHECK: Please enter a
number of centimeters between 60 and 213.
IF PHEA_016HEIGHTCEN_# OUT OF RANGE, DISPLAY HARD CHECK: Ingrese un número de
centímetros entre 60 y 213.

HELP TEXT (ENG)
HELP TEXT (SPAN)
MODE

CASI/CAWI

NOTES
LEAD-IN
NEXT

PHEA_015_#
PHEA_017_#

f_PHEA_017_#
PHEA_017WEIGHTLB_#
ASK
All respondents (Continue PHEA Loop 1)
Numeric: PHEA_017WEIGHTLB_#
QUESTION TYPE
Checkbox
CREATE FILL_DIDDOES: IF NRDECEASED=1, FILL_DIDDOES: ‘did’
ELSE, FILL_DIDDOES: ‘does’
USE FILL_NONRESNAME FROM PHEA_015
FILLS (ENG)
CREATE FILL_DECEASED: IF NONRES_DECEASED=1, FILL_DECEASED: ‘during their adult
life’
ELSE FILL _DECEASED: ‘’
CREATE FILL_DIDDOES: IF NRDECEASED=1, FILL_DIDDOES:‘pesaba’
ELSE, FILL_DIDDOES: ‘pesa’
USE FILL_NONRESNAME FROM PHEA_015
FILLS (SPAN)
CREATE FILL_DECEASED: IF NONRES_DECEASED=1, FILL_DECEASED: ‘durante su vida
adulta’
ELSE FILL _DECEASED: ‘’
On average, how much ^{FILL_DIDDOES} ^{FILL_NONRESNAME} weigh ^{FILL_DECEASED}?
ENGLISH

Pounds: _____________ [PHEA_017WEIGHTLB_#]
-8. I prefer to report weight in kilograms
En promedio, ¿cuánto ^{FILL_DIDDOES} ^{FILL_NONRESNAME} ^{FILL_DECEASED}?

SPANISH

Libras: _____________ [PHEA_017WEIGHTLB_#]

RANGE

-8. Prefiero informar el peso en kilogramos
PHEA_017WEIGHTLB_#: RANGE = 10-500

LIMITS

PHEA_017WEIGHTLB_#: LIMIT = 3 digits

LOOP MAX

15
Loop PHEA Loop 1 (f_PHEA_014 through PHEA_019) FOR EACH NON-RESIDENTIAL
PARENT ON NONRESROSTER

PROGRAM. NOTES

CHECK (ENG)
CHECK (SPAN)

INCLUDE NUMBOX FOR WEIGHT; ALSO INCLUDE A SINGLE SELECT OPTION TO REPORT
WEIGHT IN POUNDS DIRECTLY BELOW NUMBOX ENTRIES.
IF PHEA_017WEIGHTLB_# OUT OF RANGE, DISPLAY HARD CHECK: Please enter a number
of pounds between 10 and 500.
IF PHEA_017WEIGHTLB_# OUT OF RANGE, DISPLAY HARD CHECK: Ingrese un número de
libras entre 10 y 500.

HELP TEXT (ENG)
HELP TEXT (SPAN)
MODE

CASI/CAWI

NOTES
LEAD-IN
NEXT

f_PHEA_016
If f_PHEA_017=-8: f_PHEA_018; Else: PHEA_019

f_PHEA_018_#
PHEA_0018WEIGHTKILO_#
ASK
IF f_PHEA_017_# = -8 (Continue PHEA Loop 1)
QUESTION TYPE
FILLS (ENG)

FILLS (SPAN)

ENGLISH

Numeric
CREATE FILL_DIDDO: IF NRDECEASED=1, FILL_DIDDO: ‘did’
ELSE, FILL_DIDDO: ‘do’
CREATE FILL_DECEASED: IF NRDECEASED=1, FILL_DECEASED: ‘during their adult life’
ELSE FILL _DECEASED: ‘’
CREATE FILL_DIDDO: IF NRDECEASED=1, FILL_DIDDO: ‘pesó’
ELSE, FILL_DIDDO: ‘pesaba’
CREATE FILL_DECEASED: IF NRDECEASED=1, FILL_DECEASED:‘durante su vida adulta’
ELSE FILL _DECEASED: ‘’
On average, how much ^{FILL_DIDDO} they weigh ^{FILL_DECEASED}?
Kilograms: _____________ [PHEA_018WEIGHTKILO_#]
En promedio, ¿cuánto ^{FILL_DIDDOES} ^{NONRESNAME} ^{FILL_DECEASED}?

SPANISH

Kilogramos: _____________ [PHEA_018WEIGHTKILO_#]

RANGE

PHEA_018WEIGHTKILO_#: RANGE = 4.5-227.0

LIMITS

PHEA_018WEIGHTKILO_#: LIMIT = 3 digits and 1 decimal

LOOP MAX

15
Loop PHEA Loop 1 (f_PHEA_014 through PHEA_019) FOR EACH NON-RESIDENTIAL
PARENT ON NONRESROSTER
IF PHEA_018WEIGHTKILO_# OUT OF RANGE, DISPLAY HARD CHECK: Please enter a
number of kilograms between 4.5 and 227.
IF PHEA_018WEIGHTKILO_# OUT OF RANGE, DISPLAY HARD CHECK: Ingrese un número de
kilogramos entre 4.5 y 227.

PROGRAM. NOTES
CHECK (ENG)
CHECK (SPAN)
HELP TEXT (ENG)
HELP TEXT (SPAN)
MODE

CASI/CAWI

NOTES
LEAD-IN
NEXT

f_PHEA_017
PHEA_019

PHEA_019
ASK

All respondents (End PHEA Loop 1)

QUESTION TYPE

Computer check

FILLS (ENG)
FILLS (SPAN)
ENGLISH
SPANISH
RANGE
LIMITS
LOOP MAX
PROGRAM. NOTES

15
This is a computer check. Do not display this screen.
Loop PHEA Loop 1 (f_PHEA_015 through PHEA_019) FOR EACH NON-RESIDENTIAL
PARENT ON NONRESROSTER

CHECK (ENG)
CHECK (SPAN)
HELP TEXT (ENG)
HELP TEXT (SPAN)
MODE

CASI/CAWI

NOTES
LEAD-IN
NEXT

f_PHEA_017 / f_PHEA_018
If PCPART>0: PHEA_020; Else: PHEA_023

PHEA_020
ASK
QUESTION TYPE
FILLS (ENG)

FILLS (SPAN)

ENGLISH

SPANISH

IF SPOUSEIDPCSPOUSEID>0 or PARTNERIDPCPARTNERID>0
Radio button
CREATE FILL_PARTNERNAME:
If PCSPOUSE≠ missing, FILL_PARTNERNAME: ‘^{PCSPOUSE}, ’
ELSE IF PCPARTNER ≠ missing, FILL_PARTNERNAME: ‘^{PCPARTNER}, ’ FROM PRELOAD
ELSE, FILL_PARTNERNAME: Empty
CREATE FILL_PARTNERNAME:
If PCSPOUSE≠ missing, FILL_PARTNERNAME: ‘^{PCSPOUSE}, ’
ELSE IF PCPARTNER ≠ missing, FILL_PARTNERNAME: ‘^{PCPARTNER}, ’ FROM PRELOAD
ELSE, FILL_PARTNERNAME: Empty
The next few questions are about the health of ^{FILL_SPOUSENAME} ^{PARTNERNAME}, your
spouse or partner.
In general, how is their physical health?
5. Excellent
4. Very good
3. Good
2. Fair
1. Poor
Las siguientes preguntas son sobre la salud de ^{FILL_SPOUSENAME} ^{PARTNERNAME}, su
cónyuge o pareja.
En general, ¿cómo es su salud física?
5. Excelente
4. Muy buena
3. Buena
2. Regular
1. Mala

RANGE
LIMITS
LOOP MAX
PROGRAM. NOTES
CHECK (ENG)
CHECK (SPAN)
HELP TEXT (ENG)
HELP TEXT (SPAN)
MODE

CASI/CAWI

NOTES
LEAD-IN
NEXT

PHEA_019
PHEA_021

PHEA_021
ASK
QUESTION TYPE
FILLS (ENG)

FILLS (SPAN)

ENGLISH

SPANISH

IF PCSPOUSEID>0 or PCPARTNERID>0
Radio button
CREATE FILL_PARTNERNAME1:
If PCSPOUSE≠ missing, FILL_PARTNERNAME1: ‘PCSPOUSE’ from preload
ELSE IF PCPARTNER ≠ missing, FILL_PARTNERNAME1: ‘PCPARTNER’ FROM PRELOAD
ELSE, FILL_PARTNERNAME1: ‘your spouse or partner’
CREATE FILL_PARTNERNAME1:
If PCSPOUSE≠ missing, FILL_PARTNERNAME1: ‘PCSPOUSE’ from preload
ELSE IF PCPARTNER ≠ missing, FILL_PARTNERNAME1: ‘PCPARTNER’ FROM PRELOAD
ELSE, FILL_PARTNERNAME1: ‘su cónyuge o pareja’
In general, how is ^{FILL_SPOUSENAME} ^{PARTNERNAME^{PARTNERNAME1}’s mental or
emotional health?
5. Excellent
4. Very good
3. Good
2. Fair
1. Poor
En general, ¿cómo se encuentra la salud mental o emocional de
^{FILL_SPOUSENAME}^{PARTNERNAME} ^{PARTNERNAME1}?
5. Excelente
4. Muy bien
3. Bien
2. Regular
1. Mala

RANGE
LIMITS
LOOP MAX
PROGRAM. NOTES
CHECK (ENG)
CHECK (SPAN)
HELP TEXT (ENG)
HELP TEXT (SPAN)
MODE

CASI/CAWI

NOTES
LEAD-IN
NEXT

PHEA_020
PHEA_022

PHEA_022
ASK

IF PCSPOUSEID>0 or PCPARTNERID>0

QUESTION TYPE

Radio button

FILLS (ENG)
FILLS (SPAN)

ENGLISH

SPANISH

Use fill FILL_PARTNERNAME1 from PHEA_021
Use fill FILL_PARTNERNAME1 from PHEA_021
Does ^{FILL_SPOUSENAME} ^{PARTNERNAME} have any long-term health problem or condition
that limits the type or amount of employment they can accept?
1. Yes
0. No
¿Tiene ^{FILL_SPOUSENAME} ^{PARTNERNAME} algún problema o afección de salud a largo plazo
que limite el tipo o la cantidad de empleo que puede aceptar?
1. Sí
0. No

RANGE
LIMITS
LOOP MAX
PROGRAM. NOTES
CHECK (ENG)
CHECK (SPAN)
HELP TEXT (ENG)
HELP TEXT (SPAN)
MODE

CASI/CAWI

NOTES
LEAD-IN
NEXT

PHEA_021
PHEA_023

PHEA_023
ASK

All respondents

QUESTION TYPE

Radio button

FILLS (ENG)
FILLS (SPAN)
Which of these statements best describes the food eaten in your household in the past 12
months?
ENGLISH

1. Enough of the kinds of food we want to eat
2. Enough but not always the kinds of food we want to eat
3. Sometimes not enough to eat
4. Often not enough to eat
¿Cuál de estas afirmaciones describe mejor los alimentos consumidos en su hogar durante los
últimos 12 meses?

SPANISH

1. Suficiente de los tipos de comidas que queremos comer
2. Suficiente, pero no siempre el tipo de comidas que queremos comer
3. A veces no hay suficiente para comer
4. Con frecuencia no hay suficiente para comer

RANGE
LIMITS
LOOP MAX
PROGRAM. NOTES
CHECK (ENG)
CHECK (SPAN)
HELP TEXT (ENG)
HELP TEXT (SPAN)
MODE

CASI/CAWI

NOTES
LEAD-IN
NEXT

PHEA_019, PHEA_022
f_PHEA_024

f_PHEA_024
PHEA_024a / PHEA_024b / PHEA_024c / PHEA_024d / PHEA_024e / PHEA_024f / PHEA_024g
ASK
All respondents
QUESTION TYPE

Radio button grid

FILLS (ENG)
FILLS (SPAN)
Below is a list of the ways that you might have felt or behaved recently. After each statement,
indicate how often you felt this way during the past week.

ENGLISH

SPANISH

COLUMN HEADERS:
0. Rarely or none of the time (less than 1 day)
1. Some or a little of the time (1-2 days)
2. Occasionally or a moderate amount of the time (3-4 days)
3. Most or all of the time (5-7 days)
ROW ITEMS:
a. I did not feel like eating; my appetite was poor [PHEA_024a]
b. I had trouble keeping my mind on what I was doing [PHEA_024b]
c. I felt depressed [PHEA_024c]
d. I felt that everything I did was an effort [PHEA_024d]
e. My sleep was restless [PHEA_024e]
f. I felt sad [PHEA_024f]
g. I could not get "going" [PHEA_024g]
A continuación, encontrará una lista de las formas en las que podría haberse sentido o
comportado recientemente. Después de cada afirmación, indique con qué frecuencia se sintió así
durante la semana pasada.
COLUMN HEADERS:
0. Rara vez o nunca (menos de 1 día)
1. Algo o pocas veces (1-2 días)
2. Ocasionalmente o una cantidad moderada de tiempo (3-4 días)
3. La mayor parte del tiempo o todo el tiempo (5-7 días)
ROW ITEMS:
a. No tenía ganas de comer; falta de apetito [PHEA_024a]
b. Me costó concentrarme en lo que estaba haciendo [PHEA_024b]
c. Me sentí deprimido(a) [PHEA_024c]
d. Sentí que todo lo que hacía requería mucho esfuerzo [PHEA_024d]
e. Dormí mal [PHEA_024e]
f. Me sentí triste [PHEA_024f]
g. No podía tomar iniciativas [PHEA_024g]

RANGE
LIMITS
LOOP MAX
PROGRAM. NOTES
CHECK (ENG)
CHECK (SPAN)

HELP TEXT (ENG)
HELP TEXT (SPAN)
MODE

CASI/CAWI

NOTES
LEAD-IN
NEXT

PHEA_023
PHEA_025

PHEA_025
ASK

All respondents

QUESTION TYPE

Radio button

FILLS (ENG)
FILLS (SPAN)
Over the last 2 weeks, how often have you been bothered by feeling nervous, anxious, or on
edge?
ENGLISH

SPANISH

0. Not at all
1. Several days
2. More than half the days
3. Nearly every day
Durante las últimas 2 semanas, ¿con qué frecuencia sintió molestias por nervios, ansiedad o
tensión?

0. Nunca
1. Varios días
2. Más de la mitad de los días
3. Casi todos los días

RANGE
LIMITS
LOOP MAX
PROGRAM. NOTES
CHECK (ENG)
CHECK (SPAN)
HELP TEXT (ENG)
HELP TEXT (SPAN)
MODE

CASI/CAWI

NOTES
LEAD-IN
NEXT

PHEA_024
PHEA_026

PHEA_026
ASK

All respondents

QUESTION TYPE

Radio button

FILLS (ENG)
FILLS (SPAN)
Over the last 2 weeks, how often have you been bothered by not being able to stop or control
worrying?
ENGLISH

SPANISH

0. Not at all
1. Several days
2. More than half the days
3. Nearly every day
Durante las últimas 2 semanas, ¿con qué frecuencia sintió molestias por no poder dejar de
preocuparse o controlar su preocupación?

0. Nunca
1. Varios días
2. Más de la mitad de los días
3. Casi todos los días

RANGE
LIMITS
LOOP MAX
PROGRAM. NOTES
CHECK (ENG)
CHECK (SPAN)
HELP TEXT (ENG)
HELP TEXT (SPAN)
MODE

CASI/CAWI

NOTES
LEAD-IN
NEXT

PHEA_025
PSRF_INTRO

BRIEF2A Placeholder

The Behavioral Rating Inventory of Executive Function®, Second Edition (i.e., BRIEF2 and BRIEF2A) will be
the assessments implemented in the NLSY27 Pretest.
The BRIEF2 and 2A are licensed assessments and not available for public use outside of licensing.
Therefore, this section of the Youth instrument is a placeholder.

Parent-Caregiver Income Module Specs
Preloads:
REFYR: PINF Module
•

This will be set with each round of data collection to be the prior calendar year. For instance, if the survey
occurs in September 2025, this will refer to calendar year 2024. This number will be used throughout that
round of the survey.

PCPART: Indicator for residential partner of selected parent/caregiver from PINF
0. None
1. Married and living with spouse
2. Married, no spouse in household
3. Cohabiting with partner
P
Paradata:
Capture item level timing
Include a time/date stamp at beginning and end of screener
General Notes:
Do not display response option numbers/letters.
• Do not display DK and REF on each screen at loading.
ο If R tries to move forward without providing a response, display DK (‘Don’t know’) and REF (‘Prefer
not to answer’) on screen. (Spanish translation for DK – ‘No lo sé’ and REF ‘Prefiero no contestar’
♣ Unless otherwise noted, include a soft prompt for R to respond or select DK/REF option:
“Your answers are very important. Please consider providing a response. Otherwise, please
select "Don’t know" or "Prefer not to answer.”
♣ Spanish translation: “Sus respuestas son muy importantes. Considere la posibilidad de
seleccionar una respuesta.”
ο If R still tries to move forward without answering, assign REF code to missing response.

PINC_001
ASK

ALL

QUESTION TYPE

Informational

FILLS (ENG)
FILLS (SPAN)
We now have some questions about your household's income. We appreciate that our questions are
ENGLISH difficult to answer and sometimes seem intrusive. As with other questions in this survey, the
information you provide to us is kept confidential.
Ahora tenemos algunas preguntas sobre los ingresos de su hogar. Somos conscientes de que nuestras
SPANISH preguntas son difíciles de responder y, a veces, parecen intrusivas. Al igual que con otras preguntas de
esta encuesta, la información que nos da se mantendrá confidencial.
RANGE
LIMITS
LOOP MAX
PROGRAM. NOTES

Create Var PARPARTNER; IF PCPART=0, SET PARPARTNER=0; Else SET PARPARTNER=1

CHECK (ENG)
CHECK (SPAN)
HELP TEXT (ENG)
HELP TEXT (SPAN)
MODE

CASI/CAWI

NOTES
LEAD-IN
NEXT

PSRF_014
PINC_002

PINC_002
ASK

ALL

QUESTION TYPE

Radio Button
Create fill FILL_REFYR
FILLS (ENG)
FILL FILL_REFYR set in PINF survey module.
Create fill FILL_REFYR
FILLS (SPAN)
FILL FILL_REFYR set in PINF survey module.
Were you married or in a cohabiting relationship at any time during ^{FILL_REFYR}? By cohabitating
relationships, we mean romantic or sexual relationships in which partners establish one household
and live together for a period of at least three months.

ENGLISH

Please include any marriages or cohabiting relationships during ^{FILL_REFYR} that you may have
already reported in this survey.
1. Yes
0. No
¿Estuvo casado(a) o en una relación de convivencia en algún momento durante el año ^{FILL_REFYR}?
Por “relaciones de convivencia” nos referimos a las relaciones románticas o sexuales en las que los
miembros de la pareja establecen un hogar y viven juntos durante un período de al menos tres meses.

SPANISH

Incluya cualquier matrimonio o relación de convivencia durante el ^{FILL_REFYR} que ya haya
comunicado en esta encuesta.
1.
0.

Sí
No

RANGE
LIMITS
LOOP MAX
PROGRAM. NOTES

FILL_REFYR: This will be set with each round of data collection to be the prior calendar
year. For instance, if the survey occurs in September 2025, this will refer to calendar
year 2024. This number will be used throughout that round of the survey.

CHECK (ENG)
CHECK (SPAN)
HELP TEXT (ENG)
HELP TEXT (SPAN)
MODE

CASI/CAWI

NOTES
LEAD-IN
NEXT

PINC_001
PINC_002=1: PINC_004;
Else PINC_003

PINC_003
ASK

IF PINC_002 ≠1

QUESTION TYPE

Informational

FILLS (ENG)

Use fill from PINC_002, FILL_REFYR

FILLS (SPAN)
Use fill from PINC_002, FILL_REFYR
Now let's go over your earnings and income in the year ^{FILL_REFYR}. Please round to the nearest
ENGLISH dollar for your responses. If you don’t know the exact amount, your best estimate is fine.

SPANISH

Ahora, repasemos sus ganancias e ingresos en el año ^{FILL_REFYR}. Redondee sus respuestas al dólar
más cercano. Si no conoce la cantidad exacta, su mejor estimación es suficiente.

RANGE
LIMITS
LOOP MAX
PROGRAM. NOTES
CHECK (ENG)
CHECK (SPAN)
HELP TEXT (ENG)
HELP TEXT (SPAN)
MODE

CASI/CAWI

NOTES
LEAD-IN
NEXT

PINC_002
PINC_005

PINC_004
IF PINC_002= 1

ASK
QUESTION TYPE

Informational

FILLS (ENG)

Use fill from PINC_002, FILL_REFYR

FILLS (SPAN)
Use fill from PINC_002, FILL_REFYR
Let's start with some questions about the earnings and income you and your spouse or partner
ENGLISH received during ^{FILL_REFYR}. The first questions will be about your earnings and business income
and then you will be asked about the earnings and business income of your spouse or partner.

SPANISH

Empecemos con algunas preguntas sobre las ganancias e ingresos que usted y su cónyuge o pareja
recibieron durante el año ^{FILL_REFYR}. Las primeras preguntas serán sobre sus ganancias y los
ingresos de su negocio y después responderá preguntas sobre las ganancias y los ingresos del negocio
de su cónyuge o pareja.

RANGE
LIMITS
LOOP MAX
PROGRAM. NOTES
CHECK (ENG)
CHECK (SPAN)
HELP TEXT (ENG)
HELP TEXT (SPAN)
MODE

CASI/CAWI

NOTES
LEAD-IN
NEXT

PINC_002
PINC_005

PINC_005
ASK

ALL

QUESTION TYPE

Radio Button

FILLS (ENG)

Use fill from PINC_002, FILL_REFYR

FILLS (SPAN)
Use fill from PINC_002, FILL_REFYR
During ^{FILL_REFYR}, did you receive any income from a job such as wages, salary, commissions, or
tips? Please include any income you received from doing odd jobs, temporary or seasonal work, and
ENGLISH service in the military, the military reserves, or the National Guard.

SPANISH

1. Yes
0. No
Durante el año ^{FILL_REFYR}, ¿recibió usted algún ingreso de un trabajo como sueldos, salarios,
comisiones o propinas? Incluya los ingresos que haya recibido por realizar trabajos ocasionales,
trabajo temporal o estacional, y servicio en las fuerzas armadas, las reservas militares o la Guardia
Nacional.
1. Sí
0. No

RANGE
LIMITS
LOOP MAX
PROGRAM. NOTES
CHECK (ENG)
CHECK (SPAN)
HELP TEXT (ENG)
HELP TEXT (SPAN)
MODE

CASI/CAWI

NOTES
LEAD-IN
NEXT

PINC_003, PINC_004
If PINC_005=DK or REF: PINC_006;
If PINC_005=0: PINC_012;
Else PINC_007

PINC_006
ASK

IF PINC_005 = DK or REF

QUESTION TYPE

Radio Button

FILLS (ENG)

Use fill from PINC_002, FILL_REFYR

FILLS (SPAN)
Use fill from PINC_002, FILL_REFYR
During ^{FILL_REFYR}, did you have any income from odd jobs, self-employment, or employee-type
jobs?
ENGLISH
1. Yes
0. No
Durante el ^{FILL_REFYR}, ¿tuvo usted algún ingreso procedente de trabajos ocasionales, trabajo
independiente o trabajo como empleado(a)?
SPANISH
1. Sí
0. No
RANGE
LIMITS
LOOP MAX
PROGRAM. NOTES
CHECK (ENG)
CHECK (SPAN)
HELP TEXT (ENG)
HELP TEXT (SPAN)
MODE

CASI/CAWI

NOTES
LEAD-IN
NEXT

IF PINC_005 = DK or REF
If PINC_006=0: PINC_012;
Else PINC_007

PINC_007
ASK

IF PINC_005 ≠0 AND PINC_006 ≠ 0

QUESTION TYPE

Numeric

FILLS (ENG)

Use fill from PINC_002, FILL_REFYR

FILLS (SPAN)
Use fill from PINC_002, FILL_REFYR
During the 52 weeks of ^{FILL_REFYR}, how many weeks did you work at all jobs, either full-time or
ENGLISH part-time? Please include weeks you were on paid leave from a job.

SPANISH

Weeks: _____________
Durante las 52 semanas del año ^{FILL_REFYR}, ¿cuántas semanas trabajó en todos sus empleos, ya
sea a tiempo completo o a tiempo parcial? Incluya las semanas en las que estuvo ausente con licencia
remunerada.

RANGE

Semanas: _____________
0-52

LIMITS

2 digits

LOOP MAX
PROGRAM. NOTES
CHECK (ENG)
CHECK (SPAN)

HARD CHECK IF PINC_007 IS OUT OF RANGE: ‘Please enter a number of weeks between
0-52.’
HARD CHECK IF PINC_007 IS OUT OF RANGE: ‘Ingrese un número de semanas entre 0-52.’

HELP TEXT (ENG)
HELP TEXT (SPAN)
MODE

CASI/CAWI

NOTES
LEAD-IN
NEXT

PINC_005; PINC_006
If PINC_007=0: PINC_010;
Else PINC_008

PINC_008
ASK

IF PINC_007 ≠0

QUESTION TYPE

Numeric

FILLS (ENG)

Use fill from PINC_002, FILL_REFYR

FILLS (SPAN)
Use fill from PINC_002, FILL_REFYR
In the weeks that you worked in ^{FILL_REFYR}, how many hours did you usually work per week?
Please include all hours you worked whether at their normal work site, at home, or in some other
ENGLISH location.

SPANISH

Hours per week: _____________
En las semanas que trabajó en el año ^{FILL_REFYR}, ¿cuántas horas trabajó normalmente a la
semana? Incluya todas las horas trabajadas, ya sea en su lugar de trabajo habitual, en casa o en algún
otro lugar.

RANGE

Horas por semana: _____________
0-120

LIMITS

3 digits

LOOP MAX
PROGRAM. NOTES
CHECK (ENG)
CHECK (SPAN)

HARD CHECK IF PINC_008 OUT OF RANGE: ‘Please enter a number of hours per week
between 0-120.’
HARD CHECK IF PINC_008 OUT OF RANGE: ‘Ingrese un número de horas por semana entre
0-120.’

HELP TEXT (ENG)
HELP TEXT (SPAN)
MODE

CASI/CAWI

NOTES
LEAD-IN
NEXT

PINC_007
PINC_009

PINC_009
ASK

IF PINC_007 ≠0

QUESTION TYPE

Numeric

FILLS (ENG)
FILLS (SPAN)
How many of those hours per week did you usually telework or work at home?
ENGLISH
Hours per week: _____________
¿Cuántas de esas horas a la semana suele teletrabajar o trabajar desde casa?
SPANISH
Horas por semana: _____________
RANGE
0-120
LIMITS

3 digits

LOOP MAX
PROGRAM. NOTES
HARD CHECK IF PINC_009 OUT OF RANGE: ‘Please enter a number of hours per week
between 0-120.’
CHECK (ENG)

IF (PINC_009)>(PINC_008) DISPLAY HARD CHECK: ‘You reported that you worked more
hours from home than the hours you worked total per week. Please update your answer
to hours worked from home or click here to update the total number of hours worked per
week.” (Return R to PINC_008)
HARD CHECK IF PINC_009 OUT OF RANGE: ‘Ingrese un número de horas por semana
entre 0-120.’

CHECK (SPAN)

IF (PINC_009)>(PINC_008) DISPLAY HARD CHECK: ‘Usted informó que trabajaba más horas
desde casa que las que trabajaba en total a la semana. Actualice su respuesta a las horas
trabajadas desde casa o haga clic aquí para actualizar el número total de horas trabajadas
por semana.” (Return R to PINC_008)

HELP TEXT (ENG)
HELP TEXT (SPAN)
MODE

CASI/CAWI

NOTES
LEAD-IN
NEXT

PINC_008
PINC_010

PINC_010
ASK

IF PINC_005 ≠0 AND PINC_006 ≠ 0

QUESTION TYPE

Numeric
Use fill from PINC_002, FILL_REFYR
FILLS (ENG)
Create fill FILL_PINC010: ‘PINC_010’
Use fill from PINC_002, FILL_REFYR
FILLS (SPAN)
Create fill FILL_PINC010: ‘PINC_010’
During ^{FILL_REFYR}, how much income did you receive from wages, salary, commissions, or tips
from all jobs, before deductions for taxes or for anything else? Please round to the nearest dollar for
ENGLISH your responses. If you don’t know the exact amount, your best estimate is fine.

SPANISH

$ ______________ Income
Durante el año ^{FILL_REFYR}, ¿cuántos ingresos recibió de sueldos, salarios, comisiones o propinas de
todos los trabajos, antes de las deducciones por impuestos o u otras? Redondee sus respuestas al
dólar más cercano. Si no conoce la cantidad exacta, su mejor estimación es suficiente.

RANGE

$ ______________ dólares en ingresos
0-999,999,999

LIMITS

9 digits

LOOP MAX
PROGRAM. NOTES

CHECK (ENG)

CHECK (SPAN)

Please automatically add commas every 3 digits when inputting numbers above 999.
HARD CHECK IF PINC_010 OUT OF RANGE: (PINC_010=0): ‘You reported earlier that you
had income from a job or self-employment during ^{FILL_REFYR}. Please click here to
update your answer if that is not correct.’ (Return R to PINC_005)
SOFT CHECK IF PINC_010>$500,000: ‘You reported ^{FILL_PINC010} in income from all
jobs in ^{FILL_REFYR}. Please review your answer and correct if needed.’
HARD CHECK IF PINC_010 OUT OF RANGE: (PINC_010=0): ‘Usted informó que tuvo
ingresos de un trabajo independiente o por cuenta propia durante el año ^{FILL_REFYR}.
Si esto no es correcto, haga clic aquí para actualizar su respuesta.’ (Return R to
PINC_005)
SOFT CHECK IF PINC_010>$500,000: ‘Usted informó que recibió ^{FILL_PINC010} dólares
en ingresos de todos los trabajos en el año ^{FILL_REFYR}. Revise su respuesta y corríjala si
es necesario.’

HELP TEXT (ENG)
HELP TEXT (SPAN)
MODE

CASI/CAWI

NOTES
LEAD-IN
NEXT

PINC_006, PINC_009, PINC_007
If PINC_010=DK or REF: PINC_011;
Else PINC_012

PINC_011
ASK

If PINC_010 =DK or REF

QUESTION TYPE

Radio Button

FILLS (ENG)

Use fill from PINC_002, FILL_REFYR

FILLS (SPAN)
Use fill from PINC_002, FILL_REFYR
Which of these categories includes your best estimate of the amount you received in ^{FILL_REFYR} in
wages, salary, commissions, and tips?
1. $1 - $5,000
2. $5,001 - $10,000
3. $10,001 - $25,000
ENGLISH
4. $25,001 - $50,000
5. $50,001 - $100,000
6. $100,001 - $250,000
7. More than $250,000
¿Cuál de estas categorías representa su mejor estimación de la cantidad que recibió en el año
^{FILL_REFYR} en sueldos, salarios, comisiones y propinas?
1. $1 a $5,000 dólares
2. $5,001 a $10,000 dólares
SPANISH
3. $10,001 a $25,000 dólares
4. $25,001 a $50,000 dólares
5. $50,001 a $100,000 dólares
6. $100,001 a $250,000 dólares
7. Más de $250,000 dólares
RANGE
LIMITS
LOOP MAX
PROGRAM. NOTES
CHECK (ENG)
CHECK (SPAN)
HELP TEXT (ENG)
HELP TEXT (SPAN)
MODE

CASI/CAWI

NOTES
LEAD-IN
NEXT

PINC_010 =DK or REF
PINC_012

PINC_012
ASK

ALL

QUESTION TYPE

Radio Button

FILLS (ENG)

Use fill from PINC_002, FILL_REFYR

FILLS (SPAN)
Use fill from PINC_002, FILL_REFYR
Excluding any income you already have mentioned, during ^{FILL_REFYR}, did you receive any money
in income from your own farm, business, partnership, or professional practice?
ENGLISH
1. Yes
0. No
Excluyendo los ingresos ya mencionados, durante el año ^{FILL_REFYR}, ¿recibió dinero en ingresos de
su propia granja, negocio, sociedad o práctica profesional?
SPANISH
1. Sí
0. No
RANGE
LIMITS
LOOP MAX
PROGRAM. NOTES
CHECK (ENG)
CHECK (SPAN)
HELP TEXT (ENG)
HELP TEXT (SPAN)
MODE

CASI/CAWI

NOTES
LEAD-IN
NEXT

PINC_005=0, PINC_006=0, PINC_010, PINC_011
If PINC_012 = 1: PINC_013
Else PINC_017

PINC_013
ASK

IF PINC_012 =1
PINC_013: Numeric
QUESTION TYPE
Special response radio button
Use fill from PINC_002, FILL_REFYR
FILLS (ENG)
Create fill FILL_PINC013: ‘PINC_013’
Use fill from PINC_002, FILL_REFYR
FILLS (SPAN)
Create fill FILL_PINC013: ‘PINC_013’
During ^{FILL_REFYR}, how much income did you receive from your own farm, business, partnership,
or professional practice after expenses?
ENGLISH
$ ______________ Income
-9. Does not apply, I lost money on my farm or business last year
Durante el año ^{FILL_REFYR}, ¿cuántos ingresos recibió de su propia granja, negocio, sociedad o
práctica profesional después de los gastos?
SPANISH
$ ______________ dólares en ingresos
-9. No corresponde, perdí dinero en mi granja o negocio el año pasado
RANGE
0-999,999,999
LIMITS

Max 9 digits

LOOP MAX
PROGRAM. NOTES

Please automatically add commas every 3 digits when inputting numbers above 999.
INCLUDE SEPARATE RADIO BUTTON FOR THE (-9) DOES NOT APPLY OPTION WITH A
CORRESPONDING LABEL. THIS RESPONSE SHOULD BE EXCLUSIVE.
HARD CHECK IF PINC_013 OUT OF RANGE (PINC_013=0): ‘You reported earlier that you
had income from a farm or business during ^{FILL_REFYR}. Please click here to update
your answer if that is not correct.’ (Return R to PINC_012)

CHECK (ENG)

SOFT CHECK IF PINC_013>$1,000,000: ‘You reported ^{FILL_PINC013} in income from
your own farm, business, partnership, or professional practice after expenses in
^{FILL_REFYR}. Please review your answer and correct if needed.’
HARD CHECK IF PINC_013 OUT OF RANGE (PINC_013=0): ‘Usted informó que tuvo
ingresos de una granja o negocio durante el año ^{FILL_REFYR}. Si esto no es correcto,
haga clic aquí para actualizar su respuesta.’ (Return R to PINC_012)

CHECK (SPAN)

SOFT CHECK IF PINC_013>$1,000,000: ‘Usted informó que recibió ^{FILL_PINC013}
dólares en ingresos de su propia granja, negocio, sociedad o práctica profesional
después de los gastos en el año ^{FILL_REFYR}. Revise su respuesta y corríjala si es
necesario.’

HELP TEXT (ENG)
HELP TEXT (SPAN)
MODE

CASI/CAWI

NOTES
LEAD-IN
NEXT

PINC_012=1
IF PINC_013=DK or REF: PINC_014
ELSE IF PINC_013=-9: PINC_015

Else PINC_017
PINC_014
ASK

IF PINC_013 = DK or REF

QUESTION TYPE

Radio Button

FILLS (ENG)

Use fill from PINC_002, FILL_REFYR

FILLS (SPAN)
Use fill from PINC_002, FILL_REFYR
Which of these categories includes the amount of income you received in ^{FILL_REFYR} from your
own farm, business, partnership, or professional practice after expenses?

ENGLISH

1. $1 - $5,000
2. $5,001 - $10,000
3. $10,001 - $25,000
4. $25,001 - $50,000
5. $50,001 - $100,000
6. $100,001 - $250,000
7. More than $250,000
0. Not applicable, I lost money from my farm, business, or practice
¿Cuál de estas categorías incluye la cantidad de ingresos que recibió en el año ^{FILL_REFYR} de su
propia granja, negocio, sociedad o práctica profesional después de los gastos?

SPANISH

1. $1 a $5,000 dólares
2. $5,001 a $10,000 dólares
3. $10,001 a $25,000 dólares
4. $25,001 a $50,000 dólares
5. $50,001 a $100,000 dólares
6. $100,001 a $250,000 dólares
7. Más de $250,000 dólares
0. No aplica, perdí dinero de mi granja, negocio o consultorio.

RANGE
LIMITS
LOOP MAX
PROGRAM. NOTES
CHECK (ENG)
CHECK (SPAN)
HELP TEXT (ENG)
HELP TEXT (SPAN)
MODE

CASI/CAWI

NOTES
LEAD-IN
NEXT

PINC_013=DK or REF
If PINC_014=0: PINC_015
Else PINC_017

PINC_015
ASK

IF PINC_013 =-9 OR PINC_014=0

QUESTION TYPE

Numeric
Use fill from PINC_002, FILL_REFYR
FILLS (ENG)
Create fill FILL_PINC015: ‘PINC_015’
Use fill from PINC_002, FILL_REFYR
FILLS (SPAN)
Create fill FILL_PINC015: ‘PINC_015’
During ^{FILL_REFYR}, about how much money did you lose from your own farm, business,
ENGLISH partnership, or professional practice after expenses?

SPANISH

$ ______________ Money lost
Durante el año ^{FILL_REFYR}, ¿aproximadamente cuánto dinero perdió de su propia granja, negocio,
sociedad o práctica profesional después de los gastos?

RANGE

$ ______________ dólares en dinero perdido
0-999,999,999

LIMITS

9 characters

LOOP MAX
PROGRAM. NOTES
CHECK (ENG)

CHECK (SPAN)

Please automatically add commas every 3 digits when inputting numbers above 999.
SOFT CHECK IF PINC_015>$1,000,000: ‘You reported ^{FILL_PINC015} in losses from your
own farm, business, partnership, or professional practice after expenses in
^{FILL_REFYR}. Please review your answer and correct if needed.’
SOFT CHECK IF PINC_015>$1,000,000: ‘Usted informó que perdió ^{FILL_PINC015}
dólares de su propia granja, negocio, sociedad o práctica profesional después de los
gastos en el año ^{FILL_REFYR}. Revise su respuesta y corríjala si es necesario.’

HELP TEXT (ENG)
HELP TEXT (SPAN)
MODE

CASI/CAWI

NOTES
LEAD-IN
NEXT

PINC_013=-9, PINC_014=0
If PINC_015=DK or REF: PINC_016
Else PINC_017

PINC_016
ASK

IF PINC_015= DK or REF

QUESTION TYPE

Radio Button

FILLS (ENG)

Use fill from PINC_002, FILL_REFYR

FILLS (SPAN)
Use fill from PINC_002, FILL_REFYR
Which of these categories includes the amount of money you lost in ^{FILL_REFYR} from your own
farm, business, partnership, or professional practice after expenses?

ENGLISH

1. $1 - $5,000
2. $5,001 - $10,000
3. $10,001 - $25,000
4. $25,001 - $50,000
5. $50,001 - $100,000
6. $100,001 - $250,000
7. More than $250,000
¿Cuál de estas categorías incluye la cantidad de dinero que perdió en el año ^{FILL_REFYR} de su
propia granja, negocio, sociedad o práctica profesional después de los gastos?

SPANISH

1. $1 a $5,000 dólares
2. $5,001 a $10,000 dólares
3. $10,001 a $25,000 dólares
4. $25,001 a $50,000 dólares
5. $50,001 a $100,000 dólares
6. $100,001 a $250,000 dólares
7. Más de $250,000 dólares

RANGE
LIMITS
LOOP MAX
PROGRAM. NOTES
CHECK (ENG)
CHECK (SPAN)
HELP TEXT (ENG)
HELP TEXT (SPAN)
MODE

CASI/CAWI

NOTES
LEAD-IN
NEXT

PINC_015=DK or REF
PINC_017

PINC_017
ASK

ALL

QUESTION TYPE

Radio Button

FILLS (ENG)

Use fill from PINC_002, FILL_REFYR

FILLS (SPAN)
Use fill from PINC_002, FILL_REFYR
During ^{FILL_REFYR}, did you receive any income from Worker's Compensation?
Worker’s Compensation is an insurance program that provides cash benefits and medical care,
including temporary and permanent disability benefits, lost wages, rehabilitation, and job retraining if
ENGLISH
a worker becomes injured or sick as a direct result of their job.
1. Yes
0. No
Durante el año ^{FILL_REFYR}, ¿recibió algún ingreso de indemnización para trabajadores?
La indemnización para trabajadores es un programa de seguro que proporciona beneficios en efectivo
y atención médica, incluidos beneficios por discapacidad temporal y permanente, salarios perdidos,
SPANISH rehabilitación y recapacitación laboral si un trabajador se lesiona o enferma como resultado directo de
su trabajo.
1. Sí
0. No
RANGE
LIMITS
LOOP MAX
PROGRAM. NOTES
CHECK (ENG)
CHECK (SPAN)
HELP TEXT (ENG)
HELP TEXT (SPAN)
MODE

CASI/CAWI

NOTES
LEAD-IN
NEXT

PINC_012, PINC_013, PINC_014, PINC_015, PINC_016
If PINC_017=1: PINC_018;
Else PINC_020

PINC_018
ASK

IF PINC_017=1

QUESTION TYPE

Numeric
Use fill from PINC_002, FILL_REFYR
FILLS (ENG)
Create fill FILL_PINC018: ‘PINC_018’
Use fill from PINC_002, FILL_REFYR
FILLS (SPAN)
Create fill FILL_PINC018: ‘PINC_018’
During ^{FILL_REFYR}, how much income did you receive from Worker's Compensation?
ENGLISH
$ ______________
Durante el año ^{FILL_REFYR}, ¿cuántos ingresos recibió de la indemnización para trabajadores?
SPANISH
$ ______________ dólares
RANGE
0-999,999,999
LIMITS

9 characters

LOOP MAX
PROGRAM. NOTES

Please automatically add commas every 3 digits when inputting numbers above 999.
HARD CHECK IF PINC_018 OUT OF RANGE (PINC_018=0): ‘You reported earlier that you
had income from Worker’s Compensation during ^{FILL_REFYR}. Please click here to
update your answer if that is not correct.’ (Return R to PINC_017)

CHECK (ENG)

SOFT CHECK IF PINC_018>$1,000,000: ‘You reported ^{FILL_PINC018} in income from
Worker’s Compensation in ^{FILL_REFYR}. Please review your answer and correct if
needed.’
HARD CHECK IF PINC_018 OUT OF RANGE (PINC_018=0): ‘Usted informó que tuvo
ingresos por indemnización para trabajadores durante el ^{FILL_REFYR}. Si esto no es
correcto, haga clic aquí para actualizar su respuesta.’ (Return R to PINC_017)

CHECK (SPAN)

SOFT CHECK IF PINC_018>$1,000,000: ‘Usted declaró que recibió ^{FILL_PINC018}
dólares en ingresos por indemnización para trabajadores en el año ^{FILL_REFYR}. Revise
su respuesta y corríjala si es necesario.’

HELP TEXT (ENG)
HELP TEXT (SPAN)
MODE

CASI/CAWI

NOTES
LEAD-IN
NEXT

PINC_017=1
If PINC_018=DK or REF: PINC_019
Else PINC_020

PINC_019
ASK

IF PINC_018= DK or REF

QUESTION TYPE

Radio Button

FILLS (ENG)

Use fill from PINC_002, FILL_REFYR

FILLS (SPAN)
Use fill from PINC_002, FILL_REFYR
Which of these ranges includes your best estimate of the amount of income you received in
^{FILL_REFYR} from Worker's Compensation?
1. $1 - $1,000
2. $1,001 - $2,500
3. $2,501 - $5,000
ENGLISH
4. $5,001 - $10,000
5. $10,001 - $25,000
6. $25,001 - $50,000
7. More than $50,000
¿Cuál de estos intervalos incluye su mejor estimación de la cantidad de ingresos que recibió en el año
^{FILL_REFYR} procedentes de la indemnización para trabajadores?
1. $1 a $1,000 dólares
2. $1,001 a $2,500 dólares
SPANISH
3. $2,501 a $5,000 dólares
4. $5,001 a $10,000 dólares
5. $10,001 a $25,000 dólares
6. $25,001 a $50,000 dólares
7. Más de $50,000 dólares
RANGE
LIMITS
LOOP MAX
PROGRAM. NOTES
CHECK (ENG)
CHECK (SPAN)
HELP TEXT (ENG)
HELP TEXT (SPAN)
MODE

CASI/CAWI

NOTES
LEAD-IN
NEXT

PINC_018= DK or REF
PINC_020

PINC_020
ASK

ALL

QUESTION TYPE

Radio Button

FILLS (ENG)

Use fill from PINC_002, FILL_REFYR

FILLS (SPAN)
Use fill from PINC_002, FILL_REFYR
During ^{FILL_REFYR}, did you receive any income from Unemployment Insurance?
Unemployment insurance is a joint state-federal program that provides cash benefits to unemployed
ENGLISH workers.
1. Yes
0. No
Durante el ^{FILL_REFYR}, ¿recibió algún ingreso del seguro por desempleo?
El seguro por desempleo es un programa conjunto estatal-federal que da beneficios en efectivo a los
SPANISH trabajadores desempleados.
1. Sí
0. No
RANGE
LIMITS
LOOP MAX
PROGRAM. NOTES
CHECK (ENG)
CHECK (SPAN)
HELP TEXT (ENG)
HELP TEXT (SPAN)
MODE

CASI/CAWI

NOTES
LEAD-IN
NEXT

PINC_017, PINC_018, PINC_019
If PINC_020=1: PINC_021
Else if PINC_002=1: PINC_023
Else PINC_041

PINC_021
ASK

IF PINC_020 = 1

QUESTION TYPE

Numeric
Use fill from PINC_002, FILL_REFYR
FILLS (ENG)
Create fill FILL_PINC021: ‘PINC_021’
Use fill from PINC_002, FILL_REFYR
FILLS (SPAN)
Create fill FILL_PINC021: ‘PINC_021’
During ^{FILL_REFYR}, how much income did you receive from Unemployment Insurance?
ENGLISH
$ ______________
Durante el año ^{FILL_REFYR}, ¿cuántos ingresos recibió del seguro por desempleo?
SPANISH
$ ______________ dólares
RANGE
0-99,999
LIMITS

5 digits

LOOP MAX
PROGRAM. NOTES

Please automatically add commas every 3 digits when inputting numbers above 999.
HARD CHECK IF PINC_021 OUT OF RANGE (PINC_021=0): ‘You reported earlier that you
had income unemployment insurance during ^{FILL_REFYR}. Please click here to update
your answer if that is not correct.’ (Return R to PINC_020)

CHECK (ENG)

SOFT CHECK IF PINC_021>$25,000: ‘You reported ^{FILL_PINC021} in income from
unemployment insurance in ^{FILL_REFYR}. Please review your answer and correct if
needed.’
HARD CHECK IF PINC_021 OUT OF RANGE (PINC_021=0): ‘Usted informó que tuvo
ingresos del seguro por desempleo durante el año ^{FILL_REFYR}. Si esto no es correcto,
haga clic aquí para actualizar su respuesta’. (Return R to PINC_020)

CHECK (SPAN)

SOFT CHECK IF PINC_021>$25,000: ‘Usted declaró que recibió ^{FILL_PINC021} dólares
en ingresos procedentes del seguro por desempleo en el año ^{FILL_REFYR}. Revise su
respuesta y corríjala si es necesario.’

HELP TEXT (ENG)
HELP TEXT (SPAN)
MODE

CASI/CAWI

NOTES
LEAD-IN
NEXT

PINC_020=1
If PINC_021= DK or REF: PINC_022
Else PINC_002= 1: PINC_023
Else PINC_041

PINC_022
ASK

IF PINC_021=DK or REF

QUESTION TYPE

Radio Button

FILLS (ENG)

Use fill from PINC_002, FILL_REFYR

FILLS (SPAN)

Use fill from PINC_002, FILL_REFYR

ENGLISH

Which of these ranges best describes the amount of income you received in ^{FILL_REFYR} from
Unemployment Insurance?
1. $1 - $1,000
2. $1,001 - $2,500
3. $2,501 - $5,000
4. $5,001 - $10,000
5. $10,001 - $25,000
6. $25,001 - $50,000
7. More than $50,000

SPANISH

¿Cuál de estos intervalos describe mejor la cantidad de ingresos que recibió en el año ^{FILL_REFYR}
del seguro por desempleo?
1. $1 a $1,000 dólares
2. $1,001 a $2,500 dólares
3. $2,501 a $5,000 dólares
4. $5,001 a $10,000 dólares
5. $10,001 a $25,000 dólares
6. $25,001 a $50,000 dólares
7. Más de $50,000 dólares

RANGE
LIMITS
LOOP MAX
PROGRAM. NOTES
CHECK (ENG)
CHECK (SPAN)
HELP TEXT (ENG)
HELP TEXT (SPAN)
MODE

CASI/CAWI

NOTES
LEAD-IN
NEXT

PINC_021=DK or REF
PINC_002=1: PINC_023;
Else PINC_041

PINC_023
ASK

IF PINC_002 = 1

QUESTION TYPE

Radio Button

FILLS (ENG)

Use fill from PINC_002, FILL_REFYR

FILLS (SPAN)
Use fill from PINC_002, FILL_REFYR
The next few questions are about the earnings and business income of your spouse or partner. During
^{FILL_REFYR}, did your spouse or partner receive any income from a job such as wages, salary,
commissions, or tips?
ENGLISH Please include any income your spouse or partner received from doing odd jobs, temporary or
seasonal work, and service in the military, the military reserves, or the National Guard.
1. Yes
0. No
Las siguientes preguntas son sobre las ganancias y los ingresos empresariales de su cónyuge o pareja.
Durante el año ^{FILL_REFYR}, ¿su cónyuge o pareja recibió algún ingreso de un trabajo, como sueldos,
salarios, comisiones o propinas?
SPANISH Incluya los ingresos que su cónyuge o pareja haya recibido por realizar trabajos ocasionales, trabajo
temporal o estacional y servicio en las fuerzas armadas, las reservas militares o la Guardia Nacional.
1. Sí
0. No
RANGE
LIMITS
LOOP MAX
PROGRAM. NOTES
CHECK (ENG)
CHECK (SPAN)
HELP TEXT (ENG)
HELP TEXT (SPAN)
MODE

CASI/CAWI

NOTES
LEAD-IN
NEXT

PINC_020, PINC_021, PINC_022
If PINC_023=0 or DK: PINC_030
Else PINC_023=REF: PINC_024
Else PINC_025

PINC_024
ASK

IF PINC_023 = -1REF

QUESTION TYPE

Radio Button

FILLS (ENG)

Use fill from PINC_002, FILL_REFYR

FILLS (SPAN)
Use fill from PINC_002, FILL_REFYR
Please remember that the information you provide to us about yourself and your spouse or partner is
kept strictly confidential. Did your spouse or partner have any income from any jobs during
ENGLISH ^{FILL_REFYR}?
1. Yes
0. No
Recuerde que la información que nos da sobre usted y su cónyuge o pareja es estrictamente
confidencial. ¿Tuvo su cónyuge o pareja ingresos de algún trabajo durante el año ^{FILL_REFYR}?
SPANISH
1. Sí
0. No
RANGE
LIMITS
LOOP MAX
PROGRAM. NOTES
CHECK (ENG)
CHECK (SPAN)
HELP TEXT (ENG)
HELP TEXT (SPAN)
MODE

CASI/CAWI

NOTES
LEAD-IN
NEXT

PINC_023=REF
PINC_024=REF or 1: PINC_025
Else PINC_030

PINC_025
ASK

IF PINC_023 =1 OR PINC_024 = 1 or REF

QUESTION TYPE

Numeric

FILLS (ENG)

Use fill from PINC_002, FILL_REFYR

FILLS (SPAN)
Use fill from PINC_002, FILL_REFYR
During the 52 weeks of ^{FILL_REFYR}, how many weeks did your spouse or partner work at all jobs,
either full-time or part-time? Please include weeks when they were on paid leave from a job.
ENGLISH
_____________ weeks

SPANISH

Durante las 52 semanas del año ^{FILL_REFYR}, ¿cuántas semanas trabajó su cónyuge o pareja en
todos sus empleos, ya sea a tiempo completo o a tiempo parcial? Incluya las semanas que estuvo
ausente con licencia remunerada.

RANGE

_____________ semanas
0-52

LIMITS

2 digits

LOOP MAX
PROGRAM. NOTES
CHECK (ENG)
CHECK (SPAN)

HARD CHECK IF PINC_025 IS OUT OF RANGE: ‘Please enter a number of weeks between
0-52.’
HARD CHECK IF PINC_025 IS OUT OF RANGE: ‘Ingrese un número de semanas entre 0 y 52.’

HELP TEXT (ENG)
HELP TEXT (SPAN)
MODE

CASI/CAWI

NOTES
LEAD-IN
NEXT

PINC_023=1, PINC_024=1 or REF
If PINC_025 = 0: PINC_028;
Else PINC_026

PINC_026
ASK

IF PINC_025>0

QUESTION TYPE

Numeric

FILLS (ENG)

Use fill from PINC_002, FILL_REFYR

FILLS (SPAN)
Use fill from PINC_002, FILL_REFYR
In the weeks that your spouse or partner worked in ^{FILL_REFYR}, how many hours did they usually
work per week? Please include all hours your spouse or partner worked whether at their normal work
ENGLISH site, at home, or in some other location.

SPANISH

_____________ hours per week
En las semanas en las que su cónyuge o pareja trabajó en el año ^{FILL_REFYR}, ¿cuántas horas solía
trabajar por semana? Incluya todas las horas trabajadas por su cónyuge o pareja, ya sea en su lugar de
trabajo habitual, en casa o en algún otro lugar.

RANGE

_____________ horas por semana
0-120

LIMITS

3 digits

LOOP MAX
PROGRAM. NOTES
CHECK (ENG)
CHECK (SPAN)

HARD CHECK IF PINC_026 OUT OF RANGE: ‘Please enter a number of hours per week
between 0-120.’
HARD CHECK IF PINC_026 OUT OF RANGE: ‘Ingrese un número de horas por semana entre
0 y 120.’

HELP TEXT (ENG)
HELP TEXT (SPAN)
MODE

CASI/CAWI

NOTES
LEAD-IN
NEXT

PINC_025
PINC_027

PINC_027
ASK

IF (PINC_023=1 OR PINC_024=1 or REF) AND PINC_025≠0

QUESTION TYPE

Numeric

FILLS (ENG)

Use fill from PINC_002, FILL_REFYR

FILLS (SPAN)
Use fill from PINC_002, FILL_REFYR
How many of those hours per week did they usually telework or work at home?
ENGLISH
Hours per week: _____________
¿Cuántas de esas horas a la semana suele teletrabajar o trabajar desde casa?
SPANISH
Horas por semana: _____________
RANGE
0-120
LIMITS

3 digits

LOOP MAX
PROGRAM. NOTES
HARD CHECK IF PINC_027 OUT OF RANGE: ‘Please enter a number of hours per week
between 0-120.’
CHECK (ENG)

CHECK (SPAN)

HARD CHECK IF PINC_027>PINC_026: ‘You reported that youthey worked more hours
from home than the hours youthey worked total per week. Please click here to update
your answer, as appropriate.’
DISPLAY LINK ‘Update total hours worked per week’ that will route R back to PINC_026
HARD CHECK IF PINC_027 OUT OF RANGE: ‘Ingrese un número de horas por semana
entre 0 y 120.’
HARD CHECK IF PINC_027>PINC_026: ‘Usted informó que trabajaban más horas desde
casa que las que trabajaban en total a la semana. Haga clic aquí para actualizar su
respuesta, según corresponda.’
DISPLAY LINK ‘Actualizar el total de horas trabajadas por semana’ that will route R back to
PINC_026

HELP TEXT (ENG)
HELP TEXT (SPAN)
MODE

CASI/CAWI

NOTES
LEAD-IN
NEXT

PINC_026
PINC_028

PINC_028
ASK

IF PINC_023 =1 OR PINC_024 = 1

QUESTION TYPE

Numeric
Use fill from PINC_002, FILL_REFYR
FILLS (ENG)
Create fill FILL_PINC028: ‘PINC_028’
Use fill from PINC_002, FILL_REFYR
FILLS (SPAN)
Create fill FILL_PINC028: ‘PINC_028’
During ^{FILL_REFYR}, how much income did your spouse or partner receive from wages, salary,
commissions, or tips from all jobs, before deductions for taxes or anything else? Please round to the
ENGLISH nearest dollar for your responses. If you don’t know the exact amount, your best estimate is fine.

SPANISH

$ ______________ Income
Durante el año ^{FILL_REFYR}, ¿cuántos ingresos recibió su cónyuge o pareja de sueldos, salarios,
comisiones o propinas de todos los trabajos, antes de las deducciones por impuestos o u otras?
Redondee sus respuestas al dólar más cercano. Si no conoce la cantidad exacta, su mejor estimación
es suficiente.

RANGE

$ ______________ dólares en ingresos
0-999,999,999

LIMITS

9 digits

LOOP MAX
PROGRAM. NOTES

Please automatically add commas every 3 digits when inputting numbers above 999.
HARD CHECK IF PINC_028 OUT OF RANGE (PINC_028=0): ‘You reported earlier that your
spouse or partner had income from jobs during ^{FILL_REFYR}. Please click here to
update your answer if that is not correct.’ (Return R to PINC_023)

CHECK (ENG)

CHECK (SPAN)

SOFT CHECK IF PINC_028>$500,000: ‘You reported that your partner had
^{FILL_PINC028} in income from jobs in ^{FILL_REFYR}. Please review your answer and
correct if needed.’
HARD CHECK IF PINC_028 OUT OF RANGE (PINC_028=0): ‘Usted informó que su cónyuge
o pareja tuvo ingresos por trabajos durante el año ^{FILL_REFYR}. Si esto no es correcto,
haga clic aquí para actualizar su respuesta.’ (Return R to PINC_023)
SOFT CHECK IF PINC_028>$500,000: ‘Usted informó que su pareja tenía ingresos de
^{FILL_PINC028} dólares por trabajos en el año ^{FILL_REFYR}. Revise su respuesta y
corríjala si es necesario.’

HELP TEXT (ENG)
HELP TEXT (SPAN)
MODE

CASI/CAWI

NOTES
LEAD-IN
NEXT

PINC_025=0, PINC_027
PINC_028=DK or REF: PINC_029
Else PINC_030

PINC_029
ASK

IF PINC_028 =DK or REF

QUESTION TYPE

Radio Button

FILLS (ENG)

Use fill from PINC_002, FILL_REFYR

FILLS (SPAN)
Use fill from PINC_002, FILL_REFYR
Which of these categories includes your best estimate of the amount your spouse or partner received
in ^{FILL_REFYR} in wages, salary, commissions, and tips?
1. $1 - $5,000
2. $5,001 - $10,000
3. $10,001 - $25,000
4. $25,001 - $50,000
5. $50,001 - $100,000
6. $100,001 - $250,000
7. More than $250,000

ENGLISH

¿Cuál de estas categorías representa su mejor estimación de la cantidad que recibió su cónyuge o
pareja en el año ^{FILL_REFYR} de sueldos, salarios, comisiones y propinas?

SPANISH

1. $1 a $5,000 dólares
2. $5,001 a $10,000 dólares
3. $10,001 a $25,000 dólares
4. $25,001 a $50,000 dólares
5. $50,001 a $100,000 dólares
6. $100,001 a $250,000 dólares
7. Más de $250,000 dólares

RANGE
LIMITS
LOOP MAX
PROGRAM. NOTES
CHECK (ENG)
CHECK (SPAN)
HELP TEXT (ENG)
HELP TEXT (SPAN)
MODE

CASI/CAWI

NOTES
LEAD-IN
NEXT

PINC_028=DK or REF
PINC_030

PINC_030
ASK

IF PINC_002=1

QUESTION TYPE

Radio Button

FILLS (ENG)

Use fill from PINC_002, FILL_REFYR

FILLS (SPAN)
Use fill from PINC_002, FILL_REFYR
Excluding any income you already mentioned, during ^{FILL_REFYR}, did your spouse or partner
receive any money in income from a farm, business, partnership, or professional practice?
ENGLISH
1. Yes
0. No
Excluyendo los ingresos que ya ha mencionado, durante el año ^{FILL_REFYR}, ¿recibió su cónyuge o
pareja dinero como ingresos procedentes de su granja, negocio, sociedad o práctica profesional?
SPANISH
1. Sí
0. No
RANGE
LIMITS
LOOP MAX
PROGRAM. NOTES
CHECK (ENG)
CHECK (SPAN)
HELP TEXT (ENG)
HELP TEXT (SPAN)
MODE

CASI/CAWI

NOTES
LEAD-IN
NEXT

PINC_023=DK or 0, PINC_024=DK or 0, PINC_028, PINC_029
PINC_030=1: PINC_031
Else PINC_035

PINC_031
ASK

IF PINC_030 =1
PINC_031: Numeric
QUESTION TYPE
Special response radio button
Use fill from PINC_002, FILL_REFYR
FILLS (ENG)
Create fill FILL_PINC031: ‘PINC_031’
Use fill from PINC_002, FILL_REFYR
FILLS (SPAN)
Create fill FILL_PINC031: ‘PINC_031’
During ^{FILL_REFYR}, how much did your spouse or partner receive from their farm, business,
partnership, or professional practice after expenses?
ENGLISH
$ ______________ Income
-9. Lost money on their farm or business last year
Durante el año ^{FILL_REFYR}, ¿cuánto recibió su cónyuge o pareja de su granja, negocio, sociedad o
práctica profesional después de los gastos?
SPANISH
$ ______________ dólares en ingresos
-9. Perdió dinero en la granja o negocio el año pasado
RANGE
0-999,999,999
LIMITS

9 digits

LOOP MAX
PROGRAM. NOTES

CHECK (ENG)

INCLUDE SEPARATE RADIO BUTTON FOR THE (-9) DOES NOT APPLY OPTION WITH A
CORRESPONDING LABEL. THIS SPECIAL RESPONSE SHOULD BE EXCLUSIVE.
HARD CHECK IF PINC_031 OUT OF RANGE (PINC_031=0): ‘You reported earlier that your
spouse or partner had income from their farm, business, partnership, or professional
practice during ^{FILL_REFYR}. Please click here to update your answer if that is not
correct.’ (Return R to PINC_030)
SOFT CHECK IF PINC_031>$1,000,000: ‘You reported that your partner had
^{FILL_PINC031} in income from their farm, business, partnership, or professional
practice after expenses in ^{FILL_REFYR}. Please review your answer and correct if
needed.’
HARD CHECK IF PINC_031 OUT OF RANGE (PINC_031=0): ‘Usted informó que su cónyuge
o pareja tenía ingresos procedentes de su su granja, negocio, sociedad o práctica
profesional durante el ^{FILL_REFYR}. Si esto no es correcto, haga clic aquí para
actualizar su respuesta.’ (Return R to PINC_030)

CHECK (SPAN)

SOFT CHECK IF PINC_031>$1,000,000: ‘Usted informó que su pareja recibió
^{FILL_PINC031} dólares en ingresos de su granja, negocio, sociedad o práctica
profesional después de los gastos en el año ^{FILL_REFYR}. Revise su respuesta y
corríjala si es necesario.’

HELP TEXT (ENG)
HELP TEXT (SPAN)
MODE

CASI/CAWI

NOTES
LEAD-IN
NEXT

PINC_030
IF PINC_031=-9: PINC_033;

Else if PINC_031=DK or REF: PINC_032;
Else PINC_035
PINC_032
ASK

IF PINC_031 = DK or REF

QUESTION TYPE

Radio Button

FILLS (ENG)

Use fill from PINC_002, FILL_REFYR

FILLS (SPAN)
Use fill from PINC_002, FILL_REFYR
Which of the following categories corresponds to the range that includes the amount of income your
spouse or partner received during ^{FILL_REFYR} from their farm, business, partnership, or
professional practice after expenses?
1. $1 - $5,000
2. $5,001 - $10,000
3. $10,001 - $25,000
ENGLISH
4. $25,001 - $50,000
5. $50,001 - $100,000
6. $100,001 - $250,000
7. More than $250,000
0. N/A, They lost or would lose money
¿Cuál de las siguientes categorías corresponde al intervalo que incluye la cantidad de ingresos que su
cónyuge o pareja recibió durante el año ^{FILL_REFYR} de su granja, negocio, sociedad o práctica
profesional después de los gastos?
1. $1 a $5,000 dólares
2. $5,001 a $10,000 dólares
SPANISH
3. $10,001 a $25,000 dólares
4. $25,001 a $50,000 dólares
5. $50,001 a $100,000 dólares
6. $100,001 a $250,000 dólares
7. Más de $250,000 dólares
0. No corresponde, perdió o perdería dinero
RANGE
LIMITS
LOOP MAX
PROGRAM. NOTES
CHECK (ENG)
CHECK (SPAN)
HELP TEXT (ENG)
HELP TEXT (SPAN)
MODE

CASI/CAWI

NOTES
LEAD-IN
NEXT

PINC_031=DK or REF
PINC_032=0: PINC_033;
Else PINC_035

PINC_033
ASK

IF PINC_031 = -9 or PINC_032=0

QUESTION TYPE

Numeric
Use fill from PINC_002, FILL_REFYR
FILLS (ENG)
Create fill, FILL_PINC033: ‘PINC_033’
Use fill from PINC_002, FILL_REFYR
FILLS (SPAN)
Create fill, FILL_PINC033: ‘PINC_033’
During ^{FILL_REFYR}, about how much money did your spouse or partner lose from their farm,
ENGLISH business, partnership, or professional practice after expenses?

SPANISH

$ ______________ Money lost
Durante el año ^{FILL_REFYR}, ¿aproximadamente cuánto dinero perdió su cónyuge o pareja de su
propia granja, negocio, sociedad o práctica profesional después de los gastos?

RANGE

$ ______________ dólares en dinero perdido
0-999,999,999

LIMITS

9 digits

LOOP MAX
PROGRAM. NOTES
CHECK (ENG)

CHECK (SPAN)

Please automatically add commas every 3 digits when inputting numbers above 999.
SOFT CHECK IF PINC_031>$1,000,000: ‘You reported that your partner had
^{FILL_PINC033} in losses from their farm, business, partnership, or professional practice
in ^{FILL_REFYR}. Please review your answer and correct if needed.’
SOFT CHECK IF PINC_031>$1,000,000: ‘Usted informó que su pareja perdió
^{FILL_PINC033} dólares en su granja, negocio, sociedad o práctica profesional en el año
^{FILL_REFYR}. Revise su respuesta y corríjala si es necesario.’

HELP TEXT (ENG)
HELP TEXT (SPAN)
MODE

CASI/CAWI

NOTES
LEAD-IN
NEXT

PINC_031 = -9 or PINC_032=0
PINC_033= DK or REF: PINC_034
Else PINC_035

PINC_034
ASK

IF PINC_033 =DK or REF

QUESTION TYPE

Radio Button

FILLS (ENG)

Use fill from PINC_002, FILL_REFYR

FILLS (SPAN)
Use fill from PINC_002, FILL_REFYR
Which of these categories corresponds to the range that includes the amount of money your spouse
or partner lost in ^{FILL_REFYR} from their farm, business, partnership, or professional practice after
expenses?

ENGLISH

SPANISH

1.
$1 - $5,000
2.
$5,001 - $10,000
3.
$10,001 - $25,000
4.
$25,001 - $50,000
5.
$50,001 - $100,000
6.
$100,001 - $250,000
7.
More than $250,000
¿Cuál de estas categorías corresponde al intervalo que incluye la cantidad de dinero que su cónyuge o
pareja perdió durante el año ^{FILL_REFYR} de su granja, negocio, sociedad o práctica profesional
después de los gastos?
1.
2.
3.
4.
5.
6.
7.

$1 a $5,000 dólares
$5,001 a $10,000 dólares
$10,001 a $25,000 dólares
$25,001 a $50,000 dólares
$50,001 a $100,000 dólares
$100,001 a $250,000 dólares
Más de $250,000 dólares

RANGE
LIMITS
LOOP MAX
PROGRAM. NOTES
CHECK (ENG)
CHECK (SPAN)
HELP TEXT (ENG)
HELP TEXT (SPAN)
MODE

CASI/CAWI

NOTES
LEAD-IN
NEXT

PINC_033=DK or REF
PINC_035

PINC_035
ASK

IF PINC_002 =1

QUESTION TYPE

Radio Button

FILLS (ENG)

Use fill from PINC_002, FILL_REFYR

FILLS (SPAN)
Use fill from PINC_002, FILL_REFYR
During ^{FILL_REFYR}, did your spouse or partner receive any income from Worker's Compensation?
Worker’s Compensation is an insurance program that provides cash benefits and medical care,
including temporary and permanent disability benefits, lost wages, rehabilitation, and job retraining if
ENGLISH
a worker becomes injured or sick as a direct result of their job.
1. Yes
0. No
Durante el año ^{FILL_REFYR}, ¿su cónyuge o pareja recibió algún ingreso de indemnización para
trabajadores?
La indemnización para trabajadores es un programa de seguro que proporciona beneficios en efectivo
y atención médica, incluidos beneficios por discapacidad temporal y permanente, salarios perdidos,
SPANISH
rehabilitación y recapacitación laboral si un trabajador se lesiona o enferma como resultado directo de
su trabajo.
1. Sí
0. No
RANGE
LIMITS
LOOP MAX
PROGRAM. NOTES
CHECK (ENG)
CHECK (SPAN)
HELP TEXT (ENG)
HELP TEXT (SPAN)
MODE

CASI/CAWI

NOTES
LEAD-IN
NEXT

PINC_030, PINC_031, PINC_032, PINC_033, PINC_034
PINC_035=1: PINC_036
Else PINC_038

PINC_036
ASK

IF PINC_035 = 1

QUESTION TYPE

Numeric
Use fill from PINC_002, FILL_REFYR
FILLS (ENG)
Create fill FILL_PINC036: ‘PINC_036’
Use fill from PINC_002, FILL_REFYR
FILLS (SPAN)
Create fill FILL_PINC036: ‘PINC_036’
During ^{FILL_REFYR}, how much income did your spouse or partner receive from Worker's
ENGLISH Compensation?

SPANISH

$ ______________ Income
Durante el ^{FILL_REFYR}, ¿cuántos ingresos recibió su cónyuge o pareja de la indemnización para
trabajadores?

RANGE

$ ______________ dólares en ingresos
0-999,999,999

LIMITS

9 digits

LOOP MAX
PROGRAM. NOTES

Please automatically add commas every 3 digits when inputting numbers above 999.
HARD CHECK IF PINC_036 OUT OF RANGE (PINC_036=0): ‘You reported earlier that your
spouse or partner had income from worker’s compensation during ^{FILL_REFYR}. Please
click here to update your answer if that is not correct.’ (Return R to PINC_035)

CHECK (ENG)

SOFT CHECK IF PINC_036>$1,000,000: ‘You reported that your partner had
^{FILL_PINC036} in income from worker’s compensation in ^{FILL_REFYR}. Please review
your answer and correct if needed.’
HARD CHECK IF PINC_036 OUT OF RANGE (PINC_036=0): ‘Usted informó que su cónyuge
o pareja tuvo ingresos por indemnización para trabajadores durante el ^{FILL_REFYR}. Si
esto no es correcto, haga clic aquí para actualizar su respuesta.’ (Return R to PINC_035)

CHECK (SPAN)

SOFT CHECK IF PINC_036>$1,000,000: ‘Usted informó que su pareja tuvo ingresos de
^{FILL_PINC036} dólares por indemnización laboral en el año ^{FILL_REFYR}. Revise su
respuesta y corríjala si es necesario.’

HELP TEXT (ENG)
HELP TEXT (SPAN)
MODE

CASI/CAWI

NOTES
LEAD-IN
NEXT

PINC_035=1
PINC_036=DK or REF: PINC_037;
Else PINC_038

PINC_037
ASK

IF PINC_036 =DK or REF

QUESTION TYPE

Radio Button

FILLS (ENG)

Use fill from PINC_002, FILL_REFYR

FILLS (SPAN)
Use fill from PINC_002, FILL_REFYR
Which of these ranges best describes the amount of income your spouse or partner received in
^{FILL_REFYR} from Worker's Compensation?

ENGLISH

1. $1 - $1,000
2. $1,001 - $2,500
3. $2,501 - $5,000
4. $5,001 - $10,000
5. $10,001 - $25,000
6. $25,001 - $50,000
7. More than $50,000
¿Cuál de estos intervalos describe mejor la cantidad de ingresos que recibió su cónyuge o pareja en el
año ^{FILL_REFYR} procedentes de la indemnización para trabajadores?

SPANISH

1. $1 a $1,000 dólares
2. $1,001 a $2,500 dólares
3. $2,501 a $5,000 dólares
4. $5,001 a $10,000 dólares
5. $10,001 a $25,000 dólares
6. $25,001 a $50,000 dólares
7. Más de $50,000 dólares

RANGE
LIMITS
LOOP MAX
PROGRAM. NOTES
CHECK (ENG)
CHECK (SPAN)
HELP TEXT (ENG)
HELP TEXT (SPAN)
MODE

CASI/CAWI

NOTES
LEAD-IN
NEXT

PINC_036=DK or REF
PINC_038

PINC_038
ASK

IF PINC_002 = 1

QUESTION TYPE

Radio Button

FILLS (ENG)

Use fill from PINC_002, FILL_REFYR

FILLS (SPAN)
Use fill from PINC_002, FILL_REFYR
During ^{FILL_REFYR}, did your spouse or partner receive any income from Unemployment Insurance?
1. Yes
ENGLISH
0. No
Durante el año ^{FILL_REFYR}, ¿recibió su cónyuge o pareja algún ingreso del seguro por desempleo?
SPANISH
1. Sí
0. No
RANGE
LIMITS
LOOP MAX
PROGRAM. NOTES
CHECK (ENG)
CHECK (SPAN)
HELP TEXT (ENG)
HELP TEXT (SPAN)
MODE

CASI/CAWI

NOTES
LEAD-IN
NEXT

PINC_035, PINC_036, PINC_037
PINC_038=1: PINC_039
Else PINC_041

PINC_039
ASK

IF PINC_038 =1

QUESTION TYPE

Numeric
Use fill from PINC_002, FILL_REFYR
FILLS (ENG)
Create fill, FILL_PINC039: ‘PINC_039’
Use fill from PINC_002, FILL_REFYR
FILLS (SPAN)
Create fill, FILL_PINC039: ‘PINC_039’
During ^[FILL_REFYR], how much income did your spouse or partner receive from Unemployment
ENGLISH Insurance?

SPANISH

$ ______________
Durante el ^[FILL_REFYR], ¿cuántos ingresos recibió su cónyuge o pareja del seguro por desempleo?

RANGE

$ ______________ dólares
0-99,999

LIMITS

5 digits

LOOP MAX
PROGRAM. NOTES

Please automatically add commas every 3 digits when inputting numbers above 999.
HARD CHECK IF PINC_039 OUT OF RANGE (PINC_039=0): ‘You reported earlier that your
spouse or partner had income unemployment insurance during ^{FILL_REFYR}. Please
click here to update your answer if that is not correct.’ (Return R to PINC_038)

CHECK (ENG)

SOFT CHECK IF PINC_039>$25,000: ‘You reported that your partner had ^{FILL_PINC039}
in income from unemployment insurance in ^{FILL_REFYR}. Please review your answer
and correct if needed.’
HARD CHECK IF PINC_039 OUT OF RANGE (PINC_039=0): ‘Usted informó que su cónyuge
o pareja tuvo ingresos por el seguro por desempleo durante el año ^{FILL_REFYR}. Si
esto no es correcto, haga clic aquí para actualizar su respuesta.’ (Return R to PINC_038)

CHECK (SPAN)

SOFT CHECK IF PINC_039>$25,000: ‘Usted informó que su pareja recibió ^{FILL_PINC039}
dólares en ingresos del seguro por desempleo en ^{FILL_REFYR}. Revise su respuesta y
corríjala si es necesario.’

HELP TEXT (ENG)
HELP TEXT (SPAN)
MODE

CASI/CAWI

NOTES
LEAD-IN
NEXT

PINC_038=1
PINC_039=DK or REF: PINC_040
Else PINC_041

PINC_040
ASK

IF PINC_039=DK or REF

QUESTION TYPE

Radio Button

FILLS (ENG)

Use fill from PINC_002, FILL_REFYR

FILLS (SPAN)
Use fill from PINC_002, FILL_REFYR
Which of these ranges includes your best estimate of the amount your spouse or partner received in
^[FILL_REFYR] from Unemployment Insurance?

ENGLISH

1. $1 - $1,000
2. $1,001 - $2,500
3. $2,501 - $5,000
4. $5,001 - $10,000
5. $10,001 - $25,000
6. $25,001 - $50,000
7. More than $50,000
¿Cuál de estos intervalos incluye su mejor estimación de la cantidad que su cónyuge o pareja recibió
en el año ^[FILL_REFYR] del seguro por desempleo?

SPANISH

1.
2.
3.
4.
5.
6.
7.

$1 a $1,000
$1,001 a $2,500
$2,501 a $5,000
$5,001 a $10,000
$10,001 a $25,000
$25,001 a $50,000
Más de $50,000

RANGE
LIMITS
LOOP MAX
PROGRAM. NOTES
CHECK (ENG)
CHECK (SPAN)
HELP TEXT (ENG)
HELP TEXT (SPAN)
MODE

CASI/CAWI

NOTES
LEAD-IN
NEXT

PINC_039=DK or REF
PINC_041

PINC_041
ASK

ALL

QUESTION TYPE

Informational
Use fill from PINC_002, FILL_REFYR

FILLS (ENG)

Create fill, FILL_PINC_041
IF PINC_002 = 1, FILL_PINC_041: ‘you and your spouse or partner’
ELSE FILL_PINC_041: ‘you’
Use fill from PINC_002, FILL_REFYR

FILLS (SPAN)

ENGLISH
SPANISH

Create fill, FILL_PINC_041S
IF PINC_002 = 1, FILL_PINC_041S: ‘usted y su cónyuge o pareja podrían haber recibido’
ELSE FILL_PINC_041S: ‘usted podría haber recibido’
The next questions are about other sources of income ^{FILL_PINC_041} may have received in
^[FILL_REFYR].
Las siguientes preguntas son sobre otras fuentes de ingresos que ^{FILL_PINC_041} en el año
^[FILL_REFYR].

RANGE
LIMITS
LOOP MAX
PROGRAM. NOTES
CHECK (ENG)
CHECK (SPAN)
HELP TEXT (ENG)
HELP TEXT (SPAN)
MODE

CASI/CAWI

NOTES
LEAD-IN
NEXT

PINC_002=0, PINC_038=0, PINC_039, PINC_040, PINC_020=0, PINC_021, PINC_022
PINC_042

PINC_042
ASK

ALL

QUESTION TYPE

Radio Button
Use fill from PINC_002, FILL_REFYR

FILLS (ENG)

Create fill, FILL_PINC_042
IF PINC_002 = 1, FILL_PINC_042: ‘your or your spouse or partner’s children’
ELSE FILL_PINC_042: ‘your children’
Use fill from PINC_002, FILL_REFYR

FILLS (SPAN)

ENGLISH

SPANISH

Create fill, FILL_PINC_042
IF PINC_002 = 1, FILL_PINC_042: ‘los(as) hijos(as) que son de su cónyuge o pareja’
ELSE FILL_PINC_042: ‘sus hijos(as)’

Have child support payments ever been agreed to or awarded for any of ^{FILL_PINC_042} living with
you?
1. Yes
0. No
¿Alguna vez se han acordado u otorgado pagos de manutención de menores para algunos(as) de
^{FILL_PINC_042} que viven con usted?
1. Sí
0. No

RANGE
LIMITS
LOOP MAX
PROGRAM. NOTES
CHECK (ENG)
CHECK (SPAN)
HELP TEXT (ENG)
HELP TEXT (SPAN)
MODE

CASI/CAWI

NOTES
LEAD-IN
NEXT

PINC_041
PINC_042=1: PINC_043
Else PINC_046

PINC_043
ASK

IF PINC_042 = 1

QUESTION TYPE

Radio Button
Use fill from PINC_002, FILL_REFYR

FILLS (ENG)

Create fill, FILL_PINC_043
IF PINC_002 = 1, FILL_PINC_043: ‘you or your spouse or partner’
ELSE FILL_PINC_043: ‘you’
Use fill from PINC_002, FILL_REFYR

FILLS (SPAN)

ENGLISH

SPANISH

Create fill, FILL_PINC_043S
IF PINC_002 = 1, FILL_PINC_043S: ‘se suponía que usted y su cónyuge o pareja recibirían’
ELSE FILL_PINC_043S: ‘se suponía que usted recibiría’

During ^[FILL_REFYR], were ^{FILL_PINC_043} supposed to receive any child- support payments?
1. Yes
0. No
Durante el año ^[FILL_REFYR], ¿^{FILL_PINC_043S} pagos de manutención de menores?
1. Sí
0. No

RANGE
LIMITS
LOOP MAX
PROGRAM. NOTES
CHECK (ENG)
CHECK (SPAN)
HELP TEXT (ENG)
HELP TEXT (SPAN)
MODE

CASI/CAWI

NOTES
LEAD-IN
NEXT

PINC_042=1
PINC_043=1: PINC_044;
Else PINC_046

PINC_044
ASK

IF PINC_043 = 1

QUESTION TYPE
FILLS (ENG)

Numeric
Use fill from PINC_002, FILL_REFYR
Use fill from PINC_041, FILL_PINC_041
Create fill FILL_PINC044: ‘PINC_044’
Use fill from PINC_002, FILL_REFYR

FILLS (SPAN)

Create fill, FILL_PINC_044S
IF PINC_002 = 1, FILL_PINC_044S: ‘reciben usted y su cónyuge o pareja’
ELSE FILL_PINC_044S: ‘recibe usted’

ENGLISH
SPANISH

Create fill FILL_PINC044: ‘PINC_044’
How much did ^{FILL_PINC_041} receive in child support during ^[FILL_REFYR]?
$ ______________ Child support
¿Cuánto ^{FILL_PINC_044S} en manutención de menores durante el año ^[FILL_REFYR]?

RANGE

$ ______________ dólares en manutención de menores
0-999,999,999

LIMITS

9 digits

LOOP MAX
PROGRAM. NOTES
CHECK (ENG)

Please automatically add commas every 3 digits when inputting numbers above 999.
SOFT CHECK IF PINC_044>$1,000,000: ‘You reported that you and/or your partner
received ^{FILL_PINC044} in child support in ^{FILL_REFYR}. Please review your answer
and correct if needed.’
SOFT CHECK IF PINC_044>$1,000,000 AND PINC_002 = 1: ‘Usted informó que usted y/o
su pareja recibieron ^{FILL_PINC044} dólares en manutención de menores en el año
^{FILL_REFYR}. Revise su respuesta y corríjala si es necesario.’

CHECK (SPAN)

SOFT CHECK IF PINC_044>$1,000,000 AND PINC_002 != 1: ‘Usted informó que recibió
^{FILL_PINC044} dólares en manutención de menores en el año ^{FILL_REFYR}. Revise su
respuesta y corríjala si es necesario.’

HELP TEXT (ENG)
HELP TEXT (SPAN)
MODE

CASI/CAWI

NOTES
LEAD-IN
NEXT

PINC_043 = 1
PINC_044= DK or REF: PINC_045
Else PINC_046

PINC_045
ASK

IF PINC_044 = DK or REF

QUESTION TYPE

Radio Button
Use fill from PINC_002, FILL_REFYR
Use fill from PINC_041, FILL_PINC_041
Use fill from PINC_002, FILL_REFYR

FILLS (ENG)

Create fill, FILL_PINC_045S
IF PINC_002 = 1, FILL_PINC_045S: ‘usted y su cónyuge o pareja recibieron’
ELSE FILL_PINC_045S: ‘usted recibió’

FILLS (SPAN)

Which of these categories includes your best estimate of the amount of income ^{FILL_PINC_041}
received in ^[FILL_REFYR] in child support payments?

ENGLISH

0. $0
1. $1 - $1,000
2. $1,001 - $2,500
3. $2,501 - $5,000
4. $5,001 - $10,000
5. $10,001 - $25,000
6. $25,001 - $50,000
7. More than $50,000
¿Cuál de estas categorías incluye su mejor estimación de la cantidad de ingresos que
^{FILL_PINC_045S} en el año ^[FILL_REFYR] de pagos de manutención de menores?

SPANISH

0. $0 dólares
1. $1 a $1,000 dólares
2. $1,001 a $2,500 dólares
3. $2,501 a $5,000 dólares
4. $5,001 a $10,000 dólares
5. $10,001 a $25,000 dólares
6. $25,001 a $50,000 dólares
7. Más de $50,000 dólares

RANGE
LIMITS
LOOP MAX
PROGRAM. NOTES
CHECK (ENG)
CHECK (SPAN)
HELP TEXT (ENG)
HELP TEXT (SPAN)
MODE

CASI/CAWI

NOTES
LEAD-IN
NEXT

PINC_044=DK or REF
PINC_046

PINC_046
ASK

ALL

QUESTION TYPE

Radio Button
Use fill from PINC_002, FILL_REFYR
Use fill from PINC_041, FILL_PINC_041
Use fill from PINC_043, FILL_PINC_043
Use fill from PINC_002, FILL_REFYR
Use fill from PINC_045, FILL_PINC_045S

FILLS (ENG)

Create fill, FILL_PINC_046S
IF PINC_002 = 1, FILL_PINC_046S: ‘recibieron usted y su cónyuge o pareja’
ELSE FILL_PINC_046S: ‘recibió usted’

FILLS (SPAN)

Use fill from PINC_044, FILL_PINC_044S
We have asked about the earnings and business income that ^{FILL_PINC_041} received in
^[^{FILL_REFYR].}. Now, think about other sources of income that ^{FILL_PINC_041} had in that year.
Please round to the nearest dollar for your responses. If you don’t know the exact amount, your best
estimate is fine.
ENGLISH

During ^[^{FILL_REFYR],}, did ^{FILL_PINC_043} receive any interest or dividend income? Interest can come
from interest-earning-checking accounts, savings accounts, money market accounts, bonds, treasury notes,
IRA accounts, or certificates of deposit. Dividends can come from stocks or mutual funds.
1. Yes
0. No
Hemos preguntado acerca de las ganancias e ingresos comerciales que ^{FILL_PINC_045S} en el año
^[FILL_REFYR]. Ahora, piense en otras fuentes de ingresos que ^{FILL_PINC_045S} ese año. Redondee
sus respuestas al dólar más cercano. Si no conoce la cantidad exacta, su mejor estimación es
suficiente.

SPANISH

Durante el ^[FILL_REFYR], ¿^{FILL_PINC_044S} algún ingreso por intereses o dividendos? Los intereses
pueden provenir de cuentas corrientes, cuentas de ahorro, cuentas del mercado monetario, bonos,
pagarés del tesoro, cuentas IRA o certificados de depósito que generen intereses. Los dividendos
pueden provenir de acciones o fondos mutuos.
1. Sí
0. No

RANGE
LIMITS
LOOP MAX
PROGRAM. NOTES
CHECK (ENG)
CHECK (SPAN)
HELP TEXT (ENG)
HELP TEXT (SPAN)
MODE
NOTES

CASI/CAWI

LEAD-IN
NEXT

PINC_042, PINC_043, PINC_044, PINC_045
PINC_046=1: PINC_047
Else PINC_049

PINC_047
ASK

IF PINC_046 = 1

QUESTION TYPE

Numeric
Use fill from PINC_002, FILL_REFYR
FILLS (ENG)
Use fill from PINC_041, FILL_PINC_041
Create fill FILL_PINC047: ‘PINC_047’
Use fill from PINC_002, FILL_REFYR
FILLS (SPAN)
Use fill from PINC_045, FILL_PINC_045S
Create fill FILL_PINC047: ‘PINC_047’
What was the total amount of interest and dividend income ^{FILL_PINC_041} received during
ENGLISH ^{FILL_REFYR}, including even small amounts and amounts reinvested or credited to the account?

SPANISH

$ ______________ Income
¿Cuál fue la cantidad total de los ingresos por intereses y dividendos que ^{FILL_PINC_045S} durante el
año ^[FILL_REFYR], incluso las pequeñas cantidades y las cantidades reinvertidas o acreditadas en la
cuenta?

RANGE

$ ______________ dólares en ingresos
0-999,999,999

LIMITS

9 digits

LOOP MAX
PROGRAM. NOTES

Please automatically add commas every 3 digits when inputting numbers above 999.
HARD CHECK IF PINC_047 OUT OF RANGE (PINC_047=0): ‘You reported earlier that you
and/or your partner had income from interest or dividends during ^{FILL_REFYR}. Please
click here to update your answer if that is not correct.’ (Return R to PINC_046)

CHECK (ENG)

SOFT CHECK IF PINC_047>$1,000,000: ‘You reported that you and/or your partner had
^{FILL_PINC047} in income from interest and dividends in ^{FILL_REFYR}. Please review
your answer and correct if needed.’
HARD CHECK IF PINC_047 OUT OF RANGE (PINC_047=0) AND PINC_002 = 1: ‘Usted
informó que usted y/o su pareja tuvieron ingresos por intereses o dividendos durante el
año ^{FILL_REFYR}. Si esto no es correcto, haga clic aquí para actualizar su respuesta.’
(Return R to PINC_046)

CHECK (SPAN)

HARD CHECK IF PINC_047 OUT OF RANGE (PINC_047=0) AND PINC_002 != 1: ‘Usted
informó que tuvo ingresos por intereses o dividendos durante el año ^{FILL_REFYR}. Si
esto no es correcto, haga clic aquí para actualizar su respuesta.’ (Return R to PINC_046)
SOFT CHECK IF PINC_047>$1,000,000 AND PINC_002 = 1: ‘Usted informó que usted y/o
su pareja recibieron ^{FILL_PINC047} dólares en ingresos por intereses y dividendos en
el año ^{FILL_REFYR}. Revise su respuesta y corríjala si es necesario.’
SOFT CHECK IF PINC_047>$1,000,000 AND PINC_002 != 1: ‘Usted informó que recibió
^{FILL_PINC047} dólares en ingresos por intereses y dividendos en el año ^{FILL_REFYR}.
Revise su respuesta y corríjala si es necesario.’

HELP TEXT (ENG)
HELP TEXT (SPAN)

MODE

CASI/CAWI

NOTES
LEAD-IN
NEXT

PINC_4300=1
PINC_047=DK or REF: PINC_048
Else PINC_049

PINC_048
ASK

IF PINC_047 =DK or REF

QUESTION TYPE

Radio Button
Use fill from PINC_002, FILL_REFYR
FILLS (ENG)
Use fill from PINC_041, FILL_PINC_041
Use fill from PINC_002, FILL_REFYR
FILLS (SPAN)
Use fill from PINC_045, FILL_PINC_045S
Which of these categories includes your best estimate of the amount of income ^{FILL_PINC_041}
received in ^{FILL_REFYR} in interest and dividend payments?

ENGLISH

1. $1 - $500
2. $501- $1,000
3. $1,001- $2,500
4. $2,501- $5,000
5. $5,001- $7,500
6. $7,501- $10,000
7. More than $10,000
¿Cuál de estas categorías incluye su mejor estimación de la cantidad de ingresos que
^{FILL_PINC_045S} en el año ^[FILL_REFYR] de pagos de intereses y dividendos?

SPANISH

1. $1 a $500 dólares
2. $501 a $1,000 dólares
3. $1,001 a $2,500 dólares
4. $2,501 a $5,000 dólares
5. $5,001 a $7,500 dólares
6. $7,501 a $10,000 dólares
7. Más de $10,000 dólares

RANGE
LIMITS
LOOP MAX
PROGRAM. NOTES
CHECK (ENG)
CHECK (SPAN)
HELP TEXT (ENG)
HELP TEXT (SPAN)
MODE

CASI/CAWI

NOTES
LEAD-IN
NEXT

PINC_047 = DK or REF
PINC_049

PINC_049
ASK

ALL

QUESTION TYPE

Radio Button
Use fill from PINC_002, FILL_REFYR
Use fill from PINC_041, FILL_PINC_041
Use fill from PINC_002, FILL_REFYR
Use fill from PINC_044, FILL_PINC_044S

FILLS (ENG)

FILLS (SPAN)

ENGLISH

SPANISH

Create fill, FILL_PINC_049S
IF PINC_002 = 1, FILL_PINC_049S: ‘tienen usted y su cónyuge o pareja’
ELSE FILL_PINC_049S: ‘tiene usted’

During ^{FILL_REFYR}, did ^{FILL_PINC_041} receive any rental income from any land, business
property, apartments, or houses which ^{FILL_PINC_041} own, or money from any estates, trusts,
annuities or inheritances, or any money as gifts from friends or family?
1. Yes
0. No
Durante el año ^[FILL_REFYR], ¿^{FILL_PINC_044S} algún ingreso por alquiler de algún terreno,
propiedad comercial, apartamentos o casas que ^{FILL_PINC_049S}, o dinero de algún sucesiones,
fideicomisos, anualidades o herencias, o dinero como regalo de amistades o familiares?
1. Sí
0. No

RANGE
LIMITS
LOOP MAX
PROGRAM. NOTES
CHECK (ENG)
CHECK (SPAN)
HELP TEXT (ENG)
HELP TEXT (SPAN)
MODE

CASI/CAWI

NOTES
LEAD-IN
NEXT

PINC_46, PINC_047, PINC_048
PINC_049=1: PINC_050
Else PINC_052

PINC_050
ASK

IF PINC_049=1

QUESTION TYPE

Numeric
Use fill from PINC_002, FILL_REFYR
FILLS (ENG)
Use fill from PINC_041, FILL_PINC_041
Create fill FILL_PINC050: ‘PINC_050’
Use fill from PINC_002, FILL_REFYR
FILLS (SPAN)
Use fill from PINC_045, FILL_PINC_045S
Create fill FILL_PINC050: ‘PINC_050’
What was the total amount of rental income and money from estates or trusts or gifts
ENGLISH ^{FILL_PINC_041} received during ^[FILL_REFYR]?

SPANISH

$ ______________ Income
¿Cuál fue la cantidad total de ingresos por alquiler y dinero procedentes de sucesiones, fideicomisos o
regalos que ^{FILL_PINC_045S} durante el año ^[FILL_REFYR]?

RANGE

$ ______________ dólares en ingresos
0-999,999,999

LIMITS

9 digits

LOOP MAX
PROGRAM. NOTES

CHECK (ENG)

Please automatically add commas every 3 digits when inputting numbers above 999.
HARD CHECK IF PINC_050 OUT OF RANGE (PINC_050=0): ‘You reported earlier that you
and/or your partner had rental income or received money from estates or trusts or gifts
during ^{FILL_REFYR}. Please click here to update your answer if that is not correct.’
(Return R to PINC_049)
SOFT CHECK IF PINC_050>$1,000,000: ‘You reported that you and/or your partner
received ^{FILL_PINC050} from rental income, estates, trusts or gifts in ^{FILL_REFYR}.
Please review your answer and correct if needed.’
HARD CHECK IF PINC_050 OUT OF RANGE (PINC_050=0) AND PINC_002 = 1: 'Usted
informó que usted y/o su pareja tuvieron ingresos por alquiler o recibieron dinero de
sucesiones, fideicomisos o regalos durante el año ^{FILL_REFYR}. Si esto no es correcto,
haga clic aquí para actualizar su respuesta.’ (Return R to PINC_049)

CHECK (SPAN)

HARD CHECK IF PINC_050 OUT OF RANGE (PINC_050=0) AND PINC_002 != 1: ‘Usted
informó que tuvo ingresos por alquiler o recibió dinero de sucesiones, fideicomisos o
regalos durante el año ^{FILL_REFYR}. Si esto no es correcto, haga clic aquí para
actualizar su respuesta.’ (Return R to PINC_049)
SOFT CHECK IF PINC_050>$1,000,000 AND PINC_002 = 1: ‘Usted informó que usted y/o
su pareja recibieron ^{FILL_PINC050} dólares en ingresos por alquiler, herencias,
fideicomisos o regalos en el año ^{FILL_REFYR}. Revise su respuesta y corríjala si es
necesario.’
SOFT CHECK IF PINC_050>$1,000,000 AND PINC_002 != 1: ‘Usted informó que recibió
^{FILL_PINC050} dólares en ingresos por alquiler, herencias, fideicomisos o regalos en el
año ^{FILL_REFYR}. Revise su respuesta y corríjala si es necesario.’

HELP TEXT (ENG)
HELP TEXT (SPAN)
MODE

CASI/CAWI

NOTES
LEAD-IN
NEXT

PINC_049=1
PINC_050: DK or REF: PINC_051
Else PINC_052

PINC_051
ASK

IF PINC_050 = DK or REF

QUESTION TYPE

Radio Button
Use fill from PINC_002, FILL_REFYR
Use fill from PINC_041, FILL_PINC_041
Use fill from PINC_002, FILL_REFYR
Use fill from PINC_045, FILL_PINC_045S

FILLS (ENG)
FILLS (SPAN)

ENGLISH

SPANISH

Which of these categories includes your best estimate of the amount of rental income and money
from estates or trusts and gifts ^{FILL_PINC_041} received in ^{FILL_REFYR}?
1. $1 - $1,000
2. $1,001 - $2,500
3. $2,501 - $5,000
4. $5,001 - $10,000
5. $10,001 - $25,000
6. $25,001 - $50,000
7. More than $50,000
¿Cuál de estas categorías incluye su mejor estimación de la cantidad de ingresos por alquiler y dinero
procedente de sucesiones, fideicomisos y regalos que ^{FILL_PINC_045S} en el año ^[FILL_REFYR]?
1. $1 a $1,000 dólares
2. $1,001 a $2,500 dólares
3. $2,501 a $5,000 dólares
4. $5,001 a $10,000 dólares
5. $10,001 a $25,000 dólares
6. $25,001 a $50,000 dólares
7. Más de $50,000 dólares

RANGE
LIMITS
LOOP MAX
PROGRAM. NOTES
CHECK (ENG)
CHECK (SPAN)
HELP TEXT (ENG)
HELP TEXT (SPAN)
MODE

CASI/CAWI

NOTES
LEAD-IN
NEXT

PINC_050= DK or REF
PINC_052

PINC_052
ASK

ALL

QUESTION TYPE

Radio Button
Use fill from PINC_002, FILL_REFYR
FILLS (ENG)
Use fill from PINC_041, FILL_PINC_041
Use fill from PINC_002, FILL_REFYR
FILLS (SPAN)
Use fill from PINC_044, FILL_PINC_044S
During ^{FILL_REFYR}, did ^{FILL_PINC_041} receive income from government programs such as TANF,
Supplemental Security Income (SSI), Social Security Disability (SSDI), veterans or GI benefits or other
government programs? Please exclude any income from Worker’s Compensation or Unemployment
ENGLISH
Insurance you’ve already told us about.
1. Yes
0. No
Durante el año ^[FILL_REFYR], ¿^{FILL_PINC_044S} ingresos de programas gubernamentales como
TANF, Seguridad de Ingreso Suplementario (SSI), Seguro Social por Discapacidad (SSDI, por sus siglas
en inglés), beneficios para veteranos o GI u otros programas gubernamentales? No incluya los ingresos
SPANISH procedentes del seguro por desempleo o de indemnización para trabajadores que ya nos haya
comunicado.
1. Sí
0. No
RANGE
LIMITS
LOOP MAX
PROGRAM. NOTES
CHECK (ENG)
CHECK (SPAN)
HELP TEXT (ENG)
HELP TEXT (SPAN)
MODE

CASI/CAWI

NOTES
LEAD-IN
NEXT

PINC_049, PINC_050, PINC_051
PINC_052=1: PINC_053
Else PINC_055

PINC_053
ASK

IF PINC_052 = 1

QUESTION TYPE

Numeric
Use fill from PINC_002, FILL_REFYR
FILLS (ENG)
Use fill from PINC_041, FILL_PINC_041
Create fill FILL_PINC053: ‘PINC_053’
Use fill from PINC_002, FILL_REFYR
FILLS (SPAN)
Use fill from PINC_045, FILL_PINC_045S
Create fill FILL_PINC053: ‘PINC_053’
What was the total amount ^{FILL_PINC_041} received from government programs such as TANF,
Supplemental Security Income (SSI), Social Security Disability (SSDI), veterans or GI benefits or other
ENGLISH government programs during ^{FILL_REFYR}?

SPANISH

$ ______________ Income
¿Cuál fue la cantidad total que ^{FILL_PINC_045S} procedente de programas gubernamentales como
TANF, Seguridad de Ingreso Suplementario (SSI), Seguro Social por Discapacidad (SSDI), beneficios para
veteranos o GI u otros programas gubernamentales durante el año ^[FILL_REFYR]?

RANGE

$ ______________ dólares en ingresos
0-999,999

LIMITS

6 digits

LOOP MAX
PROGRAM. NOTES

Please automatically add commas every 3 digits when inputting numbers above 999.
HARD CHECK IF PINC_053 OUT OF RANGE (PINC_053=0): ‘You reported earlier that you
and/or your partner received money from government programs during ^{FILL_REFYR}.
Please click here to update your answer if that is not correct.’ (Return R to PINC_052)

CHECK (ENG)

SOFT CHECK IF PINC_053>$100,000: ‘You reported that you and/or your partner
received ^{FILL_PINC053} from government programs in ^{FILL_REFYR}. Please review
your answer and correct if needed.’
HARD CHECK IF PINC_053 OUT OF RANGE (PINC_053=0) AND PINC_002 = 1: ‘Usted
informó que usted y/o su pareja recibieron dinero de programas gubernamentales
durante el año ^{FILL_REFYR}. Si esto no es correcto, haga clic aquí para actualizar su
respuesta.’ (Return R to PINC_052)

CHECK (SPAN)

HARD CHECK IF PINC_053 OUT OF RANGE (PINC_053=0) AND PINC_002 != 1: ‘Usted
informó que recibió dinero de programas gubernamentales durante el año
^{FILL_REFYR}. Si esto no es correcto, haga clic aquí para actualizar su respuesta.’
(Return R to PINC_052)
SOFT CHECK IF PINC_053>$100,000 AND PINC_002 = 1: ‘Usted informó que usted y/o su
pareja recibieron ^{FILL_PINC053} dólares de programas gubernamentales en el año
^{FILL_REFYR}. Revise su respuesta y corríjala si es necesario.’
SOFT CHECK IF PINC_053>$100,000 AND PINC_002 != 1: ‘Usted informó que recibió
^{FILL_PINC053} dólares de programas gubernamentales en el año ^{FILL_REFYR}. Revise
su respuesta y corríjala si es necesario.’

HELP TEXT (ENG)
HELP TEXT (SPAN)
MODE

CASI/CAWI

NOTES
LEAD-IN
NEXT

PINC_052=1
PINC_053=DK or REF: PINC_054
Else PINC_055

PINC_054
ASK

IF PINC_053 = DK or REF

QUESTION TYPE

Radio Button
Use fill from PINC_002, FILL_REFYR
FILLS (ENG)
Use fill from PINC_041, FILL_PINC_041
Use fill from PINC_002, FILL_REFYR
FILLS (SPAN)
Use fill from PINC_045, FILL_PINC_045S
Which of these categories includes your best estimate of the total amount ^{FILL_PINC_041} received
from government programs such as TANF, Supplemental Security Income (SSI), Social Security
Disability (SSDI), veterans or GI benefits or other government programs in ^{FILL_REFYR}?

ENGLISH

1. $1 - $1,000
2. $1,001 - $2,500
3. $2,501 - $5,000
4. $5,001 - $10,000
5. $10,001 - $25,000
6. $25,001 - $50,000
7. More than $50,000
¿Cuál de estas categorías incluye su mejor estimación de la cantidad total que ^{FILL_PINC_045S}
procedente de programas gubernamentales como TANF, Seguridad de Ingreso Suplementario (SSI),
Seguro Social por Discapacidad (SSDI), beneficios para veteranos o GI u otros programas
gubernamentales del año ^[FILL_REFYR]?

SPANISH

1. $1 a $1,000 dólares
2. $1,001 a $2,500 dólares
3. $2,501 a $5,000 dólares
4. $5,001 a $10,000 dólares
5. $10,001 a $25,000 dólares
6. $25,001 a $50,000 dólares
7. Más de $50,000 dólares

RANGE
LIMITS
LOOP MAX
PROGRAM. NOTES
CHECK (ENG)
CHECK (SPAN)
HELP TEXT (ENG)
HELP TEXT (SPAN)
MODE

CASI/CAWI

NOTES
LEAD-IN
NEXT

PINC_053=DK or REF
PINC_055

PINC_055
ASK

ALL

QUESTION TYPE

Radio Button
Use fill from PINC_002, FILL_REFYR
FILLS (ENG)
Use fill from PINC_041, FILL_PINC_041
Use fill from PINC_002, FILL_REFYR
FILLS (SPAN)
Use fill from PINC_044, FILL_PINC_044S
During ^{FILL_REFYR}, did ^{FILL_PINC_041} receive income from any other sources, such as pension
or retirement income including survivor's benefits, alimony, payments from life insurance policies or
ENGLISH any other regular or periodic source of income not from a government source?
1. Yes
0. No
Durante el año ^[FILL_REFYR], ^{FILL_PINC_044S} ingresos de otras fuentes, como ingresos de pensión
o jubilación, incluidos beneficios de sobreviviente, pensión alimenticia, pagos de pólizas de seguro de
vida o cualquier otra fuente regular o periódica de ingresos que no provenga de una fuente
SPANISH
gubernamental?
1. Sí
0. No
RANGE
LIMITS
LOOP MAX
PROGRAM. NOTES
CHECK (ENG)
CHECK (SPAN)
HELP TEXT (ENG)
HELP TEXT (SPAN)
MODE

CASI/CAWI

NOTES
LEAD-IN
NEXT

PINC_052, PINC_053, PINC_054
PINC_055=1: PINC_056
Else PINC_058

PINC_056
ASK

IF PINC_055=1

QUESTION TYPE

Numeric
Use fill from PINC_002, FILL_REFYR
FILLS (ENG)
Use fill from PINC_041, FILL_PINC_041
Create fill FILL_PINC056: ‘PINC_056’
Use fill from PINC_002, FILL_REFYR
FILLS (SPAN)
Use fill from PINC_045, FILL_PINC_045S
Create fill FILL_PINC056: ‘PINC_056’
What was the total amount ^{FILL_PINC_041} received from all of these other sources during
ENGLISH ^{FILL_REFYR}?

SPANISH

$ ______________ Income
¿Cuál fue la cantidad total que ^{FILL_PINC_045S} de todas estas otras fuentes durante el
año^[FILL_REFYR]?

RANGE

$ ______________ dólares en ingresos
0-999,999,999

LIMITS

9 digits

LOOP MAX
PROGRAM. NOTES

Please automatically add commas every 3 digits when inputting numbers above 999.
HARD CHECK IF PINC_056 OUT OF RANGE (PINC_056=0): ‘You reported earlier that you
and/or your partner had income from other sources during ^{FILL_REFYR}. Please click
here to update your answer if that is not correct.’ (Return R to PINC_055)

CHECK (ENG)

SOFT CHECK IF PINC_056>$1,000,000: ‘You reported that you and/or your partner had
^{FILL_PINC056} in income from other sources in ^{FILL_REFYR}. Please review your
answer and correct if needed.’
HARD CHECK IF PINC_056 OUT OF RANGE (PINC_056=0) AND PINC_002 = 1: ‘Usted
informó que usted y/o su pareja tuvieron ingresos de otras fuentes durante el año
^{FILL_REFYR}. Si esto no es correcto, haga clic aquí para actualizar su respuesta.’
(Return R to PINC_055)

CHECK (SPAN)

HARD CHECK IF PINC_056 OUT OF RANGE (PINC_056=0) AND PINC_002 != 1: ‘Usted
informó que tuvo ingresos de otras fuentes durante el ^{FILL_REFYR}. Si esto no es
correcto, haga clic aquí para actualizar su respuesta.’ (Return R to PINC_055)
SOFT CHECK IF PINC_056>$1,000,000 AND PINC_002 = 1: ‘Usted informó que usted y/o
su pareja recibieron ^{FILL_PINC056} dólares en ingresos de otras fuentes en el año
^{FILL_REFYR}. Revise su respuesta y corríjala si es necesario.’
SOFT CHECK IF PINC_056>$1,000,000 AND PINC_002 != 1: ‘Usted informó que tenía
^{FILL_PINC056} dólares en ingresos de otras fuentes en el año ^{FILL_REFYR}. Revise su
respuesta y corríjala si es necesario.’

HELP TEXT (ENG)
HELP TEXT (SPAN)

MODE

CASI/CAWI

NOTES
LEAD-IN
NEXT

PINC_055=1
PINC_056=DK or REF: PINC_057
Else PINC_058

PINC_057
ASK

IF PINC_056 = DK or REF

QUESTION TYPE

Radio Button
Use fill from PINC_002, FILL_REFYR
Use fill from PINC_041, FILL_PINC_041
Use fill from PINC_002, FILL_REFYR
Use fill from PINC_045, FILL_PINC_045S

FILLS (ENG)
FILLS (SPAN)

Which of these categories includes your best estimate of the total amount ^{FILL_PINC_041} received
from all other sources of income in ^{FILL_REFYR}?

ENGLISH

1. $1 - $1,000
2. $1,001 - $2,500
3. $2,501 - $5,000
4. $5,001 - $10,000
5. $10,001 - $25,000
6. $25,001 - $50,000
7. More than $50,000
¿Cuál de estas categorías incluye su mejor estimación de la cantidad total que ^{FILL_PINC_045S}
procedente de todas las demás fuentes de ingresos en el año ^[FILL_REFYR]?

SPANISH

1. $1 a $1,000 dólares
2. $1,001 a $2,500 dólares
3. $2,501 a $5,000 dólares
4. $5,001 a $10,000 dólares
5. $10,001 a $25,000 dólares
6. $25,001 a $50,000 dólares
7. Más de $50,000 dólares

RANGE
LIMITS
LOOP MAX
PROGRAM. NOTES
CHECK (ENG)
CHECK (SPAN)
HELP TEXT (ENG)
HELP TEXT (SPAN)
MODE

CASI/CAWI

NOTES
LEAD-IN
NEXT

PINC_056=DK or REF
PINC_058

PINC_058
ASK

ALL

QUESTION TYPE

Radio Button
Use fill from PINC_002, FILL_REFYR
Use fill from PINC_043, FILL_PINC_043
Use fill from PINC_002, FILL_REFYR

FILLS (ENG)

FILLS (SPAN)

ENGLISH

SPANISH

Create fill, FILL_PINC_058S
IF PINC_002 = 1, FILL_PINC_058S: ‘usted o su cónyuge o pareja’
ELSE FILL_PINC_058S: ‘usted’

Did ^{FILL_PINC_043} file a federal income tax return in ^{FILL_REFYR}?
1. Yes
0. No
¿Presentó ^{FILL_PINC_58S} una declaración de impuestos federales en el año ^[FILL_REFYR]?
1. Sí
0. No

RANGE
LIMITS
LOOP MAX
PROGRAM. NOTES
CHECK (ENG)
CHECK (SPAN)
HELP TEXT (ENG)
HELP TEXT (SPAN)
MODE

CASI/CAWI

NOTES
LEAD-IN
NEXT

PINC_055, PINC_056, PINC_057
PINC_058=1: PINC_059
Else PINC_061

PINC_059
ASK

IF PINC_058 = 1

QUESTION TYPE

Radio Button

FILLS (ENG)

Use fill from PINC_002, FILL_REFYR

FILLS (SPAN)
Use fill from PINC_002, FILL_REFYR
What was your filing status on your ^{FILL_REFYR} federal income tax return?
1.
A single taxpayer
2.
Married, filing jointly
ENGLISH
3.
Married, filing separately
4.
Unmarried head of household
5.
Qualifying widow(er) with dependent child
¿Cuál fue su estado civil en la declaración de impuestos federales del año ^[FILL_REFYR]?
1.
Un(a) solo(a) contribuyente
2.
Casado(a), declaración conjunta
SPANISH
3.
Casado(a), declaración por separado
4.
Jefe(a) de familia, soltero(a)
5.
Viudo(a) calificado(a) con hijo(a) dependiente
RANGE
LIMITS
LOOP MAX
PROGRAM. NOTES
CHECK (ENG)
CHECK (SPAN)
HELP TEXT (ENG)
HELP TEXT (SPAN)
MODE

CASI/CAWI

NOTES
LEAD-IN
NEXT

PINC_058=1
PINC_060

PINC_060
ASK

IF PINC_058 = 1

QUESTION TYPE

Radio Button

FILLS (ENG)

Use fill from PINC_002, FILL_REFYR

FILLS (SPAN)
Use fill from PINC_002, FILL_REFYR
What method did you use to prepare your ^{FILL_REFYR} tax return?
1.
Self-prepared manually
Tax software or tax assistance website
ENGLISH 2.
3.
Friend or relative
4.
Professional tax preparer
¿Qué método usó para preparar su declaración de impuestos del año ^[FILL_REFYR]?
1.
Preparado manualmente por su cuenta
SPANISH 2.
Sitio web de software fiscal o de asistencia fiscal
3.
Amigo(a) o familiar
4.
Preparador(a) de impuestos profesional
RANGE
LIMITS
LOOP MAX
PROGRAM. NOTES
CHECK (ENG)
CHECK (SPAN)
HELP TEXT (ENG)
HELP TEXT (SPAN)
MODE

CASI/CAWI

NOTES
LEAD-IN
NEXT

PINC_059
PINC_061

PINC_061
ASK

ALL

QUESTION TYPE

Radio Button
Use fill from PINC_002, FILL_REFYR
Use fill from PINC_043, FILL_PINC_043
Create fill FILL_PINC_061.
IF PINC_002 = 1, FILL_PINC_061: ‘your or your spouse or partner’s’
ELSE FILL_PINC_061: ‘your’

FILLS (ENG)

Use fill from PINC_002, FILL_REFYR
Use fill from PINC_058, FILL_PINC_058S

FILLS (SPAN)

Create fill, FILL_PINC_061S
IF PINC_002 = 1, FILL_PINC_061S: ‘su o la’
ELSE FILL_PINC_061S: ‘su’
Create fill, FILL_PINC_061S2
IF PINC_002 = 1, FILL_PINC_061S2: ‘de su cónyuge o pareja’
ELSE FILL_PINC_061S2: EMPTY

The Earned Income Tax Credit (EITC) is a refundable Federal tax credit for eligible individuals and
families who work and have earned income below a certain amount. The EITC reduces the amount of
tax you owe, and it may give you a refund.
ENGLISH

SPANISH

Did ^{FILL_PINC_043} claim, or are ^{FILL_PINC_043} planning to claim, an Earned Income Tax Credit
on ^{FILL_PINC_061} federal income tax return for the year ^{FILL_REFYR}?
1. Yes
0.
No
El Crédito Tributario por Ingreso del Trabajo (EITC, por sus siglas en inglés) es un crédito tributario
federal reembolsable para personas y familias que cumplen los requisitos y que trabajan y tienen
ingresos del trabajo por debajo de cierta cantidad. El EITC reduce la cantidad de impuestos que usted
debe y podría darle un reembolso.
¿Solicitó/solicitaron ^{FILL_PINC_058S} o planea(n) solicitar ^{FILL_PINC_058S} un Crédito Tributario
por Ingreso del Trabajo en ^{FILL_PINC_061S} declaración de impuestos federales ^{FILL_PINC_061S2}
para el año ^[FILL_REFYR]?
1 Sí
0. No

RANGE
LIMITS
LOOP MAX
PROGRAM. NOTES
CHECK (ENG)
CHECK (SPAN)
HELP TEXT (ENG)
HELP TEXT (SPAN)

MODE

CASI/CAWI

NOTES
LEAD-IN
NEXT

PINC_058, PINC_060
If PINC_061=0: PINC_062
Else PINC_063

PINC_062
ASK

INC_061=0

QUESTION TYPE

Radio Button
Use fill from PINC_002, FILL_REFYR
Use fill from PINC_061, FILL_PINC_061
Use fill from PINC_002, FILL_REFYR
Use fill from PINC_0061, FILL_PINC_061S
Use fill from PINC_0061, FILL_PINC_061S2

FILLS (ENG)
FILLS (SPAN)

ENGLISH

SPANISH

Which of the following best describes why you did not claim or do not plan to claim an Earned Income
Tax Credit on ^{FILL_PINC_061} federal income tax return for the year ^{FILL_REFYR}?
1. Not eligible for an Earned Income Tax Credit
2. Not aware of the Earned Income Tax Credit
3. Another reason
¿Cuál de las siguientes opciones describe mejor por qué no solicitó o planea solicitar un Crédito
Tributario por Ingreso del Trabajo en ^{FILL_PINC_061S} declaración de impuestos federales
^{FILL_PINC_061S2} para el año ^[FILL_REFYR]?
1. No cumplo los requisitos para un Crédito Tributario por Ingreso del Trabajo
2. No conozco lo que es el Crédito Tributario por Ingreso del Trabajo
3. Otra razón

RANGE
LIMITS
LOOP MAX
PROGRAM. NOTES
CHECK (ENG)
CHECK (SPAN)
HELP TEXT (ENG)
HELP TEXT (SPAN)
MODE

CASI/CAWI

NOTES
LEAD-IN
NEXT

PINC_061=0
PINC_063

PINC_063
ASK

ALL

QUESTION TYPE

Radio Button
Use fill from PINC_002, FILL_REFYR

FILLS (ENG)

Create fill, FILL_PINC_063
IF PINC_002 = 1, FILL_PINC_063: ‘or any relatives of your spouse or partner’
ELSE FILL_PINC_063: BLANK
Use fill from PINC_002, FILL_REFYR

FILLS (SPAN)

ENGLISH

SPANISH

Create fill, FILL_PINC_063
IF PINC_002 = 1, FILL_PINC_063: ‘o cualquier familiar de su cónyuge o pareja’
ELSE FILL_PINC_063: BLANK
Now please think about any other adult family members you lived with during the calendar year
^{FILL_REFYR}. At any time during the year, did you live with any of your relatives ^{FILL_PINC_063}?
1. Yes
0. No
Piense en cualquier otro miembro adulto de la familia con el que haya vivido durante el año calendario
^[FILL_REFYR]. ¿En algún momento del año, vivió con alguno de sus familiares ^{FILL_PINC_063}?
1. Sí
0. No

RANGE
LIMITS
LOOP MAX
PROGRAM. NOTES
CHECK (ENG)
CHECK (SPAN)
HELP TEXT (ENG)
HELP TEXT (SPAN)
MODE

CASI/CAWI

NOTES
LEAD-IN
NEXT

PINC_061, PINC_062
PINC_063=1: PINC_064
Else PINC_066

PINC_064
ASK

IF PINC_063=1

QUESTION TYPE

Numeric
Use fill from PINC_002, FILL_REFYR
FILLS (ENG)
Create fill FILL_PINC064: ‘PINC_064’
Use fill from PINC_002, FILL_REFYR
FILLS (SPAN)
Create fill FILL_PINC064: ‘PINC_064’
During ^{FILL_REFYR}, what was the combined income of all these family members that you lived with
during that year? Please estimate total income across all of these people rounded to the nearest
$10,000.

ENGLISH

Please include income from any full or part time jobs, temporary or seasonal work and service in the
military, military reserves or the National Guard, a farm, a business or professional partnership, Social
Security, pensions, welfare, interest, gifts or anything else. Please do not include your own income or
the income you've already reported for your spouse or partner.
$ ______________ Income
Durante el año ^[FILL_REFYR], ¿cuál fue el ingreso combinado de todos estos miembros de la familia
con los que vivió durante ese año? Calcule el ingreso total de todas estas personas redondeado a los
$10,000 más cercanos.

SPANISH

Incluya los ingresos de cualquier trabajo de tiempo completo o parcial, trabajo temporal o estacional y
servicio en el ejército, las reservas militares o la Guardia Nacional, una granja, una sociedad comercial
o profesional, el Seguro Social, pensiones, asistencia social, intereses, regalos o cualquier otra cosa. No
incluya sus propios ingresos o los ingresos que ya ha declarado para su cónyuge o pareja.
$ ______________ dólares en ingresos
0-999,999,999

RANGE
LIMITS

9 digits

LOOP MAX
PROGRAM. NOTES
CHECK (ENG)

CHECK (SPAN)

Please automatically add commas every 3 digits when inputting numbers above 999.
SOFT CHECK IF PINC_064>$1,000,000: ‘You reported that the combined income of the
family members who were living with you was ^{FILL_PINC064} in ^{FILL_REFYR}. Please
review your answer and correct if needed.’
SOFT CHECK IF PINC_064>$1,000,000: ‘Usted informó que los ingresos combinados de
los miembros de la familia que vivían con usted fueron de ^{FILL_PINC064} dólares en el
año ^{FILL_REFYR}. Revise su respuesta y corríjala si es necesario.’

HELP TEXT (ENG)
HELP TEXT (SPAN)
MODE

CASI/CAWI

NOTES
LEAD-IN
NEXT

PINC_063=1
PINC_064=DK or REF: PINC_065;
Else PINC_066

PINC_065
ASK

IF PINC_064=DK or REF

QUESTION TYPE

Radio Button

FILLS (ENG)

Use fill from PINC_002, FILL_REFYR

FILLS (SPAN)
Use fill from PINC_002, FILL_REFYR
Which of these categories includes your best estimate of your family members' combined income in
^[FILL_REFYR]?
1. $1 - $5,000
2. $5,001 - $10,000
3. $10,001 - $25,000
ENGLISH
4. $25,001 - $50,000
5. $50,001 - $100,000
6. $100,001 - $250,000
7. More than $250,000
¿Cuál de estas categorías incluye su mejor estimación de los ingresos combinados de los miembros de
su familia en el año ^[FILL_REFYR]?
1. $1 a $5,000 dólares
2. $5,001 a $10,000 dólares
SPANISH
3. $10,001 a $25,000 dólares
4. $25,001 a $50,000 dólares
5. $50,001 a $100,000 dólares
6. $100,001 a $250,000 dólares
7. Más de $250,000 dólares
RANGE
LIMITS
LOOP MAX
PROGRAM. NOTES
CHECK (ENG)
CHECK (SPAN)
HELP TEXT (ENG)
HELP TEXT (SPAN)
MODE

CASI/CAWI

NOTES
LEAD-IN
NEXT

PINC_064=DK or REF
PINC_066

PINC_066
ASK

ALL

QUESTION TYPE

Radio Button
Create fill, FILL_PINC_063
FILLS (ENG)
IF PINC_002 = 1, FILL_PINC_063: ‘you and your current spouse or partner’
ELSE FILL_PINC_063: ‘you’
Create fill, FILL_PINC_066S
IF PINC_002 = 1, FILL_PINC_066S: ‘usted y su actual cónyuge o pareja se sustentan
FILLS (SPAN)
económicamente’
ELSE FILL_PINC_066S: ‘usted se sustenta económicamente’
Overall, which one of the following best describes how well ^{FILL_PINC_066} are managing financially
these days?

ENGLISH

1.
Finding it difficult to get by
2.
Just getting by
3.
Doing okay
4.
Living comfortably
En general, ¿cuál de las siguientes opciones describe mejor qué tan bien ^{FILL_PINC_066S} estos
días?

SPANISH

1.
2.
3.
4.

Tengo/tenemos dificultades para salir adelante
Apenas me/nos alcanza
Me/nos va bien
Vivo/vivimos cómodamente

RANGE
LIMITS
LOOP MAX
PROGRAM. NOTES
CHECK (ENG)
CHECK (SPAN)
HELP TEXT (ENG)
HELP TEXT (SPAN)
MODE

CASI/CAWI

NOTES
LEAD-IN
NEXT

PINC_063, PINC_064, PINC_065
PINC_067

PINC_067
ASK

ALL

QUESTION TYPE

informational

FILLS (ENG)
FILLS (SPAN)
ENGLISH

The next questions are about your current housing situation.

SPANISH

Las siguientes preguntas están relacionadas con su situación de vivienda.

RANGE
LIMITS
LOOP MAX
PROGRAM. NOTES
CHECK (ENG)
CHECK (SPAN)
HELP TEXT (ENG)
HELP TEXT (SPAN)
MODE

CASI/CAWI

NOTES
LEAD-IN
NEXT

PINC_066
PINC_068

PINC_068
ASK

ALL

QUESTION TYPE

Radio Button

FILLS (ENG)
FILLS (SPAN)
Which of the following best describes the place where you currently live?
1. Single-family house (including mobile home)
2. Apartment, condo, or townhouse
ENGLISH
3. Farm or ranch
99.
Some other type of housing
¿Cuál de las siguientes opciones describe mejor el lugar donde vive actualmente?
1. Casa unifamiliar (incluida una casa móvil)
SPANISH
2. Apartamento, condominio o casa adosada (townhouse)
3. Granja o rancho
99.
Algún otro tipo de vivienda
RANGE
LIMITS
LOOP MAX
PROGRAM. NOTES
CHECK (ENG)
CHECK (SPAN)
HELP TEXT (ENG)
HELP TEXT (SPAN)
MODE

CASI/CAWI

NOTES
LEAD-IN
NEXT

PINC_067
PINC_068=99: PINC_069;
Else PINC_070

PINC_069
ASK

IF PINC_068=99

QUESTION TYPE

Radio Button

FILLS (ENG)
FILLS (SPAN)
Which of the following best describes the place where you currently live?
4. Dormitory (including a fraternity or sorority) or Military Barracks
5. Hotel, Motel, Rooming or Boarding House
6. Shelter (for homeless or abused) or on street
ENGLISH
7. Jail, Prison, Detention
9. Hospital
10. Group Home or Treatment Center
11. Other Type of Housing
¿Cuál de las siguientes opciones describe mejor el lugar donde vive actualmente?
4. Dormitorio (incluida una fraternidad o hermandad) o cuartel militar
5. Hotel, motel, pensión o casa de huéspedes
6. Refugio (para personas sin hogar o maltratadas) o en la calle
SPANISH
7. Cárcel, prisión, detención
9. Hospital
10. Hogar grupal o centro de tratamiento
11. Otro tipo de vivienda
RANGE
LIMITS
LOOP MAX
PROGRAM. NOTES
CHECK (ENG)
CHECK (SPAN)
HELP TEXT (ENG)
HELP TEXT (SPAN)
MODE

CASI/CAWI

NOTES
LEAD-IN
NEXT

PINC_068=99
PINC_083

PINC_070
ASK

IF PINC_068≠99

QUESTION TYPE

Radio Button
Create fill FILL_PARTNER
IF PARPARTNER = 1, FILL_PARTNER: ‘you and/or your spouse or partner’
ELSE FILL_PARTNER: ‘you’

FILLS (ENG)

Create fill FILL_HOMETYPE
IF PINC_068= 1, FILL_HOMETYPE: ‘house or mobile home’
ELSE IF PINC_068= 2, FILL_HOMETYPE: ‘apartment, condo, or townhouse’
ELSE IF PINC_068= 3, FILL_HOMETYPE: ‘farm’
ELSE, FILL_HOMETYPE: ‘home’
Create fill FILL_PARTNER1S
IF PARPARTNER = 1, FILL_PARTNER1S: ‘Usted y/o su cónyuge o pareja son dueños(as) de’
ELSE FILL_PARTNER1S: ‘Usted es dueño(a) de’

FILLS (SPAN)

Create fill FILL_HOMETYPE
IF PINC_068= 1, FILL_HOMETYPE: ‘esta casa o casa móvil’
ELSE IF PINC_068= 2, FILL_HOMETYPE: ‘este apartamento, condominio o casa adosada’
ELSE IF PINC_068= 3, FILL_HOMETYPE: ‘esta granja’
ELSE, FILL_HOMETYPE: ‘esta vivienda’

Do ^{FILL_PARTNER} own this whole ^{FILL_HOMETYPE}, do you own part of it, do you rent it, is it
owned by a business, or something else?
If you are paying off a mortgage on this property, but it corresponds to the whole home, please
respond that you own all of it.

ENGLISH

SPANISH

1.You own all of it
2. You and your spouse or partner jointly own all of it
3.You own part of it
4. You and your spouse or partner jointly own part of it
5. Only your spouse or partner owns all or part of it
6.You rent it
7.You live with your parents, who rent or own this home
8. You live with your spouse or partner’s parent(s), who rent or own this home
9.Something else
¿^{FILL_PARTNER1S} ^{FILL_HOMETYPE}, posee solo una parte, lo(a) alquila, usa la propiedad de una
empresa o hace alguna otra cosa?
Si está pagando una hipoteca sobre esta propiedad, pero corresponde a toda la vivienda, responda
como si fuera(n) propietarios(as) de toda la vivienda.
1. Usted es dueño(a) de todo
2. Usted y su cónyuge o pareja son dueños(as) conjuntos(as) de toda la vivienda
3. Usted es dueño(a) de una parte
4. Usted y su cónyuge o pareja son dueños(as) conjuntos(as) de una parte
5. Solo su cónyuge o pareja es dueño(a) de todo o de parte de la vivienda
6. Usted alquila
7. Usted vive con sus padres/madres, que alquilan esta vivienda o son los(as) propietarios(as)

8. Usted vive con los(as) padres/madres de su cónyuge o pareja, que alquilan o son propietarios(as)
de esta vivienda
9.Otra cosa
RANGE
LIMITS
LOOP MAX
PROGRAM. NOTES

Only display response options 2, 4, 5, and 8 if PARPARTNER = 1

CHECK (ENG)
CHECK (SPAN)
HELP TEXT (ENG)
HELP TEXT (SPAN)
MODE

CASI/CAWI

NOTES
LEAD-IN
NEXT

PINC_068
IF PINC_070=1 or 2 or 3 or 4 or 5: f_PINC_072
ELSE IF PINC_070=6 or 7 or 8: PINC_083
ELSE IF PINC_070=9: PINC_071
Else PINC_075

PINC_071
ASK

IF PINC_070=9

QUESTION TYPE

Radio Button

FILLS (ENG)

Use fill from PINC_002, FILL_REFYR

FILLS (SPAN)
Use fill from PINC_002, FILL_REFYR
What is your housing situation?
1. Your housing is provided as part of your job, for example as a live-in servant, housekeeper,
gardener, or farm laborer
2. Your housing is a gift paid for by someone in the household besides yourself or your spouse
or partner
3. Your housing is a gift paid for by a friend or relative outside of your household
4. Your housing is paid for by a government agency or charitable institution
ENGLISH
5. You have sold your home, but you have not moved out yet
6. You are living in a home that you will inherit, but do not yet own
7. You are living in temporary quarters, like a garage or shed, while your home is under
construction
8. You live in a place without formal arrangements, where you are staying temporarily or squatting
9. You rent your home from a family member
97. Something else
¿Cuál es su situación de vivienda?
1. Su vivienda se le proporciona como parte de su trabajo, por ejemplo, como servidor(a),
amo(a) de llaves, jardinero(a) o trabajador(a) agrícola
2. Su vivienda es un regalo pagado por alguien del hogar además de usted o su cónyuge o pareja
3. Su vivienda es un regalo pagado por un(a) amigo(a) o familiar externo(a) a su hogar
4. Su alojamiento lo paga una agencia gubernamental o una institución benéfica
5. Ha vendido su casa, pero aún no se ha mudado
SPANISH
6. Vive en una casa que heredará, pero de la que aún no es propietario(a)
7. Está viviendo en una vivienda temporal, como un garaje o un cobertizo, mientras su casa está
en construcción
8. Vive en un lugar sin acuerdos formales, donde se aloja temporalmente o que ocupa
9. Alquila su vivienda a un familiar
97. Otra cosa
RANGE
LIMITS
LOOP MAX
PROGRAM. NOTES
CHECK (ENG)
CHECK (SPAN)
HELP TEXT (ENG)
HELP TEXT (SPAN)
MODE

CASI/CAWI

NOTES
LEAD-IN
NEXT

PINC_070=9
PINC_083

f_PINC_072
PINC_072MO/PINC_072YR
ASK
IF PINC_070=1 or 2 or 3 or 4 or 5
PINC_072MO: Dropdown
QUESTION TYPE
PINC_072YR: Numeric
Special responses Radio button
Use fill from PINC_070, FILL_PARTNER
FILLS (ENG)
Use fill from PINC_070, FILL_HOMETYPE
Create fill, FILL_INTERVIEWYEAR: ‘DOI_YEAR’
Create fill FILL_PARTNER072S
IF PARPARTNER = 1, FILL_PARTNER072S: ‘usted y/o su cónyuge o pareja compraron’
ELSE FILL_PARTNER072S: ‘usted compró’
FILLS (SPAN)

ENGLISH

SPANISH

Use fill from PINC_070, FILL_HOMETYPE
Create fill, FILL_INTERVIEWYEAR: ‘DOI_YEAR’
What month and year did ^{FILL_PARTNER} purchase this ^{FILL_HOMETYPE}?
Month:
__________ [PINC_072MO]
Year: ___________ [PINC_072YR]
-8. Spouse or partner owned this home before you knew them
-9. You did not purchase this home (for example, you received it as a gift or inheritance)
¿En qué mes y año ^{FILL_PARTNER072S} ^{FILL_HOMETYPE}?
Mes:
__________ [PINC_072MO]
Año: ___________ [PINC_072YR]

RANGE

-8. Su cónyuge o pareja era dueño(a) de esta vivienda antes de que usted lo(a) conociera
-9. No compró esta vivienda (por ejemplo, la recibió como regalo o herencia)
PINC_072YR: 1950-2030

LIMITS
LOOP MAX
PINC_072MO: Please display a dropdown list of the months January through December
PROGRAM. NOTES

CHECK (ENG)
CHECK (SPAN)

Special responses are Radio buttons and should each be exclusive (i.e. if one is selected,
the other should not be able to be selected and nothing should be allowed to be input
for month or year)
HARD CHECK IF PINC_072YR OUT OF RANGE OR IN FUTURE ON DOI: ‘Please enter a year
between 1950 and ^{FILL_INTERVIEWYEAR}.’
HARD CHECK IF PINC_072YR OUT OF RANGE OR IN FUTURE ON DOI: ‘Ingrese un año entre
1950 y ^{FILL_INTERVIEWYEAR}.’

HELP TEXT (ENG)
HELP TEXT (SPAN)
MODE

CASI/CAWI

NOTES
LEAD-IN
NEXT

PINC_070
PINC_072=-8 or -9: PINC_075 Else PINC_073

PINC_073
ASK

IF (PINC_070=1 or 2 or 3 or 4 or 5) AND (PINC_072≠-8) AND (PINC_072≠-9)

QUESTION TYPE

Numeric
Use fill from PINC_070, FILL_PARTNER
Use fill from PINC_070, FILL_HOMETYPE
Create fill FILL_PINC073: ‘PINC_073’
Create fill FILL_PARTNER073S
IF PARPARTNER = 1, FILL_PARTNER073S: ‘usted y/o su cónyuge o pareja compraron
por primera vez’
ELSE FILL_PARTNER073S: ‘usted compró por primera vez’

FILLS (ENG)

FILLS (SPAN)

Use fill from PINC_070, FILL_HOMETYPE
Create fill FILL_PINC073: ‘PINC_073’
When ^{FILL_PARTNER} first bought this ^{FILL_HOMETYPE}, about what was the purchase price?
ENGLISH
$ ______________
Cuando ^{FILL_PARTNER073S} ^{FILL_HOMETYPE}, ¿cuál fue el precio de la compra?
SPANISH
RANGE

$ ______________ dólares
0-999,999,999

LIMITS

9 digits

LOOP MAX
PROGRAM. NOTES

CHECK (ENG)

CHECK (SPAN)

Please automatically add commas every 3 digits when inputting numbers above 999.
HARD CHECK IF PINC_073 OUT OF RANGE (PINC_073=0): ‘You reported earlier that you
and/or your partner purchased this home. If you received as a gift or inheritance, please
click here to update your answer.’ (Return R to PINC_072)
SOFT CHECK IF PINC_073>$1,000,000: ‘You reported that this home was purchased for
^{FILL_PINC073}. Please review your answer and correct if needed.’
HARD CHECK IF PINC_073 OUT OF RANGE (PINC_073=0): ‘Usted informó que usted y/o
su pareja compraron esta vivienda. Si la recibió como regalo o herencia, haga clic en aquí
para actualizar su respuesta.’ (Return R to PINC_072)
SOFT CHECK IF PINC_073>$1,000,000: ‘Usted informó que esta vivienda se compró por
^{FILL_PINC073} dólares. Revise su respuesta y corríjala si es necesario.’

HELP TEXT (ENG)
HELP TEXT (SPAN)
MODE

CASI/CAWI

NOTES
LEAD-IN
NEXT

PINC_072
If PINC_073=DK or REF: PINC_074
Else PINC_075

PINC_074
ASK

IF PINC_073=DK or REF

QUESTION TYPE

Radio Button

FILLS (ENG)
FILLS (SPAN)
Which of these categories includes your best estimate of the purchase price?
1. $1 - $25,000
2. $25,001 - $50,000
3. $50,001 - $100,000
4. $100,001 - $250,000
5. $250,001 - $500,000
6. $500,001 - $1,000,000
7. More than $1,000,000

ENGLISH

¿Cuál de estas categorías incluye su mejor estimación del precio de compra?

SPANISH

1. $1 a $25,000 dólares
2. $25,001 a $50,000 dólares
3. $50,001 a $100,000 dólares
4. $100,001 a $250,000 dólares
5. $250,001 a $500,000 dólares
6. $500,001 a $1,000,000 dólares
7. Más de $1,000,000 dólares

RANGE
LIMITS
LOOP MAX
PROGRAM. NOTES
CHECK (ENG)
CHECK (SPAN)
HELP TEXT (ENG)
HELP TEXT (SPAN)
MODE

CASI/CAWI

NOTES
LEAD-IN
NEXT

PINC_073=DK or REF
PINC_075

PINC_075
ASK

IF (PINC_070=1 or 2 or 3 or 4 or 5) AND (PINC_072≠ -8)

QUESTION TYPE

Radio Button

FILLS (ENG)

Use fill from PINC_070, FILL_HOMETYPE

FILLS (SPAN)
Use fill from PINC_070, FILL_HOMETYPE
Is there a mortgage on this ^{FILL_HOMETYPE}?
1. Yes
ENGLISH
0. No

SPANISH

¿Hay una hipoteca para ^{FILL_HOMETYPE}?
1. Sí
0. No

RANGE
LIMITS
LOOP MAX
PROGRAM. NOTES
CHECK (ENG)
CHECK (SPAN)
HELP TEXT (ENG)
HELP TEXT (SPAN)
MODE

CASI/CAWI

NOTES
LEAD-IN
NEXT

PINC_073, PINC_070, PINC_072, PINC_074
PINC_075=1: PINC_076
Else PINC_078

PINC_076
ASK

IF PINC_075=1

QUESTION TYPE

Numeric
Use fill from PINC_070, FILL_PARTNER
Create fill FILL_PINC076: ‘PINC_076’
Use fill from PINC_070, FILL_PARTNER
Create fill FILL_PINC076: ‘PINC_076’

FILLS (ENG)

FILLS (SPAN)

Create fill FILL_PARTNER_076S
IF PARPARTNER = 1, FILL_PARTNER_076S: ‘deben usted y/o su cónyuge o pareja’
ELSE FILL_PARTNER_076S: ‘debe usted’
How much do ^{FILL_PARTNER} owe on this mortgage?

ENGLISH

$ ______________
¿Cuánto ^{FILL_PARTNER} en esta hipoteca?

SPANISH

$ ______________ dólares

RANGE

0-999,999,999

LIMITS

9 digits

LOOP MAX
PROGRAM. NOTES

CHECK (ENG)

CHECK (SPAN)

Please automatically add commas every 3 digits when inputting numbers above 999.
HARD CHECK IF PINC_076 OUT OF RANGE (PINC_076=0): ‘You reported earlier that there
is a mortgage on this home. If this is not correct, please click here to update your
answer.’ (Return R to PINC_075)
SOFT CHECK IF PINC_076>$1,000,000: ‘You reported that ^{FILL_PINC076} is owed on
this mortgage. Please review your answer and correct if needed.’
HARD CHECK IF PINC_076 OUT OF RANGE (PINC_076=0): ‘Usted informó que hay una
hipoteca para esta vivienda. Si esto no es correcto, haga clic aquí para actualizar su
respuesta.’ (Return R to PINC_075)
SOFT CHECK IF PINC_076>$1,000,000: ‘Usted informó que se deben ^{FILL_PINC076}
dólares de esta hipoteca. Revise su respuesta y corríjala si es necesario.’

HELP TEXT (ENG)
HELP TEXT (SPAN)
MODE

CASI/CAWI

NOTES
LEAD-IN
NEXT

PINC_075=1
PINC_076=DK or REF: PINC_077
Else PINC_078

PINC_077
ASK

IF PINC_076=DK or REF

QUESTION TYPE

Radio Button

FILLS (ENG)
FILLS (SPAN)
Which of these categories includes your best estimate of the amount owed on the mortgage?
1. $1 - $25,000
2. $25,001 - $50,000
3. $50,001 - $100,000
4. $100,001 - $250,000
5. $250,001 - $500,000
6. $500,001 - $1,000,000
7. More than $1,000,000

ENGLISH

¿Cuál de estas categorías incluye su mejor estimación de la cantidad adeudada por la hipoteca?

SPANISH

1. $1 a $25,000 dólares
2. $25,001 a $50,000 dólares
3. $50,001 a $100,000 dólares
4. $100,001 a $250,000 dólares
5. $250,001 a $500,000 dólares
6. $500,001 a $1,000,000 dólares
7. Más de $1,000,000 dólares

RANGE
LIMITS
LOOP MAX
PROGRAM. NOTES
CHECK (ENG)
CHECK (SPAN)
HELP TEXT (ENG)
HELP TEXT (SPAN)
MODE

CASI/CAWI

NOTES
LEAD-IN
NEXT

PINC_076 =DK or REF
PINC_078

PINC_078
ASK

IF PINC_070=1 or 2 or 3 or 4 or 5

QUESTION TYPE

Radio Button

FILLS (ENG)
FILLS (SPAN)
Are there any other types of loans that use your property as collateral, including second mortgages,
home equity loans, or any outstanding balances against a home equity line of credit?
1. Yes
ENGLISH
0. No

SPANISH

¿Existen otros tipos de préstamos que usen su propiedad como garantía, lo que incluye segundas
hipotecas, préstamos sobre el capital de la vivienda o cualquier saldo pendiente de una línea de
crédito sobre el capital de la vivienda?
1. Sí
0. No

RANGE
LIMITS
LOOP MAX
PROGRAM. NOTES
CHECK (ENG)
CHECK (SPAN)
HELP TEXT (ENG)
HELP TEXT (SPAN)
MODE

CASI/CAWI

NOTES
LEAD-IN
NEXT

PINC_075=0, PINC_076, PINC_077
PINC_078=1: PINC_079;
Else PINC_081

PINC_079
ASK

IF PINC_078=1

QUESTION TYPE

Numeric

FILLS (ENG)

Create fill FILL_PINC079: ‘PINC_079’

FILLS (SPAN)
Create fill FILL_PINC079: ‘PINC_079’
How much is still owed on these loans?
ENGLISH

$ ______________
¿Cuánto se debe aún por estos préstamos?

SPANISH

$ ______________ dólares

RANGE

0-999,999,999

LIMITS

9 digits

LOOP MAX
PROGRAM. NOTES

CHECK (ENG)

Please automatically add commas every 3 digits when inputting numbers above 999.
HARD CHECK IF PINC_079 OUT OF RANGE (PINC_079=0): ‘You reported earlier that there
were outstanding loans against your home. If this is not correct, please click here to
update your answer.’ (Return R to PINC_078)
SOFT CHECK IF PINC_079>$1,000,000: ‘You reported that ^{FILL_PINC079} is still owed
on these loans. Please review your answer and correct if needed.’
HARD CHECK IF PINC_079 OUT OF RANGE (PINC_079=0): ‘Usted informó que había
préstamos pendientes para su vivienda. Si esto no es correcto, haga clic aquí para
actualizar su respuesta.’ (Return R to PINC_078)

CHECK (SPAN)

SOFT CHECK IF PINC_079>$1,000,000: ‘Usted informó que todavía se adeudan
^{FILL_PINC079} dólares por estos préstamos. Revise su respuesta y corríjala si es
necesario.’

HELP TEXT (ENG)
HELP TEXT (SPAN)
MODE

CASI/CAWI

NOTES
LEAD-IN
NEXT

PINC_078=1
PINC_079=DK or REF: PINC_080
Else PINC_081

PINC_080
ASK

IF PINC_079=DK or REF

QUESTION TYPE

Radio Button

FILLS (ENG)
FILLS (SPAN)
Which of these categories includes your best estimate of the amount owed on these loans?

ENGLISH

1. $1 - $25,000
2. $25,001 - $50,000
3. $50,001 - $100,000
4. $100,001 - $250,000
5. $250,001 - $500,000
6. $500,001 - $1,000,000
7. More than $1,000,000
¿Cuál de estas categorías incluye su mejor estimación de la cantidad adeudada por estos préstamos?

SPANISH

1. $1 a $25,000 dólares
2. $25,001 a $50,000 dólares
3. $50,001 a $100,000 dólares
4. $100,001 a $250,000 dólares
5. $250,001 a $500,000 dólares
6. $500,001 a $1,000,000 dólares
7. Más de $1,000,000 dólares

RANGE
LIMITS
LOOP MAX
PROGRAM. NOTES
CHECK (ENG)
CHECK (SPAN)
HELP TEXT (ENG)
HELP TEXT (SPAN)
MODE

CASI/CAWI

NOTES
LEAD-IN
NEXT

PINC_079 =DK or REF
PINC_081

PINC_081
ASK

IF PINC_070=1 or 2 or 3 or 4 or 5

QUESTION TYPE

Numeric
Use fill from PINC_070, FILL_HOMETYPE
Create fill, FILL_PINC_081
IF PINC_070=3 or 4, FILL_PINC_081: ‘your portion’
IF PINC_070=5, FILL_PINC_081: ‘your spouse or partner’s portion’
Else FILL_PINC_081: ‘it’

FILLS (ENG)

Create fill FILL_PINC_081_2: ‘PINC_081’
Use fill from PINC_070, FILL_HOMETYPE
Create fill, FILL_PINC_081
IF PINC_070=1 or 2, FILL_PINC_081: ‘esta vivienda’
IF PINC_070=3 or 4, FILL_PINC_081: ‘su parte’
IF PINC_070=5, FILL_PINC_081: ‘la parte de su cónyuge o de su pareja’

FILLS (SPAN)

Create fill FILL_PINC081: ‘PINC_081’
What is the present value of this ^{FILL_HOMETYPE} if ^{FILL_PINC_081} were sold today?
ENGLISH

$ ______________
¿Cuál sería el valor actual de ^{FILL_HOMETYPE} si ^{FILL_PINC_081} se vendiera hoy?

SPANISH

$ ______________ dólares

RANGE

0-999,999,999

LIMITS

9 digits

LOOP MAX
PROGRAM. NOTES

CHECK (ENG)

Please automatically add commas every 3 digits when inputting numbers above 999.
HARD CHECK IF PINC_081 OUT OF RANGE (PINC_081=0): ‘Please enter a number for
home value between 1-999,999,999.’
SOFT CHECK IF PINC_081>$1,000,000: ‘You reported that the present value of this home
is ^{FILL_PINC_081_2}. Please review your answer and correct if needed.’
HARD CHECK IF PINC_081 OUT OF RANGE (PINC_081=0): ‘Ingrese un número para el
valor de la vivienda entre 1 y 999,999,999.’

CHECK (SPAN)

SOFT CHECK IF PINC_081>$1,000,000: ‘Usted informó que el valor actual de esta
vivienda es de ^{FILL_PINC081} dólares. Revise su respuesta y corríjala si es necesario.’

HELP TEXT (ENG)
HELP TEXT (SPAN)
MODE
NOTES

CASI/CAWI

LEAD-IN
NEXT

PINC_078, PINC_079, PINC_080
PINC_081=DK or REF: PINC_082
Else PINC_083

PINC_082
ASK

IF PINC_081=DK or REF

QUESTION TYPE

Radio Button
Create fill, FILL_PINC_082
IF PINC_070=3 or 4, FILL_PINC_082: ‘of your portion’
IF PINC_070=5, FILL_PINC_082: ‘of your spouse or partner’s portion’
ELSE, FILL_PINC_082: Empty

FILLS (ENG)

Use fill from PINC_070, FILL_HOMETYPE
Create fill, FILL_PINC_082
IF PINC_070=1 or 2, FILL_PINC_082: Empty
IF PINC_070=3 or 4, FILL_PINC_082: ‘de su parte’
IF PINC_070=5, FILL_PINC_082: ‘de la parte de su cónyuge o de su pareja’

FILLS (SPAN)

Use fill from PINC_070, FILL_HOMETYPE
Which of these categories includes your best estimate of the value^{FILL_PINC_082} of this
^{FILL_HOMETYPE}?
1. $1 - $25,000
2. $25,001 - $50,000
3. $50,001 - $100,000
4. $100,001 - $250,000
5. $250,001 - $500,000
6. $500,001 - $1,000,000
7. More than $1,000,000

ENGLISH

¿Cuál de estas categorías incluye su mejor estimación del precio de compra ^{FILL_PINC_082} de
^{FILL_HOMETYPE}?

SPANISH

1. $1 a $25,000 dólares
2. $25,001 a $50,000 dólares
3. $50,001 a $100,000 dólares
4. $100,001 a $250,000 dólares
5. $250,001 a $500,000 dólares
6. $500,001 a $1,000,000 dólares
7. Más de $1,000,000 dólares

RANGE
LIMITS
LOOP MAX
PROGRAM. NOTES
CHECK (ENG)
CHECK (SPAN)
HELP TEXT (ENG)
HELP TEXT (SPAN)

MODE

CASI/CAWI

NOTES
LEAD-IN
NEXT

PINC_081=DK or REF
PINC_083

PINC_083
ASK

ALL

QUESTION TYPE

Radio Button

FILLS (ENG)

Use fill from PINC_070, FILL_PARTNER
Use fill from PINC_070, FILL_PARTNER

FILLS (SPAN)

Create fill FILL_PARTNER083S
IF PARPARTNER = 1, FILL_PARTNER083S: ‘Usted y/o su cónyuge o pareja tienen’
ELSE FILL_PARTNER083S: ‘Usted tiene’
The next few questions are about your household savings, other assets, and debts. As with all of the
questions in this survey, the information you provide to us is kept strictly confidential. Please round to
the nearest dollar for your responses. If you don’t know the exact amount, your best estimate is fine.

ENGLISH

Do ^{FILL_PARTNER} have any checking accounts, savings accounts or money market accounts or
funds?
1. Yes
0. No
Las siguientes preguntas son sobre los ahorros de su hogar, otros activos y deudas. Al igual que con
todas las preguntas de esta encuesta, la información que nos da es estrictamente confidencial.
Redondee sus respuestas al dólar más cercano. Si no conoce la cantidad exacta, su mejor estimación
es suficiente.

SPANISH

¿^{FILL_PARTNER083S} cuentas corrientes, cuentas de ahorro o cuentas o fondos del mercado
monetario?
1. Sí
0. No

RANGE
LIMITS
LOOP MAX
PROGRAM. NOTES
CHECK (ENG)
CHECK (SPAN)
HELP TEXT (ENG)
HELP TEXT (SPAN)
MODE

CASI/CAWI

NOTES
LEAD-IN
NEXT

PINC_069, PINC_070=6 or 9 or 10, PINC_071, PINC_081, PINC_082
PINC_083=1: PINC_084
Else PINC_086

PINC_084
ASK

IF PINC_083=1

QUESTION TYPE

Numeric
Use fill from PINC_070, FILL_PARTNER
Create fill FILL_PINC084: ‘PINC_084’
Use fill from PINC_070, FILL_PARTNER
Create fill FILL_PINC084: ‘PINC_084’

FILLS (ENG)

FILLS (SPAN)

ENGLISH

Create fill FILL_PARTNER084S
IF PARPARTNER = 1, FILL_PARTNER084S: ‘usted y/o su cónyuge o pareja tienen’
ELSE FILL_PARTNER084S: ‘usted tiene’
What is the total current balance in all of the checking, savings, and money market accounts
^{FILL_PARTNER} have? (If the amount changes frequently, please report the average balance over the
past month.)
$ ______________

SPANISH

¿Cuál es el saldo actual total en todas las cuentas corrientes, de ahorro y del mercado monetario que
^{FILL_PARTNER084S}? (Si la cantidad cambia con frecuencia, informe del saldo promedio del último
mes)
$ ______________ dólares

RANGE

0-999,999,999

LIMITS

9 digits

LOOP MAX
PROGRAM. NOTES

Please automatically add commas every 3 digits when inputting numbers above 999.
HARD CHECK IF PINC_084 OUT OF RANGE (PINC_084=0): ‘You reported earlier that you
and/or your partner have checking, savings, and money market accounts. If this is not
correct, please click here to update your answer.’ (Return R to PINC_083)

CHECK (ENG)

SOFT CHECK IF PINC_084>$1,000,000: ‘You reported that the current balance of these
checking, savings, and money market accounts is ^{FILL_PINC084}. Please review your
answer and correct if needed.’
HARD CHECK IF PINC_084 OUT OF RANGE (PINC_084=0): ‘Usted informó que usted y/o
su pareja tienen cuentas corrientes, de ahorro y del mercado monetario. Si esto no es
correcto, haga clic aquí para actualizar su respuesta.’ (Return R to PINC_083)

CHECK (SPAN)

SOFT CHECK IF PINC_084>$1,000,000: ‘Usted informó que el saldo actual de estas
cuentas corrientes, de ahorro y del mercado monetario es de ^{FILL_PINC084} dólares.
Revise su respuesta y corríjala si es necesario.’

HELP TEXT (ENG)
HELP TEXT (SPAN)
MODE
NOTES

CASI/CAWI

LEAD-IN

PINC_083=1
PINC_084=DK or REF: PINC_085
Else PINC_086

NEXT
PINC_085
ASK

IF PINC_084= DK or REF

QUESTION TYPE

Radio Button

FILLS (ENG)
FILLS (SPAN)
Which of these categories includes your best estimate of the current or average balance over the last
month?
1. $1 - $1,000
2. $1,001 - $2,500
3. $2,501 - $5,000
4. $5,001 - $10,000
ENGLISH
5. $10,001 - $25,000
6. $25,001 - $50,000
7. $50,001 - $100,000
8. $100,001 - $250,000
9. More than $250,000

SPANISH

¿Cuál de estas categorías incluye su mejor estimación del saldo actual o promedio del último mes?
1. $1 a $1,000 dólares
2. $1,001 a $2,500 dólares
3. $2,501 a $5,000 dólares
4. $5,001 a $10,000 dólares
5. $10,001 a $25,000 dólares
6. $25,001 a $50,000 dólares
7. $50,001 a $100,000 dólares
8. $100,001 a $250,000 dólares
9. Más de $250,000 dólares

RANGE
LIMITS
LOOP MAX
PROGRAM. NOTES
CHECK (ENG)
CHECK (SPAN)
HELP TEXT (ENG)
HELP TEXT (SPAN)
MODE

CASI/CAWI

NOTES
LEAD-IN
NEXT

PINC_084 =DK or REF
PINC_086

PINC_086
ASK

ALL

QUESTION TYPE

Radio Button

FILLS (ENG)

Use fill from PINC_070, FILL_PARTNER
Use fill from PINC_070, FILL_PARTNER

FILLS (SPAN)

ENGLISH

SPANISH

Create fill FILL_PARTNER086S
IF PARPARTNER = 1, FILL_PARTNER086S: ‘usted y/o su cónyuge o pareja tienen’
ELSE FILL_PARTNER086S: ‘usted tiene’
Excluding retirement plan savings, do ^{FILL_PARTNER} have any certificates of deposit (CDs) at
financial institutions, government savings bonds, Treasury bills, or other types of corporate, municipal,
government bonds or bills, including any CDs, bonds, or bills held in investment trusts?
1.
Yes
0.
No
Excluyendo los ahorros del plan de jubilación, ¿^{FILL_PARTNER086S} certificados de depósito (CD)
en instituciones financieras, bonos de ahorro del gobierno, letras del Tesoro u otros tipos de bonos o
letras corporativas, municipales o del gobierno, incluidos los CD, bonos o letras mantenidos en
fideicomisos de inversión?
1.
Sí
0.
No

RANGE
LIMITS
LOOP MAX
PROGRAM. NOTES
CHECK (ENG)
CHECK (SPAN)
HELP TEXT (ENG)
HELP TEXT (SPAN)
MODE

CASI/CAWI

NOTES
LEAD-IN
NEXT

PINC_083, PINC_084, PINC_085
PINC_086=1: PINC_087
Else PINC_089

PINC_087
ASK

IF PINC_086=1

QUESTION TYPE

Numeric
Use fill from PINC_070, FILL_PARTNER
Create fill FILL_PINC087: ‘PINC_087’
Use fill from PINC_070, FILL_PARTNER
Create fill FILL_PINC087: ‘PINC_087’

FILLS (ENG)

FILLS (SPAN)

Create fill FILL_PARTNER087S
IF PARPARTNER = 1, FILL_PARTNER087S: ‘usted y/o su cónyuge o pareja tienen’
ELSE FILL_PARTNER087S: ‘usted tiene’
If you were to cash in all of the CDs, bonds, and bills ^{FILL_PARTNER} have, how much would you get?

ENGLISH

$ ______________
Si cobrara en efectivo todos los CD, bonos y letras que ^{FILL_PARTNER087S}, ¿cuánto obtendría?

SPANISH

$ ______________ dólares

RANGE

0-999,999,999

LIMITS

9 digits

LOOP MAX
PROGRAM. NOTES

Please automatically add commas every 3 digits when inputting numbers above 999.
HARD CHECK IF PINC_087 OUT OF RANGE (PINC_087=0): ‘You reported earlier that you
and/or your partner have CDs, bonds, or bills. If this is not correct, please click here to
update your answer.’ (Return R to PINC_086)

CHECK (ENG)

SOFT CHECK IF PINC_087>$1,000,000: ‘You reported that the current balance of these
CDs, bonds, and bills is ^{FILL_PINC087}. Please review your answer and correct if
needed.’
HARD CHECK IF PINC_087 OUT OF RANGE (PINC_087=0): ‘Usted informó que usted y/o
su pareja tienen certificados de depósito, bonos o letras. Si esto no es correcto, haga clic
aquí para actualizar su respuesta.’ (Return R to PINC_086)

CHECK (SPAN)

SOFT CHECK IF PINC_087>$1,000,000: ‘Usted informó que el saldo actual de estos CD,
bonos y letras es de ^{FILL_PINC087} dólares. Revise su respuesta y corríjala si es
necesario.’

HELP TEXT (ENG)
HELP TEXT (SPAN)
MODE

CASI/CAWI

NOTES
LEAD-IN
NEXT

PINC_086=1
PINC_087=DK or REF: PINC_088
Else PINC_089

PINC_088
ASK

IF PINC_087=DK or REF

QUESTION TYPE

Radio Button

FILLS (ENG)
FILLS (SPAN)
Which of these categories includes your best estimate of the cash value of all your CDs, bond, and
bills?
1. $1 - $1,000
2. $1,001 - $2,500
3. $2,501 - $5,000
4. $5,001 - $10,000
5. $10,001 - $25,000
6. $25,001 - $50,000
7. $50,001 - $100,000
8. $100,001 - $250,000
9. More than $250,000

ENGLISH

¿Cuál de estas categorías incluye su mejor estimación del valor en efectivo de todos sus CD, bonos y
letras?

SPANISH

1. $1 a $1,000 dólares
2. $1,001 a $2,500 dólares
3. $2,501 a $5,000 dólares
4. $5,001 a $10,000 dólares
5. $10,001 a $25,000 dólares
6. $25,001 a $50,000 dólares
7. $50,001 a $100,000 dólares
8. $100,001 a $250,000 dólares
9. Más de $250,000 dólares

RANGE
LIMITS
LOOP MAX
PROGRAM. NOTES
CHECK (ENG)
CHECK (SPAN)
HELP TEXT (ENG)
HELP TEXT (SPAN)
MODE

CASI/CAWI

NOTES
LEAD-IN
NEXT

PINC_087
PINC_089

PINC_089
ASK

ALL

QUESTION TYPE

Radio Button

FILLS (ENG)

Use fill from PINC_070, FILL_PARTNER
Use fill from PINC_070, FILL_PARTNER

FILLS (SPAN)

ENGLISH

SPANISH

Create fill FILL_PARTNER089S
IF PARPARTNER = 1, FILL_PARTNER089S: ‘Usted y/o su cónyuge o pareja tienen’
ELSE FILL_PARTNER089S: ‘Usted tiene’
Do ^{FILL_PARTNER} have any shares of stock in publicly held corporations or mutual funds, including
any stock or mutual funds held in investment trusts?
1.
Yes
0.
No
¿^{FILL_PARTNER089S} acciones en compañías de participación pública o fondos de inversión,
incluidas acciones o fondos de inversión en fideicomisos de inversión?
1.
Sí
0.
No

RANGE
LIMITS
LOOP MAX
PROGRAM. NOTES
CHECK (ENG)
CHECK (SPAN)
HELP TEXT (ENG)
HELP TEXT (SPAN)
MODE

CASI/CAWI

NOTES
LEAD-IN
NEXT

PINC_086, PINC_087, PINC_088
PINC_089=1: PINC_090
Else PINC_092

PINC_090
ASK

IF PINC_089=1

QUESTION TYPE

Numeric
Use fill from PINC_070, FILL_PARTNER
Create fill FILL_PINC090: ‘PINC_090’
Use fill from PINC_070, FILL_PARTNER
Create fill FILL_PINC090: ‘PINC_090’

FILLS (ENG)

FILLS (SPAN)

Create fill FILL_PARTNER090S
IF PARPARTNER = 1, FILL_PARTNER090S: ‘usted y/o su cónyuge o pareja tienen’
ELSE FILL_PARTNER090S: ‘usted tiene’
If you sold all of the shares of stock in publicly held corporations ^{FILL_PARTNER} have, including
mutual funds, how much would you get?

ENGLISH
$ ______________
Si vendiera todas las acciones de compañías de participación pública que ^{FILL_PARTNER090S},
incluidos los fondos de inversión, ¿cuánto obtendría?
SPANISH
$ ______________ dólares
RANGE

0-999,999,999

LIMITS

9 digits

LOOP MAX
PROGRAM. NOTES

CHECK (ENG)

CHECK (SPAN)

Please automatically add commas every 3 digits when inputting numbers above 999.
HARD CHECK IF PINC_090 OUT OF RANGE (PINC_090=0): ‘You reported earlier that you
and/or your partner have stock shares. If this is not correct, please click here to update
your answer.’ (Return R to PINC_089)
SOFT CHECK IF PINC_090>$1,000,000: ‘You reported that the current balance of these
stock shares is ^{FILL_PINC090}. Please review your answer and correct if needed.’
HARD CHECK IF PINC_090 OUT OF RANGE (PINC_090=0): ‘Usted informó que usted y/o
su pareja tienen acciones. Si esto no es correcto, haga clic aquí para actualizar su
respuesta.’ (Return R to PINC_089)
SOFT CHECK IF PINC_090>$1,000,000: ‘Usted informó que el saldo actual de estas
acciones es de ^{FILL_PINC090} dólares. Revise su respuesta y corríjala si es necesario.’

HELP TEXT (ENG)
HELP TEXT (SPAN)
MODE

CASI/CAWI

NOTES
LEAD-IN
NEXT

PINC_089=1
PINC_090=DK or REF: PINC_091
Else PINC_092

PINC_091
ASK

IF PINC_090=DK or REF

QUESTION TYPE

Radio Button

FILLS (ENG)
FILLS (SPAN)
Which of these categories includes your best estimate of the value of your shares?
1. $1 - $1,000
2. $1,001 - $2,500
3. $2,501 - $5,000
4. $5,001 - $10,000
5. $10,001 - $25,000
ENGLISH
6. $25,001 - $50,000
7. $50,001 - $100,000
8. $100,001 - $250,000
9. More than $250,000

SPANISH

¿Cuál de estas categorías incluye su mejor estimación del valor de sus acciones?
1. $1 a $1,000 dólares
2. $1,001 a $2,500 dólares
3. $2,501 a $5,000 dólares
4. $5,001 a $10,000 dólares
5. $10,001 a $25,000 dólares
6. $25,001 a $50,000 dólares
7. $50,001 a $100,000 dólares
8. $100,001 a $250,000 dólares
9. Más de $250,000 dólares

RANGE
LIMITS
LOOP MAX
PROGRAM. NOTES
CHECK (ENG)
CHECK (SPAN)
HELP TEXT (ENG)
HELP TEXT (SPAN)
MODE

CASI/CAWI

NOTES
LEAD-IN
NEXT

PINC_090=DK or REF
PINC_092

PINC_092
ASK

ALL

QUESTION TYPE

Radio Button

FILLS (ENG)

Use fill from PINC_070, FILL_PARTNER
Use fill from PINC_070, FILL_PARTNER

FILLS (SPAN)

Create fill FILL_PARTNER092S
IF PARPARTNER = 1, FILL_PARTNER092S: ‘usted y/o su cónyuge o pareja tienen’
ELSE FILL_PARTNER092S: ‘usted tiene’
Many employers and unions offer pensions or retirement plans; some provide tax-deferred plans such
as 401(k)'s, profit sharing or stock ownership plans. Other examples include 403(b) plans, 457 plans,
IRA-SEP plans, and IRA-SIMPLE plans. Please do not include Traditional IRAs, Roth IRAs, or education
IRAs as these will be asked about later.

ENGLISH
Do ^{FILL_PARTNER} have any savings in these types of plans?
1. Yes
0. No

SPANISH

Muchos empleadores y sindicatos ofrecen pensiones o planes de jubilación; algunos dan planes con
impuestos diferidos como los 401(k), la participación en los beneficios o los planes de propiedad de
acciones. Otros ejemplos son los planes 403(b), los planes 457, las cuentas individuales de
jubilación IRA-SEP y los planes IRA-SIMPLE. No incluya las cuentas IRA tradicionales, las Roth IRA o
las IRA educativas, ya que responderá preguntas sobre estas más adelante.
¿Se ahorra ^{FILL_PARTNER092S} en este tipo de planes?
1. Sí
0. No

RANGE
LIMITS
LOOP MAX
PROGRAM. NOTES
CHECK (ENG)
CHECK (SPAN)
HELP TEXT (ENG)
HELP TEXT (SPAN)
MODE

CASI/CAWI

NOTES
LEAD-IN
NEXT

PINC_089, PINC_090, PINC_091
PINC_092=1: PINC_093
Else PINC_095

PINC_093
ASK

IF PINC_092=1

QUESTION TYPE

Numeric
Use fill from PINC_070, FILL_PARTNER
Create fill FILL_PINC093: ‘PINC_093’
Use fill from PINC_070, FILL_PARTNER
Create fill FILL_PINC070: ‘PINC_070’

FILLS (ENG)

FILLS (SPAN)

ENGLISH

SPANISH

Create fill FILL_PARTNER093S
IF PARPARTNER = 1, FILL_PARTNER093S: ‘usted y/o su cónyuge o pareja tienen’
ELSE FILL_PARTNER093S: ‘usted tiene’
What is the total value of all the savings ^{FILL_PARTNER} have in employer-sponsored plans that save
for retirement?
Note that tax-advantaged accounts such as IRA or Keogh plans or accounts for saving for educational
expenses, such as Coverdell IRAs or 529 plans will be collected later.
$ ______________
¿Cuál es el valor total de todos los ahorros que ^{FILL_PARTNER093S} en planes patrocinados por el
empleador que sirven para ahorrar para la jubilación?
Tenga en cuenta que se le preguntará más adelante sobre las cuentas con ventajas fiscales, como los
planes IRA o Keogh, o las cuentas de ahorro para gastos educativos, como las Coverdell IRA o los
planes 529.
$ ______________ dólares

RANGE

0-999,999,999

LIMITS

9 digits

LOOP MAX
PROGRAM. NOTES

CHECK (ENG)

Please automatically add commas every 3 digits when inputting numbers above 999.
HARD CHECK IF PINC_093 OUT OF RANGE (PINC_093=0): ‘You reported earlier that you
and/or your partner have savings in employer-sponsored savings plans. If this is not
correct, please click here to update your answer.’ (Return R to PINC_092)
SOFT CHECK IF PINC_093>$1,000,000: ‘You reported that the current value of your
savings in employer-sponsored savings plans is ^{FILL_PINC093}. Please review your
answer and correct if needed.’
HARD CHECK IF PINC_093 OUT OF RANGE (PINC_093=0): ‘Usted informó que usted y/o
su pareja tienen ahorros en planes de ahorro patrocinados por el empleador. Si esto no
es correcto, haga clic aquí para actualizar su respuesta.’ (Return R to PINC_092)

CHECK (SPAN)

SOFT CHECK IF PINC_093>$1,000,000: ‘Usted informó que el valor actual de sus ahorros
en planes de ahorro patrocinados por el empleador es de ^{FILL_PINC093} dólares.
Revise su respuesta y corríjala si es necesario.’

HELP TEXT (ENG)
HELP TEXT (SPAN)
MODE

CASI/CAWI

NOTES
LEAD-IN
NEXT

PINC_092=1
If PINC_093=DK or REF: PINC_094; Else PINC_095

PINC_094
ASK

IF PINC_093=DK or REF

QUESTION TYPE

Radio Button

FILLS (ENG)
FILLS (SPAN)
Which of these categories includes your best estimate of that amount?
1. $1 - $5,000
2. $5,001 - $10,000
3. $10,001 - $25,000
4. $25,001 - $50,000
5. $50,001 - $100,000
6. $100,001 - $250,000
7. $250,001 - $500,000
8. More than $500,000

ENGLISH

¿Cuál de estas categorías incluye su mejor estimación de esa cantidad?

SPANISH

1. $1 a $5,000 dólares
2. $5,001 a $10,000 dólares
3. $10,001 a $25,000 dólares
4. $25,001 a $50,000 dólares
5. $50,001 a $100,000 dólares
6. $100,001 a $250,000 dólares
7. $250,001 a $500,000 dólares
8. Más de $500,000 dólares

RANGE
LIMITS
LOOP MAX
PROGRAM. NOTES
CHECK (ENG)
CHECK (SPAN)
HELP TEXT (ENG)
HELP TEXT (SPAN)
MODE

CASI/CAWI

NOTES
LEAD-IN
NEXT

PINC_093=DK or REF
PINC_095

PINC_095
ASK

All

QUESTION TYPE

Radio Button
Use fill from PINC_070, FILL_PARTNER

FILLS (ENG)

Create fill, FILL_PINC_095
IF PINC_092 = 1, FILL_PINC_095: ‘Other than the accounts you have through your
employer, do’
ELSE FILL_PINC_095: ‘Do’
Use fill from PINC_070, FILL_PARTNER

FILLS (SPAN)

ENGLISH

SPANISH

Create fill FILL_PARTNER095S
IF PARPARTNER = 1, FILL_PARTNER095S: ‘usted y/o su cónyuge o pareja’
ELSE FILL_PARTNER095S: ‘usted’
Create fill, FILL_PINC_095
IF PINC_092 = 1, FILL_PINC_095: ‘Aparte de las cuentas que tiene a través de su
empleador, tiene(n)’
ELSE FILL_PINC_095: ‘Tiene(n)’

^{FILL_PINC_095} ^{FILL_PARTNER} have any money in IRAs, Keoghs, variable annuities, 529 plans, or
other tax-advantaged accounts?
1. Yes
0. No
¿^{FILL_PINC_095} ^{FILL_PARTNER095S} dinero en cuentas IRA, Keogh, anualidades variables, planes
529 u otras cuentas con ventajas fiscales?
1. Sí
0. No

RANGE
LIMITS
LOOP MAX
PROGRAM. NOTES
CHECK (ENG)
CHECK (SPAN)
HELP TEXT (ENG)
HELP TEXT (SPAN)
MODE

CASI/CAWI

NOTES
LEAD-IN
NEXT

PINC_092, PINC_093, PINC_094
PINC_095=1: f_PINC_096
Else PINC_125

f_PINC_096
PINC_0961/PINC_0962/PINC_0963/PINC_0964/PINC_0965/PINC_0966/PINC_0967/PINC_0967_SPECIFY
ASK
IF PINC_095=1
PINC_0961: Radio button
PINC_0962: Radio button
PINC_0963: Radio button
PINC_0964: Radio button
QUESTION TYPE
PINC_0965: Radio button
PINC_0966: Radio button
PINC_0967: Radio button
PINC_0967_SPECIFY: Textbox
Create fill FILL_PARTNER_2
FILLS (ENG)
IF PARAPARTNER = 1, FILL_PARTNER_2: ‘you or your spouse or partner’
ELSE FILL_PINC_PARTNER_2: ‘you’
Create fill FILL_PARTNER_2_096S
FILLS (SPAN)
IF PARAPARTNER = 1, FILL_PARTNER_2_096S: ‘tienen usted o su cónyuge o pareja’
ELSE FILL_PINC_PARTNER_2_096S: ‘tiene usted’
Below is a list of different types of tax-advantaged accounts. Please tell us which of these
^{FILL_PARTNER_2} hold. Please respond “Yes” or “No” for each.
COLUMN HEADERS:
1. Yes
0. No

ENGLISH

ROW ITEMS:
Traditional IRA [PINC_0961]
Roth IRA [PINC_0962]
Coverdell IRAs or Education IRAs [PINC_0963]
Keogh Plans [PINC_0964]
Variable Annuities [PINC_0965]
529 Plans (State Sponsored Education Plans) [PINC_0966]
Other (SPECIFY) [PINC_0967] [PINC_0967_SPECIFY]
A continuación, encontrará una lista de los diferentes tipos de cuentas con ventajas fiscales. Díganos
cuál de estas cuentas ^{FILL_PARTNER_2_096S}. Responda “Sí” o “No” para cada opción.
COLUMN HEADERS:
1. Sí
0. No

SPANISH

ROW ITEMS:
IRA tradicional [PINC_0961]
Roth IRA [PINC_0962]
IRA Coverdell o educativa [PINC_0963]
Planes Keogh [PINC_0964]
Anualidades variables [PINC_0965]
Planes 529 (planes educativos patrocinados por el Estado) [PINC_0966]
Otro (ESPECIFIQUE) [PINC_0967] [PINC_0967_SPECIFY]

RANGE
LIMITS

PINC_0967_SPECIFY: 25 Max characters

LOOP MAX
If PINC_0967=1, display text box PINC_0967_SPECIFY with label above the text box:
What other kinds of tax-advantaged accounts do ^{FILL_PARTNER_2} hold?
PROGRAM. NOTES

If PINC_0967=1, display text box PINC_0967_SPECIFY with label above the text box:
¿Qué otros tipos de cuentas con ventajas fiscales tiene ^{FILL_PARTNER_2}?

CHECK (ENG)
CHECK (SPAN)
HELP TEXT (ENG)
HELP TEXT (SPAN)
MODE

CASI/CAWI

NOTES
LEAD-IN

NEXT

PINC_095=1
If PINC_0961=1: PINC_097;
Else if PINC_0962=1: PINC_101;
Else if PINC_0963=1: PINC_105;
Else if PINC_0964=1: PINC_109;
Else if PINC_0965=1: PINC_113;
Else if PINC_0966=1: PINC_117;
Else if PINC_0967=1: PINC_121;
Else PINC_125

PINC_097
ASK

IF PINC_0961=1

QUESTION TYPE

Radio Button

FILLS (ENG)

Use fill from PINC_096, FILL_PARTNER_2
Use fill from PINC_096, FILL_PARTNER_2

FILLS (SPAN)

ENGLISH

SPANISH

Create fill FILL_PARTNER0_2_097S
IF PARPARTNER = 1, FILL_PARTNER_2_097S: ‘Usted y/o su cónyuge o pareja han retirado’
ELSE FILL_PARTNER_2_097SS: ‘Usted ha retirado’
Have ^{FILL_PARTNER_2} withdrawn any money from this Traditional IRA that you intend to pay back
or redeposit?
1. Yes
0. No
¿^{FILL_PARTNER_2_097S} dinero de esta cuenta IRA tradicional que tenga intención de devolver o
volver a depositar?
1. Sí
0. No

RANGE
LIMITS
LOOP MAX
PROGRAM. NOTES
CHECK (ENG)
CHECK (SPAN)
HELP TEXT (ENG)
HELP TEXT (SPAN)
MODE

CASI/CAWI

NOTES
LEAD-IN
NEXT

PINC_096
If PINC_097=1: PINC_098
Else PINC_100

PINC_098
ASK

IF PINC_097=1

QUESTION TYPE

Numeric
Use fill from PINC_096, FILL_PARTNER_2
Create fill FILL_PINC098: ‘PINC_098’
Use fill from PINC_096, FILL_PARTNER_2
Create fill FILL_PINC098: ‘PINC_098’

FILLS (ENG)

FILLS (SPAN)

Create fill FILL_PARTNER0_2_098S
IF PARPARTNER = 1, FILL_PARTNER_2_098S: ‘usted y/o su cónyuge o pareja tienen la
intención de’
ELSE FILL_PARTNER_2_098SS: ‘usted tiene la intención de’
What is the amount that ^{FILL_PARTNER_2} intend to pay back on all withdrawals made on this
Traditional IRA?

ENGLISH
$ ______________
¿Cuál es la cantidad que ^{FILL_PARTNER_2_098S} devolver sobre todos los retiros hechos de esta
cuenta IRA tradicional?
SPANISH
$ ______________ dólares
RANGE

0-999,999,999

LIMITS

9 digits

LOOP MAX
PROGRAM. NOTES

CHECK (ENG)

CHECK (SPAN)

Please automatically add commas every 3 digits when inputting numbers above 999.
HARD CHECK IF PINC_098 OUT OF RANGE (PINC_098=0): ‘You reported earlier that you
and/or your partner have withdrawn any money from this Traditional IRA that you
intend to pay back or redeposit. If this is not correct, please click here to update your
answer.’ (Return R to PINC_097)
SOFT CHECK IF PINC_098>$1,000,000: ‘You reported that you intend to pay back or
redeposit ^{FILL_PINC098} to a Traditional IRA. Please review your answer and correct if
needed.’
HARD CHECK IF PINC_098 OUT OF RANGE (PINC_098=0): ‘Usted informó que usted y/o
su pareja han retirado dinero de esta cuenta IRA tradicional que tienen intención de
devolver o de volver a depositar. Si esto no es correcto, haga clic aquí para actualizar su
respuesta.’ (Return R to PINC_097)
SOFT CHECK IF PINC_098>$1,000,000: ‘Usted informó que tiene la intención de devolver
o de volver a depositar ^{FILL_PINC098} dólares en una cuenta IRA tradicional. Revise su
respuesta y corríjala si es necesario.’

HELP TEXT (ENG)
HELP TEXT (SPAN)
MODE
NOTES

CASI/CAWI

LEAD-IN

PINC_097=1
PINC_098=DK or REF: PINC_099
Else PINC_100

NEXT

PINC_099
ASK

IF PINC_098= DK or REF

QUESTION TYPE

Radio button

FILLS (ENG)
FILLS (SPAN)
Which of these categories includes your best estimate of that amount?
1. $1 - $5,000
2. $5,001 - $10,000
3. $10,001 - $25,000
4. $25,001 - $50,000
ENGLISH
5. $50,001 - $100,000
6. $100,001 - $250,000
7. $250,001 - $500,000
8. More than $500,000

SPANISH

¿Cuál de estas categorías incluye su mejor estimación de esa cantidad?
1. $1 a $5,000 dólares
2. $5,001 a $10,000 dólares
3. $10,001 a $25,000 dólares
4. $25,001 a $50,000 dólares
5. $50,001 a $100,000 dólares
6. $100,001 a $250,000 dólares
7. $250,001 a $500,000 dólares
8. Más de $500,000 dólares

RANGE
LIMITS
LOOP MAX
PROGRAM. NOTES
CHECK (ENG)
CHECK (SPAN)
HELP TEXT (ENG)
HELP TEXT (SPAN)
MODE

CASI/CAWI

NOTES
LEAD-IN
NEXT

PINC_098 =DK or REF
PINC_100

PINC_100
ASK

IF PINC_0961=1

QUESTION TYPE

Numeric
Create fill PINC_100
IF PINC_097 = 1 AND PARAPARTNER = 1, FILL_PINC_100: ‘If you and/or your spouse or
partner were to pay back all of these withdrawals today, about how much would be’
ELSE IF PINC_097 = 1, FILL_PINC_100: ‘If you were to pay back all of these withdrawals
today, about how much would be’
ELSE, FILL_PINC_100: ‘Today, about how much is’

FILLS (ENG)

FILLS (SPAN)

Create fill FILL_PINC100: ‘PINC_100’
Create fill PINC_100
IF PINC_097 = 1 AND PARAPARTNER = 1, FILL_PINC_100: ‘Si usted y/o su cónyuge o
pareja tuvieran que devolver hoy todos estos reintegros, ¿cuánto habría
aproximadamente’
ELSE IF PINC_097 = 1, FILL_PINC_100: ‘Si usted tuviera que devolver todos estos
reintegros hoy, ¿cuánto habría aproximadamente’
ELSE, FILL_PINC_100: ‘Hoy, ¿cuánto hay aproximadamente’

ENGLISH

Create fill FILL_PINC100: ‘PINC_100’
^{FILL_PINC_100} in this Traditional IRA?
$ ______________

SPANISH

^{FILL_PINC_100} en esta cuenta IRA tradicional?
$ ______________ dólares

RANGE

0-999,999,999

LIMITS

9 digits

LOOP MAX
PROGRAM. NOTES

CHECK (ENG)

Please automatically add commas every 3 digits when inputting numbers above 999.
HARD CHECK IF PINC_100 OUT OF RANGE (PINC_100=0): ‘You reported earlier that you
and/or your partner have money in a Traditional IRA. If this is not correct, please click
here to update your answer.’ (Return R to PINC_096)
SOFT CHECK IF PINC_100>$1,000,000: ‘You reported that you and/or your partner have
^{FILL_PINC100} in a Traditional IRA. Please review your answer and correct if needed.’
HARD CHECK IF PINC_100 OUT OF RANGE (PINC_100=0): ‘Usted informó que usted y/o
su pareja tienen dinero en una cuenta IRA tradicional. Si esto no es correcto, haga clic
aquí para actualizar su respuesta.’ (Return R to PINC_096)

CHECK (SPAN)

SOFT CHECK IF PINC_100>$1,000,000: ‘Usted informó que usted y/o su pareja tienen
^{FILL_PINC100} dólares en una cuenta IRA tradicional. Revise su respuesta y corríjala si
es necesario.’

HELP TEXT (ENG)
HELP TEXT (SPAN)
MODE

CASI/CAWI

NOTES
LEAD-IN

NEXT

PINC_097, PINC_098, PINC_099
If PINC_0962=1: PINC_101
Else if PINC_0963=1: PINC_105
Else if PINC_0964=1: PINC_109
Else if PINC_0965=1: PINC_113
Else if PINC_0966=1: PINC_117
Else if PINC_0967=1: PINC_121
Else PINC_125

PINC_101
ASK

IF PINC_0962=1

QUESTION TYPE

Radio Button

FILLS (ENG)

Use fill from PINC_096, FILL_PARTNER_2
Use fill from PINC_096, FILL_PARTNER_2

FILLS (SPAN)

ENGLISH

SPANISH

Create fill FILL_PARTNER0_2_101S
IF PARPARTNER = 1, FILL_PARTNER_2_101S: ‘Usted y/o su cónyuge o pareja retiraron’
ELSE FILL_PARTNER_2_101S: ‘Usted ha retirado’
Have ^{FILL_PARTNER_2} withdrawn any money from this Roth IRA that you intend to pay back or
redeposit?
1. Yes
0. No
¿^{FILL_PARTNER_2_101S} más dinero de esta cuenta Roth IRA que tiene(n) la intención de devolver o
volver a depositar?
1. Sí
0. No

RANGE
LIMITS
LOOP MAX
PROGRAM. NOTES
CHECK (ENG)
CHECK (SPAN)
HELP TEXT (ENG)
HELP TEXT (SPAN)
MODE

CASI/CAWI

NOTES
LEAD-IN
NEXT

PINC_096, PINC_100
If PINC_101=1: PINC_102;
Else PINC_104

PINC_102
ASK

IF PINC_101=1

QUESTION TYPE

Numeric
Use fill from PINC_096, FILL_PARTNER_2
Create fill FILL_PINC102: ‘PINC_102’
Use fill from PINC_096, FILL_PARTNER_2
Create fill FILL_PINC102: ‘PINC_102’

FILLS (ENG)

FILLS (SPAN)

Create fill FILL_PARTNER_2_102S
IF PARPARTNER = 1, FILL_PARTNER_2_102S: ‘usted y/o su cónyuge o pareja tienen la
intención de’
ELSE FILL_PARTNER_2_102S: ‘usted tiene la intención de’
What is the amount that ^{FILL_PARTNER_2} intend to pay back on all withdrawals made on this Roth
IRA?

ENGLISH
$ ______________
¿Cuál es la cantidad que ^{FILL_PARTNER_2_102S} devolver de todos los retiros efectuados en esta
cuenta Roth IRA?
SPANISH
$ ______________ dólares
RANGE

0-999,999,999

LIMITS

9 digits

LOOP MAX
PROGRAM. NOTES

CHECK (ENG)

CHECK (SPAN)

Please automatically add commas every 3 digits when inputting numbers above 999.
HARD CHECK IF PINC_102 OUT OF RANGE (PINC_102=0): ‘You reported earlier that you
and/or your partner have withdrawn any money from a Roth IRA that you intend to pay
back or redeposit. If this is not correct, please click here to update your answer.’ (Return
R to PINC_101)
SOFT CHECK IF PINC_102>$1,000,000: ‘You reported that you intend to pay back or
redeposit ^{FILL_PINC102} to a Roth IRA. Please review your answer and correct if
needed.’
HARD CHECK IF PINC_102 OUT OF RANGE (PINC_102=0): ‘Usted informó que usted y/o
su pareja han retirado dinero de esta cuenta Roth IRA que tienen intención de devolver
o de volver a depositar. Si esto no es correcto, haga clic aquí para actualizar su
respuesta.’ (Return R to PINC_101)
SOFT CHECK IF PINC_102>$1,000,000: ‘Usted informó que tiene la intención de devolver
o de volver a depositar ^{FILL_PINC102} dólares en una cuenta Roth IRA. Revise su
respuesta y corríjala si es necesario.’

HELP TEXT (ENG)
HELP TEXT (SPAN)
MODE
NOTES

CASI/CAWI

LEAD-IN

PINC_101=1
PINC_102=DK or REF: PINC_103
Else PINC_104

NEXT

PINC_103
ASK

IF PINC_102=DK or REF

QUESTION TYPE

Radio Button

FILLS (ENG)
FILLS (SPAN)
Which of these categories includes your best estimate of that amount?
1. $1 - $5,000
2. $5,001 - $10,000
3. $10,001 - $25,000
4. $25,001 - $50,000
ENGLISH
5. $50,001 - $100,000
6. $100,001 - $250,000
7. $250,001 - $500,000
8. More than $500,000

SPANISH

¿Cuál de estas categorías incluye su mejor estimación de esa cantidad?
1. $1 a $5,000 dólares
2. $5,001 a $10,000 dólares
3. $10,001 a $25,000 dólares
4. $25,001 a $50,000 dólares
5. $50,001 a $100,000 dólares
6. $100,001 a $250,000 dólares
7. $250,001 a $500,000 dólares
8. Más de $500,000 dólares

RANGE
LIMITS
LOOP MAX
PROGRAM. NOTES
CHECK (ENG)
CHECK (SPAN)
HELP TEXT (ENG)
HELP TEXT (SPAN)
MODE

CASI/CAWI

NOTES
LEAD-IN
NEXT

PINC_102 =DK or REF
PINC_104

PINC_104
ASK

IF PINC_0962=1

QUESTION TYPE

Numeric
Use Create fill from PINC_100, FILL_PINC_100104_2
IF PINC_101 = 1 AND PARAPARTNER = 1, FILL_PINC_104_2: ‘If you and/or your spouse or
partner were to pay back all of these withdrawals today, about how much would be’
ELSE IF PINC_101= 1, FILL_PINC_104_2: ‘If you were to pay back all of these withdrawals
today, about how much would be’
ELSE, FILL_PINC_104_2: ‘Today, about how much is’

FILLS (ENG)

FILLS (SPAN)

Create fill FILL_PINC104: ‘PINC_104’
Use Create fill from PINC_100, FILL_PINC_100104_2
IF PINC_101 = 1 AND PARAPARTNER = 1, FILL_PINC_104_2: Si usted y/o su cónyuge o
pareja fueran a devolver todos estos retiros hoy, ¿aproximadamente cuanto tendría’
ELSE IF PINC_101= 1, FILL_PINC_104_2: ‘Si fuera a devolver todos estos retiros hoy,
¿aproximadamente cuánto tendría’
ELSE, FILL_PINC_104_2: ‘¿Hoy en día, aproximadamente cuando hay’

ENGLISH

Create fill FILL_PINC104: ‘PINC_104’
^{FILL_PINC_100104_2} in this Roth IRA?
$ ______________

SPANISH

^{FILL_PINC_100} en esta cuenta Roth IRA?
$ ______________ dólares

RANGE

0-999,999,999

LIMITS

9 digits

LOOP MAX
PROGRAM. NOTES

CHECK (ENG)

Please automatically add commas every 3 digits when inputting numbers above 999.
HARD CHECK IF PINC_104 OUT OF RANGE (PINC_104=0): ‘You reported earlier that you
and/or your partner have money in a Roth IRA. If this is not correct, please click here to
update your answer.’ (Return R to PINC_096)
SOFT CHECK IF PINC_104>$1,000,000: ‘You reported that you and/or your partner have
^{FILL_PINC100} in a Roth IRA. Please review your answer and correct if needed.’
HARD CHECK IF PINC_104 OUT OF RANGE (PINC_104=0): ‘Usted informó que usted y/o
su pareja tienen dinero en una cuenta Roth IRA. Si esto no es correcto, haga clic aquí
para actualizar su respuesta.’ (Return R to PINC_096)

CHECK (SPAN)

SOFT CHECK IF PINC_104>$1,000,000: ‘Usted informó que usted y/o su pareja tienen
^{FILL_PINC100} dólares en una cuenta Roth IRA. Revise su respuesta y corríjala si es
necesario.’

HELP TEXT (ENG)
HELP TEXT (SPAN)
MODE

CASI/CAWI

NOTES
LEAD-IN

NEXT

PINC_101, PINC_102, PINC_103
If PINC_0963=1: PINC_105
Else if PINC_0964=1: PINC_109
Else if PINC_0965=1: PINC_113
Else if PINC_0966=1: PINC_117
Else if PINC_0967=1: PINC_121
Else PINC_125

PINC_105
ASK

IF PINC_0963=1

QUESTION TYPE

Radio Button

FILLS (ENG)

Use fill from PINC_096, FILL_PARTNER_2
Use fill from PINC_096, FILL_PARTNER_2

FILLS (SPAN)

ENGLISH

SPANISH

Create fill FILL_PARTNER_2_105S
IF PARPARTNER = 1, FILL_PARTNER_2_105S: ‘Usted y/o su cónyuge o pareja retiraron’
ELSE FILL_PARTNER_2_105S: ‘Usted ha retirado’
Have ^{FILL_PARTNER_2} withdrawn any money from these Coverdell IRAs or Education IRAs that you
intend to pay back or redeposit?
1. Yes
0. No
¿^{FILL_PARTNER_2_105S} algún dinero de estas cuentas Coverdell IRA o IRA educativas que tenga(n)
la intención de devolver o volver a depositar?
1. Sí
0. No

RANGE
LIMITS
LOOP MAX
PROGRAM. NOTES
CHECK (ENG)
CHECK (SPAN)
HELP TEXT (ENG)
HELP TEXT (SPAN)
MODE

CASI/CAWI

NOTES
LEAD-IN
NEXT

PINC_096, PINC_100, PINC_104
If PINC_105=1: PINC_106;
Else PINC_108

PINC_106
ASK

IF PINC_105=1

QUESTION TYPE

Numeric
Use fill from PINC_096, FILL_PARTNER_2
Create fill FILL_PINC106: ‘PINC_106’
Use fill from PINC_096, FILL_PARTNER_2
Create fill FILL_PINC106: ‘PINC_106’

FILLS (ENG)

FILLS (SPAN)

Create fill FILL_PARTNER_2_106S
IF PARPARTNER = 1, FILL_PARTNER_2_106S: ‘usted y/o su cónyuge o pareja tienen la
intención de’
ELSE FILL_PARTNER_2_106S: ‘usted tiene la intención de’
What is the amount that ^{FILL_PARTNER_2} intend to pay back on all withdrawals made on these
Coverdell IRAs or Education IRAs?

ENGLISH
$ ______________
¿Cuál es la cantidad que ^{FILL_PARTNER_2_106S} devolver sobre todos los retiros efectuados de
estas cuentas Coverdell IRA o IRA educativas?
SPANISH
$ ______________ dólares
RANGE

0-999,999,999

LIMITS

9 digits

LOOP MAX
PROGRAM. NOTES

CHECK (ENG)

CHECK (SPAN)

Please automatically add commas every 3 digits when inputting numbers above 999.
HARD CHECK IF PINC_106 OUT OF RANGE (PINC_106=0): ‘You reported earlier that you
and/or your partner have withdrawn any money from a Coverdell or Education IRA that
you intend to pay back or redeposit. If this is not correct, please click here to update
your answer.’ (Return R to PINC_105)
SOFT CHECK IF PINC_106>$1,000,000: ‘You reported that you intend to pay back or
redeposit ^{FILL_PINC106} to a Coverdell or Education IRA. Please review your answer
and correct if needed.’
HARD CHECK IF PINC_106 OUT OF RANGE (PINC_106=0): ‘Usted informó que usted y/o
su pareja han retirado dinero de estas cuentas Coverdell IRA o IRA educativas que tienen
la intención de devolver o de volver a depositar. Si esto no es correcto, haga clic aquí
para actualizar su respuesta.’ (Return R to PINC_105)
SOFT CHECK IF PINC_106>$1,000,000: ‘Usted informó que tiene la intención de devolver
o volver a depositar ^{FILL_PINC106} dólares en una cuenta Coverdell o IRA educativa.
Revise su respuesta y corríjala si es necesario.’

HELP TEXT (ENG)
HELP TEXT (SPAN)
MODE
NOTES

CASI/CAWI

LEAD-IN

PINC_105=1
PINC_106=DK or REF: PINC_107
Else PINC_108

NEXT

PINC_107
ASK

IF PINC_106=DK or REF

QUESTION TYPE

Radio Button

FILLS (ENG)
FILLS (SPAN)
Which of these categories includes your best estimate of that amount?
1. $1 - $5,000
2. $5,001 - $10,000
3. $10,001 - $25,000
4. $25,001 - $50,000
ENGLISH
5. $50,001 - $100,000
6. $100,001 - $250,000
7. $250,001 - $500,000
8. More than $500,000

SPANISH

¿Cuál de estas categorías incluye su mejor estimación de esa cantidad?
1. $1 a $5,000 dólares
2. $5,001 a $10,000 dólares
3. $10,001 a $25,000 dólares
4. $25,001 a $50,000 dólares
5. $50,001 a $100,000 dólares
6. $100,001 a $250,000 dólares
7. $250,001 a $500,000 dólares
8. Más de $500,000 dólares

RANGE
LIMITS
LOOP MAX
PROGRAM. NOTES
CHECK (ENG)
CHECK (SPAN)
HELP TEXT (ENG)
HELP TEXT (SPAN)
MODE

CASI/CAWI

NOTES
LEAD-IN
NEXT

PINC_106 =DK or REF
PINC_108

PINC_108
ASK

IF PINC_0963=1

QUESTION TYPE

Numeric
Create fill FILL_PINC_108_2
IF PINC_105 = 1 AND PARAPARTNER = 1, FILL_PINC_108_2: ‘If you and/or your spouse or
partner were to pay back all of these withdrawals today, about how much would be’
ELSE IF PINC_105= 1, FILL_PINC_108_2: ‘If you were to pay back all of these withdrawals
today, about how much would be’
ELSE, FILL_PINC_108_2: ‘Today, about how much is’

FILLS (ENG)

Create fill FILL_PINC108: ‘PINC_108’
Create fill FILL_PINC_108_2
IF PINC_105 = 1 AND PARAPARTNER = 1, FILL_PINC_108_2: Si usted y/o su cónyuge o
pareja fueran a devolver todos estos retiros hoy, ¿aproximadamente cuanto tendría’
FILLS (SPAN)
ELSE IF PINC_105= 1, FILL_PINC_108_2: ‘Si fuera a devolver todos estos retiros hoy,
¿aproximadamente cuánto tendría’
ELSE, FILL_PINC_108_2: ‘¿Hoy en día, aproximadamente cuando hay’
Create fill FILL_PINC108: ‘PINC_108’
^{FILL_PINC_100} in these Coverdell IRAs or Education IRAs?
$ ______________
ENGLISH

SPANISH

^{FILL_PINC_100} en estas cuentas Coverdell IRA o IRA educativas?
$ ______________ dólares

RANGE

0-999,999,999

LIMITS

9 digits

LOOP MAX
PROGRAM. NOTES

CHECK (ENG)

Please automatically add commas every 3 digits when inputting numbers above 999.
HARD CHECK IF PINC_108 OUT OF RANGE (PINC_108=0): ‘You reported earlier that you
and/or your partner have money in a Coverdell or Education IRA. If this is not correct,
please click here to update your answer.’ (Return R to PINC_096)
SOFT CHECK IF PINC_108>$1,000,000: ‘You reported that you and/or your partner have
^{FILL_PINC108} in Coverdell or Education IRAs. Please review your answer and correct if
needed.’
HARD CHECK IF PINC_108 OUT OF RANGE (PINC_108=0): ‘Usted informó que usted y/o
su pareja tienen dinero en una cuenta Coverdell IRA o IRA educativa. Si esto no es
correcto, haga clic aquí para actualizar su respuesta.’ (Return R to PINC_096)

CHECK (SPAN)

SOFT CHECK IF PINC_108>$1,000,000: ‘Usted informó que usted y/o su pareja tienen
^{FILL_PINC108} dólares en cuentas Coverdell IRA o IRA educativas. Revise su respuesta
y corríjala si es necesario.’

HELP TEXT (ENG)
HELP TEXT (SPAN)
MODE
NOTES

CASI/CAWI

LEAD-IN

NEXT

PINC_105, PINC_106, PINC_107
If PINC_0964=1: PINC_109
Else if PINC_0965=1: PINC_113
Else if PINC_0966=1: PINC_117
Else if PINC_0967=1: PINC_121
Else PINC_125

PINC_109
ASK

IF PINC_0964=1

QUESTION TYPE

Radio Button

FILLS (ENG)

Use fill from PINC_096, FILL_PARTNER_2
Use fill from PINC_096, FILL_PARTNER_2

FILLS (SPAN)

ENGLISH

SPANISH

Create fill FILL_PARTNER_2_109S
IF PARPARTNER = 1, FILL_PARTNER_2_109S: ‘Usted y/o su cónyuge o pareja retiraron’
ELSE FILL_PARTNER_2_109S: ‘Usted ha retirado’
Have ^{FILL_PARTNER_2} withdrawn any money from these Keogh Plans that you intend to pay back
or redeposit?
1 Yes
0 No
¿^{FILL_PARTNER_2_109S} dinero de estos planes Keogh que planea(n) devolver o volver a depositar?
1 Sí
0 No

RANGE
LIMITS
LOOP MAX
PROGRAM. NOTES
CHECK (ENG)
CHECK (SPAN)
HELP TEXT (ENG)
HELP TEXT (SPAN)
MODE

CASI/CAWI

NOTES
LEAD-IN
NEXT

PINC_096, PINC_100, PINC_104, PINC_108
If PINC_109=1: PINC_110
Else PINC_112

PINC_110
ASK

IF PINC_109=1

QUESTION TYPE

Numeric
Use fill from PINC_096, FILL_PARTNER_2
Create fill FILL_PINC110: ‘PINC_110’
Use fill from PINC_096, FILL_PARTNER_2
Create fill FILL_PINC110: ‘PINC_110’

FILLS (ENG)

FILLS (SPAN)

Create fill FILL_PARTNER_2_110S
IF PARPARTNER = 1, FILL_PARTNER_2_110S: ‘usted y/o su cónyuge o pareja tienen la
intención de’
ELSE FILL_PARTNER_2_110S: ‘usted tiene la intención de’
What is the amount that ^{FILL_PARTNER_2} intend to pay back on all withdrawals made on these
Keogh Plans?

ENGLISH
$ ______________
¿Cuál es la cantidad que ^{FILL_PARTNER_2_110S} devolver sobre todos los retiros efectuados en
estos planes Keogh?
SPANISH
$ ______________ dólares
RANGE

0-999,999,999

LIMITS

9 digits

LOOP MAX
PROGRAM. NOTES

CHECK (ENG)

CHECK (SPAN)

Please automatically add commas every 3 digits when inputting numbers above 999.
HARD CHECK IF PINC_110 OUT OF RANGE (PINC_110=0): ‘You reported earlier that you
and/or your partner have withdrawn any money from a Keogh Plan that you intend to
pay back or redeposit. If this is not correct, please click here to update your answer.’
(Return R to PINC_109)
SOFT CHECK IF PINC_110>$1,000,000: ‘You reported that you intend to pay back or
redeposit ^{FILL_PINC110} to a Keogh Plan. Please review your answer and correct if
needed.’
HARD CHECK IF PINC_110 OUT OF RANGE (PINC_110=0): ‘Usted informó que usted y/o
su pareja han retirado dinero de este plan Keogh que tienen intención de devolver o de
volver a depositar. Si esto no es correcto, haga clic aquí para actualizar su respuesta.’
(Return R to PINC_109)
SOFT CHECK IF PINC_110>$1,000,000: ‘Usted informó que tiene la intención de devolver
o de volver a depositar ^{FILL_PINC110} dólares en un plan Keogh. Revise su respuesta y
corríjala si es necesario.’

HELP TEXT (ENG)
HELP TEXT (SPAN)
MODE
NOTES

CASI/CAWI

LEAD-IN
NEXT

PINC_109=1
PINC_110=DK or REF: PINC_111
Else PINC_112

PINC_111
ASK

IF PINC_110=DK or REF

QUESTION TYPE

Radio Button

FILLS (ENG)
FILLS (SPAN)
Which of these categories includes your best estimate of that amount?
1. $1 - $5,000
2. $5,001 - $10,000
3. $10,001 - $25,000
4. $25,001 - $50,000
ENGLISH
5. $50,001 - $100,000
6. $100,001 - $250,000
7. $250,001 - $500,000
8. More than $500,000
¿Cuál de estas categorías incluye su mejor estimación de esa cantidad?
1. $1 a $5,000 dólares
2. $5,001 a $10,000 dólares
3. $10,001 a $25,000 dólares
SPANISH
4. $25,001 a $50,000 dólares
5. $50,001 a $100,000 dólares
6. $100,001 a $250,000 dólares
7. $250,001 a $500,000 dólares
8. Más de $500,000 dólares
RANGE
LIMITS
LOOP MAX
PROGRAM. NOTES
CHECK (ENG)
CHECK (SPAN)
HELP TEXT (ENG)
HELP TEXT (SPAN)
MODE

CASI/CAWI

NOTES
LEAD-IN
NEXT

PINC_110 =DK or REF
PINC_112

PINC_112
ASK

IF PINC_0964=1

QUESTION TYPE

Numeric
Create fill FILL_PINC_112_2
IF PINC_109 = 1 AND PARAPARTNER = 1, FILL_PINC_112_2: ‘If you and/or your spouse or
partner were to pay back all of these withdrawals today, about how much would be’
ELSE IF PINC_109= 1, FILL_PINC_112_2: ‘If you were to pay back all of these withdrawals
today, about how much would be’
ELSE, FILL_PINC_112_2: ‘Today, about how much is’

FILLS (ENG)

FILLS (SPAN)

Create fill FILL_PINC112: ‘PINC_112’
Create fill FILL_PINC_112_2
IF PINC_109 = 1 AND PARAPARTNER = 1, FILL_PINC_112_2: Si usted y/o su cónyuge o
pareja fueran a devolver todos estos retiros hoy, ¿aproximadamente cuanto tendría’
ELSE IF PINC_109= 1, FILL_PINC_112_2: ‘Si fuera a devolver todos estos retiros hoy,
¿aproximadamente cuánto tendría’
ELSE, FILL_PINC_112_2: ‘¿Hoy en día, aproximadamente cuando hay’

ENGLISH

Create fill FILL_PINC112: ‘PINC_112’
^{FILL_PINC_112_2} in these Keogh Plans?
$ ______________

SPANISH

^{FILL_PINC_100} en estos planes Keogh?
$ ______________ dólares

RANGE

0-999,999,999

LIMITS

9 digits

LOOP MAX
PROGRAM. NOTES

CHECK (ENG)

CHECK (SPAN)

Please automatically add commas every 3 digits when inputting numbers above 999.
HARD CHECK IF PINC_112 OUT OF RANGE (PINC_112=0): ‘You reported earlier that you
and/or your partner have money in Keogh Plan. If this is not correct, please click here to
update your answer.�