INCOME AND PROGRAM PARTICIPATION SECTION CONTINUED
GO TO NEXT SECTION: INTERVIEWER REMARKS
Q13F-1
Since
[01/1997] have you [or/" "] [Spouse/partner's name] received food
stamps?
1 YES...(Go
to Q13F-2)
0 NO
Lead-In:
Q13SSI-1 [Default], Q13SSI-LOOP-END [Default], Q13SSI-1 [-1:-1]
Q13F-2
(After
[01/1997]), In what month and
year did you [or/" "] [Spouse/partner's name] first start receiving
government food stamps?
1 SELECT
TO ENTER DATES
2 DID
RECEIVE, BUT DO NOT KNOW DATES...(Go to Q13F-LOOP-BEGIN)
Lead-In:
Q13F-1 [1:1]
Q13F-3
((After
[01/1997]), In what month and
year did you [or/" "] [Spouse/partner's name] first start receiving
government food stamps?)
Enter Date: |__|__||__|__|__|__|
Mon Year
Lead-In:
Q13F-2 [Default]
Q13F-LOOP-BEGIN
REPEAT
([FOOD_LOOP2 counter]);
/*
BEGIN LOOP TO COLLECT NEW SPELLS OF FOOD STAMPS RECEIPT */
Lead-In:
Q13F-3 [Default], Q13F-2 [2:2], Q13F-2 [-2:-1]
Q13F-5a
(([Month
and year when first started receiving government food stamps after 1/1/97] = 2)
or ([Month and year when first started receiving government food stamps after
1/1/97] = -2) or ([Month and year when first started receiving government food
stamps after 1/1/97] = -1));
/*
DID R RECEIVE AGAIN, BUT DOES NOT KNOW DATES? */
Lead-In:
Q13F-LOOP-BEGIN [Default]
Q13F-6
(([Month
and year when first started receiving government food stamps after 1/1/97] = 1)
and ([FOOD_LOOP2 counter] = 1));
/*
WAS A DATE COLLECTED OUTSIDE OF THE LOOP */
If
Answer =1 Then Go To:
Q13F-10
Go
To: Q13F-8
Lead-In:
Q13F-5a [Default]
Q13F-8
After
[date of last receipt()], in what month and year did you [or/" "]
[Spouse/partner's name] (next) start receiving food stamps?
(INTERVIEWER:
IF DON'T KNOW OR REFUSED, PROBE FOR APPROXIMATE MONTH AND YEAR.)
1 SELECT
TO ENTER DATES
2 DID
RECEIVE, BUT DO NOT KNOW DATES...(Go to Q13F-26)
Go
To: Q13F-9
Lead-In:
Q13F-6 [Default]
Q13F-9
(After
[date of last receipt()], in what month and year did you [or/" "]
[Spouse/partner's name] (next) start receiving food stamps?)
(ENTER
MONTH AND YEAR)
Enter Date: |__|__||__|__|__|__|
Mon Year
Go
To: Q13F-10
Lead-In:
Q13F-8 [Default]
Q13F-10
Since
[Month/year began receiving food stamps again()], have you [or/" "]
[Spouse/partner's name] received food stamps continuously?
1 YES
0 NO...(Go
to Q13F-12)
Go
To: Q13F-23
Lead-In:
Q13F-9 [Default], Q13F-6 [1:1]
Q13F-12
(After
[Month/year began receiving food stamps again()], )
In what month and year did you [or/" "] [Spouse/partner's name]
first stop receiving food stamps?
(INTERVIEWER:
IF DON'T KNOW OR REFUSED, PROBE FOR APPROXIMATE MONTH AND YEAR.)
1 SELECT
TO ENTER DATES
2 DID
RECEIVE, BUT DO NOT KNOW DATES...(Go to Q13F-27)
Go
To: Q13F-13
Lead-In:
Q13F-10 [0:0]
Q13F-13
(In
what month and year did you [or/" "] [Spouse/partner's name] first
stop receiving food stamps?)
(ENTER
MONTH AND YEAR:)
Enter Date: |__|__||__|__|__|__|
Mon Year
Go
To: Q13F-13a
Lead-In:
Q13F-12 [Default]
Q13F-13a
Why
did you [or/" "] [Spouse/partner's name] stop receiving food stamps on
[Last month received food stamps()]?
|
5 No longer eligible
1 Returned to work / make too much money
2 Sanctions / non-cooperation with work
requirements
3 Income from sources other than work too
high (NON-
WAGE INCOME)
4 Other (SPECIFY)
6 Medical reasons |
7 Child/ren were no longer in home
8 Failed to reapply
9 Conflict with case worker
10 Marriage or reunited
11 Failed to fulfill application process
12 Chose
not to receive assistance
13 Still receiving food stamps |
Go
To: Q13F-29
Lead-In:
Q13F-13 [Default]
Q13F-23
([Recvd
Food stamps continuously since startdate?] = 1);
/*
DID R REPORT CONTINUOUS RECEIPT OF FOOD STAMPS? */
If
Answer =1 Then Go To:
Q13F-30
Go
To: Q13F-25
Lead-In:
Q13F-10 [Default]
Q13F-25
About
how many months since [01/1997] did you [or/" "] [Spouse/partner's
name] receive any food stamps?
Enter Answer: |__|__|__|
Go
To: Q13F-25a
Lead-In:
Q13F-23 [Default], Q13F-5a [1:1]
Q13F-25a
Why
did you [or/" "] [Spouse/partner's name] stop receiving food stamps?
|
5 No longer eligible
1 Returned to work / make too much money
2 Sanctions / non-cooperation with work
requirements
3
Income from sources other than work too high (NON-
WAGE INCOME)
4 Other (SPECIFY)
6 Medical reasons |
7 Child/ren were no longer in home
8 Failed to reapply
9 Conflict with case worker
10 Marriage or reunited
11 Failed to fulfill application process
12 Chose not to receive assistance
13 Still receiving food stamps |
Go
To: Q13F-31a
Lead-In:
Q13F-25 [Default]
Q13F-26
About
how many months since [date of last receipt()] did you [or/" "]
[Spouse/partner's name] receive any food stamps?
Enter Answer: |__|__|__|
Go
To: Q13F-26a
Lead-In:
Q13F-8 [2:2]
Q13F-26a
Why
did you [or/" "] [Spouse/partner's name] stop receiving food stamps?
|
5 No longer eligible
1 Returned to work / make too much money
2 Sanctions / non-cooperation with work
requirements
3 Income from sources other than work too
high (NON-
WAGE INCOME)
4 Other (SPECIFY)
6 Medical reasons |
7 Child/ren were no longer in home
8 Failed to reapply
9 Conflict with case worker
10 Marriage or reunited
11 Failed to fulfill application process
12 Chose not to receive assistance
13 Still receiving food stamps |
Go
To: Q13F-31a
Lead-In:
Q13F-26 [Default]
Q13F-27
About
how many months since [Month/year began receiving food stamps again()] did you
[or/" "] [Spouse/partner's name] receive any food stamps?
Enter Answer: |__|__|__|
Go
To: Q13F-27a
Lead-In:
Q13F-12 [2:2]
Q13F-27a
Why
did you [or/" "] [Spouse/partner's name] stop receiving food stamps?
|
5 No longer eligible
1 Returned to work / make too much money
2 Sanctions / non-cooperation with work
requirements
3 Income from sources other than work too
high (NON-
WAGE INCOME)
4 Other (SPECIFY)
6 Medical reasons |
7 Child/ren
were no longer in home
8 Failed to reapply
9 Conflict with case worker
10 Marriage or reunited
11 Failed to fulfill application process
12 Chose not to receive assistance
13
Still receiving food stamps |
Go
To: Q13F-31a
Lead-In:
Q13F-27 [Default]
Q13F-29
Since
[Last month received food stamps()], did you [or/" "]
[Spouse/partner's name] start receiving food stamps again?
1 YES
0 NO
Go
To: Q13F-31a
Lead-In:
Q13F-13a [Default]
Q13F-30
([start
year of first fs spell since 1/1/97]=2000);/* IS THE YEAR EQUAL TO 2000? */
If
Answer =1 Then Go To:
Q13F-31a
Go
To: Q13F-LOOP-END
Lead-In:
Q13F-23 [1:1]
Q13F-31a
([loop
counter()]=0);/* is this the last time through the loop */
If
Answer =1 Then Go To:
Q13F-31b
Go
To: Q13F-LOOP-END
Lead-In:
Q13F-25a [Default], Q13F-26a [Default], Q13F-27a [Default], Q13F-29 [Default],
Q13F-30 [1:1]
Q13F-31b
Thinking
about your most recent period of receiving food stamps, what was the main reason
you went on food stamps at that time?
|
1 LOST JOB
2 MET PROGRAM REQUIREMENTS /
SANCTIONS ENDED
3 DIVORCE
4 ILLNESS / POOR HEALTH / SUBSTANCE
ABUSE
5 DOMESTIC VIOLENCE / RELATIONSHIP
ENDED
6 HAD A CHILD / GAIN CUSTODY OF CHILD
7 CARE FOR ILL,DISABLED CHILD OR ADULT
8 MEDICAL, OTHER UNEXPECTED EXPENSES
9 OTHER
(SPECIFY) |
10 NEEDED HELP DUE TO NO OR LOW
INCOME
11 NEEDED HELP TO PAY BILLS
12 TO CARE FOR CHILDREN
13 UNEMPLOYED
14 NEEDED HELP TO FINISH SCHOOL
15 PREGNANCY
16
UNABLE TO FIND WORK
17 NOT RECIEVING ENOUGH OR ANY
CHILD SUPPORT
18 SEPERATION |
Go
To: Q13F-LOOP-END
Lead-In:
Q13F-31a [1:1]
Q13F-LOOP-END
UNTIL
([FOOD_LOOP2 counter],[loop counter()] = 0);
/*
LOOP UNTIL NO MORE SPELLS OF FOOD STAMPS RECEIPT REPORTED */
Go
To: Q13A-1
Lead-In:
Q13F-30 [Default], Q13F-31a [Default], Q13F-31b [Default]
Q13A-1
Since
[01/1997] have you [or/" "] [(you/ your spouse) or your children]
received OWF or ADC?
1 YES...(Go
to Q13A-2)
0 NO
Go
To: Q13CS-1
Lead-In:
Q13F-1 [Default], Q13F-LOOP-END [Default], Q13F-1 [-1:-1]
Q13A-2
(Since
[01/1997],) In what month and
year did you [or/" "] [(you/ your spouse) or your children] first
start receiving OWF or ADC?
(INTERVIEWER:
IF DON'T KNOW OR REFUSED, PROBE FOR APPROXIMATE MONTH AND YEAR.)
1 SELECT
TO ENTER DATES
2 DID
RECEIVE, BUT DO NOT KNOW DATES...(Go to Q13A-LOOP-BEGIN)
If
Answer >=-2 and Answer <=-1
Then Go To: Q13A-LOOP-BEGIN
Go
To: Q13A-3
Lead-In:
Q13A-1 [1:1]
Q13A-3
((Since
[01/1997],) In what month and
year did you [or/" "] [(you/ your spouse) or your children] first
start receiving OWF or ADC?)
(INTERVIEWER:
ENTER MONTH AND YEAR:)
Enter Date: |__|__||__|__|__|__|
Mon Year
Go
To: Q13A-LOOP-BEGIN
Lead-In:
Q13A-2 [Default]
Q13A-LOOP-BEGIN
REPEAT
([ADC_LOOP2 counter]);/* BEGIN LOOP TO COLLECT NEW SPELLS OF AFDC RECEIPT */
Go
To: Q13A-6
Lead-In:
Q13A-3 [Default], Q13A-2 [2:2], Q13A-2 [-2:-1]
Q13A-6
(([year
and month when first started receiving OWF, ADC after 1/1/97] = 2) or ([year and
month when first started receiving OWF, ADC after 1/1/97] = -2) or ([year and
month when first started receiving OWF, ADC after 1/1/97] = -1));/* DID R
RECEIVE AGAIN, BUT DOES NOT KNOW DATES? */
If
Answer =1 Then Go To:
Q13A-27
Go
To: Q13A-7
Lead-In:
Q13A-LOOP-BEGIN [Default]
Q13A-7
(([year
and month when first started receiving OWF, ADC after 1/1/97] = 1) and
([ADC_LOOP2 counter] = 1));
/*
WAS A DATE COLLECTED OUTSIDE OF THE LOOP */
If
Answer =1 Then Go To:
Q13A-11
Go
To: Q13A-9
Lead-In:
Q13A-6 [Default]
Q13A-9
After
[date of last receipt()], in what month and year did you [or/" "]
[(you/ your spouse) or your children] (next) start receiving OWF or ADC?
(INTERVIEWER:
IF DON'T KNOW OR REFUSED, PROBE FOR APPROXIMATE MONTH AND YEAR.)
1 SELECT
TO ENTER DATES
2 DID
RECEIVE, BUT DO NOT KNOW DATES...(Go to Q13A-28)
Go
To: Q13A-10
Lead-In:
Q13A-7 [Default]
Q13A-10
(After
[date of last receipt()]), in what month and year did you [or/" "]
[(you/ your spouse) or your children] (next) start receiving OWF or ADC?)
(ENTER
MONTH AND YEAR)
Enter Date: |__|__||__|__|__|__|
Mon Year
Go
To: Q13A-11
Lead-In:
Q13A-9 [Default]
Q13A-11
Have
you [or/" "] [(you/ your spouse) or your children] received OWF or ADC
continuously since [Month/year began receiving afdc again()]?
1 YES...(Go
to Q13A-25)
0 NO
Go
To: Q13A-14
Lead-In:
Q13A-10 [Default], Q13A-7 [1:1]
Q13A-14
(After
[Month/year began receiving afdc again()],)
In what month and year did you [or/" "] [(you/ your spouse) or
your children] first stop receiving OWF or ADC?
(INTERVIEWER:
IF DON'T KNOW OR REFUSED, PROBE FOR APPROXIMATE MONTH AND YEAR.)
1 SELECT
TO ENTER DATES
2 DID
RECEIVE, BUT DO NOT KNOW DATES...(Go to Q13A-29)
Go
To: Q13A-15
Lead-In:
Q13A-11 [Default]
Q13A-15
((After
[Month/year began receiving afdc again()],)
In what month and year did you [or/" "] [(you/ your spouse) or
your children] first stop receiving OWF or ADC? )
(ENTER
MONTH AND YEAR)
Enter Date: |__|__||__|__|__|__|
Mon Year
Go
To: Q13A-15a
Lead-In:
Q13A-14 [Default]
Q13A-15a
Why
did you [or/" "] [(you/ your spouse) or your children] stop receiving
OWF or ADC in [month and year of AFDC stopdate()]?
|
1 Returned to work / made too much money
2 Sanctioned
3 Did not comply with eligibility /
reapplication requirements
4 Income from sources other than work were
too high (NON-
WAGE INCOME)
5 Other (SPECIFY) |
6 R chose not to receive services
7 Moved
8 Graduation or over age requirement
10 Time limit reached
11 Still receiving assistance
12 Jail |
Go
To: Q13A-31
Lead-In:
Q13A-15 [Default]
Q13A-25
([Recvd
AFDC continuously since startdate?] = 1);/* DID R REPORT CONTINUOUS RECEIPT OF
AFDC? */
If
Answer =1 Then Go To:
Q13A-32
Go
To: Q13A-27
Lead-In:
Q13A-11 [1:1]
Q13A-27
About
how many months since [01/1997] did you [or/" "] [(you/ your spouse)
or your children] receive any OWF or ADC?
Enter Answer: |__|__|__|
Go
To: Q13A-27a
Lead-In:
Q13A-25 [Default], Q13A-6 [1:1]
Q13A-27a
Why
did you [or/" "] [(you/ your spouse) or your children] stop receiving
OWF or ADC?
|
1 Returned to work / made too much money
2 Sanctioned
3 Did not comply with eligibility /
reapplication requirements
4 Income from sources other than work were
too high (NON-
WAGE INCOME)
5 Other (SPECIFY) |
6 R chose not to receive services
7 Moved
8 Graduation or over age requirement
10 Time limit reached
11 Still receiving assistance
12 Jail |
Go
To: Q13A-33a
Lead-In:
Q13A-27 [Default]
Q13A-28
About
how many months since [date of last receipt()] did you [or/" "] [(you/
your spouse) or your children] receive any OWF or ADC?
Enter Answer: |__|__|__|
Go
To: Q13A-28a
Lead-In:
Q13A-9 [2:2]
Q13A-28a
Why
did you [or/" "] [(you/ your spouse) or your children] stop receiving
OWF or ADC?
|
1
Returned to work / made too much money
2 Sanctioned
3 Did not comply with eligibility /
reapplication requirements
4 Income from sources other than work were
too high (NON-
WAGE INCOME)
5 Other (SPECIFY) |
6 R chose not to receive services
7 Moved
8 Graduation or over age requirement
10 Time limit reached
11 Still receiving assistance
12 Jail |
Go
To: Q13A-33a
Lead-In:
Q13A-28 [Default]
Q13A-29
About
how many months since [Month/year began receiving afdc again()] did you
[or/" "] [(you/ your spouse) or your children] receive any OWF or ADC?
Enter Answer: |__|__|__|
Go
To: Q13A-29a
Lead-In:
Q13A-14 [2:2]
Q13A-29a
Why
did you [or/" "] [(you/ your spouse) or your children] stop receiving
OWF or ADC?
|
1 Returned to work / made too much money
2 Sanctioned
3 Did not comply with eligibility /
reapplication requirements
4 Income from sources other than work were
too high (NON-
WAGE INCOME)
5 Other (SPECIFY) |
6 R chose not to receive services
7 Moved
8 Graduation or over age requirement
10 Time limit reached
11 Still receiving assistance
12 Jail |
Go
To: Q13A-33a
Lead-In:
Q13A-29 [Default]
Q13A-31
Since
[month and year of AFDC stopdate()], did you [or/" "] [(you/ your
spouse) or your children] start receiving OWF or ADC?
1 YES
0 NO
Go
To: Q13A-33a
Lead-In:
Q13A-15a [Default]
Q13A-32
([start
year of first ADC spell since 1/97]=2000);/* IS THE YEAR EQUAL TO 2000? */
If
Answer =1 Then Go To:
Q13A-33a
Go
To: Q13A-LOOP-END
Lead-In:
Q13A-25 [1:1]
Q13A-33a
([Did
r rec'v ADC again?()]=0);/*WILL THIS BE THE LAST TIME THROUGH THE LOOP */
If
Answer =1 Then Go To:
Q13A-33b
Go
To: Q13A-LOOP-END
Lead-In:
Q13A-27a [Default], Q13A-28a [Default], Q13A-29a [Default], Q13A-31 [Default],
Q13A-32 [1:1]
Q13A-33b
Thinking
about your most recent period of receiving OWF or ADC, what was the main reason
you went on OWF or ADC at that time?
|
1 LOST JOB
2 MET PROGRAM REQUIREMENTS /
SANCTIONS ENDED
3 DIVORCE
4 ILLNESS / POOR HEALTH / SUBSTANCE
ABUSE
5 DOMESTIC VIOLENCE / RELATIONSHIP
ENDED
6 HAD A CHILD / GAIN CUSTODY OF CHILD
7 CARE FOR ILL,DISABLED CHILD OR ADULT
8 MEDICAL, OTHER UNEXPECTED EXPENSES
9 OTHER
(SPECIFY) |
10 NEEDED HELP DUE TO NO OR LOW
INCOME
11 NEEDED HELP TO PAY BILLS
12 TO CARE FOR CHILDREN
13 UNEMPLOYED
14 NEEDED HELP TO FINISH SCHOOL
15
PREGNANCY
16 UNABLE TO FIND WORK
17 NOT RECIEVING ENOUGH OR ANY
CHILD SUPPORT
18 SEPERATION |
Go
To: Q13A-LOOP-END
Lead-In:
Q13A-33a [1:1]
Q13A-LOOP-END
UNTIL
([ADC_LOOP2 counter],[Did r rec'v ADC again?()] = 0);
/*LOOP
UNTIL NO MORE SPELLS OF OWF RECEIPT REPORTED*/
Go
To: Q13CS-1
Lead-In:
Q13A-32 [Default], Q13A-33a [Default], Q13A-33b [Default]
Q13CS-1
(([total
number kids in household] > 0) or ([total bio children reported] > 0));
/*did
r report kids in the household or bio children*/
If
Answer =1 Then Go To:
Q13CS-2
Go
To: WR-5
Lead-In:
Q13A-1 [Default], Q13A-LOOP-END [Default]
Q13CS-2
Since
[01/1997], has your family been involved with the Child Protective Services
agency?
1 YES...(Go
to Q13CS-3)
0 NO
If
Answer =-1 Then Go To:
WR-5
Go
To: WR-5
Lead-In:
Q13CS-1 [1:1]
Q13CS-3
Did
this involvement occur during the time you were on public assistance, off public
assistance, or both?
1 YES - ON
PUBLIC ASSISTANCE ONLY
2 YES -
OFF PUBLIC ASSISTANCE ONLY
3 YES -
BOTH ON AND OFF PUBLIC ASSISTANCE
Go
To: Q13CS-4
Lead-In:
Q13CS-2 [1:1]
Q13CS-4
Did
this involvement result in your child(ren) being removed from your home?
INTERVIEWER:
IF NECESSARY ADD: Any time since [01/1997].
1 YES
0 NO...(Go
to WR-5)
Go
To: Q13CS-5
Lead-In:
Q13CS-3 [Default]
Q13CS-5
Did
this involvement result in your child(ren) returning to live in your home?
1 YES...(Go
to Q13CS-8)
0 NO
Go
To: Q13CS-6
Lead-In:
Q13CS-4 [Default]
Q13CS-6
How
long has/have your child(ren) been staying outside of your home?
INTERVIEWER:
ENTER AMOUNT. ENTER TIME UNIT ON NEXT SCREEN.
Enter Answer: |__|__|__|
Go
To: Q13CS-7
Lead-In:
Q13CS-5 [Default]
Q13CS-7
(How
long has/have your child(ren) been staying outside of your home?)
INTERVIEWER:
ENTER TIME UNIT.
1 WEEKS
2 MONTHS
3 YEARS
Go
To: WR-5
Lead-In:
Q13CS-6 [Default]
Q13CS-8
How
long did your child(ren) stay outside of your home?
INTERVIEWER:
ENTER AMOUNT. ENTER TIME UNIT ON NEXT SCREEN.
Enter Answer: |__|__|__|
Go
To: Q13CS-9
Lead-In:
Q13CS-5 [1:1]
Q13CS-9
(How
long did your child(ren) stay outside of your home?)
INTERVIEWER:
ENTER TIME UNIT.
1 WEEKS
2 MONTHS
3 YEARS
Go
To: WR-5
Lead-In:
Q13CS-8 [Default]
WR-5
([ADC
Flag] =1) or ([receipt of SSI] =1);/* did R report AFDC, SSI or general
assistance */
If
Answer =1 Then Go To:
WR-7
Go
To: WR-6a
Lead-In:
Q13CS-1 [Default], Q13CS-2 [Default], Q13CS-7 [Default], Q13CS-9 [Default],
Q13CS-4 [0:0], Q13CS-2 [-1:-1]
WR-6a
Since
[date of case closure - M-Y ] have you applied for SSI, OWF, ADC or other
assistance for needy families?
NOTE
THE CHANGE IN REFERENCE DATE
1 YES...(Go
to WR-6b)
0 NO
Go
To: WR-7
Lead-In:
WR-5 [Default]
WR-6b
Why
have you not received any benefits?
|
1 Application still pending
2 Found job
3 Changed mind/Family situation changed
4 Denied application
5 Told ineligible, do not know why |
6 Make too much money / Have too many
assets
7 Other (SPECIFY)
8 Receives welfare
9 Receives food stamps
10 Receives health benefits |
Go
To: WR-7
Lead-In:
WR-6a [1:1]
WR-7
Did
the recent changes to the state's welfare system have an effect on you?
1 YES...(Go
to WR-8)
0 NO
Go
To: Q13-58
Lead-In:
WR-6a [Default], WR-6b [Default], WR-5 [1:1]
WR-8
What
effects did they have?
INTERVIEWER:
DO NOT READ LIST
|
1
Returned to work; Started training program; Did not need
benefits anymore 2
Could not get more benefits; had received the maximum
assistance (time or $ limit) 3
Could not cooperate with work requirements 4
Could not cooperate with child support requirements 5
Could not meet with substance abuse requirements (testing or
any other related) |
6
Income too high to get benefits 7
Penalty from previous program
participation (sanctioned) 8
Can not attend school or training b/c of
work requirements 9
Other |
Go
To: Q13-58
Lead-In:
WR-7 [1:1]
Q13-58
Did
you [or/" "] [(you/ your spouse) or your children] receive any WIC
benefits in 1999?
1 YES
0 NO
Go
To: Q13-58a
Lead-In:
WR-7 [Default], WR-8 [Default]
Q13-58a
Did
you [or/" "] [Spouse/partner's name] participate in the Percentage of
Income Payments Program for reducing utility bills in 1999?
1 YES
0 NO
Go
To: Q13-58b
Lead-In:
Q13-58 [Default]
Q13-58b
([R
currently enrolled in school?]=1);/*Was R enrolled at any time since Jan 99?*/
If
Answer =1 Then Go To:
Q13-59
Go
To: Q13-69
Lead-In:
Q13-58a [Default]
Q13-59
During
1999, did you [or/" "] [Spouse/partner's name] receive any educational
benefits for veterans under the G.I Bill or V.E.A.P?
1 YES
0 NO
Go
To: Q13-60
Lead-In:
Q13-58b [1:1]
Q13-60
(During
1999,) Did you [or/" "]
[Spouse/partner's name] receive any (other kinds of) scholarships, fellowships,
or grants?
1 YES...(Go
to Q13-63)
0 NO
Go
To: Q13-69
Lead-In:
Q13-59 [Default]
Q13-63
Who
received these benefits -- you [or/" "] [Spouse/partner's name] or
both of you?
1 RESPONDENT
ONLY
2 SPOUSE /
PARTNER ONLY...(Go to Q13-68)
3 BOTH,
R AND SPOUSE/PARTNER
Go
To: Q13-66
Lead-In:
Q13-60 [1:1]
Q13-66
In
1999, what was the total dollar amount of the assistance you received from these
sources (repeat as necessary:) veterans' educational benefits and/or other
scholarships, fellowships, or grants?
Enter Answer: |__|__|__|__|__|
Go
To: Q13-66a
Lead-In:
Q13-63 [Default]
Q13-66a
([R
or SP/PAR ]=3);/*did r say that sp/partner also rec'd these benefits*/
If
Answer =1 Then Go To:
Q13-68
Go
To: Q13-69
Lead-In:
Q13-66 [Default]
Q13-68
What
was the total dollar value of the assistance [Spouse/partner's name] received
from these sources (in 1999)?
Enter Answer: |__|__|__|__|__|
Go
To: Q13-69
Lead-In:
Q13-63 [2:2], Q13-66a [1:1]
Q13-69
During
1999, did you [or/" "] [Spouse/partner's name] receive any (other)
veterans benefits, worker's compensation, disability payments, or payments from
Social Security?
1 YES
0 NO...(Go
to Q13-71)
Go
To: Q13-70
Lead-In:
Q13-58b [Default], Q13-60 [Default], Q13-66a [Default], Q13-68 [Default]
Q13-70
What
was the total amount of these (other) veterans benefits, worker's compensation,
disability payments, or payments from Social Security you [or/" "]
[Spouse/partner's name] (received in 1999)?
Enter Answer: |__|__|__|__|__|
Go
To: Q13-71
Lead-In:
Q13-69 [Default]
Q13-71
Since
January 1999, did you [or/" "] [Spouse/partner's name] receive any
property or money valued at over $100 from any estates, trusts, inheritances, or
gifts from relatives or friends?
1 YES...(Go
to Q13-73)
0 NO
Go
To: Q13-74
Lead-In:
Q13-70 [Default], Q13-69 [0:0]
Q13-73
What
was the total market value or amount that you [or/" "]
[Spouse/partner's name] received in 1999 from these sources?
(INTERVIEWER:
"MARKET VALUE" IS NOT THE ORIGINAL PRICE PAID FOR THE ITEM(S)
MARKET
VALUE = THE AMOUNT THE RESPONDENT WOULD REASONABLY EXPECT SOMEONE ELSE TO PAY IF
THE ITEM(S) WERE SOLD TODAY IN THEIR PRESENT CONDITION.")
Enter Answer: |__|__|__|__|__|__|__|__|
Go
To: Q13-74
Lead-In:
Q13-71 [1:1]
Q13-74
(Aside
from the things you have already told me about)
Since January 1999, did you
[or/" "] [Spouse/partner's name] receive any money, even if only a
small amount, from any other source such as interest on savings or bonds,
dividends, pensions or annuities, net rental income, royalties, or any other
regular or periodic source of income?
1 YES...(Go
to Q13-75)
0 NO
Go
To: Q13-75a
Lead-In:
Q13-71 [Default], Q13-73 [Default]
Q13-75
How
much altogether?
Enter Answer: |__|__|__|__|__|__|__|__|
Go
To: Q13-75a
Lead-In:
Q13-74 [1:1]
Q13-75a
Since
January 1999, did you [or/" "] [Spouse/partner's name] receive any
money from alimony?
1 YES...(Go
to Q13-75b)
0 NO
Go
To: Q13-76
Lead-In:
Q13-74 [Default], Q13-75 [Default]
Q13-75b
How
much altogether?
Enter Answer: |__|__|__|__|__|__|__|__|
Go
To: Q13-76
Lead-In:
Q13-75a [1:1]
Q13-76
Did
you [or/" "] [Spouse/partner's name] file a federal income tax return
for 1998?
1 YES...(Go
to Q13-77)
0 NO
Go
To: Q13-79
Lead-In:
Q13-75a [Default], Q13-75b [Default]
Q13-77
[Hand
Card M/" "]
What
was your filing status on your 1998 federal income tax return? Did you file as ...?
(READ
CATEGORIES)
|
1 A single taxpayer
2 Married, filing a joint return
3 Married, filing separate |
4 Unmarried head of household
5 Qualifying widow(er) with dependent child |
Go
To: Q13-78
Lead-In:
Q13-76 [1:1]
Q13-78
What
were the total number of exemptions claimed (self, spouse, children
or other dependents) on your 1998 federal income tax return(s)?
IF
R HAS SPOUSE/PARTNER: Please
include your spouse/partner exemptions as well.
Enter Answer: |__|__|
Go
To: Q13-78a
Lead-In:
Q13-77 [Default]
Q13-78a
Did
you [or/" "] [Spouse/partner's name] receive any income from the
Earned Income Tax Credit (EITC) from your 1998 income tax return?
(IF
NEEDED: This is EITC income that you claimed on your 1998 tax return, but didn't
receive until 1999.)
1 YES...(Go
to Q13-78b)
0 NO
Go
To: Q13-79
Lead-In:
Q13-78 [Default]
Q13-78b
What
was the total amount?
Enter Answer: |__|__|__|__|__|
Go
To: Q13-79
Lead-In:
Q13-78a [1:1]
Q13-79
([other
relatives in hshld, not spouse/children?] >= 1);
/*
Check flag if R lives with any relatives other than R's spouse and children */
If
Answer =1 Then Go To:
Q13-80
Go
To: Q13-116
Lead-In:
Q13-76 [Default], Q13-78a [Default], Q13-78b [Default]
Q13-80
The
next few questions are about the income received during 1999 by the other adults
in your household who are related to you.
Specifically,
I'll be referring to...(READ NAMES OF ADULT RELATIVES,
EXCLUDING SPOUSE / PARTNER /
CHILDREN)
Refer
to Roster: HHI
NAME
GENDER RELATION
AGE
WORK
GRADE
Go
To: Q13-80A
Lead-In:
Q13-79 [1:1]
Q13-80A
INTERVIEWER:
DO NOT READ:
HOW
MANY NAMES DID YOU READ ALOUD?
(HOW
MANY ADULT RELATIVES ARE IN THE HOUSE?)
1 [1]
ONE NAME (one adult relative)
2 [2+]
TWO OR MORE
Go
To: Q13-81
Lead-In:
Q13-80 [Default]
Q13-81
During
1999, did [this person/any of these people] receive payments from OWF (Ohio
Works First)? Please include any
payments they received to help pay for you(r) [or/" "]
[Spouse/partner's name] support.
1 YES...(Go
to Q13-83)
0 NO
Go
To: Q13-83
Lead-In:
Q13-80A [Default]
Q13-83
(During
1999, did [this person/any of these people] receive ...)
Supplemental
Security Income, or any other public assistance from the local, state, or
federal government?
1 YES...(Go
to Q13-85)
0 NO
Go
To: Q13-85
Lead-In:
Q13-81 [Default], Q13-81 [1:1]
Q13-85
(In
1999, did [this person/any of these people] receive ...)
Unemployment
compensation or worker's compensation?
1 YES...(Go
to Q13-87)
0 NO
Go
To: Q13-87
Lead-In:
Q13-83 [Default], Q13-83 [1:1]
Q13-87
(During
1999, did [this person/any of these people] receive ...)
Veteran's
benefits?
1 YES...(Go
to Q13-89)
0 NO
Go
To: Q13-89
Lead-In:
Q13-85 [Default], Q13-85 [1:1]
Q13-89
([Q13-81]=1)
OR ([Q13-83]=1) OR ([Q13-85]=1) OR ([Q13-87]=1);
/*
ANY OTHER SOURCES OF INCOME REPORTED FOR OTHER FAMILY MEMBERS IN HOUSEHOLD? */
If
Answer =1 Then Go To:
Q13-90
Go
To: Q13-92A
Lead-In:
Q13-87 [Default], Q13-87 [1:1]
Q13-90
Still
thinking about (REPEAT names of adult relatives in HH),
CONTINUE
TO NEXT QUESTION...
Refer
to Roster: HHI
NAME
GENDER RELATION
AGE
WORK
GRADE
Go
To: Q13-92
Lead-In:
Q13-89 [1:1]
Q13-92
In
1999, what was the total income -- before taxes and other deductions -- received
by (this person / these people) from the other programs and benefits we just
mentioned?
INTERVIEWER:
R SAID INCOME WAS RECEIVED FROM THESE PROGRAMS:
[payments
from Aid to Families] [with Dependent Children,]
[Supplemental
Security Income, or any other] [public assistance or welfare from the] [local,
state, or federal government,]
[unemployment
compensation] [or worker's compensation,]
[veteran's
benefits,]
Enter Answer: |__|__|__|__|__|__|
Go
To: Q13-92A
Lead-In:
Q13-90 [Default]
Q13-92A
And
in 1999 did [this person/any of these people] receive any income from a
full-time or part-time job, any net income from their own farm or business or
professional practice, any income from Social Security or pensions, or any
income from any other sources?
1 YES...(Go
to Q13-92C)
0 NO
Go
To: Q13-116
Lead-In:
Q13-89 [Default], Q13-92 [Default]
Q13-92C
What
was the total income received by these persons from all sources mentioned above
during 1999 - before taxes and other deductions?
(INTERVIEWER:
THIS QUESTION REFERS TO ADULTS IN THE R'S HOUSEHOLD WHO ARE RELATED TO THE R,
OTHER THAN R'S SPOUSE/PARTNER AND R'S CHILDREN.
Enter Answer: |__|__|__|__|__|__|
Go
To: Q13-94
Lead-In:
Q13-92A [1:1]
Q13-94
In
1999 did any of these persons help pay the rent, utility bills, or other
household expenses?
1 YES...(Go
to Q13-95)
0 NO
Go
To: Q13-116
Lead-In:
Q13-92C [Default]
Q13-95
On
average, how much did they contribute per month?
Enter Answer: |__|__|__|__|__|
Go
To: Q13-116
Lead-In:
Q13-94 [1:1]
Q13-116
Do
you currently live in public housing or do you receive a rent subsidy (such as
Section 8), or pay a lower rent because the federal, state, or local government
pays part of the cost?
1 YES...(Go
to Q13-116A)
0 NO
Go
To: Q13-116B
Lead-In:
Q13-79 [Default], Q13-92A [Default], Q13-94 [Default], Q13-95 [Default]
Q13-116A
Is
this through Section 8, through your local housing authority, through the state,
through some other program, or are you not sure?
|
1 SECTION 8
2 LOCAL HOUSING AUTHORITY
3 STATE
4 OTHER PROGRAM (SPECIFY) |
5 NOT SURE
6 HUDD
8 FHA |
Go
To: Q13-116B
Lead-In:
Q13-116 [1:1]
Q13-116B
([lease
or mortgage in name]=1);/*is the lease or mortgage in r's name*/
If
Answer =1 Then Go To:
Q13-117
Go
To: Q13-ASSETLIST
Lead-In:
Q13-116 [Default], Q13-116A [Default]
Q13-117
Is
this (house/apartment) owned or being bought by you [or/" "]
[Spouse/partner's name]?
1 YES...(Go
to Q13-118)
0 NO
Go
To: Q13-117a
Lead-In:
Q13-116B [1:1]
Q13-117a
Do
you pay rent each month?
1 YES
0 NO
Go
To: Q13-ASSETLIST
Lead-In:
Q13-117 [Default]
Q13-118
About
how much did you pay for this property?
Enter Answer: |__|__|__|__|__|__|__|__|
Go
To: Q13-119
Lead-In:
Q13-117 [1:1]
Q13-119
About
how much do you [or/" "] [Spouse/partner's name] owe on this property,
for mortgages, back taxes, home improvement loans, etc.?
Enter Answer: |__|__|__|__|__|__|__|
Go
To: Q13-120
Lead-In:
Q13-118 [Default]
Q13-120
Aside
from the mortgage, how much other debt do you have on this property, such as
assessments, home repair bills, etc.?
Enter Answer: |__|__|__|__|__|__|
Go
To: Q13-ASSETLIST
Lead-In:
Q13-119 [Default]
Q13-ASSETLIST
[Hand
Card N/ ""]
I'm
going to read a list of items that you [or/" "] [Spouse/partner's
name] may have.
Please
say 'Yes' or 'No' after I read each item to indicate whether you have it or not.
Do
you [or/" "] [Spouse/partner's name] have....(READ ONE-BY-ONE)
|
1
Credit card(s) 2
Checking, savings, or credit union accounts |
3
Ownership of a car, motorcycle, truck, or other vehicle 4
NONE...(Go to Q13-FINHARD) |
Go
To: Q13-135a
Lead-In:
Q13-116B [Default], Q13-117a [Default], Q13-120 [Default]
Q13-135a
INLIST([Q13-ASSETLIST],
1);/*Did r say that they have credit cards?*/
If
Answer =1 Then Go To:
Q13-136
Go
To: Q13-136a
Lead-In:
Q13-ASSETLIST [Default]
Q13-136
What
do you usually use your credit card(s) for?
PROBE:
What else?
|
1 DAILY LIVING EXPENSES (FOOD,
TOILETRIES, ETC)
2 OCCASIONAL PURCHASES
3 EMERGENCY USE ONLY
4 NEVER USE CREDIT CARD
5 OTHER (SPECIFY) |
6 CREDIT CARDS OVER LIMIT: UNUSABLE
7 GASOLINE
8 CLOTHING
9 HOLIDAYS OR VACATION
10 TO PAY BILLS |
Go
To: Q13-136a
Lead-In:
Q13-135a [1:1]
Q13-136a
INLIST([Q13-ASSETLIST],
3);/*Did r say that they have a car?*/
If
Answer =1 Then Go To:
Q13-136b
Go
To: Q13-FINHARD
Lead-In:
Q13-135a [Default], Q13-136 [Default]
Q13-136b
You
said you own a vehicle....
Do
you consider this to be a dependable vehicle?
1 YES
0 NO
Go
To: Q13-FINHARD
Lead-In:
Q13-136a [1:1]
Q13-FINHARD
Some
people have financial hardships from time to time.
I'll read a list of these types of problems, and after each item please
tell me if it has happened to you (or your family).
Since
January 1999, was there a time when you....(READ ONE-BY-ONE)
|
1 Had a credit card bill you couldn't pay
in full
2 Incurred debts from medical care
providers
3 Couldn't pay rent or mortgage
4 Had no money for a rent or utility
deposit
5 Couldn't pay child support |
6 Had your wages garnished
7 Were denied credit
8 Couldn't make a loan payment (other than
mortgage)
9 Received a call from a collection agency
or a creditor
10 NONE |
Go
To: RAND_CK
Lead-In:
Q13-136a [Default], Q13-136b [Default], Q13-ASSETLIST [4:4]
RAND_CK
([random
number generator been hit]=1);/*check value for backing up so random number is
only generated once*/
If
Answer =1 Then Go To:
Q13-147-a
Go
To: RAND_TEST
Lead-In:
Q13-FINHARD [Default]
RAND_TEST
INT(RAND()*9);/*
generate a random number between 1 and 10 */
Go
To: RAND_FLAG
Lead-In:
RAND_CK [Default]
RAND_FLAG
SYMBOL([random
number generator been hit]=1=INT);/*set flag to 1*/
Go
To: RAND_EVAL
Lead-In:
RAND_TEST [Default]
RAND_EVAL
([random
number]=5);/*does the random number =5...if yes, ask open ended question */
If
Answer =1 Then Go To:
OPINION_Q
Go
To: Q13-147-a
Lead-In:
RAND_FLAG [Default]
OPINION_Q
For
the final question, please tell us what you think about the services and
effectiveness of local public assistance programs.
Enter Answer: _____________________
Go
To: Q13-147-a
Lead-In:
RAND_EVAL [1:1]
Q13-147-a
([Is
this an in person interview or over the phone?]=1);/*Is this an in-person
interview? If so, go to next Q */
If
Answer =1 Then Go To:
Q13-147
Go
To: Q13-147a
Lead-In:
RAND_EVAL [Default], OPINION_Q [Default], RAND_CK [1:1]
Q13-147
INTERVIEWER:
DID RESPONDENT CONSULT WITH ANYONE ELSE WHEN ANSWERING ANY OF THE QUESTIONS IN
THIS SECTION?
1 R
ANSWERED ALL QUESTIONS ON OWN
2 ANSWERED
IN CONSULTATION WITH PARTNER/SPOUSE
3 R USED
ANSWERS FROM SPOUSE/PARTNER ONLY
Go
To: Q13-147a
Lead-In:
Q13-147-a [1:1]
Q13-147a
([Is
this an in person interview or over the phone?]=1);
/*Is
this an in-person interview? If so, skip past the next question */
If
Answer =1 Then Go To:
Q13-148
Go
To: Q13-147b
Lead-In:
Q13-147-a [Default], Q13-147 [Default]
Q13-147b
These
are all the questions we have for you. Thank
you for completing the survey. Your
participation is greatly appreciated.
We will be sending you a $10 money order in the mail.
Can you give me the correct spelling of your name and the address you
would like us to send the money order to?
First Name:: ____________________________________
Middle:: _______________________________________
Last Name:: ____________________________________
Street Address:: _________________________________
City:: _________________________________________
State:: _________________________________________
Zip Code:: ______________________________________
Phone Number:: _________________________________
Comment:: _____________________________________
Go
To: LOC_REC
Lead-In:
Q13-147a [Default]
Q13-148
These
are all the questions we have for you. Thank
you for completing the survey. Your
participation is greatly appreciated.
Can I please have your mailing address in case we need to contact you
again?
INTERVIEWER:
PLEASE PAY THE RESPONDENT $10 FOR COMPLETEING THE SURVEY.
First Name:: ___________________________________
Middle:: ______________________________________
Last Name:: ___________________________________
Street Address:: ________________________________
City:: ________________________________________
State:: ________________________________________
Zip Code:: ____________________________________
Phone::
_______________________________________
Comment:: ____________________________________
Go
To: LOC_REC
Lead-In:
Q13-147a [1:1]
LOC_REC
Can
I please have the address of a family member, relative, or friend who will know
how to reach you in case we need to contact you again?
First Name:: _____________________________________
Middle:: ________________________________________
Last Name:: _____________________________________
Street Address:: __________________________________
City:: __________________________________________
State:: __________________________________________
Zip Code:: ______________________________________
Phone:: _________________________________________
Relationship to R: _________________________________
Comment:
_______________________________________
Go
To: Q13-CK
Lead-In:
Q13-147b [Default], Q13-148 [Default]
Q13-CK
([Is
this an in person interview or over the phone?]=1);/*Is this an in-person
interview? If so, ask time next question */
If
Answer =1 Then Go To:
Q13INT-TIME
Go
To: Q15-TIME
Lead-In:
LOC_REC [Default]
Q13INT-TIME
INTERVIEWER:
ENTER TIME INTERVIEW ENDS BELOW.
Enter Time: |__|__||__|__| AM/PM
Hr :: Min
Go
To: Q15-TIME
Lead-In:
Q13-CK [1: