survey of welfare leavers in missouri cati/capi ... of welfare leavers in missouri page 1 ... 1999...

Survey of Welfare Leavers in Missouri Macro International Inc June 1, 1999Quexfnl.doc

Survey of Welfare Leavers in MissouriCATI/CAPI Questionnaire and Coding Specifications

Date: June 1, 1999QUEXFNL.DOC

PREA1 Hello, may I please speak with {RESPONDENT FULL NAME}?

PREA1.1.1 YES PREA1.1.2 RESPONDENT UNAVAILABLE {SCHEDULED

CALLBACK}PREA.1.3 WRONG NUMBER – TRACKING NECESSARY {TRACKING REQUIRED}PREA1.1.4 [NEW PHONE NUMBER] {NEW NUMBER

DISPOSITION}PREA1.1.5 [OTHER NEW CONTACT INFORMATION] {TRACKING REQUIRED}

PREA1.1.99 [REFUSED] {ASSIGN INITIALREFUSAL}

{INTRODUCTION}

Hi. My name is [INTERVIEWER NAME] and I’m doing a study for the Missouri Department of Social Services. I am not calling to sell you anything – I am contacting you about a study of Missouri’s welfare programs.

We are conducting a study with people who left Missouri’s AFDC program two years ago to see what hashappened in their lives the past few years. You have been randomly selected to participate in this special studyand should have received a letter in the last few weeks from the Missouri Department of Social Services andMacro International that discussed the study and mentioned that someone would be calling.

Since your participation is very important, we are offering $20 to you for completing the study with me at thistime. By participation, we mean that your agree to answer questions over the telephone.

All of the information we discuss in the study will be kept strictly confidential and your responses will beanalyzed and reported as a part of a larger group. That means that they will never be distributed in such a waythat your answers could be traced back to you.

If you choose not to participate, you will not be penalized in any way – but we hope that you will choose toparticipate! Most people find it interesting and a good way to share their opinions on issues that are importantto the State. Also, participating in the study will help the State of Missouri develop better programs and policiesto help other people.

[If necessary: The incentive payment is a postal money order that you may cash, free of charge, at any PostOffice.]

[If asked: The survey usually takes about 45 minutes to complete.]


SECTION A: SCREENER

A.1 [INTERVIEWER SCREEN – DO NOT READ QUESTION OR RESPONSES]

[Is this interview being completed by:]

A.1.1 [PHONE]A.1.2 [CELL PHONE]A.1.3 [CAPI]A.1.4 [1-800 CALL-IN – NOT FROM CELL PHONE]

A.2 [INTERVIEWER SCREEN – DO NOT READ QUESTION OR RESPONSES]

[Is this interview being completed in:]

A.2.1 [ENGLISH]A.2.2 [SPANISH] {GOTO SPANISH QUESTIONNAIRE}

A.3 Before I begin, I need to verify that I am speaking with the person who was selected for this survey.

First, did you receive cash assistance, or welfare, from the State of Missouri’s AFDC program during1996?

A.3.1 YES {SKIP TO A.4}A.3.2 NOA.3.88 [DK]A.3.99 [REFUSED]

A.3A Sometimes dates can be confusing. Did you receive cash assistance, or welfare, from theState of Missouri’s AFDC program two or three years ago?

A.3A.1 YES {SKIP TO A.4}A.3A.2 NOA.3A.88 [DK]A.3A.99 [REFUSED]

A.3B Did you ever receive cash assistance from the State of Missouri’s AFDC program?

A.3B.1 YESA.3B.2 NO {NOWELF TERMINATION}A.3B.88 [DK] {NOWELF TERMINATION}A.3B.99 [REFUSED] {NOWELF TERMINATION}

A.4 I also need to verify your date of birth.

A.4.1 [MONTH/DAY/YEAR]A.4.88 [DK]A.4.99 [REFUSED]


{IF A.4.1 = DOB GOTO B.1}

A.4A [INTERVIEWER VERIFICATION SCREEN]

[The Date of Birth you recorded does not agree with sample file. Please verify the date withthe respondent.]

[Date of Birth Typed Previously {RECALL A.4.1}]

A.4A.1 DATE OF BIRTH IS CORRECT AS ISA.4A.2 DATE OF BIRTH NEEDS CORRECTION {SKIP TO A.4}

{IF A.4A.1 = DOB GOTO B.1}

A.5 And again, to verify I have the right person, please tell me the last four digits in your Social SecurityNumber.

A.5.1 [SSN] {NUM=4}A.5.99 [REFUSED]

{IF A.5.1 = SSN GOTO B.1}

A.5A [INTERVIEWER VERIFICATION SCREEN]

[The Social Security Number you recorded does not agree with sample file. Please verify thenumber with the respondent.]

[Social Security Number Typed Previously {RECALL A.5.1}]

A.5A.1 SSN CORRECT AS ISA.5A.2 SSN NEEDS CORRECTION {SKIP TO A.5}

{IF A.5A.1 = SSN GOTO B.1}

{RESPONDENT IDENTITY CANNOT BE VERIFIED}

Thank you for your answers. Before we continue with the survey, I need to check some information. I may contact you again in the near future. Is there a good time to call?

[Leave callback information in message field]

{TERMINATE CALL – SET INTERNAL DISPOSITION – CALL BACK FOR 12/31/99}


SECTION B: WELFARE RECIPIENCY STATUS

B.1 Throughout the survey I will be referring to the date you stopped receiving Aid to Families withDependent Children, or AFDC, from the State of Missouri almost two years ago. This date is{TERMDATE}. When I remind you of this date, I’d like you to think about things that have happenedto you since then.

To begin the survey, I would like to talk to you about your experiences with AFDC, the cash assistanceor welfare program. This program is also sometimes known as TANF.

B.1 First, since you stopped receiving assistance, or welfare, from Missouri’s AFDC program on{TERMDATE}, have you received AFDC or TANF again, even for a little while?

B.1.1 YESB.1.2 NO {SKIP TO B.3}B.1.88 [DK]B.1.99 [REFUSED]

B.2 Are you currently receiving cash assistance, or welfare, from Missouri’s AFDC or TANF programs?

B.2.1 YES {SKIP TO B.4}B.2.2 NOB.2.88 [DK]B.2.99 [REFUSED]

B.3 Are you currently receiving cash assistance, or welfare, from another state’s AFDC, ANFC, or TANFprogram?

B.3.1 YESB.3.2 NOB.3.88 [DK]B.3.99 [REFUSED]

B.4 What would you say is the most important reason you stopped receiving cash assistance, or welfare,from Missouri’s AFDC program on {TERMDATE}?

B.4.1 GOT A JOBB.4.2 STARTED SCHOOL OR TRAININGB.4.3 GOT MARRIEDB.4.4 SANCTIONEDB.4.5 DIDN’T GO INTO OFFICE FOR RECERTIFICATION/RENEWALB.4.6 BEGAN RECEIVING CHILD SUPPORTB.4.8 MAKE TOO MUCH MONEYB.4.9 NO LONGER RECEIVING AID MONEY FOR DEPENDENTSB.4.10 MOVEDB.4.11 CURRENTLY RECEIVING OTHER GOVERNMENT AID (E.G. SOCIAL SECURITY,

DISABILITY, UNEMPLOYMENT)


B.4.77 OTHER [SPECIFY] {Verbatim response coded as: B4_O}B.4.88 [DK]B.4.99 [REFUSED]


SECTION C: TRAINING

C.1 Now I would like to talk to you about education, training, and employment programs in which youmay have participated before, during and after you received AFDC in 1996.

I am going to mention several kinds of activities some people participate in when they are enteringthe workforce or training for a job.

The first activity is case management, where you meet with a case manager and make anagreement about goals and the steps you are going to take to get a job.

Have you ever participated in case management?

[Prompt, if necessary: you may have participated in case management through DSS or theFUTURES program]

C.1.1 YESC.1.2 NO {SKIP TO C.2}C.1.88 [DK] {SKIP TO C.2}C.1.99 [REFUSED] {SKIP TO C.2}

C.1A How long did you participate in case management?

[Read list]

C.1A.1 Less than 6monthsC.1A.2 More than 6 months but less than one YearC.1A.3 More than one year but less than 2 years.C.1A.4 2 years or moreC.1A.88 [DK]C.1A.99 [REFUSED]

C.1B When did you participate in case management?

[Prompt: You may choose more than one answer category]

[Read list & select all that apply]

{MUL=3}

{Multiple responses coded as:First response = C1B1Second response = C1B2Third response = C1B3}

C.1B.1 Before 1996C.1B.2 While you received AFDC in 1996C.1B.3 After you stopped receiving AFDC in 1996


C.1B.88 [DK]C.1B.99 [REFUSED]

C.1C In terms of getting a job, how helpful was case management services you received? Howhelpful was case management to you in getting a job? Was it:

[Read list]

C.1C.1 Very helpfulC.1C.2 Somewhat helpfulC.1C.3 Not helpfulC.1C.88 [DK]C.1C.99 [REFUSED]

C.2 Have you ever participated in life skills or job readiness classes?

[Prompt, if necessary: You may have participated in these classes through JTPA, the Women’sEmployment Network (WEN), SLATE, or a similar program]


C.2A How long did you participate in life skills or job readiness classes?

[Read list]

C.2A.1 Less than 1 weekC.2A.2 1 to 4 weeksC.2A.3 More than 4 weeks but less than 8 weeksC.2A.4 8 weeks or moreC.2A.88 [DK]C.2A.99 [REFUSED]

C.2B When did you participate in life skills or job readiness classes?



{MUL=3}


C.2B.1 Before 1996


C.2B.2 While you received AFDC in 1996C.2B.3 After you stopped receiving AFDC in 1996C.2B.88 [DK]C.2B.99 [REFUSED]

C.2C In terms of getting a job, how helpful were the life skills or job readiness classes youparticipated in? How helpful were the life skills or job readiness classes to you in getting ajob? Were they:

[Read list]


C.3 Have you ever participated in high school classes or GED classes? Did you participate in highschool or GED classes after you began receiving AFDC, or welfare, assistance? You may havetaken these types of classes to improve your reading or math skills, or to prepare for the GED testor for a high school diploma.


C.3A How long did you participate in high school or GED classes?

[Read list]

C.3A.1 Less than 6 monthsC.3A.2 6 to 9 monthsC.3A.3 More than 9 months but less than one yearC.3A.4 One year or moreC.3A.88 [DK]C.3A.99 [REFUSED]

C.3B When did you participate in high school or GED classes?



{MUL=3}



C.3B.1 Before 1996C.3B.2 While you received AFDC in 1996C.3B.3 After you stopped receiving AFDC in 1996C.3B.88 [DK]C.3B.99 [REFUSED]

C.3C In terms of getting a job, how helpful were the high school or GED classes? How helpfulwere the high school or GED classes to you in getting a job? Were they:

[Read list]


C.4 Have you ever participated in college courses for credit toward a two- or four-year degree?


C.4A How long did you participate in college courses for credit toward a two- or four-year degree?

[Read list]

C.4A.1 Less than 6 monthsC.4A.2 6 months to one yearC.4A.3 More than one year but less than two yearsC.4A.4 Two years or moreC.4A.88 [DK]C.4A.99 [REFUSED]

C.4B When did you participate in college courses for credit toward a two- or four-year degree?



{MUL=3}




C.4C In terms of getting a job, how helpful were the college courses you participated in? Howhelpful were these college courses to you in getting a job? Were they:

[Read list]


C.5 Have you ever participated in an unpaid job as a part of a program to help you get work experienceor as a requirement for getting a welfare, or AFDC, check?

[Prompt: An individual can participate in an unpaid job through DSS, Food Pantries, CWEP orCommunity Work Experience Program]


C.5A How long did you participate in an unpaid job to help you get work experience or as arequirement for receiving a welfare, or AFDC, check?

[Read list]

C.5A.1 Less than 1 monthC.5A.2 1 to 6 monthsC.5A.3 More than 6 months but less than one yearC.5A.4 One year or moreC.5A.88 [DK]C.5A.99 [REFUSED]

C.5B When did you participate in an unpaid job to help you get work experience or as arequirement for getting a welfare, or AFDC, check?




{MUL=3}



C.5C In terms of getting a job, how helpful was the unpaid work experience? How helpful was theunpaid work experience to you in getting a job? Was it:

[Read list]


C.6 Have you ever participated in an on-the-job training position, where for a period of time a portion ofyour wages were paid for by the government?

[Prompt, if necessary: For example, a job you received through JTPA, a PIC, or FEC]


C.6A How long did you participate in an on-the-job training position, where the government paidfor a portion of your wages?

[Read list]

C.6A.1 Less than 3 monthsC.6A.2 3 to 6 monthsC.6A.3 More than 6 months but less than one yearC.6A.4 One year or moreC.6A.88 [DK]C.6A.99 [REFUSED]


C.6B When did you participate in an on-the-job training position, where a portion of your wageswere paid for by the government?



{MUL=3}



C.6C In terms of getting a job, how helpful was the on-the-job training experience? How helpfulwas this on-the-job training to you in getting a job? Was it:

[Read list]


C.7 Have you ever participated in vocational or skills training for a specific occupation?


C.7A How long did you participate in vocational or skills training for a specific occupation?

[Read list]

C.7A.1 Less than 6 monthsC.7A.2 6 months to one yearC.7A.3 More than one year but less than two yearsC.7A.4 Two years or moreC.7A.88 [DK]


C.7A.99 [REFUSED]

C.7B When did you participate in vocational or skills training for a specific occupation?



{MUL=3}



C.7C In terms of getting a job, how helpful was the vocational or skills training you received? Howhelpful was the vocational or skills training to you in getting a job? Was it:

[Read list]


C.8 Have you ever participated in short, not-for-credit courses that provide specific training such as wordprocessing, computers, or another skill?


C.8A How long did you participate in short, not-for-credit courses that provide specific training?

[Read list]

C.8A.1 Less than 1 monthC.8A.2 1 to 3 monthsC.8A.3 More than 3 months but less than 6 monthsC.8A.4 6 months or more


C.8A.88 [DK]C.8A.99 [REFUSED]

C.8B When did you participate in short, not-for-credit courses that provide specific training?



{MUL=3}



C.8C In terms of getting a job, how helpful were the short, not-for-credit courses you participatedin? How helpful were the short, not-for-credit courses to you in getting a job? Were they:

[Read list]


C.9 Have you ever participated in any other job training activity that I haven’t mentioned?

C.9.1 YESC.9.2 NO {SKIP TO D.1}C.9.88 [DK] {SKIP TO D.1}C.9.99 [REFUSED] {SKIP TO D.1}

C.9A What type of activity did you participate in?

C.9A.1 EMPLOYER-SPONSORED ON-THE-JOB TRAININGC.9A.2 VOCATIONAL PROGRAMC.9A.3 MEDICAL/NURSE ASSISTANT CERTIFICATIONC.9A.4 GOVERNMENT SPONSORED JOB TRAINING (INCLUDES FEDERAL,

STATE, AND LOCAL PROGRAMS)


C.9A.5 FOSTERCARE/CHILDCAREC.9A.6 VOLUNTEER WORKC.9A.7 TRAINING PROGRAMS ESPECIALLY FOR WOMEN

{Verbatim response coded as: C9A_O}

C.9A.88 [DK] {SKIP TO D.1}C.9A.99 [REFUSED] {SKIP TO D.1}

C.9B How long did you participate in {RECALL C.9A.1}?

[Read list]

C.9B.1 Less than 1 monthC.9B.2 1 to 3 monthsC.9B.3 More than 3 months but less than 6 monthsC.9B.4 6 months or moreC.9B.88 [DK]C.9B.99 [REFUSED]

C.9C When did you participate in {RECALL C.9A.1}?



{MUL=3}

{Multiple responses coded as:First response = C9C1Second response = C9C2Third response = C9C3}

C.9C.1 Before 1996C.9C.2 While you received AFDC in 1996C.9C.3 After you stopped receiving AFDC in 1996C.9C.88 [DK]C.9C.99 [REFUSED]

C.9D In terms of getting a job, how helpful was {RECALL C.9A.1}? How helpful was {RECALLC.9A.1} to you in getting a job? Was it:

[Read list]

C.9D.1 Very helpfulC.9D.2 Somewhat helpfulC.9D.3 Not helpfulC.9D.88 [DK]C.9D.99 [REFUSED]


SECTION D: EDUCATION

D.1 Have you received a high school diploma?

D.1.1 YESD.1.2 NO {SKIP TO D.2}D.1.88 [DK] {SKIP TO D.2}D.1.99 [REFUSED] {SKIP TO D.2}

D.1A In what year did you receive your high school diploma?

D.1A.1 [YEAR] {Range: 1940 to 1999}D.1A.8888 [DK]D.1A.9999 [REFUSED]

{SKIP TO LABEL D.1}

D.2 [Have you received:]

A GED Certificate

D.2.1 YESD.2.2 NO {SKIP TO LABEL D.1}D.2.88 [DK] {SKIP TO LABEL D.1}D.2.99 [REFUSED] {SKIP TO LABEL D.1}

D.2A In what year did you receive your GED Certificate?


LABEL D.1 {IF D.1=1 THEN GOTO D.4}

D.3 What is the highest grade in school that you completed?

D.3.00 Less than 1st gradeD.3.01 1st gradeD.3.02 2nd gradeD.3.03 3rd gradeD.3.04 4th gradeD.3.05 5th gradeD.3.06 6th gradeD.3.07 7th gradeD.3.08 8th gradeD.3.09 9th gradeD.3.10 10th gradeD.3.11 11th grade


D.3.12 12th grade, but no diplomaD.3.88 [DK]D.3.99 [REFUSED]


A Trade or Vocational School Certificate or Diploma

D.4.1 YESD.4.2 NO {SKIP TO LABEL D.2}D.4.88 [DK] {SKIP TO LABEL D.2}D.4.99 [REFUSED] {SKIP TO LABEL D.2}

D.4A In what year did you receive your trade or vocational school certificate or diploma?


LABEL D.2 {IF D1=02,88,99 AND D2=02,88,99 GOTO E.1}


A Two-Year College Degree

D.5.1 YESD.5.2 NO {SKIP TO D.6}D.5.88 [DK] {SKIP TO D.6}D.5.99 [REFUSED] {SKIP TO D.6}

D.5A In what year did you receive a two-year college degree?



A Four-Year College Degree

D.6.1 YESD.6.2 NO {SKIP TO E.1}D.6.88 [DK] {SKIP TO E.1}D.6.99 [REFUSED] {SKIP TO E.1}

D.6A In what year did you receive a four-year college degree?

D.6A.1 [YEAR] {Range: 1940 to 1999}D.6A.8888 [DK]


D.6A.9999 [REFUSED]


SECTION E: HOUSEHOLD COMPOSITION

{IF INTERVIEW IS SUSPENDED DURING THIS SECTION – RESTART THE SECTION AT THEBEGINNING}

E.1 Now I would like to talk to you about your household.

My next few questions are about the people who lived in the same household with you at least halfof the time during {PRIORMONTH}.

First, how many people lived in your household at least half of the time during {PRIOR MONTH},including yourself?

[Prompt: By household, I mean individuals who lived or stayed with you in your home at least halfof the time during {PRIOR MONTH}. These individuals do not necessarily have to be related to you.]

E.1.1 [NUMBER] {SET HH#} {SKIP TO E_SPS_A} {RANGE: 1 TO 10 }

E.1.88 [DK[ {SKIP TO E.1B}E.1.99 [REFUSED] {SKIP TO E.1B}

{IF HH#=1}

E.1A Just to verify my information, are you the only person who lived in your householdduring {PRIOR MONTH}?

E.1A.1 YES {SKIP TO E.12}E.1A.2 NO {SKIP TO E.1}

E.1B You will not have to provide any personal information about persons living in yourhousehold or their names if you choose not to.

During {PRIOR MONTH}, how many individuals lived or stayed with you at least halfof the time? These individuals do not necessarily have to be related to you.

E.1B.1 [NUMBER] {SKIP TO E.1}E.1B.88 [DK] {SET HH#=1} {SKIPTO E.12}E.1B.99 [REFUSED] {SET HH#=1} {SKIP

TO E.12}

E_SPS_A. Did a spouse or partner live with you at least half of the time during {PRIOR MONTH}?

E_SPS_A.1 YES, SPOUSE {SET PARTNER=1}E_SPS_A.2 YES, PARTNER {SET PARTNER=1}E_SPS_A.3 NO {SKIP TO LABEL E.1} {SET PARTNER=0}


E_SPS_A.88 [DK] {SKIP TO LABEL E.1} {SET PARTNER=0}E_SPS_A.99 [REFUSED] {SKIP TO LABEL E.1} {SET PARTNER=0}

E_SPS_B. What is his or her name?

E_SPS_B.1 [NAME] {SET SPOUSENAME}

E_SPS_C. How old is {RECALL SPOUSENAME}?

[Enter 888 for DK & 999 for Refused]

E_SPS_C.1 [AGE] {Range: 216 to 299} {SET SPOUSEAGE}E_SPS_C.888 [DK]E_SPS_C.999 [REFUSED]

LABEL E.1 {IF HH#=2 AND PARTNER=1 GOTO E.12}

{GOTO E.2}

PREE2 {Let’s start the list again, just to make sure I have it correct}

E.2 {IF HH#=2 OR (HH#=3 AND PARTNER=1)}

Who is the other person who lived with you during {PRIOR MONTH}?

{IF HH#>2} I want to make sure I have everyone who lived or stayed in your home at least halftime during the last month.

Now, who is the youngest person who lived with you during {PRIOR MONTH}?

[If respondent is hesitant about giving a name, encourage them to provide you with another label]

E.2.1 [NAME] {SET HHMEMB1}

E.2A How old is {HHMEMB1}?

E.2A.1 [MONTHS OLD] {SET AGE1} {Range: 101 TO 111, with 100 noting lessthan 1 month}

E.2A.2 [YEARS OLD] {SET AGE1} {Range: 201 to 299}E.2A.88 8 [DK]E.2A.99 9 [REFUSED]

E.2B How is {HHMEMB1} related to you?

{MUL=1}


E.2B.3 SONE.2B.4 DAUGHTERE.2B.5 FATHERE.2B.6 MOTHERE.2B.7 BROTHERE.2B.8 SISTERE.2B.9 GRANDFATHERE.2B.10 GRANDMOTHERE.2B.11 UNCLEE.2B.12 AUNTE.2B.13 COUSINE.2B.14 NEPHEWE.2B.15 NIECEE.2B.16 OTHER ADULT MALE RELATIVE OR IN-LAWE.2B.17 OTHER ADULT FEMALE RELATIVE OR IN-LAWE.2B.18 UNRELATED FEMALE - WHO IS NOT A PARTNERE.2B.19 UNRELATED MALE - WHO IS NOT A PARTNERE.2B.20 UNRELATED MALE CHILD- WHO IS NOT A FOSTER CHILDE.2B.21 UNRELATED FEMALE CHILD- WHO IS NOT A FOSTER CHILDE.2B.22 GRANDSONE.2B.23 GRANDDAUGHTERE.2B.24 FOSTER CHILDE.2B.88 [DK]E.2B.99 [REFUSED]

{IF HH#=2 OR (HH#=3 AND PARTNER=1) GOTO E.11}

E.3 Who is the next oldest person who lived with you during {PRIOR MONTH}?





E.3A.2 [YEARS OLD] {SET AGE2} {Range: 201 to 299}E.3A.88 8 [DK]E.3A.99 9 REFUSED]


E.3B.3 SONE.3B.4 DAUGHTERE.3B.5 FATHERE.3B.6 MOTHERE.3B.7 BROTHERE.3B.8 SISTERE.3B.9 GRANDFATHER


E.3B.10 GRANDMOTHERE.3B.11 UNCLEE.3B.12 AUNTE.3B.13 COUSINE.3B.14 NEPHEWE.3B.15 NIECEE.3B.16 OTHER ADULT MALE RELATIVE OR IN-LAWE.3B.17 OTHER ADULT FEMALE RELATIVE OR IN-LAWE.3B.18 UNRELATED FEMALE - WHO IS NOT A PARTNERE.3B.19 UNRELATED MALE - WHO IS NOT A PARTNERE.3B.20 UNRELATED MALE CHILD – WHO IS NOT A FOSTER CHILDE.3B.21 UNRELATED FEMALE CHILD – WHO IS NOT A FOSTER CHILDE.3B.22 GRANDSONE.3B.23 GRANDAUGHTERE.3B.24 FOSTER CHILDE.3B.88 [DK]E.3B.99 [REFUSED]

{IF HH#=3 OR (HH#=4 AND PARTNER=1} GOTO E.11}








E.4B.3 SONE.4B.4 DAUGHTERE.4B.5 FATHERE.4B.6 MOTHERE.4B.7 BROTHERE.4B.8 SISTERE.4B.9 GRANDFATHERE.4B.10 GRANDMOTHERE.4B.11 UNCLEE.4B.12 AUNTE.4B.13 COUSINE.4B.14 NEPHEWE.4B.15 NIECE


E.4B.16 OTHER ADULT MALE RELATIVE OR IN-LAWE.4B.17 OTHER ADULT FEMALE RELATIVE OR IN-LAWE.4B.18 UNRELATED FEMALE - WHO IS NOT A PARTNERE.4B.19 UNRELATED MALE - WHO IS NOT A PARTNERE.4B.20 UNRELATED MALE CHILD – WHO IS NOT A FOSTER CHILDE.4B.21 UNRELATED FEMALE CHILD – WHO IS NOT A FOSTER CHILDE.4B.22 GRANDSONE.4B.23 GRANDDAUGHTERE.4B.24 FOSTER CHILDE.4B.88 [DK]E.4B.99 [REFUSED]







E.5A.2 [YEARS OLD] {SET AGE4} {Range: 201 to 299}

E.5A.88 8 [DK]E.5A.99 9 [REFUSED]


E.5B.3 SONE.5B.4 DAUGHTERE.5B.5 FATHERE.5B.6 MOTHERE.5B.7 BROTHERE.5B.8 SISTERE.5B.9 GRANDFATHERE.5B.10 GRANDMOTHERE.5B.11 UNCLEE.5B.12 AUNTE.5B.13 COUSINE.5B.14 NEPHEWE.5B.15 NIECEE.5B.16 OTHER ADULT MALE RELATIVE OR IN-LAWE.5B.17 OTHER ADULT FEMALE RELATIVE OR IN-LAWE.5B.18 UNRELATED FEMALE - WHO IS NOT A PARTNERE.5B.19 UNRELATED MALE - WHO IS NOT A PARTNERE.5B.20 UNRELATED MALE CHILD – WHO IS NOT A FOSTER CHILD


E.5B.21 UNRELATED FEMALE CHILD – WHO IS NOT A FOSTER CHILDE.5B.22 GRANDSONE.5B.23 GRANDAUGHTERE.5B.24 FOSTER CHILDE.5B.88 [DK]E.5B.99 [REFUSED]







E.6A.2 [YEARS OLD] {SET AGE5} {Range: 201 to 299}E.6A.88 [DK]E.6A.99 [REFUSED]


E.6B.3 SONE.6B.4 DAUGHTERE.6B.5 FATHERE.6B.6 MOTHERE.6B.7 BROTHERE.6B.8 SISTERE.6B.9 GRANDFATHERE.6B.10 GRANDMOTHERE.6B.11 UNCLEE.6B.12 AUNTE.6B.13 COUSINE.6B.14 NEPHEWE.6B.15 NIECEE.6B.16 OTHER ADULT MALE RELATIVE OR IN-LAWE.6B.17 OTHER ADULT FEMALE RELATIVE OR IN-LAWE.6B.18 UNRELATED FEMALE - WHO IS NOT A PARTNERE.6B.19 UNRELATED MALE - WHO IS NOT A PARTNERE.6B.20 UNRELATED MALE CHILD – WHO IS NOT A FOSTER CHILDE.6B.21 UNRELATED FEMALE CHILD – WHO IS NOT A FOSTER CHILDE.6B.22 GRANDSONE.6B.23 GRANDDAUGHTERE.6B.24 FOSTER CHILDE.6B.88 [DK]E.6B.99 [REFUSED]










E.7B.3 SONE.7B.4 DAUGHTERE.7B.5 FATHERE.7B.6 MOTHERE.7B.7 BROTHERE.7B.8 SISTERE.7B.9 GRANDFATHERE.7B.10 GRANDMOTHERE.7B.11 UNCLEE.7B.12 AUNTE.7B.13 COUSINE.7B.14 NEPHEWE.7B.15 NIECEE.7B.16 OTHER ADULT MALE RELATIVE OR IN-LAWE.7B.17 OTHER ADULT FEMALE RELATIVE OR IN-LAWE.7B.18 UNRELATED FEMALE - WHO IS NOT A PARTNERE.7B.19 UNRELATED MALE - WHO IS NOT A PARTNERE.7B.20 UNRELATED MALE CHILD – WHO IS NOT A FOSTER CHILDE.7B.21 UNRELATED FEMALE CHILD – WHO IS NOT A FOSTER CHILDE.7B.22 GRANDSONE.7B.23 GRANDDAUGHTERE.7B.24 FOSTER CHILDE.7B.88 [DK]E.7B.99 [REFUSED]










E.8B.3 SONE.8B.4 DAUGHTERE.8B.5 FATHERE.8B.6 MOTHERE.8B.7 BROTHERE.8B.8 SISTERE.8B.9 GRANDFATHERE.8B.10 GRANDMOTHERE.8B11 UNCLEE.8B12 AUNTE.8B13 COUSINE.8B14 NEPHEWE.8B.15 NIECEE.8B.16 OTHER ADULT MALE RELATIVE OR IN-LAWE.8B.17 OTHER ADULT FEMALE RELATIVE OR IN-LAWE.8B.18 UNRELATED FEMALE - WHO IS NOT A PARTNERE.8B.19 UNRELATED MALE - WHO IS NOT A PARTNERE.8B.20 UNRELATED MALE CHILD - WHO IS NOT FOSTER CHILDE.8B.21 UNRELATED FEMALE CHILD – WHO IS NOT FOSTER CHILDE.8B.22 GRANDSONE.8B.23 GRANDDAUGHTERE.8B.24 FOSTER CHILDE.8B.88 [DK]E.8B.99 [REFUSED]
















E.10A.1 [MONTHS OLD] {SET AGE9} {Range: 101 TO 111, with 100noting less than 1 month}

E.10A.2 [YEARS OLD] {SET AGE9} {Range: 201 to 299}E.10A.888 [DK]


E.10A.999 [REFUSED]



E.11 To verify my information I am going to read the list of people you just provided. Please tell me if Ihave missed anyone who lived with you at least half time during {PRIOR MONTH}.

[READ LIST]

{RECALL HHMEMB1} {RECALL AGE1} {RECALL E.2B}{RECALL HHMEMB2} {RECALL AGE2} {RECALL E.3B}{RECALL HHMEMB3} {RECALL AGE3} {RECALL E.4B}{RECALL HHMEMB4} {RECALL AGE4} {RECALL E.5B}{RECALL HHMEMB5} {RECALL AGE5} {RECALL E.6B}{RECALL HHMEMB6} {RECALL AGE6} {RECALL E.7B}{RECALL HHMEMB7} {RECALL AGE7} {RECALL E.8B}{RECALL HHMEMB8} {RECALL AGE8} {RECALL E.9B}{RECALL HHMEMB9} {RECALL AGE9} {RECALL E.10B}

Did I miss anyone or is any information I read incorrect?

E.11.66 INCORRECT INFORMATION {SKIP TO PREE2}E.11.77 ALL INFORMATION IS CORRECT


E.12 How does the number of persons in your household now compare to the number living with youwhen you left AFDC on {TERMDATE}? Would you say:

[Read list]

E.12.1 Your household is largerE.12.2 Your household is smallerE.12.3 There hasn’t been a change in the size of your householdE.12.88 [DK]E.12.99 [REFUSED]


SECTION F: WORK EFFORT

{SET OVER16 =1 AGE1 GE 216 OR AGE2 GE 216 OR AGE3 GE 216 OR AGE4 GE 216 OR AGE5 GE216 OR AGE6 GE 216 OR AGE7 GE 216 OR AGE8 GE 216 OR AGE9 GE 216 OR AGE10 GE 216, ELSEOVER16=0}

F.1 Now I would like to talk to you about the paid jobs that you’ve had since you left AFDC on{TERMDATE}. When thinking about the paid jobs you’ve had, please consider any type of self-employment such as paid baby-sitting, housekeeping jobs, or farm work you have had since you leftAFDC on {TERMDATE}. Also, please consider employment where you were paid “off the books” orcases where you do not report your income on your taxes.

First, since you left AFDC on {TERMDATE}, have you worked for pay? Please don’t count unpaidwork experiences you may have had.

[Acceptable jobs include any work for pay that started before the respondent left AFDC in 1996, aslong as they ended after {TERMDATE} or are still held]

F.1.1 YES {SKIP TO F.2}F.1.2 NOF.1.88 [DK]F.1.99 [REFUSED]

F.1A A lot of people have irregular jobs on the side to make ends meet. Have you had any jobslike that for pay since you left AFDC in 1996?

[Prompt: For example, paid babysitting or childcare, housekeeping, construction, or yardor farm work]

F.1A.1 YESF.1A.2 NO {SKIP TO F17} {WORK=0}F.1A.88 [DK] {SKIP TO F17} {WORK=0}F.1A.99 [REFUSED] {SKIP TO F17} {WORK=0}

F.2 For how many months have you worked for pay since you left AFDC on {TERMDATE}?

[Prompt, if necessary: It has been approximately 27 to 30 months since you left AFDC on{TERMDATE}. For how many months during that time period do you think you have worked]

F.2.1 [MONTHS] {Range: 1 to 33}{SKIP TO F.3}

F.2.88 [DK]F.2.99 [REFUSED]

F.2A Do you think the number of months you have worked for pay since you left AFDC on{TERMDATE} is:


F.2A.1 Less than 6 monthsF.2A.2 More than 6 months, but less than one yearF.2A.3 More than one year, but less than a year and a halfF.2A.4 More than a year and a half, but less than two yearsF.2A.5 More than two yearsF.2A.88 [DK]F.2A.99 [REFUSED]

F.3 Are you currently working for pay?

F.3.1 YES {WORK=1}F.3.2 NO {SKIP TO F6} {WORK=0}F.3.88 [DK] {SKIP TO F6} {WORK=0}F.3.99 [REFUSED] {SKIP TO F6} {WORK=0}

F.4 How many jobs do you currently have? Please count each employer as a separate job.

[Prompt: Self-employment, like babysitting, counts as one job.]

[If a respondent works for a Temp Agency this should be considered one long assignment with thestart date being the start of the first assignment and the end date being the end of the lastassignment.]

F.4.1 [NUMBER] {RANGE: 1 TO 7} {SET JOB#}F.4.88 [DK] {SET JOB#=1}F.4.99 [REFUSED] {SET JOB#=1}

F.6 {IF WORK=1 AND JOB#>1] Where did you work the most hours during {PRIORMONTH}?

{IF WORK=1 AND JOB#=1} Where do you work?

{IF WORK=0} Where did you work most recently?

[If the respondent is uncomfortable with naming a place of employment, probe for generaldescription for reference in remaining employment questions. If a respondent refuses, type “currentjob”.]

F.6.1 [SPECIFY] {SET CURRENT JOB}

F.7 {IF WORK=1} Which of the following BEST describes the type of job you have at {CURRENTJOB}?

{IF WORK=0} Which of the following BEST describes the type of job you had at {CURRENTJOB}?

[Read list – Read All Categories before Selecting a Response]


F.7.1 A sales job in a store, serving customersF.7.2 A customer service job, talking on the telephoneF.7.3 A food service job, where you distribute, serve, or prepare food for customersF.7.4 A support job, like a stock clerk or janitor, or farm workerF.7.5 An education job, where you teachF.7.6 A childcare or daycare job, where you take care of childrenF.7.7 A medical-related job, for example as a nurse or other medical services providerF.7.8 A clerical jobF.7.9 A technical job, such as engineering or working with your mindF.7.10 A factory jobF.7.11 A construction or related type of jobF.7.12 A job working a word processor or computer terminalF.7.13 A managerial or supervisory job in an officeF.7.14 A professional job in an office serving clientsF.7.15 Transportation/Trucking/Bus DriverF.7.16 HousekeepingF.7.77 [OTHER –SPECIFY] {Verbatim response coded as: F7_O}F.7.88 [DK]F.7.99 [REFUSED]

{IF F.7=6}

F.8 Have you participated in Educare Training for childcare providers?

[Prompt: Educare is a program that offers free training and educational resources and home visitsto family day care providers. ]

F.8.1 YESF.8.2 NOF.8.88 [DK]F.8.99 [REFUSED]

F.9 {WORK=1} What are your most important activities or duties at {CURRENT JOB}?{WORK=0} What were your most important activities or duties at {CURRENT JOB}?

[For reference: Use F1 to look at the occupational code categories on Help Screen]

[Prompt: For example, what do/did you consider your primary responsibilities at your job]

F.9.1 [SPECIFY1] {Verbatim response coded as: F9_O1}F.9.2 [SPECIFY2] {Verbatim response coded as: F9_O2}F.9.3 [SPECIFY3] {Verbatim response coded as: F9_O3}F.9.88 [DK]F.9.99 [REFUSED]

F.10 {WORK=1} Which of the following BEST describes who you are employed by at {CURRENT


JOB}:{WORK=0} Which of the following BEST describes who you were employed by at {CURRENT

JOB}:

[Read ENTIRE list before selecting]

F.10.1 The government [May be local, county, state, federal, etc.]F.10.2 A private for-profit company, that is owned by someone other than yourself or your

familyF.10.3 A non-profit organization, including tax-exempt and charitable organizationsF.10.4 Yourself, in a self-employment arrangementF.10.5 A business owned by your familyF.10.88 [DK]F.10.99 [REFUSED]

F.11 When did you start your job with {CURRENT JOB}?

[Prompt: In what month and year did you start your job at {CURRENT JOB}?]

[If a respondent is self-employed – PROBE – for when the first time was that they worked at{CURRENT JOB} for pay]


[After probing – if respondent cannot remember month, you may enter 00]

F.11.1 [YY/MM] {SET STARTDATE} {Range: YY 40 to 99 and MM 00to 12}

F.11.8888 [DK]F.11.9999 [REFUSED]

{IF WORK=1 GOTO F.13}

F.12 When did you end your job with {CURRENT JOB}?

[Prompt: In what month and year did you end your job at {CURRENT JOB}?]

[In a respondent is self-employed – PROBE – for when was the last time was that they worked at{CURRENT JOB} for pay]


[After probing – if respondent cannot remember month, you may enter 00]

F.12.1 [YY/MM] {SET ENDDATE} {Range: YY 40 to 99 and MM 00


to 12}{DO NOT ALLOW ENDDATES TO BE BEFORESTARTDATE}

F.12.8888 [DK]F.12.9999 [REFUSED]

{IF STARTDATE IS PRIOR TO TERMDATE AND ENDDATE IS PRIOR TO TERMDATE}

F.12A [INTERVIEWER VERIFICATION SCREEN]

[The dates that the respondent has provided for the starting and ending dates ofemployment for {CURRENT JOB} indicate that this job was held before October 1996.]

[Please verify with the respondent that they held their most recent job between{STARTDATE} AND {ENDDATE}]

[Are these dates correct?]

F.12A.1 YESF.12A.2 NO {SKIP TO F.11}F.12A.88 [DK] {SKIP TO F.11}F.12A.99 [REFUSED] {SKIP TO F.11}

F.13 {IF WORK=1} Including overtime, how many hours per week do you work at your job with{CURRENT JOB}?

{IF WORK=0} Including overtime, how many hours per week did you work at your job with{CURRENT JOB}?

[Probe, if necessary, for the approximate number of hours the respondent worked]

[If the respondent worked a varying schedule, ask for the average number of hours per week]

F.13.1 [HOURS PER WEEK] {Range: 1 to 85}F.13.88 [DK]F.13.99 [REFUSED]

{IF JOB LE 1 GOTO F.14}{IF WORK=0 GOTO F.14}

F.13A Earlier you mentioned that you are currently working more than one job. Including overtime,how many hours per week do you work at your jobs other than {CURRENT B}?

[Probe, if necessary, for the approximate number of hours the respondent worked]

[If the respondent worked a varying schedule, ask for the average number of hours per week]

F.13A.1 [HOURS PER WEEK] {Range: 1 to 85}


F.13A.88 [DK]F.13A.99 [REFUSED]

{IF F.13=88, 99 OR F.13A=88, 99 THEN GOTO F.14}

SET TOTHRS=F.13.1 +F.13A.1

{IF TOTHRS>168}F.13C [The respondent’s total number of hours worked is larger than the available hours in a week.

Please confirm his/her responses]{SKIP TO F.13}

F.13D Just to confirm, so between all of your jobs you work approximately {TOTHRS} hours. IsThis correct?

F.13D.1 CorrectF.13D.2 Incorrect {SKIP TO F.13}

F.14 When you started your job at {CURRENT JOB} on {RECALL STARTDATE}, how much were yourearnings, before taxes and other deductions? When thinking about your earnings, please includetips, commissions, and regular overtime pay.

{NUM=6.2}

F.14.1 [PER HOUR]F.14.2 [PER DAY]F.14.3 [PER WEEK]F.14.4 [PER TWO WEEKS]F.14.5 [TWICE A MONTH]F.14.6 [PER MONTH]F.14.7 [PER YEAR]F.14.8 [PER UNIT]F.14.88 [DK] {SKIP TO F.16}F.14.99 [REFUSED] {SKIP TO F.16}

F.14A [AMOUNT] {Range: 1 to 99999}{SKIP TO F.14D}

F.14A.88888 [DK]F.14A.99999 [REFUSED]

{IF F.14 NE 8 GOTO F.14D}

F.14B [SPECIFY UNIT]

F.14C [NUMBER OF UNITS PER MONTH]


F.14D Just to check, was that before or after Federal and state taxes, and social securitydeductions?

F.14E.1 BEFORE TAXESF.14E.2 AFTER TAXESF.14E.88 [DK]F.14E.99 [REFUSED]

{IF F.14=2}

F.14E When you started your job with {CURRENT JOB} how many days per week did you work?

F.14E.1 [NUMBER OF DAYS PER WEEK] {Range: 1 to 7}F.14E.88 [DK]F.14E.99 [REFUSED]

F.16 {IF WORK=1} Still thinking about {CURRENT JOB}, does your employer offer any of the followingbenefits to you?

{IF WORK=0} Still thinking about {CURRENT JOB}, did your employer offer any of the followingbenefits to you?

F.16A Sick days with full pay

F.16A.1 YESF.16A.2 NOF.16A.88 [DK]F.16A.99 [REFUSED]

F.16B Paid vacation, other than holidays

F.16B.1 YESF.16B.2 NOF.16B.88 [DK]F.16B.99 [REFUSED]

F.16C A health insurance plan

F.16C.1 YESF.16C.2 NOF.16C.88 [DK]F.16C.99 [REFUSED]

F.16D Job training classes or tuition reimbursement

F.16D.1 YESF.16D.2 NOF.16D.88 [DK]


F.16D.99 [REFUSED]

F.16E Dental benefits

F.16E.1 YESF.16E.2 NOF.16E.88 [DK]F.16E.99 [REFUSED]

F.16F Childcare that is paid by the employer

F.16F.1 YESF.16F.2 NOF.16F.88 [DK]F.16F.99 [REFUSED]

F.5 Now I would like to talk to you about other jobs you have had since you left AFDC on {TERMDATE}.you had since you left AFDC on {TERMDATE}? Let’s begin with the job you had most recently.


[Probe: And what was your next most recent job? Or, what was the job you held before this job?]

[Probe: Have you counted self-employment jobs where you have worked for pay or irregular jobsyou may have had on the side?]

{SET JOBSINCE}

F.5.1 [JOB1] {Verbatim response coded as: F5_1O}F.5.2 [JOB2] {Verbatim response coded as: F5_2O}F.5.3 [JOB3] {Verbatim response coded as: F5_3O}F.5.4 [JOB4] {Verbatim response coded as: F5_4O}F.5.5 [JOB5] {Verbatim response coded as: F5_5O}F.5.6 [JOB6] {Verbatim response coded as: F5_6O}F.5.7 [JOB7] {Verbatim response coded as: F5_7O}F.5.8 [JOB8] {Verbatim response coded as: F5_8O}F.5.9 [JOB9] {Verbatim response coded as: F5_9O}

F.5A You just mentioned that you had the following jobs:

{RECALL LIST OF JOBS}

Is this correct?

F.5A.1 YES, NUMBER OF JOBS IS CORRECTF.5A.2 NO, INCORRECT NUMBER OF JOBS {SKIP TO F.5}


{IF JOBSINCE =0 GOTO PRE17}

F.5B Which job did you have right after you left AFDC on {TERMDATE}?

{RECALL LIST OF JOBS FROM WHICH INTERVIEWERS CAN SELECT JOB} {SET AFDC JOB}

F.5B.88 [DK]F.5B.99 [REFUSED]

F17ADD You just mentioned that you had a job with {AFDCJOB} right after you left AFDC on{TERMDATE}.

When you started this job, how much were your earnings, before taxes and otherdeductions? When thinking about your earning, please include, tips, commissions, andregular overtime pay.

{NUM=6.2}

F.17ADD.1 [PER HOUR]F.17ADD.2 [PER DAY]F.17ADD.3 [PER WEEK]F.17ADD.4 [PER TWO WEEKS]F.17ADD.5 [TWICE A MONTH]F.17ADD.6 [PER MONTH]F.17ADD.7 [PER YEAR]F.17ADD.8 [PER UNIT]F.17ADD.88 [DK] {SKIP TO PRE17}F.17ADD.99 [REFUSED] {SKIP TO PRE17}

F.17.ADD.A [AMOUNT] {Range: 1 to 99999}{SKIP TO F17ADD.D}

F.17.ADD.A.88888 [DK]F.17.ADD.A.99999 [REFUSED]

{IF F.17ADD NE 8 GOTO F.17ADD.D}

F.17.ADD.B [SPECIFY UNIT]F.17.ADD.C [NUMBER OF UNITS PER MONTH]

F.17.ADD.D Just to check, was that before or after Federal and state taxes, and social securitydeductions?

F17.ADD.D.1 BEFORE TAXESF17.ADD.D.2 AFTER TAXESF17.ADD.D.88 [DK]F17.ADD.D.99 [REFUSED]


{IF F.17ADD=2}

F.17.ADD.E When you started the job you had just after you left AFDC on {TERMDATE} howmany days per week did you work?

F.17.ADD.E.1 [NUMBER OF DAYS PER WEEK]{Range: 1 to 7}

F.17.ADD.E.88 [DK]F.17.ADD.E.99 [REFUSED]

PRE17 {IF WORK=1 THEN GOTO F.18}

F.17 Which of the following is the primary reason you did not work during {PRIORMONTH}? Is itbecause you:

{MUL=1}

[Read list]

F.17.1 Were ill or disabled and unable to workF.17.2 Are retiredF.17.3 Were taking care of your home or familyF.17.4 Were going to schoolF.17.5 Could not find workF.17.6 Did not have any available childcareF.17.7 Did not have transportationF.17.8 Was doing something elseF.17.9 Do not want to workF.17.88 [DK]F.17.99 [REFUSED]

F.18 {IF WORK=1} During {PRIORMONTH} were you looking for another job, other than{CURRENTJOB}?

{IF WORK=0} During {PRIORMONTH} were you looking for a job?

F.18.1 YES {SKIP TO PREF20}F.18.2 NOF.18.88 [DK]F.18.99 [REFUSED]

F.19 Which of the following reasons is the primary reason you did not look for a job during{PRIORMONTH}? Is it because you:

{MUL=1}

[Read list]

F.19.1 Were ill or disabled and unable to workF.19.2 Are retired


F.19.3 Were taking care of your home or familyF.19.4 Were going to schoolF.19.5 Could not find workF.19.6 Did not have any available childcareF.19.7 Did not have transportationF.19.8 Was doing something elseF.19.9 Do not want to workF.19.10 Are satisfied with your current jobF.19.88 [DK]F.19.99 [REFUSED]

PREF20 {IF PARTNER=0 GOTO PREF22}

F.20 Is your spouse or partner currently working for pay?

F.20.1 [YES]F.20.2 [NO] {SKIP TO PREF22}F.20.88 [DK] {SKIP TO PREF22}F.20.99 [REFUSED] {SKIP TO PREF22}

F.21 How many jobs does your spouse or partner currently have? Please count each employer as aseparate job?


[If a spouse/partner works for a Temp Agency - this should be considered one long assignment withthe start date being the start of the first assignment and the end date being the end of the lastassignment]

F.21.1 [NUMBER] {RANGE: 1 to 7}F.21.88 [DK]F.21.99 [REFUSED]

PREF22 {IF OVER16 = 0 GOTO F.25}

F.22 {IF PARTNER=0} Not including yourself, how many other people in your household arecurrently working for pay? Please only consider individuals 16 years old orolder.

{IF PARTNER=1} Not including yourself or your partner or spouse, how may other people inyour household are currently working for pay? Please only considerindividuals 16 years old or older.

{RANGE CANNOT EXCEED THE NUMBER OF PERSONS IN THE HOUSEHOLD WHO ARE 16 YEARS OROLDER}

F.22.1 [NUMBER] {RANGE: 0 TO 10} {SET 16WORK}F.22.88 [DK] {SKIP TO F.25}F.22.99 [REFUSED] {SKIP TO F.25}


{IF 16WORK=0 GOTO F.25}

{IF 16WORK > HH#}

F.22A {IF PARTNER=1} Earlier you mentioned that there were {RECALL HH#} people livingin your household. Again, how many people living in yourhousehold age 16 or older are currently working for pay, notincluding yourself or your spouse or partner?

{IF PARTNER=0} Earlier you mentioned that there were {RECALL HH#} people livingin your household. Again, how many people living in yourhousehold age 16 or older are currently working for pay, notincluding yourself?

F.22A.1 [NUMBER] {RANGE: 1 TO 10}F.22A.88 [DK]F.22A.99 [REFUSED]

F.23 {IF PARTNER=1} Not including jobs held by yourself or your spouse or partner, but thinkingonly of other people in your household who are working for pay, how manytotal jobs do they have? Please only consider individuals 16 years old orolder.

.

{IF PARTNER=0} Not including jobs held by yourself, but thinking only of other people inyour household who are working for pay, how many total jobs do theyhave? Please only consider individuals 16 years old or older.

.


[If a respondent works for a Temp Agency - this should be considered one long assignment with thestart date being the start of the first assignment and the end date being the end of the lastassignment]

F.23.1 [NUMBER] {RANGE: 1 TO 25}F.23.88 [DK]F.23.99 [REFUSED]

F.25 Since leaving AFDC on {TERMDATE} was there ever a time you could not work, look for a job, or goto school because you lacked transportation?

F.25.1 YESF.25.2 NO {SKIP TO G.1}F.25.88 [DK] {SKIP TO G.1}


F.25.99 [REFUSED] {SKIP TO G.1}

F.24 During {PRIORMONTH}, was there ever a time you could not work, look for a job, or go to schoolbecause you lacked transportation?

F.24.1 YESF.24.2 NOF.24.88 [DK]F.24.99 [REFUSED]


SECTION G: EARNINGS AND OTHER INCOME

G.1 {IF F.1A=02,88,99 THEN GOTO G.3}

{IF HH#=1 OR HH#>1 AND OVER16=0}

Now I would like you to think about all of the income you may have received during the past month.

Were you working for pay during {PRIOR MONTH}?

{IF HH#>1 AND (OVER 16=1 OR PARTNER=1) AND WORK=1}

Earlier you indicated that you are currently working for {CURRENT JOB}. Now, when thinking aboutyour household income, I would like you to think about both your income and the income of anyother individual 16 years or older who lived or stayed with you at least half time during the pastmonth.

First, let’s talk about yourself.


{IF HH#>1 AND (OVER16=1 OR PARTNER=1) AND WORK=0}

I would like you to think both about your income and the income of any individual who lived orstayed with you at least half time during the month.

First, let’s talk about yourself.


G.1 YES {SKIP TO G.2}G.2 NOG.88 [DK]G.99 [REFUSED]

G.1A Lots of people have irregular jobs or do things on the side to make ends meet. Have youhad any jobs like that for pay in {PRIOR MONTH}?

G.1A.1 YESG.1A.2 NO {SKIP TO G.3}

G.2 During {PRIOR MONTH}, how much did you earn before taxes and other deductions? Whenthinking about your earnings, please include tips, commissions, and regular overtime pay.


[Other deductions may include work expenses such as uniforms and health insurance premiums]

[Round to nearest dollar]

G.2.1 [PRIOR MONTH EARNINGS] {SKIP TO G.3}{Range 1 to 6000}}

G.2.88 [DK]G.2.99 [REFUSED]

G.2A Do you think it was closer to:

[Read list]

G.2A.1 less than $400G.2A.2 $400G.2A.3 $600G.2A.4 $800G.2A.5 $1,000G.2A.6 More than $1,000G.2A.88 [DK]G.2A.99 [REFUSED]

G.3 Households often have other sources of income. During {PRIOR MONTH} did you receive:

Unemployment benefits or strike benefits?

G.3.1 YESG.3.2 NO {SKIP TO G.4}G.3.88 [DK] {SKIP TO G.4}G.3.99 [REFUSED] {SKIP TO G.4}

G.3A During {PRIOR MONTH}, how much money did you receive from unemployment or strikebenefits?


G.3A.1 [PRIOR MONTH EARNINGS] {SKIP TO G.4}{Range 1 to 3500}

G.3A.8888 [DK]G.3A.9999 [REFUSED]

G.3B Do you think it was closer to:

[Read list]

G.3B.1 less than $400G.3B.2 $400G.3B.3 $600


G.3B.4 $800G.3B.5 $1,000F.3B.6 More than $1,000G.3B.88 [DK]G.3B.99 [REFUSED]

G.4 [During {PRIOR MONTH} did you receive:]

Aid for Families with Dependent Children C that is AFDC C or Temporary Assistance for NeedyFamilies C that is TANF?


G.4A During {PRIOR MONTH}, how much money did you receive from AFDC or TANF?



G.4A.88 [DK]G.4A.99 [REFUSED]


[Read list]

G.4B.1 less than $400G.4B.2 $400G.4B.3 $600G.4B.4 $800G.4B.5 $1,000G.4B.6 More than $1,000G.4B.88 [DK]G.4B.99 [REFUSED]


Supplemental Security Income Payments – that is SSI?


G.5A During {PRIOR MONTH}, how much money did you receive from SSI?




G.5A.8888 [DK]G.5A.9999 [REFUSED]


[Read list]



Worker’s Compensation payments or other payments that resulted from an injury or illness. Pleasedo not count sick pay, disability insurance payments, or retirement income?


G.6A During {PRIOR MONTH} how much money did you receive from worker’s compensationpayments or other payments that resulted from an injury or illness?



G.6A.8888 [DK]G.6A.9999 [REFUSED]


[Read list]

G.6B.1 less than $400G.6B.2 $400G.6B.3 $600G.6B.4 $800G.6B.5 $1,000G.6B.6 More than $1,000G.6B.88 [DK]


G.6B.99 [REFUSED]


Child Support Payments


G.7A During {PRIOR MONTH}, how much money did you receive from child support payments?



G.7A.8888 [DK]G.7A.9999 [REFUSED]


[Read list]



Veteran’s or VA payments, Social Security payments, or survivor benefits such as widow=s pensionor insurance annuities?


G.8A During {PRIOR MONTH}, how much money did you receive from Veteran=s or VApayments, Social Security payments, or survivor benefits?


G.8A.1 [PRIOR MONTH EARNINGS] {SKIP TO G.9}


{Range 1 to 3500}G.8A.8888 [DK]G.8A.9999 [REFUSED]


[Read list]



Regular financial assistance from friends or relatives who do not live in your household?


G.9A During {PRIOR MONTH}, how much money did you receive from friends or relatives notliving in your household?


G.9A.1 [PRIOR MONTH EARNINGS] {SKIP TO G.10}{Range 1 to 3500

G.9A.8888 [DK]G.9A.9999 [REFUSED]


[Read list]




Foster care payments, gambling income, or any other money income that has not already beenmentioned?

G.10.1 YESG.10.2 NO {SKIP TO PREG11}G.10.88 [DK] {SKIP TO PREG11}G.10.99 [REFUSED] {SKIP TO PREG11}

G.10A During {PRIOR MONTH}, how much money did you receive in foster care payments,gambling income, or any other money income that has not already been covered?


G.10A.1 [PRIOR MONTH EARNINGS] {SKIP TO PREG11}{Range 1 to 3500}

G.10A.8888 [DK]G.10A.9999 [REFUSED]


[Read list]


PREG11 {IF HH#=1 GOTO PREG.25}{IF PARTNER=0 GOTO PREG.13}

G.11 {IF SPOUSE} Now I would like you to think about the income your spouse may have receivedduring {PRIOR MONTH}.

{IF PARTNER} Now I would like you to think about the income your partner may have receivedduring {PRIOR MONTH}.

First, was he or she working for pay during the past month, that is during {PRIOR MONTH}?

G.11.1 YES {SKIP TO G.12}G.11.2 NOG.11.88 [DK]G.11.99 [REFUSED]


G.11A Lots of people have irregular jobs or do things they do on the side to make ends meet. Has{RECALL HHMEMB NAME} had any jobs like that for pay in {PRIOR MONTH}?

G.11A.1 YESG.11A.2 NO {SKIP TO PREG13}

G.12 During {PRIOR MONTH}, approximately how much did {RECALL HHMEMB NAME} earn beforetaxes and other deductions? When thinking about earnings, please include tips, commissions, andregular overtime pay.



G.12.1 [PRIOR MONTH EARNINGS] {SKIP TO PREG13}{Range 1 to 3500}

G.12.8888 [DK]G.12.9999 [REFUSED]


[Read list]


PREG13 {IF PARTNER=1 AND HH#=2 THEN GOTO G.15} {IF OVER16=0 GOTO PREG23}

G.13 {IF PARTNER=1} Did any individuals living in your household who are 16 years old orolder, other than your spouse or partner, work for pay during{PRIOR MONTH}?

{IF PARTNER=0} Did any individuals living in your household who are over 16 yearsold or older work for pay during {PRIOR MONTH}?

G.13.1 YES {SKIP TO G.14}G.13.2 NOG.13.88 [DK]G.13.99 [REFUSED]

G.13A Lots of people have irregular jobs or do things on the side to make ends meet. Has anyonein your household 16 years old or older had any jobs like that for pay during {PRIOR


MONTH}?

G.13A.1 YESG.13A.2 NO {SKIP TO G.15}

G.14 During {PRIOR MONTH}, altogether how much did individuals in your household 16 years old orolder earn before taxes and other deductions? When thinking about earnings, please include tips,commissions, and regular overtime pay.


[**IF THE RESPONDENT HAS A SPOUSE/PARTNER WHO IS OVER 16 YEARS OLD, THEYSHOULD BE INCLUDED IN THE RESPONDENT’S ANSWER TO THIS QUESTION**]


G.14.1 [PRIOR MONTH EARNINGS] {SKIP TO G.15} {Range 1 to 6000}G.14.8888 [DK]G.14.9999 [REFUSED]


[Read list]


G.15 {PARTNER=1} Now I’d like to talk to you about other sources of income that individuals in yourhousehold may have received during {PRIOR MONTH}.

When thinking about the questions, please consider income your spouse or partnermay have had during the past month and the income any individuals 16 years oldor older may have had during {PRIOR MONTH}.

{PARTNER=0} Now I’d like to talk to you about other sources of income that individuals in yourhousehold may have received during {PRIOR MONTH}.

When thinking about the questions, please consider income any individuals 16years old or older may have had during {PRIOR MONTH}.

Did anyone who lived in your household who was 16 years old or older receive unemploymentcompensation or strike benefits during {PRIORMONTH}?

[**IF THE RESPONDENT HAS A SPOUSE/PARTNER WHO IS OVER 16 YEARS OLD, THEY


SHOULD BE INCLUDED IN THE RESPONDENT’S ANSWER TO THIS QUESTION**]


G.15A During {PRIOR MONTH} how much money did they receive from unemployment or strikebenefits?


G.15A.1 [PRIOR MONTH EARNINGS] {SKIP TO G.16} {Range 1 to 3500}

G.15A.8888 [DK]G.15A.9999 [REFUSED]


[Read list]


G.16 Did anyone who lived in your household who was 16 years old or older receive AFDC or TANF cashassistance payments during {PRIOR MONTH}?



G.16A During {PRIOR MONTH} how much money did they receive from AFDC or TANF?




{Range 1 to 6000}}G.16A.8888 [DK]G.16A.9999 [REFUSED]


[Read list]


G.17 Did anyone who lived in your household who was 16 years old or older receive SupplementalSecurity Income, or SSI, Payments during {PRIOR MONTH}?



G.17A Altogether, during {PRIOR MONTH} how much money did they receive from SSI?



G.17A.8888 [DK]G.17A.9999 [REFUSED]


[Read list]

G.17B.1 less than $400G.17B.2 $400G.17B3 $600G.17B.4 $800G.17B.5 $1,000G.17B.6 More than $1,000


G.17B.88 [DK]G.17B.99 [REFUSED]

G.18 Did anyone who lived in your household who was 16 years old or older receive Worker’sCompensation Payments or other payments resulting from an injury or illness during {PRIORMONTH}?

When thinking about these payments please do not include sick pay, disability insurance, orretirement payments.



G.18A During {PRIOR MONTH} how much money did they receive from Worker’s CompensationPayments or other payments resulting from an injury or illness?



G.18A.8888 [DK]G.18A.9999 [REFUSED]


[Read list]


G.19 Did anyone who lived in your household who was 16 years old or older receive child supportpayments during {PRIOR MONTH}?




G.19A Altogether, during {PRIOR MONTH} how much money did they receive from child supportpayments?



G.19A.8888 [DK]G.19A.9999 [REFUSED]


[Read list]


G.20 Did anyone who lived in your household who was 16 years old or older receive Veteran’s or VApayments, Social Security payments, or survivor benefits such as a widow’s pension or insuranceannuity during {PRIOR MONTH}?



G.20A Altogether, during {PRIOR MONTH} how much money did they receive from Veteran’s orVA payments, Social Security payments, or survivor benefits?




{Range 1 to 3500}G.20A.8888 [DK]G.20A.9999 [REFUSED]


[Read list]


G.21 Did anyone who lived in your household who was 16 years old or older receive regular financialassistance from friends or relatives not living in your household during {PRIOR MONTH}?



G.21A Altogether, during {PRIOR MONTH} how much money did they receive in regular financialassistance from friends or relatives not living in your household?



G.21A.88 [DK]G.21A.99 [REFUSED]


[Read list]

G.21B.1 less than $400G.21B.2 $400G.21B.3 $600G.21B.4 $800G.21B.5 $1,000G.21B.6 More than $1,000


G.21B.88 [DK]G.21B.99 [REFUSED]

G.22 Did anyone who lived in your household who was 16 years old or older receive foster carepayments, gambling income, or any other money income that has not already been covered during{PRIOR MONTH}?


G.22.1 YESG.22.2 NO {SKIP TO PREG23}G.22.88 [DK] {SKIP TO PREG23}G.22.99 [REFUSED] {SKIP TO PREG23}

G.22A Altogether, during {PRIOR MONTH} how much money did they receive in foster carepayments, gambling income, or any other money income?


G.22A.1 [PRIOR MONTH EARNINGS] {SKIP TO PREG23} {Range 1 to 3500}

G.22A.8888 [DK]G.22A.9999 [REFUSED]


[Read list]


PREG23 {IF UNDER16=0 GOTO PREG25}

G.23 Now I would like to ask a couple of questions about children in your household who are under theage of 16.

Did any of the children living in your household who are under the age of 16 receive SupplementalSecurity Income, or SSI, Payments during {PRIOR MONTH}?

G.23.1 YESG.23.2 NO {SKIP TO G.24B}G.23.88 [DK] {SKIP TO G.24B}


G.23.99 [REFUSED] {SKIP TO G.24B}

G.24 In total, during {PRIOR MONTH} how much money did children living in your household who areunder the age of 16 receive in Supplemental Security Income, or SSI?

G.24.1 [PRIOR MONTH EARNINGS] {SKIP TO G.24B}{Range 1 to 6000}

G.24.8888 [DK]G.24.9999 [REFUSED]


[Read list]


G.24BDid any of the children living in your household who are under the age of 16 receive Survivor Benefitsfrom the Social Security Administration during {PRIOR MONTH}?

G.24B.1 YESG.24B.2 NO {SKIP TO PREG25}G.24B.88 [DK] {SKIP TO PREG25}G.24B.99 [REFUSED] {SKIP TO PREG25}

G.24C In total, during {PRIOR MONTH} how much money did children living in your household who areunder the age of 16 receive in Social Security Survivor Benefits

G.24C.1 [PRIOR MONTH EARNINGS] {SKIP TO PREG25}{Range 1 to 6000}

G.24C.8888 [DK]G.24C.9999 [REFUSED]

G.24D Do you think it was closer to:

[Read list]

G.24D.1 less than $400G.24D.2 $400G.24D.3 $600G.24D.4 $800G.24D.5 $1,000G.24D.6 More than $1,000


G.24D.88 [DK]G.24D.99 [REFUSED]

{PREG25: {ADD ALL ABOVE MENTIONED SOURCES OF INCOME TOGETHER AND CREATE TOTINCVARIABLE}

G.25 According to my calculations, all of the sources of income add up to {TOTINC} in total householdincome during {PRIOR MONTH}. Does this seem right to you?

[**THIS NUMBER MAY APPEAR INCORRECT IF THE RESPONDENT PROVIDEDAPPROXIMATE, NOT EXACT, DOLLAR AMOUNTS IN PREVIOUS QUESTIONS**]

G.25.1 YES {SKIP TO PREG27}G.25.2 NOG.25.88 [DK]G.25.99 [REFUSED]

G.26 What is your best estimate of total household income during {PRIOR MONTH}?

G.26.1 [AMOUNT] {Range 1 to 8,000}G.26.8888 [DK]G.26.9999 [REFUSED]

{SET CHILD=1 IF E2B= 03, 04 OR E3B=03, 04 OR E4B = 03, 04 OR E5B = 03,04 OR E6B=03,04 ORE7B = 03 OR 04 OR E8B=03,04 OR E9B =03, 04, OR E10B=03,04 OR E11D=03,04 ELSE CHILD =0}

{SET SPOUSE=1 IF ELSE SPOUSE =0}

PREG27 {IF CHILD=0 GOTO H.1}

G.27 Did you know that you can receive assistance from the state in getting child support payments?

G.27.1 YESG.27.2 NO {SKIP TO H.1}G.27.88 [DK] {SKIP TO H.1}G.27.99 [REFUSED] {SKIP TO H.1}

G.28 Does the state help you collect child support payments or did it help you do so in the past?

G.28.1 YESG.28.2 NOG.28.88 [DK]G.28.99 [REFUSED]

SECTION H: FOOD STAMPS, EMERGENCY ASSISTANCE, AND WIC

H.1 Now I would like to talk to you about the food eaten in your household.


First, during {PRIORMONTH} did you or anyone else in your household receive Food Stamps?

H.1.1 YESH.1.2 NOH.1.88 [DK]H.1.99 [REFUSED]

H.2 {IF HH#=1} During {PRIORMONTH} was there a time when you were unable to buy enoughfood for your needs?

{IF HH#>1} During {PRIORMONTH} was there a time when your household was unable to buyenough food for its needs?

H.2.1 YESH.2.2 NO {SKIP TO PREH6}H.2.88 [DK] {SKIP TO PREH6}H.2.99 [REFUSED] {SKIP TO PREH6}

H.3 {IF HH#=1} Did you get any help when you were unable to buy enough food for your needs?

{IF HH#>1} Did you get any help when your household was unable to buy enough food itsneeds?

H.3.1 YES {SKIP TO H.5}H.3.2 NOH.3.88 [DK]H.3.99 [REFUSED]

H.4 Why didn=t you get any help?

{MUL= 6}

[Select all that apply]

{Multiple response coded as:

H41 = First responseH42 = Second responseH43 = Third responseH44 = Fourth responseH45 = Fifth responseH46 = Sixth response}

H.4.1 DIDN=T WANT TO , DIDN=T NEED TOH.4.2 DIDN=T KNOW WHERE TO GO FOR HELPH.4.3 NO SERVICES AVAILABLE IN COMMUNITYH.4.4 FAMILY OR FRIENDS DIDN=T HAVE ANY RESOURCESH.4.5 PROGRAM OR SERVICES DIDN=T HAVE RESOURCES OR HAD A WAITING LIST


H.4.6 SOUGHT HELP BUT WAS DENIEDH.4.7 EXPECTED DENIALH.4.77 OTHER [SPECIFY] {Verbatim response coded as: H4_O}H.4.88 [DK]H.4.99 [REFUSED]

{GOTO PREH.6}

H.5 Who did you get help from?

{MUL=5}[Select all that apply]



H.5.1 FAMILY OR FRIENDSH.5.2 CHURCH, SYNAGOGUE, OR OTHER RELIGIOUS ORGANIZATIONH.5.3 COMMUNITY PROGRAMS ,SUCH AS A FOOD BANK OR SOUP KITCHENH.5.4 GOVERNMENT PROGRAMH.5.77 OTHER [SPECIFY] {Verbatim response coded as: H5_O}H.5.88 [DK]H.5.99 [REFUSED]

PREH6 {SET UNDER18=1 IF AGE1LE 218 OR AGE2 LE 218 OR AGE3 LE 218 OR AGE4 LE 218 ORAGE5 LE 218 OR AGE6 LE 218 OR AGE7 LE 218 OR AGE8 LE 218 OR AGE9 LE 218 OR AGE10 LE218, ELSE UNDER18=0}

{IF UNDER18=0 GOTO PREH8}

H.6 During {PRIORMONTH} did children living in your household ever skip a meal because there wasn=tenough money for food?

H.6.1 YESH.6.2 NO {SKIP TO PREH8}H.6.88 [DK] {SKIP TO PREH8}H.6.99 [REFUSED] {SKIP TO PREH8}

H.7 How many days did this happen during {PRIORMONTH}?

H.7.1 [NUMBER OF DAYS] {Range: 1 to 31}H.7.88 [DK]H.7.99 [REFUSED]


PREH8 {SET UNDER5=1 IF AGE1 LE 5 OR AGE2 LE 5 OR AGE3 LE 5 ORE AGE4 LE 5 OR AGE5 LE 5OR AGE6 LE 5 OR AGE7 LE 5 OR AGE8 LE 5 OR AGE9 LE 5 OR AGE10 LE 5, ELSE UNDER5=0}

{IF UNDER5=0 GOTO H.10}

H.8 Have you ever heard of the government=s WIC program, that is the Women, Infants, and ChildrenNutrition Program?

H.8.1 YESH.8.2 NO {SKIP TO H.10}H.8.88 [DK] {SKIP TO H.10}H.8.99 [REFUSED] {SKIP TO H.10}

H.9 {IF HH#>1} Do you or does anyone else in your household currently receive WIC assistance?

H.9.1 YESH.9.2 NOH.9.88 [DK]H.9.99 [REFUSED]

H.10 {IF HH#=1} During {PRIORMONTH} was there a time when you were unable to pay your rent,mortgage, or utility bills?

{IF HH#>1} During {PRIORMONTH} was there a time when your household was unable to payits rent, mortgage, or utility bills?

H.10.1 YESH.10.2 NO {SKIP TO PREI1}H.10.88 [DK] {SKIP TO PREI1}H.10.99 [REFUSED] {SKIP TO PREI1}

H.11 Did you get any help when you were unable to pay the rent, mortgage, or utility bills?

H.11.1 YESH.11.2 NO {SKIP TO H.13}H.11.88 [DK] {SKIP TO H.13}H.11.99 [REFUSED] {SKIP TO H.13}

H.12 Who did you go to for help?

{MUL=6}



H121 = First responseH122 = Second responseH123 = Third response


H124 = Fourth responseH125 = Fifth responseH126 = Sixth response}

H.12.1 FAMILY OR FRIENDSH.12.2 CHURCH, SYNAGOGUE, OR OTHER RELIGIOUS, ORGANIZATIONSH.12.3 BANK, LOAN COMPANY, OTHER COMMERCIAL SOURCESH.12.4 COMMUNITY PROGRAM SUCH AS THE MID AMERICA ASSISTANCE

COALITIONH.12.5 GOVERNMENT PROGRAMH.12.6 ARRANGED PAYMENT PLAN WITH LANDLORD/UTILITY COMPANYH.12.77 OTHER [SPECIFY] {Verbatim response coded as: H12_O}H.12.88 [DK]H.12.99 [REFUSED]

{GOTO PREI1}

H.13 Why didn=t you get any help?

{MUL=6}




H.13.1 DIDN=T WANT TO/DIDN=T NEED TOH.13.2 DIDN=T KNOW WHERE TO GO FOR HELPH.13.3 NO SERVICES AVAILABLE IN COMMUNITYH.13.4 FAMILY OR FRIENDS DID NOT HAVE RESOURCESH.13.5 PROGRAM OR SERVICE DID NOT HAVE RESOURCES OR HAD WAITING LISTH.13.6 ARRANGED PAYMENT PLAN WITH LANDLORD/UTILITY COMPANYH.13.7 INELIGIBLE FOR ADI PROGRAMSH.13.77 OTHER [SPECIFY] {Verbatim response coded as: H13_O}H.13.88 [DK]H.13.99 [REFUSED]

SECTION I: HEALTH INSURANCE

{PREI1} The next few questions are about health insurance.


{IF WORK=0 GOTO I.3}

{IF F16C = 02, 88, 99 GOTO I.3}

I.1 Earlier you said your employer offers a health plan. Do you participate in that plan?

I.1.1 YES {GOTO I.3}I.1.2 NOI.1.88 [DK]I.1.99 [REFUSED]

I.2 Which of the following statements most clearly describes why you do not participate in youremployer=s health plan?

[Read list]

{MUL=1}

I.2.1 You do not need health insuranceI.2.2 The premium is too high, or you cannot afford the planI.2.3 You don=t like the planI.2.4 You have a pre-existing condition that prohibits you from participatingI.2.5 You have other insurance or already participate in another planI.2.77 Other [SPECIFY] {Verbatim response coded as: I2_O}I.2.88 [DK]I.2.99 [REFUSED]

I.3 There are many kinds of health insurance plans that people use. As I go through the list of peopleliving in your household during {PRIORMONTH} please tell me which kind of health insurance eachperson has.

First, what kind of health insurance coverage do you currently have?

[Prompt, if necessary for clarification whether insurance is MEDICARE or MEDICAID]

{MUL=1}

[Read list]

I.3.1 Insurance offered by your current or former employerI.3.2 Health insurance offered by your spouse or partner=s current or former employerI.3.3 Other private insurance purchased either by you or someone elseI.3.4 Medicaid or Medicaid-paid HMOI.3.5 MedicareI.3.6 Another federal health insurance plan such as Champus, Tricare, Champ-VA, VA,

or other military health planI.3.7 Other [SPECIFY]I.3.8 NO INSURANCE COVERAGE DURING PRIOR MONTHI.3.88 [DK]


I.3.99 [REFUSED]

{IF HH#=1 GOTO I.6}

{ASK FOLLOWING QUESTION FOR EACH MEMBER OF THE HOUSEHOLD}

I.4 Next, what kind of health insurance coverage does {RECALL HHMEMB NAME} currently have?

[Prompt, if necessary for clarification whether insurance is MEDICARE or MEDICAID]

{MUL=1}

[Read list – if necessary]

{Question coded as follows:

I4_1 = HH Member 1 I4_O1 = Verbatim response for HH Member 1I4_2 = HH Member 2 I4_O2 = Verbatim response for HH Member 2I4_3 = HH Member 3 I4_O3 = Verbatim response for HH Member 3I4_4 = HH Member 4 I4_O4 = Verbatim response for HH Member 4I4_5 = HH Member 5 I4_O5 = Verbatim response for HH Member 5I4_6 = HH Member 6 I4_O6 = Verbatim response for HH Member 6I4_7 = HH Member 1 I4_O7= Verbatim response for HH Member 7I4_8 = HH Member 1 I4_O8 = Verbatim response for HH Member 8I4_9 = HH Member 1 I4_O9 = Verbatim response for HH Member 9I4_10 = HH Member 1 I4_O10 = Verbatim response for HH Member 10}

I.4.1 Insurance offered by your current or former employerI.4.2 Health insurance offered by your spouse or partner=s current or former employerI.4.3 Other private insurance purchased either by you or someone elseI.4.4 Medicaid or Medicaid-paid HMOI.4.5 MedicareI.4.6 Another federal health insurance plan such as Champus, Tricare, Champ-VA, VA,

or other military health planI.4.7 {RECALL HHMEMB NAME}’s employerI.4.8 Child’s father’s insuranceI.4.77 Other [SPECIFY]I.4.8 NO INSURANCE COVERAGE DURING PRIOR MONTHI.4.88 [DK]I.4.99 [REFUSED]

I.5 Since you left AFDC on {TERMDATE}, have there been any periods of time when a child living inyour household did not have medical coverage, including Medicaid?

I.5.1 YESI.5.2 NOI.5.88 [DK]


I.5.99 [REFUSED]

I.6 Since you left AFDC on {TERMDATE}, have there been any periods of time when you did not haveany kind of health insurance or medical coverage, including Medicaid?

I.6.1 YESI.6.2 NOI.6.88 [DK]I.6.99 [REFUSED]

{IF HH#=1 GOTO I.8}


I.7 Do you think a child of yours could receive Medicaid benefits even if you were not receiving cashassistance from the State’s AFDC or TANF program?


I.8 Have you ever heard of the Children=s Health Initiative Program or MC+ Program?


I.9 How important is health care coverage to your decision to find and keep a job? Would you say it is:

[Read list]

I.9.1 Very importantI.9.2 Somewhat importantI.9.3 Not important at allI.9.4 [NOT APPLICABLE – USE ONLY IN CASES WHERE INDIVIDUALS DO NOT

HAVE A JOB OR ARE NOT LOOKING FOR A JOB]I.9.88 [DK]I.9.99 [REFUSED]


SECTION J: CHILDCARE

{IF HH#=1 THEN GOTO K.1}

{IF UNDER16=0 GOTO K.1}

J.1 The next few questions are about your current childcare situation.

First, in your opinion how have your childcare arrangements changed since you left AFDC on{TERMDATE}? Would you say they are:

[Read list]

J.1.1 BetterJ.1.2 About the sameJ.1.3 WorseJ.1.88 [DK]J.1.99 [REFUSED]

{IF UNDER5=0 GOTO PREJ10}

J.2 Thinking of the children living in your household who are too young for school, is there somebody orsome child care service who looks after these children when you are working, looking for a job, orgoing to school that you have used during {PRIORMONTH}?

By children who are too young to go to school, I mean children who are five years old or younger.

J.2.1 YES {NOCARE1=0}J.2.2 NO {SKIP TO PREJ11} {NOCARE1=1}J.2.88 [DK] {SKIP TO PREJ11} {NOCARE1=1}J.2.99 [REFUSED] {SKIP TO PREJ11} {NOCARE1=1}

J.3 Who provided this care for children living in your household who are too young to go to school during{PRIORMONTH}?

{MUL=7}

{Multiple responses coded as:

J31 = First responseJ32 = Second responseJ33 = Third responseJ34 = Fourth responseJ35 = Fifth responseJ36 = Sixth responseJ37 = Seventh response}


J.3.1 FriendJ.3.2 RelativeJ.3.3 ChurchJ.3.4 Child Care CenterJ.3.5 Family Day Care HomeJ.3.6 Head Start ProgramJ.3.7 BabysitterJ.3.77 [OTHER – SPECIFY] {Verbatim response coded as: J3_O}

J.3.88 [DK] {SKIP TO PREJ11}J.3.99 [REFUSED] {SKIP TO PREJ11}

Now I would like to ask you some questions about the types of childcare you just mentioned that you haveused during {PRIORMONTH}.

{GOTO PREJ5 IF J3= 02,03,04,05,06,77,88,99}

J.4 Did you pay your friend during {PRIORMONTH} to watch children in your household who are tooyoung to go to school?

J.4.1 YESJ.4.2 NO {SKIP TO J.4B }J.4.88 [DK] {SKIP TO J.4B }J.4.99 [REFUSED] {SKIP TO J.4B }

J.4A How much did you pay your friend per week when he or she watched children living in yourhousehold who are too young to go to school?

[If irregular care, ask for an average amount they pay per week when they use this care]

J.4A.1 [AMOUNT] {Range: 1 to 800}J.4A.888 [DK]J.4A.999 [REFUSED]

J.4B How many children living in your household who are too young to go to school did yourfriend take care of during {PRIOR MONTH}?

J.4B.1 [NUMBER] {RANGE CANNOT EXCEED THE NUMBER OFCHILDREN WHO ARE UNDER 5 -- DO NOTACCEPT 0}{SET YFRIEND}

J.4B.88 [DK]J.4B.99 [REFUSED]

J.4C {IF YFRIEND=1} On average, how many hours per week did your friend take care of thethis child?

{IF YFRIEND>1} On average, how many hours per week did you friend take care of theYOUNGEST child you left with him or her?


J.4C.1 [HOURS] {Range: 1 to 178}J.4C.888 [DK]J.4C.999 [REFUSED]

PREJ5 {GOTO PREJ6 IF J3=01,03,04,05,06,77,88,99}

J.5 Did you pay your relative during {PRIORMONTH} to watch children in your household who are tooyoung to go to school?


J.5A How much did you pay per week when your relative watched children living in yourhousehold who are too young to go to school?



J.5B How many children living in your household who are too young to go to school did yourrelative take care of during {PRIOR MONTH}?

J.5B.1 [NUMBER] {RANGE CANNOT EXCEED THE NUMBER OFCHILDREN WHO ARE UNDER 5 -- DO NOTACCEPT 0}{SET YRELATIVE}


J.5C {IF YRELATIVE=1} On average, how many hours per week did your relative take care ofthis child?

{IF YRELATIVE>1} On average, how many hours per week did your relative take care ofthe YOUNGEST child you left with him or her?



J.6 Did you pay the church or other religious organization during {PRIORMONTH} to watch children


living in your household who are too young to go to school?

J.6.1 YESJ.6.2 NO {SKIP TO J.6B}J.6.88 [DK] {SKIP TO J.6B}J.6.99 [REFUSED] {SKIP TO J.6B}

J.6A How much did you pay the church or religious organization per week to watch children livingin your household who are too young to go to school?



J.6B How many children living in your household who are too young to go to school did thechurch or religious organization take care of during {PRIOR MONTH}?

J.6B.1 [NUMBER] {RANGE CANNOT EXCEED THE NUMBER OFCHILDREN WHO ARE UNDER 5 -- DO NOTACCEPT 0}{SET YCHURCH}


J.6C {IF YCHURCH=1} On average, how many hours per week did the church or religiousorganization take care of this child?

{IF YCHURCH>1} On average, how many hours per week did the church or religiousorganization take care of the YOUNGEST child you left with them?



J.7 Did you pay the childcare center during {PRIORMONTH} to watch children living in your householdwho are too young to go to school?


J.7A How much did you pay the childcare center per week to watch children living in yourhousehold who are too young to go to school?




J.7B How many children living in your household who are too young to go to school did thechildcare center take care of during {PRIOR MONTH}?

J.7B.1 [NUMBER] {RANGE CANNOT EXCEED THE NUMBER OFCHILDREN WHO ARE UNDER 5 -- DO NOTACCEPT 0}{SET YCHILDCARE}


J.7C {IF YCHILDCARE=1} On average, how many hours per week did the childcare center takecare of this child?

{IF YCHILDCARE>1} On average, how many hours per week did the childcare center takecare of the YOUNGEST child you left with them?



J.8 Did you pay the family day care home during {PRIORMONTH} to watch children living in yourhousehold who are too young to go to school?


J.8A How much did you pay the family day care home per week to watch children living in yourhousehold who are too young to go to school?



J.8B How many children living in your household who are too young to go to school did thefamily day care home take care of during {PRIOR MONTH}?


J.8B.1 [NUMBER] {RANGE CANNOT EXCEED THE NUMBER OFCHILDREN WHO ARE UNDER 5 -- DO NOTACCEPT 0}{SET YFAMHOME}


J.8C {IF YFAMHOME=1} On average, how many hours per week did family day care home takecare of this child?

{IF YFAMHOME>1} On average, how many hours per week did family day care home takecare of the YOUNGEST child you left with them?



J.9 Did you pay the Head Start Program during {PRIORMONTH} to watch children living in yourhousehold who are too young to go to school?


J.9A How much did you pay the Head Start Program per week to watch children living in yourhousehold who are too young to go to school?



J.9B How many children living in your household who are too young to go to school did the HeadStart Program take care of during {PRIOR MONTH}?

J.9B.1 [NUMBER] {RANGE CANNOT EXCEED THE NUMBER OFCHILDREN WHO ARE UNDER 5 -- DO NOTACCEPT 0}{SET YHEADSTART}



J.9C {IF YHEADSTART=1} On average, how many hours per week did Head Start Program takecare of this child?

{IF YHEADSTART>1} On average, how many hours per week did Head Start Program takecare of the YOUNGEST child you left with them?



J.10 Did you pay {RECALL I.3.77} during {PRIORMONTH} to watch children living in your household whoare too young to go to school?


J.10A How much did you pay {RECALL 1.3.77} per week to watch children living in yourhousehold who are too young to go to school?



J.10B How many children living in your household who are too young to go to school did {RECALLI.3.77} take care of during {PRIOR MONTH}?

J.10B.1 [NUMBER] {RANGE CANNOT EXCEED THE NUMBER OFCHILDREN WHO ARE UNDER 5 -- DO NOTACCEPT 0}{SET YOTHER}


J.10C {IF YOTHER=1} On average, how many hours per week {RECALL I.3.77} take care of thischild?

{IF YOTHER>1} On average, how many hours per week {RECALL I.3.77} take care of theYOUNGEST child you left with them?



PREJ11 { SET SCHOOLAGED=1 IF ( 205 GE AGE1 LE 13) OR (205 GE AGE2 LE 13) OR (205 GE AGE3LE 13) OR (205 GE AGE4 LE 13) OR (205 GE AGE5 LE 13) OR (205 GE AGE6 LE 13) OR (205 GE AGE7LE 13) OR (205 GE AGE8 LE 13) OR (205 GE AGE9 LE 13) OR (205 GE AGE10 LE 13), ELSESCHOOLAGED=0}

{IF SCHOOLAGED=0 GOTO J.22}

J.11 Now, thinking about children living in your household who are in school, do you have some kind ofextended care or after-school care for them while you are at work, looking for a job, or going toschool that you have used during {PRIORMONTH}?

J.11.1 YES {NOCARE2=0}J.11.2 NO {SKIP TO J.22} {NOCARE2=1}J.11.88 [DK] {SKIP TO J.22} {NOCARE2=1}J.11.99 [REFUSED] {SKIP TO J.22} {NOCARE2=1}

J.12 Who provided this care during {PRIORMONTH} for school-aged children living in your household?

{MUL=8}

[Read list]

{Multiple responses coded as:

J121 = First responseJ122 = Second responseJ123 = Third responseJ124 = Fourth responseJ125 = Fifth responseJ126 = Sixth responseJ127 = Seventh responseJ128 = Eighth response}

J.12.1 School or school-sponsored after school programJ.12.2 FriendJ.12.3 RelativeJ.12.4 Church or other religious organizationJ.12.5 Childcare centerJ.12.6 Family day care homeJ.12.7 Boys and Girls ClubJ.12.8 SiblingJ.12.77 [OTHER-SPECIFY] {Verbatim response coded as: J12_O}

J.12.88 [DK] {SKIP TO J.22}J.12.99 [REFUSED] {SKIP TO J.22}

Now I would like to ask you some questions about the types of childcare you just mentioned that you haveused during {PRIORMONTH}.


{GOTO PREJ14 IF J12=02,03,04,05,06,07,77,88,99}

J.13 Did you pay the school or school-sponsored after school program during {PRIORMONTH} to watchschool aged children living in your household?


J.13A How much did you pay the school or school-sponsored after school program during{PRIORMONTH} to watch the school aged children living in your household?



J.13B How many school-aged children living in your household did the school-sponsored afterschool program take care of during {PRIOR MONTH}?

J.13B.1 [NUMBER] {RANGE CANNOT EXCEED THE NUMBER OFSCHOOL-AGED CHILDREN -- DO NOT ACCEPT0}{SET SCHOOL}


J.13C {IF SCHOOL=1} On average, how many hours per week did the school-sponsored afterschool program take care of the this child?

{IF SFRIEND>1} On average, how many hours per week did the school-sponsored afterschool program take care of the YOUNGEST school-aged child you placed in the program?


PREJ14 {GOTO PREJ15 IF J12=01,03,04,05,06,07,77,88,99}

J.14 Did you pay your friend during {PRIORMONTH} to watch school-aged children living in yourhousehold?



J.14A How much did you pay your friend per week when he or she watched the school-agedchildren living in your household?



J.14B How many school-aged children living in your household did your friend take care of during{PRIOR MONTH}?

J.14B.1 [NUMBER] {RANGE CANNOT EXCEED THE NUMBER OFSCHOOL-AGED CHILDREN -- DO NOT ACCEPT0}{SET SFRIEND}


J.14C {IF SFRIEND=1} On average, how many hours per week did your friend take care of thischild?

{IF SFRIEND>1} On average, how many hours per week did you friend take care of theYOUNGEST school-aged child you left with him or her?



J.15 Did you pay your relative during {PRIORMONTH} to watch the school-aged children living in yourhousehold?


J.15A How much did you pay per week when your relative watched the school-aged children livingin your household?




J.15B How many school-aged children living in your household did your relative take care of during{PRIOR MONTH}?

J.15B.1 [NUMBER] {RANGE CANNOT EXCEED THE NUMBER OFSCHOOL-AGED CHILDREN -- DO NOT ACCEPT0}{SET SRELATIVE}


J.15C {IF SRELATIVE=1} On average, how many hours per week did your relative take care ofthis child?

{IF SRELATIVE>1} On average, how many hours per week did you friend take care of theYOUNGEST school-aged child you left with him or her?



J.16 Did you pay the church or other religious organization during {PRIORMONTH} to watch the schoolaged children living in your household?


J.16A How much did you pay the church or religious organization per week to watch the schoolaged children living in your household?



J.16B How many school-aged children living in your household did the church or religiousorganization take care of during {PRIOR MONTH}?

J.16B.1 [NUMBER] {RANGE CANNOT EXCEED THE NUMBER OFSCHOOL-AGED CHILDREN -- DO NOT ACCEPT0}{SET SCHURCH}

J.16B.88 [DK]


J.16B.99 [REFUSED]

J.16C {IF SCHURCH=1} On average, how many hours per week did the church or religiousorganization take care of this child?

{IF SCHURCH>1} On average, how many hours per week did the church or religiousorganization take care of the YOUNGEST school-aged child you left with them?



J.17 Did you pay the childcare center during {PRIORMONTH} to watch the school aged children living inyour household?


J.17A How much did you pay the childcare center per week to watch the school aged childrenliving in your household?



J.17B How many school-aged children living in your household did the childcare center take careof during {PRIOR MONTH}?

J.17B.1 [NUMBER] {RANGE CANNOT EXCEED THE NUMBER OFSCHOOL-AGED CHILDREN -- DO NOT ACCEPT0}{SET SCHILDCARE}


J.17C {IF SCHILDCARE=1} On average, how many hours per week did the childcare center takecare of this child?

{IF SCHILDCARE>1} On average, how many hours per week did childcare center take careof the YOUNGEST school-aged child you left with them?

J.17C.1 [HOURS] {Range: 1 to 178}


J.17C.888 [DK]J.17C.999 [REFUSED]


J.18 Did you pay the family day care home during {PRIORMONTH} to watch the school aged childrenliving in your household?


J.18A How much did you pay the family day care home per week to watch the school agedchildren living in your household?



J.18B How many school-aged children living in your household did family day care home takecare of during {PRIOR MONTH}?

J.18B.1 [NUMBER] {RANGE CANNOT EXCEED THE NUMBER OFSCHOOL-AGED CHILDREN -- DO NOT ACCEPT0}{SET SFAMILY}


J.18C {IF SFAMILY=1} On average, how many hours per week did family day care home takecare of this child?

{IF SFAMILY>1} On average, how many hours per week did family day care home takecare of the YOUNGEST school-aged child you left with them?


PREJ20 {GOTO J22 IF J3=01,02,03,04,05,06,07,88,99}

J.20 Did you pay {RECALL I.12.77} during {PRIORMONTH} to watch the school aged children living inyour household?



J.20A How much did you pay {RECALL 1.12.77} per week to watch the school aged children livingin your household?



J.20B How many school-aged children living in your household did {RECALL I.12.77} take care ofduring {PRIOR MONTH}?

J.20B.1 [NUMBER] {RANGE CANNOT EXCEED THE NUMBER OFSCHOOL-AGED CHILDREN -- DO NOT ACCEPT0}{SET SOTHER}


J.20C {IF SOTHER=1} On average, how many hours per week did {RECALL I.12.77} take care ofthis child?

{IF SOTHER>1} On average, how many hours per week did {RECALL I.12.77} take care ofthe YOUNGEST school-aged child you left with them?


J.22 During {PRIORMONTH} was there ever a time you could not work, look for a job, or go to schoolbecause you lacked childcare?

J.22.1 YESJ.22.2 NOJ.22.88 [DK]J.22.99 [REFUSED]

J.23 Since leaving AFDC on {TERMDATE}, was there ever a time in which you lost more than a week’spay, lost a job, or could not look for a job or go to school or job training because you lackedchildcare?

J.23.1 YESJ.23.2 NO


J.23.88 [DK]J.23.99 [REFUSED]

J.23A Since leaving AFDC on {TERMDATE}, has there ever been a time where ongoing childcare problemswere a serious threat to your ability to keep an existing job, look for or take a new job, or go toschool or job training?

J.23A.1 YESJ.23A.2 NOJ.23A.88 [DK]J.23A.99 [REFUSED]

{IFNOCARE1=1 AND NOCARE2=1 GOTO K1}{IF UNDER5=1 AND SCHOOLAGED=0 AND J2 =02,88,99 GOTO K.1}{IF UNDER5=0 AND SCHOOLAGED=1 AND J11=02,88,99 GOTO K.1}

{DO NOT ASK J.24 THROUGH J.25D IF THE RESPONDENT INDICATED THAT THEY DO NOT PAY FORCHILD CARE}

J.24 Does the amount of money you are charged for childcare depend upon how much money youmake?

[For example, does how much you pay depends on a sliding scale or do you have a copayment]

J.24.1 YESJ.24.2 NOJ.24.88 [DK]J.24.99 [REFUSED]

J.25 Do any of the following help you pay for childcare?

J.25A Welfare or social service agency

J.25A.1 YESJ.25A.2 NOJ.25A.88 [DK]J.25A.99 [REFUSED]

J.25B [Do any of the following help you pay for childcare?]

Employer

J.25B.1 YESJ.25B.2 NOJ.25B.88 [DK]J.25B.99 [REFUSED]

J.25C [Do any of the following help you pay for childcare?]

Non-custodial parent


J.25C.1 YESJ.25C.2 NOJ.25C.88 [DK]J.25C.99 [REFUSED]

J.25D [Do any of the following help you pay for childcare?]

Someone else I haven=t mentioned

J.25D.1 YESJ.25D.2 NOJ.25D.88 [DK]J.25D.99 [REFUSED]


SECTION K: MOBILITY & HOUSING

K.1 Now I would like to talk to you about your current housing situation.

First, have you moved since you left AFDC, or welfare, on {TERMDATE}?

K.1.1 YESK.1.2 NO {SKIP TO K.5}K.1.88 [DK] {SKIP TO K.5}K.1.99 [REFUSED] {SKIP TO K.5}

K.2 How many times have you moved since you left AFDC, or welfare, on {TERMDATE}?

K.2.1 [NUMBER] {Range: 1 to 20} {SET MOVED}K.2.88 [DK] {SKIP TO K.5}K.2.99 [REFUSED] {SKIP TO K.5}

K.3 {IF MOVED=1} When did you move?{IF MOVED>1} When was your most recent move?

[Prompt: Please think about the month and year in which you moved.]

[If respondent cannot remember exact month they moved, probe for year and use 00 for month]

K.3.1 [YY/MM] {Range: Month 00 to 12Year 96 to 99}

K.3.8888 [DK]K.3.9999 [REFUSED]

{IF K.3.1 IS PRIOR TO TERMDATE}

K.3A [INTERVIEWER VERIFICATION SCREEN]

[Respondent has provided a moving date that was prior to the date they left AFDC in 1996. Please verify that {RECALL K.3.1} is correct.]

K.3A.1 [DATE IS CORRECT] {SKIP TO K.5}K.3A.2 [DATE IS INCORRECT] {SKIP TO K.3}

K.4 {MOVED=1} What is the primary reason you moved?{MOVED>1} Thinking of your most recent move, what was your primary reason for moving?

{MUL=1}

K.4.1 CHEAPER HOUSING – COULDN’T AFFORD PREVIOUS PLACEK.4.2 CHANGE IN MARITAL OR PERSONAL STATUSK.4.3 MORE SPACE – BIGGER PLACEK.4.4 WORK- OR SCHOOL-RELATED REASONSK.4.5 BOUGHT A HOME


K.4.6 BETTER NEIGHBORHOOD/LOCATIONK.4.7 PROBLEMS WITH LANDLORD OR EVICTIONK.4.8 MOVED IN WITH FAMILY OR FRIENDSK.4.9 WANTED OWN PLACEK.4.10 PREVIOUS HOME DESTROYED/UNINHABITABLEK.4.11 DIVORCE/DOMESTIC VIOLENCEK.4.77 OTHER [SPECIFY] {VERBATIM RESPONSE CODED AS: K4_O}K.4.88 [DK]K.4.99 [REFUSED]

K.5 Next I=m going to ask you some questions about where you live now.

First, do you:

[Read list]

K.5.1 Own your own home {SKIP TO K.8}K.5.2 Rent your home or apartmentK.5.3 Live with family or friends and do not pay rentK.5.4 Live with family or friends and pay part of the rent or mortgageK.5.5 Live in a group shelter {SKIP TO K.8}K.5.6 [HOMELESS] {SKIP TO K.8}K.5.77 OTHER [SPECIFY] {Verbatim response coded as: K5_O}K.5.88 [DK]K.5.99 [REFUSED]

K.6 Do you currently live in public housing, that is housing for low-income residents owned or operatedby a local housing authority or the government?

K.6.1 YES {SKIP TO K.8}K.6.2 NOK.6.88 [DK]K.6.99 [REFUSED]

K.7 Does your household pay less rent because the government helps pay for part of it, for example,such as Section 8 housing?

K.7.1 YESK.7.2 NOK.7.88 [DK]K.7.99 [REFUSED]

K.8 During the past 12 months, have you received any money from a church or other communityorganization to help you pay your rent or mortgage?



K.9 Since leaving AFDC on {TERMDATE}, was there ever a time you did not have a telephone in thehouse or apartment in which you were living?


K.10 Since leaving AFDC on {TERMDATE}, was there ever a time that the Phone Company for financialreasons disconnected your phone?



SECTION L: RESPONDENT LOCATOR INFORMAITON

L.1 Before I end the survey, I need to confirm some final information with you. As with all theinformation you have provided me in this survey, your answers will be kept strictlyconfidential.

First, how old are you?

L.1.1 [AGE] {Range: 218 to 299}L.1.888 [DK]L.1.999 [REFUSED]

L.2 Please stop me when I read the best description of your current personal situation.

[Read list]

L.2.1 MarriedL.2.2 Separated from your spouseL.2.3 DivorcedL.2.4 WidowedL.2.5 Never married {SKIP TO L.5}L.2.88 [DK]L.2.99 [REFUSED]

L.3 Have you gotten married since you left AFDC on {TERMDATE}?

L.3.1 YESL.3.2 NOL.3.88 [DK]L.3.99 [REFUSED]

L.4 Have you gotten separated or divorced since you left AFDC on {TERMDATE}?

L.4.1 YESL.4.2 NOL.4.88 [DK]L.4.99 [REFUSED]

L.5 [INTERVIEWER: RECORD GENDER]

L.5.1 [MALE]L.5.2 [FEMALE]

L.6 Those are all the questions I have for you. Are there any comments or experiences thatyou would like to share with the Missouri Department of Social Services?


L.6.1 [SPECIFY] {Verbatim response coded as: L6_O}L.6.2 NO

L.7 Thank you for completing the survey. I now need to confirm your name, address, andphone number so we can mail you your $20 incentive for finishing the survey. Just so youknow, the money order will come in an envelope from Macro International – be careful notto think it is junk mail. Also, someone else from Macro may contact you in the future toverify that I completed this survey with you.

[If asked: They can expect their incentive payment within 2 weeks]

[PLEASE USE ALL CAPS WHEN COMPLETING THE FOLLOWING INFORMATION]

L.7.1 [RESPONDENT NAME]L.7.2 [STREET ADDRESS]L.7.3 [CITY]L.7.4 [STATE]L.7.5 [ZIP]L.7.6 [PHONE]

survey of welfare leavers in missouri cati/capi ... of welfare leavers in missouri page 1 ... 1999...

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