Modified 2010 CEQ Interview Specifications for Records Study
Section # Part Variable Name Question Text Skip Instructions
02 - STLRENT <1, D, R> [Goto RENTED]
Last time [YOU_YRCU] reported renting these living quarters. <2> [Goto RTASPAY]
Do you still rent? <3> [Goto Section 3]
1. Yes
2. No
3. No - buying the sample unit
02 - OWNED Do you own this home? <1> [goto Section 3]
<2, D, R> [goto RENTED]
* Include households with mortgages as owners.
1. Yes
2. No
02 - RENTED <1, D, R> [If Intnmbr is 1 goto RENTX3]
Do [Fill: YOU_ANYMEM] [fill: still] pay rent for these living [goto RENTX1]
quarters? <2> [goto RTASPAY]
1. Yes
02 - MORERENT Since the first of [fill: REF_MONTH] have [fill:YOU_ANYMEM] <1> [If Intnmbr is 1 goto RENTX3]
rented any houses, apartments, or temporary living quarters NOTused [goto RENTX1]
entirely for business or vacation? <2,D,R> [goto S2_END]
* Do NOT include college or university regulated housing.
1. Yes
2. No
02 - RENTX1 What was your total rental payment for [Fill: REF_MONTH] for this <0-9999999, D, R> [goto RENTX2]
unit?
Include any extra charges for garage or parking facilities, but do not
include direct payments
02 - RENTX2 What was the total rental payment for [Fill: TWO_MONTH] for this <0-9999999, D, R> [goto RENTX3]
Section # Part Variable Name Question Text Skip Instructions
02 - RENTX3 What was your total rental payment for [Fill: LAST_MON] for this <0-9999999, D, R> [goto RTELECT]
unit?
[fill: Include any extra charges for garage or parking facilities, but do not
include
02 - RTELECT Does the rental payment include the cost of- <1, 2, D, R> [goto RTGAS]
. . .Electricity?
1. Yes
2. No
02 - RTGAS * Repeat if necessary <1, 2, D, R> [goto RTWATER]
Does the rental payment include the cost of-
. . . .Gas?
1. Yes
2. No
02 - RTWATER * Repeat if necessary <1, 2, D, R> [goto RTHEAT]
Does the rental payment include the cost of-
. . .Piped in water?
1. Yes
2. No
02 - RTHEAT * Repeat if necessary <1, 2, D, R> [goto RTTRASH]
Does the rental payment include the cost of-
. . . .Heating?
1. Yes
2. No
02 - RTTRASH * Repeat if necessary <1, 2, D, R> [goto RTPARK]
Does the rental payment include the cost of-
. . .Trash/garbage collection?
1. Yes
2. No
Section # Part Variable Name Question Text Skip Instructions
02 - RTPARK * Repeat if necessary <1, 2, D, R> [goto RTASPAY]
Does the rental payment include the cost of-
. . .Garage and parking facilities?
1. Yes
2. No
02 - RTASPAY Did [Fill: YOU_ANYMEM] receive any reduced or free rent for <1> [goto RTCOMPX]
this unit as a form of pay since the first of [Fill: REF_MONTH]? <2, D, R> [goto RTBSNS]
1. Yes
2. No
02 - RTCOMPX What is the current monthly rental charge to another tenant for a <1-999999, D, R> [goto REGRNTX]
similar unit?
02 - REGRNTX What is your regular rental payment? <0-999999, D, R> [goto RTBSNS]
02 - RTBSNS Is any portion of this unit used for your own business? <1> [goto RTBSNSZ]
<2, D, R> [If PSU = 06037, 06073,
06075, 06087, 06097, 11001, 24021,
1. Yes 24043, 34003, 34013, 34017, 34023,
2. No 34027, 34031, 34037, 36005, 36047,
36059, 36061, 36081, 36085, 36087,
36103, 36119, goto RENTCONT] [Else,
02 - RTBSNSZ What percent of the rental payment is counted as a <1-100, D, R> [If PSU = 06037, 06073,
business expense? 06075, 06087, 06097, 11001, 24021,
24043, 34003, 34013, 34017, 34023,
* Enter to the nearest whole percent. 34027, 34031, 34037, 36005, 36047,
36059, 36061, 36081, 36085, 36087,
36103, 36119, goto RENTCONT] [Else,
02 - RENTCONT Is this unit under rent control? <1, 2, D, R> [goto MORERNT]
1. Yes
2. No
Section # Part Variable Name Question Text Skip Instructions
03 B WHICH_PROP [fill: Now I'm going to ask some questions about your owned properties./ <1-5> [goto PROPDESC]
Now I'm going to ask about your next property.]
* Enter type of property
[Fill: 2. Former Home]
3. Vacation prop, second home, recreational property
4. Unimproved land
5. Other Property
03 B PROPDESC [Fill: Now I'm going to ask some questions about your Sample Unit.] <30 characters> [If OWNYB = 300 goto
TIMESHAR]
[ELSE goto SHARED2]
[Fill: * Briefly describe the [Fill: former home/Vac./sec./rec. prop or
time share/unimproved land/other property] ]. <888> [goto next property]
[Fill: * Press Enter to continue / * Enter 888 to delete this property.
03 B TIMESHAR ? [F1] <1>[goto SHARWKS]
<2> [goto SHARED2]
Is this a time-sharing arrangement where [Fill: YOU_YRCU] [Fill:
HAVE_HAS2] use of the property only for a specified time each year?
1. Yes
2. No
Section # Part Variable Name Question Text Skip Instructions
03 B SHARWKS How many weeks per year can [fill: YOUR_YRCU] use your timeshare? <1 - 52, D, R> [goto SHARED1]
03 B SHARED1 [Fill: Do/Does] [fill: YOU_YRCU] own the timeshare with anyone else <1> [goto SHARPER1]
outside your household? <2, D, R> [goto COUNTRY]
1. Yes
2. No
03 B SHARPER1 What percent of the timeshare [fill: do/does] [fill: YOU_YRCU] own? <1 - 99, D, R> [goto COUNTRY]
03 B SHARED2 [Fill: Do/Does] [fill: YOU_YRCU] share ownership of the property <1> [goto SHARPER2]
with anyone else? <2, D, R> [if OWNYB = 300, goto
COUNTRY]
1. Yes [ELSE if INTNMBR = 2 - 5 and
2. No NEWCU is not 1 AND OWNYB ne 100
goto STILOWNB]
[ELSE goto BSNSEXP]
03 B SHARPER2 What percentage of the property [fill: do/does] [fill: YOU_YRCU] <1 - 99, D, R> [If OWNYB = 300, goto
COUNTRY]
[ELSE, if INTNMBR = 2 - 5
AND NEWCU is not 1 AND OWNYB NE
100 goto STILOWNB]
[ELSE, goto BSNSEXP]
03 B COUNTRY * Ask if not apparent <1> [goto STATE]
* If this is a timeshare with multiple locations, select the most often <2, D, R> [If INTNMBR = 2 - 5 AND
used location. NEWCU is not 1 and OWNYB ne 100 goto
STILOWNB]
Where is the property located? [ELSE goto BSNSEXP]
1. United States
2. Foreign Country
03 B STATE * Enter the two character State abbreviation < 2 character state abbreviation, D, R>
[goto CNTYCODE]
03 B CNTYCODE What county is the property located in? <30 characters, D, R> [If INTMBR = 2 - 5
AND NEWCU is not 1 AND OWNYB ne
* If the county name is not found, key X. 100 goto STILOWNB]
[ELSE goto
BSNSEXP'
Section # Part Variable Name Question Text Skip Instructions
03 B OTHCNTY * Specify other county <30 characters> [If INTNMBR = 2 - 5 AND
NEWCU is not 1 AND OWNYB ne 100
goto STILOWNB
[ELSE goto BSNSEXP]
03 B STILOWNB * Ask if not apparent <1, 2, D, R> [goto BSNSEXP]
Do you still own this property?
1. Yes
2. No
03 B BSNSEXP [Fill: Are/Were] any of the expenses for this property deducted <1> [goto OBSNSZB]
as business, farm, or rental expenses? <2,D,R> [goto ACQUIRYR]
1. Yes
2. No
03 B OBSNSZB What percent of the expenses for this property [Fill: are/were] deducted? <1-99, D, R> [goto ACQUIRYR]
<100> [goto Next property, If no
more properties, goto S3I_END]
03 B ACQUIRYR In what year did [Fill: YOU_YRCU] close or settle on this property? <1900 - 9999, D, R> [goto ACQUIRMO]
03 B ACQUIRMO In what month did [Fill: YOU_YRCU] close or settle on this property? <1 - 12, D, R> [If
ACQUIRMO/ACQUIRYR are within the
reference period, goto GIFTPROP]
[Else, goto ANPROPTX]
03 B GIFTPROP Was this property received as a gift or inheritance? <1,D,R> [goto ANPROPTX]
<2> [goto OWN_PURX]
1. Yes
2. No
03 B OWN_PURX (Book) 6 ? [F1] <0-99999999, D,R> [goto CLOSECST]
What was the total price paid for [Fill: this/the] property, not
including
closing costs? Closing costs include the kinds of things listed
03 B CLOSECST (Book) 6 ? [F1] <0-99999999, D,R> [goto OWNDPMTX]
About how much were the closing costs?
Section # Part Variable Name Question Text Skip Instructions
03 B H_CLOSECOST Section 3 - OWNED LIVING QUARTERS AND OTHER OWNED <Esc> [go back to OWN_PURX or
REAL ESTATE CLOSECST]
Closing Costs:
Advertising costs Property survey charges
Deed preparation Recording fees
Escrow payment Title search
Lawyer’s fees Transfer taxes
Points paid by buyer Real esate listing service fees
03 B OWNDPMTX What was the amount of the down payment? <0-99999999, D,R> [goto ANPROPTX]
03 B ANPROPTX What [Fill: are/were] the annual property taxes for [Fill: this/the] <0-99999999, D,R> [If OWNYB = 400
goto S3B_END]
[Else if OWNYB ne
400 AND NOT (OWNYB = 100 AND
BUILDING (from Section 1C) = 1, 9 , 10]
go to PROPTYPE]
[Else goto S3B_END]
03 B PROPTYPE * Ask if not apparent. <1-3> [goto S3B_END]
* If respondent doesn't know or refuses select pre-code 3.
[Fill: Is/Was] this property a -
1. Condominium?
2. Cooperative?
3. Something else?
03 B S3B_END ** CHECK ITEM ** [If STILOWNB = 2, goto Section 3D]
[ELSE goto Section 3E]
03 E PRESMORT <1> [goto NUMMORT1]
Now I am going to ask about mortgages for your [Fill: PROPDESC]. <2, D, R> [goto HADMORT]
Excluding home equity loans, [Fill: and reverse mortgages],
[Fill:do/does] [Fill: YOU_YRCU]
presently have a mortgage on your [Fill: PROPDESC]?
1. Yes
2. No
03 E NUMMORT1 How many mortgages [Fill: HAVE_HAS2] [Ffill: YOU_YRCU] had <1-8, D, R> [goto HOMEQ_YN]
on this
property since the first of [Fill: REF_MONTH]?
Section # Part Variable Name Question Text Skip Instructions
03 E HADMORT <1> [goto NUMMORT2]
[Fill: HAVE_HAS1] [Fill: YOU_YRCU] had a mortgage on this <2, D, R > [goto HOMEQ_YN]
property
since the first of [Fill: REF_MONTH]?
1. Yes
03 E NUMMORT2 <1-8, D, R> [goto HOMEQ_YN]
How many mortgages [Fill: HAVE_HAS2] [Fill: YOU_YRCU] had on
this
property since the first of [Fill: REF_MONTH]?
03 E MRTCPSHA Since the first of [Fill: REF_MONTH], in addition to [Fill: <1> [goto NUMMORT3]
YR_YRCUS] share of the <2, D, R> [goto HOMEQ_YN]
cooperative’s total costs, did [Fill: YOU_YRCU] make payments on
a mortgage
that was obtained from an outside lender for [Fill: YR_YRCUS] shares
in the cooperative?
1. Yes
2. No
03 E NUMMORT3 <1-8, D, R> [goto HOMEQ_YN]
How many mortgages [Fill: HAVE_HAS2] [Fill: YOU_YRCU] had on
this
property since the first of [Fill: REF_MONTH]?
03 E HOMEQ_YN <1> [goto LSHEL_YN]
[Fill: Do/Does] [Fill: YOU_YRCU] have a home equity loan or any <2, D, R> [goto S3E_END]
other loan which gives the lender claim on this property in case
the loan is not repaid?
1. Yes
2. No
Section # Part Variable Name Question Text Skip Instructions
03 E LSHEL_YN [Fill: There are two basic types of home equity loans. I’ll describe <1> [got NUMLSHEL]
both types. <2, D, R> [goto LCHEL_YN]
- A loan where [Fill: YOU_YRCU] received the entire lump-sum
borrowed when [Fill: YOU_YRCU] took out the loan; or
- A line of credit loan where [Fill: YOU_YRCU] can increase the
amount borrowed by simply writing a check or using a special
credit card.]
[Fill: HAVE_HAS] [Fill: YOU_YRCU] had a lump sum home equity
loan on
this property since the first of [Fill: REF_MONTH]?
1. Yes
2. No
03 E NUMLSHEL <1-8,D,R> [goto LCHEL_YN]
How many?
03 E LCHEL_YN <1> [goto NUMLCHEL]
[Fill: HAVE_HAS] [Fill: YOU_YRCU] had a line of credit <2, D, R> [goto S3E_END]
home equity loan on this property since the first of
[Fill: REF_MONTH]?
1. Yes
2. No
03 E NUMLCHEL <1-6, D,R> [goto S3E_END]
How many?
03 F ORG_INTR Now I will ask some questions about your [Fill: 1st/2nd, 3rd, etc.] [Fill: <1> Continue [goto ORGMRTX]
mortgage/lump sum home equity loan]. These questions refer to the <2> Delete the loan [goto S3FG_END]
[Fill: mortgage/lump sum home equity loan] you are currently making
03 F ORGMRTX What was the amount of the [Fill: mortgage/lump sum home equity loan] <1-99999999, D,R> [goto FRSTPYYR]
when [Fill: YOU_YRCU] first obtained it, not including any interest?
03 F FRSTPYYR In what year did [Fill: YOU_YRCU] make the first payment <1900-9999, D,R> [goto FRSTPYMO]
on this [Fill: mortgage/lump sum home equity loan]?
03 F FRSTPYMO <1 - 12, D, R> [goto MTERM]
In what month did [Fill: YOU_YRCU] make the first payment
on this [Fill: mortgage/lump sum home equity loan]?
Section # Part Variable Name Question Text Skip Instructions
03 F MTERM Is this a 30 year [Fill: mortgage/lump sum home equity loan], a 15 year <1, 2, D, R> [goto NEWMRRT]
<3> [goto MORTTERM]
[Fill: mortgage/lump sum home equity loan], or something else?
1. 30-year
2. 15-year
03 F MORTTERM * Enter number of years <1-50, D,R> [goto NEWMRRT]
03 F S3FG_ERR * Soft Edit <Suppressed> [goto NEWMRRT]
------------------------------------------------------------------------------------
------------------------------------
* Number of payments made to date is greater than the mortage term
Please verify.
------------------------------------------------------------------------------------
-----------------------------------
Question involved | Value
------------------------------------------------------------------------------------
-------------------------------------
(MTERM: mortgage term or
MORTTERM: other mortgage term)
FRSTPYYR: Payment Year
________________________________________________________
_____
| Suppress | Goto |
Close |
------------------------------------------------------------------------------------
03 F NEWMRRT What is the current interest rate on this <00.000 - 99.999, D, R> [goto FIXEDRTE]
[Fill: mortgage/lump sum home equity loan]?
* Enter percent including decimal
03 F FIXEDRTE Is this a fixed rate [Fill: mortgage/lump sum home equity loan]? <1> [goto PAYINCL]
<2, D,R> [goto PAYTYPE]
1. Yes
2. No
Section # Part Variable Name Question Text Skip Instructions
03 F PAYTYPE <1-3, D, R> [If precode 3 is included goto
There are many different kinds of [Fill: mortgage/lump sum home PAYTOTHF], else [goto PAYINCL]
equity loan]s.
Which of these comes closest to [Fill: YRS_YRCS]?
*Read each item on list
*Mark all that apply, separate with commas
1. Variable or adjustable rate of interest (ARM)
2. Interest only
3. Other - specify
03 F PAYTOTHF * Specify: <30 characters> [goto PAYINCL]
03 F PAYINCL (Book) 7 [F1] <1-5, 77, R> [[if FIXEDRTE = 1 goto
MRTPMTX], else [if INTNMBR ne 1goto
On [Fill: YR_YRCUS] last payment, which of these things were PAYMTX1], else [goto PAYMTX3]
included? <6> [If 6 selected, goto PAYOTHF]
* Read each item on list.
* Enter all that apply, separate with commas.
1. Principal
2. Interest
3. Property taxes
4. Property insurance
5. Mortgage guarantee insurance (PMI)
6. Any other payments - specify
77. Don't know
Section # Part Variable Name Question Text Skip Instructions
03 F S3FG_ER2 * Soft Edit <Suppressed> [If 6 selected in PAYINCL,
goto PAYOTHF]
------------------------------------------------------------------------------------ Else [If FIXEDRTE = 1
------------------------------------ goto MRTPMTX], else [if INTNMBR ne 1
goto PAYTMX1], else {goto PAYMTX3]
* Principal and interest were not included in the mortgage payment.
Please verify.
------------------------------------------------------------------------------------
-----------------------------------
Question involved | Value
------------------------------------------------------------------------------------
-------------------------------------
PAYINCL: Payment includes
________________________________________________________
_____
| Suppress | Goto |
Close |
------------------------------------------------------------------------------------
03 F PAYOTHF * Specify: < 30 characters> [If FIXEDRTE = 1 goto
MRTPMTX], else [If INTNMBR ne 1 goto
PAYMTX1], else goto PAYMTX3]
03 F MRTPMTX How much is [fill: YR_YRCUS] [Fill: mortgage/lump sum home equity <1-99999999, D, R> [If any codes 3-6 are
loan] payment per month? selected in PAYINCL goto PRININTX]
[Else goto
03 F PRININTX How much of that amount was for [fill:principal/interest/ and/orprincipal <0-99999999, D, R> [goto S3FG_END]
and interest]?
03 F PAYMTX1 How much was [Fill: YR_YRCUS] payment on this [Fill: mortgage/lump <1-99999999, D, R> [if any codes 3-6
sum home equity loan] in [fill: REF_MONTH]? selected in PAYINCL goto PRNINTX1] else
[goto PAYMTX2]
If PAYMTX1 = 0 skip to the next payment
(PAYMTX2)
03 F PRNINTX1 How much of that amount was for [fill:principal/interest/principal and <0-99999999, D, R> [goto PAYMTX2]
interest]?
03 F PAYMTX2 How much was [Fill: YR_YRCUS] payment on this [Fill: mortgage/lump <1-99999999, D, R> [if any codes 3-6
sum home equity loan] in [fill: TWO_MONTH]? selected in PAYINCL goto PRNINTX2] else
[goto PAYMTX3]
If PAYMTX2 = 0 skip to next payment
(PAYMTX3)
Section # Part Variable Name Question Text Skip Instructions
03 F PRNINTX2 How much of that amount was for [fill:principal/interest/principal and <0-99999999, D, R> [goto PAYMTX3]
interest]?
03 F PAYMTX3 How much was [Fill: YR_YRCUS] payment on this [Fill: mortgage/lump <1-99999999, D, R> [if any codes 3-6
sum home equity loan] in [fill: LAST_MONTH]? selected in PAYINCL goto PRNINTX3] else
[goto next loan], else [goto S3FG_END]
If PAYMTX3 = 0 goto next loan, else goto
S3FG_END
03 F PRNINTX3 How much of that amount is for [fill:principal/interest/principal and <0-99999999, D, R> [goto S3FG_END]
03 F ORG_DEL ** OUT VARIABLE **
03 H PAIDLOAN <1> [goto PDAMTX1]
I’d like to ask some questions about [Fill: YR_YRCUS] line of credit <2, D, R > [goto TOTOWED]
<888> [go to next loan]
home equity [Fill: loan/loans].
Since the first of [Fill: REF_MON], [Fill: HAVE_HAS2] [Fill:
YOU_YRCU]
made any payments for [Fill: your/your CU's] [Fill:
loan/1st/2nd/3rd/etc. loan]?
1. Yes
2. No
888. Delete this loan.
03 H PDAMTX1 <0-99999999, D,R> [if INTNMBR = 1
What was the total amount paid in [fill: REF_MONTH]? goto TOTOWED]
[else goto PDAMTX2]
03 H PDAMTX2 <0-99999999, D,R> [goto PDAMTX3]
What was the total amount paid in [fill: TWO_MONTH]?
03 H PDAMTX3 <0-99999999, D,R> [goto TOTOWED]
What was the total amount paid in [fill: LAST_MONTH]?
03 H TOTOWED <0-99999999, D,R> [goto S3H_END]
How much was owed before the last payment?
03 H S3H_END * Check Item * [goto PAIDLOAN for next new loan with
LOANTYPE = 3 for this property]
[If no more new loans with LOANTYPE =
3, goto Section 3I]
Section # Part Variable Name Question Text Skip Instructions
04 A S4A_INTRO (Book) 8 <1> [goto TELEBILL]
<NODK, NORF>
* [Fill: Please jump to section 9 and collect clothing and sewing materials
expenditures before asking about telephone expenses.]
Now I am going to ask about bills for telephone services. Please refer
to any
billing statements or other records you have when answering these
questions. Please remember to include any bills you receive or pay
online or have automatically deducted. Report any telephone bill you
have received, even if the bill has not been paid.
1. Enter 1 to Continue
04 A TELEBILL (Book) 8 ? [F1] <1> [If entry in any 8500.TELCOMP
1-20, goto PREVCOMP]
Since the first of [fill: REF_MONTH], have [fill YOU_ANYMEM] [Else, goto TELCOMP
received any bills for telephone services, including cellular and Voice <2,D,R> [goto S4A_END]
Over IP? Do not include bills
for telephones used entirely for business purposes.
1. Yes
2. No
04 A PREVCOMP What is the name of the company which provides the service? <1-20> [goto TELBSNS]
<55> [goto TELCOMP]
[fill: 8500.TELCOMP] <888> [goto TELOTH]
55. Company name not listed
888. Delete the line
Section # Part Variable Name Question Text Skip Instructions
04 A H_S4A Section 4 - UTILITIES AND FUELS FOR OWNED AND <empty> [go back to TELEBILL OR
RENTED PROPERTIES TELTEMP]
Part A - Telephone Expenses
TELEPHONE SERVICES INCLUDED IN BILL
1 - Residential Service
2 - Mobile/Cellular Service
3 - Voice Over IP
OTHER TELEPHONE AND NON-TELEPHONE SERVICE
ITEMS
1 - Internet access (including broadband, DSL, or dial-
up)
2 - Cable or satellite television services
3 - Non-telephone related rentals or purchases such as
04 A TELCOMP [fill: What is the name of the company which provides <30 characters, NODK, NORF> [goto
the service?/ * Enter company name] TELBSNS]
<888> [goto TELOTH]
04 A TELBSNS Will any of the charges be deducted as a business expense? <1> [goto TELBSNZ]
<2,D,R> [If Intnmbr = 1, goto
1. Yes TELCHGX3] [Else, goto TELCHGX1]
2. No
04 A TELBSNZ What percentage will be deducted? <1-99, D,R> [If Intnmbr = 1 goto
TELCHGX3] [Else goto TELCHGX1]
<100> [ goto, TELOTH]
04 A TELCHGX1 How much were you billed for in [fill: REF_MONTH]? <0-999999, D, R> [goto TELCHGX2]
Do not include any unpaid charges from a previous billing period.
04 A TELCHGX2 How much were you billed for in [fill: TWO_MONTH]? <0-999999, D, R> [goto TELCHGX3]
Do not include any unpaid charges from a previous billing period.
04 A TELCHGX3 How much were you billed for in [fill: LAST_MONTH]? <0-999999, D, R> [If TELCHGX1 OR
Do not include any unpaid charges from a previous billing period. TELCHGX2 OR TELCHGX3 = 0, goto
BILPERD]
[Else, goto TYPETEL]
Section # Part Variable Name Question Text Skip Instructions
04 A BILPERD What is your usual billing period for this service? <1-5, D, R> [goto TYPETEL]
1.Month
2.2 Months
3.Quarter
4.Annual
5.Other
04 A TYPETEL What types of telephone services did the bill include? <1,2, 3, D, R> [goto TELTEMP]
* Enter all that apply, separate with commas.
* Read each item on list.
1. Residential Service
2. Mobile/Cellular Service
3. Voice Over IP
04 A TELTEMP (Book) 8 ? [F1] <0, 77> [if 0 only or 77 only, goto
TELOTH]
Which of the following telephone service items were included in the <1> [ [If Intnmbr = 1, goto
bill(s)? TINTNTX3] [Else, goto TINTNTX1]
<2> [ [If Intnmbr = 1, goto
* Enter all that apply, separate with commas. TCABLEX3] [Else, goto TCABLEX1]
<3> [ If Intnmbr = 1, goto
*Read each item on list. NTRTPRX3] [Else, goto NTRTPRX1]
<D><R> [goto TELOTH]
0. None
1. Internet access (including broadband, DSL, and dial-up)
2. Cable or satellite television service
3. Non-telephone related rentals or purchases such as a modem
77. Misc. Combined (unable to specify/DK)
04 A TINTNTX1 How much of the [fill: REF_MONTH] charges were for internet access? <0-999999,D,R> [goto TINTNTX2]
04 A TINTNTX2 How much of the [fill: TWO_MONTH] charges were for internet access? <0-999999,D,R> [goto TINTNTX3]
04 A TINTNTX3 How much of the [fill: LAST_MONTH] charges were for internet <0-999999,D,R> [if TELTEMP = 2 AND
Intnmbr = 1, goto TCABLEX3] [ Else, goto
TCABLEX1]
[ if TELTEMP = 3 AND
Intnmbr = 1, goto NTRTPRX3] [Else, goto
NTRTPRX1]
[else goto TELOTH]
04 A TCABLEX1 How much of the [fill: REF_MONTH] charges were for cable or satellite <0-999999,D,R> [goto TCABLEX2]
television service?
Section # Part Variable Name Question Text Skip Instructions
04 A TCABLEX2 How much of the [fill: TWO_MONTH] charges were for cable or <0-999999,D,R> [goto TCABLEX3]
satellite television service?
04 A TCABLEX3 How much of the [fill: LAST_MONTH] charges were for cable or <0-999999,D,R> [ If Intnmbr = 1AND
satellite television service? TELTEMP = 3, goto NTRTPRX3] [Else,
goto NTRTPRX1]
[else goto TELOTH]
04 A NTRTPRX1 How much of the [fill: REF_MONTH] charges were for non-telephone <0-999999,D,R> [goto NTRTPRX2]
related rentals or purchases?
04 A NTRTPRX2 How much of the [fill: TWO_MONTH] charges were for non-telephone <0-999999,D,R> [goto NTRTPRX3]
related rentals or purchases?
04 A NTRTPRX3 How much of the [fill: LAST_MONTH] charges were for non-telephone <0-999999,D,R> [goto TELOTH]
related rentals or purchases?
04 A TELOTH Did [fill: YOU_ANYMEM] receive any other bills for telephones not <1> [If Intnmbr = 1, goto TELCOMP,
used entirely for business purposes? next line of grid] [Else, goto PREVCOMP,
next line of grid]
1. Yes <2> [goto S4A_END]
2. No
04 B FONCARD Since the first of [fill: REF_MONTH], have [fill: YOU_ANYMEM] <1> [goto FONCARDX]
purchased any pre-paid long distance telephone cards/minutes, not <2,D,R> [goto PRPYCELL]
already reported?
1. Yes
2. No
04 B FONCARDX <1-9999,D,R> [goto FONCRDCX]
What was the total amount paid?
04 B FONCRDCX How much of the total was paid this month? <0-9999, D, R> [goto PRPYCELL]
04 B PRPYCELL Since the first of [fill: REF_MO], have you had any expenses for <1> [goto PRPYCLX]
Prepaid Cellular minutes, not already reported? <2, D, R> [goto PYPHONE]
1. Yes
2. No
04 B PRPYCLX What was the total amount paid? <1-9999, D, R> [goto PRPYCCX]
04 B PRPYCCX How much of the total was paid this month? <0-9999, D, R> [goto PYPHONE]
Section # Part Variable Name Question Text Skip Instructions
04 B PYPHONE Since the first of [fill: REF_MONTH], have [fill: YOU_ANYMEM] had <1> [goto PYPHONEX]
any expenses for public pay phone services not already reported? <2,D,R> [goto S4B_END]
* Do not include expenses for phone cards associated with the regular
phone bill or pre-paid
phone cards.
1. Yes
2. No
04 B PYPHONEX <0-9999, D, R> [goto PYPHONCX]
What was the total amount spent?
* For amounts less than $0.50, enter $0
For amounts $0.50 to $0.99, enter $1
04 B PYPHONCX How much of the total amount was spent this month? <0-9999, D, R> [goto S4B_END]
04 C S4C_INTRO (Book) 8 <1> [goto UTI_ITEM]
Now I am going to ask about cable and satellite TV service, satellite radio
service, and internet service expenditures.
1. Enter 1 to Continue
04 C UTI_ITEM (Book) 8 ? [F1] <1-7> [goto INTDESC]
<99> [goto S4C_END]
Since the first of [fill: REF_MONTH] have [fill: YOU_ANYMEM] <888> [goto UTI_ITEM - next line of
had any expenses for ... grid] [If no more grid lines goto S4C_END]
* Read each item on list.
1. Cable or satellite TV services, not already reported?
2. Satellite radio services, not already reported?
3. Internet connection or an internet service provider, not already
reported?
4. Listening to or downloading music or audio files?
5. Viewing or downloading video files?
6. Online games or other internet entertainment sites?
7. Internet services away from home such as web cafes or internet
kiosks?
Section # Part Variable Name Question Text Skip Instructions
04 C H_S4C Section 4 - INTERNET SERVICES EXPENDITURES <Esc Key> [goto UTI_ITEM OR
Part C - CABLE AND INTERNET SERVICES
1 - Cable or satellite TV
Cable TV DirecTV Dish TV
TiVo
2 - Satellite Radio Services
Sirius Radio XM Radio
3 - Internet connection or an internet service provider
AOL Road Runner ISPs
Comcast Verizon
4 - Listening to or downloading music or audio files
Napster Rhapsody iTunes
5 - Viewing or downloading video files
6 - Online games or other internet entertainment sites
7 - Internet services away from home such as web cafes or internet
kiosks
04 C INTDESC What was the expense for? <30 characters> [goto INTMO]
04 C INTMO In what month was the expense? <REF_MONTH - CUR_MONTH, 13, D, R>
* Enter 13 for same amount each month of the reference period [goto INTCHGX]
[list appropriate months]
13. Same amount each month
04 C INTCHGX [Fill: How much was this expense?/What is your monthly expense?] <1-999999, D, R> [goto INTCMB_S]
04 C INTCMB_S * Enter 'C' for combined expenses. <C> [goto INTCMB]
<empty> [goto INTMORE]
Section # Part Variable Name Question Text Skip Instructions
04 C INTCMB (Book) 8 ? [F1] <1-6, 77> [goto INTMORE]
What was [fill: description] combined with?
* Enter all that apply, separate with commas.
1. Cable or satellite TV services
2. Satellite radio services
3. Internet connection or an internet service provider
4. Listening to or downloading music or audio files
5. Viewing or downloading video files
6. Online games or other internet entertainment sites
7. Internet services away from home such as web cafes or internet
kiosks
77. Misc. combined (unable to specify/DK)
04 C INTMORE Did you have any other expenses for [fill: description]? <1, 2, D, R> [goto INT_ITEM, next line of
grid]
1. Yes
2. No
04 C S4C_END ** CHECK ITEM ** [goto Section 4D]
04 D S4D_INTRO (Book) 8 <1> [goto UTC_ITEM]
Now I am going to ask about utility bills. Please refer to any
billing statements or other records you have when answering these
questions. Please remember to include any bills you receive or pay
online
or have automatically deducted. Report any utility bill you have
received,
even if the bill has not been paid.
Section # Part Variable Name Question Text Skip Instructions
04 D UTC_ITEM (Book) 8 ? [F1] <1-10> [goto WHATPROP]
<99> [goto S4D_END]
Since the first of [fill: REF_MONTH], have [fill: YOU_ANYMEM] <888> [go to next line on grid]
received any bills for any of the following utilities, fuels,
or services? Do not include bills for properties used entirely for
business.
* Read each item on list:
1. Electricity 6. Piped-in water
2. Natural or utility gas 7. Sewerage maintenance
3. Fuel oil 8. Trash/garbage collection
4. Bottled or tank gas 9. Water softening service
5. Other fuels including wood 10. Septic tank cleaning
99. None/No more entries
888. Delete the line
04 D H_S4D Section 4 - UTILITIES AND FUEL FOR OWNED AND <Esc Key> [goto UTC_ITEM OR
RENTED PROPERTIES UTILCMB]
Part D - UTILIITES, FUELS, AND SERVICES
1 - Electricity
2 - Natural or utility gas
3 - Fuel oil
4 - Bottled or tank gas
5 - Other fuels including wood
6 - Piped-in water
7 - Sewerage maintenance
8 - Trash/garbage collection including -
Hazardous waste collection
Recycable material collection
Waste disposal
9 - Water softening service
10 - Septic tank cleaning
Section # Part Variable Name Question Text Skip Instructions
04 D WHATPROP Which property was the bill for? <1-20, 40> [If UTC_ITEM = 1-3, 6-8
and no data in any 8500.COMPNAME [1]-
[fill: all PROPNUM, PROPDESC from Section 3] [40] goto COMPNAME] [[If UTC_ITEM
= 1-3, 6-8 and any data in
8500.COMPNAME [1]-[40] goto
[fill: 40. Rented sample unit] LASTCOMP] ELSE goto UTILBUSN]
[fill: 41. Other rental unit] <41,42,43, D, R> [goto UTLPDESC]
42. Rented vacation property
43. Property not owned or rented by household
04 D UTLPDESC * Briefly describe the property. <30 characters> [If UTC_ITEM = 1-3, 6-8
AND no data in any 8500.COMPNAME
[1]-[40] goto COMPNAME], [If
UTC_ITEM = 1-3, 6-8 and any data in
8500.COMPNAME [1]-[40] goto
04 D LASTCOMP What is the name of the company or government agency which <1-20 > [goto UTILBUSN]
provides [fill: description]? <55> [goto COMPNAME]
[Fill: Company names reported last interview]
55. Company name not listed
04 D COMPNAME What is the name of the company or government agency which provides <30 characters> [goto UTILBUSN]
[fill: description]?
04 D UTILBUSN <1-2, D, R> [goto HAVEBILL]
Will any part of the [fill: description] charges be deducted as a
business expense?
1. Yes
2. No
04 D HAVEBILL <1, 2, D, R> [If INTNMBR = 1 goto
UTLCHGX3] else [goto UTLCHGX1]
* Does the respondent have a bill or statement showing the charges?
Answer NO if only checkbook records are being used.
1. Yes
04 D UTLCHGX1 How much were you billed for in [fill: REF_MONTH]? <0-999999, D, R> [goto UTILCHGX2]
04 D UTLCHGX2 How much were you billed for in [fill: TWO_MONTH]? <0-999999, D, R> [goto UTILCHGX3]
Section # Part Variable Name Question Text Skip Instructions
04 D UTLCHGX3 How much were you billed for in [fill: LAST_MONTH]? <0-999999, D, R> [If UTLCHGX1 ne 0
AND UTLCHGX2 ne 0 AND UTLCHGX3
ne 0 goto UTILCMB_S]
[else goto BLPERIOD]
04 D BLPEROTH <30 characters> [goto UTILCMB_S]
* Specify:
04 D BLPERIOD What is your usual billing period for the service? <1-4, D, R> [goto UTILCMB_S]
<5> [goto BLPEROTH]
1. Month
2. 2 months
3. Quarter
4. Annual
5. Other
04 D UTILCMB_S * Enter 'C' for a combined expense <C> [goto UTILCMB]
<empty> [goto MOREBILL]
04 D UTILCMB (Book) 8 ? [F1] <1-10, 77> [goto MOREBILL]
What other utilities, fuels, or services was [fill: description]
combined with?
* Enter all that apply, separate with commas.
1. Electricity 6. Piped-in water
2. Natural or utility gas 7. Sewerage maintenance
3. Fuel oil 8. Trash/garbage collection
4. Bottled or tank gas 9. Water softening service
5. Other fuels including wood 10. Septic tank cleaning
77. Misc. combined (unable to
specify/DK)
04 D MOREBILL Did you receive any other [fill: description] bills? <1, 2,D,R> [goto UTC_ITEM, next line
of grid]
1. Yes
2. No
06 A S6A_INTRO (Book) 11 <1> [goto APA_ITEM]
Now I am going to ask about the purchase or rental of major household
appliances.
1. Enter 1 to Continue
Section # Part Variable Name Question Text Skip Instructions
06 A APA_ITEM (Book) 11 ? [F1] <1-12> [goto MAJTYPE]
<99> [goto S6A_END]
Since the first of [fill: REF_MONTH], have [fill: YOU_ANYMEM] <888> [goto APA_ITEM - next line of
grid] [If no more grid lines goto S6A_END]
purchased or rented any of the following items for your household
or for someone outside of your household?
* Read each item on list.
1. Microwave oven 6. Portable dishwasher
2. Cooking stove, range or oven 7. Garbage disposal
3. Range hood 8. Clothes washer
4. Refrigerator or home freezer 9. Clothes dryer
5. Built-in dishwasher 99. None/No more entries
888. Delete the line
Section # Part Variable Name Question Text Skip Instructions
06 A H_S6A Section 6 -- APPLIANCES, HOUSEHOLD EQUIPMENT, AND <Esc Key> [go back to where the F1 was
OTHER SELECTED ITEMS pressed]
Part A - HOUSEHOLD APPLIANCES
1 - MICROWAVE OVEN
2 - ELECTRIC STOVE, RANGE, OR OVEN
(including convection oven)
3 - GAS STOVE, RANGE, OR OVEN
4 - OTHER STOVE, RANGE, OR OVEN
(such as a wood burning stove)
5 - RANGE HOOD
6 - REFRIGERATOR
(including refrigerator/freezer combinations)
7 - HOME FREEZER
8 - BUILT-IN DISHWASHER
9 - PORTABLE DISHWASHER
10 - GARBAGE DISPOSAL
11 - CLOTHES WASHER
(including washer/dryer combinations)
12 - CLOTHES DRYER
06 A MAJTYPE <30 characters> [goto GFTC_MAJ]
What did you purchase or rent?
* Enter brief description of the item
06 A GFTC_MAJ Was this item - <1, 3, D, R> [goto MAJ_MO]
<2> [goto MAJ_AMOUNT]
1. Purchased for someone inside the household?
2. Rented?
3. Purchased for someone outside your household?
06 A MAJ_MO When did you purchase it? <REF_MONTH - CUR_MONTH, D, R>
[goto MAJ_AMOUNT]
Section # Part Variable Name Question Text Skip Instructions
06 A MAJ_AMOUNT [fill: What was the purchase price ?/ <1-999999> [goto MAJTAX]
What was the total rental expense since the first of [fill: <D,R> [goto INSTALL]
REF_MONTH]
06 A MAJTAX Did this include sales tax? <1, 2, D, R> [goto INSTALL]
1. Yes
2. No
06 A INSTALL Were there any extra charges for installation or delivery? <1> [goto MAJINSTX]
<2,D,R> [goto MAJCMB_S]
*Include charges for disposal of old appliances
1. Yes
2. No
06 A MAJINSTX How much? <1-999999,D,R> [goto MAJCMB_S]
06 A MAJCMB_S * Enter 'C' for a combined expense <C> [goto MAJCMB]
<empty> [goto MAJOTHER]
06 A MAJCMB (Book) 11 ? [F1] <1-9, 77> [goto MAJOTHER]
What other appliances is the [Fill: (description)] combined with?
* Enter all that apply, separate with commas
1. Microwave oven 6. Portable dishwasher
2. Cooking stove, range or oven 7. Garbage disposal
3. Range hood 8. Clothes washer
4. Refrigerator or home freezer 9. Clothes dryer
5. Built-in dishwasher 77. Misc. combined (unable to
specify/DK)
>Variable Name MAJCMB
06 A MAJOTHER Did you purchase or rent any other [fill: description]? <1, 2, D, R> [goto APA_ITEM]
1. Yes
2. No
Section # Part Variable Name Question Text Skip Instructions
06 B S6B_INTRO (Book) 12 - 17 <1> [goto APB_ITEM]
Now I am going to ask about expenses for the purchase or rental of
household appliances and other selected items.
1. Enter 1 to Continue
06 B APB_ITEM <1-40> [goto MINTYPE]
SCREEN 1 - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - <95> [goto next row]
- - - - - - - - - - - - - - - - - - - - - - - - <99> [goto S6B_END]
(Book) 22-24 ? [F1] <888> [goto APB_ITEM - next line of
grid] [If no more grid lines goto S6B_END]
Since the first of [fill: REF_MONTH], have [fill: YOU_ANYMEM]
purchased or rented any of the following items?
* Read each item on list
1. Small electrical kitchen appliances
2. Electrical personal care appliances
3. Smoke detectors
4. Electric floor cleaning equipment
5. Other household appliances
6. Sewing machines
7. Office machines including fax machines and calculators
8. PDAs and pocket PCs
9. Computers, computer systems, or related hardware
10. Computer software including computer games or accessories, for
non-business use
11. Video game hardware, video games, or accessories
12. Telephones or accessories
13. Telephone answering machines
14. Photographic equipment
15. Musical instruments, supplies, or accessories
16. Lawn mowing machinery or other
yard equipment
17. Power tools
18. Non-power tools
19. Window air conditioners
20. Portable cooling or heating equipment
95. Continue list
888. Delete the line
SCREEN 2 - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - -
- - - - - - - - - - - - - - - - - - - - - - -
(Book) 25 ? [F1]
Section # Part Variable Name Question Text Skip Instructions
Since the first of [fill: REF_MONTH], have [fill: YOU_ANYMEM]
purchased or rented television, radio, video, or sound equipment?
Do not include purchases installed on vehicles.
* IF YES - Read each item on list
Which of the following did you purchase or rent?
21. Televisions, all types
22. DVD Players, VCRs, DVRs, or video cameras.
23. Satellite dishes, receivers or accessories
24. Handheld personal music players
25. Radios, all types
26. Tape recorders or players
27. Sound components, component systems, or
compact disc sound systems
28. Other sound or video equipment, including accessories
95. Continue list
888. Delete the line
SCREEN 3 - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - -
- - - - - - - - - - - - - - - - - - - - - - -
(Books) 16-17 ?[F2]
Since the first of [Fill:REF_MONTH] have [Fill:YOU_ANYMEM]
purchased or rented any ... ?
29. Portable memory, such as flash drives, memory cards, and recordable
discs and tapes
95. Continue list
888. Delete the line
SCREEN 4 - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - -
- - - - - - - - - - - - - - - - - - - - - -
(Book) 26-27 ? [F1]
Since the first of [fill: REF_MONTH], have [fill: YOU_ANYMEM]
purchased or rented sports, recreation, or exercise equipment?
Section # Part Variable Name Question Text Skip Instructions
* IF YES - Read each item on list
Which of the following did you purchase or rent?
30. General sports equipment (include athletic shoes for sports
related use,
such as football, baseball, soccer or bowling)
31. Health and exercise equipment
32. Camping equipment
33. Hunting and fishing equipment
34. Winter sports equipment
35. Water sports equipment
36. Outboard motors
37. Bicycles
38. Tricycles or battery powered riders
39. Playground equipment
40. Other sports or recreation equipment
99. None/No more entries
888. Delete the line
06 B H_S6B Section 6 - APPLIANCES, HOUSEHOLD EQUIPMENT, AND <Esc Key> [go back to where the F1 was
OTHER SELECTED ITEMS - pressed]
Continued
Part B - HOUSEHOLD APPLIANCES AND OTHER SELECTED
ITEMS
SMALL HOUSEHOLD APPLIANCES
1 - SMALL ELECTRICAL KITCHEN APPLIANCES, including -
blender electric frying pan mixer
breadmaker electric iron pizza oven
coffee grinder electric knife popcorn maker
coffee maker electric timer rice cooker
crockpot electric wine chiller sandwich grill
deep fryer electric wok slow cooker
electric barbecue food processor smoothie mmaker
electric can opener hot plate toaster
electric grill ice cream maker toaster oven
electric fondue set juicer waffle iron
2 - ELECTRICAL PERSONAL CARE APPLIANCES, including -
Section # Part Variable Name Question Text Skip Instructions
curling iron facial sauna make-up mirror
water-pik
denture cleaner foot bath massager
electric hair trimmer hair dryer powered scale
electric razor heating pad powered toothbrush
3 - SMOKE DETECTORS, including -
battery-operated ionization chamber type photo-cell
type wired
4 - ELECTRIC FLOOR CLEANING EQUIPMENT, including -
floor polisher hand vacuum rug shampooer vacuum
clearer
5 - OTHER HOUSEHOLD APPLIANCES, including -
carbon monoxide detectors trash
compactor
home security devices (burgler alarms) air purifier
including console control modules, burglar water filters
alarm console, door and windor transmitters
6 - SEWING MACHINES (with or without cabinet)
7 - OFFICE MACHINES, INCLUDING FAX MACHINES AND
CALCULATORS, also including -
typewriter copy machine
8 - PERSONAL DIGITAL ASSISTANT OR PDAS
Palm iPaq
9 - COMPUTERS, COMPUTER SYSTEMS OR RELATED
HARDWARE FOR NON-BUSINESS
USE, including -
CD/DVD drive cables home computers with
or without monitors
computer printers fax modems external hard drive
keyboards scanner CD/DVD burner
modems memory mouse
monitors Micro PC laptops
10 - COMPUTER SOFTWARE INCLUDING COMPUTER GAMES
Section # Part Variable Name Question Text Skip Instructions
OR ACCESSORIES FOR NON-BUSINESS USE, including -
PC games printer cartridges mouse pads
11 - VIDEO GAME HARDWARE, VIDEO GAMES, OR ACCESSORIES,
including -
Nintendo Wii Gamecube Ninetendo DS PSP
Gameboy Palystation Xbox
12 - TELEPHONES OR ACCESSORIES, including -
beepers cell phone covers fax machines
phone jacks and cords
car chargers chargers headsets
telephones
cell phones cordless telephones pagers
Bluetooth accessories
13 - TELEPHONE ANSWERING MACHINES, including -
combinations of telephone/answering machines
14 - PHOTOGRAPHIC EQUIPMENT, including -
camera filter projection screen battery
pack for camera flash
digital camera winder electro flash motor
driven film advancer
lens enlarger strobe light (for
tripod projector photographs)
Do not include film, film processing, or other photographic
supplies.
15 - MUSICAL INSTRUMENTS, SUPPLIES, OR ACCESSORIES,
including -
piano sheet music saxophone
music books
guitar strings for musical instruments music stand
trumpet
woodwinds stringed instruments clarinet
any other musical
brass instruments valve oil picks
accessories
trombone rosin
carrying case
reeds drums
keyboards
Do not include music lessons
Section # Part Variable Name Question Text Skip Instructions
16 - LAWNMOWING MACHINERY OR OTHER YARD
EQUIPMENT, including -
lawn mowers motorized tiller snow blower
shovel
tractor (farm, wheelbarrow electrical lawn
spreader
garden, etc.) rake trimmer
TOOLS FOR HOME USE
17 - POWER TOOLS, including -
electric drill sander cordless circular saw
electric saw lathe electric swimming pool
router electric plane cleaning
equipment
cordless drill electric polisher air compressor
18 - NONPOWER TOOLS, including -
wrench axe saw drill
socket screwdriver level trouble light
hammer pliers plane caulking gun
HEATING AND COOLING EQUIPMENT
19 - WINDOW AIR CONDITIONERS
20 - PORTABLE COOLING OR HEATINGEQUIPMENT, including -
space heater dehumidifier humidifier fan
TELEVISIONS, RADIOS, VIDEO AND SOUND EQUIPMENT (Not
installed in vehicles)
21 - TELEVISIONS, ALL TYPES, INCLUDING COMBINATIONS OF
TV WITH DVD/VIDEO PLAYERS, including
flat screen TV plasma high definition TV
22 - DVD PLAYERS, VCRs, DVRs OR VIDEO CAMERAs, including -
TiVo unit digital TV converter box
Section # Part Variable Name Question Text Skip Instructions
Blu-ray disc player video tape recorder/player
high definition disc palyer video laser disc player
combination of VCR/DVD player video cassette
recorder/player
23 - SATELLITE DISHES, RECEIVERS, OR ACCESSORIES
24 - HANDHELD PERSONAL MUSIC PLAYERS
iPod Personal MP3 players
25 - RADIO, ALL TYPES, including -
CB (not permanently clock radio short-wave
walky-talky
mounted in an console transistor/portable
Walkman (radio only)
automobile)
26 - TAPE RECORDERS OR PLAYERS (not permanently mounted in
an automobile), including -
audio tape decks reel-to-reel tape decks
audio cassette players/recorder Walkman (cassette/radio
combination or cassette only)
27 - SOUND COMPONENTS, COMPONENT SYSTEMS, OR
COMPACT DISC SOUND SYSTEMS, Iincluding -
speakers amplifier tape deck (not
specified)
mixer turn table compact disc
players
stereo receiver stereo rack
system
tuner equalizer
28 - OTHER SOUND OR VIDEO EQUIPMENT, including -
earphones/headphones battery packs adapter for
sound equipment
power converter power booster base station
for CB antenna
antenna (TV, radio, etc.) headset microphone
29 - PORTABLE MEMORY, SUCH AS FLASH DRIVES, MEMORY
Section # Part Variable Name Question Text Skip Instructions
CARDS, AND RECORDABLE DISCS AND TAPES, including -
thumb drives blank DVDs blank CDs
zip drives memory stick USB flash
drive
SPORTS, RECREATION, AND EXERCISE EQUIPMENT
30 - GENERAL SPORTS EQUIPMENT, including -
roller blades baseball bat table tennis equipment
badminton
sports uniform football lawn games
set
sports shoes basketball frisbee
soccer ball
tennis racket racquetball boxing equipment
sports protective
bowling ball racquetball racket karate equipment
equipment/gear
baseball glove volleyball golf cart (non-riding)
golf clubs
skateboard golf shoes
basketball hoop
Include specialized athletic shoes such as for football, baseball,
soccer, biking, and bowling,
except if included in the rental or activity fee for the sport.
31 - HEALTH AND EXERCISE EQUIPMENT, including -
trampoline exercise mat weight bench
weights home gym treadmill
rowing machine exercycle pedometer
32 - CAMPING EQUIPMENT, including -
air mattress tent canteen
portable heater
camping cookware frame packs and other camping packs
sleeping bag
camping stove kerosene lamp
sleeping pad
33 - HUNTING AND FISHING EQUIPMENT, including -
ammunition cross bow knife scopes
(not specified)
BB/pellet gun fishing rod and tackle rifle shotgun
bow and arrow
Section # Part Variable Name Question Text Skip Instructions
34 - WINTER SPORTS EQUIPMENT, including -
ice boat ski boots sled snowboard
snow skis
ice skates ski poles sledding equipment snowboard
equipment toboggan
35 - WATER SPORTS EQUIPMENT, including -
diving equipment raft surf board water ski vest
wind surf board
life jacket snorkel wakeboard water skis
36 - OUTBOARD MOTORS
37 - BICYCLES, including -
bicycle helmets locks stand tires
bicycle parts rack supplies tubes
06 B MINTYPE What did you purchase or rent? <30 characters> [goto GFTCMIN]
* Enter a brief description of item.
*[Fill: Report items such as flash drives, memory cards, recordable discs,
and tapes as code 29, Portable memory.]
06 B GFTCMIN <1-3,D,R> [goto MIN_MO]
Was this item ... <2> [goto MIN_AMOUNT]
1. Purchased for someone inside the household?
2. Rented?
3. Purchased for someone outside the household?
06 B MIN_MO <REF_MONTH - CUR_MONTH, D, R>
When did you purchase it? [goto MIN_AMOUNT]
06 B MIN_AMOUNT [fill: What did it cost? <1-999999> <D,R> [goto MINCMB_S]
* Include delivery charges, exclude installation charges. /
What was the total rental expense since the first of [fill:
REF_MONTH]
06 B MINTAX Did this include sales tax? <1,2,D,R> [goto MINCMB_S]
1. Yes
2. No
Section # Part Variable Name Question Text Skip Instructions
06 B MINCMB_S * Enter 'C' for a combined expense. <C> [goto MINCMB]
<empty> [If APB_ITEM = 9,21,23,27,28,
THEN goto INSTLSCR
ELSE goto S6BOTHER
06 B MINCMB (Book) 12 - 17 ? [F1] <1-40, 77> [If APB_ITEM =
9,21,23,27,28 goto INSTLSCR
What other item is the [Fill: MINTYPE] combined with? [ELSE goto 6BOTHER]
* Enter all that apply, separate with commas.
1. Small elec kitchen appl
2. Elec personal care appl
3. Smoke detectors
4. Elec floor cleaning equip
5. Other household appl
6. Sewing machines
7. Office machines including fax machines and calculators
8. Personal digital assistants or PDAs
9. Computers/sys/hardware
10. Comp software, including games and accessories
11. Video game hardware, video games, and accessories
12. Telephones or accessories
13. Telephone answering machines
14. Photographic equipment
15. Musical instruments, supplies, or accessories
16. Lawn mowing machinery or other
yard equipment
17. Power tools
18. Non-power tools
19. Window air conditioners
20. Portable cooling or heating equipment
21. Televisions, all types
22. DVD Players, VCRs, DVRs, or video cameras.
23. Satellite dishes, receivers or accessories
24. Handheld personal music players
25. Radios, all types
26. Tape recorders or players
27. Sound components, component systems, or
compact disc sound systems
28. Other sound or video equipment, including accessories
29. Portable memory, such as flash drives, memory cards, and
recordable discs and tapes
30. General sports equipment (include athletic shoes for sports related
use,
such as football, baseball, soccer or bowling)
31. Health and exercise equipment
32. Camping equipment
Section # Part Variable Name Question Text Skip Instructions
33. Hunting and fishing equipment
34. Winter sports equipment
35. Water sports equipment
36. Outboard motors
37. Bicycles
38. Tricycles or battery powered riders
39. Playground equipment
40. Other sports or recreation equipment
06 B INSTLSCR Were there any additional charges for installation or set-up? <1>[go to INSTELLEX]
1.Yes <2,D,R.> [go to S6BOTHER]>
2.No
06 B INSTLLEX How much? <1 - 99999,D,K> [go to S6BOTHER]>
06 B S6BOTHER Did you purchase or rent any other [Fill: description]? <1, 2, D, R> [goto APB_ITEM, next line
on the grid]
1. Yes
2. No
08 A S8A_INTRO (Book) 19-22 <1> [goto FRA_ITEM]
Now I am going to ask you about expenses for home furnishings and
related household items.
1. Enter 1 to Continue
08 A FRA_ITEM SCREEN 1 ----------------------------------------------------------------------- <1-36> [goto FURNDESC]
------ <95> [goto next row]
(Book) 19 - 20 ? [F1] <99> [goto S8A_END]
<888> [goto FRA_ITEM - next line
Since the first of [fill: REF_MONTH], have [fill: YOU_ANYMEM] of grid] [If no more grid lines goto
purchased for [fill: YOU_YRCU] or for someone outside of your
household any furniture, infants equipment, or outdoor equipment?
* IF YES - Read each item on list
Have you purchased any --
1. Sofas?
2. Living room chairs?
3. Living room tables?
4. Wall units, shelves or cabinets?
5. Ping-pong, pool tables or other similar recreation room items?
6. Other living room, family or recreation room furniture including
Section # Part Variable Name Question Text Skip Instructions
desks?
7. Living room furniture combinations?
8. Dining room or kitchen furniture?
9. Mattresses or box springs?
10. Bedroom furniture other than mattresses or box springs?
11. Infants furniture?
12. Infants equipment?
13. Patio, porch, or outdoor furniture?
14. Barbeque grills or outdoor decorative items?
15. Office furniture for home use?
95. Continue list
888. Delete the line
SCREEN 2---------------------
(Book) 21 ? [F1]
Have you purchased any --
* Read each item on list
16. Lamps or other lighting fixtures?
17. Other household decorative items?
18. Closet storage items?
19. Travel items including luggage?
95. Continue list
888. Delete the line
S8A_END]
SCREEN 3 -----------------------------------------------------------------------
------
(Book) 21 ? [F1]
Have you purchased any dishes, dinnerware, flatware, glassware, or
cookware?
* IF YES - Read each item on list
Have you purchased any --
20. Plastic dinnerware?
21. China or other dinnerware?
22. Stainless, silver, or other flatware?
Section # Part Variable Name Question Text Skip Instructions
23. Glassware?
24. Serving pieces other than silver?
25. Non-electric cookware?
26. Silver serving pieces?
95. Continue list
888. Delete the line
SCREEN 4 -----------------------------------------------------------------------
------
(Book) 22 ? [F1]
Have you purchased any slipcovers, decorative pillows, or household
linens such as towels, sheets, or blankets?
* IF YES - Read each item on list
Have you purchased any --
27. Bedroom linens?
28. Bathroom linens?
29. Kitchen or dining room linens?
30. Other linens?
31. Slipcovers, decorative pillows or cushions?
95. Continue list
888. Delete the line
SCREEN 5 -----------------------------------------------------------------------
------
(Book) 22 ? [F1]
Have you purchased any floor or window coverings?
* IF YES - Read each item on list
Section # Part Variable Name Question Text Skip Instructions
08 A H_S8A Section 8 - HOME FURNISHINGS AND RELATED <Esc Key> [goto FRA_ITEM]
HOUSEHOLD ITEMS
Part A - Purchases
LIVING, FAMILY, OR RECREATION ROOM FURNITURE
1 - SOFAS, including -
sofa bed loveseat sectionals futon
2 - LIVING ROOM CHAIRS, including -
bean bag chair rocker
convertible chair swivel
recliner
3 - LIVING ROOM TABLES, including -
coffee table lamp tables
end tables TV table
4 - WALL UNITS, SHELVES, OR CABINETS, including -
bookcase entertainment center
curio cabinet
5 - PING-PONG TABLES, POOL TABLES, AND OTHER SIMILAR
RECREATION ROOM ITEMS
6 - OTHER LIVING ROOM, FAMILY, OR RECREATION ROOM
FURNITURE, including -
bar or porta bar coat rack gun cabinet
bar stools desk/chair room divider
card table/chairs foot stool (ottoman)
7 - LIVING ROOM FURNITURE COMBINATIONS, including -
sofa, chair, and table combinations or suites
DINING ROOM AND KITCHEN FURNITURE
8 - ALL DINING ROOM AND KITCHEN FURNITURE, including -
buffet dinette set kitchen
chairs
china cabinet dining table and chairs serving
table or cart
Section # Part Variable Name Question Text Skip Instructions
BEDROOM FURNITURE
9 - MATTRESSES AND SPRINGS INCLUDING ROLLAWAYS
10 - BEDROOM FURNITURE OTHER THAN MATTRESSES AND
SPRINGS
headboard dresser mirrors bunk bed
brass bed vanity chairs night tables
frames cedar chest amoire water bed
chest mattress toper
INFANTS FURNITURE AND EQUIPMENT
11 - INFANTS FURNITURE, including -
bassinet crib mattress toy
chest
changing table dresser playpen
chest highchair portable crib
12 - INFANTS EQUIPMENT, including -
baby backpack baby monitor guard
rail
baby bottle sterilizer baby travel system
stroller
baby carriers car seat swing
baby jogger carriage
OUTDOOR FURNITURE AND EQUIPMENT
13 - PATIO, PORCH, OR OUTDOOR FURNITURE
14 - BARBECUE GRILLS OR OUTDOOR DECORATIVE ITEMS,
including -
patio lanterns patio umbrella
OFFICE FURNITURE FOR HOME USE
15 - ALL OFFICE FURNITURE FOR HOME USE, including -
computer furniture file cabinet safe
drawing table office chairs
Section # Part Variable Name Question Text Skip Instructions
Do not include any furniture used exclusively for business.
HOUSEHOLD DECORATIVE ITEMS
16 - LAMPS AND OTHER LIGHTING FIXTURES, including -
chandeliers
17 - OTHER HOUSEHOLD DECORATIVE ITEMS, including -
baskets painting
vase
book ends plant stand
wall hangings
fireplace equipment and accessories seasonal decorations
(Christmas) wreaths
mirror silk flowers
clocks
18 - CLOSET STORAGE ITEMS, including -
garment bag shoe bag shoe rack
19 - TRAVEL ITEMS, INCLUDING LUGGAGE, also including -
travel garment bags trunk attache cases
DISHES, DINNERWARE, FLATWARE, GLASSWARE, AND
COOKWARE
20 - PLASTIC DINNERWARE, including Tupperware
21 - CHINA AND OTHER DINNERWARE
22 - STAINLESS, SILVER, AND OTHER FLATWARE, EXCEPT
PLASTIC
23 - GLASSWARE, including crystal
24 - SERVING PIECES OTHER THAN SILVER
25 - NONELECTRIC COOKWARE, including -
casserole dishes roaster
pans saucepan
pots skillet
pressure cooker teakettle
Section # Part Variable Name Question Text Skip Instructions
26 - SILVER SERVING PIECES, including -
bowl
pitcher
tray
HOUSEHOLD LINENS
27 - BEDROOM LINENS, including -
baby blanket electric blanket quilt
bedspread mattress pad sheets
blanket/cover pillows duvets
comforter pillowcases
28 - BATHROOM LINENS, including -
bath mat shower curtain tub mat
bath rug toilet cover
face cloths towels
29 - KITCHEN AND DINING ROOM LINENS, including -
cloth napkins placemats
dish cloths small appliance cover
dish towels tablecloths
30 - OTHER LINENS, including -
chair pads doilies
covers for living room tables furniture protectors
31 - SLIPCOVERS, DECORATIVE PILLOWS AND CUSHIONS,
CUSTOM OR READY-MADE
FLOOR AND WINDOW COVERINGS
WALL-TO-WALL CARPETING FOR ONE OR MORE ROOMS
32 - WALL-TO-WALL CARPET (original)
33 - WALL-TO-WALL CARPET (replacement)
34 - ROOM-SIZE RUGS AND OTHER NON-PERMANENT FLOOR
COVERINGS, including
carpet squares
Section # Part Variable Name Question Text Skip Instructions
35 - CURTAINS AND DRAPES (either custom or ready-made)
36 - BLINDS, SHADES, AND OTHER WINDOW COVERINGS
(either custom or ready-made)
08 A FURNDESC What did you purchase? <30 characters> [goto FURNMO]
08 A FURNMO In what month did you purchase it? <REF_MONTH - CUR_MONTH, D, R>
[goto FURNGFTC]
08 A FURNGFTC Was this purchased for your household or for someone outside of your <1,2,D,R> [goto FURNPURX]
household?
1. For use by household
2. For someone outside the household
08 A FURNPURX What was the purchase price? <1-999999> [goto FRNPURTX]
<D,R> [goto S8ACMB_S]
08 A FRNPURTX Did this include sales tax? <1,2,D,R> [goto S8ACMB_S]
1. Yes
2. No
08 A S8ACMB_S * Enter 'C' for a combined expense <C> [goto S8A_CMB]
<empty> [goto ANYOTH8]
08 A S8A_CMB (Book) 19 - 22 ? [F1] <1-37, 77> [goto ANYOTH8]
What was combined with [fill: description]?
* Enter all that apply, separate with commas.
1. Sofas 20. Plastic dinnerware
2. Living room chairs 21. China or other
dinnerware
3. Living room tables 22. Stainless, silver,
or other flatware
4. Wall units, shelves, 23. Glassware
or cabinets 24. Serving pieces
other than silver
5. Ping pong, pool tables, and 25. Non-electric
cookware
other similar recreation room items 26. Silver serving
pieces
6. Other living room, family or 27. Bedroom linens
Section # Part Variable Name Question Text Skip Instructions
recreation room furniture 28. Bathroom linens
including desks 29. Kitchen or dining
room linens
7. Living room furniture combinations 30. Other linens
8. Dining room or kitchen furniture 31. Slipcovers,
decorative pillows or cushions
9. Mattress or box springs 32. Original wall-to-
wall carpet
10. Bedroom furniture other than 33. Replacement wall-
to-wall carpet
mattresses or box springs 34. Room size rugs or
other non-permanent floor
11. Infants’ furniture coverings, including
carpet squares
12. Infants’ equipment 35. Curtains or drapes
13. Patio, porch, or outdoor furniture 36. Blinds, shades,
other window coverings
14. Barbeque grills or outdoor decorative items
15. Office furniture for home use 77. Misc. Combined
(unable to specify/DK)
16. Lamps or other lighting fixtures
17. Other household decorative items
18. Closet storage items
08 A ANYOTH8 Did you purchase any other [fill: description]? <1, 2,D,R> [goto FRA_ITEM, next
line of grid]
1. Yes
2. No
08 B FURNRNTL Since the first of [fill: REF_MONTH], have [fill: YOU_ANYMEM] <1> [goto FURNRNTX]
rented or leased any furniture? <2,D,R> [goto REPFURN]
1. Yes
2. No
08 B FURNRNTX What was the total expense? <1-99999,D,R> [goto FRNRNTCX]
08 B FRNRNTCX How much of the total amount was spent this month? <0-99999,D,R> [goto REPFURN]
08 B REPFURN Since the first of [fill: REF_MONTH], have [fill: YOU_ANYMEM] had <1> [goto REPFURNX]
any expenses for repairing, refinishing or reupholstering furniture, <2, D, R> [goto S8B_END]
including the cost for fabric?
1. Yes
2. No
08 B REPFURNX What was the total expense? <1-999999, D, R> [goto
REPFRNCX]
Section # Part Variable Name Question Text Skip Instructions
08 B REPFRNCX How much of the total amount was spent this month? <0-999999, D, R> [goto
09 A S9A_INTRO (Book) 23 - 24 <1> [goto CLA_ITEM]
Now I am going to ask you about clothing expenses. You may find it
helpful to refer to receipts,
credit card statements or other records to answer the questions.
1. Enter 1 to Continue
09 A CLA_ITEM (Book) 23 - 24 ? [F1] <1-17> [goto CLODESCA]
<99> [goto S9A_END]
Since the first of [fill: REF_MONTH], have [fill: YOU_ANYMEM] <888> [goto CLA_ITEM - next line of
grid] [If no more grid lines goto S9A_END]
purchased any of the following items, for persons age 2 and over
either for members of your household or for someone outside your
household?
* Read each item on list.
1. Coats, jackets or furs
2. Sport coats or tailored jackets
3. Suits
4. Vests
5. Sweaters or sweater sets
6. Pants, jeans, or shorts
7. Dresses
8. Skirts
9. Shirts, blouses or tops
10. Undergarments
11. Hosiery
12. Nightwear or loungewear
13. Accessories
14. Swimsuits or warm-up or ski suits
15. Uniforms, for which the cost is not reimbursed
16. Costumes
17. Footwear
99. None/No more entries
888. Delete a line
09 A H_S9A Section 9 - CLOTHING AND SEWING MATERIALS <Esc key> [goto CLA_ITEM or
CLOCMBA]
Part A - Clothing (Do not include here - clothing for children under 2
years of age.)
1 - COATS, JACKETS, AND FURS, including -
down vest raincoat
fur coat shawl
Section # Part Variable Name Question Text Skip Instructions
jacket winter coat
outerwear
2 - SPORT COATS AND TAILORED JACKETS, including blazers
3 - SUITS, including -
formal suit
woman's suit (of two or more pieces)
man's suit (of two or more pieces)
4 - VESTS (purchased separately, not with a suit), excluding sweater
vests and down vests
5 - SWEATERS AND SWEATER SETS, including -
cardigan ski sweater V-neck sweater
pullover sweater vest
6 - PANTS, JEANS, OR SHORTS, including -
Do not include any athletic shorts
blue jeans dress slacks overalls
casual pants jump suit shorts and short sets
dress pants maternity pants
7 - DRESSES, including -
formalts or semi formals two-piece dresses wedding
gown
8 - SKIRTS, including short and skirt combination
Do not include any tennis skirts, golf skirts, or other athletic
skirts
9 - SHIRTS, BLOUSES, AND TOPS, including -
dress shirt knit blouse sport shirt tops
maternity top T-shirt
Do not include any sweat shirts or athletic shirts.
10 - UNDERGARMENTS, including -
bras slips undershirts
shapewear thermal underwear underwear
Section # Part Variable Name Question Text Skip Instructions
11 - HOSIERY, including -
knee-highs pantyhose socks tights
12 - NIGHTWEAR AND LOUNGEWEAR, including -
garments night gown pajamas robe
house coat night shirt thermal sleeping
13 - ACCESSORIES, including -
aumbrellas gloves apron fold-up
rain accessories
belts mittens ear muffs
bandannas
ties purse handkerchiefs hair
accessories
scarves wallet bridal headpiece non-
prescription sunglasses
14 - SWIMSUITS OR WARM-UP OR SKI-SUITS, including -
athletic shirt jogging suit swimwear
athletic shorts leotards swimwear accessories
hunting wear sweatshirt snow and ski suit
Do not include any sports uniforms.
15 - UNIFORMS, other than sport, for which the cost is not reimbursed,
including shirts, pants,
suits, service apparel, such as: medical, barber, boy or girl scout,
mechanic,
waiter/waitress, plumber and lab smocks, and military apparel
16 - COSTUMES, including costumes for dance, ballet, Halloween, etc.
17 - FOOTWEAR, including -
bedroom slippers dress shoes
boots sandals
casual shoes sneakers, jogging, aerobic, basketball,
tennis shoes
Section # Part Variable Name Question Text Skip Instructions
Do not include specialized athletic shoes such as for football,
09 A CLODESCA What did you buy? <30 characters> [goto CLOINOUT]
* Describe briefly the item purchased.
09 A CLOINOUT Was this (were these) purchased for someone inside or outside of your <1> [goto FORWHOM]
household? <2> [goto FOROUTCU]
<D,R> [goto CLOTHQA]
1. Inside your household
2. Outside your household
09 A FORWHOM For whom was it purchased? <1-30, 77, R> [If more than 1 person is
* Enter all that apply, separate with commas. selected goto CLONAME] [else goto
CLOTHQA]
[Fill: "active" CU members]
77. Don't know
09 A FOROUTCU For whom was this purchased? <40-44, 77, R> [goto CLONAME]
* Enter all age/sex categories that apply to the purchase, separate with
commas.
40 Male 16 and over
41 Female 16 and over
42 Male 2-15
43 Female 2-15
44 Children under 2 years old
77 Don't know
09 A CLONAME *Enter name of person(s). <30 characters> [goto CLOTHQA]
09 A CLOTHQA How many did you purchase? <1-100, D, R> [goto CLOTHMOA]
* Enter number of identical items purchased.
09 A CLOTHMOA When did you purchase [fill: it/them]? <ref_month - cur_month, D, R> [goto
CLOTHXA]
09 A CLOTHXA How much did [fill: it/they] cost? <1-999999> [goto CLOTHTXA]
<D, R> [goto CLOCMBA_S]
Section # Part Variable Name Question Text Skip Instructions
09 A CLOTHTXA <1, 2, D, R> [goto CLOCMBA_S]
Did this include sales tax?
1. Yes
2. No
09 A CLOCMBA_S *Enter 'C' for a combined expense. <C> [goto CLOCMBA]
<empty> [goto CLOMOREA]
09 A CLOCMBA (Book) 23 - 24 ? [F1] <1-17, 77> [goto CLOMOREA]
What other clothing is [Fill: CLODESCA] combined with?
* Enter all that apply, separate with commas.
1. Coats, jackets or furs
2. Sport coats or tailored jackets
3. Suits
4. Vests
5. Sweaters or sweater sets
6. Pants, jeans, or shorts
7. Dresses
8. Skirts
9. Shirts, blouses or tops
10. Undergarments
11. Hosiery
12. Nightwear or loungewear
13. Accessories
14. Swimsuits or warm-up or ski suits
15. Uniforms, for which the cost is not reimbursed
16. Costumes
17. Footwear
77. Misc. combined (unable to specify/DK)
09 A CLOMOREA Did you purchase any other [fill: description]? <1, 2, D, R> [goto CLA_ITEM, next line
of grid]
1. Yes
2. No
Section # Part Variable Name Question Text Skip Instructions
09 B S9B_INTRO (Book) 25 <1> [goto CLB_ITEM]
Now I am going to ask you about any clothing purchased for infants
under 2 years of age
as well as other purchases of watches, jewelry or hairpieces.
1. Enter 1 to Continue
09 B CLB_ITEM <1-9> [goto CLODESCB]
SCREEN 1------------------------------------------------------------------------ <95> [goto next row]
-------------------------------------------------------------- <99> [goto S9B_END]
(Book) 25) ? [F1] <888> [goto CLB_ITEM - next line of
grid] [If no more grid lines goto S9B_END]
Have [fill: YOU_ANYMEM] purchased any clothing for infants under
2
years of age, either for members of your household or for someone
outside your household, such as-
* Read each item on list.
1. Coats, jackets or snowsuits?
2. Dresses or other outerwear?
3. Underwear or diapers, including disposable?
4. Sleeping garments?
5. Layettes?
6. Accessories?
95. Continue list
888. Delete the line
SCREEN 2------------------------------------------------------------------------
-----------------------------------------------------
(Book) 25 ? [F1]
Have [fill: YOU_ANYMEM] purchased any of the following items,
either for your household or for
someone outside your household?
* Read each item on list.
7. Watches?
8. Jewelry?
9. Hairpieces, wigs or toupees?
99. None/No more entries
888. Delete the line
Section # Part Variable Name Question Text Skip Instructions
09 B H_S9B Section 9 - CLOTHING AND SEWING MATERIALS - – <Esc key> [goto CLB_ITEM]
Continued
Part B - Infants Clothing
Clothing for infants under 2 years of age
1 - COATS, JACKETS, OR SNOWSUITS
2 - DRESSES AND OTHER OUTERWEAR, including -
bathing suits overalls shirt
tops
crawler pants short set
vest
jeans pants set sunsuit
jogging suit playsuit sweater
jumpsuit romper T- shirts
3 - UNDERWEAR AND DIAPERS, including disposable
Do not include diaper service.
4 - SLEEPING GARMENTS
5 - LAYETTES
6 - ACCESSORIES, including -
bibs bonnets shoes
boots caps/hats slippers
booties mittens/gloves socks
Part B - Watches, Jewelry, and Hairpieces
7 - WATCHES
8 - JEWELRY, including -
costume jewelry, rings, and infants jewelry
9 - HAIRPIECES, WIGS, OR TOUPEES
09 B CLODESCB What did you buy? <30 characters> [goto CLOGFTB]
* Describe briefly the item purchased.
Section # Part Variable Name Question Text Skip Instructions
09 B CLOGFTB <1,2,D,R> [goto CLOTHQB]
Was this purchased for your household or someone outside your
household?
1. Your household
2. Someone outside your household
09 B CLOTHQB How many did you purchase? <1-150, D, R> [goto CLOTHMOB]
* Enter number of identical items purchased.
09 B CLOTHMOB When did you purchase [fill: it/them]? <REF_MONTH - CUR_MONTH, D, R>
[goto CLOTHXB]
09 B CLOTHXB How much did [Fill: it/they] cost? <1-999999> [goto CLOTHTXB]
<D,R> [if from CLB_ITEM, screen 1
goto CLOCMBB_S]
[if from CLB_ITEM, screen 2
goto CLOMOREB]
09 B CLOTHTXB Did this include sales tax? <1,2,D,R> [If from CLB_ITEM, screen 1
goto CLOCMBB_S]
1. Yes [If from CLB_ITEM, screen 2
2. No goto CLOMOREB]
09 B CLOCMBB_S * Enter 'C' for a combined expense. <C> [goto CLOCMBB]
<Empty> [goto CLOMOREB]
09 B CLOCMBB (Book) 25 ? [F1] <1-6, 77> [goto CLOMOREB]
What other clothing is [Fill: CLODESCB] combined with?
* Enter all that apply, separate with commas.
1. Coats, jackets or snowsuits
2. Dresses or other outerwear
3. Underwear or diapers
4. Sleeping garments
5. Layettes
6. Accessories
77. Misc. combined (unable to specify/DK)
09 B CLOMOREB Did you purchase any other [Fill: description]? <1, 2, D, R> [goto CLB_ITEM, next line of
grid]
1. Yes
2. No
Section # Part Variable Name Question Text Skip Instructions
09 C S9D_INTRO (Book) 26 <1> [goto CLD_ITEM]
Now I am going to ask about expenditures for clothing services.
1. Enter 1 to Continue
09 C CLD_ITEM (Book) 26 ? [F1] <1-5> [goto CLODESCD]
<99> [goto S9D_END]
Have [fill: YOU_ANYMEM] had expenses for any of the following, <888> [goto CLD_ITEM - next line of
either for members of your household or for someone outside your grid] [If no more grid lines goto S9D_END]
household?
* Read each item on list.
1. Repair, alteration or tailoring for clothing and accessories
2. Shoe repair or other shoe services
3. Watch or jewelry repair
4. Clothing rental
5. Clothing storage outside the home
99. None/No more entries
888. Delete the line
09 C H_S9D Section 9 - CLOTHING AND SEWING MATERIALS - <Esc key> [goto CLD_ITEM]
Continued
Part D - Clothing Services
1 - REPAIR, ALTERATION, AND TAILORING FOR CLOTHING
AND ACCESSORIES
2 - SHOE REPAIR AND OTHER SHOE SERVICES
3 - WATCH OR JEWELRY REPAIR, including cleaning
4 - CLOTHING RENTAL, including formal wear
5 - CLOTHING STORAGE OUTSIDE THE HOME
09 C CLODESCD What kind of service was this? <30 characters> [goto CLSVGFTC]
* Describe briefly the service.
Section # Part Variable Name Question Text Skip Instructions
09 C CLSVGFTC <1,2,D,R> [goto CLOTHMOD]
Was this service for [fill:YOU_YOURCU] or for someone outside
your household?
1. Your household
2. Someone outside your household
09 C CLOTHMOD When did you purchase this service? <REF_MONTH-CUR_MONTH,D,R>
[goto CLSRVCX]
09 C CLSRVCX How much did it cost? <1-999999> [goto CLSRVCTX]
<D,R> [goto CLOCMBD_S]
09 C CLSRVCTX Did this include sales tax? <1,2,D,R> [goto CLOCMBD_S]
1. Yes
2. No
09 C CLOCMBD_S * Enter 'C' for a combined expense. <C> [goto CLOCMBD]
<empty> [goto CLOMORED]
09 C CLOCMBD (Book) 26 ? [F1] <1-5, 77> [goto CLOMORED]
What other clothing services is
[Fill: CLODESCD] combined with?
* Enter all that apply, separate with commas.
1. Repair, alteration or tailoring for clothing and accessories
2. Shoe repair or other shoe services
3. Watch or jewelry repair
4. Clothing rental
5. Clothing storage outside the home
77. Misc. combined (unable to specify/ DK)
09 C CLOMORED Did you have any other expenses for [fill: description]? <1, 2, D, R> [goto CLD_ITEM next line of
grid]
1. Yes
2. No
09 D S9C_INTRO (Book) 26 <1> [goto CLC_ITEM]
Now I am going to ask about expenses for sewing materials.
1. Enter 1 to Continue
Section # Part Variable Name Question Text Skip Instructions
09 D CLC_ITEM (Book) 26 ? [F1] <1-4> [goto SEWDESC]
<99> [goto S9C_END]
Have [fill: YOU_ANYMEM] purchased any sewing materials either <888> [goto CLC_ITEM - next line of
for members of your household or grid] [If no more grid lines goto S9C_END]
for someone outside your household?
* If YES - Read each item on list.
1. Sewing materials for making slipcovers, curtains, or other home
handiwork including
yarn
2. Sewing materials for making clothes
3. Sewing notions
4. Other sewing materials
99. None/No more entries
888. Delete a line
09 D H_S9C Section 9 - CLOTHING AND SEWING MATERIALS - <Esc key> [goto CLC_ITEM]
Continued
Part C - Sewing Materials
1 - - SEWING MATERIALS FOR MAKING SLIPCOVERS,
CURTAINS, OR OTHER HOME HANDIWORK, including yarn
2 - SEWING MATERIALS FOR MAKING CLOTHES, including any
fabric used for making
clothing
3 - SEWING NOTIONS, including -
buttons knitting needles, equipment
seam binding zipper
crochet hooks measuring tapes
sewing basket
crochet thread needles/pins
sewing kit
embroidery hoops patterns
snaps
embroidery thread scissors
thread
4 - OTHER SEWING MATERIALS, including -
beads, glitter, sequins foam rug
material
Section # Part Variable Name Question Text Skip Instructions
09 D SEWDESC What did you buy? <30 characters> [goto SEWGFTC]
* Describe briefly the item purchased.
09 D SEWGFTC Was this purchased for your household or for someone outside your <1,2,D,R> [goto SEWINGMO]
household?
1. Your household
2. Someone outside your household
09 D SEWINGMO When did you purchase it? <REF_MONTH - CUR_MONTH,D,R>
[goto SEWINGX]
09 D SEWINGX How much did it cost? <1-999999> [goto SEWINGTX]
<D,R> [goto CLOCMBC_S]
09 D SEWINGTX Did this include sales tax? <1,2,D,R> [goto CLOCMBC_S]
1. Yes
2. No
09 D CLOCMBC_S * Enter 'C' for a combined expense. <C> [goto CLOCMBC]
<empty> [goto CLOMOREC]
09 D CLOCMBC (Book) 26 ? [F1] <1-4, 77> [goto CLOMOREC]
What other sewing materials is
[Fill: SEWINGY] combined with?
* Enter all that apply, separate with commas.
1. Sewing materials for making slipcovers, curtains, other home
handiwork
including yarn
2. Sewing materials for making clothes
3. Sewing notions
4. Other sewing materials
77. Misc. combined (Unable to specify/DK)
09 D CLOMOREC Did you purchase any other [fill: description]? <1, 2,D,R> [goto CLC_ITEM, next line of
grid]
1 . Yes
2. No
Section # Part Variable Name Question Text Skip Instructions
14 A S14A_INTRO (Book) 32 <1> [If there are any records on the input
with 8500.IHB_STAT=1 goto S14A_INV]
Now I am going to ask about hospitalization and health Insurance. [goto S14A_END]
1. Enter 1 to Continue
14 A HHISTILL [fill: Do you/Does your household] still [fill: make payments on the <1,2, D, R> [If 8500.HHIPRMPD = 3, 4
[fill: description] goto S14A_END] [goto HHIANYPD]
from [fill: 8500.HINSCMP] for someone outside your household/
have your [fill: description] policy from
[fill: 8500.HINSCMP]?
1. Yes
2. No
14 A HHIANYPD Since the first of [fill: REF_MONTH] were any payments made on <1> [goto HHIPDAMT]
this <2, D, R> [goto S14A_END]
policy by [fill: YOU_ANYMEM]? [fill: (Include those
made by payroll deductions.)]
1. Yes
14 A HHIPDAMT How much was paid? <1-99999> [goto HHICMXXA]
<D, R> [goto S14A_END]
14 A HHICMXXA How much was paid this month? <0-99999, D, R> [goto S14A_END]
14 A S14A_END ** CHECK ITEM** [goto HHISTILL for next appropriate
policy on the inventory chart]
[If no more policies on the inventory chart,
go to Section 14B]
14 B IHB_ITEM <1> [goto HINSCMP]
(Book) 32 ? [F1] <99> [goto S14B_END]
<888> [goto IHB_ITEM - next line of
[FILL: Do [fill: YOU_ANYMEM] have any hospitalization or health grid] [If no more grid lines goto S14B_END]
insurance plans
or belong to a plan that pays all or part of your medical
expenses?
Include policies paid for someone outside your household and
please consider
any special purpose plans you may have, such as those listed on
page 32
of the Information Booklet. /
Since the first of [fill: REF_MONTH], have [fill:
YOU_ANYMEM] purchased any
[fill: additional] health or hospitalization insurance? Include any
policies paid for
someone outside your household. ]
Section # Part Variable Name Question Text Skip Instructions
* Do not report Medicare Prescription Drug plans (Medicare Part D)
here. Medicare Prescription
Drug plans are collected in Section 14C in Interviews 2 through 5.
* Read item on list.
1. Hospitalization or health insurance plans
99. None/No more entries
888. Delete the line
14 B HINSCMP What is the name of the insurance company for this health <30 characters> [goto HHIBCBS]
insurance policy?
* Enter name of insurance company, not the insurance agent.
14 B HHIBCBS *Do not read to respondent. <1,2, D,R> [goto HHICOVQ]
* Is the insurance company Blue Cross/Blue Shield?
1. Yes
2. No
14 B HHICOVQ How many household members are/were covered by this policy? <0-30, D,R> [goto HHICODE]
14 B HHICODE (Book) 32 ? [F1] <1> [goto HHIPOS]
<2> [goto HHIFEET]
What type of insurance plan is it? <3> [goto HHIGROUP]
<4> [goto HHISPECT]
1. Health Maintenance Organization <D,R> [goto HHIGROUP]
2. Fee for Service Plan
3. Commercial Medicare Supplement
4. Other special purpose plan
14 B H_S14B Section 14 HOSPITALIZATION AND HEALTH INSURANCE <Esc key> [goto HHICODE or
1 - HEALTH MAINTENANCE ORGANIZATION
Expenses in this type of plan are usually covered in full or there is a
modest co-payment at the time of your visit. There are two basic
types
of HMO’s. The first is the group/staff type in which you go to a
central
facility (group health center) to receive care. The second type is an
independent practice association (IPA) in which providers work from
their individual offices and are referred to as primary care physicians.
Section # Part Variable Name Question Text Skip Instructions
2 - FEE FOR SERVICE PLAN
In a fee for service type of plan you or your insurance company is
generally billed after each visit. In a traditional fee for service plan
you
may go to any doctor or hospital you choose. In a Preferred Provider
Organization (PPO) you are provided with a list of doctors from which
you may choose. If you choose to go to one of the doctors on the
PPO
list, the amount of expenses covered is higher than if you go to a
doctor not on the list.
3 - COMMERCIAL MEDICARE SUPPLEMENT
A Commercial Medicare Supplement is a voluntary contributory
private
insurance plan available to Medicare recipients, to cover the costs of
deductibles, coinsurance, physician services and other medical and
health services.
14 B HHIPOS Under normal circumstances, if you go to a doctor who is not part <1,2,D,R> [goto HHIGROUP]
of your plan without a referral, will your insurance pay for the cost?
1. Yes
2. No
14 B HHIFEET (Book) 32 ? [F1] <1,2,D,R> [goto HHIGROUP]
Is this fee for service plan a -
1. Traditional Fee for Service Plan?
2 . Preferred Provider Option Plan?
14 B H_S14B_2 FEE FOR SERVICE PLAN
In a fee for service type of plan you or your insurance company is
generally billed after each visit. In a traditional fee for service plan
you
may go to any doctor or hospital you choose. In a Preferred Provider
Organization (PPO) you are provided with a list of doctors from which
you may choose. If you choose to go to one of the doctors on the
Section # Part Variable Name Question Text Skip Instructions
14 B HHISPECT Is this special purpose insurance plan - <1-5,D,R> [goto HHIGROUP]
<6> [goto OTHINTYP]
1. Dental insurance? 4. Mental health insurance?
2. Vision insurance? 5. Dread disease policy?
3. Prescription drug insurance? 6. Other type of special purpose
health insurance? - Specify
14 B OTHINTYP * Specify: <30 characters> [goto HHIGROUP]
14 B HHIGROUP Was the policy obtained on an individual or group basis? <1-3, D,R> [goto HHIPRMPD]
1. Individually obtained
2. Group through place of employment
3. Group through other organization
14 B HHIPRMPD Are the policy premiums paid - <1,2> [goto HHIPRDED]
<3,4> [goto HHIMORE]
1. Entirely by [fill: YOU_YRCU]? <D,R> [goto HHIPRDED]
2. Partially by [fill: YOU_YRCU]?
3. Entirely by an employer or union?
4. Entirely by another group or persons outside your household?
14 B HHIPRDED Are any premiums paid through payroll deductions? <1,2, D,R> [goto HHIRPMXB]
1. Yes
2. No
14 B HHIRPMXB What is your part of the regular health insurance payment [fill: including <1-99999> [goto HHIRPMPD]
all payroll deductions]? <D,R> [goto HHIRPMPD]
14 B HHIRPMPD What period of time is covered by the regular payment? <1-6, D,R> [goto HHICPMTB]
<7> [goto PTIMEOTH]
1. Week 5. 6 months
2. 2 weeks 6. Year
3. Month 7. Other - Specify
4. Quarter
14 B PTIMEOTH * Specify: <30 characters> [goto HHICPMTB]
14 B HHICPMTB Since the first of [fill: REF_MONTH] were any payments made on <1> [goto HHIRPMTB]
this <2, D,R> [goto HHIMORE]
policy?
1. Yes
14 B HHIRPMTB Was each payment in the amount of [fill: the regular <1> [goto HHIQPMTB]
payment/$(HHIRPMXB)]? <2,D,R> [goto HHIIRGXB]
1. Yes
2 . No
Section # Part Variable Name Question Text Skip Instructions
14 B HHIQPMTB How many payments were made? <1-15, D,R> [goto HHICMXXB]
14 B HHIIRGXB What was the total expense paid for this policy since [fill: <1-99999, D,R> [goto HHICMXXB]
14 B HHICMXXB How much was paid this month? <0-99999, D, R> [goto HHIMORE]
14 B HHIMORE Did you have any other hospitalization or health insurance plans? <1, 2, D, R> [goto IHB_ITEM, next line of
grid]
1. Yes
2. No
14 B S14B_END ** CHECK ITEM ** [If no more policies and INTNMBR = 1
goto S14_END in section 14c)]
[if no more policies and intnmbr = 2-5 goto
Section 14C]
14 C CHGHHMCR Last time you said that [fill: 8500.HHMCRCOV] [fill: household <1> [goto HHMCRCOV]
member was/household <2, D,R> [If 8500.HHPARTD = 1 goto
members were] enrolled in Medicare. Has the number of household 14C_UPDATE] [Else goto RETPARTD]
members
enrolled in Medicare changed?
1. Yes
2 . No
14 C HHMCRENR Are [fill: YOU_ANYMEM] presently enrolled in Medicare? <1> [goto HHMCRCOV]
Medicare is the Federal Health Insurance Plan. <2, D,R> [If 8500.MDCDENR is 1 goto
CHGMDCDE] [Else goto MDCDENR]
1. Yes
2. No
14 C HHMCRCOV How many members of your household are covered by Medicare? <0-30> [If intnmbr = 2 or new CU, goto
HHPARTD, if intnmbr = 3-5 and not a new
* If this is a single person household, enter 1 without asking the question CU AND 8500.HHPARTD = 1, goto
14C_UPDATE] [ELSE goto RETPARTD]
14 C 14C_UPDATE Question Text [goto STILDRUG]
**Check item**
14 C STILDRUG Is [fill: NAME] still enrolled in a Medicare Prescription Drug plan? <1> > [goto PREMCHG]
*Enter 'YES’ if the member changed to a different Medicare Prescription < 2, D, R> [goto next member on
Drug plan. 14C_UPDATE; if there exist values of
MEMBNO that do not match any value of
1. Yes 8500.PRTDMBNO, goto RETPARTD;
2. No else, if 8500.MDCDENR ne 1, goto
MDCDENR] [else, goto CHGMDCDE]
Section # Part Variable Name Question Text Skip Instructions
14 C PREMCHG Is [fill: NAME]’s premium still [fill: $8500.DRGPREMX/ the <1, D, R> [goto STILDRUG for next
same]? member on 14C_UPDATE; if there exist
values of MEMBNO that do not match any
1. Yes value of 8500.PRTDMBNO, goto
RETPARTD; else if 8500.MDCDENR ne 1,
goto MDCDENR] [else, goto CHGMDCDE]
<2> [goto PREMCHGX]
14 C PREMCHGX What is [fill: NAME]’s current premium amount for the Medicare <0-999, D, R> [goto STILDRUG for next
Prescription Drug Plan? member on 14C_UPDATE; if there exist
values of MEMBNO that do not match any
value of 8500.PRTDMBNO, goto
RETPARTD; else if
8500.MDCDENR ne 1, goto MDCDENR]
[else, goto CHGMDCDE]
14 C RETPARTD Are [fill: YOU_ANYMEM] presently enrolled in a Medicare <1> [goto DRUGPLAN]
Prescription Drug plan since the first of [fill: REF_MO]? <2, D,R> [If 8500.MDCDENR = 1, goto
CHGMDCDE, if 8500.MDCDENR ne 1,
* The Medicare Prescription Drug plan is also known as Medicare goto MDCDENR]
Part D,
which is the plan that began enrollment in November 2005.
1. Yes
2. No
14 C HHPARTD Are [fill: YOU_ANYMEM] presently enrolled in a Medicare <1> [goto DRUGPLAN]
Prescription Drug plan? <2, D,R> [Else goto MDCDENR]
* The Medicare Prescription Drug plan is also known as Medicare
Part D,
which is the plan that began enrollment in November 2005.
1. Yes
2. No
14 C DRUGPLAN Who [fill: is enrolled/enrolled] in a Medicare Prescription Drug plan? <1-30> [goto 14C_NEW ]
<D, R> [goto MDCDENR]
* Enter line numbers for all that apply, separate with commas.
* If this is a single person household, enter “1” without asking the
question
14 C 14C_NEW **Check item** [goto ENROLLMO]
Section # Part Variable Name Question Text Skip Instructions
14 C ENROLLMO In what month and year did [fill: NAME/you] enroll in the prescription <1-12, D, R> [goto ENROLLYR]
drug plan?
* Enter month of enrollment
14 C ENROLLYR * Enter year of enrollment <2005 - 9000, D, R> [goto
14 C DRGPREMX What is the monthly premium for [fill: NAME's/your] Medicare <0 - 999, D, R> [goto HHDRGSS]
Prescription Drug plan?
* Do not include any monthly co-payments paid by the household.
14 C HHDRGSS Is the monthly premium deducted from a Social Security payment? <1, 2, D, R> [goto ENROLLMO for the
next line number entered in DRUGPLAN,
1. Yes
2. No [ELSE if no more line
numbers AND 8500.MDCDENR ne 1 goto
MDCDENR]
14 C CHGMDCDE Last time you said that [fill: 8500.MDCDCOV] [fill: household <1> [goto MDCDCOV]
member <2, D,R> [If 8500.OTHPLAN is 1, goto
was/household members were] enrolled in Medicaid. Has the number STILLOTH] [ELSE goto OTHPLAN]
of
members enrolled in Medicaid changed?
14 C MDCDENR Are [fill: YOU_ANYMEM] enrolled in Medicaid? <1> [goto MDCDCOV]
<2, D,R> [If 8500.OTHPLAN is 1, goto
1. Yes STILLOTH] [ELSE goto OTHPLAN]
2. No
14 C MDCDCOV How many members of your household are covered by Medicaid? <0-30> [If 8500.OTHPLAN is 1, goto
STILLOTH] [ELSE goto OTHPLAN]
14 C STILLOTH Are any members of your household still covered by a plan other than <1,2, D,R> [goto S14C_END]
Medicare or Medicaid TRICARE, CHAMPUS, or military health
care?
1. Yes
Section # Part Variable Name Question Text Skip Instructions
14 C OTHPLAN Are [fill: YOU_ANYMEM] covered by any plan other than Medicare <1,2, D,R> [goto S14C_END]
or
Medicaid which provides free health care such as TRICARE,
CHAMPUS or
military health care?
1. Yes
14 C IHD_STAT ***OUT VARIABLE*** <1-3>
17 A SUB_INTRO (Book) 37 <1> [goto SUB_ITEM]
Now I am going to ask you about expenses for subscriptions,
memberships, books,
and entertainment. Please remember to include any payments you made
online or had automatically deducted.
1. Enter 1 to Continue
17 A SUB_ITEM (Book) 37 ? [F1] <1-13> [goto SUBDESC]
<95> [goto next row]
SCREEN 1 - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - <99> [goto S17A_END]
- - - - - - - - - - - - - - - - - - - - - - - - <888> [goto SUB_ITEM - next line of
grid] [If no more grid lines goto S17A_END]
Since the first of [fill: REF_MONTH] have [fill: YOU_ANYMEM]
purchased any of the
following items for your household or for someone outside your
household?
* Read each item on list.
1. Subscriptions to newspapers, magazines or periodicals. Include
online subscriptions
2. Books purchased from a book club
3. Season tickets to theater, concert series, opera, other musical
series, or amusement parks
4. Season tickets to sporting events
5. Encyclopedias or other sets of reference books
95. Continue list
888. Delete the line
SCREEN 2 - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - -
- - - - - - - - - - - - - - - - - - - - - - - -
Have [fill: YOU_ANYMEM] had any membership costs or other
expenses related to any
Section # Part Variable Name Question Text Skip Instructions
of the following?
Do not include contributions to or membership in religious,
professional, business, or other tax
deductible organizations.
* Read each item on list.
6. Golf courses, country clubs, and other social organizations
7. Health clubs, fitness centers, swimming pools, weight loss
centers, or other sports and recreational organizations
8. Vacation clubs
9. Civic, service, or fraternal organizations
10. Credit card membership fees
11. Shopping club memberships such as COSTCO and Sam's
12. Services that use Global Positioning System or GPS, such as
OnStar, not already reported
13. Direct or online dating services
99. None/No more entries
888. Delete the line
17 A H_S17A Section 17 SUBSCRIPTIONS, MEMBERSHIPS, BOOKS, AND <Esc Key> [goto SUB_ITEM]
ENTERTAINMENT EXPENSES
Part A - SUBSCRIPTIONS AND MEMBERSHIPS
1 - Subscription to newspapers, magazines or periodicals, including
online subscriptions
2 - Books purchased from a book club
3 - Season tickets to theater, concert series, opera, other musical
series, or amusement parks
4 - Season tickets to sporting events
5 - Encyclopedias or other sets of reference books
6 - Golf courses, country clubs, and other social organizations
7 - Health clubs, fitness centers, swimming pools, weight loss centers,
or other
sports and recreational organizations
8 - Civic, service, or fraternal organization
9 - Credit card membership fees
Section # Part Variable Name Question Text Skip Instructions
10 - Shopping club memberships such as COSTCO and Sam's
11 - Global positioning services, or GPS, such as Onstar
12 - Direct or on-line dating services
17 A SUBDESC What is the name of the [fill: description]? <30 characters> [goto S17GFTCA]
17 A S17GFTCA Was this purchase for your household or someone outside your <1, 2, D, R> [goto S17PURXA]
household?
1. For household
17 A S17PURXA What was the total cost since the first of [fill: REF_MONTH]? <1-999999, D, R> [goto S17CMEXX]
[fill: (Include shipping and handling fees.) ]
17 A S17CMEXX How much of the total amount was paid this month? <0-999999, D, R> [goto S17AOTHR]
17 A S17AOTHR Did you [fill: purchase/pay for] any other [fill: description]? <1, 2, D, R> [goto SUB_ITEM, next line
of grid]
1. Yes
2. No
17 B SPORTFEE (Book) 38 ? [F1] <1> [goto S17BE]
<2, D ,R> [goto SPORTADM]
Since the first of [fill: REF_MONTH] have [fill: YOU_ANYMEM]. . .
Paid any fees for participating in sports such as golf, bowling, biking,
hockey, football, or swimming?
1. Yes
2. No
17 B SPORTADM (Book) 38 ? [F1] <1> [goto S17BE]
<2, D, R> [goto RECADMIT]
Since the first of [fill: REF_MONTH], have [fill: YOU_ANYMEM]. . .
Paid any single admission to spectator sports such as football, baseball,
hockey, racing, or track events?
* Include ticket/admission service fees and surcharges.
1. Yes
2. No
Section # Part Variable Name Question Text Skip Instructions
17 B RECADMIT (Book) 38 ? [F1] <1> [goto S17BE]
<2, D, R> [goto ENTADMIT]
Since the first of [fill: REF_MONTH], have [fill: YOU_ANYMEM]. . .
Paid any single admissions to performances such as movies, plays,
operas, or concerts?
* Include ticket/admission service fees and surcharges.
1. Yes
2. No
17 B ENTADMIT (Book) 38 ? (F1) < 1 > [goto S17BE]
<2,D,R> [goto OTHEBKRF]
Since the first of [fill: REF_MONTH], have [fill: YOU_ANYMEM]. . .
Paid any single admission to other entertainment activities such as
museums, amusement parks,
zoos, or state parks?
* Include ticket/admission service fees and surcharges.
1. Yes
2. No
17 B OTHRBKRF (Book) 38 ? [F1] <1> [goto S17BE]
<2, D, R> [goto NEWSMAG]
Since the first of [fill: REF_MONTH], have [fill: YOU_ANYMEM] . . .
Bought any books, including paperbacks and reference books, which were
not purchased through a book club? Do not include school books.
1. Yes
2. No
17 B NEWSMAG (Book) 38 ? [F1] < 1 > [goto S17BE]
<2, D, R> [go to RECORDYN]
Since the first of [fill: REF_MONTH], have [fill: YOU_ANYMEM] . . .
Purchased single copies of newspapers, magazines, or periodicals (non-
subscription)?
1. Yes
2. No
Section # Part Variable Name Question Text Skip Instructions
17 B RECORDYN (Book) 38 ? [F1] <1> [goto S17BE]
<2, D, R> [goto FILM]
Since the first of [fill: REF_MONTH], have [fill: YOU_ANYMEM] . . .
Purchased any CDs, audio tapes, or records?
* Report blank CDs or audio tapes in Section 6B under precode 29.
1. Yes
2. No
17 B FILM (Book) 38 ? [F1] <1> [goto S17BE]
<2, D, R> [goto FILMPRCS]
Since the first of [fill: REF_MONTH], have [fill: YOU_ANYMEM] . . .
Purchased any photographic film?
1. Yes
2. No
17 B FILMPRCS (Book) 38 ? [F1] <1> [goto S17BE]
<2, D, R> [goto VIDEOPUR]
Since the first of [fill: REF_MONTH], have [fill: YOU_ANYMEM] . . .
Paid for film processing or the printing of digital photographs?
1. Yes
2. No
17 B VIDEOPUR (Book) 38 ? [F1] <1> [goto S17BE]
<2, D ,R> [goto VIDEORNT]
Since the first of [fill: REF_MONTH], have [fill: YOU_ANYMEM]. . .
Purchased any video tapes or DVD's?
* Report blank video tapes or blank DVDs in Section 6B under item
code 29.
1. Yes
2. No
Section # Part Variable Name Question Text Skip Instructions
17 B VIDEORNT (Book) 38 ? [F1] <1> [goto S17BE]
<2, D, R> [goto S17B_END]
Since the first of [fill: REF_MONTH], have [fill: YOU_ANYMEM]. . .
Rented any video tapes or DVD's?
1. Yes
2. No
17 B H_S17B Section 17 - SUBSCRIPTIONS, MEMBERSHIPS, BOOKS, AND <Esc> [go back to appropriate item]
ENTERTAINMENT
Part B - BOOKS AND ENTERTAINMENT EXPENSES
- Fees for participating in sports, including -
tennis golf bowling swimming billiards
- Single admissions to spectator sposts, including -
football baseball hockey soccer
auto racing basketball
- Single admission to performances, including -
concerts movies plays operas
- Single admission to other entertainment activities, including -
museums amusement parks zoos state parks
historic sites
- Books not purchased through book clubs, including -
paperbacks hardcover audio digital books
Exclude reference books or school books
- Single copies of newpapers, magazines, periodicals (non-
subscription)
- Compact discs, audio tapes, or records
Do not include blank CDs or blank audio tapes.
- Photographic film, including disposable cameras
- Photo processing
digital photo processing video film processing
Section # Part Variable Name Question Text Skip Instructions
- Purchase of video tapes or DVDs
Do not include blank DVDs or blank audio tapes.
- Rental of video tapes or DVDs including -
mail delivery DVD rentals
17 B S17BE What was the total expense? <1-99999> [ goto S17BCM]
<D, R> [goto next appropriate
screener]
17 B S17BCM How much of the total amount was spent this month? <0-99999, D, R> [goto next appropriate
screener]
19 A S19A_INTRO (Book) 41-42 <1> [goto MIS_ITEM]
Now I am going to ask about miscellaneous expenses which have not
been collected anywhere
else in this survey. Please remember to include any payments you made
online or had
automatically deducted.
1. Enter 1 to Continue
19 A MIS_ITEM (Book) 41 - 42 ? [F1] <1-24> [goto MISCDESC]
<99> [S19A_END]
Since the first of [fill: REF_MONTH], have [fill: YOU_ANYMEM] had <888> [goto MIS_ITEM - next line of
expenses for any of the grid] [If no more grid lines goto S19A_END]
following, either for [fill: YOU_YRCU] or for someone outside your
household?
* Read each item on list.
1. Fresh flowers or potted plants
2. Professional photography
3. Services of lawyers or other legal professionals
4. Accounting fees
5. Occupational expenses, such as union dues or professional licenses
6. Gardening or lawn care services
7. Housekeeping services
8. Home security system service fees
9. Other home services or small repair jobs around the house, not
previously reported
10. Moving, storage, or freight
11. Stamp or coin collecting
12. Lotteries or games of chance
13. Babysitting, nanny services, or other child care in YOUR home
Section # Part Variable Name Question Text Skip Instructions
14. Babysitting, nanny services, or other child care in someone ELSE's
home
95. Continue
888. Delete the line
SCREEN 2
(Book) 42 ? [F1]
Have [fill: YOU_ANYMEM] had expenses for toys, games, or arts and
crafts kits, either for [fill: YOU_YRCU] or for someone outside your
household?
* IF YES - Read each item on list.
Were your expenses for -
15. Toys or games?
16. Arts or crafts kits?
95. Continue
888. Delete the line
SCREEN 3
(Book) 42 ? [F1]
Have [fill: YOU_ANYMEM] had expenses for the purchase of pets, pet
supplies, pet medicines, pet services, or veterinarian services, either for
[fill: your/your household's] pets or for pets belonging to someone
outside your household?
* IF YES - Read each item on list.
Were your expenses for -
17. Purchase of pets, pet supplies, or medicine for pets?
18. Pet services?
19. Veterinarian expenses for pets?
95. Continue
888. Delete the line
SCREEN 4
Section # Part Variable Name Question Text Skip Instructions
(Book) 42 ? [F1]
Have [fill: YOU_ANYMEM] had expenses for catered affairs, parties, or
events, either for [fill: YOU_YRCU] or for someone outside your
household?
* IF YES - Read each item on list.
Were your expenses for -
20. Food and beverages for catered affairs?
21. Live entertainment?
22. Rental of party supplies?
95. Continue
888. Delete the line
SCREEN 5
(Book) 42 ? [F1]
Have [fill: YOU_ANYMEM] had expenses for the purchase or upkeep or
cemetery lots or vaults or for funerals, burials, or cremation, either for
[fill: YOU_YRCU] or for someone outside your household?
* IF YES - Read each item on list.
Were your expenses for -
23. Purchase or upkeep of cemetery lots or vaults?
24. Funerals, burials, or cremation?
99. None/no more entries
888. Delete the line
19 A H_S19A Section 19 - MISCELLANEOUS EXPENSES <Esc key> [goto MIS_ITEM]
Part A - Miscellaneous Expenses
1 - FRESH FLOWERS OR POTTED PLANTS
2 - PROFESSIONAL PHOTOGRAPHY
3 - SERVICES OF LAWYERS OR OTHER LEGAL PROFESSIONALS,
including -
Arbitration services Contracts Divorce Mediation
Services Wills
Section # Part Variable Name Question Text Skip Instructions
Do not include fees for business purposes or those related to closing
costs for the purchase
of real estate.
4 - ACCOUNTING FEES, including -
estate management trust management
income tax preparation
Do not include fees for business purposes.
5 - OCCUPATIONAL EXPENSES, such as union dues or professional
licenses.
6 - GARDENING OR LAWN CARE SERVICES, including -
fertilize lawn, etc. planting tree pruning
hedge trimming plowing tree removal
lawn cutting tilling
Include any services provided under service contracts. Do not
include services which are covered by management or maintenance
fees.
7 - HOUSEKEEPING SERVICES, including -
carpet cleaning cooking window washing
cleaning laundering
8 - HOME SECURITY SYSTEM SERVICE FEES
9 - OTHER HOME SERVICES OR SMALL REPAIR JOBS AROUND
THE HOUSE, NOT
PREVIOUSLY REPORTED
Include diaper service.
10 - MOVING, STORAGE, OR FREIGHT
Do not include expenses that are reimbursed by employer or
other persons outside of the CU.
11- STAMP OR COIN COLLECTING
12 - LOTTERIES OR GAMES OF CHANCE
13 - BABYSITTING, NANNY SERVICES, OR OTHER CHILD CARE
IN YOUR HOME
Section # Part Variable Name Question Text Skip Instructions
Do not include nursery school care or care in a day care center.
14 - BABYSITTING, NANNY SERVICES, OR OTHER CHILD CARE
IN SOMEONE ELSE'S HOME
Do not include nursery school care or care in a day care center.
15 - TOYS OR GAMES
action figures dolls infant toys trains
dart board games stuffed animals trucks
16 - ARTS OR CRAFTS KITS
arts and craft supplies model kits rug kits
needlepoint kits
17 - PURCHASE OF PETS, PET SUPPLIES, OR MEDICINE FOR
PETS, including -
aquarium collars guinea pig
tropical fish
bird dog hamster
bird cage dog house hamster cage
cat gerbil pet toys
18 - PET SERVICES, including -
grooming kennels license pet daycare pet
resorts
19 - VETERINARIAN EXPENSES FOR PETS
vet insurance
20 - FOOD AND BEVERAGES FOR CATERED AFFAIRS, including -
anniversaries bridal showers parties
Bar Mitzvah confirmations weddings
Bat Mitzvah graduations
21 - LIVE ENTERTAINMENT
22 - RENTAL OF PARTY SUPPLIES
23 - PURCHASE OR UPKEEP OF CEMETERY LOTS OR VAULTS
24 - FUNERALS, BURIALS, OR CREMATION
burial fees flowers for funeral musician honoraria
Section # Part Variable Name Question Text Skip Instructions
limousines (used
burial plans clergy funeral transcript
during funeral)
headstones footstones
19 A MISCDESC What was the expense for? <30 characters> [goto MISCMO]
19 A MISCMO In what month did you have this expense? <REF_MONTH - CUR_MONTH, 13, D, R>
[goto MISCGFTC]
Fill: [ * Enter 13 for same amount each month of the reference
period.]
19 A MISCGFTC Was this expense for someone inside or outside your household? <1, 2, D, R> [goto MISCEXPX]
1. For household
2. For someone outside your household
19 A MISCEXPX [fill: What was the total amount of this expense?/What is your monthly <1-999999, D, R> [If MIS_ITEM = 15-
expense?] 24 goto S19ACM_S]
[goto MISCMORE]
[fill: * Do not include legal fees related to real estate closing costs
reported in Section 3]
19 A S19ACM_S *Enter a 'C' for a combined expense. <C> [goto S19ACMB]
<empty> [goto MISCMORE]
19 A S19ACMB (Book) 41-42 <15-24> [goto MISCMORE]
What other expense is the [fill: description] combined with?
* Enter all that apply, separate with commas.
[display: (combination)]
19 A MISCMORE Did you have any other expenses for [fill: description]? <1, 2, D, R> [goto MIS_ITEM, next
line in grid]
1. Yes
2. No
Section # Part Variable Name Question Text Skip Instructions
22 A ANYWORK Since the first of [fill: Ref_Month], did [fill: you/NAME] earn any <1> [goto 22A_INTRO]
income from wages or salary? <2,D,R> [If CUR_MONTHNUM = 7-9
AND ( 85.SOCSECIN = 1 or 85.RRRETINC
1. Yes = 1 or
2. No 85.SUPPLINC = 1 or
85.SLSSI = 1) then goto PYMT2009]
[ELSE, goto S22A_CHECK]
22 A S22A_INTRO The next few questions are about income. We know people aren't used <1> goto INCWEEKQ
to discussing their income, but please be assured that, like all other
information you have provided, these answers will be kept strickly
confidential.
22 A INCWEEKQ In the past 12 months, including paid vacation and sick leave, how many <0> [goto
weeks did [fill: you/NAME] work? INCNONWK ]
<1-52, D,R > [goto
* If household member did not work, enter zero.
22 A INC_HRSQ In the weeks that [fill: you/NAME] worked, how many hours did [fill: <1-168 D,R> [goto
you/he/she] usually work per week?
22 A OCCUCODE (Book) 46 ? [F1] <1-18 D,R> [goto INCOMEY ]
Which of the following categories best describes the job in which [fill:
you/NAME] received the most earnings during the last 12 months?
1. Administrator, manager 11. Machine
operator, assembler, inspector
2. Teacher 12. Transportation
operator
3. Professional 13. Handler, helper,
laborer
4. Administrative support including clerical 14. Mechanic,
repairer, precision production
5. Sales, retail 15. Construction,
mining
6. Sales, business goods and services 16. Farming
7. Technician 17. Forestry, fishing,
groundskeeping
8. Protective service 18. Armed Forces
22 A H_OCCUCODE Section 22 OCCUPATIONS <Esc>
1 - ADMINISTRATOR, MANAGER
administrator manager funeral director
2 - TEACHER
teacher guidance counselor
3 - PROFESSIONAL
accountant computer programmer
computer systems analyst
engineer physician clergy registered nurse
social worker lawyer
4 - ADMINISTRATIVE SUPPORT, INCLUDING CLERICAL
bookkeeper clerk computer
assistant
receptionist secretary typist
5 - SALES, RETAIL
apparel salesperson cashier
commodity salesperson
door to door salesperson motor vehicle salesperson
6 - SALES, BUSINESS GOODS AND SERVICES
financial services insurance
salesperson
manufacturing sales representative mining sales
representative
real estate sales person wholesale sales
representative
7 - TECHNICIAN
clinical laboratory technician drafting
electronic technician
health technician practical nurse
8 - PROTECTIVE SERVICE
firefighter police officer private guard
9 - PRIVATE HOUSEHOLD SERVICE
household worker nanny
10 - OTHER SERVICE
child care worker cook food
counter/fountain worker orderly
food preparer hairstylist maid/houseman janitor
waiter/waitress
11 - MACHINE OPERATOR, ASSEMBLER, INSPECTOR
assembler inspector machine
operator
12 - TRANSPORTATION OPERATOR
bus driver tractor operator truck
driver
13 - HANDLER, HELPER, LABORER
construction laborer freight handler
packager
material handler stock handler
14 - MECHANIC, REPAIRER, PRECISION PRODUCTION
automobile mechanic machine repairer
machinist
meat cutter sheet metal
worker tailor
15 - CONSTRUCTION, MINING
carpenter electrician
mining worker
painter plumber
16 - FARMING
farmer farm worker
17 - FORESTRY, FISHING, GROUNDSKEEPING
animal caretaker fisher forestry
worker
groundskeeper
18 - ARMED FORCES
22 A INCOMEY [fill: Were/Was] [fill: you/NAME]: <1-4, 6, D, R> [goto SALARYST]
<5> [goto INCORP]
1. An employee of a PRIVATE company, business, or individual
working for wages or salary?
2. A Federal government employee?
3. A State government employee?
4. A local government employee?
5. Self-employed in [fill: your/his/her] OWN business, partnership,
professional practice, or farm?
6. Working WITHOUT PAY in a family business or farm?
22 A INCORP Is [fill: your/NAME's] business incorporated? <1,2 D,R> [goto SALARYST]
1. Yes
2. No
Section # Part Variable Name Question Text Skip Instructions
22 A INCNONWK What was the main reason [fill: you/NAME] did not work during the last <1-5,D,R> [goto SALARYST]
12 months? <6> [goto INCOTH]
[fill: Were/Was] [fill: you/he/she] -
1. Retired?
2. Taking care of home/family?
3. Going to school?
4. Ill, disabled, unable to work?
5. Unable to find work?
6. Doing something else? Specify
22 A INCOTH * Specify: <30 characters> [goto
22 A SALARYST During the last 12 months, did [fill: you/NAME] receive any money in <1> [goto SALARYX]
wages or salary? <2,D,R> [goto NONFARM]
Include all bonuses and overtime pay, commissions, tips, allowances,
Armed Forces pay,
severance pay, teaching fellowships, etc.
1. Yes
2. No
22 A SALARYX During the last 12 months, how much did [fill: you/NAME] receive in <1-99999999> [goto
wages and salaries for ALL JOBS before any deductions? GROSPAYX]
22 A SALARYB (Book) 47 <1-11,D,R> [goto GROSPAYX]
Could you tell me which range on CARD A best reflects [fill:
your/NAME] total wages and salaries for ALL JOBS during the last 12
months?
1. $0-$4,999 7. $40,000-$49,999
2. $5,000-$9,999 8. $50,000-$69,999
3. $10,000-$14,999 9. $70,000-$89,999
4. $15,000-$19,999 10. $90,000-$119,999
5. $20,000-$29,999 11. $120,000 and over
6. $30,000-$39,999
22 A GROSPAYX What was the amount of [fill: your/NAME's] last pay before any <1-99999999,D,R> [goto
PAYPERD]
Section # Part Variable Name Question Text Skip Instructions
22 A PAYPERD What period of time did this cover? <1-6,D,R> [goto FEDTAX]
<7> [goto PAYPRDOT]
1. One week
2. Two weeks
3. Month
4. Quarter
5. Year
6. Twice a month
7. Other
22 A PAYPRDOT * Specify: <30 characters> [goto FEDTAX]
22 A FEDTAX Was there any money deducted from [fill: your/NAME's] pay for- <1> [goto AMTFED]
<2,D,R> [goto SLTAX]
Federal income tax?
1. Yes
2. No
22 A AMTFED How much? <1-99999999 D,R> [goto SLTAX]
22 A SLTAX Was there any money deducted from [fill: your/NAME's] pay for- <1> [goto SLTAXX]
<2,D,R> [goto PRIVPENS]
State or local income tax?
1. Yes
2. No
22 A SLTAXX How much? <1-99999999, D, R> [goto PRIVPENS]
22 A PRIVPENS Was there any money deducted from [fill: your/NAME's] pay for- <1> [goto PRIVPENX]
<2,D,R> [goto GOVRET]
Private pension fund?
1. Yes
2. No
22 A PRIVPENX How much? <1-99999999 D,R> [goto GOVRET]
22 A GOVRET Was there any money deducted from [fill: your/NAME's] pay for- <1> [goto GOVRETX]
<2,D,R> [goto RRRDED]
Government retirement?
1. Yes
2. No
Section # Part Variable Name Question Text Skip Instructions
22 A GOVRETX How much? <1-99999999 D,R> [goto RRRDED]
22 A RRRDED Was there any money deducted from [fill: your/NAME's] pay for- <1> [goto RRRDEDX]
<2,D,R> [goto SSDED]
Railroad retirement?
1. Yes
2. No
22 A RRRDEDX How much? <1-99999999 D,R> [goto SSDED]
22 A SSDED Was there any money deducted from [fill: your/NAME's] pay for- <1> [goto MEDICOV]
<2,D,R> [goto SSNORM]
Social Security including Medicare?
1. Yes
2. No
22 A SSNORM Are Social Security payments NORMALLY deducted from [fill: <1> [goto MEDICOV]
your/NAME's] pay? <2,D,R> [goto EMPLUN]
1. Yes
2. No
22 A MEDICOV Does the money deducted for Social Security cover only the Medicare <1,2,D,R> [goto EMPLCONT]
portion of Social Security?
1. Yes
2. No
22 A EMPLCONT Other than Social Security, did any employer or union contribute to [fill: <1,2,D,R> [goto NONFARM]
your/NAME's] pension or retirement plan in the last 12 months?
1. Yes
2. No
22 A NONFARM During the last 12 months, did [fill: you/NAME] have any income or <1> [goto NONFARMX]
loss from [fill: your/NAME's] own nonfarm business, partnership, or <2,D,R> [goto FARMINC]
professional practice?
1. Yes
2. No
22 A NONFARMX What was the amount of income or loss after expenses? <0> [goto FARMINC]
<1-99999999> [goto NFRMLOSS]
<D,R> [goto NONFARMB]
Section # Part Variable Name Question Text Skip Instructions
22 A NFRMLOSS Was this an income or loss? <1, 2, D, R> [goto FARMINC]
1. Loss
2. Income
22 A NONFARMB (Book) 47 <0-11,D,R> [goto FARMINC]
Could you tell me which range on CARD A best reflects [fill:
your/NAME's] income or loss from [fill: your/NAME's] own nonfarm
business, partnership or professional practice during the last 12 months?
0. Loss 6. $30,000-$39,999
1. $0-$4,999 7. $40,000-$49,999
2. $5,000-$9,999 8. $50,000-$69,999
3. $10,000-$14,999 9. $70,000-$89,999
4. $15,000-$19,999 10. $90,000-$119,999
5. $20,000-$29,999 11. $120,000 and over
22 A FARMINC During the last 12 months, did [fill: you/NAME] have any income or loss <1> [goto FARMINCX]
from [fill: your/NAME's] own farm? <2,D,R> [goto INDRETAC]
1. Yes
2. No
22 A FARMINCX What was the amount of income or loss after expenses? <0> [goto INDRETAC]
<1-99999999> [goto FARMLOSS]
22 A FARMLOSS Was this an income or loss? <1,2,D,R> [goto INDRETAC]
1. Loss
2. Income
22 A FARMINCB (Book) 47 <0-11,D,R> [goto INDRETAC]
Could you tell me which range on CARD A best reflects [fill:
your/NAME's] income or loss from [fill: your/NAME's] own farm during
the last 12 months?
0. Loss 6. $30,000-$39,999
1. $0-$4,999 7. $40,000-$49,999
2. $5,000-$9,999 8. $50,000-$69,999
3. $10,000-$14,999 9. $70,000-$89,999
4. $15,000-$19,999 10. $90,000-$119,999
5. $20,000-$29,999 11. $120,000 and over
Section # Part Variable Name Question Text Skip Instructions
22 A INDRETAC During the last 12 months, did [fill: you/NAME] place any money in a <1> [goto INDRETX]
retirement plan such as an Individual Retirement Account (IRA) or <2,D,R> [goto SOCSECIN]
Keogh? Do not include rollovers.
1. Yes
2. No
22 A INDRETX How much? <1-99999999,D,R> [goto SOCSECIN]
22 A SOCSECIN During the last 12 months, did [fill: you/NAME] receive, from the US <1,2,D,R> [goto RRRETINC]
Government, any money from-
Social Security checks?
1. Yes
2. No
22 A RRRETINC During the last 12 months, did [fill: you/NAME] receive, from the US <1,2,D,R> [if SOCSECIN is 1 or
Government, any money from- RRRETINC is 1, goto RRRETIRX]
[else, goto SUPPLINC]
Railroad Retirement checks?
1. Yes
2. No
22 A RRRETIRX What was the amount of the last Social Security or Railroad Retirement <1-99999999> [goto
payment received? INCMEDCR]
<D,R> [goto
22 A RRRETIRB (Book) 48 <1-10,D,R> [goto INCMEDCR]
Could you tell me which range on CARD B best reflects the amount of
[fill: your/NAME's] last Social Security or Railroad Retirement payment
during the last 12 months?
1. Less than $300 7. $800-$899
2. $300-$399 8. $900-$999
3. $400-$499 9. $1,000-$1,499
4. $500-$599 10. $1,500 and over
5. $600-$699
6. $700-$799
22 A INCMEDCR Is this amount AFTER the deduction for a Medicare premium? <1,2,D,R> [goto SS_RRQ]
1. Yes
2. No
Section # Part Variable Name Question Text Skip Instructions
22 A SS_RRQ During the last 12 months, how many Social Security or Railroad <1-52,D,R> [goto SUPPLINC]
Retirement payments did
[fill: you/NAME] receive?
22 A SUPPLINC During the last 12 months, did [fill: you/NAME] receive any- <1,2,D,R> [goto SLSSI]
Supplemental Security Income (SSI) payments from the US Government?
1. Yes
22 A SLSSI During the last 12 months, did [fill: you/NAME] receive any- <1,2,D,R> [if SUPPLINC is 1 or SLSSI is
1, goto SSIX]
Supplemental Security Income (SSI) payments from the STATE or [ELSEIF CUR_MONTHNUM
LOCAL government? = 7-9 AND (SOCSECIN = 1 or RRRETINC
= 1) then goto
1. Yes PYMT2009]
2. No [else, goto S22A_CHECK]
22 A SSIX During the last 12 months, how much did [fill: you/NAME] receive in <1-99999999> [IF CUR_MONTHNUM =
Supplemental Security Income checks from ALL government sources? 7-9 then goto PYMT2009] [ELSE goto
S22A_CHECK]
<D,R> [goto SSIB]
22 A SSIB (Book) 49 <1-12,D,R> [IF CUR_MONTHNUM = 7-
9 then goto PYMT2009] [ELSE goto
Could you tell me which range on CARD C best reflects the amount [fill: S22A_CHECK]
your/NAME] received in Supplemental Security income from all
government sources during the last 12 months?
1. $0-$999 7. $10,000-$14,999
2. $1,000-$1,999 8. $15,000-$19,999
3. $2,000-$2,999 9. $20,000-$29,999
4. $3,000-$3,999 10. $30,000-$39,999
5. $4,000-$4,999 11. $40,000-$49,999
6. $5,000-$9,999 12. $50,000 and over
Section # Part Variable Name Question Text Skip Instructions
22 A PYMT2009 In early 2009, the Federal government approved the American <1> [goto HWUSED09]
Recovery and Reinvestment Act. <2,D,R> [goto S22A_CHECK]
As a result of the act, in May or June 2009 many people who receive
Social Security, SSI, or Railroad Retirement benefits also received a one
time stimulus payment of $250. This is different from a refund on your
annual income taxes.
In May or June 2009, did [fill: you/NAME] receive a one time stimulus
payment of $250?
1. Yes
2. No
22 A HWUSED09 Did the $250 stimulus payment lead [fill: you/NAME] mostly to <1-3,D,R> [goto S22A_CHECK]
increase spending, mostly to increase savings, or mostly to pay off debt?
1. Mostly to increase spending
2. Mostly to increase savings
CONTROL CARD - PRE_CC1 ** CHECK ITEM ** [If INTNMBR is 1 or replacement
household (3rd position of CASEID = R)
goto FNAME]
CONTROL CARD - STLLIV I have listed . . . . READ NAMES <1, 2> [goto PERSTAT]
Are all of these persons still living or staying here?
[fill: * This case is part of a Multi-CU address. There are [fill:
RT8500.TOTALCU] CU's for this address]
[fill: Name of all household members]
1. Yes
2. No
Section # Part Variable Name Question Text Skip Instructions
CONTROL CARD - PERSTAT * [fill: Use up/down arrows to move to the correct row for <7, 9, 99>
membership change.
When done, REVIEW/Update demographics. Press END key /
Use left/right arrows to move to REVIEW/Update demographics.
When done, Press END key ]
7. Delete person
9. Reinstate person
99. Error - person should not have been listed
CONTROL CARD - FNAME [Fill: What are the names of all persons living or staying here? <16 characters> [goto LNAME]
Start with the name of the person, or one <999> [goto CHECKS]
of the persons, who owns/rents this home/ What is the name of the
next person living or staying here?]
CONTROL CARD - LNAME * Enter Last Name <16 characters> [goto CU_CODE]
<empty>
CONTROL CARD - CU_CODE * Ask if not apparent <1-10, D, R> [goto SEX]
<Empty>
What is [Fill: your/name’s] relationship to [Fill: you/name of
reference person/the owner/renter]?
* If the is the Reference Person, enter 1
(The Reference person is one of the persons who owns or rents
this home.)
1. Reference person
2. Spouse (Husband/Wife)
3. Child or adopted child
4. Grandchild
5. In-Law
6. Brother or Sister
7. Mother or Father
8. Other related person (Aunt, Uncle, etc.)
9. Unrelated Person (Lodger, Lodger’s spouse, foster child,
etc.)
10, Unmarried Partner
Section # Part Variable Name Question Text Skip Instructions
CONTROL CARD - SEX * Ask if not apparent <1, 2, D, R> [goto AWAY_COL]
<Empty>
[Fill: Are you/Is (name)] male or female?
1. Male
2. Female
CONTROL CARD - ERR_SEX1 [go back to SEX or Rel as appropriate]
Soft Edit <suppressed> [goto ERR_SEX2]
------------------------------------------------------------------------------------
--------------------------------------------
* Is one of the following SEX entries incorrent?
* Please Verify
------------------------------------------------------------------------------------
--------------------------------------------
Question involved | Value
------------------------------------------------------------------------------------
--------------------------------------------
cu_code:Rel
sex:sex
(SEX)
sex:sex
________________________________________________________
_________________________
|
Suppress | | Close | | Goto |
------------------------------------------------------------------------------------
Section # Part Variable Name Question Text Skip Instructions
CONTROL CARD - ERR_SEX2 Soft Edit <suppressed> [goto AWAY_COL]
------------------------------------------------------------------------------------
--------------------------------------------
You said that [Fill: name] is [Fill: (name of reference person)’s] spouse?
Is that correct?
------------------------------------------------------------------------------------
--------------------------------------------
Question involved | Value
------------------------------------------------------------------------------------
--------------------------------------------
CU_CODE: Rel
(CU_CODE of refper)
CU_CODE: Rel
(Spouse (husband/wife)
SEX: Sex
________________________________________________________
______________________
| Suppress
| | Close | | Goto |
------------------------------------------------------------------------------------
CONTROL CARD - AWAY_COL * Ask if not apparent <1> [goto SEX for next person on
grid]
[Fill: Are you/Is (name)] living away at college? <2, D, R> [If PERSTAT = 7 then goto
SEX for next person on grid] [goto
1. Yes HH_MEM]
2. No
CONTROL CARD - HH_MEM [Fill: Do you/Does (name)] usually live here? <1, 2, D, R> [goto next line of grid]
<empty>
* Probe if usual place of residence is elsewhere.
1. Yes
2. No
Section # Part Variable Name Question Text Skip Instructions
CONTROL CARD - HHRESP * Ask if necessary <1-30, 95> [If ((intnmbr is 1 or newcu is 1)
AND Newunit is not S) OR Replace is 1,
With whom am I speaking? goto MCHILD]
Enter line number [Else goto NEWLIV]
[fill: Name of all household members]
95. Proxy Respondent
CONTROL CARD - MCHILD I have listed . . . * READ NAMES <1> [go back to where FNAME = 999]
Have I missed any babies or small children?
1. Yes
2. No
CONTROL CARD - MAWAY Have I missed anyone who usually lives here but is <1> [go back to where FNAME = 999]
away now - traveling, at school, or in a hospital?
1. Yes,
2. No
CONTROL CARD - MLODGE Have I missed any lodgers, boarders, or persons <1> [go back to where FNAME = 999]
you employ who live here?
1. Yes
2. No
CONTROL CARD - MELSE Have I missed anyone else staying here? <1> [go back to where FNAME = 999]
1. Yes
2. No
CONTROL CARD - NEWLIV Is anyone else living or staying here, including newborn babies? <1> [go back to where FNAME = 999]
<2> [goto CK_SUBFAMILY]
[fill: Name of all household members]
1. Yes, add new person
2. No
Section # Part Variable Name Question Text Skip Instructions
CONTROL CARD - CK_SUBFAMILY ** CHECK ITEM ** 1. If there are no non-rels is the household
who are cu/household members then, store
line numbers
in SUBFAM2(1,X) and goto
SET_CUNUMBER
2. If there are more than 1 non-rel who are
CU/household members in the household
(CU_CODE = 9)
then goto SUBFAM1
3. All others go to SET_SUBFAMS
CONTROL CARD - SUBFAM1 Earlier you said that [fill: (name) was/you were] <1> [goto SUBFAM2]
not related to [fill: name(refper)]. <2> [goto SUBFAM1 for next unassigned
[Fill: Are you/Is (name)] related to anyone else in this household? non-rel]
[if no more non-rels, goto
1. Yes SET_SUBFAMS]
2. No
CONTROL CARD - SUBFAM2 Who [fill: are you/is (name)] related to? <1-30> [goto SUBFAM, for next
unassigned non-rel]
PROBE: Anyone else? [If no more non-rels, goto
SET_SUBFAMS]
Enter line number(s), separate with commas
CONTROL CARD - SHELTX [fill: * Begin financial responsibility questions to determine CU's] <1,2,D,R> [goto FOODX]
[fill: Do/Does] (READ NAME) pay for all [fill: your/his/her/their]
housing
expenses with [fill: your/his/her/their] own money?
( List the names of persons in this subfamily )
1. Yes
2. No
CONTROL CARD - FOODX fill: Do/Does] (READ NAMES) pay for all [fill: your/his/her/their] food <1> [if SHELTX is 1, goto SHELTC
for next subfam; if not more subfams then
expenses with [fill: your/his/her/their] own money? goto
UPDATE_SUBFAM]
( List the names of persons in this subfamily ) [else goto OTHERX]
1. Yes
Section # Part Variable Name Question Text Skip Instructions
CONTROL CARD - OTHERX [Fill: Do/Does] [(READ NAMES) pay for all [fill: (your/his/her/their)] <1> [If sheltx is 1 OR foodx is 1, goto
other sheltx for next subfamily: if no More
living expenses such as clothing or transportation with [fill: subfamiles, goto
your/his/her/their] own money? UPDATE_SUBFAM]
[goto SUPSRC]
( List the names of persons in this subfamily ) <2,D,R> [goto SUPSRC]
1. Yes
2. No
CONTROL CARD - SUPSRC Does all or part of the money to pay for <1> [goto SUPRT1]
(READ NAMES) [fill description] come from someone <2,D,R> [goto SHELTX for next
in this household? subfamily]
[if no more subfamilies, goto
( List the names of persons in this subfamily )
1. Yes
2. No
CONTROL CARD - SUPRT1 Who is that person(s)? <1-30,D,R> [goto SHELTX for next
subfamily]
* Enter line number(s), separate with commas [if no more, goto
UPDATE_SUBFAM]
CONTROL CARD - CONSUMER_UNITS * HOUSEHOLD MEMBERS BROKEN INTO APPROPRIATE CU’s <1> [goto CU_INTRO]
(List CU# Line number and name)
1. Enter 1 to Continue
CONTROL CARD - CU_INTRO During this interview, I will use the word household to refer to the group <1> [goto BIRTH_MO]
of related persons who are independent of all other persons living at this
address for payment of their major expenses.
* A "household" is considered one Consumer Unit
The [fill: person/persons] I'm including in your household [fill: is/are]
(READ NAME(S))
[Fill: CU MEMBERS]
1. Enter 1 to Continue
Section # Part Variable Name Question Text Skip Instructions
CONTROL CARD - BIRTH_MO [fill: * UPDATE Marital, Education, College and Armed Forces <1-12, D, R> [goto BIRTH_YR]
Press END when done ] <empty>
What is the month and year of [Fill: your/(name)’s] birth?
* Enter Birth Month
1. January 7. July
2. February 8. August
3. March 9. September
4. April 10. October
5. May 11. November
6. June 12. December
CONTROL CARD - BIRTH_DY
**CHECK ITEM**
CONTROL CARD - BIRTH_YR * Enter Birth Year (Enter 4 digit year - ex: 1964) <1900 - current year, D, R> [goto AGE]
<empty>
CONTROL CARD - AGE [Fill: As of today, that would make [Fill: you/(name)] [Fill: less than <00-200> [goto HORIGIN]
1/over98/ <D,R> [goto AGE2]
approximately (age)] [Fill: year/years] old. <Empty>
Is that correct?
PRESS ENTER if correct /
Even though you don’t know [Fill: your/(name)’s] exact
birthdate, what is your
best guess as to how old [Fill: you/he/she] [Fill: were/was] on
[Fill: your/his/her] last birthday? ]
99. 99 years or older
00 - 98 0 to 98 years old ]
CONTROL CARD - AGE2 * Ask if necessary <1,2,D,R> [goto HORIGIN]
[Fill: Are/Is] [Fill: you/he/she] under 16?
1. Yes
2. No
Section # Part Variable Name Question Text Skip Instructions
CONTROL CARD - HORIGIN (Book) 2 <1> [goto HISPANIC]
<2, D, R> [goto MULTRACE]
[Fill: Are/Is] [fill: you/name] Hispanic, Latino, or Spanish? <Empty>
1. Yes
2. No
CONTROL CARD - HISPANIC (Book) 2 <1-7, D, R> [goto MULTRACE]
[Fill: Are/Is] [Fill: you/name] - <8> [goto HISPOTH]
<Empty>
1. Mexican?
2. Mexican-American?
3. Chicano?
4. Puerto Rican?
5. Cuban?
6. Cuban-American?
7. Central or South American?
8. Other? (Specify)
CONTROL CARD - HISPOTH * Specify: <30 characters> [goto MULTRACE]
<Empty>
CONTROL CARD - MULTRACE (Book) 2 <1-3, 5, 7, R> [goto MARITAL]
<4> [goto ASIAN]
Please chose one or more races that [fill: [fill: (name)/you] [fill: <6> [goto RACESP]
considers/consider] <Empty>
[fill: himself/herself/yourself] to be. / you consider [fill: child's
name] to be.]
* Probe if necessary
* Enter all that apply, separate with commas
1. White
2. Black or African American
3. American Indian or Alaska Native
4. Asian
5. Native Hawaiian or other Pacific Islander
6. Other Specify
7. Don't Know
Section # Part Variable Name Question Text Skip Instructions
CONTROL CARD - ASIAN (Book) 2 <1-6, D, R> [goto MARITAL]
<7> [goto ASIANOTH]
Please select one of the following to describe [fill: your/name's] origin. <Empty>
[fill: Are/Is] [Fill: you/name] -
1. Chinese?
2. Filipino?
3. Japanese?
4. Korean?
5. Vietnamese?
6. Asian Indian?
7. Other? (Specify)
CONTROL CARD - ASIANOTH * Specify: <30 characters>
<Empty>
CONTROL CARD - RACESP * Specify other race <40 characters> [goto MARITAL]
<empty>
CONTROL CARD - MARITAL * Ask if not apparent <1-5,D,R> [if AGE ge 14 or Agerng is 8 or
9 goto EDUCA]
[fill: Are you/Is (name)] now - [goto BIRTH_MO for next
member]
1. Married? <Empty>
2. Widowed?
3. Divorced?
4. Separated?
5. Never married?
Section # Part Variable Name Question Text Skip Instructions
CONTROL CARD - EDUCA (Book) 3 <00-11,38,D,R> [if AGE 16-65 or agerng is
8 or 9, goto ARM_FORC]
What is the highest level of school [fill: name has/you have] completed [else goto BIRTH_MO for
or the highest next member]
degree [fill: name has/you have] received? <39-46> [goto IN_COLL]
<empty>
0. Never attended, preschool, kindergarten
1. 1st grade
2. 2nd grade
3. 3rd grade
4. 4th grade
5. 5th grade
6. 6th grade
7. 7th grade
8. 8th grade
9. 9th grade
10 10th grade
11. 11th grade
38. 12th grade NO DIPLOMA
39. HIGH SCHOOL GRADUATE - high school DIPLOMA, or
the equivalent
40. Some college but no degree
41. Associate degree in college - Occupational program
42. Associate degree in college - Academic program
43. Bachelor’s degree (Example: BA, AB, BS)
44. Master’s degree (Example: MA, MS, Meng, MSW, MBA)
45. Professional School Degree (Example: MD, DDS, DVM,
LLB, JD)
46. Doctorate degree (Example: PhD, EdD)
CONTROL CARD - IN_COLL [Fill: Are you/Is name] currently enrolled in a college or university <1-3,D,R> [If AGE is 16 - 65 or agerng is
either - 8 or 9, goto ARM_FORC]
[goto BIRTH_MO for next
1. Full-time? member]
2. Part-time? <empty>
CONTROL CARD - ARM_FORC (Book) 3 ? [F1] <1,2,D,R> [If this is the last person, goto
CHECKS2]
[Fill: Are you/Is (name)] now in the Armed Forces? [Else goto BIRTH_MO for the
next person]
1. Yes <empty>
2. No
Section # Part Variable Name Question Text Skip Instructions
CONTROL CARD - H_ARMFORC ARMED FORCES -- A person is considered to be in the armed forces if <Esc key> [goto ARM_FORC]
they serve in any branch of the
U.S. military. This includes the Army, Navy, Marine
Corps, Air Force and Coast
Guard, their Reserve components and the Air and
Army National Guard.
ARMED FORCES includes:
U.S. Army
U.S. Navy
U.S. Marine Corps
U.S. Air Force
U.S. Coast Guard
Reserve components for any of the above
Air National Guard
Army National Guard
CONTROL CARD - CE_INTRO As we start, please understand that we ask the same questions of <1> [goto SECTION1]
everybody we talk to. I realize some of these questions may not apply to
your household.
Most questions that I will be asking refer to a specific time period.
During this interview, the time period, unless I state otherwise is for the
Past [fill: month/three months], that is, from the 1st day of [Fill:
REF_MONTH] to today.
Most of my questions are about expenses your household had or bills
you've received. You will find it helpful to have your checkbook register,
credit card statements, and other records as you answer the questions.
Control Card - AGE62 **Check Item**
Section # Part Variable Name Question Text Skip Instructions
INTROSEC |
INTRO |
You are one of the approximately 100 people that have been recruited to participate in this research study. You will receive 100 dollars upon the completion of both interviews.
Your participation is voluntary and you may stop the interview at any time. You may also refuse to answer any question. If we come to a question you don’t want to answer, you can let me know and we can skip over it. Your participation in this study and the information you give will in no way affect your legal status. On average, the interview takes about 90 minutes. |
<1 > [goto INTRO1] |
INTROSEC |
INTRO1 |
HAND R CONSENT FORM. This will review what I just talked about, and it will give you more information about the study. Let’s go over this together. READ THE CONSENT FORM TO R. READ FROM YOUR OWN COPY. Do you have any questions? ANSWER ANY OF R’S QUESTIONS. PRESS [ENTER] TO CONTINUE |
<1 > [goto INTRO2] |
INTROSEC |
INTRO2 |
IF R AGREES TO PARTICIPATE, HAND R PEN AND INSTRUCT R TO CHECK THE BOX ON THE CONSENT FORM. TAKE BACK THE PEN AND THE FORM. SIGN AND DATE THE FORM. GIVE R BOTTOM COPY. RETURN YOUR COPY OF THE CONSENT FORM TO YOUR INTERVIEWING MATERIALS FOR LATER SHIPMENT TO RTI. MAKE SURE YOU HAVE SIGNED AND DATED THE FORM. DID R CONSENT TO THE INTERVIEW BY CHECKING THE BOX OR DID R REFUSE THE INTERVIEW?
|
<1 > [goto FNAME] <2> END INTERVIEW |
INTROSEC |
INTRO3 |
DID R CONSENT TO THE INTERVIEW BEING AUDIO-RECORDED?
|
<1-2> [goto INTRO4] |
INTROSEC |
INTRO4 |
DID R CONSENT TO THE INTERVIEW BEING OBSERVED?
|
<1-3> [goto FNAME] |
| File Type | application/vnd.openxmlformats-officedocument.wordprocessingml.document |
| Author | brattland_j |
| File Modified | 0000-00-00 |
| File Created | 2021-01-31 |