FRONT
|
H_PURPOSE
|
FREQUENTLY
ASKED QUESTIONS
1.
What is this survey all about?
2. Who uses this
information? What good is it?
3. How is the data
collected? How many times will I be interviewed?
4. I
hesitate to tell some things about myself, what protection do I
have?
5. Is this survey authorized by law?
6. Proceed
with the interview
|
1:
Goto H_PURPOSE1
2: Goto H_PURPOSE2
3: Goto
H_PURPOSE3
4: Goto H_PURPOSE4
5: Goto H_PURPOSE5
6:
Return to interview
|
FRONT
|
H_PURPOSE1
|
WHAT
IS THIS SURVEY ALL ABOUT?
The
Consumer Expenditure Survey collects information from the
Nation's households and families on their buying habits
(expenditures), income, and characteristics. The strength
of the survey is that it allows data users to relate the
expenditure and income of consumers to the characteristics of
those consumers.
1.
Enter 1 to Continue
|
Return
to interview
|
FRONT
|
H_PURPOSE2
|
WHO
USES THIS INFORMATION? WHAT GOOD IS IT?
Data
from the Consumer Expenditure Survey are used in a number of
different ways by a variety of users. An important use of
the survey by the Bureau of Labor Statistics is for the periodic
revisions of the Consumer Price Index (CPI). Survey
results are used to select new market basket of goods and
services for the CPI, to determine the relative importance of CPI
components and to derive new cost weights for the market basket.
Government and private agencies use the data to study the welfare
of particular segments of the population. Economic
policymakers use the data to study the impact of policy changes
in the welfare of different socioeconomic groups.
Researchers use the data in a variety of studies, including those
that focus on the spending behavior of different family types and
historical spending trends.
1.
Enter 1 to Continue
|
Return
to interview
|
FRONT
|
H_PURPOSE3
|
HOW
IS THE DATA COLLECTED?
HOW MANY TIMES WILL I BE INTERVIEWED?
^H_PURPOSE3
1.
Enter 1 to Continue
|
Return
to interview
|
FRONT
|
H_PURPOSE4
|
I
HESITATE TO TELL SOME THINGS ABOUT MYSELF.
WHAT PROTECTION DO I HAVE?
The
information that respondents provide is used solely for
statistical purposes. All Census Bureau data collectors take an
oath of confidentiality and are subject
to fines and
imprisonment for improperly disclosing information provided by
respondents. Names and addresses are removed from all forms
and that information is not released as part of any statistical
data.
1.
Enter 1 to Continue
|
Return
to interview
|
FRONT
|
H_PURPOSE5
|
IS
THIS SURVEY AUTHORIZED BY LAW?
The
Bureau of Labor Statistics conducts the Consumer Expenditure
Survey under the authority of Title 29 of the U.S. Code.
Congress authorizes the financial support for the CE survey
through Public Laws 94-439 and 95-205.The Bureau of the Census
collects the CE data under the authority of Title 13, U.S. Code,
Section 8b, which allows the Census Bureau to undertake surveys
for other government agencies. Participation in the survey
is voluntary. Under Title 13, the Census Bureau holds all
information in strict confidence. We will not release
information reported in the survey which would permit the
identification of a household or any of its members to anyone
outside of the Census Bureau.
1.
Enter 1 to Continue
|
Return
to interview
|
FRONT
|
START
|
CENSUS
CATI/CAPI
SYSTEM
CONSUMER EXPENDITURE
SURVEYS
QUARTERLY
INTERVIEW SURVEY
DATE: (current
date) TIME: (time)
INTERVIEW
NUMBER: (1/2/3/4/5) CASE
STATUS IS: (case status)
(THIS HOUSEHOLD IS A CONFIRMED REFUSAL/ )
(Press END to move to the next unanswered item/
)
1.
Continue
2. Skip notes
3. Ready to transmit
4.
Quit
5. Non-interview
|
1:
IF INTNMBR = 1 then goto GENINTRO
ELSE goto
SHOSTAT
2: Goto GENINTRO
3: exit block
and goto BBACK.TRANS
4: Exit block and goto
BBACK.VERIFY_INFO
5: exit block and goto
BCOVERAGE.NONTYP
|
FRONT
|
SHOSTAT
|
(This
household was not in sample last quarter. / )
INTERVIEW NUMBER PREVIOUS
OUTCOME DESCRIPTION
(1
/ ) (1st
month outcome #) (outcode
description)
(2
/ ) (2nd
month outcome # ) (Outcome
description)
(3
/ ) (3rd
month outcome # ) (Outcome
description)
(4
/ ) (4th
month outcome # ) (Outcome
description)
( BC NAME:
(name) / )
(BC TITLE: (title) /
)
^BC_Phon_Fill
(BC
ADDRESS: (Street address) / )
^BC_Add2_Fill
(BC
CITY: (city) / ), (BC STATE: (State) / )
(BC ZIP CODE: (zipcode) / )
(BC OBSERVATION: (Yes/No) / )
1.
Enter 1 to Continue
|
IF
ROSTERNAMEONINPUT = Yes then goto SHOWROS
ELSE goto
SHOW_NOTES
|
FRONT
|
SHOWROS
|
STATUS OF HOUSEHOLD COMPOSITION
Resp.
LN
Name
Member Relationship CU Sex
Age
(X
/ ) (Line #) (Name)
(Yes/No) (Relationship)
^Cu (1/2) (Age)
1.
Enter 1 to Continue
|
Goto
SHOW_NOTES
|
FRONT
|
SHOW_NOTES
|
INFORMATION
FROM PREVIOUS QUARTERS INTERVIEW
PRECHARTS: Press
Shift-F8 to view pre-charts
BEST
TIME TO CALL:
^Besttime1
(best
time specify)
SUNDAY
INTERVIEW: (No Sunday Interview/Sunday interview
okay)
Language Spoken Last
Quarter: (English/Spanish/(specify) )
Use
CNTRL-F7 to view case level notes
1.
Enter 1 to Continue
|
Goto
GENINTRO
|
FRONT
|
GENINTRO
|
Do
not read as worded below
o
Identify yourself - show I.D.
o
(Ask to speak to: (name) / Ask for eligible
respondent)
If unavailable use Shift-F1 for HH roster.
o (Ask to speak to: (name) / Ask for eligible
respondent)2
o
Introduce survey (Ask to speak to: (name) / Ask for
eligible respondent)3
o
The Household address is:
(House
#) (House #)suf (Street name)
(Unit
Designation)
o Read if necessary
I am (your name) from the U.S. Census Bureau. Here is my
identification card.
We are conducting a Consumer Expenditure Survey for the Bureau of
Labor Statistics.
I have some questions I would like to ask
you.
Did you receive our letter?
1.
Yes
2. No
3. Non-interview
|
1:
IF INTNMBR = 1 AND (RT25.QTYPE = 1, 2 or 3)
then
goto RECVDEBT
ELSE goto INTROB
2: Goto
GIVE_LETTER
3: Exit block and goto BCOVERAGE.NONTYP
|
FRONT
|
GIVE_LETTER
|
Hand
the respondent the letter.
Allow time to read
1.
Enter 1 to Continue
|
IF
INTNMBR = 1 AND (RT25.QTYPE = 1, 2 or 3)
then goto
RECVDEBT
ELSE goto INTROB
|
FRONT
|
RECVDEBT
|
^RECVDEBT_Fill
(Did
(READ NAMES) receive a debit card?/Did anyone living at this
address receive the debit card?)
(FNAME
and LNAME of all persons on the roster)
1.
Yes
2. No
|
1,RF:
Goto INTROB
2,DK: Goto NOTRCV40
|
FRONT
|
NOTRCV40
|
I'm
sorry that you did not receive the debit card. Upon completion
of the interview, we will send you another card in the amount of
$40 as soon as possible. If you also receive the original card
we sent, please destroy it since we will be deactivating it.
1.
Enter 1 to Continue
|
Goto
RCRDNM40
|
FRONT
|
RCRDNM40
|
Who
would you like the replacement card addressed to?
|
GotoINTROB
|
FRONT
|
INTROB
|
Is
Respondent ready to complete the interview?
1.
Continue
2. Reluctant Respondent
3. Non-interview
4.
Other Outcome
5. Wrong address
6. Inconvenient time
|
1:
IF INTNMBR = 2-5 AND [(NEWCU ne 1) or (NEWCU = 1 AND
ROSTERNAMEONINPUT = 'Yes')] AND not a replacement case then goto
REPLACE_HH
ELSE goto VERADD
3: exit block
and goto BCOVERAGE.NONTYP
2,4: Exit block and goto
BBACK.VERIFY_INFO
5: Exit block and goto
BBACK.DONE
6: Exit block and goto BBACK.APPTOTH
|
FRONT
|
REPLACE_HH
|
Is
this a Replacement Household?
1.
Yes
2. No
|
1:
Goto REPLACE_VER
2: Goto VERADD
|
FRONT
|
REPLACE_VER
|
A
replacement household means that there are no members of the
original household living at this
address. Are you sure that this is a replacement
household?
(This case is part of a multi-CU household. Verify that ALL
original members in all CU’s no longer live there. /
)
LN
Name Member Relationship CU
Sex Age
(Line #) (Name) (Yes/No)
(Relationship) ^Cu (1/2)
(Age)
1.
Yes
2. No
|
1:
IF RT8500.TOTALCU = 1 then goto ONE_CU
ELSE goto
REPLACE_VER2
2: Goto CK_REPLACEVER
|
FRONT
|
REPLACE_VER2
|
Has
a replacement case already been created/spawned for this
address?
If unsure, back up to the start screen and Quit out of the
instrument so you can check
case management.
1.
Yes
2. No
|
1
Exit block and goto BBACK.DONE
2: Goto MULTI_CU
|
FRONT
|
ONE_CU
|
A
replacement household Case will be spawned.
You
will need to exit this case and pull up the new Case
in
order to interview the replacement household.
The
case you are currently in will automatically become a type
C.
1.
Enter 1 to Continue
|
Exit
block and goto BBACK.DONE
|
FRONT
|
MULTI_CU
|
A
Replacement Household Case will be spawned.
You will need to exit this case and pull up the New Case in order
to interview
the
replacement household.
This
case is part of a Multi-CU Address.
The case you are currently in will automatically become a type
C,
But you MUST manually Type C all
other Cases. (There are (Total number of CUs from last
quarter) cases
that must be Type
C'd) If you do not have all these cases on your laptop,
contact your supervisor
so that the
other cases can be located and Type C'd.
1.
Enter 1 to Continue
|
Exit
block and goto BBACK.DONE
|
FRONT
|
VERADD
|
(*
Confirm address information (Only ask if necessary) )
I
have your address listed as
READ
ADDRESS BELOW. Is
that your exact address?
(House #) (House #)SUF (Street Name) (Unit
Designation)
(City), (State) (Zipcode)
Phy
des: (Physical
Description)
GQ
unit: (GQ
Unit Description)
Non-City: (Non-city
address)
Building: (Building
Name)
1.
Yes, address is EXACTLY CORRECT as listed.
2. Address is
MOSTLY CORRECT, needs minor changes.
3. INCORRECT ADDRESS
|
1:
Goto MAILAD
2: Goto NADDST1
3,RF:
Goto DONE
|
FRONT
|
NADDST1
|
Enter
corrections for House
Number or press
ENTER for Same/No Change.
(House #) (House #)SUF (Street Name) (Unit
Designation)
(City), (State) (Zipcode)
Phy
des: (Physical
Description)
GQ
unit: (GQ
Unit Description)
Non-City:
(Non-city
address)
Building: (Building
Name)
|
Goto
NADDST2
|
FRONT
|
NADDST2
|
Enter
corrections for House
# Suffix
or Press ENTER for Same/No Change
(House #) (House #)SUF (Street Name) (Unit
Designation)
(City), (State) (Zipcode)
Phy des:
(Physical
Description)
GQ
unit: (GQ
Unit Description)
Non-City:
(Non-city
address)
Building: (Building
Name)
|
Goto
NADDST3
|
FRONT
|
NADDST3
|
Enter
corrections for Street
Name
or Press ENTER for Same/No Change
(House #) (House #)SUF (Street Name) (Unit
Designation)
(City), (State) (Zipcode)
Phy
des: (Physical
Description)
GQ
unit:
(GQ
Unit Description)
Non-City:
(Non-city
address)
Building: (Building
Name)
|
Goto
NADDST4
|
FRONT
|
NADDST4
|
Enter
corrections for Unit
Designation
or Press ENTER for Same/No Change
(House #) (House #)SUF (Street Name) (Unit
Designation)
(City), (State) (Zipcode)
Phy
des: (Physical
Description)
GQ
unit: (GQ
Unit Description)
Non-City:
(Non-city
address)
Building: (Building
Name)
|
IF
FRAME = 3 or RT25.GQINAREA = 1 then goto NADDST5
ELSE goto
NADDST6
|
FRONT
|
NADDST5
|
Enter
corrections for Group Quarters Unit
Description
or Press ENTER for Same/No Change
(House #) (House #)SUF (Street Name) (Unit
Designation)
(City), (State) (Zipcode)
Phy
des: (Physical
Description)
GQ
unit:
(GQ Unit Description)
Non-City:
(Non-city
address)
Building: (Building
Name)
|
Goto
NADDST6
|
FRONT
|
NADDST6
|
Enter
corrections for Non
City Style Address
or Press ENTER for Same/No Change
(House #) (House #)SUF (Street Name) (Unit
Designation)
(City), (State) (Zipcode)
Phy
des: (Physical
Description)
GQ
unit: (GQ
Unit Description)
Non-City:
(Non-city
address)
Building: (Building
Name)
|
Goto
NADDPHYS
|
FRONT
|
NADDPHYS
|
Enter
corrections for Physical
Description
or Press ENTER for Same/No Change
(House #) (House #)SUF (Street Name) (Unit
Designation)
(City), (State) (Zipcode)
Phy
des: (Physical
Description)
GQ
unit: (GQ
Unit Description)
Non-City:
(Non-city
address)
Building: (Building
Name)
|
Goto
NADDCT
|
FRONT
|
NADDCT
|
Enter
corrections for
City
or Press ENTER for Same/No Change
(House #) (House #)SUF (Street Name) (Unit
Designation)
(City), (State) (Zipcode)
Phy
des: (Physical
Description)
GQ
unit:
(GQ Unit Description)
Non-City: (Non-city
address)
Building: (Building
Name)
|
Goto
NADDST
|
FRONT
|
NADDST
|
?
[F1]
Enter
corrections for State
or Press ENTER for Same/No Change
(House #) (House #)SUF (Street Name) (Unit
Designation)
(City), (State) (Zipcode)
Phy
des: (Physical
Description)
GQ
unit: (GQ
Unit Description)
Non-City:
(Non-city
address)
Building: (Building
Name)
|
Goto
NADDZP
|
FRONT
|
NADDZP
|
Enter
corrections for Zipcode
or Press ENTER for Same/No Change
(House #) (House #)SUF (Street Name) (Unit
Designation)
(City), (State) (Zipcode)
Phy
des: (Physical
Description)
GQ
unit:
(GQ Unit Description)
Non-City:
(Non-city
address)
Building:
(Building
Name)
|
ELSE
goto NADDBUIL
|
FRONT
|
NADDBUIL
|
Enter
corrections for Building
Name
or Press ENTER for Same/No Change
(House #) (House #)SUF (Street Name) (Unit
Designation)
(City), (State) (Zipcode)
Phy
des: (Physical
Description)
GQ
unit:
(GQ
Unit Description)
Non-City: (Non-city
address)
Building: (Building
Name)
|
Goto
CK_ADDRESS
|
FRONT
|
MAILAD
|
(Is
this also your mailing address?/I have your mailing address as
*READ ADDRESS BELOW. Is that correct?)
(Mailing
address entries / physical address entries)
1.
Yes
2. No
|
1:
Goto PHONENUM
2: Goto NMAILST1
|
FRONT
|
NMAILST1
|
Enter
change to Mailing address - House
#
or Press ENTER for Same/No
Change
Address:
Mailing
Address:
(House
#) (House #)SUF (Street Name) (House
#) (House #)SUF (Street Name)
(Unit
Designation) (Unit
Designation)
(City),
(State) (Zipcode)
(City),
(State) (Zipcode)
Phys
des:
(Physical
Description)
GQ
unit:
(GQ
Unit Description) GQ
unit: (GQ
Unit Description)
Non-Cty:
(Non-city
address) Non-city: (Non
City Address)
Building:
(Building
Name)
|
Goto
NMAILST2
|
FRONT
|
NMAILST2
|
Enter
change to Mailing address - House
# suffix or
Press ENTER for Same/No
Change
Address:
Mailing
Address:
(House
#) (House #)SUF (Street Name) (House
#) (House #)SUF (Street Name)
(Unit
Designation) (Unit
Designation)
(City),
(State) (Zipcode)
(City), (State) (Zipcode)
Phys
des:
(Physical Description)
GQ
unit:
(GQ Unit Description) GQ
unit: (GQ
Unit Description)
Non-Cty:
(Non-city address) Non-city: (Non
City Address)
Building:
(Building Name)
|
Goto
NMAILST3
|
FRONT
|
NMAILST3
|
Enter
change to Mailing address - Street
Name
or Press ENTER for Same/No
Change
Address:
Mailing
Address:
(House
#) (House #)SUF (Street Name) (House
#) (House #)SUF (Street Name)
(Unit
Designation) (Unit
Designation)
(City),
(State) (Zipcode)
(City), (State) (Zipcode)
Phys
des:
(Physical Description)
GQ
unit:
(GQ Unit Description) GQ
unit: (GQ
Unit Description)
Non-Cty:
(Non-city address) Non-city: (Non
City Address)
Building:
(Building Name)
|
Goto
NMAILST4
|
FRONT
|
NMAILST4
|
Enter
change to Mailing address - Unit
Designation
or Press ENTER for Same/No
Change
Address:
Mailing
Address:
(House
#) (House #)SUF (Street Name) (House
#) (House #)SUF (Street Name)
(Unit
Designation) (Unit
Designation)
(City),
(State) (Zipcode)
(City), (State) (Zipcode)
Phys
des:
(Physical Description)
GQ
unit:
(GQ Unit Description) GQ
unit: (GQ
Unit Description)
Non-Cty:
(Non-city address) Non-city: (Non
City Address)
Building:
(Building Name)
|
IF
FRAME = 3 OR RT25.GQINAREA = 1 then goto NMAILST5
ELSE goto
NMAILST6
|
FRONT
|
NMAILST5
|
Enter
change to Mailing address - GQ
Unit Description
or Press ENTER for Same/No
Change
Address: Mailing
Address:
(House
#) (House #)SUF (Street Name)
(House #) (House #)SUF (Street Name)
(Unit
Designation)
(Unit Designation)
(City),
(State) (Zipcode)
(City), (State) (Zipcode)
Phys
des: (Physical
Description)
GQ
unit: ^MGQUNITINFO GQ
unit: (GQ
Unit Description)
Non-Cty: (Non-city
address)
Non-city: (Non
City Address)
Building:
(Building Name)
|
Goto
NMAILST6
|
FRONT
|
NMAILST6
|
Enter
change to Mailing address - Non-City
Style Address
or Press ENTER for Same/No
Change
Address:
Mailing
Address:
(House
#) (House #)SUF (Street Name) (House
#) (House #)SUF (Street Name)
(Unit
Designation) (Unit
Designation)
(City),
(State) (Zipcode)
(City), (State) (Zipcode)
Phys
des:
(Physical Description)
GQ
unit:
(GQ Unit Description) GQ
unit: (GQ
Unit Description)
Non-Cty:
(Non-city address) Non-city: (Non
City Address)
Building:
(Building Name)
|
goto
NMAILCT
|
FRONT
|
NMAILCT
|
Enter
change to Mailing address - City
or Press ENTER for Same/No
Change
Address:
Mailing
Address:
(House
#) (House #)SUF (Street Name) (House
#) (House #)SUF (Street Name)
(Unit
Designation) (Unit
Designation)
(City),
(State) (Zipcode)
(City), (State) (Zipcode)
Phys
des:
(Physical Description)
GQ
unit:
(GQ Unit Description) GQ
unit: (GQ
Unit Description)
Non-Cty:
(Non-city address) Non-city: (Non
City Address)
Building:
(Building Name)
|
Goto
NMAILST
|
FRONT
|
NMAILST
|
?
[F1]
Enter
change to Mailing address -State
or Press ENTER for Same/No
Change
Address:
Mailing
Address:
(House
#) (House #)SUF (Street Name) (House
#) (House #)SUF (Street Name)
(Unit
Designation) (Unit
Designation)
(City),
(State) (Zipcode)
(City), (State) (Zipcode)
Phys
des:
(Physical Description)
GQ
unit:
(GQ Unit Description) GQ
unit: (GQ
Unit Description)
Non-Cty:
(Non-city address) Non-city: (Non
City Address)
Building:
(Building Name)
|
Goto
NMAILZP1
|
FRONT
|
NMAILZP1
|
Enter
change to Mailing address - Zipcode
or Press ENTER for Same/No
Change
Address:
Mailing
Address:
(House
#) (House #)SUF (Street Name) (House
#) (House #)SUF (Street Name)
(Unit
Designation) (Unit
Designation)
(City),
(State) (Zipcode)
(City), (State) (Zipcode)
Phys
des:
(Physical Description)
GQ
unit:
(GQ Unit Description) GQ
unit: (GQ
Unit Description)
Non-Cty:
(Non-city address) Non-city: (Non
City Address)
Building:
(Building Name)
|
goto
CL_MAILADDRESS
|
FRONT
|
PHONENUMBER
|
Ask
or verify, if necessary.
What
is your telephone number?
Enter
phone number or 0 for None
|
goto
PHONENUMBER2
|
FRONT
|
PHONENUMBER2
|
Ask
or verify, if necessary.
Do you
have another phone number where I can reach you?
Enter
phone number or 0 for None
|
goto
EMAILADDRESS
|
FRONT
|
EMAILADDRESS
|
Ask
or verify, if necessary
Can
I have your e-mail address?
Enter
E-Mail or press ENTER for None/Same
|
Exit
block and goto BCOVERAGE
|
COVERAGE
|
NONTYP
|
What
type of non-interview do you have?
Type
A = No one home, Temporarily absent, or refusal
Type
B = Vacant, under construction, occupied by persons with
URE
Type C =
Demolished, house moved, merged, condemned, located on base, CU
moved
1.
TYPE A
2. TYPE B
3. TYPE C
|
1:
Goto TYPEA
2: Goto TYPEB
3:
Goto TYPEC
|
COVERAGE
|
TYPEA
|
Enter
TYPE A noninterview
1.
No one home
2. Temporarily Absent
3. Refused
4.
Other Type A -specify
|
1,2:
IF RT2501.URRAL = R and (RT2501.FRAME ne 3 or RT2501.GQTYPE =
901 or 903) AND (REPLACE = 1 or ( (INTNMBR = 1 or NEWCU = 1) AND
NEWUNIT ne S) then goto FM_SALES
ELSEIF ( (INTNMBR =
1 or _NEWCU_ = 1) and NEWUNIT ne S) then goto GQ_UNIT
ELSE goto RACETYP
3: Goto REF_RSN
4:
goto TYPEASP
|
COVERAGE
|
TYPEASP
|
Specify
other TYPE A
|
IF
RT2501.URRAL = R and (RT2501.FRAME ne 3 or RT2501.GQTYPE = 901 or
902) AND (REPLACE = 1 or ( (INTNMBR = 1 or _NEWCU_ = 1) AND
NEWUNIT ne S) then goto FM_SALES
ELSEIF ( (INTNMBR = 1
or _NEWCU_ = 1) and NEWUNIT ne S) then goto GQ_UNIT
ELSE
goto RACETYP
|
COVERAGE
|
REF_RSN
|
Enter
type of refusal
1.
Hostile Respondent
2. Time Related Excuses
3. Language
Problems
4. Other Refusal - specify
|
1-3:
IF RT2501.URRAL = R and (RT2501.FRAME ne 3 or RT2501.GQTYPE =
901 or 902) AND (REPLACE = 1 or ( (INTNMBR = 1 or _NEWCU_ = 1)
AND NEWUNIT ne S) then goto FM_SALES
ELSEIF (
(INTNMBR = 1 or _NEWCU_ = 1) and NEWUNIT ne S) then goto GQ_UNIT
ELSE goto RACETYP
4: Goto REASON_S
|
COVERAGE
|
REASON_S
|
Specify
type of refusal
|
IF
RT2501.URRAL = R and (RT2501.FRAME ne 3 or RT2501.GQTYPE = 901 or
902) AND (REPLACE = 1 or ( (INTNMBR = 1 or _NEWCU_ = 1)
AND NEWUNIT ne S) then goto FM_SALES
ELSEIF ( (INTNMBR
= 1 or _NEWCU_ = 1) and NEWUNIT ne S) then goto GQ_UNIT
ELSE
goto RACETYP
|
COVERAGE
|
TYPEB
|
Enter
TYPE B noninterview
1.
Vacant (for rent)
2. Vacant (for sale)
3. Vacant
(other)
4. Occupied by persons with URE
5. Under
construction, not ready
6. All persons under 16
7.
Unfit or to be demolished
8. Unoccupied tent or trailer
site
9. Permit granted, construction not started
10.
Other Type B -specify
|
1,2,4-7:
IF ( (INTNMBR = 1 or _NEWCU_ = 1) and NEWUNIT ne S) then goto
GQ_UNIT
ELSE goto BCONTACT.BYOBS
3:
Goto VACANT_S
8,9: Goto BCONTACT.BYOBS
10:
Goto TYPEB_SP
|
COVERAGE
|
TYPEB_SP
|
Specify
other TYPE B
|
IF
((INTNMBR = 1 or _NEWCU_ = 1) and NEWUNIT ne S) then goto
GQ_UNIT
ELSE goto BCONTACT.BYOBS
|
COVERAGE
|
VACANT_S
|
Specify
type of vacant
|
IF
((INTNMBR = 1 or _NEWCU_ = 1) and NEWUNIT ne S) then goto
GQ_UNIT
ELSE goto BCONTACT.BYOBS
|
COVERAGE
|
TYPEC
|
Enter
TYPE C noninterview
1.
Demolished
2. House or Mobile Home moved
3. Converted
to permanent nonresidential use
4. Merged with units in the
same structure
5. Condemned
6. Located on military base
(post)
7. Unused serial # on listing sheet
8. CU
moved
9. CU merged with another CE CU within same
address
10. Spawned in error
11. Unlocatable Sample
Address
12. Unit does not exist or Unit is out of scope
13.
Other type C - specify
|
1,2,4-6,8-9:
Goto BContact.BYOBS
3,7,10,12: Goto
END_COVERAGE
11: goto END_COVERAGE
13:
Goto TYPEC_SP
|
COVERAGE
|
TYPEC_SP
|
Specify
other TYPE C
|
Goto
BContact.BYOBS
|
COVERAGE
|
FM_SALES
|
During
the past 12 months did sales of crops, livestock, and other
farm products from this place
amount to $1,000 or
more?
1.
Yes
2. No
|
Goto
GQ_UNIT
|
COVERAGE
|
GQ_UNIT
|
Indicate
if the unit is:
1.
In a Group Quarters
2. NOT in a Group Quarters
|
1:
Goto HUTYPE
2,DK: IF FRAME ne 3 then goto
DIRACC
ELSE goto HUTYPE
|
COVERAGE
|
DIRACC
|
Indicate
if access to the household is:
1.
Direct
2. Through another unit
|
1:
Goto HUTYPE
2,DK: Goto MERGUA
|
COVERAGE
|
MERGUA
|
?
[F1]
Is
this a merged unit?
1.
Merged
2. Not Merged
|
1,DK:
Goto HUTYPE
2: Goto CK_MERGUA
|
COVERAGE
|
HUTYPE
|
Enter
type of Housing Unit.
1.
House, apartment, flat
2. HU in non-transient hotel, motel,
etc
3. HU permanent in transient hotel, motel, etc.
4.
HU in rooming house
5. Mobile home or trailer with no
permanent room added
6. Mobile home or trailer with one or
more permanent rooms added
7. HU not specified above
8.
Quarters not HU in rooming or boarding house
9. Students
quarters in college dormitory
10. Group Quarters unit not
specified above
|
1-6,8,9,DK:
Goto UNISTRQ
7,10: IF TYPEB ne 8 then goto
HUTYPESP
ELSE goto UNISTRQ
|
COVERAGE
|
HUTYPESP
|
Enter
other type of housing unit
|
Goto
UNISTRQ
|
COVERAGE
|
UNISTRQ
|
Ask
if not apparent
How
many housing units, both occupied and vacant, are there in
this structure?
1.
Only Group Quarters units
2. Mobile home or trailer
3.
One, detached
4. One, attached
5. 2
6. 3 - 4
7.
5 - 9
8. 10 - 19
9. 20 - 49
10. 50 or more
|
IF
NONTYPE = 2 (type b) then goto BYOBS
ELSEIF NONTYP = 1 then
goto RACETYP
ELSE goto END_COVERAGE
|
COVERAGE
|
BYOBS
|
Did
you classify this unit by observation only?
PREVIOUS
OBSERVATION: (YES/NO)
1.
Yes
2. No
|
1:
Exit block and goto END_COVERAGE
2: Goto CP1NAME
|
COVERAGE
|
CP1NAME
|
Enter
contact person name
Press
enter if no change is needed
PREVIOUS
NAME: (Previous Contact Persons Name)
|
Goto
CP1TITL
|
COVERAGE
|
CP1TITL
|
Enter contact
person title
Press enter if no change is needed
PREVIOUS
TITLE: (Title)
|
Goto
PHON
|
COVERAGE
|
PHON
|
Enter
contact person phone number and extension
Press enter if no change is needed
PREVIOUS PHONE NUMBER: (Previous phone)
PREVIOUS EXTENSION: (Previous extension)
|
goto
CP1ADD1
|
COVERAGE
|
CP1ADD1
|
Enter
contact person street address
Press enter if no change is needed
PREVIOUS
ADDRESS: (Previous
address)
(previous address - 2nd
line)
(Previous
city) (previous state)
(previous zipcode) - (previous zipcode extension)
|
Goto
CP1ADD2
|
COVERAGE
|
CP1ADD2
|
Enter
contact person second line of address, if necessary
Press enter if no change is needed
PREVIOUS
ADDRESS: (Previous
address)
(previous address - 2nd
line)
(Previous
city) (previous state) (previous
zipcode) - (previous zipcode extension)
|
Goto
CP1PO
|
COVERAGE
|
CP1PO
|
Enter
town or city
Press enter if no change is needed
PREVIOUS
ADDRESS: (Previous
address)
(previous
address - 2nd line)
(Previous
city) (previous state)
(previous zipcode) - (previous zipcode extension)
|
Goto
CP1ST
|
COVERAGE
|
CP1ST
|
?
[F1]
Enter
state
Press enter
if no change is needed
PREVIOUS
ADDRESS: (Previous address)
(previous
address - 2nd line)
(Previous
city) (previous state)
(previous zipcode) - (previous zipcode extension)
|
goto
CP1ZIP9
|
COVERAGE
|
CP1ZIP9
|
Enter
zipcode
Press enter if
no change is needed
PREVIOUS
ADDRESS: (Previous address)
(previous address - 2nd line)
(Previous city) (previous state)
(previous zipcode) - (previous zipcode extension)
|
exit
block and goto END_COVERAGE
|
COVERAGE
|
RACETYP
|
The
items below are required information for all TYPE A cases.
Race
code
1.
White
2. Black or African American
3. American Indian
or Alaska native
4. Asian
5. Native Hawaiian
6.
Guamanian or Chamorro
7. Samoan
8. Other Pacific
Islander
9. Other
|
Goto
HH_MEMQ
|
COVERAGE
|
HH_MEMQ
|
The
items below are required information for all TYPE A
cases.
Number
of household members:
|
Goto
TENURE
|
COVERAGE
|
TENURE
|
The
items below are required information for all TYPE A
cases.
Tenure
code
1.
Owned
2. Rented
|
1,2:
Goto HHQSRCE
DK,RF: Goto BUILD_A
|
COVERAGE
|
BUILD_A
|
Which
best describes this building?
1.
Single family detached
2. Townhouse - inner unit
3. End
row or end townhouse
4. Duplex
5. 3-plex or 4-plex
6.
Garden
7. High-rise
8. Apartment or flat
9. Mobile
home or trailer
10. College dormitory
|
Goto
HHQSRCE
|
COVERAGE
|
HHQSRCE
|
What
was the source of the information for the household
characteristics?
Enter
all that apply, separate with commas
1.
Observation
2. Neighbor
3. Building Manager
4.
Other (Specify)
|
1-3:
IF TYPE A (outcome is 321-324) then goto REF_SEX
ELSE
goto END_COVERAGE
4: Goto HHQ_SP
|
COVERAGE
|
HHQ_SPECIFY
|
Specify
other source of information
|
IF
Type A (outcome is 321-324) then goto REF_SEX
ELSE goto
END_COVERAGE
|
COVERAGE
|
REF_SEX
|
Provide
the characteristics of the individual who refused to
participate.
Sex of individual
1.
Male
2. Female
|
Goto
REF_RACE
|
COVERAGE
|
REF_RACE
|
Provide
the characteristics of the individual who
refused
to participate.
Race
of individual
1.
White
2. Black or African American
3. American Indian
or Alaska native
4. Asian
5. Native Hawaiian
6.
Guamanian or Chamorro
7. Samoan
8. Other Pacific
Islander
9. Other
|
Goto
REF_AGED
|
COVERAGE
|
REF_AGED
|
Provide
the characteristics of the individual who
refused
to participate.
Approximate age of individual
1.
Under 20
2. 21 - 50
3. 51 - 74
4. 75 or older
|
Goto
END_COVERAGE
|
DEMOGRAPHICS
|
STLLIV
|
I
have listed . . . . READ
NAMES
^These_this
(person/people) still living or staying here?
(This
case is part of a Multi-CU address. There are (number) CU's for
this address)
(Lis tof persons in the household)
1.
Yes
2. No
|
Goto
TUNIT1 Block - PERSTAT
|
DEMOGRAPHICS
|
PERSTAT
|
(Use
up/down arrows to move to the correct row for membership change.
When done, REVIEW/Update demographics. Press END key./Use
left/right arrows to
7.
Delete person
8. CU member deceased
9. Reinstate
person
99. Error - Person should not have been listed
|
|
DEMOGRAPHICS
|
FNAME
|
(What
is the name of the next person living or staying here?/What are
the names of all persons living or staying
here?)
Enter
999 if no more persons.
|
16
characters: Goto LNAME
999: exit block and
goto CHECKS
|
DEMOGRAPHICS
|
LNAME
|
Enter
Last Name
|
Goto
CU_CODE
|
DEMOGRAPHICS
|
CU_CODE
|
Ask
if not apparent
What
is (your/NAME's) relationship to (you/the owner/renter/name of
reference person)?
If
this 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
|
goto
SEX
|
DEMOGRAPHICS
|
SEX
|
Ask
if not apparent
Is
^NAME male or female?
1.
Male
2. Female
|
1,DK,RF:
Goto AWAY_COL
2: goto AWAY_COL
|
DEMOGRAPHICS
|
AWAY_COL
|
Ask
if not apparent
Is
^NAME living away at college?
1.
Yes
2. No
|
1:
IF CU_CODE = 1 then goto CK_AWAYCOL
ELSE goto
HH_MEM
2,DK,RF,EMPTY: Goto HH_MEM
|
DEMOGRAPHICS
|
HH_MEM
|
Does
^NAME usually live here?
Probe
if usual place of residence is elsewhere.
1.
Yes
2. No
|
1,DK,RF,EMPTY:
Goto next line of grid
2: goto next line of
grid
|
DEMOGRAPHICS
|
HHRESP
|
Ask
if necessary
With
whom am I speaking?
Enter
line number
1.
NAME[1]
2. NAME[2]
3. NAME[3]
4. NAME[4]
5.
NAME[5]
6. NAME[6]
7. NAME[7]
8. NAME[8]
9.
NAME[9]
10. NAME[10]
11. NAME[11]
12. NAME[12]
13.
NAME[13]
14. NAME[14]
15. NAME[15]
16.
NAME[16]
17. NAME[17]
18. NAME[18]
19.
NAME[19]
20. NAME[20]
21. NAME[21]
22.
NAME[22]
23. NAME[23]
24. NAME[24]
25.
NAME[25]
26. NAME[26]
27. NAME[27]
28.
NAME[28]
29. NAME[29]
30. NAME[30]
95. Proxy
Respondent
|
IF
((INTNMBR = 1 or NEWCU = 1) and NEWUNIT ne 5) OR REPLACE = 1 AND
NROSIZE less than 30 then goto MLIVE
ELSEIF ((INTNMBR
= 1 or NEWCU = 1) and NEWUNIT ne 5) OR REPLACE = 1 AND NROSIZE eq
30 then exit block and goto BSUBFAMILY, BSFMAKEUP or TUNIT2 as
appropriate
ELSE goto NEWLIV
|
DEMOGRAPHICS
|
MLIVE
|
So
I have listed (Number of people in the household) (person/people)
living or staying here now.
(Lis tof persons in the household)
Is
there anyone else living or staying here now - any babies, small
children, non-relatives or anyone else?
Please
verify that the information on this screen is correct.
1.
Yes
2. No
|
1:
Go back to where FNAME = 999
2,DK,RF: Exit
block and goto BSUBFAMILY, BSFMAKEUP or TUNIT2 as appropriate
|
DEMOGRAPHICS
|
NEWLIV
|
Is
anyone else living or staying here, including newborn
babies?
(Lis
tof persons in the household)
1.
Yes, add new person
2. No
|
1:
Go back to where FNAME = 999
2: Exit block and
goto BSUBFAMILY, BSFMAKEUP or TUNIT2 as appropriate
|
DEMOGRAPHICS
|
SUBFAM1
|
Earlier
you said that ^NAME was
not related to (Name of reference
person).
Is ^NAME related to anyone else in this
household?
1.
Yes
2. No
|
1:
Goto SUBFAM2
2: IF no more non-rels then goto
SET_SUBFAMS
ELSE goto SUBFAM1 for next unassigned
non-rel
|
DEMOGRAPHICS
|
SUBFAM2
|
Who
is ^NAME related to?
PROBE:
Anyone else?
Enter line number(s), separate with commas
1.
^NAME[1]
2. ^NAME[2]
3. ^NAME[3]
4. ^NAME[4]
5.
^NAME[5]
6. ^NAME[6]
7. ^NAME[7]
8. ^NAME[8]
9.
^NAME[9]
10. ^NAME[10]
11. ^NAME[11]
12.
^NAME[12]
13. ^NAME[13]
14. ^NAME[14]
15.
^NAME[15]
16. ^NAME[16]
17. ^NAME[17]
18.
^NAME[18]
19. ^NAME[19]
20. ^NAME[20]
21.
^NAME[21]
22. ^NAME[22]
23. ^NAME[23]
24.
^NAME[24]
25. ^NAME[25]
26. ^NAME[26]
27.
^NAME[27]
28. ^NAME[28]
29. ^NAME[29]
30.
^NAME[30]
|
IF
no more non-rels then goto SET_SUBFAMS
ELSE goto
SUBFAM, for next unassigned non-rel
|
DEMOGRAPHICS
|
SHELTX
|
(Begin
financial responsibility questions to determine CU's)
(Do/Does)
(READ
NAMES) pay
for all ^yourhishertheir housing
expenses with
^yourhishertheir own
money?
(subfamily
names)
1.
Yes
2. No
|
Goto
FOODX
|
DEMOGRAPHICS
|
FOODX
|
(Do/Does) (READ
NAMES) pay
for all (your/his/her/their) food
expenses
with (your/his/her/their) own
money?
(subfamily
names)
1.
Yes
2. No
|
1:
IF SHELTX = 1 and there are no more subfams then goto
UPDATE_SUBFAM
ELSEIF SHELTX = 1 then goto SHELTX for
next subfam
ELSE goto OTHERX
2,DK,RF: Goto
OTHERX
|
DEMOGRAPHICS
|
OTHERX
|
(Do/Does)
(READ
NAMES)
pay for all (your/his/her/their) other
living
expenses such as clothing, transportation,
etc.,
with (your/his/her/their) own money?
(subfamily
names)
1.
Yes
2. No
|
1:
IF SHELTX = 1 OR FOODX = 1 AND there are no more subfamiles
then goto UPDATE_SUBFAM
ELSEIF SHELTX = 1 OR FOODX = 1
then goto SHELTX for next subfamily
ELSE goto
SUPSRC
2,DK,RF: Goto SUPSRC
|
DEMOGRAPHICS
|
SUPSRC
|
Does
all or part of the money to pay for
(READ
NAMES)
^description come from someone
in this
household?
(subfamily names)
1.
Yes
2. No
|
1:
Goto SUPRT1
2,DK,RF: IF no more subfamilies
then goto UPDATE_SUBFAM
ELSE goto SHELTX for next
subfamily
|
DEMOGRAPHICS
|
SUPRT1
|
Who
is that person(s)?
Enter line number(s), separate with commas
1.
^NAME[1]
2. ^NAME[2]
3. ^NAME[3]
4. ^NAME[4]
5.
^NAME[5]
6. ^NAME[6]
7. ^NAME[7]
8. ^NAME[8]
9.
^NAME[9]
10. ^NAME[10]
11. ^NAME[11]
12.
^NAME[12]
13. ^NAME[13]
14. ^NAME[14]
15.
^NAME[15]
16. ^NAME[16]
17. ^NAME[17]
18.
^NAME[18]
19. ^NAME[19]
20. ^NAME[20]
21.
^NAME[21]
22. ^NAME[22]
23. ^NAME[23]
24.
^NAME[24]
25. ^NAME[25]
26. ^NAME[26]
27.
^NAME[27]
28. ^NAME[28]
29. ^NAME[29]
30.
^NAME[30]
|
IF
no more subfamilies then goto UPDATE_SUBFAM
ELSE goto
SHELTX for next subfamily
|
DEMOGRAPHICS
|
CONSUMER_UNITS
|
HOUSEHOLD
MEMBERS BROKEN INTO APPROPRIATE CU'S
(List CU#, Line number, and name)
1.
Enter 1 to Continue
|
Goto
CU_INTRO
|
DEMOGRAPHICS
|
CU_INTRO
|
During
this interview, I will use the word household to refer to the
group 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
(person/ persons) I'm including in your household
(are/is)
(READ NAME(S))
(Names
of Cu members)
1.
Enter 1 to Continue
|
Goto
TUNIT2 block
|
DEMOGRAPHICS
|
AGE1
|
As
of today, how old (are/is) (You/NAME)?
|
DK,RF:
Goto AGE2
0-109: IF AGE = 13,15,61 or 64 then
goto AGESPEC
ELSE goto HORIGIN
110-200:
Goto CK_AGE1
|
DEMOGRAPHICS
|
AGESPEC
|
Some
questions are only asked for household members of a certain
age.
In what month and year will (You/NAME) be
(14/16/62/65) years old?
Enter month and year when household member will turn
(14/16/62/65)
|
IF
before current month and year then goto VERIFY_AGE
ELSE
goto HORIGIN
|
DEMOGRAPHICS
|
AGE2
|
Ask
if necessary
(Are/Is) (you/he/she)
under 16?
1.
Yes
2. No
|
Goto
HORIGIN
|
DEMOGRAPHICS
|
HORIGIN
|
2
(Are/Is)
(You/NAME) Hispanic, Latino, or Spanish?
1.
Yes
2. No
|
1:
Goto HISPANIC
2,DK,RF: Goto MULTRACE
|
DEMOGRAPHICS
|
HISPANIC
|
2
(Are/Is)
(You/NAME) -
Examples
of "other" include - Argentinean, Colombian, Dominican,
Nicaraguan, Salvadoran, Spaniard
1.
Mexican?
2. Mexican-American?
3. Chicano?
4.
Puerto Rican?
5. Cuban?
6. Other (Specify)
|
1-5,DK,RF:
Goto MULTRACE
6: Goto HISPOTH
|
DEMOGRAPHICS
|
HISPOTH
|
Specify:
|
Goto
MULTRACE
|
DEMOGRAPHICS
|
MULTRACE
|
2
What
is (your/NAME's) race?
Probe
if necessary
Enter all that apply, separate with commas
Examples of "Other Pacific Islander" include - Fijian,
Tongan
1.
White
2. Black or African American
3. American Indian
or Alaska native
4. Asian
5. Native Hawaiian
6.
Guamanian or Chamorro
7. Samoan
8. Other Pacific
Islander
9. Other Specify
10. Don't Know
|
1-3,5,8,10,RF:
IF AGE ge 14 OR AGERNG = 8 or 9 then goto MARITAL
ELSE goto Next Person
4: Goto ASIAN
9:
Goto RACESP
|
DEMOGRAPHICS
|
ASIAN
|
2
(Are/Is)
(You/NAME) -
Examples
of "other" include - Hmong, Laotian, Thai, Pakistani,
Cambodian
1.
Chinese?
2. Filipino?
3. Japanese?
4. Korean?
5.
Vietnamese?
6. Asian Indian?
7. Other (Specify)
|
1-6,DK,RF:
IF AGE ge 14 OR (AGERNG = 8 or 9) then goto MARITAL
ELSE goto Next Person
7: Goto
ASIANOTH
|
DEMOGRAPHICS
|
ASIANOTH
|
Specify:
|
IF
AGE ge 14 OR (AGERNG = 8 or 9) then goto MARITAL
ELSE goto
Next Person
|
DEMOGRAPHICS
|
RACESP
|
Specify
other race
|
IF
AGE ge 14 OR (AGERNG = 8 or 9) then goto MARITAL
ELSE goto
Next Person
|
DEMOGRAPHICS
|
MARITAL
|
Ask
if not apparent
(Are/Is)
^YOUNAME -
1.
Married?
2. Widowed?
3. Divorced?
4. Separated?
5.
Never married?
|
IF
AGE ge 14 or (AGERNG = 8 or 9) then goto EDUCA
ELSE goto
BIRTH_MO for next member
|
DEMOGRAPHICS
|
EDUCA
|
3
What
is the highest level of school (you have/ (Name) has) completed
or the highest degree (you have/ (Name) has) received?
1.
No schooling completed, or less than 1 year
2. Nursery,
kindergarten, and elementary (grades 1-8)
3. High school
(grades 9-12, no degree)
4. High school graduate - high
school diploma or the equivalent (GED)
5. Some college but
no degree
6. Associate's degree in college
7.
Bachelor's degree (BA, AB, BS, etc.)
8. Master's,
professional, or doctorate degree (MA, MS, MBA, MD, JD, PhD,
etc.)
|
1-3,DK,RF:
IF AGE = 16-65 or (AGERNG = 8 or 9) then goto ARM_FORC
ELSE goto next member
4-8: Goto IN_COLL
|
DEMOGRAPHICS
|
IN_COLL
|
(Are/Is)
(You/NAME) currently enrolled in a college or university either
-
1.
Full-time?
2. Part-time?
3. Not at all?
|
IF
AGE = 16-65 or (AGERNG = 8 or 9) then goto ARM_FORC
ELSE
goto next member
|
DEMOGRAPHICS
|
ARM_FORC
|
3 ?
[F1]
(Are/Is)
(You/NAME) now in the Armed Forces?
1.
Yes
2. No
|
IF
this is the last person then goto CHECKS2
ELSE goto the next
person
|
DEMOGRAPHICS
|
DEBT40
|
After
completing the last interview in (reference month), we gave you
the PIN for a $40 debit card. Did you have any problems using
that card?
Enter
all that apply, separate with commas
0.
No problems
1. Have not received the card
2. Have not
used the card
3. ATM did not accept the debit card
4.
Store did not accept the debit card
5. Forgot PIN
6.
PIN did not work
7. Instructions were not clear
8.
Instructions were lost
9. Lost or misplaced debit card
10.
Other - specify
11. Don’t know
|
IF
(DEBT40[1]=0, 1, 2 or 9) and (DEBT40[2] = 0-11 then goto
CK_DEBT40
ELSEIF ANY DEBT40[2-8] = 0, 1, 2 or 9 then
goto CK_DEBT40
ELSEIF 10 selected then goto
DEBT40SP
ELSEIF 8500.PIN_FLAG = 1 then goto
DEBT20
ELSE goto CEINTRO
|
DEMOGRAPHICS
|
DEBT40SP
|
Specify
|
IF
8500.PIN_FLAG = 1 then goto DEBT20
ELSE goto CEINTRO
|
DEMOGRAPHICS
|
DEBT20
|
After
the last interview in (reference month), we sent you a debit card
for $20. Did you have any problems using that card?
Enter
all that apply, separate with commas
0.
No problems
1. Have not received the card
2. Have not
used the card
3. ATM did not accept the debit card
4.
Store did not accept the debit card
5. Forgot PIN
6.
PIN did not work
7. Instructions were not clear
8.
Instructions were lost
9. Lost or misplaced debit card
10.
Other - specify
11. Don’t know
|
IF
(DEBT20[1]=0, 1, 2 or 9) and (DEBT20[2] = 0-11
then goto
CK_DEBT20
ELSEIF ANY DEBT20[2-8] = 0, 1, 2 or 9 then
goto CK_DEBT20
ELSEIF 10 selected then goto
DEBT20SP
ELSEIF 1 or 9 is selected then goto
NOTRCV20
ELSE goto CEINTRO
|
DEMOGRAPHICS
|
DEBT20SP
|
Specify
|
Goto
CEINTRO
|
DEMOGRAPHICS
|
NOTRCV20
|
I'm
sorry that (the original debit card we sent you was misplaced/you
have not received the card). We will send you a replacement card
in the amount of $20 as soon as possible. If the original card
(arrives/is found), please destroy it since we will be
deactivating it.
1.
Enter 1 to Continue
|
Goto
RCRDNM20
|
DEMOGRAPHICS
|
RCRDNM20
|
Who
would you like the replacement card addressed to?
|
Goto
CEINTRO
|
DEMOGRAPHICS
|
CE_INTRO
|
As
we start, please understand that we ask the same topics of
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 three months, that is, from the 1st day of
(reference 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.
(Please
do not include any purchases made with the debit (card/cards) we
have sent you.)
1.
Enter 1 to Continue
|
Goto
BUSCREEN
|
DEMOGRAPHICS
|
BUSCREEN
|
Since
the first of (reference month), have (you/you or any members of
your household) had any expenses that will be reimbursed or
deducted as business expenses?
1.
Yes
2. No
|
1,DK,RF:
Goto BUSXPNSE
2: Exit block and goto BSECT01
|
DEMOGRAPHICS
|
BUSXPNSE
|
For
certain topics, such as housing, utilities, or vehicles, I will
ask you to estimate how much of the expense was or will be
deducted as a business expense.
1.
Enter 1 to Continue
|
Exit
block and goto BSECT01
|
01B
|
ST_HOUS
|
Ask
if not apparent.
Are
these living quarters presently used as student housing by
a
college or university?
1.
Yes
2. No
|
IF
COVERAGE.UNISTRQ = 2 or 3 OR (8500.UNISTRQ = 2 or 3) then goto
ROOMSQ
ELSE goto BUILDING
|
01B
|
BUILDING
|
4
? [F1]
Ask
if not apparent by observation
Which
best describes this building?
1.
Single family detached
2. Row or townhouse - inner unit
3.
End row or end townhouse
4. Duplex
5. 3-plex or
4-plex
6. Garden
7. High-rise
8. Apartment or
flat
9. Mobile home or trailer
10. College
dormitory
11. Other - Specify
|
1-9,DK,RF:
Goto ROOMSQ
10: goto S1B_END
11:
Goto BUILDOTH
|
01B
|
BUILDOTH
|
Specify:
|
Goto
ROOMSQ
|
01B
|
ROOMSQ
|
How
many ROOMS are there in this unit, including all finished
living
areas and excluding all bathrooms?
|
1-30,DK,RF:
Goto BEDROOMQ
31-99: Goto ERR1_ROOMSQ
|
01B
|
BEDROOMQ
|
How
many BEDROOMS are there in this unit?
Count
all rooms used mainly for sleeping, even if also used for other
purposes.
|
Goto
BATHRMQ
|
01B
|
BATHRMQ
|
How
many COMPLETE bathrooms are there in this unit?
A
complete bathroom has a toilet, a bathtub or shower, and a
sink,
all with running
water.
|
Goto
HLFBATHQ
|
01B
|
HLFBATHQ
|
How
many HALF bathrooms are there in this unit?
A
half bathroom has at least a toilet or bathtub or shower,
but
does not
have all the facilities of a complete bathroom.
|
Goto
S1B_END
|
02
|
STLRENT
|
Last
time (you/your household) reported renting these living
quarters.
Do you still rent?
1.
Yes
2. No
3. No -Buying the sample unit
|
1,DK,RF:
Goto RENTED
2: Goto RTASPAY
3:
IF 8500.UNITFEAT = EMPTY then goto UNITFEAT
ELSEIF 8500.YRBUILT = EMPTY then goto YRBUILT
ELSE
exit block and goto Section 3
|
02
|
OWNED
|
Do
you own this home?
Include
households with mortgages as owners.
1.
Yes
2. No
|
1:
IF 8500.UNITFEAT = EMPTY then goto UNITFEAT
ELSEIF 8500.YRBUILT = EMPTY then goto YRBUILT
ELSE
exit block and goto Section 3
2,DK,RF: Goto PUBLHOUS
|
02
|
UNITFEAT
|
6
? [F1]
Does
this unit have any of the following?
Enter
all that apply, separate with commas
0.
None
1. Swimming Pool
2. Off Street Parking
3.
Porch, terrace, patio, or balcony
4. Apartment or guest
house
5. Central air conditioning
6. Window air
conditioning
77. Don't know
|
IF
8500.YRBUILT = EMPTY then goto YRBUILT
ELSE exit block and
goto Section 3
|
02
|
YRBUILT
|
About
when was this building originally built?
Do
not consider later remodelings
Probe for best estimate
|
Goto
Section 3
|
02
|
PUBLHOUS
|
Ask
if not apparent.
Is
this house in a public housing project, that is, is it owned
by
a local housing authority or other local public
agency?
1.
Yes
2. No
|
1:
IF 8500.INCLDRYR = EMPTY then goto INCLSTOV
ELSE goto RENTED
2,DK,RF: Goto GOVTCOST
|
02
|
GOVTCOST
|
Are
your housing costs lower because the Federal, State, or
local
government is paying part of the cost?
1.
Yes
2. No
|
IF
8500.INCLDRYR = EMPTY then goto INCLSTOV
ELSE goto
RENTED
|
02
|
INCLSTOV
|
5
? [F1]
Were
any of the following appliances included in the home when you
moved in . . .
. . . Cooking
stove, range, or oven?
1.
Yes
2. No
|
Goto
INCLFRIG
|
02
|
INCLFRIG
|
5
?
[F1]
Were
any of the following appliances included in the home when you
moved in . . .
. . . Refrigerator or home freezer?
1.
Yes
2. No
|
Goto
INCLBDSH
|
02
|
INCLBDSH
|
5
? [F1]
Were
any of the following appliances included in the home when you
moved in . . .
. . . Built-in dishwasher?
1.
Yes
2. No
|
Goto
INCLPDSH
|
02
|
INCLPDSH
|
5
? [F1]
Were
any of the following appliances included in the home when you
moved in . . .
. . . Portable dishwasher?
1.
Yes
2. No
|
Goto
INCLWSHR
|
02
|
INCLWSHR
|
5
? [F1]
Were
any of the following appliances included in the home when you
moved in . . .
. . . Clothes washer?
1.
Yes
2. No
|
Goto
INCLDRYR
|
02
|
INCLDRYR
|
5
? [F1]
Were
any of the following appliances included in the home when you
moved in . . .
. . . Clothes dryer?
1.
Yes
2. No
|
Goto
RENTED
|
02
|
RENTED
|
Do
(you/you or any members of your household) (still/ ) pay rent
for these living quarters?
1.
Yes
2. No
|
1,DK,RF:
Goto RENTX1
2: Goto RTASPAY
|
02
|
MORERENT
|
Since
the first of (reference month) have (you/you or any members of
your household) rented any houses, apartments, or temporary
living quarters NOT used entirely for business or
vacation?
Do
NOT include college or university regulated housing.
1.
Yes
2. No
|
1:
Goto RENTX1
2,DK,RF: Goto S2_END
|
02
|
RENTX1
|
What
was your total rental payment for (reference month) for this
unit?
Include any extra charges for garage or
parking facilities, but do not
include direct payments by
local, state or federal agencies.
|
Goto
RENTX2
|
02
|
RENTX2
|
What
was the total rental payment for (month) for this unit?
|
Goto
RENTX3
|
02
|
RENTX3
|
What
was your total rental payment for (last month) for this unit?
|
Goto
RTELECT
|
02
|
RTELECT
|
5
Does
the rental payment include the cost of -
. . . Electricity?
1.
Yes
2. No
|
Goto
RTGAS
|
02
|
RTGAS
|
5
Repeat
if necessary
Does
the rental payment include the cost of -
.
. . . Gas?
1.
Yes
2. No
|
Goto
RTWATER
|
02
|
RTWATER
|
5
Repeat
if necessary
Does
the rental payment include the cost of -
.
. . Piped in water?
1.
Yes
2. No
|
Goto
RTHEAT
|
02
|
RTHEAT
|
5
Repeat
if necessary
Does
the rental payment include the cost of -
. . . . Heating?
1.
Yes
2. No
|
Goto
RTTRASH
|
02
|
RTTRASH
|
5
Repeat
if necessary
Does
the rental payment include the cost of -
.
. . Trash/garbage collection?
1.
Yes
2. No
|
Goto
RTPARK
|
02
|
RTPARK
|
5
Repeat if necessary
Does
the rental payment include the cost of -
.
. . Garage and parking facilities?
1.
Yes
2. No
|
Goto
RTTELEPH
|
02
|
RTTELEPH
|
5
Repeat if necessary
Does
the rental payment include the cost of -
. . . Telephone services?
1.
Yes
2. No
|
Goto
RTTVCABL
|
02
|
RTTVCABL
|
5
Repeat
if necessary
Does
the rental payment include the cost of -
. . . Television services?
1.
Yes
2. No
|
Goto
RTINTRNT
|
02
|
RTINTRNT
|
5
Repeat if necessary
Does
the rental payment include the cost of -
. . . Internet services?
1.
Yes
2. No
|
Goto
RTFUNSH
|
02
|
RTFUNSH
|
5
Repeat
if necessary
Does
the rental payment include the cost of -
. . . Furniture?
1.
Yes
2. No
|
Goto
RTASPAY
|
02
|
RTASPAY
|
Did (you/you
or any members of your household) receive any reduced or free
rent for
this unit as a form of pay since the first of
(reference month)?
1.
Yes
2. No
|
1:
Goto RTCOMPX
2,DK,RF: IF BCeintro.BUSCREEN =
2 AND (PSU=06001, 06013, 06037, 06041, 06059, 06065, 06071,
06081, 06073, 06075, 06087, 06097, 11001, 24021, 24043, 34003,
34013, 34017, 34023, 34027, 34031, 34037, 36005, 36047, 36059,
36061, 36081, 36085, 36087, 36103, 36119) go to RENTCONT
ELSEIF BCeintro.BUSCREEN = 2 goto MORERNT
ELSE goto RTBSNS
|
02
|
RTCOMPX
|
What
is the current monthly rental charge to another tenant for a
similar unit?
|
Goto
REGRNTX
|
02
|
REGRNTX
|
What
is your regular rental payment?
|
0-999999:
IF BCeintro.BUSCREEN = 2 AND (PSU=06001, 06013, 06037, 06041,
06059, 06065, 06071, 06081, 06073, 06075, 06087, 06097, 11001,
24021, 24043, 34003, 34013, 34017, 34023, 34027, 34031, 34037,
36005, 36047, 36059, 36061, 36081, 36085, 36087, 36103, 36119) go
to RENTCONT
ELSEIF BCeintro.BUSCREEN = 2 goto
MORERENT
ELSE goto RTBSNS
DK,RF: IF
BCeintro.BUSCREEN = 2 AND (PSU=06001, 06013, 06037, 06041, 06059,
06065, 06071, 06081, 06073, 06075, 06087, 06097, 11001, 24021,
24043, 34003, 34013, 34017, 34023, 34027, 34031, 34037, 36005,
36047, 36059, 36061, 36081, 36085, 36087, 36103, 36119) go to
RENTCONT
ELSEIF BCeintro.BUSCREEN = 2 goto
MORERENT
ELSE goto RTBSNS
|
02
|
RTBSNS
|
Is
any portion of this unit used for your own business?
1.
Yes
2. No
|
1:
Goto RTBSNSZ
2: IF (PSU = 06001, 06013, 06037,
06041, 06059, 06065, 06071, 06073, 06075, 06081, 06087, 06097,
11001, 24021, 24043, 34003, 34013, 34017,34023, 34027, 34031,
34037, 36005, 36047,36059, 36061, 36081, 36085, 36087, 36103,
36119) goto RENTCONT
ELSE goto MORERNT
DK,RF:
IF (PSU = 06001, 06013, 06037, 06041, 06059, 06065, 06071,
06073, 06075, 06081, 06087, 06097, 11001, 24021, 24043, 34003,
34013, 34017,34023, 34027, 34031, 34037, 36005, 36047,36059,
36061, 36081, 36085, 36087, 36103, 36119) goto RENTCONT
ELSE goto MORERNT
|
02
|
RTBSNSZ
|
What
percent of the rental payment is counted as a business
expense?
Enter
to the nearest whole percent.
|
IF
(PSU = 06001, 06013, 06037, 06041, 06059, 06065, 06071, 06073,
06075, 06081, 06087, 06097, 11001, 24021, 24043, 34003, 34013,
34017, 34023, 34027, 34031, 34037, 36005, 36047, 36059, 36061,
36081, 36085, 36087, 36103,36119), goto RENTCONT
ELSE goto MORERNT
|
02
|
RENTCONT
|
Is
this unit under rent control?
1.
Yes
2. No
|
Goto
MORERNT
|
02
|
MORERNT
|
Since
the first of (reference month), have (you/you or any members of
your household)
rented any other houses, apartments, or
temporary living
quarters NOT used entirely for business or
vacation?
Do
NOT include college or university regulated housing.
1.
Yes
2. No
|
1:
Goto RENTX1
2,DK,RF: Goto S2_END
|
03A2
|
S3_INTRO
|
(Now
I am going to update the information you provided in the last
interview for owned living quarters and other owned real
estate./Now I am going to
Prop
#|Description |Type |# Mort|# LSHEL |# LCHEL
1.
Enter 1 to Continue
|
IF
INTNMBR = 2-5 AND NEWCU <> 1 then goto BSect3A1
ELSE
goto BSect3A2
|
03A1
|
STILOWN
|
(Do/Does)
(you/your household) still own your (property
description)?
Prop
#|Description |Type |# Mort|# LSHEL |# LCHEL
1.
Yes
2. No
|
1,DK,RF:
IF 8500.OWNYB = 600 then exit block and goto BSECT3I.VAC_RNTQ
ELSEIF BCeintro.BUSCREEN = 2 AND (there are previously
reported loans with 8500.LOANTYPE = 1, 2 AND 8500.OPF_STAT = 1)
then exit block and goto BMCHANGE.Mchange
ELSEIF
BCeintro.BUSCREEN = 2 AND 8500.HWMNYLOC >= 1 then exit block
and goto THomeEquity.PDLOAN2
ELSEIF
BCeintro.BUSCREEN = 2 exit block and goto TAddMort.ADDMORT
ELSE goto BSNSEXPA
2: IF 8500.OWNYB =
600 then exit block and goto PURPROP
ELSEIF
BCeintro.BUSCREEN = 2 AND (there are previously reported loans
with 8500.LOANTYPE = 1, 2 AND 8500.OPF_STAT = 1) then exit block
and goto BMCHANGE.Mchange
ELSEIF
BCeintro.BUSCREEN = 2 AND 8500.HWMNYLOC >= then exit block and
goto THomeEquity.PDLOAN2
ELSEIF BCeintro.BUSCREEN
= 2 exit block and goto TAddMort.ADDMORT
ELSE goto BSNSEXPA
|
03A1
|
BSNSEXPA
|
(Are/Were)
any of the expenses for this property deducted
as a
farm, rental, or business expense?
Prop
# |Description |Type |# Mort|# LSHEL |# LCHEL
1.
Yes
2. No
|
1:
Goto OBSNSZBA
2,DK,RF: IF there are previously
reported loans with 8500.LOANTYPE = 1, 2 AND 8500.OPF_STAT = 1
then exit block and goto BMCHANGE.Mchange
ELSEIF
8500.HWMNYLOC >= 1 then exit block and goto
THomeEquity.PDLOAN2
ELSE exit block and goto
TAddMort.ADDMORT
|
03A1
|
OBSNSZBA
|
What
percent of the expenses for this property (is/was)
deducted?
Include the portion used for business, farming, or
rented to someone outside the household.
Prop
# |Description |Type |# Mort|# LSHEL |# LCHEL
|
1-99,DK,RF:
IF there are previously reported loans with 8500.LOANTYP = 1, 2
AND 8500.OPF_STAT = 1 then exit block and goto BMCHANGE.Mchange
ELSEIF 8500.HWMNYLOC >= 1 then exit block and goto
THomeEquity.PDLOAN2
ELSE exit block and goto
TAddMort.ADDMORT
100: Goto ERR2_OBSNSZBA
|
03A1
|
MCHANGE
|
^MCHANGE_FILL
1.
Yes
2. No
|
1:
Goto MORTCHNG
2,DK,RF: IF 8500.Fixedrte = 2, DK
or RF then goto PYMTJX1
ELSEIF 8500.FIXEDRTE = 1
and there are more loans for this property with 8500.OPF_STAT = 1
then goto MCHANGE for the next loan
ELSEIF
8500.HWMNYLOC >= 1 then exit block and goto
THomeequity.PDLOAN2
ELSE exit block and goto
TAddmort.ADDMORT
|
03A1
|
MORTCHNG
|
What
was the reason for the change in your
(mortgage/lump sum
home equity loan) for your (property description)?
1.
Change in escrow payment (include changes in property taxes,
insurance)
2. Change in interest rate
3. Paid off
4.
Change in amount of the graduated payment for a graduated payment
^MORTGAGE_LUMPSUM
5. ^MORTGAGE_LUMPSUM_C renegotiated
(rollover or renegotiable ^MORTGAGE_LUMPSUM)
6. Refinanced
^MORTGAGE_LUMPSUM (this includes changing the term of the
^MORTGAGE_LUMPSUM)
7. Paid less than the required amount
8.
Other reasons
9. More than one of the above
|
1,4:
Goto PYRINIJ
2: Goto NEWMRRTJ
3: Goto
MORTCHMO
5,6,8,9,DK,RF: Goto ORWHAT
7:
Goto PYMTJX1
|
03A1
|
ORWHAT
|
Is
this a 30-year (mortgage/lump sum home equity loan), a
15-year
(mortgage/lump sum home equity loan), or something
else?
1.
30-year
2. 15-year
3. Something else
|
1,2,DK,RF:
Goto FIXEDRTJ
3: Goto MRTTERMJ
|
03A1
|
MRTTERMJ
|
Enter
number of years.
|
Goto
FIXEDRTJ
|
03A1
|
FIXEDRTJ
|
Is
this a fixed rate (mortgage/lump sum home equity loan)?
1.
Yes
2. No
|
1:
Goto ORGMRTJX
2,DK,RF: Goto PAYTYPJ
|
03A1
|
PAYTYPJ
|
?
[F1]
There
are many different kinds of (mortgages/lump sum home equity
loans).
Which one of these comes closest to (yours/ your
household's)?
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
|
IF
3 selected then goto PAYTOTHJ
ELSE goto ORGMRTJX
|
03A1
|
PAYTOTHJ
|
Specify:
|
Goto
ORGMRTJX
|
03A1
|
ORGMRTJX
|
What
was the amount of the (mortgage/lump sum home equity loan)
when
(you/your household) first obtained it, not including
any interest?
|
Goto
NEWMRRTJ
|
03A1
|
NEWMRRTJ
|
?
[F1]
What is the current interest rate for this (mortgage/lump sum
home equity loan)?
Enter
percent including decimal
|
Goto
PYRINIJ
|
03A1
|
PYRINIJ
|
7
?
[F1]
On (your/your
household's) last regular payment, which of these things
were
included?
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
|
1-5,77:
IF 8500.FIXEDRTE = 2,DK or RF or FIXEDRTJ = 2,DK or RF then goto
MORTCHMO
ELSE goto MRTPMTJX
6: Goto
PYJOTH
RF: IF 8500.FIXEDRTE = 2,DK or RF or FIXEDRTJ
= 2,DK or RF
then goto MORTCHMO
ELSE
goto MRTPMTJX
|
03A1
|
PYJOTH
|
Specify:
|
IF
(8500.FIXEDRTE = 2, DK or RF) or (FIXEDRTJ = 2, DK or RF) then
goto MORTCHMO
ELSE goto MRTPMTJX
|
03A1
|
MRTPMTJX
|
How
much is (your/your household's) (mortgage/lump sum home
equity loan) payment per month?
|
IIF
any codes 3 - 6 are selected in PYRINIJ then goto PRININJX
ELSE
goto MORTCHMO
|
03A1
|
PRININJX
|
How
much of that amount is for (principal / interest/principal and
interest)?
|
Goto
MORTCHMO
|
03A1
|
MORTCHMO
|
In
what month did (you pay off your (mortgage/lump sum home equity
loan)/your (mortgage/lump sum home equity loan) change)?
1.
January
2. February
3. March
4. April
5.
May
6. June
7. July
8. August
9.
September
10. October
11. November
12. December
|
IF
(FIXEDRTJ = 2, DK or RF) or (FIXEDRTJ ne 1 AND 8500.FIXEDRTE = 2,
DK or RF) then goto PYMTJX1
ELSE goto MCHANGE for
next loan for this property with 8500.LOANTYPE = 1, 2 and
8500.OPF_STAT = 1
IF no more loans with
(8500.LOANTYPE = 1, 2 and 8500.OPF_STAT = 1) for this property
AND 8500.HWMNYLOC >= 1 then exit block and goto PDLOAN2 in
Thomequity block
ELSE exit block and goto
ADDMORT in TAddmort block
|
03A1
|
PYMTJX1
|
How
much was (your/your household's) payment on this
^mortgage_lumpsum in (reference month)?
|
1-99999999,DK,RF:
IF (any codes 3-6 selected in PYRINIJ) or 8500.PAYPROTX = 3 or
8500.PAYPROIN = 4 or 8500.PAYMORIN = 5 or 8500.PAYOTHER = 6 then
goto PRNINJX1
ELSE goto PYMTJX2
0:
Goto PYMTJX2
|
03A1
|
PRNINJX1
|
How
much of that amount is for ^prinint_fill?
|
0-99999999:
Goto PYMTJX2
|
03A1
|
PYMTJX2
|
How
much was (your/your household's) payment on this
^mortgage_lumpsum in (month)?
|
1-99999999,DK,RF:
IF any codes 3 to 6 selected in PYRINIJ or 8500.PAYPROTX = 3 or
8500.PAYPROIN = 4 or 8500.PAYMORIN = 5 or 8500.PAYOTHER = 6 then
goto PRNINJX2
ELSE goto PYMTJX3
0:
Goto PYMTJX3
|
03A1
|
PRNINJX2
|
How
much of that amount is for (principal / interest/principal and
interest)?
|
0-99999999:
Goto PYMTJX3
|
03A1
|
PYMTJX3
|
How
much was (your/your household's) payment on this (mortgage/lump
sum home equity loan) in (last month)?
|
IF
(any codes 3 to 6 selected in PYRINIJ) or 8500.PAYPROTX = 3 or
8500.PAYPROIN = 4 or 8500.PAYMORIN = 5 or 8500.PAYOTHER = 6) then
goto PRNINJX3
ELSEIF there are more loans on this
property with 8500.OPF_STAT = 1 then goto MCHANGE for the next
loan
ELSEIF 8500.HWMNYLOC >= 1 then exit block and
goto THomeequity.PDLOAN2
ELSE exit block and goto
TAddmort.ADDMORT
|
03A1
|
PRNINJX3
|
How
much of that amount is for (principal / interest/principal
and interest)?
|
0-99999999:
IF there are more loans on this property with 8500.OPF_STAT = 1
then goto MCHANGE for the next loan
ELSEIF
8500.HWMNYLOC >= 1 then exit block and goto
THomeequity.PDLOAN2
ELSE exit block and goto
TAddmort.ADDMORT
DK,RF: IF there are more loans on
this property with 8500.OPF_STAT = 1 then goto MCHANGE for the
next loan
ELSEIF 8500.HWMNYLOC >= 1 then
exit block and goto THomeequity.PDLOAN2
ELSE
exit block and goto TAddmort.ADDMORT
|
03A1
|
PDLOAN2
|
Since
the first of (reference month), (have/has) (you/your
household)
made any payments for your home equity line of
credit?
1.
Yes
2. No
|
1:
Goto PD2AMTX1
2,DK,RF: Goto TOTOWED2
|
03A1
|
PD2AMTX1
|
What
was the total amount paid in (reference month)?
|
Goto
PD2AMTX2
|
03A1
|
PD2AMTX2
|
What
was the total amount paid in (month)?
|
Goto
PD2AMTX3
|
03A1
|
PD2AMTX3
|
What
was the total amount paid in (last month)?
|
Goto
TOTOWED2
|
03A1
|
TOTOWED2
|
^TOTOWED2_FILL
|
Goto
PDLOAN2 for next loan for this property with 8500.OPH_STAT = 1
if no more loans for this property with8500.OPH_STAT = 1 then
exit block and goto TAddmort.Baddmort.ADDMORT
|
03A1
|
ADDMORT
|
Since
the first of (reference month), (have/has) (you/your
household)
obtained any (additional/ ) mortgages,
including second mortgages or home
equity loans, for
your (property description)?
(Do not include reverse
mortgages./ )
1.
Yes
2. No
|
1:
Goto HEQUITY
2,DK,RF: Exit block and goto
S3A1_CHK1
|
03A1
|
HEQUITY
|
Was
this a mortgage or home equity loan?
1.
Mortgage
2. Home equity loan
|
1,DK,RF:
Goto OTHLOAN
2: Goto HELTYPE
|
03A1
|
HELTYPE
|
There
are two basic types of home equity loans:
A loan where
(you/your household) received the entire lump-sum
borrowed
when (you/your household) took out the loan; or
A line
of credit loan where (you/your household) can increase
the
amount borrowed by simply writing a check or using
a special
credit card.
Which type more
closely describes this new home equity loan?
1.
Lump sum home equity loan
2. Line of credit home equity loan
|
Goto
OTHLOAN
|
03A1
|
OTHLOAN
|
Did
you have any other new mortgages or home equity loans for
(property description)?
1.
Yes
2. No
|
1:
Goto HEQUITY for the next row
2,DK,RF: Exit
block and goto S3A1_CHK1
|
03A1
|
PURPROP
|
6
(Other
than the Sample Unit which you recently acquired/
) ^SinceFill the first of
(reference month),
(have/has) (you/your household) purchased or
otherwise
acquired any property or real
estate?
1.
Yes
2. No
|
1:
Goto PCODE
2,DK,RF: Goto 3A1_END
|
03A1
|
PCODE
|
6
What kind of property(ies) is this new property or real
estate?
Enter
all that apply, separate with commas
1.
Other homes, vacation homes, recreational properties including
timeshares
2. Commercial real estate or farm land
3.
Homes rented out or owned only for investment purposes
4.
Land with no buildings on it
|
if
1 selected then goto NPROP2
if 2 selected then goto
CK_PCODE
if 3 selected then goto NPROP6
if 4 selected
then goto NPROP4
|
03A1
|
NPROP2
|
6
How
many other homes, vacation homes or recreational properties,
including timeshares?
Exclude
right-to-use timeshares, vacation clubs, or destination clubs.
|
IF
3 selected in PCODE then goto NPROP6
ELSEIF 4 selected
in PCODE then goto NPROP4
ELSE goto S3A1_END
|
03A1
|
NPROP6
|
6
How
many homes rented out or owned only for investment purposes?
|
|
03A1
|
NPROP4
|
6
How
many were land with no buildings on it?
|
Goto
S3A1_END
|
03A2
|
OTHERHOM
|
6
Since
the first of (reference month), (have/has) (you/your
household)
lived in any other home that (you/you or any
members of your household) still (own/owns)?
1.
Yes
2. No
|
1:
Goto NOPROP
2,DK,RF: Goto BUSPROP3
|
03A2
|
NOPROP
|
6
How
many?
|
Goto
BUSPROP3
|
03A2
|
BUSPROP3
|
6
(Do/Does)
(you/your household) own any commercial real estate or farm
land?
1.
Yes
2. No
|
Goto
RESBUSPR
|
03A2
|
RESBUSPR
|
6
(In
the following questions, please do not include any of the
commercial properties (you/your household) ^own_owns only for
business or investment purposes.)
(Do/Does) (you/your
household) own any homes rented out or owned only for investment
purposes?
1.
Yes
2. No
|
1:
Goto RES_NUM
2,DK,RF: Goto SECHOME
|
03A2
|
RES_NUM
|
6
How
many?
|
Goto
SECHOME
|
03A2
|
SECHOME
|
6
(In
the following questions, please do not include any of the
properties ^You_YRCU (own/owns) only for business or investment
purposes)
(Other than the property you have already
mentioned./ )
(Do/Does/do/does) (you/your household)
own any other homes, vacation homes,
or recreational
properties, including timeshares?
Exclude
right-to-use timeshares, vacation clubs, or destination
clubs.
1.
Yes
2. No
|
1:
Goto SEC_NUM
2,DK,RF: Goto NOBUILD
|
03A2
|
SEC_NUM
|
6
How
many?
Exclude
right-to-use timeshares, vacation clubs, or destination clubs.
|
Goto
NOBUILD
|
03A2
|
NOBUILD
|
6
Other
than property you have already mentioned, (do/does)
(you/your
household) own any land without buildings on it?
1.
Yes
2. No
|
1:
Goto BUILDNUM
2,DK,RF: Goto NOLONGER
|
03A2
|
BUILDNUM
|
6
How
many?
|
Goto
NOLONGER
|
03A2
|
NOLONGER
|
6
Are
there any properties that (you/your household) owned at the
beginning of (reference month) that (you/your household) no
longer (own/owns)?
1.
Yes
2. No
|
1:
Goto NUMPRPTY
2,DK,RF: Goto S3A2_END
|
03A2
|
NUMPRPTY
|
6
How
many different properties?
|
1-20:
Goto P_TYPE
DK,RF: Goto S3A2_END
|
03A2
|
P_TYPE
|
6
? [F1]
What
type of (property was it/properties were they)?
Enter
all that apply, separate with commas.
1.
A home in which ^YOU_YRCU used to live
2. Other homes,
vacation homes, recreational properties including timeshares
3.
Commercial real estate or farm land
4. Homes rented out or
owned only for investment purposes
5. Land with no buildings
on it
|
1-5:
IF NUMPRTY = DK or RF then goto S3A2_END
If 1
selected in P_TYPE and NUMPRPTY is greater than 1 then goto
HWMANY1
If only 1 selected in P_TYPE and NUMPRPTY = 1
then goto S3A2_END
If 2 selected in P_TYPE and
NUMPRPTY is greater than 1 then goto HWMANY2
If only
2 selected in P_TYPE and NUMPRPTY = 1 then goto S3A2_END
If 3 selected in P_TYPE and NUMPRPTY is greater than 1
then goto HWMANY3
If only 3 selected in P_TYPE and
NUMPRPTY = 1 then goto S3A2_END
If 4 selected
in P_TYPE and NUMPRPTY is greater than 1 then goto HWMANY4
If only 4 selected in P_TYPE and NUMPRPTY = 1 then goto
S3A2_END
If 5 selected in P_TYPE and NUMPRPTY
is greater than 1 then goto HWMANY5
If only 5
selected in P_TYPE and NUMPRPTY = 1 then goto S3A2_END
RF:
Goto S3A2_END
|
03A2
|
HWMANY1
|
6
How
many homes in which (you/your household) used to live did
(you/your household) dispose
of since (reference
month)?
|
IF
2 selected in P_TYPE then goto HWMANY2
ELSEIF 3 selected in
P_TYPE then goto HWMANY3
ELSEIF 4 selected in P_TYPE then
goto HWMANY4
ELSEIF 5 selected in P_TYPE then goto
HWMANY5
ELSE goto S3A2_CHK
|
03A2
|
HWMANY2
|
6
How
many other homes, vacation homes, recreational properties, or
timeshares did (you/your household) dispose of since
(reference month)?
|
IF
3 selected in P_TYPE then goto HWMANY3
ELSEIF 4 selected in
P_TYPE then goto HWMANY4
ELSEIF 5 selected in P_TYPE then
goto HWMANY5
ELSE goto S3A2_CHK
|
03A2
|
HWMANY3
|
6
How
many commercial real estate or farm land properties did
(you/your household) dispose of since (reference month)?
|
IF
4 selected in P_TYPE then goto HWMANY4
ELSEIF 5 selected in
P_TYPE then goto HWMANY5
ELSE goto S3A2_CHK
|
03A2
|
HWMANY4
|
6
How
many homes rented out or owned only for investment purposes did
(you/your household) dispose of since (reference month)?
|
IF
5 selected in P_TYPE then goto HWMANY5
ELSE goto S3A2_CHK
|
03A2
|
HWMANY5
|
6
How
many land properties with no buildings on them did (you/your
household) dispose of since (reference month)?
|
Goto
S3A2_CHK
|
03B
|
WHICH_PROP
|
(Now
I am going to ask about your (owned properties/next property)
)
Enter
type of property
1.
Sample unit
2. ^Form_home
3. ^Oth_home
4.
^Rent_home
5. ^No_build
|
1:
Goto CK_WHICHPROP
2-5: Goto PROPDESC
|
03B
|
PROPDESC
|
(Now
I'm going to ask some questions about your Sample
Unit.)
("*
Briefly describe the (property type).)
(* Press
Enter to continue./* Enter 888 to delete this property.)
|
30
characters: IF OWNYB = 300 then goto TIMESHAR
ELSEIF OWNYB = 600 then goto COUNTRY
ELSE
goto SHARED2
888: Goto next property
|
03B
|
TIMESHAR
|
?
[F1]
Is
this a time-sharing arrangement where (you/your
household) (have/has)
use of the property only for a
specified length of time each year?
1.
Yes
2. No
|
1:
Goto DEEDED
2,DK,RF: Goto SHARED2
|
03B
|
DEEDED
|
Is
this a deeded or right-to-use timeshare?
1.
Deeded
2. Right-to-use
|
1,DK,RF:
Goto SHARWKS
2: Goto CH_DEEDED
|
03B
|
SHARWKS
|
How
many weeks are (you/your household) entitled to use your
timeshare each year?
|
1-16,
DK, RF: Goto SHARED1
17-52: Goto ERR1_SHARWKS
|
03B
|
SHARED1
|
(Do/Does)
(you/your household) own the timeshare with anyone else outside
your household?
1.
Yes
2. No
|
1:
Goto SHARPER1
2,DK,RF: Goto COUNTRY
|
03B
|
SHARPER1
|
What
percent of the timeshare (do/does) (you/your household) own?
|
Goto
COUNTRY
|
03B
|
SHARED2
|
(Do/Does) (you/your
household) share ownership of the property with anyone else?
1.
Yes
2. No
|
1:
Goto SHARPER2
2,DK,RF: IF OWNYB = 300 then goto
COUNTRY
ELSEIF INTNMBR = 2-5 and NEWCU ne 1 AND
OWNYB ne 100 then goto STILOWNB
ELSEIF
BCeintro.BUSCREEN = 2 AND OWNYB = 100 then goto BSNEXP2
ELSEIF BCeintro.BUSCREEN = 2 then goto ACQUIRYR
ELSE goto BSNSEXP
|
03B
|
SHARPER2
|
What
percentage of the property (do/does) (you/your
household) own?
|
IF
OWNYB = 300 then goto COUNTRY
ELSEIF INTNMBR = 2-5 AND
NEWCU ne 1 AND OWNYB ne 100 then goto STILOWNB
ELSEIF
BCeintro.BUSCREEN = 2 AND OWNYB = 100 then goto BSNEXP2
ELSEIF
BCeintro.BUSCREEN = 2 then goto ACQUIRYR
ELSE goto
BSNSEXP
|
03B
|
COUNTRY
|
Ask
if not apparent
If
this is a timeshare with multiple locations, select the most
often used location.
Where
is the property located?
1.
United States
2. Foreign Country
|
1:
Goto STATE
2,DK,RF: IF INTNMBR = 2-5 AND NEWCU ne
1 and OWNYB ne 100 then goto STILOWNB
ELSEIF
BCeintro.BUSCREEN = 2 AND OWNYB ne 600 then goto ACQUIRYR
ELSEIF OWNYB ne 600 then goto BSNSEXP
ELSE
goto S3B_END
|
03B
|
STATE
|
?
[F1]
Enter
the two character State abbreviation
|
IF
DK or RF: IF INTNMBR = 2-5 AND NEWCU ne 1 AND OWNYB ne 100
then goto STILOWNB
ELSEIF BCeintro.BUSCREEN
= 2 AND OWNYB ne 600 then goto ACQUIRYR
ELSEIF OWNYB ne 600 then goto BSNSEXP
ELSE
goto S3B_END
ELSE: Goto CNTYCODE
|
03B
|
CNTYCODE
|
What
county is the property located in?
If
the county name is not found, key X.
|
30
characters,DK,RF: IF INTNMBR = 2-5 AND NEWCU ne 1 AND OWNYB ne
100 then goto STILOWNB
ELSEIF
BCeintro.BUSCREEN = 2 AND OWNYB ne 600 then goto ACQUIRYR
ELSEIF OWNYB ne 600 then goto BSNSEXP
ELSE goto S3B_END
X: Goto OTHCNTY
|
03B
|
OTHCNTY
|
Specify
other county
|
IF
INTNMBR = 2-5 AND NEWCU ne 1 AND OWNYB ne 100 then goto
STILOWNB
ELSEIF BCeintro.BUSCREEN = 2 AND OWNYB ne 600
then goto ACQUIRYR
ELSEIF OWNYB ne 600 then goto
BSNSEXP
ELSE goto S3B_END
|
03B
|
STILOWNB
|
Ask
if not apparent
Do
you still own this property?
1.
Yes
2. No
|
IF
OWNYB = 600 then goto S3B_END
ELSEIF BCeintro.BUSCREEN = 2
AND OWNYB ne 600 then goto ACQUIRYR
ELSE goto BSNSEXP
|
03B
|
BSNSEXP
|
(Are/Were)
any of the expenses for this property deducted as a farm, rental,
or business expense?
1.
Yes
2. No
|
1:
Goto OBSNSZB
2,DK,RF: IF OWNYB = 100 then goto
BSNEXP2
ELSE goto ACQUIRYR
|
03B
|
OBSNSZB
|
What
percent of the expenses for this property (is/was) deducted?
Include the portion used for business, farming, or rented to
someone outside the household.
|
1-99,DK,RF:
Goto ACQUIRYR
100: Goto ERR2_OBSNSZB
|
03B
|
BSNEXP2
|
Is
any part of this property you own rented to someone outside
your household or used for business?
1.
Yes
2. No
|
Goto
ACQUIRYR
|
03B
|
ACQUIRYR
|
In
what year did (you/your household) close or settle on this
property?
|
1900-9999:
If entry = current or previous year, goto ACQUIRMO
Else goto ANPROPTX
DK, RF: goto ANPROPTX
|
03B
|
ACQUIRMO
|
In
what month did (you/your household) close or settle on this
property?
1.
January
2. February
3. March
4. April
5.
May
6. June
7. July
8. August
9.
September
10. October
11. November
12. December
|
1-12:
IF ACQUIRMO/ACQUIRYR are within the reference period then goto
GIFTPROP
ELSE goto ANPROPTX
DK,RF: Goto
ANPROPTX
|
03B
|
GIFTPROP
|
Was
this property received as a gift or inheritance?
1.
Yes
2. No
|
1,DK,RF:
Goto ANPROPTX
2: Goto OWN_PURX
|
03B
|
OWN_PURX
|
6 ?
[F1]
What
was the total price paid for (this/the) property, not
including
closing costs?
|
Goto
CLOSECST
|
03B
|
CLOSECST
|
6 ?
[F1]
About
how much were the closing costs?
|
Goto
OWNDPMTX
|
03B
|
OWNDPMTX
|
What
was the amount of the down payment?
|
Goto
ANPROPTX
|
03B
|
ANPROPTX
|
What
(are/were) the annual property taxes for (this/the)
property?
|
IF
OWNYB = 400 then goto S3B_END
ELSEIF OWNYB ne 400 AND
NOT (OWNYB = 100 AND SECT01.BUILDING (from Section 1C) = 1, 9 ,
10) then goto PROPTYPE
ELSE goto S3B_END
|
03B
|
PROPTYPE
|
Ask
if not apparent.
If
respondent doesn't know or refuses select pre-code
3.
(Was/Is)
this property a -
1.
Condominium
2. Cooperative
3. Something else
|
Goto
S3B_END
|
03D
|
DISPMTHD
|
You
said (you/your household) no longer (own/owns)
your (property description).
Did (you/your
household) sell it, give it to someone outside your household, or
do
something else with it?
1.
Sold the property or traded the property in
2. Gave it to
someone outside household
3. Something else, other –
specify
|
1,2,DK,RF:
Goto DISPYR
3: Goto DISPOTH
|
03D
|
DISPOTH
|
Specify:
|
Goto
DISPYR
|
03D
|
DISPYR
|
In
what year did (you/your household) (sell( trade) this
property/give this property to someone outside your CU/dispose of
this property)?
|
Goto
DISPMO
|
03D
|
DISPMO
|
In
what month did (you/your household) (sell( trade) this
property/give this property to someone outside your CU/dispose of
this property)?
1.
January
2. February
3. March
4. April
5.
May
6. June
7. July
8. August
9.
September
10. October
11. November
12. December
|
IF
DISPMO = DK or RF then goto S3D_END
ELSEIF DISPYR = DK
or RF then goto S3D_END
ELSEIF DISPMTHD = 1 AND
(DISPMO and DISPYR are within the reference period then goto
DISPX
ELSEIF Cur_monthnum = 1 THEN {Current Month is
January}
IF DISPMO = 1 AND DISPYR = (Currentyear) THEN
{Disposed of January of this year} goto S3D_END - do NOT display
the error
ENDIF
IF (DISPMO = 10-12) AND
DISPYR = (Currentyear - 1) THEN {Disposed of Oct, Nov, Dec of
last year} goto S3D_END - do NOT display the error
ENDIF
ELSEIF Cur_monthnum = 2 THEN {Current Month is
February}
IF (DISPMO = 1 or 2) AND DISPYR =
(Currentyear) THEN {Disposed of in Jan or Feb of this year} goto
S3D_END - do NOT display the error
ENDIF
IF (DISPMO = 11 or 12) AND DISPYR = (Currentyear - 1) THEN
{Disposed of in Nov or Dec of last year} goto S3D_END - do NOT
display the error
ENDIF
ELSEIF
Cur_monthnum = 3 THEN {Current Month is March}
IF
(DISPMO = 1-3) AND DISPYR = (Currentyear) THEN {Disposed of in
Jan or Feb of this year} goto S3D_END - do NOT display the error
ENDIF
IF DISPMO = 12 and DISPYR =
(Currentyear - 1) THEN {Disposed of in Dec of last year} goto
S3D_END - do NOT display the error
ENDIF
ELSEIF
{Disposed of betweent the ref_month and current month of
this year}
( ( (DISPMO >= ref_monthnum) AND (DISPMO
<= cur_monthnum) ) AND (DISPYR = Currentyear) ) OR
{Disposed of this month and this year} ( (DISPMO =
Interviewdate.MONTH) AND (DISPYR = Currentyear) ) THEN goto
S3D_END - do NOT display the error
ELSE goto
ERR3_DISPMO - Display DISPDATE_ERR
|
03D
|
DISPX
|
What
was the selling price (trade-in value)?
|
Goto
DISPEXPX
|
03D
|
DISPEXPX
|
7
? [F1]
Here
is a list of some of the costs people may have when
selling
(trading) property. Looking at the
list may help you remember
what (your/your
household's) expenses were. What were (your/your
household's)
total expenses in selling (trading) this
property?
|
Goto
S3D_END
|
03E
|
PRESMORT
|
Now
I am going to ask about mortgages for your (property
description).
Excluding home equity loans, (and reverse
mortgages/ ), (do/does) (you/your
household)
presently have a mortgage on your (property
description)?
1.
Yes
2. No
|
1:
Goto NUMMORT1
2,DK,RF: Goto HADMORT
|
03E
|
NUMMORT1
|
How
many mortgages ^havehas (you/your household) had on
this
property since the first of (reference month)?
|
Goto
HOMEQ_YN
|
03E
|
HADMORT
|
(Have/Has) (you/your
household) had a mortgage on this property
since the
first of (reference month)?
1.
Yes
2. No
|
1:
Goto NUMMORT2
2,DK,RF: Goto HOMEQ_YN
|
03E
|
NUMMORT2
|
How
many mortgages (have/has) (you/your household) had on
this
property since the first of (reference month)?
|
Goto
HOMEQ_YN
|
03E
|
MRTCPSHA
|
Since
the first of (reference month), in addition to (your/your
household's) share of the
cooperative's total costs,
did (you/your household) make payments on a
mortgage
that was obtained from an outside lender
for (your/your household's) shares
in the
cooperative?
1.
Yes
2. No
|
1:
Goto NUMMORT3
2,DK,RF: Goto HOMEQ_YN
|
03E
|
NUMMORT3
|
How
many mortgages (have/has) (you/your household) had on
this
property since the first of (reference
month)?
|
Goto
HOMEQ_YN
|
03E
|
HOMEQ_YN
|
(Do/Does) (you/your
household) have a home equity loan or any
other loan
which gives the lender claim on this property in case
the
loan is not repaid?
1.
Yes
2. No
|
1:
Goto LSHEL_YN
2,DK,RF: Goto S3E_END
|
03E
|
LSHEL_YN
|
^LSHEL_YN_FILL_ONCE
(Have/Has) (you/your
household) had a lump sum home equity loan on
this property
since the first of (reference month)?
1.
Yes
2. No
|
1:
Goto NUMLSHEL
2,DK,RF: Goto LCHEL_YN
|
03E
|
NUMLSHEL
|
How
many?
|
Goto
LCHEL_YN
|
03E
|
LCHEL_YN
|
^C_HaveHas (you/your
household) had a line of credit
home equity loan on
this property since the first of
(reference
month)?
1.
Yes
2. No
|
1:
Goto NUMLCHEL
2,DK,RF: Goto S3E_END
|
03E
|
NUMLCHEL
|
How
many?
|
Goto
S3E_END
|
03F
|
ORG_INTR
|
Now
I will ask some questions about your (1st/2nd/3rd/etc.)
(mortgage/lump sum home equity loan).
These
questions refer to the (mortgage/lump sum home equity loan) you
are currently making payments on.
1.
Continue
2. Delete the loan
|
1:
Goto ORGMRTX
2: Goto S3FG_END
|
03F
|
ORGMRTX
|
What
was the amount of the (mortgage/lump sum home equity loan)
when (you/your household) first obtained it, not including
any interest?
|
Goto
FRSTPYYR
|
03F
|
FRSTPYYR
|
In
what year did (you/your household) make the first payment
on
this (mortgage/lump sum home equity loan)?
|
Goto
FRSTPYMO
|
03F
|
FRSTPYMO
|
In
what month did (you/your household) make the first payment
on
this (mortgage/lump sum home equity loan)?
1.
January
2. February
3. March
4. April
5.
May
6. June
7. July
8. August
9.
September
10. October
11. November
12. December
|
Goto
MTERM
|
03F
|
MTERM
|
Is
this a 30 year (mortgage/lump sum home equity loan), a 15
year
(mortgage/lump sum home equity loan), or something
else?
1.
30-year
2. 15-year
3. Something else
|
1:
goto NEWMRRT
2: goto NEWMRRT
3:
Goto MORTTERM
DK,RF: Goto NEWMRRT
|
03F
|
MORTTERM
|
Enter
number of years
|
Goto
NEWMRRT
|
03F
|
NEWMRRT
|
What
is the current interest rate on this (mortgage/lump sum home
equity loan)?
Enter
percent including decimal
|
Goto
FIXEDRTE
|
03F
|
FIXEDRTE
|
Is
this a fixed rate (mortgage/lump sum home equity loan)?
1.
Yes
2. No
|
1:
Goto PAYINCL
2,DK,RF: Goto PAYTYPE
|
03F
|
PAYTYPE
|
?
[F1]
There
are many different kinds of (mortgages/lump sum home equity
loans).
Which of these comes closest to (yours/ your
household's)?
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
|
IF
3 is selected then goto PAYTOTHF
ELSE goto PAYINCL
|
03F
|
PAYTOTHF
|
Specify:
|
Goto
PAYINCL
|
03F
|
PAYINCL
|
7 [F1]
On
(your/your household's) last payment, which of these things were
included?
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
|
IF
6 selected then goto PAYOTHF
ELSEIF FIXEDRTE = 1 then
goto MRTPMTX
ELSE goto PAYMTX1
|
03F
|
PAYOTHF
|
Specify:
|
IF
FIXEDRTE = 1 then goto MRTPMX
ELSE goto PAYMTX1
|
03F
|
MRTPMTX
|
How
much is (your/your household's) (mortgage/lump sum home
equity loan) payment per month?
|
1-99999999:
IF any codes 3-6 are selected in PAYINCL then goto PRININTX
ELSE goto S3FG_END
DK,RF: IF any codes
3-6 are selected in PAYINCL then goto PRININTX
ELSE
goto S3FG_END
|
03F
|
PRININTX
|
How
much of that amount was for ^prinint_fill?
|
Goto
S3FG_END
|
03F
|
PAYMTX1
|
How
much was (your/your household's) payment on this
(mortgage/lump sum home equity loan) in (reference month)?
|
0:
Goto PAYMTX2
1-99999999,DK,RF: IF any codes 3-6
selected in PAYINCL then goto PRNINTX1
ELSE goto PAYMTX2
|
03F
|
PRNINTX1
|
How
much of that amount was for ^prinint_fill?
|
Goto
PAYMTX2
|
03F
|
PAYMTX2
|
How
much was (your/your household's) payment on this (mortgage/lump
sum home equity loan) in (month)?
|
0:
Goto PAYMTX3
1-99999999,DK,RF: IF any codes 3-6
selected in PAYINCL then goto PRNINTX2
ELSE goto PAYMTX3
|
03F
|
PRNINTX2
|
How
much of that amount was for ^prinint_fill?
|
Goto
PAYMTX3
|
03F
|
PAYMTX3
|
How
much was (your/your household's) payment on this (mortgage/lump
sum home equity loan) in (last month)?
|
0,DK,RF:
Goto S3FG_END
1-99999999: IF any codes 3-6 selected
in PAYINCL then goto PRNINTX3
ELSE goto
S3FG_END
|
03F
|
PRNINTX3
|
How
much of that amount is for ^prinint_fill?
|
Goto
S3FG_END
|
03H
|
PAIDLOAN
|
(I'd
like to ask some questions about (your/your CUs) line of credit
home equity (loan/laons).)
Since the first of
(reference month), (have/has) (you/your household)
made
any payments for (your/your household's) (this
loan/1st/2nd/3rd/etc.)?
1.
Yes
2. No
888. Delete this loan
|
1:
Goto PDAMTX1
2,DK,RF: Goto TOTOWED
888:
Goto next loan
|
03H
|
PDAMTX1
|
What
was the total amount paid in (reference month)?
|
Goto
PDAMTX2
|
03H
|
PDAMTX2
|
What
was the total amount paid in (month)?
|
Goto
PDAMTX3
|
03H
|
PDAMTX3
|
What
was the total amount paid in (last month)?
|
Goto
TOTOWED
|
03H
|
TOTOWED
|
^TOTOWED_FILL
|
Goto
S3H_END
|
03I
|
MORTSPEC
|
Now
I'm going to ask about other ownership costs
for your
(property description).
Since the first of (reference
month), have (you/you or any members of your household)
paid
more than the amount required on any mortgage or
lump
sum home equity loan for this property?
1.
Yes
2. No
|
1:
Goto SPECIALX
2,DK,RF: Goto GRNDRENT
|
03I
|
SPECIALX
|
How
much EXTRA did (you/your household) pay?
|
1-99999999:
Goto SPECLXCM
DK,RF: Goto GRNDRENT
|
03I
|
SPECLXCM
|
How
much of that amount was paid this month?
|
Goto
GRNDRENT
|
03I
|
GRNDRENT
|
(Now
I'm going to ask about ownership costs for your (property
description)/ )
Since the first of (reference month),
(have/has) (you/your household) made any
payments for ground
or land rent for (property description)?
1.
Yes
2. No
|
1:
Goto GRNDRNTX
2,DK,RF: If PROPTYPE = 1 then
goto PAYCONDO
If PROPTYPE = 2 then goto COOPRG3
If PROPTYPE = 3 then goto PAYHOASS
|
03I
|
GRNDRNTX
|
What
was the total amount paid?
|
1-99999999:
Goto GRNDRTCX
DK,RF: IF PROPTYPE = 1 then goto
PAYCONDO
If PROPTYPE = 2 then goto COOPRG3
If PROPTYPE = 3 then goto PAYHOASS
|
03I
|
GRNDRTCX
|
How
much of that amount was paid this month?
|
IF
PROPTYPE = 1 then goto PAYCONDO
IF PROPTYPE = 2
then goto COOPRG3
IF PROPTYPE = 3 then goto
PAYHOASS
|
03I
|
PAYHOASS
|
(Do/Does)
(you/your household) make regular payments to
a homeowner's
association?
1.
Yes
2. No
|
1:
Goto HORCORG
2,DK,RF: Goto SPCLPAY2
|
03I
|
PAYCONDO
|
(Are/Is)
(you/your household) required to make regular payments
of
condominium fees for general maintenance or management
services?
1.
Yes
2. No
|
1:
Goto HORCORG
2,DK,RF: Goto SPCLPAY2
|
03I
|
COOPRG3
|
7 ?
[F1]
Now
I'd like to ask you about payments (you/your
household) (make/makes) directly to the cooperative
for (your/your household's) share of its
costs.
Since the first of (reference
month), have (you/you or any members of your household)
made
any payments for any of the following things -
Read
each item on the list
Enter all that apply, separate with commas
Enter 12 for no payments made
1.
Repayment of loans owed by cooperative
2. Property taxes
3.
Property Insurance
4. Management
5. Repairs or
maintenance, including lawn care or snow removal
6.
Improvements
7. Recreational including swimming, golf or
tennis facilities
8. Security including guards or alarm
systems
9. Utilities such as gas, electricity, water,
heat
10. Trash collection
11. Other
12. No
payments made
77. Don't know
|
12,RF:
Goto SPCLPAY1
1-11,77: IF 11 selected then goto
CORGOTH
ELSE goto MGOTHERX
|
03I
|
CORGOTH
|
Specify:
|
Goto
MGOTHERX
|
03I
|
HORCORG
|
8 ?
[F1]
Which
of the following services and privileges were included in
those
payments?
Read
each item on the list.
Enter
all that apply---separate with commas.
1.
Management
2. Repairs or maintenance, including lawn care or
snow removal
3. Improvements
4. Utilities such as gas,
electricity, water, heat
5. Parking
6. Recreational
including swimming, golf, or tennis facilities
7. Security
including guards or alarm systems
8. Maid Services
9.
Medical Services
10. Trash collection
11. Other
77.
Don't Know
|
1-11,77:
IF 11 selected then goto HORGOTH
ELSEIF there
is at least one loan of LOANTYPE = 1 on this property then goto
MGOTHER
ELSE goto MGOTHERX
RF: Goto
SPCLPAY2
|
03I
|
HORGOTH
|
Specify:
|
IF
at least one loan of LOANTYPE = 1 for this property then goto
MGOTHER
ELSE goto MGOTHERX
|
03I
|
MGOTHER
|
Since
the first of (reference month), have you made ANY regular
payments for
these services?
1.
Yes
2. No
|
1,DK,RF:
Goto MGOTHERX
2: IF PROPTYPE = 2 then goto
SPCLPAY1
ELSE goto SPCLPAY2
|
03I
|
MGOTHERX
|
Since
the first of (reference month), how much (have/has) (you/your
household) paid for these services?
|
1-99999999:
Goto MGOTHRCX
0,DK,RF: IF PROPTYPE = 2 then goto
SPCLPAY1
ELSE goto SPCLPAY2
|
03I
|
MGOTHRCX
|
How
much of that amount was paid this month?
|
IF
PROPTYPE = 2 then goto SPCLPAY1
ELSE goto SPCLPAY2
|
03I
|
SPCLPAY1
|
7
? [F1]
(Have/Has) (you/your
household) made any SPECIAL payments to
a management
service?
1.
Yes
2. No
|
1:
Goto COOPSP3
2,DK,RF: Goto ASSESSMT
|
03I
|
SPCLPAY2
|
8
?
[F1]
(Have/Has) (you/your
household) made any SPECIAL payments to a management
service?
1.
Yes
2. No
|
1:
Goto HOCOSP3
2,DK,RF: Goto ASSESSMT
|
03I
|
COOPSP3
|
7 ?
[F1]
Since
the first of (reference month), what services were
provided?
Enter
all that apply, separate with commas
1.
Repayment of loans owed by the cooperative
2. Property
taxes
3. Property insurance
4. Management
5.
Repairs or mantainence, including lawn care or snow removal
6.
Improvements
7. Recreational including swimming, golf, or
tennis facilitieds
8. Security including guards or alarm
systems
9. Utilities such as gas, electricity, water,
heat
10. Trash collection
11. Other
77. Don't
Know
|
IF
11 is selected then goto COSPOTH
ELSE goto SPECLX
|
03I
|
COSPOTH
|
Specify:
|
Goto
SPECLX
|
03I
|
HOCOSP3
|
8 ?
[F1]
Since
the first of (reference month), what services were provided?
Enter
all that apply, separate with commas
1.
Management
2. Repairs or maintenance, including lawn care or
snow removal
3. Improvements
4. Utilities such as gas,
electricity, water, heat
5. Parking
6. Recreational
including swimming, golf, or tennis facilities
7. Security
including guards or alarm systems
8. Maid Services
9.
Medical Services
10. Trash collection
11. Other
77.
Don't Know
|
IF
11 is selected then goto HOSPOTH
ELSE goto SPECLX
|
03I
|
HOSPOTH
|
Specify:
|
Goto
SPECLX
|
03I
|
SPECLX
|
Since
the first of (reference month), how much were these
special
payments?
|
1-99999999:
goto SPECLCX
DK,RF: Goto ASSESSMT
|
03I
|
SPECLCX
|
How
much of that amount was paid this month?
|
Goto
ASSESSMT
|
03I
|
ASSESSMT
|
Since
the first of (reference month) (have/has) (you/your household)
paid any special assessments to a local government for
construction or repair of roads, sidewalks, or other things like
that?
1.
Yes
2. No
|
1:
Goto ASSESSX
2,DK,RF: IF OWNYB = 100 then goto
RNTEQVX
ELSEIFIF OWNYB = 300 then goto VAC_OCCQ
ELSE goto S3I_END
|
03I
|
ASSESSX
|
What
was the total amount paid?
|
1-99999999:
goto ASSESSCX
DK,RF: IF OWNYB = 100 then goto
RNTEQVX
ELSEIF OWNYB = 300 then goto VAC_OCCQ
ELSE goto S3I_END
|
03I
|
ASSESSCX
|
How
much of that amount was paid this month?
|
0-99999999:
IF OWNYB = 100 then goto RNTEQVX
ELSEIF
OWNYB = 300 then goto VAC_OCCQ
ELSE goto
S3I_END
DK,RF: IF OWNYB = 100 then goto RNTEQVX
ELSEIF OWNYB = 300 then goto VAC_OCCQ
ELSE goto S3I_END
|
03I
|
VAC_OCCQ
|
Since
the first of (reference month), how much time did you occupy this
(timeshare/property)?
Enter
quantity and select period on next screen.
|
0,DK,RF:
IF TIMESHAR (from 3B) = 2, DK or RF then goto VAC_SEC
ELSEIF TIMESHAR (from 3B) = 1 then goto TIME_RNT
ELSE goto S3I_END
1-150: Goto VAC_OCCY
|
03I
|
VAC_OCCY
|
Enter
time period.
1.
Days
2. Weeks
3. Months
4. Percent
5. Other,
specify
|
1-4,DK,RF:
IF TIMESHAR (from 3B) = 2, DK or RF then goto VAC_SEC
ELSEIF TIMESHAR (from 3B) = 1 then goto TIME_RNT
ELSE goto S3I_END
5: Goto VAC_OTH
|
03I
|
VAC_OTH
|
Specify:
|
IF
TIMESHAR (from 3B) = 2, DK or RF then goto VAC_SEC
ELSEIF
TIMESHAR (from 3B) = 1 then goto TIME_RNT
ELSE goto
S3I_END
|
03I
|
VAC_SEC
|
Since
the first of (reference month), was this property either rented
by someone outside your household or available to be rented?
1.
Yes
2. No
|
1:
Goto VAC_RNTQ
2,DK,RF: Goto RNTEQVX
|
03I
|
VAC_RNTQ
|
Since
the first of (reference month), how much time was this property
rented by someone outside your household?
Enter
quantity and select period on next screen.
|
0,DK,RF:
Goto VAC_AVAQ
1-150: Goto VAC_RNTY
|
03I
|
VAC_RNTY
|
Enter
time period.
1.
Days
2. Weeks
3. Months
4. Percent
5. Other,
specify
|
1-4,DK,RF:
Goto VAC_AVAQ
5: Goto VAC_ROTH
|
03I
|
VAC_ROTH
|
Specify:
|
Goto
VAC_AVAQ
|
03I
|
VAC_AVAQ
|
Since
the first of (reference month), how much time was this
property available to be rented, but not rented
out?
Enter
quantity and select period on next screen.
|
0,DK,RF:
IF OWNYB = 300 then goto RNTEQV2X
ELSE goto
S3I_END
1-150: Goto VAC_AVAY
|
03I
|
VAC_AVAY
|
Specify
1.
Days
2. Weeks
3. Months
4. Percent
5. Other,
specify
|
1-4:
IF OWNYB = 300 then goto RNTEQV2X
ELSE goto
S3I_END
DK,RF: IF OWNYB = 300 then goto RNTEQV2X
ELSE goto S3I_END
5: Goto VAC_AOTH
|
03I
|
VACAOTH
|
Specify
|
IF
OWNYB = 300 then goto RNTEQV2X
ELSE goto S3I_END
|
03I
|
RNTEQV2X
|
If
someone were to rent this home today, how much do you think it
would rent for?
|
Goto
RENTPERD
|
03I
|
RENTPERD
|
Ask
if not already stated.
What
period of time does this rental amount cover?
1.
Week
2. Month
3. Quarter
4. Other specify
|
1-3,DK,RF:
Goto RENTUTIL
4: Goto RNPEROTH
|
03I
|
RNPEROTH
|
Specify:
|
Goto
RENTUTIL
|
03I
|
RENTUTIL
|
Does
this amount include utilities?
1.
Yes
2. No
|
Goto
PROPVALX
|
03I
|
RNTEQVX
|
If
someone were to rent this (including part of the property
currently being used for business, farming, or rented/home today)
how much do you think it
would rent for monthly,
unfurnished and without utilities?
|
1-999999:
IF OWNYB = 100 OR (OWNYB = 300 AND TIMESHAR (from 3B) = 2, D or
R then goto PROPVALX
ELSE goto S3I_END
DK,RF:
IF OWNYB = 100 OR (OWNYB = 300 AND TIMESHAR (from 3B) = 2, DK
or RF then goto PROPVALX
ELSE goto S3I_END
|
03I
|
PROPVALX
|
About
how much do you think this property would sell for on today's
market?
|
Goto
S3I_END
|
03I
|
TIME_RNT
|
Since
the first of (reference month), did you rent this timeshare to
someone outside your household?
1.
Yes
2. No
|
Goto
RNTEQV3X
|
03I
|
RNTEQV3X
|
If
you were to rent this timeshare today to someone else, instead of
using it yourself, how much would it rent for weekly?
|
Goto
PRPVAL2X
|
03I
|
PRPVAL2X
|
If
you were able to sell this timeshare, about how much do you think
it would sell for on today's market?
|
0-99999999:
Goto S3I_END
|
03
|
ANYRENT
|
Since
the first of (reference month) have (you/you or any members of
your household) rented any houses, apartments, or
temporary
living quarters NOT used entirely for business or
vacation?
Do
NOT include college or university regulated housing.
1.
Yes
2. No
|
1:
Goto RENTX1
2,DK,RF: Goto Section 4
|
02B
|
RENTX1
|
What
was your total rental payment for (reference month) for this
unit?
Include any extra charges for garage or
parking facilities, but do not
include direct payments by
local, state or federal agencies.
|
Goto
RENTX2
|
02B
|
RENTX2
|
What
was the total rental payment for (month) for this unit?
|
Goto
RENTX3
|
02B
|
RENTX3
|
What
was your total rental payment for (last month) for this unit?
|
Goto
RTELECT
|
02B
|
RTELECT
|
6
Does
the rental payment include the cost of -
. . . Electricity?
1.
Yes
2. No
|
Goto
RTGAS
|
02B
|
RTGAS
|
6
Repeat
if necessary
Does
the rental payment include the cost of -
.
. . . Gas?
1.
Yes
2. No
|
Goto
RTWATER
|
02B
|
RTWATER
|
6
Repeat
if necessary
Does
the rental payment include the cost of -
.
. . Piped in water?
1.
Yes
2. No
|
Goto
RTHEAT
|
02B
|
RTHEAT
|
6
Repeat
if necessary
Does
the rental payment include the cost of -
. . . . Heating?
1.
Yes
2. No
|
Goto
RTTRASH
|
02B
|
RTTRASH
|
6
Repeat
if necessary
Does
the rental payment include the cost of -
.
. . Trash/garbage collection?
1.
Yes
2. No
|
Goto
RTPARK
|
02B
|
RTPARK
|
6
Repeat if necessary
Does
the rental payment include the cost of -
.
. . Garage and parking facilities?
1.
Yes
2. No
|
Goto
RTASPAY
|
02B
|
RTTELEPH
|
6
Repeat if necessary
Does
the rental payment include the cost of -
. . . Telephone services?
1.
Yes
2. No
|
Goto
RTTVCABL
|
02B
|
RTTVCABL
|
6
Repeat
if necessary
Does
the rental payment include the cost of -
. . . Television services?
1.
Yes
2. No
|
Goto
RTINTRNT
|
02B
|
RTINTRNT
|
6
Repeat if necessary
Does
the rental payment include the cost of -
. . . Internet services?
1.
Yes
2. No
|
Goto
RTFUNSH
|
02B
|
RTFUNSH
|
6
Repeat
if necessary
Does
the rental payment include the cost of -
. . . Furniture?
1.
Yes
2. No
|
Goto
RTASPAY
|
02B
|
RTASPAY
|
Did (you/you
or any members of your household) receive any reduced or free
rent for
this unit as a form of pay since the first of
(reference month)?
1.
Yes
2. No
|
1:
Goto RTCOMPX
2,DK,RF: IF BCeintro.BUSCREEN = 2
AND (PSU=06001, 06013, 06037, 06041, 06059, 06065, 06071, 06081,
06073, 06075, 06087, 06097, 11001, 24021, 24043, 34003, 34013,
34017, 34023, 34027, 34031, 34037, 36005, 36047, 36059, 36061,
36081, 36085, 36087, 36103, 36119) go to RENTCONT
ELSEIF BCeintro.BUSCREEN = 2 goto MORERENT
ELSE goto RTBSNS
|
02B
|
RTCOMPX
|
What
is the current monthly rental charge to another tenant for a
similar unit?
|
Goto
REGRNTX
|
02B
|
REGRNTX
|
What
is your regular rental payment?
|
IF
BCeintro.BUSCREEN = 2 AND (PSU=06001, 06013, 06037, 06041, 06059,
06065, 06071, 06081, 06073, 06075, 06087, 06097, 11001, 24021,
24043, 34003, 34013, 34017, 34023, 34027, 34031, 34037, 36005,
36047, 36059, 36061, 36081, 36085, 36087, 36103, 36119) go to
RENTCONT
ELSEIF BCeintro.BUSCREEN = 2 goto
MORERENT
ELSE goto RTBSNS
|
02B
|
RTBSNS
|
Is
any portion of this unit used for your own business?
1.
Yes
2. No
|
1:
Goto RTBSNSZ
2,DK,RF: IF PSU = 06001, 06013,
06037, 06041, 06059, 06065, 06071, 06073, 06075, 06081 06087,
06097, 11001, 24021, 24043, 34003, 34013, 34017, 34023, 34027,
34031, 34037, 36005, 36047, 36059, 36061, 36081, 36085, 36087,
36103, 36119, then goto RENTCONT
ELSE goto
MORERNT
|
02B
|
RTBSNSZ
|
What
percent of the rental payment is counted as a business
expense?
Enter
to the nearest whole percent.
|
1-99,DK,RF:
IF PSU = 06001, 06013, 06037, 06041, 06059, 06065, 06071, 06073,
06075, 06081, 06087, 06097, 11001, 24021, 24043, 34003, 34013,
34017, 34023, 34027, 34031, 34037, 36005, 36047, 36059, 36061,
36081, 36085, 36087, 36103, 36119 then goto RENTCONT
ELSE goto MORERNT
100: Goto ERR2_RTBSNSZ
|
02B
|
RENTCONT
|
Is
this unit under rent control?
1.
Yes
2. No
|
Goto
MORERNT
|
02B
|
MORERNT
|
Since
the first of (reference month), have (you/you or any members of
your household)
rented any other houses, apartments, or
temporary living
quarters NOT used entirely for business or
vacation?
Do
NOT include college or university regulated housing.
1.
Yes
2. No
|
1:
Goto RENTX1
2,DK,RF: Goto S2_END
|
04A
|
S4A_INTRO
|
9
Now
I am going to ask about utilities including telephone
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
bill you have received, even if the bill has not been paid.
First, I'll ask you about telephone bills.
Description Amount1
Amount2 Amount3
(TELCOMP) (TELCHGX1) (TELCHGX2) (TELCHGX3)
1.
Enter 1 to Continue
|
Goto
TELEBILL
|
04A
|
TELEBILL
|
9
? [F1]
Since
the first of (reference month), have (you/you or any members of
your household) received any bills for telephone
services, including cellular and Voice Over IP? Do
not include bills for telephones used entirely for business
purposes.
1.
Yes
2. No
|
1:
IF any 8500.TELCOMP = 1-20 then goto PREVCOMP
ELSE
goto TELCOMP
2,DK,RF: Goto S4A_END
|
04A
|
PREVCOMP
|
What
is the name of the company which provides the service?
Description Amount1
Amount2 Amount3
(TELCOMP) (TELCHGX1) (TELCHGX2) (TELCHGX3)
1.
^Temprevcomp[1]
2. ^Temprevcomp[2]
3.
^Temprevcomp[3]
4. ^Temprevcomp[4]
5.
^Temprevcomp[5]
6. ^Temprevcomp[6]
7.
^Temprevcomp[7]
8. ^Temprevcomp[8]
9.
^Temprevcomp[9]
10. ^Temprevcomp[10]
11.
^Temprevcomp[11]
12. ^Temprevcomp[12]
13.
^Temprevcomp[13]
14. ^Temprevcomp[14]
15.
^Temprevcomp[15]
16. ^Temprevcomp[16]
17.
^Temprevcomp[17]
18. ^Temprevcomp[18]
19.
^Temprevcomp[19]
20. ^Temprevcomp[20]
55. Company name
not listed
888. Delete the line
|
1-20:
IF BCeintro.BUSCREEN = 2 goto TELCHGX1
ELSE goto
TELBSNS
55: Goto TELCOMP
888: Goto
TELOTH
|
04A
|
TELCOMP
|
(What
is the name of the company which provides the service?/"*
Enter company name)
Description Amount1
Amount2 Amount3
(TELCOMP) (TELCHGX1) (TELCHGX2) (TELCHGX3)
Enter
888 to delete the line
|
888:
Goto TELOTH
All others: IF BCeintro.BUSCREEN = 2
goto TELCHGX1
ELSE goto TELBSNS
|
04A
|
TELBSNS
|
Will
any of the charges be deducted as a business expense?
Description Amount1
Amount2 Amount3
(TELCOMP) (TELCHGX1) (TELCHGX2) (TELCHGX3)
1.
Yes
2. No
|
1:
Goto TELBSNZ
2,DK,RF: Goto TELCHGX1
|
04A
|
TELBSNZ
|
What
percentage will be deducted?
Description Amount1
Amount2 Amount3
(TELCOMP) (TELCHGX1) (TELCHGX2) (TELCHGX3)
|
1-99,DK,RF:
Goto TELCHGX1
100: Goto CK_TELBSNZ
|
04A
|
TELCHGX1
|
How
much were you billed for in (reference month)?
Do
not include any unpaid charges from a previous billing
period.
Description Amount1
Amount2 Amount3
(TELCOMP) (TELCHGX1) (TELCHGX2) (TELCHGX3)
|
Goto
TELCHGX2
|
04A
|
TELCHGX2
|
How
much were you billed for in (month)?
Do
not include any unpaid charges from a previous billing
period.
Description Amount1
Amount2 Amount3
(TELCOMP) (TELCHGX1) (TELCHGX2) (TELCHGX3)
|
Goto
TELCHGX3
|
04A
|
TELCHGX3
|
How
much were you billed for in (last month)?
Do
not include any unpaid charges from a previous billing
period.
Description Amount1
Amount2 Amount3
(TELCOMP) (TELCHGX1) (TELCHGX2) (TELCHGX3)
|
1-999999:
IF TELCHGX1 = 0 OR TELCHGX2 = 0 then goto BILPERD
ELSE goto TYPETEL
0: Goto BILPERD
DK,RF:
IF TELCHGX1 = 0 OR TELCHGX2 = 0 then goto BILPERD
ELSE goto TYPETEL
|
04A
|
BILPERD
|
What
is your usual billing period for this service?
Description Amount1
Amount2 Amount3
(TELCOMP) (TELCHGX1) (TELCHGX2) (TELCHGX3)
1.
Month
2. 2 months
3. Quarter
4. Annual
5.
Other
|
Goto
TYPETEL
|
04A
|
TYPETEL
|
9
? [F1]
What
types of telephone services did the bill include -
Read
each item on list.
Enter
all that apply, separate with commas.
Description Amount1
Amount2 Amount3
(TELCOMP) (TELCHGX1) (TELCHGX2) (TELCHGX3)
1.
Residential Service including Voice over IP?
2. Mobile or
Cellular Service including prepaid?
|
Goto
TELTEMP
|
04A
|
TELTEMP
|
9
? [F1]
Which
of the following telephone service items were included in the
bill(s) -
(*
Do not include data plans for mobile phones in 1. Internet
access. / )
Read
each item on list.
Enter all that apply, separate with commas.
Description Amount1
Amount2 Amount3
(TELCOMP) (TELCHGX1) (TELCHGX2) (TELCHGX3)
0.
None
1. Internet service (including broadband, DSL and
dial-up)?
2. Cable or satellite television service?
3.
Applications, games, or ringtones?
77. Misc Combined (Unable
to specify/ DK)
|
0,77:
IF 0 only or 77 only then goto TELOTH
ELSEIF 0 is
selected with another option then goto CK_TELTEMP
1-3:
Goto TELBLPRS
DK,RF: Goto TELOTH
|
04A
|
TELBLPRS
|
Is
respondent referring to a detailed bill, including online or
digital?
Do not include
checkbooks
1.
Yes
2. No
|
1:
IF 1 selected in TELTEMP then goto TINTNTX1
ELSEIF 2
selected in TELTEMP then goto TCABLEX1
ELSE goto
TAPPGMX1
2: Goto TELOTH
|
04A
|
TINTNTX1
|
How
much of the (reference month) charges were for internet
access?
(* Do not include data plans for mobile phones./ )
Description Amount1
Amount2 Amount3
(TELCOMP) (TELCHGX1) (TELCHGX2) (TELCHGX3)
|
Goto
TINTNTX2
|
04A
|
TINTNTX2
|
How
much of the (month) charges were for internet access?
(* Do not include data plans for mobile phones./ )
Description Amount1
Amount2 Amount3
(TELCOMP) (TELCHGX1) (TELCHGX2) (TELCHGX3)
|
Goto
TINTNTX3
|
04A
|
TINTNTX3
|
How
much of the (last month) charges were for internet
access?
(* Do not include data plans for mobile phones./ )
Description Amount1
Amount2 Amount3
(TELCOMP) (TELCHGX1) (TELCHGX2) (TELCHGX3)
|
IF
2 selected in TELTEMP then goto TCABLEX1
ELSEIF 3
selected in TELTEMP then goto TAPPGMX1
ELSE goto
TELOTH
|
04A
|
TCABLEX1
|
How
much of the (reference month) charges were for cable or satellite
television service?
Description Amount1
Amount2 Amount3
(TELCOMP) (TELCHGX1) (TELCHGX2) (TELCHGX3)
|
Goto
TCABLEX2
|
04A
|
TCABLEX2
|
How
much of the (month) charges were for cable or satellite
television service?
Description Amount1
Amount2 Amount3
(TELCOMP) (TELCHGX1) (TELCHGX2) (TELCHGX3)
|
Goto
TCABLEX3
|
04A
|
TCABLEX3
|
How
much of the (last month) charges were for cable or satellite
television service?
Description Amount1
Amount2 Amount3
(TELCOMP) (TELCHGX1) (TELCHGX2) (TELCHGX3)
|
IF
3 selected in TELTEMP then goto TAPPGMX1
ELSE goto
TELOTH
|
04A
|
TAPPGMX1
|
How
much of the (reference month) charges were for applications,
games, or ringtones?
Description Amount1
Amount2 Amount3
(TELCOMP) (TELCHGX1) (TELCHGX2) (TELCHGX3)
|
Goto
TAPPGMX2
|
04A
|
TAPPGMX2
|
How
much of the (month) charges were for applications, games, or
ringtones?
Description Amount1
Amount2 Amount3
(TELCOMP) (TELCHGX1) (TELCHGX2) (TELCHGX3)
|
Goto
TAPPGMX3
|
04A
|
TAPPGMX3
|
How
much of the (last month) charges were for applications, games, or
ringtones?
Description Amount1
Amount2 Amount3
(TELCOMP) (TELCHGX1) (TELCHGX2) (TELCHGX3)
|
Goto
TELOTH
|
04A
|
TELOTH
|
Did
(you/you or any members of your household) receive any other
bills for telephones not
used entirely for business
purposes?
Description Amount1
Amount2 Amount3
(TELCOMP) (TELCHGX1) (TELCHGX2) (TELCHGX3)
1.
Yes
2. No
|
1:
IF any 8500.TELCOMP = 1-20 then goto PREVCOMP, next row of the
table
ELSE goto TELCOMP, next row of the table
2:
Goto S4A_END
|
04B
|
FONCARD
|
9
Since
the first of (reference month), have (you/you or any members
of your household) purchased any pre-paid long distance
telephone cards/minutes, not already reported?
Do
not include prepaid cellular minutes
1.
Yes
2. No
|
1:
Goto FONCARDX
2,DK,RF: Goto S4B_END
|
04B
|
FONCARDX
|
What
was the total amount paid?
|
Goto
FONCRDCX
|
04B
|
FONCRDCX
|
How
much of the total was paid this month?
|
Goto
S4B_END
|
04C
|
S4C_INTRO
|
9
Now
I am going to ask about cable and satellite TV service, satellite
radio service, and internet service expenditures.
Expense Amount Month
(INTSERV) (INTCHGX) (INTMO)
1.
Enter 1 to Continue
|
Goto
UTI_ITEM
|
04C
|
UTI_ITEM
|
9
? [F1]
Since
the first of (reference month) have (you/you or any members
of your household) had any expenses for . . .
Read
each item on list.
1.
Cable or satellite TV services, not already reported?
2.
Satellite radio services?
3. Internet connection or an
internet service provider, not already reported?
4. Internet
services away from home such as web cafes or internet kiosks?
99.
None/ no more entries
888. Delete the line
|
1-4:
goto INTDESC
99: Goto S4C_END
888:
IF no more grid lines then goto S4C_END
ELSE goto
UTI_ITEM - next line of table
|
04C
|
INTDESC
|
What
was the expense for?
Expense
Amount Month
(INTSERV) (INTCHGX) (INTMO)
|
IF
INTNMBR = 4 AND UTI_ITEM = 3 AND (INTPER = 201607, 201608,
201609 or training or systems test or ver test)
then
goto INTCOMP
ELSE goto INTMO
|
04C
|
INTCOMP
|
Ask
if not apparent
What
is the name of the company providing the internet service?
|
Goto
INTMO
|
04C
|
INTMO
|
In
what month was the expense?
Enter
13 for same amount each month of the reference
period
Expense Amount Month
(INTSERV) (INTCHGX) (INTMO)
1.
January
2. February
3. March
4. April
5.
May
6. June
7. July
8. August
9.
September
10. October
11. November
12.
December
13. Same amount each month.
|
Goto
INTCHGX
|
04C
|
INTCHGX
|
(What
was your monthly expense?/How much was this
expense?)
Expense
Amount Month
(INTSERV) (INTCHGX) (INTMO)
|
Goto
INTCMB_S
|
04C
|
INTCMB_S
|
Enter
'C' for combined expenses.
|
C:
Goto INTCMB
EMPTY: Goto INTMORE
|
04C
|
INTCMB
|
9
? [F1]
What
was (Description) combined with?
Enter all that apply, separate with
commas.
Expense
Amount Month
(INTSERV) (INTCHGX) (INTMO)
1.
Cable or satellite TV services
2. Satellite radio services
3. Internet connection or an
internet service provider
4. Internet services away from
home such as web cafes or internet kiosks
|
Goto
INTMORE
|
04C
|
INTMORE
|
Did
you have any other expenses for
(Description)?
Expense
Amount Month
(INTSERV) (INTCHGX) (INTMO)
1.
Yes
2. No
|
1:
goto UTI_ITEM, next row of table
2,DK,RF: Goto
UTI_ITEM, next row of table
|
04D
|
S4D_INTRO
|
10
Now
I am going to ask about utility bills.
Prop
# Property Description Company
Name Utility Amount1 Amount2
Amount3
(WHATPROP) (UTLPDESC) (COMPNAME)
(UTILY) (UTLCHGX1)(UTLCHGX2) (UTLCHGX3)
1.
Enter 1 to Continue
|
Goto
UTC_ITEM
|
04D
|
UTC_ITEM
|
10
? [F1]
Since
the first of (reference month), have (you/you or any
members of your household) 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
2. Natural or utility gas
3. Fuel oil
4.
Bottled or tank gas
5. Other fuels including wood
6.
Piped-in water and sewerage maintenance
7. Garbage and
recycling collection
8. Water softening service
9.
Septic tank cleaning
99. None/No more entries
888.
Delete the line
|
1-9:
goto WHATPROP
99: Goto S4D_END
888:
Goto next row of table
|
04D
|
WHATPROP
|
Which
property was the bill for?
1.
^Prop_display[1]
2. ^Prop_display[2]
3.
^Prop_display[3]
4. ^Prop_display[4]
5.
^Prop_display[5]
6. ^Prop_display[6]
7.
^Prop_display[7]
8. ^Prop_display[8]
9.
^Prop_display[9]
10. ^Prop_display[10]
11.
^Prop_display[11]
12. ^Prop_display[12]
13.
^Prop_display[13]
14. ^Prop_display[14]
15.
^Prop_display[15]
16. ^Prop_display[16]
17.
^Prop_display[17]
18. ^Prop_display[18]
19.
^Prop_display[19]
20. ^Prop_display[20]
40.
^Prop_display[40]
41. ^Prop_display[41]
42. Rented
vacation Property
43. Property not owned or rented by
household
|
1-20,40:
IF UTC_ITEM = 1-3, 6-7 and no data in any 8500.COMPNAME
[1]-[40] then goto COMPNAME
ELSEIF UTC_ITEM = 1-3,
6-7 and any data in 8500.COMPNAME [1]-[40] then goto LASTCOMP
ELSEIF BCeintro.BUSCREEN = 2 goto UTLCHGX1
ELSE goto UTILBUSN
41,42,43,DK,RF: Goto UTLPDESC
|
04D
|
UTLPDESC
|
Briefly
describe the property.
|
IF
UTC_ITEM = 1-3, 6-7 AND no data in any 8500.COMPNAME [1]-[40]
then goto COMPNAME
ELSEIF UTC_ITEM = 1-3, 6-7 and any
data in 8500.COMPNAME [1]-[40] then goto LASTCOMP
ELSEIF
BCeintro.BUSCREEN = 2 goto UTLCHGX1
ELSE goto UTILBUSN
|
04D
|
LASTCOMP
|
What
is the name of the company or government agency which provides
(Utility description)?
Prop
# Property Description Company Name
Utility Amount1
Amount2 Amount3
(WHATPROP)(UTLPDESC) (COMPNAME)
(UTILY) (UTLCHGX1)(UTLCHGX2)(UTLCHGX3)
1.
^Comp_display[1]
2. ^Comp_display[2]
3.
^Comp_display[3]
4. ^Comp_display[4]
5.
^Comp_display[5]
6. ^Comp_display[6]
7.
^Comp_display[7]
8. ^Comp_display[8]
9.
^Comp_display[9]
10. ^Comp_display[10]
11.
^Comp_display[11]
12. ^Comp_display[12]
13.
^Comp_display[13]
14. ^Comp_display[14]
15.
^Comp_display[15]
16. ^Comp_display[16]
17.
^Comp_display[17]
18. ^Comp_display[18]
19.
^Comp_display[19]
20. ^Comp_display[20]
55. Company
name not listed
|
1-20:
IF BCeintro.BUSCREEN = 2 goto UTLCHGX1
ELSE goto
UTILBUSN
55: Goto COMPNAME
|
04D
|
COMPNAME
|
What
is the name of the company or government agency which provides
(Utility description)?
Prop
# Property Description Company
Name Utility Amount1 Amount2
Amount3
(WHATPROP) (UTLPDESC) (COMPNAME)
(UTILY) (UTLCHGX1)(UTLCHGX2) (UTLCHGX3)
|
IF
BCeintro.BUSCREEN = 2 goto UTLCHGX1
ELSE goto UTILBUSN
|
04D
|
UTILBUSN
|
Will
any part of the (Utility Description) charges be deducted as
a business expense?
Prop
# Property Description Company
Name Utility Amount1 Amount2
Amount3
(WHATPROP) (UTLPDESC) (COMPNAME)
(UTILY) (UTLCHGX1)(UTLCHGX2) (UTLCHGX3)
1.
Yes
2. No
|
Goto
UTLCHGX1
|
04D
|
UTLCHGX1
|
How
much were you billed for in (reference month)?
Prop
# Property Description Company
Name Utility Amount1 Amount2
Amount3
(WHATPROP) (UTLPDESC) (COMPNAME)
(UTILY) (UTLCHGX1)(UTLCHGX2) (UTLCHGX3)
|
Goto
UTILCHGX2
|
04D
|
UTLCHGX2
|
How
much were you billed for in (month)?
Prop
# Property Description Company
Name Utility Amount1 Amount2
Amount3
(WHATPROP) (UTLPDESC) (COMPNAME)
(UTILY) (UTLCHGX1)(UTLCHGX2) (UTLCHGX3)
|
Goto
UTILCHGX3
|
04D
|
UTLCHGX3
|
How
much were you billed for in (last month)?
Prop
# Property Description Company
Name Utility Amount1 Amount2
Amount3
(WHATPROP) (UTLPDESC) (COMPNAME)
(UTILY) (UTLCHGX1)(UTLCHGX2) (UTLCHGX3)
|
1-999999:
IF UTLCHGX1 = 0 OR UTLCHGX2 = 0 then goto BLPERIOD
ELSE goto UTILCMB_S
0: Goto BLPERIOD
DK,RF:
Goto UTILCMB_S
|
04D
|
BLPERIOD
|
What
is your usual billing period for the
service?
Prop
# Property Description Company
Name Utility Amount1 Amount2
Amount3
(WHATPROP) (UTLPDESC) (COMPNAME)
(UTILY) (UTLCHGX1)(UTLCHGX2) (UTLCHGX3)
1.
Month
2. 2 months
3. Quarter
4. Annual
5.
Other
|
1-4,DK,RF:
Goto UTILCMB_S
5: Goto BLPEROTH
|
04D
|
BLPEROTH
|
Specify:
Prop
# Property Description Company
Name Utility Amount1 Amount2
Amount3
(WHATPROP) (UTLPDESC) (COMPNAME)
(UTILY) (UTLCHGX1)(UTLCHGX2) (UTLCHGX3)
|
Goto
UTILCMB_S
|
04D
|
UTILCMB_S
|
Enter
'C' for a combined expense
|
C:
Goto UTILCMB
EMPTY: Goto MOREBILL
|
04D
|
UTILCMB
|
10 ?
[F1]
What
other utilities, fuels, or services was (Utility Description)
combined with?
Enter
all that apply, separate with commas.
Prop
# Property Description Company
Name Utility Amount1 Amount2
Amount3
(WHATPROP)(UTLPDESC)
(COMPNAME) (UTILY) (UTLCHGX1)(UTLCHGX2)
(UTLCHGX3)
1.
Electricity
2. Natural or utility gas
3. Fuel oil
4.
Bottled or tank gas
5. Other fuels including wood
6.
Piped-in water and sewerage maintenance
7. Garbage and
recycling collection
8. Water softening service
9.
Septic tank cleaning
77. Misc. combined (unable to
specify/DK)
|
Goto
MOREBILL
|
04D
|
MOREBILL
|
Did
you receive any other (Utility Description) bills?
Prop
# Property Description Company
Name Utility Amount1 Amount2
Amount3
(WHATPROP) (UTLPDESC) (COMPNAME)
(UTILY) (UTLCHGX1)(UTLCHGX2) (UTLCHGX3)
1.
Yes
2. No
|
1:
goto UTC_ITEM, next row in the table
2,DK,RF: IF
ROW number = 40 then goto S4D_END
ELSE goto
UTC_ITEM, next row in the table
|
05
|
S5_INTRO
|
11-13
Now
I am going to ask about expenses for construction, repairs,
alterations and maintenance of
property.
Prop.
Description Work Desc.
(PRP5DESC) (WRKDESC)
1.
Enter 1 to Continue
|
Goto
CRB_ITEM
|
05
|
CRB_ITEM
|
SCREEN
1 - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - -
- - - - - - - - -
11
? [F1]
First,
let's talk about the construction or alteration of property you
(owned/rent/own or rent). (You should not include jobs that
have been or will be totally reimbursed by someone outside your
household such as a landlord./ )
Since the first of
(reference month), have (you/you or any members of your
household) had expenses for -
Read
each item on list.
SCREEN 2 - - - - - - - - - - - - - - - - - - - - - - - - -
- - - - - - - - - - - - - - - -
12
? [F1]
Now,
let's talk about maintenance and repairs for property you
(owned/rent/own or rent). (You should not include jobs that
have been or will be totally reimbursed by someone outside your
household such as a landlord./ )2
Read
each item on list.
SCREEN
3 - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - -
- - - - - - - - -
11-12
? [F1]
Have
there been any expenses for any other property, such as property
that you do not (owned/rent/own or rent),
paid for by
(you/you or any members of your household)?
If Yes -
Which type of job were those expenses for?
1.
^S5a_Fill1
2. ^S5a_Fill2
3. ^S5a_Fill3
4.
^S5a_Fill4
5. ^S5a_Fill5
6. ^S5a_Fill6
7.
^S5a_Fill7
8. ^S5a_Fill8
9. ^S5a_Fill9
10.
^S5a_Fill10
11. ^S5a_Fill11
12. ^S5a_Fill12
13.
^S5a_Fill13
14. ^S5a_Fill14
15. ^S5a_Fill15
16.
^S5a_Fill16
17. ^S5a_Fill17
18. ^S5a_Fill18
19.
^S5a_Fill19
95. Continue List
99. None/No more
entries
888. Delete the line
|
1-19:
goto CRMPROPI
95: Goto next row
99:
Goto ADVMATER
888: IF no more grid lines then
goto ADVMATER
ELSE goto CRB_ITEM - next line of grid
|
05
|
CRMPROPI
|
On
which property was the work done?
Prop Description Work Desc
(WRKDESC)
(PRP5DESC)
1.
^tempprop[1]
2. ^tempprop[2]
3. ^tempprop[3]
4.
^tempprop[4]
5. ^tempprop[5]
6. ^tempprop[6]
7.
^tempprop[7]
8. ^tempprop[8]
9. ^tempprop[9]
10.
^tempprop[10]
11. ^tempprop[11]
12. ^tempprop[12]
13.
^tempprop[13]
14. ^tempprop[14]
15. ^tempprop[15]
16.
^tempprop[16]
17. ^tempprop[17]
18. ^Property[18]
19.
^Property[19]
20. ^tempprop[20]
97. ^tempprop[21]
98.
^tempprop[22]
99. Property not owned or rented by household
|
1-20:
goto WRKDESC
97: Goto WRKDESC
98,99,DK,RF:
Goto PRP5DESC
|
05
|
PRP5DESC
|
Briefly
describe the property.
Prop Description Work Desc
(WRKDESC)
(PRP5DESC)
|
Goto
WRKDESC
|
05
|
WRKDESC
|
What
work was done?
The
description should be adequate to classify "alteration",
"repair", etc., and to identify in next
interview.
Prop Description Work Desc
(WRKDESC)
(PRP5DESC)
|
IF
CRB_ITEM = 1, 3 or 5 then goto S5BCMB_S
ELSEIF
CRB_ITEM = 2, 4, 6 or 8 then goto TEMPCODE
ELSE goto
CRMTYPE
|
05
|
CRMTYPE
|
?
[F1]
Enter
the appropriate job classification code.
Prop Description Work Desc
(WRKDESC)
(PRP5DESC)
2.
Alteration
3. Replacement
4. Maintenance and repair
|
2:
IF CRB_ITEM = 9, 12, 14, or 16 then goto S5BCMB_S
ELSE goto TEMPCODE
3: IF CRB_ITEM = 9, 11-12, 16,
18, or 19 then goto S5BCMB_S
ELSE goto TEMPCODE
4:
IF CRB_ITEM = 10-11, 16, or 18 then goto S5BCMB_S
ELSE goto TEMPCODE
DK,RF: Goto S5BCMB_S
|
05
|
TEMPCODE
|
Enter
the appropriate detailed job code.
Prop Description Work Desc
(WRKDESC)
(PRP5DESC)
1.
^S5a_Tempcode1
2. ^S5a_Tempcode2
3. ^S5a_Tempcode3
4.
^S5a_Tempcode4
5. ^S5a_Tempcode5
6. ^S5a_Tempcode6
7.
^S5a_Tempcode7
8. ^S5a_Tempcode8
9. ^S5a_Tempcode9
10.
^S5a_Tempcode10
|
Goto
S5BCMB_S
|
05
|
S5BCMB_S
|
Enter
'C' for a combined expense
|
C:
Goto S5B_COMB
EMPTY: Goto CONTRACT
|
05
|
S5B_COMB
|
11-12
? [F1]
What
other work was included in this job?
Enter all that apply, separate with commas.
1.
Homes under construction
2. Building an addition
3.
Finishing a basement
4. Remodeling
5. Landscaping
6.
Building outdoor patios
7. Repair outdoor patios
8.
Painting/wallpapering
9. Plastering or paneling
10.
Plumbing
11. Electrical work
12. Heat or air
conditioning
13. Flooring
installation/repair/replacement
14. Insulation
15.
Roofing, gutters or downspouts
16. Siding
17.
Install/Repair/Replace windows, etc
18. Masonry, brick or
stucco
19. Other improvements or repairs
77. Misc.
combined (unable to specify/DK)
|
Goto
CONTRACT
|
05
|
CONTRACT
|
Did
you do this job yourself or did you pay someone else to do all or
part of the work?
Prop Description Work Desc
(WRKDESC)
(PRP5DESC)
1.
Self Only
2. Paid or contracted with someone else
3.
Both
|
1,DK,RF:
Goto CRMMATER
2,3: Goto CNTRCTX3
|
05
|
CNTRCTX3
|
What
did you pay in (reference month) to someone else for this
job?
Prop Description Work Desc
(WRKDESC)
(PRP5DESC)
|
Goto
CNTRCTX2
|
05
|
CNTRCTX2
|
What
did you pay in (month) to someone else for this job?
Prop Description Work Desc
(WRKDESC)
(PRP5DESC)
|
Goto
CNTRCTX1
|
05
|
CNTRCTX1
|
What
did you pay in (last month) to someone else for this
job?
Prop Description Work Desc
(WRKDESC)
(PRP5DESC)
|
Goto
CNTRCTX0
|
05
|
CNTRCTX0
|
How
much was paid this month?
Prop Description Work Desc
(WRKDESC)
(PRP5DESC)
|
IF
(CNTRCTX3 = DK or CNTRCTX2 = DK or CNTRCTX1 = DK or CNTRCTX0 = DK
then goto CONTRCTX
ELSEIF ITEM = 1-4, 10-12 or 19 then
goto MAJ_APPL
ELSE goto CRMMATER
|
05
|
CONTRCTX
|
Since
the first of (reference month), what is the total amount you
paid to someone else for this job?
Prop Description Work Desc
(WRKDESC)
(PRP5DESC)
|
IF
ITEM = 1-4, 10-12 or 19 then goto MAJ_APPL
Else goto
CRMMATER
|
05
|
MAJ_APPL
|
13 ?
[F1]
Did
any of the cost since (reference month) include the cost of any
appliances or equipment?
Prop Description Work Desc
(WRKDESC)
(PRP5DESC)
1.
Yes
2. No
|
1:
Goto APP_SCR
2,DK,RF: Goto CRMMATER
|
05
|
APP_SCR
|
13
? [F1]
Which
of the following appliances or equipment were
included?
Enter
up to six, separate with commas.
Prop Description Work Desc
(WRKDESC)
(PRP5DESC)
1.
Cooking stove, range, or oven
2. Microwave oven
3.
Refrigerator or home freezer
4. Built-in dishwasher
5.
Portable dishwasher
6. Garbage disposal
7. Clothes
washer or dryer
8. Range hood
9. Smoke alarms and
detectors
10. Window air conditioner
11. Portable
cooling and heating equipment
12. Lamps, lighting fixtures,
or ceiling fans
13. Other major home appliances and
equipment
|
1-13;
Goto APPL_X1
DK: Goto CRMMATER
|
05
|
APPL_X1
|
What
was the total cost for (description)?
Prop Description Work Desc
(WRKDESC)
(PRP5DESC)
|
1-999999:
IF there is a second selection in APP_SCR then goto APPL_X2
ELSE goto CRMMATER
DK,RF: IF there is a
second selection in APP_SCR then goto APPL_X2
ELSE
goto CRMMATER
|
05
|
APPL_X2
|
What
was the total cost for (description)?
Prop Description Work Desc
(WRKDESC)
(PRP5DESC)
|
1-999999:
IF there is a third selection in APP_SCRthen goto APPL_X3
ELSE goto CRMMATER
DK,RF: IF there is a
third selection in APP_SCR then goto APPL_X3
ELSE
goto CRMMATER
|
05
|
APPL_X3
|
What
was the total cost for (description)?
Prop Description Work Desc
(WRKDESC)
(PRP5DESC)
|
1-999999:
IF there is a fourth selection in APP_SCR then goto APPL_X4
ELSE goto CRMMATER
DK,RF: IF there is a
fourth selection in APP_SCR then goto APPL_X4
ELSE
goto CRMMATER
|
05
|
APPL_X4
|
What
was the total cost for (description)?
Prop Description Work Desc
(WRKDESC)
(PRP5DESC)
|
1-999999:
IF there is a fifth selection in APP_SCR then goto APPL_X5
ELSE goto CRMMATER
DK,RF: IF there is a
fifth selection in APP_SCR then goto APPL_X5
ELSE
goto CRMMATER
|
05
|
APPL_X5
|
What
was the total cost for (description)?
Prop Description Work Desc
(WRKDESC)
(PRP5DESC)
|
1-999999:
IF there is a sixth selection in APP_SCR then goto APPL_X6
ELSE goto CRMMATER
DK,RF: IF there is a
sixth selection in APP_SCR then goto APPL_X6
ELSE
goto CRMMATER
|
05
|
APPL_X6
|
What
was the total cost for (description)?
Prop Description Work Desc
(WRKDESC)
(PRP5DESC)
|
Goto
CRMMATER
|
05
|
CRMMATER
|
Since
the first of (reference month), have (you/you or any members of
your household) PURCHASED any materials, supplies, tools or
equipment for doing this job?
Prop Description Work Desc
(WRKDESC)
(PRP5DESC)
1.
Yes
2. No
|
1:
Goto SUPPLYX3
2,DK,RF: Goto TOOLRENT
|
05
|
SUPPLYX3
|
What
was the total cost for all items (you/your household)
purchased for this job in (reference month)?
Prop Description Work Desc
(WRKDESC)
(PRP5DESC)
|
Goto
SUPPLYX2
|
05
|
SUPPLYX2
|
What
was the total cost for all items (you/your household)
purchased for this job in (month)?
Prop Description Work Desc
(WRKDESC)
(PRP5DESC)
|
Goto
SUPPLYX1
|
05
|
SUPPLYX1
|
What
was the total cost for all items (you/your household)
purchased for this job in (last month)?
Prop Description Work Desc
(WRKDESC)
(PRP5DESC)
|
Goto
SUPPLYX0
|
05
|
SUPPLYX0
|
What
was the total cost for all items (you/your household)
purchased for this job in (current month)?
Prop Description Work Desc
(WRKDESC)
(PRP5DESC)
|
IF
SUPPLYX3 = D or SUPPLYX2 = D or SUPPLYX1 = D or SUPPLYX0 = D
then goto SUPPLYX
ELSE goto TOOLRENT
|
05
|
SUPPLYX
|
Since
the first of (reference month), what was the total cost of
all items (you/your household) purchased for this
job?
Prop Description Work Desc
(WRKDESC)
(PRP5DESC)
|
Goto
TOOLRENT
|
05
|
TOOLRENT
|
Since
the first of (reference month), have (you/you or any members
of your household) RENTED any tools or equipment for doing this
job?
Prop Description Work Desc
(WRKDESC)
(PRP5DESC)
1.
Yes
2. No
|
1:
Goto TOOLRTX3
2,DK,RF: Goto REIMBRS
|
05
|
TOOLRTX3
|
What
was the total cost for all items (you/your household) rented
for this job in (reference month)?
Prop Description Work Desc
(WRKDESC)
(PRP5DESC)
|
Goto
TOOLRTX2
|
05
|
TOOLRTX2
|
What
was the total cost for all items (you/your household) rented
for this job in (month)?
Prop Description Work Desc
(WRKDESC)
(PRP5DESC)
|
Goto
TOOLRTX1
|
05
|
TOOLRTX1
|
What
was the total cost for all items (you/your household) rented
for this job in (last month)?
Prop Description Work Desc
(WRKDESC)
(PRP5DESC)
|
Goto
TOOLRTX0
|
05
|
TOOLRTX0
|
What
was the total cost for all items (you/your household) rented
for this job in (current month)?
Prop Description Work Desc
(WRKDESC)
(PRP5DESC)
|
IF
(TOOLRTX3 = D or TOOLRTX2 = D or TOOLRTX1 = D or TOOLRTX0 = D )
then goto TOOLRTX
ELSE goto REIMBRS
|
05
|
TOOLRTX
|
Since
the first of (reference month), what was the total cost for
all items (you/your household) rented for this job?
Prop Description Work Desc
(WRKDESC)
(PRP5DESC)
|
Goto
REIMBRS
|
05
|
REIMBRS
|
Was
or will any of the total cost of this job be reimbursed or paid
by someone outside of your household?
Prop Description Work Desc
(WRKDESC)
(PRP5DESC)
1.
Yes
2. No
|
1:
Goto REIMBRSZ
2,DK,RF: IF BUSCREEN = 2 then
goto ANY5MORE
ELSE goto CRMBSNSD
|
05
|
REIMBRSZ
|
What
percent of the total cost was or will be reimbursed or paid by
someone outside of your household?
Prop Description Work Desc
(WRKDESC)
(PRP5DESC)
|
1-99,DK,RF:
IF.BUSCREEN = 2 then goto ANY5MORE
ELSE goto
CRMBSNSD
100: Goto ERR2_REIMBRSZ
|
05
|
CRMBSNSD
|
Were
or will any of these expenses for this job be deducted as a
business expense?
Prop Description Work Desc
(WRKDESC)
(PRP5DESC)
1.
Yes
2. No
|
1:
Goto CRMBSNSZ
2,DK,RF: Goto ANY5MORE
|
05
|
CRMBSNSZ
|
What
percent was or will be deducted?
Prop Description Work Desc
(WRKDESC)
(PRP5DESC)
|
1-99,DK,RF:
Exit block and goto ANY5MORE
100: Goto
ERR2_CRMBSNSZ
|
05
|
ANY5MORE
|
Did
you have any other expenses for ^S5_desc?
Prop Description Work Desc
(WRKDESC)
(PRP5DESC)
1.
Yes
2. No
|
Goto
CRB_ITEM, next row
|
05
|
ADVMATER
|
11-12
Since
the first of (reference month), excluding this month,
have (you/you or any members of your
household) purchased
any materials or supplies
for JOBS NOT YET STARTED?
1.
Yes
2. No
|
1:
Goto ADVDESC
2,DK,RF: Goto MATNSPEC
|
05
|
ADVDESC
|
What
kind of job will the materials be used for?
Enter
a brief description.
|
Goto
JOBCODE
|
05
|
JOBCODE
|
11-12
? [F1]
Select
a job type below.
1.
Homes under construction
2. Building an addition
3.
Finishing a basement
4. Remodeling
5. Landscaping
6.
Build outdoor patios
7. Repair outdoor patios
8.
Painting/wallpapering
9. Plastering or paneling
10.
Plumbing
11. Electrical work
12. Heat or air
conditioning
13. Flooring
installation/repair/replacement
14. Insulation
15.
Roofing, gutters or downspouts
16. Siding
17.
Install/Repair/Replace windows, etc
18. Masonry, brick or
stucco
19. Other improvements or repairs
|
Goto
ADVMATX
|
05
|
ADVMATX
|
What
was the total cost of these materials and supplies?
|
Goto
S5ACMB_S
|
05
|
S5ACMB_S
|
Enter
'C' for a combined expense
|
C:
Goto S5A_COMB
Empty: Goto MATNSPEC
|
05
|
S5A_COMB
|
11-12
? [F1]
What
other work will be included in this job?
Enter
all that apply, separate with commas.
1.
Homes under construction
2. Building an addition
3.
Finishing a basement
4. Remodeling
5. Landscaping
6.
Building outdoor patios
7. Repair outdoor patios
8.
Painting/wallpapering
9. Plastering or paneling
10.
Plumbing
11. Electrical work
12. Heat or air
conditioning
13. Flooring
installation/repair/replacement
14. Insulation
15.
Roofing, gutters or downspouts
16. Siding
17.
Install/Repair/Replace windows, etc
18. Masonry, brick or
stucco
19. Other improvements or repairs
77. Misc.
combined (unable to specify/DK)
|
Goto
MATNSPEC
|
05
|
MATNSPEC
|
Since
the first of (reference month), excluding this month,
have (you/you or any members of your household)
purchased
any materials or supplies NOT FOR ANY SPECIFIC
JOB?
1.
Yes
2. No
|
1:
Goto MATNSPCX
2,DK,RF: Goto S5_END
|
05
|
MATNSPCX
|
What
was the total cost?
|
Goto
S5_END
|
06A
|
S6A_INTRO
|
14
Now
I am going to ask about the purchase or rental of major household
appliances.
Please include any shipping and
handling charges with the cost of any item that was
shipped.
Description
Type
Month Amount
(MAJTYPE)
(Purchased/ (MAJ_MO) (MAJPURX/
Rented)
MAJRENTX)
1.
Enter 1 to Continue
|
Goto
APA_ITEM
|
06A
|
APA_ITEM
|
14
? [F1]
Since
the first of (reference month), have (you/you or any
members of your household)
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
2. Cooking stove, range or oven
3. Range
hood
4. Refrigerator or home freezer
5. Built-in
dishwasher
6. Portable dishwasher
7. Garbage
disposal
8. Clothes washer or dryer
99. None/No more
entries
888. Delete the line
|
1-8:
goto MAJTYPE
99: Goto S6A_END
888:
IF no more grid lines then goto S6A_END
ELSE goto
APA_ITEM - next line of grid
|
06A
|
MAJTYPE
|
What
did you purchase(or rent/
)?
Enter
brief description of the item
Description
Type Month
Amount
(MAJTYPE) (Purchased/ (MAJ_MO) (MAJPURX/
Rented)
MAJRENTX
|
Goto
GFTC_MAJ
|
06A
|
GFTC_MAJ
|
Was
this item -
Description
Type Month
Amount
(MAJTYPE) (Purchased/ (MAJ_MO) (MAJPURX/
Rented)
MAJRENTX
1.
Purchased for someone inside the household?
2. ^S6ARENT
3.
Purchased for someone outside your household?
|
1,3,DK,RF:
Goto MAJ_MO
2: Goto MAJ_AMOUNT
|
06A
|
MAJ_MO
|
When
did you purchase it?
Description
Type Month
Amount
(MAJTYPE) (Purchased/ (MAJ_MO) (MAJPURX/
Rented)
MAJRENTX
1.
January
2. February
3. March
4. April
5.
May
6. June
7. July
8. August
9.
September
10. October
11. November
12. December
|
Goto
MAJ_AMOUNT
|
06A
|
MAJ_AMOUNT
|
(What
was the total rental expense since the first of (reference month)
not including (current month
Description
Type Month
Amount
(MAJTYPE) (Purchased/ (MAJ_MO) (MAJPURX/
Rented)
MAJRENTX
|
1-999999:
Goto MAJTAX
DK,RF: Goto INSTALL
|
06A
|
MAJTAX
|
Did
this include sales tax?
Description
Type Month
Amount
(MAJTYPE) (Purchased/ (MAJ_MO) (MAJPURX/
Rented)
MAJRENTX
1.
Yes
2. No
|
Goto
INSTALL
|
06A
|
INSTALL
|
Were
there any extra charges for installation or delivery?
Include charges for disposal of old appliances.
Description
Type Month
Amount
(MAJTYPE) (Purchased/ (MAJ_MO) (MAJPURX/
Rented)
MAJRENTX
1.
Yes
2. No
|
1:
Goto MAJINSTX
2,DK,RF: Goto MAJCMB_S
|
06A
|
MAJINSTX
|
How
much?
Description
Type Month
Amount
(MAJTYPE) (Purchased/ (MAJ_MO) (MAJPURX/
Rented)
MAJRENTX
|
Goto
MAJCMB_S
|
06A
|
MAJCMB_S
|
Enter
'C' for a combined expense.
|
C:
Goto MAJCMB
empty: Goto MAJOTHER
|
06A
|
MAJCMB
|
14
? [F1]
What
other appliances is the (Appliance description) combined
with?
Enter
all that apply, separate with commas
1.
Microwave oven
2. Cooking stove, range or oven
3. Range
hood
4. Refrigerator or home freezer
5. Built-in
dishwasher
6. Portable dishwasher
7. Garbage
disposal
8. Clothes washer or dryer
77. Misc. combined
(unable to specify/DK)
|
Goto
MAJOTHER
|
06A
|
MAJOTHER
|
Did
you purchase(or rent/ ) any other (Appliance
Description)?
Description
Type Month
Amount
(MAJTYPE) (Purchased/ (MAJ_MO) (MAJPURX/
Rented)
MAJRENTX
1.
Yes
2. No
|
1:
Goto APA_ITEM, next row of grid
2,DK,RF: IF Row
number = 7 then goto S6A_END
ELSE goto APA_ITEM,
next row of grid
|
06B
|
S6B_INTRO
|
15
- 20
Now
I am going to ask about expenses for the purchase or rental of
household appliances and other selected items. Please
include any shipping and handling charges with the cost of any
item that was shipped.
Description
Type
Month Amount
MINTYPE)
(Purchased/ (MIN_MO) (MINPURX/
Rented)
MINRENTX)
1.
Enter 1 to Continue
|
Goto
APB_ITEM
|
06B
|
APB_ITEM
|
SCREEN
1 - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - -
-
15
? [F1]
Since
the first of (reference month), have (you/you or any members of
your household) purchased or rented any of the following
items?
Read
each item on list
SCREEN
2 - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - -
-
16 ? [F1]
Have
(you/you or any members of your household) purchased or rented
any --
Read
each item on list
SCREEN 3
- - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - -
- -
17 ? [F1]
Have
(you/you or any members of your household) purchased or
rented any --
Read
each item on list
SCREEN 4
- - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - -
- - - - - - - - - - -
18 ? [F1]
Have
(you/you or any members of your household) purchased or rented
any --
Read
each item on list
Screen 5----------------------------------------------------------------------------------------
19 ? [F1]
Have
(you/you or any members of your household) purchased or rented
any --
Read each item on
list
Screen
6----------------------------------------------------------------------------------------
20 ? [F1]
Have
(you/you or any members of your household) purchased any
--
Read
each item on list.
1.
Small electrical kitchen appliances
2. Electrical personal
care appliances
3. Electrical floor cleaning equipment
4.
Other household appliances
5. Sewing machines
6. GPS
devices, calculators, and fax machines
7. Digital book
readers or tablets
8. Computer software including computer
games^FOR_NON_BUS
10. Computer accessories
11. Portable
memory, such as flash drives, memory cards, and recordable discs
and tapes
12. Video game hardware or accessories
13.
Telephones or accessories
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 including those installed in vehicles
22. DVD
players, VCRs, DVRs, or video cameras
23. Satellite dishes,
receivers or accessories
24. Handheld personal music
players
25. Stereos, radios, speakers, and sound components,
including those installed in vehicles
26. Other sound or
video equipment, including accessories
27. General sports
equipment (exclude athletic shoes for sports related use, such as
football, baseball, soccer or bowling)
28. Health and
exercise equipment
29. Camping equipment
30. Hunting
and fishing equipment, including all guns
31. Winter sports
equipment
32. Water sports equipment
33. Outboard
motors
34. Bicycles or bicycle equipment
35. Tricycles
or battery powered riders
36. Playground equipment
37.
Other sports or recreation equipment
95. Continue list
99.
None/No more entries
888. Delete the line
|
1-37:
Goto MINTYPE
95: Goto APB_ITEM - next line of
grid
99: Goto S6B_END
888: IF no
more grid lines then goto S6B_END
ELSE goto
APB_ITEM - next line of grid
|
06B
|
MINTYPE
|
What
did you purchase(or rent/ )?
Enter
a brief description of item.
(* Report items such as flash drives, memory cards, recordable
discs, and tapes as code 13, Portable memory cards, recordable
discs, and tapes as cod
Description
Type
Month Amount
(MINTYPE) (Purchased/ (MIN_MO)
(MINPURX/
Rented) MINRENTX)
|
Goto
GFTCMIN
|
06B
|
GFTCMIN
|
Was
this item ...
1.
Purchased for someone inside the household?
2. ^S6BRENT
3.
Purchased for someone outside your household?
|
1,3,DK,RF:
Goto MIN_MO
2: Goto MIN_AMOUNT
|
06B
|
MIN_MO
|
When
did you purchase it?
Description
Type
Month Amount
(MINTYPE) (Purchased/ (MIN_MO)
(MINPURX/
Rented) MINRENTX)
1.
January
2. February
3. March
4. April
5.
May
6. June
7. July
8. August
9.
September
10. October
11. November
12. December
|
Goto
MIN_AMOUNT
|
06B
|
MIN_AMOUNT
|
(What
was the total rental expense since the first of (reference month)
not including (current month)?/What did it cost?)
Description
Type Month
Amount
MINTYPE)
(Purchased/ (MIN_MO) (MINPURX/
Rented)
MINRENTX
|
1-999999:
Goto MINTAX
DK,RF: Goto MINCMB_S
|
06B
|
MINTAX
|
Did
this include sales tax?
Description
Type
Month Amount
(MINTYPE) (Purchased/ (MIN_MO)
(MINPURX/
Rented) MINRENTX)
1.
Yes
2. No
|
Goto
MINCMB_S
|
06B
|
MINCMB_S
|
Enter
'C' for a combined expense.
|
C:
Goto MINCMB
empty: IF APB_ITEM = 8, 21, 23,
25, or 26 then goto INSTLSCR
ELSE goto S6BOTHER
|
06B
|
MINCMB
|
15-20
?[F1]
What
other item is the (Item description) combined with?
Enter all that apply, separate with commas.
1.
Small electric kitchen appliances
2. Electric personal care
appliances
3. Electric floor cleaning equipment
4.
Other household appliances
5. Sewing machines
6. GPS
devices, calculators, and fax machines
7. Digital book
readers or tablets
8. Computers, computer systems, or
related hardware
9. Computer software including computer
games^FOR_NON_BUS
10. Computer accessories
11. Portable
memory such as flash drives, memory cards, and recordable discs
and tapes
12. Video game hardware or accessories
13.
Telephones or accessories
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 including those installed in vehicles
22.
DVD Players, VCRs, DVRs, or video cameras
23. Satellite
dishes, receivers or accessories
24. Handheld personal music
players
25. Stereos, radios, speakers, and sound components,
including those installed in vehicles
26. Other sound or
video equipment including accessories
27. General sports
equipment (exclude athletic shoes for sports related use, such as
football, baseball, soccer or bowling)
28. Health and
exercise equipment
29. Camping equipment
30. Hunting
and fishing equipment, including all guns
31. Winter sports
equipment
32. Water sports equipment
33. Outboard
motors
34. Bicycles or bicycle equipment
35. Tricycles
or battery powered riders
36. Playground equipment
37.
Other sports or recreation equipment
77. Misc. combined
(unable to specify/DK)
|
IF
ITEM = 8, 21, 23, 25, 26 then goto INSTLSCR
ELSE goto
S6BOTHER
|
06B
|
INSTLSCR
|
Were
there any additional charges for installation or
set-up?
Description
Type
Month Amount
(MINTYPE) (Purchased/ (MIN_MO)
(MINPURX/
Rented) MINRENTX)
1.
Yes
2. No
|
1:
Goto INSTLLEX
2,DK,RF: IF INTNMBR = 4 AND ITEM
= 21 AND (INTPER = 201607, 201608, 201609, 201406, 201407 or
201409) then goto TVSTORE
ELSE goto MORE
|
06B
|
INSTLLEX
|
How
much?
Description
Type Month Amount
(MINTYPE) (Purchased/ (MIN_MO)
(MINPURX/
Rented) MINRENTX)
|
1-99999:
IF INSTLLEX lt 40 or gt 1000 then goto ERR1_INSTLLEX
ELSEIF INTNMBR = 4 AND ITEM = 21 AND (INTPER = 201607, 201608,
201609, 201406, 201407 or 201409) then goto TVSTORE
ELSE goto MORE
DK,RF: IF INTNMBR = 4 AND ITEM = 21
AND (INTPER = 201607, 201608, 201609, 201406, 201407 or 201409))
then goto TVSTORE
ELSE goto MORE
|
06B
|
TVSTORE
|
Where
did you purchase this television?
Enter store, website, or company name
If
purchased from a private individual, enter "private
individual."
|
IF
ENTRY contains ".com", ".Com", ".cOm",
".coM", ".COm", ".CoM", ".cOM",
or ".COM", then goto MORE
ELSEIF ENTRY = DK
or RF then goto MORE
ELSE goto TVPURCH
|
06B
|
TVPURCH
|
Ask
if not apparent
Was
this purchased online or in-person?
1.
Online
2. In person
|
1,DK,RF:
Goto MORE
2: Goto TVPURLOC
|
06B
|
TVPURLOC
|
Where
is ^TVSTORE_fill located?
Enter city and state
|
Goto
MORE
|
06B
|
S6BOTHER
|
Did
you purchase(or rent/ ) any other
(description)?
Description
Type
Month Amount
(MINTYPE) (Purchased/ (MIN_MO)
(MINPURX/
Rented) MINRENTX)
1.
Yes
2. No
|
1:
Goto APB_ITEM, next line on the grid
2,DK,RF: IF
row number = 34 then goto S6B_END
ELSE goto
APB_ITEM, next line on the grid
|
07
|
S7_INTRO
|
21
Now
I will ask about expenditures for household item maintenance or
repairs and service contracts.
Description
Month Amount
(RPRDESC) (SRVCMOB) (REPAIRX)
1.
Enter 1 to Continue
|
Goto
EQB_ITEM
|
07
|
EQB_ITEM
|
21
? [F1]
Since
the first of (reference month), did (you/you or any
members of your household) have any expenses for service
contracts, maintenance, or repairs for any of the following
items?
Read
each item on list
1.
Garbage disposal, range hood, or built-in dishwasher
2.
Other household appliances, such as washer, refrigerator, or
range/oven
3. Television, radio, video, or sound equipment,
including those installed in autos or other vehicles
4.
Computers, computer systems, or related equipment for
non-business use
5. Lawn or garden equipment
6. Musical
instruments or accessories
7. Hand or power tools
8.
Photographic equipment
9. Sport or recreational
equipment
10. Termite or pest control
11. Heating or
air conditioning service contracts
99. None/No more
entries
888. Delete the line
|
1-11:
Goto RPRDESC
95: Goto next row
99:
Goto S7_END
888: IF ROW number = 13 then goto
S7_END
ELSE goto APB_ITEM - next line of grid
|
07
|
RPRDESC
|
What
did the service contract(or repair/ ) cover?
Description
Month Amount
(RPRDESC) (SRVCMOB) (REPAIRX)
|
Goto
SRVCMOB
|
07
|
SRVCMOB
|
In
what month was the expense?
Description
Month Amount
(RPRDESC) (SRVCMOB) (REPAIRX)
1.
January
2. February
3. March
4. April
5.
May
6. June
7. July
8. August
9.
September
10. October
11. November
12. December
|
Goto
REPAIRX
|
07
|
REPAIRX
|
What
was the total cost?
Description
Month Amount
(RPRDESC) (SRVCMOB) (REPAIRX)
|
1-999999:
Goto REPAIRTX
DK,RF: Goto RPRCB_S
|
07
|
REPAIRTX
|
Did
this include sales tax?
Description
Month Amount
(RPRDESC) (SRVCMOB) (REPAIRX)
1.
Yes
2. No
|
Goto
RPRCB_S
|
07
|
RPRCB_S
|
Enter
'C' for a combined expense.
|
C:
Goto REPAIRCM
Empty: Goto RPRMORE
|
07
|
REPAIRCM
|
21
? [F1]
What
other service contracts, maintenance, or
repairs was ^RPRMORE_FILL combined with?
Enter
all that apply, separate with commas
Description
Month Amount
(RPRDESC) (SRVCMOB) (REPAIRX)
1.
Garbage disposal, range hood, or built-in dishwasher
2.
Other household appliances, such as washer, refrigerator, or
range/oven
3. Television, radio, video, or sound equipment,
including those installed in autos or other vehicles
4.
Computers, computer systems, or related equipment for
non-business use
5. Lawn or garden equipment
6. Musical
instruments or accessories
7. Hand or power tools
8.
Photographic equipment
9. Sport or recreational
equipment
10. Termite or pest control
11. Heating or
air conditioning service contracts
77. Misc. Combined
(unable to specify/DK)
|
Goto
RPRMORE
|
07
|
RPRMORE
|
Did
you pay for any other (service contracts, maintenance, or
repairs/service contracts) for (Description)?
Description
Month Amount
(RPRDESC) (SRVCMOB) (REPAIRX)
1.
Yes
2. No
|
1:
Goto EQB_ITEM, next line on grid
2,DK,RF: IF
ROW number = 13 then goto S7_END
ELSE goto
EQB_ITEM, next line on grid
|
08A
|
S8A_INTRO
|
22-25
Now
I am going to ask about expenses for home furnishings and related
household items.
Please include any shipping and handling
charges with the cost of any item that was
shipped.
Item
Month Amount
(FURNDESC) (FURNMO) (FURNPURX)
1.
Enter 1 to Continue
|
Goto
FRA_ITEM
|
08A
|
FRA_ITEM
|
SCREEN
1
-----------------------------------------------------------------------------
22 ? [F1]
Since
the first of (reference month), have (you/you or any members of
your household) purchased for (you/your household) or
for someone outside of your household any --
Read
each item on list
SCREEN
2
------------------------------------------------------------------------------
23
? [F1]
Have
(you/you or any members of your household) purchased any
--
Read
each item on list
SCREEN
3
-------------------------------------------------------------------------------
24
?[F1]
Have
(you/you or any members of your household) purchased any
--
Read each item on list
SCREEN
4
-------------------------------------------------------------------------------
25
? [F1]
Have
(you/you or any members of your household) purchased any
--
Read
each item on list
1.
Sofas?
2. Living room chairs?
3. Living room tables?
4.
Ping-pong, pool tables or other similar recreation room items?
5.
Other living room, family, or recreation room furniture including
desks, wall units, and shelving?
6. Living room furniture
combinations?
7. Dining room or kitchen furniture?
8.
Mattresses or box springs?
9. Bedroom furniture other than
mattresses or box springs?
10. Infants furniture?
11.
Infants equipment?
12. Patio, portch, or outdoor
furniture?
13. Barbeque grills or outdoor decorative
items?
14. Office furniture for home use?
15. Lamps,
lighting fixtures, or ceiling fans?
16. Other household
decorative items?
17. Closet and storage items?
18.
Travel items including luggage?
19. Stainless, silver, or
other flatware?
20. Non-electric cookware?
21. Dishes,
glasses, or serving pieces?
22. Bedroom linens?
23.
Bathroom linens?
24. Kitchen, dining room, or other
linens?
25. Slipcovers, decorative pillows, or cushions?
26.
Rugs or other non-permanent floor coverings, including carpet
squares?
27. Curtains or drapes?
28. Blinds, shades, or
other window coverings?
95. Continue
99. None/No more
entries
888. Delete the line
|
1-28:
Goto FURNDESC
95: Goto next row
99:
Goto S8A_END
888: IF ROW number = 34 then goto
S8A_END
ELSE goto FRA_ITEM - next line of grid
|
08A
|
FURNDESC
|
What
did you
purchase?
Item Month Amount
(FURNDESC)(FURNMO) (FURNPURX)
|
Goto
FURNMO
|
08A
|
FURNMO
|
In
what month did you purchase
it?
Item Month Amount
(FURNDESC)(FURNMO) (FURNPURX)
1.
January
2. February
3. March
4. April
5.
May
6. June
7. July
8. August
9.
September
10. October
11. November
12. December
|
Goto
FURNGFTC
|
08A
|
FURNGFTC
|
Was
this purchased for your household or for someone outside of your
household?
Item
Month
Amount
(FURNDESC)
(FURNMO) (FURNPURX)
1.
For use by household
2. For someone outside the household
|
Goto
FURNPURX
|
08A
|
FURNPURX
|
What
was the purchase
price?
Item Month Amount
(FURNDESC)(FURNMO) (FURNPURX)
|
1-999999:
Goto FRNPURTX
DK,RF: Goto S8ACMB_S
|
08A
|
FRNPURTX
|
Did
this include sales
tax?
Item Month Amount
(FURNDESC)(FURNMO) (FURNPURX)
1.
Yes
2. No
|
Goto
S8ACMB_S
|
08A
|
S8ACMB_S
|
Enter
'C' for a combined expense.
|
C:
Goto S8A_CMB
Empty: Goto ANYOTH8
|
08A
|
S8A_CMB
|
22-25 ?[F1]
What
was combined with fill for COMBCODE?
Enter all that apply, separate with
commas.
Item Month Amount
(FURNDESC)(FURNMO) (FURNPURX)
1.
Sofas
2. Living room chairs
3. Living room tables
4.
Ping-pong, pool tables or other similar recreation room items
5.
Other living room, family, or recreation room furniture including
desks, wall units, and shelving
6. Living room furniture
combinations
7. Dinning room or kitchen furniture
8.
Mattresses or box springs
9. Bedroom furniture other than
mattresses or box springs
10. Infants furniture
11.
Infants equipment
12. Patio, porch, or outdoor furniture
13. Barbeque grills or outdoor decorative items
14.
Office furniture for home use
15. Lamps, lighting fixtures,
or ceiling fans
16. Other household decorative items
17.
Closet and storage items
18. Travel items including
luggage
19. Stainless, silver or other flatware
20.
Non-electric cookware
21. Dishes, glasses, or serving
pieces
22. Bedroom linens
23. Bathroom linens
24.
Kitchen, dining room, or other linens
25. Slipcovers,
decorative pillows or cushions
26. Rugs or other
non-permanent floor coverings, including carpet squares
27.
Curtains or drapes
28. Blinds, shades or other window
coverings
77. Misc. Combined (unable to specify/DK)
|
Goto
ANYOTH8
|
08A
|
ANYOTH8
|
Did
you purchase any other
(description)?
Item Month Amount
(FURNDESC)(FURNMO) (FURNPURX)
1.
Yes
2. No
|
1:
Goto FRA_ITEM, next line of grid
2,DK,RF: IF ROW
number = 34 then goto S8_END
ELSE goto FRA_ITEM,
next line of grid
|
08B
|
FURNRNTL
|
Since
the first of (reference month), have (you/you or any
members of your household) rented or leased any furniture?
1.
Yes
2. No
|
1:
Goto FURNRNTX
2,DK,RF: Goto REPFURN
|
08B
|
FURNRNTX
|
What
was the total expense?
|
Goto
FRNRNTCX
|
08B
|
FRNRNTCX
|
How
much of the total amount was spent this month?
|
Goto
REPFURN
|
08B
|
REPFURN
|
Since
the first of (reference month), have (you/you or any members of
your household) had any expenses for repairing, refinishing or
reupholstering furniture, including the cost for fabric?
1.
Yes
2. No
|
1:
Goto REPFURNX
2,DK,RF: Goto S8B_END
|
08B
|
REPFURNX
|
What
was the total expense?
|
Goto
REPFRNCX
|
08B
|
REPFRNCX
|
How
much of the total amount was spent this month?
|
Goto
S8B_END
|
09A
|
S9A_INTRO
|
26-27
Now
I am going to ask about clothing, footwear, and accessories, for
infants, children, and adults. You may find it helpful to
refer to receipts, credit card statements or other records to
answer the questions. Please include any shipping and
handling charges with the cost of any item that was
shipped.
Description Name Month Amount
(CLODESCA) (CLONAME) (CLOTHMOA) (CLOTHXA)
1.
Enter 1 to Continue
|
Goto
CLA_ITEM
|
09A
|
CLA_ITEM
|
SCREEN
1
---------------------------------------------------------------------------
26 ? [F1]
Since
the first of (reference month), have (you/you or any members of
your household)
purchased any of the following
items either for members of your household or
for someone
outside your household?
Read
each item on list.
SCREEN
2 ----------------------------------------
27 ? [F1]
Have
(you/you or any members of your household) purchased any
--
Read
each item on list.
1.
Coats, jackets or furs
2. Sport coats, tailored jackets, or
blazers
3. Suits
4. Vests
5. Shirts, sweaters,
blouses, or tops
6. Pants, jeans or shorts
7.
Dresses
8. Skirts
9. Undergarments
10. Hosiery
11.
Nightwear or loungewear
12. Accessories
13. Swimsuits
or warm-up or ski suits
14. Uniforms, for which the cost is
not reimbursed
15. Costumes
16. Footwear, including
athletic footwear
17. Diapers
18. Layettes
19.
Watchers
20. Jewelry
95. Continue List
99. None/No
more entries
888. Delete the line
|
1-20:
Goto CLODESCA
95: Goto next row
99:
Goto S9A_END
888: IF no more rows then goto
S9A_END
ELSE goto CLA_ITEM - next row of the table
|
09A
|
CLODESCA
|
What
did you buy?
Describe briefly the item
purchased.
Description Name
Month Amount
(CLODESCA) (CLONAME) (CLOTHMOA) (CLOTHXA)
|
Goto
CLOINOUT
|
09A
|
CLOINOUT
|
Was
this (were these) purchased for someone inside or outside of your
household?
1.
Inside your household
2. Outside your household
3. Both
inside and outside your household
|
1:
IF CLA_ITEM = 1-18 then goto FORWHOM
ELSE goto
CLOTHMOA
2,3: IF CLA_ITEM = 1-18 then goto
FOROUTCU
ELSE goto CLOTHMOA
DK,RF: Goto
CLOTHMOA
|
09A
|
FORWHOM
|
For
whom was it purchased?
Enter
all that apply, separate with commas.
1.
ActiveCU[1]
2. ActiveCU[2]
3. ActiveCU[3]
4.
ActiveCU[4]
5. ActiveCU[5]
6. ActiveCU[6]
7.
ActiveCU[7]
8. ActiveCU[8]
9. ActiveCU[9]
10.
ActiveCU[10]
11. ActiveCU[11]
12. ActiveCU[12]
13.
ActiveCU[13]
14. ActiveCU[14]
15. ActiveCU[15]
16.
ActiveCU[16]
17. ActiveCU[17]
18. ActiveCU[18]
19.
ActiveCU[19]
20. ActiveCU[20]
21. ActiveCU[21]
22.
ActiveCU[22]
23. ActiveCU[23]
24. ActiveCU[24]
25.
ActiveCU[25]
26. ActiveCU[26]
27. ActiveCU[27]
28.
ActiveCU[28]
29. ActiveCU[29]
30. ActiveCU[30]
77.
Don't Know
|
IF
more than 1 person is selected then goto CLONAME
ELSE
goto CLOTHMOA
|
09A
|
FOROUTCU
|
For
whom was this purchased?
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
|
40-44,77:
Goto CLONAME
RF: Goto CLOTHMOA
|
09A
|
CLONAME
|
Enter
name of person(s).
|
Goto
CLOTHMOA
|
09A
|
CLOTHMOA
|
When
did you purchase it?
(* Enter 13 for same amount each month/
)
Description
Name Month
Amount
(CLODESCA) (CLONAME) (CLOTHMOA) (CLOTHXA)
1.
January
2. February
3. March
4. April
5.
May
6. June
7. July
8. August
9.
September
10. October
11. November
12.
December
13. ^S09_13Option
|
Goto
CLOTHXA
|
09A
|
CLOTHXA
|
(What
is your monthly expense?/How much did it
cost?)
Description Name
Month Amount
(CLODESCA) (CLONAME) (CLOTHMOA) (CLOTHXA)
|
1-999999:
Goto CLOTHTXA
DK,RF: Goto CLOCMBA_S
|
09A
|
CLOTHTXA
|
Did
this include sales tax?
Description Name
Month
Amount
(CLODESCA) (CLONAME) (CLOTHMOA) (CLOTHXA)
1.
Yes
2. No
|
Goto
CLOCMBA_S
|
09A
|
CLOCMBA_S
|
Enter
'C' for a combined expense.
|
C:
Goto COMBCODE
EMPTY: IF INTNMBR = 4 AND (ITEM =
2 or 3) AND (INTPER = 201607, 201608, 201609, 201406, 201407 or
201409) then goto CLASTORE
ELSE goto MORE
IF
anything other than a 'C' or the enter key is entered, goto CK_C
|
09A
|
CLOCMBA
|
26-27
? [F1]
What other clothing is (Clothing purchase
description) combined with?
Enter
all that apply, separate with commas.
Description
Name Month
Amount
(CLODESCA) (CLONAME) (CLOTHMOA) (CLOTHXA)
1.
Coats, jackets or furs
2. Sport coats, tailored jackets, or
blazers
3. Suits
4. Vests
5. Shirts, sweaters,
blouses, or tops
6. Pants, jeans, or shorts
7.
Dresses
8. Skirts
9. Undergarments
10. Hosiery
11.
Nightware or loungewear
12. Accessories
13. Swimsuits
or warm-up or ski suits
14. Uniforms, for which the cost is
not reimbursed
15. Costumes
16. Footwear, including
athletic footwear
17. Diapers
18. Layettes
19.
Watches
20. Jewelry
77. Misc. combined (unable to
specify/DK)
|
IF
INTNMBR = 4 AND (ITEM = 2 or 3) AND (INTPER = 201607, 201608,
201609, 201406, 201407 or 201409) then goto CLASTORE
ELSE
goto MORE
|
09A
|
CLASTORE
|
Where
did you purchase this (Entry in CLODESCA)?
Enter store, website, or company name
If
purchased from a private individual, enter "private
individual."
|
IF
ENTRY contains ".com", ".Com", ".cOm",
".coM", ".COm", ".CoM", ".cOM",
or ".COM", then goto MORE
ELSEIF ENTRY = DK
or RF then goto MORE
ELSE goto CLAPURCH
|
09A
|
CLAPURCH
|
Ask
if not apparent
Was
this purchased online or in-person?
1.
Online
2. In person
|
1,DK,RF:
Goto MORE
2: Goto CLPURLOC
|
09A
|
CLPURLOC
|
Where
is ^CLASTORE_fill located?
Enter city and state
|
Goto
MORE
|
09A
|
CLOMOREA
|
Did
you purchase any other (description)?
Description
Name Month
Amount
(CLODESCA) (CLONAME) (CLOTHMOA) (CLOTHXA)
1.
Yes
2. No
|
1:
Goto CLA_ITEM, next row in the table
2,DK,RF: IF
row number = 84 then goto S9A_END
ELSE goto
CLA_ITEM, next row in the table
|
09B
|
S9D_INTRO
|
28
Now
I am going to ask about expenditures for clothing services.
Description Month Amount
(CLODESCD) (CLOTHMOD) (CLOTHXD)
1.
Enter 1 to Continue
|
Goto
CLD_ITEM
|
09B
|
CLD_ITEM
|
28
? [F1]
Have
(you/you or any members of your household) had expenses for any
of the following, either for members of your household
or
for someone outside your 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 or accessory rental
5. Clothing
storage outside the home
99. None/No more entries
888.
Delete the line
|
1-5:
Goto CLODESCD
99: Goto S9D_END
888:
IF no more row then goto S9D_END
ELSE goto CLD_ITEM -
next row in the table
|
09B
|
CLODESCD
|
What
kind of service was this?
Describe
briefly the service.
Description
Month Amount
(CLODESCD)
(CLOTHMOD) (CLSRVCX)
|
Goto
CLSVGFTC
|
09B
|
CLSVGFTC
|
Was
this service for (you/your household) or for someone outside your
household?
Description
Month
Amount
(CLODESCD)
(CLOTHMOD) (CLSRVCX)
1.
Your household
2. Someone outside your household
|
Goto
CLOTHMOD
|
09B
|
CLOTHMOD
|
When
did you purchase this service?
Description
Month Amount
(CLODESCD)
(CLOTHMOD) (CLSRVCX)
1.
January
2. February
3. March
4. April
5.
May
6. June
7. July
8. August
9.
September
10. October
11. November
12. December
|
Goto
CLSRVCX
|
09B
|
CLSRVCX
|
How
much did it cost?
Description
Month
Amount
(CLODESCD)
(CLOTHMOD) (CLSRVCX)
|
1-999999:
Goto CLSRVCTX
DK,RF: Goto CLOCMBD_S
|
09B
|
CLSRVCTX
|
Did
this include sales tax?
Description
Month
Amount
(CLODESCD)
(CLOTHMOD) (CLSRVCX)
1.
Yes
2. No
|
Goto
CLOCMBD_S
|
09B
|
CLOCMBD_S
|
Enter
'C' for a combined expense.
|
C:
Goto CLOCMBD
Empty: Goto CLOMORED
|
09B
|
CLOCMBD
|
28
? [F1]
What other clothing services is
(Clothing Service Description) combined with?
Enter
all that apply, separate with
commas.
Description Month Amount
(CLODESCD)
(CLOTHMOD) (CLSRVCX)
1.
Repair, alteration or tailoring for clothing and accessories
2.
Shoe repair or other shoe services
3. Watch or jewelry
repair
4. Clothing or accessory rental
5. Clothing
storage outside the home
77. Misc. combined (unable to
specify/ DK)
|
Goto
CLOMORED
|
09B
|
CLOMORED
|
Did
you have any other expenses for (Clothing Service
Description)?
Description Month Amount
(CLODESCD)
(CLOTHMOD) (CLSRVCX)
1.
Yes
2. No
|
1:
Goto CLD_ITEM next row in the table
2,DK,RF: IF
ROW number = 10 then goto S9D_END
ELSE goto
CLD_ITEM next row in the table
|
10
|
S10_INTRO
|
29
Now
I am going to ask about expenses for vehicle rentals
and leases.
Vehicle
number Vehicle year Vehicle
make/model Business
(LSDNUM) (MODELYR) (MKMD_SCR)
(ANYBUSIN)
1.
Enter 1 to Continue
|
Goto
RLV_ITEM in BSect10L1 Block
|
10
|
RLV_ITEM
|
SCREEN
1
------------------------------------------------------------------------------------
29 ? [F1]
Since
the first of (reference month), have (you/you or any members of
your household) rented any automobiles, trucks, vans, minivans,
or SUVs, which were not used entirely for business? Do
not include leased vehicles.
SCREEN 2
--------------------------------------------------------------------------
29 ? [F1]
Since
the first of (reference month), have (you/you or any members of
your household) rented any other types of vehicles which were not
used entirely for business?
IF
YES -
Did you rent any -
1.
Automobiles, trucks, vans, minivans, or SUVs
2. Motor
homes
3. Trailer-type campers
4. Other attachable-type
campers
5. Motorcycles, motor scooters, or mopeds (motorized
bicycles)
6. Boats, with motor
7. Boats, without a
motor
8. Trailers other than a camper type, such as for a
boat or cycle
9. Private aircraft
10. Other
vehicles
95. Continue list
99. None/No More
Entries
888. Delete the Line
|
1-10:
Goto ANYVACAT
95: Goto RLV_ITEM - next row
99:
IF no vehicles on inventory chart or all vehicles
have 8500.LSD_STAT = 3 then exit block and goto LSD_ITEM
ELSE exit block and goto the TblInventory block
888:
IF no more table rows THEN if no vehicles on inventory chart or
all vehicles have 8500.LSD_STAT = 3 then exit block and goto
LSD_ITEM
else exit block and goto the TBLINVENTORY
block
ELSE goto RLV_ITEM - next row of table
|
10
|
ANYVACAT
|
Was
the (description) rented solely for use on a vacation,
overnight
trip, or a trip of 75 miles or more one way?
1.
Yes
2. No
|
Goto
RENTEXPX
|
10
|
RENTEXPX
|
Since
the first of (reference month), not including (current month),
what has been your expense for renting this vehicle?
|
IF
BUSCREEN = 2 then goto RENT_MORE
ELSE goto ANYBSNRM
|
10
|
ANYBSNRM
|
Were
or will any of the rental expenses be deducted as business
expenses, reimbursed, or paid by someone outside of the
household?
1.
Yes
2. No
|
1:
Goto BSNSPCTZ
2,DK,RF: Goto RENT_MORE
|
10
|
BSNSPCTZ
|
What
percent of the total expense will this cover?
|
1-99,DK,RF:
Goto RENT_MORE
100: Goto ERR2_BSNSPCTZ
|
10
|
RENT_MORE
|
Did
you rent any other (description)?
1.
Yes
2. No
|
1:
Goto RLV_ITEM
2,DK,RF: IF row number = 10 then
IF no vehicles on inventory chart or all vehicles
have 8500.LSD_STAT = 3 then exit block and goto LSD_ITEM
ELSE exit block and goto TblInventory block
ELSE goto RLV_ITEM
|
10
|
LVIHAVE
|
Now
I am going to ask about leased vehicles you mentioned
previously.
Are you still leasing the (model
year) (vehicle make and model)?
If
the vehicle was purchased at the end of the lease, collect the
new vehicle in Section 11.
Vehicle
Number Vehicle Year Vehicle Make/Model
Business
(LSDNUM)
(MODELYR) (MKMD_SCR)
(ANYBUSIN)
1.
Yes
2. No
|
1,DK,RF:
Goto S10INV_END
2: Goto LVIENDMO
|
10
|
LVIENDMO
|
What
month was the lease terminated?
Vehicle
Number Vehicle Year Vehicle Make/Model
Business
(LSDNUM)
(MODELYR) (MKMD_SCR)
(ANYBUSIN)
1.
January
2. February
3. March
4. April
5.
May
6. June
7. July
8. August
9.
September
10. October
11. November
12. December
|
Goto
TERMFEE
|
10
|
TERMFEE
|
?
[F1]
Were
any fees incurred at the termination of the lease?
Vehicle
Number Vehicle Year Vehicle Make/Model
Business
(LSDNUM)
(MODELYR) (MKMD_SCR)
(ANYBUSIN)
1.
Yes
2. No
|
1:
Goto TERMFEEX
2,DK,RF: Goto S10INV_END
|
10
|
TERMFEEX
|
How
much?
Vehicle
Number Vehicle Year Vehicle Make/Model
Business
(LSDNUM)
(MODELYR) (MKMD_SCR)
(ANYBUSIN)
|
Goto
S10INV_END
|
10
|
LSD_ITEM
|
Since
the first of (reference month), have (you/you or any members of
your household) (made any lease payments or/ ) begun leasing any
automobiles, trucks, vans, minivans, or SUVs not used entirely
for business?
1.
Automobiles, trucks, vans, minivans, or SUVs
99. None/No
more entries
888. Delete the line
|
1:
Goto MODELYR
99: Goto S10_END
888:
IF no more rows then goto S10_END
ELSE goto
LSD_ITEM - next row of the table
|
10
|
MODELYR
|
Ask
if necessary
What
is the model year of the vehicle?
|
1900-current
year + 1: IF MODELYR gt (current year + 1) then goto CK_MODELYR
ELSE goto MKMD_SCR
DK,RF:
Goto MKMD_SCR
|
10
|
MKMD_SCR
|
What
is the make and model of this vehicle?
If
vehicle make and model is not found, key X
|
X:
Goto OTHMODEL
30 characters besides X, DK, RF:
IF BUSCREEN = 2 then goto NUMPAY
ELSE goto ANYBUSIN
|
10
|
OTHMODEL
|
Specify
other make and model
|
IF
BUSCREEN = 2 then goto NUMPAY
ELSE goto ANYBUSIN
|
10
|
ANYBUSIN
|
Is
it used for business?
1.
Yes
2. No
|
1:
Goto PRCBSNSZ
2,DK,RF: Goto NUMPAY
|
10
|
PRCBSNSZ
|
What
percentage of the mileage is counted as a business expense?
|
1-99,DK,RF:
Goto NUMPAY
100: Goto ERR2_PRCBSNSZ
|
10
|
NUMPAY
|
What
was the number of payments contracted for?
|
1-999:
G goto PMTMONTH
DK,RF: Goto PMTMONTH
|
10
|
PMTMONTH
|
In
what month was or will the first payment be made?
1.
January
2. February
3. March
4. April
5.
May
6. June
7. July
8. August
9.
September
10. October
11. November
12. December
|
Goto
PMTYEAR
|
10
|
PMTYEAR
|
In
what year was or will the first payment be made?
|
Goto
PAYEXPX
|
10
|
PAYEXPX
|
(What
is your monthly payment amount?/What is the amount of each
payment?)
|
IF
NUMPAY lt 12 then goto PAYTIME
ELSE goto ANYEXTRA
|
10
|
PAYTIME
|
What
period is covered by each payment?
1.
Week
2. 2 Weeks
3. Month
4. Quarter
5.
Semiannually
6. Annually
7. One time payment
8.
Other
|
1:
goto ANYEXTRA
2: goto ANYEXTRA
3:
goto ANYEXTRA
4: goto ANYEXTRA
5:
goto ANYEXTRA
6: goto ANYEXTRA
7:
ANYEXTRA
8: goto PAYOTH
DK,RF: goto
ANYEXTRA
|
10
|
PAYOTH
|
Specify:
|
Goto
ANYEXTRA
|
10
|
ANYEXTRA
|
Does
the payment include any charges other than the lease amount such
as auto insurance or maintenance?
1.
Yes
2. No
|
1:
Goto EXTRAEXP
2,DK,RF: Goto ANYEMPLY
|
10
|
EXTRAEXP
|
How
much of the payment is for these extra charges?
|
Goto
ANYEMPLY
|
10
|
ANYEMPLY
|
Is
any of the ($ (amount in PAYEXPX) ) lease payment paid by an
employer?
1.
Yes
2. No
|
1:
Goto EMPLYEXP
2,DK,RF: Goto ANYTRADE
|
10
|
EMPLYEXP
|
How
much?
|
Goto
ANYTRADE
|
10
|
ANYTRADE
|
Was
a trade-in allowance received?
1.
Yes
2. No
|
1:
Goto TRADEEXP
2,DK,RF: Goto ANYDOWN
|
10
|
TRADEEXP
|
How
much?
|
Goto
ANYDOWN
|
10
|
ANYDOWN
|
Was
a cash down payment made?
Read
if necessary -
Your lease agreement may list this as a capitalized cost
reduction.
1.
Yes
2. No
|
1:
Goto DOWNEXP
2,DK,RF: Goto ANYHAVE
|
10
|
DOWNEXP
|
How
much?
|
Goto
ANYDNEMP
|
10
|
ANYDNEMP
|
Was
any portion of the cash down payment paid by an employer?
1.
Yes
2. No
|
1:
Goto DNEMPEXP
2,DK,RF: Goto ANYHAVE
|
10
|
DNEMPEXP
|
How
much?
|
Goto
ANYHAVE
|
10
|
ANYHAVE
|
Are
you still leasing this vehicle?
If
the vehicle was purchased at the end of the lease, collect the
new vehicle in Section 11.
1.
Yes
2. No
|
1,DK,RF:
Goto ANYOTH
2: Goto LSDENDMO
|
10
|
LSDENDMO
|
In
what month was the lease terminated?
1.
January
2. February
3. March
4. April
5.
May
6. June
7. July
8. August
9.
September
10. October
11. November
12. December
|
Goto
LSDENDYR
|
10
|
LSDENDYR
|
In
what year was the lease terminated?
|
Goto
ANYFEES
|
10
|
ANYFEES
|
?
[F1]
Were
any fees incurred at the termination of the lease?
1.
Yes
2. No
|
1:
Goto FEESEXP
2,DK,RF: Goto ANYOTH
|
10
|
FEESEXP
|
How
much?
|
Goto
ANYOTH
|
10
|
ANYOTH
|
Did
you lease any other automobiles, trucks, vans, minivans, or
SUVs?
1.
Yes
2. No
|
1:
IF ROW number = 6 then goto ERR_MAX
ELSE goto
LSD_ITEM, next row
2,DK,RF: Exit block and goto
S10_END
|
11
|
S11_INTRO
|
29
Now
I'm going to ask about owned vehicles.
^S11_prechart
1.
Enter 1 to Continue
|
IF
there are vehicles on the chart with 8500.OVB_STAT ne 3 then goto
OVAHAVE
ELSE goto OVB_ITEM
|
11
|
OVAHAVE
|
(Do/Does) (you/your
household) still have the (Car Description)?
^S11_prechart
1.
Yes
2. No
|
1,DK,RF:
Goto OVAHAVE for next appropriate vehicle on chart, if no more
vehicles exit block and goto OVB_ITEM
2: Goto
VEHDISP
|
11
|
VEHDISP
|
How
did you dispose of the (Car description)?
1.
Sold
2. Traded in
3. Given away or donated to someone
outside the household, including students away at school
4.
Totaled (damaged beyond repair)
5. Stolen
6. Other
|
1-5,DK,RF:
Goto VDISPMO
6: Goto DISPOTHV
|
11
|
DISPOTHV
|
Specify:
|
Goto
VDISPMO
|
11
|
VDISPMO
|
In
what month was it (sold/traded in/given away to someone outside
the CU/damaged beyond repair/stolen/disposed of)?
1.
January
2. February
3. March
4. April
5.
May
6. June
7. July
8. August
9.
September
10. October
11. November
12. December
|
IF
VEHDISP = 1 then goto SALEX
ELSEIF VEHDISP = 2, 3, 6, DK or
RF then goto LOANSTAT
ELSEIF VEHDISP = 4 or 5 then goto
REIMBURS
|
11
|
SALEX
|
How
much did you sell it for?
|
Goto
LOANSTAT
|
11
|
REIMBURS
|
Were
you reimbursed for the value of the (Car description)?
1.
Yes
2. No
|
1:
Goto REIMBURX
2,DK,RF: Goto EXREIMB
|
11
|
REIMBURX
|
How
much did you receive?
|
Goto
LOANSTAT
|
11
|
EXREIMB
|
Do
you expect to be reimbursed for the value of the (Car
description)?
1.
Yes
2. No
|
1:
Goto EXREIMBX
2,DK,RF: Goto LOANSTAT
|
11
|
EXREIMBX
|
How
much will you receive?
|
Goto
LOANSTAT
|
11
|
LOANSTAT
|
Were
there any outstanding loans on the (Car description) when it was
(sold/traded in/given away to someone outside the CU/damaged
beyond repair/stolen/disposed of)?
1.
Yes
2. No
|
1:
Goto FINPAYMT
2,DK,RF: IF no more vehicles,
exit block and goto OVB_ITEM
ELSE goto OVAHAVE
next line on grid
|
11
|
FINPAYMT
|
Were
any final payments made on the loan?
1.
Yes
2. No
|
1:
Goto FINPAYMX
2,DK,RF: IF no more vehicles,
exit block and goto OVB_ITEM
ELSE goto OVAHAVE
next line on grid
|
11
|
FINPAYMX
|
How
much was the final payment?
|
IF
no more vehicles, exit block and goto OVB_ITEM
ELSE
goto OVAHAVE next line on grid
|
11
|
OVB_ITEM
|
29
? [F1]
SCREEN
1A
-----------------------------------------------------------------------------------
(Since
the first of (REF_MONTH), (have/has) (you/your household)
purchased or acquired any vehicle that is not used entirely for
business? Include th
IF
YES -
What kind of vehicle was it?
SCREEN 1B
----------------------------------------------------------------------------
(Do/Does) (you/your
household) own any automobiles, trucks, minivans, vans or SUV's
which were not used entirely for business?
SCREEN
2
------------------------------------------------------------------------------------
(Do/Does)
(you/your household) own any other types of vehicles including
boats and planes which are not used entirely for
business?
IF YES- Read each item on list
Do you own any. . .
SCREEN
3-------------------------------------------------------------------------
(Have/Has) (you/your
household) purchased any (other/ ) vehicles since the first
of (reference month) for someone outside of your
household?
IF YES -
What kind of vehicle(s) did you purchase?
SCREEN
4
---------------------------------------------------------------------------
(Have/Has) (you/your
household) disposed of (any/any automobiles or) other
vehicles since the first of (reference month)?
IF YES -
Which kind of vehicle(s) did you dispose of?
1.
^AutoOrTruck
2. Motor home
3. Trailer-type camper
4.
Other attachable-type camper
5. Motorcycle, motor scooter,
or moped (motorized bicycle)
6. Boat, with motor
7.
Boat, without a motor
8. Trailer other than a camper type,
such as for a boat or cycle
9. Private aircraft
10. Any
other vehicle
95. Continue list
99. None/No more
entries
888.
Delete the line
|
1:
Goto VEHICYR
2-10: IF BUSCREEN = 2 goto
VEHNEWU
ELSE goto VEHBSNS
95: Goto
OVB_ITEM, next screen
99: Goto S11_END
888:
IF no more grid lines goto S11_END
ELSE goto
OVB_ITEM - next line of grid
|
11
|
VEHICYR
|
What (was/is)
the model year of the vehicle?
|
Goto
MKMDL_SC
|
11
|
MKMDL_SC
|
What
(was/is) the make and model of this vehicle?
If vehicle make and model is not found, key X.
|
30
characters: IF MKMDLY(4:5) = XX or ZZ then goto AUTOTRK
ELSE goto FUELTYPE
DK,RF: Goto
AUTOTRK
X: Goto OTHMDLY
|
11
|
OTHMDLY
|
Specify:
|
Goto
AUTOTRK
|
11
|
AUTOTRK
|
Is
this vehicle an automobile or a truck, minivan, van or SUV?
1.
Automobile
2. Truck, van, minivan, or SUV
|
Goto
FUELTYPE
|
11
|
FUELTYPE
|
Is
it fueled by -
Read each item on list.
1.
Gasoline?
2. Diesel fuel?
3. Hybrid electric power?
4.
Other - specify?
|
1-3,DK,RF:
IF BUSCREEN = 2 goto VEHNEWU
ELSE goto
VEHBSNS
4: Goto FUELOTH
|
11
|
FUELOTH
|
Specify:
|
IF
BUSCREEN = 2 goto VEHNEWU
ELSE goto VEHBSNS
|
11
|
VEHBSNS
|
(Was/Is)
it used for business?
1.
Yes
2. No
|
1:
Goto VEHBSNZ
2,DK,RF: Goto VEHNEWU
|
11
|
VEHBSNZ
|
What
percentage of the mileage (was/is) counted as a business expense?
|
1-99,DK,RF:
Goto VEHNEWU
100: Goto ERR2_VEHBSNZ
|
11
|
VEHNEWU
|
Was
it new or used when acquired?
1.
New
2. Used
|
1:
IF coming from OVB_ITEM screen 1A, 1B, 2, or 4 then goto
VEHGFTC
ELSE goto VEHPURMO
2,DK,RF: IF
coming from OVB_ITEM screen 1A, 1B, 2, or 4 then goto VEHGFTC
ELSE goto VPURINDV
|
11
|
VEHGFTC
|
Was
this vehicle -
1.
Purchase for own use?
2. Purchased for someone outside of
your household?
3. Received as a gift?
|
1,2,DK,RF:
IF VEHNEWU = 1 then goto VEHPURMO
ELSE goto
VPURINDV
3: IF DISPOSED = 1 then goto VEHDISP
ELSE goto ANYOTHR
|
11
|
VPURINDV
|
Was
this vehicle purchased from a private individual?
1.
Yes
2. No
|
IF
ITEM = 1-2 or 5 AND VEHGFTC = 3 AND DISPOSED ne 1 then goto
ANYOTHR
ELSEIF OVB_ITEM = 1-2 or 5 AND VEHGFTC = 3 AND
DISPOSED = 1 then goto VEHDISP
ELSE goto VEHPURMO
|
11
|
VEHPURMO
|
In
what month was it purchased?
1.
January
2. February
3. March
4. April
5.
May
6. June
7. July
8. August
9.
September
10. October
11. November
12. December
|
Goto
VEHPURYR
|
11
|
VEHPURYR
|
In
what year was it purchased?
|
Goto
VFINANCE
|
11
|
VFINANCE
|
Was
any portion of the purchase price financed?
1.
Yes
2. No
|
1:
Goto VLOANST
2,DK,RF: IF VEHPURMO +
VEHPURYR is prior to 3 months ago AND DISPOSED = 1 then goto
VEHDISP
ELSIF VEHPURMO + VEHPURYR is prior to 3
months ago AND DISPOSED ne 1 then goto ANYOTHR
ELSE goto TRADE
|
11
|
VLOANST
|
On
the first of (reference month), were there remaining loan
payments?
1.
Yes
2. No
|
1,DK,RF:
Goto TRADE
2: IF VEHPURMO + VEHPURYR is prior to
3 months ago AND DISPOSED = 1 then goto VEHDISP
ELSEIF
VEHPURMO + VEHPURYR is prior to 3 months ago AND DISPOSED ne 1
then goto ANYOTHR
ELSE goto TRADE
|
11
|
TRADE
|
Was
a trade-in allowance received?
1.
Yes
2. No
|
1:
Goto TRADEX
2,DK,RF: Goto NETPURX
|
11
|
TRADEX
|
How
much?
|
0-999999:
Goto NETPURX
DK,RF: Goto NETPURX
|
11
|
NETPURX
|
What
was the amount paid for the vehicle after (trade-in
allowance, / ) rebate, and discount?
Include destination fee in the price.
|
0-999999:
Goto SALESTAX
DK,RF: IF VLOANST = 1 then goto
DNPAYMTX
ELSE goto ANYOTHR
|
11
|
SALESTAX
|
Did
this include sales tax?
1.
Yes
2. No
|
IF
VLOANST = 1 then goto DNPAYMTX
ELSE goto ANYOTHR
|
11
|
DNPAYMTX
|
What
was the amount of the cash down payment?
|
0-999999:
Goto VEHEQTLN
DK,RF: Goto VEHEQTLN
|
11
|
VEHEQTLN
|
Was
the source of credit a Home Equity Loan?
1.
Yes
2. No
|
Goto
PRINCIPX
|
11
|
PRINCIPX
|
How
much was borrowed, excluding any interest?
|
Goto
VINTRATE
|
11
|
VINTRATE
|
What
was the interest rate?
Enter
percent including decimal.
|
Goto
PMT1YR
|
11
|
PMT1YR
|
In
what year was or will the first payment be made?
|
Goto
PMT1MO
|
11
|
PMT1MO
|
In
what month was or will the first payment be made?
1.
January
2. February
3. March
4. April
5.
May
6. June
7. July
8. August
9.
September
10. October
11. November
12. December
|
Goto
VEHQPMT
|
11
|
VEHQPMT
|
For
how many months was the payment contract?
|
Goto
PAYMENTX
|
11
|
PAYMENTX
|
What
is your monthly payment amount?
|
IF
DISPOSED = 1 then goto VEHDISP
ELSE goto ANYOTHR
|
11
|
VEHDISP
|
How
did you dispose of the (Car description)?
1.
Sold
2. Traded in
3. Given away or donated to someone
outside the household, including students away at school
4.
Totaled (damaged beyond repair)
5. Stolen
6. Other
|
1-5,DK,RF:
Goto VDISPMO
6: Goto DISPOTHV
|
11
|
DISPOTHV
|
Specify:
|
Goto
VDISPMO
|
11
|
VDISPMO
|
In
what month was it ^Vehdisp_fill?
1.
January
2. February
3. March
4. April
5.
May
6. June
7. July
8. August
9.
September
10. October
11. November
12. December
|
IF
VEHDISP = 1 then goto SALEX
ELSEIF VEHDISP = 2, 3, 6, DK or
RF then goto LOANSTAT
ELSEIF VEHDISP = 4 or 5 then goto
REIMBURS
|
11
|
SALEX
|
How
much did you sell it for?
|
Goto
LOANSTAT
|
11
|
REIMBURS
|
Were
you reimbursed for the value of the (Car description)?
1.
Yes
2. No
|
1:
Goto REIMBURX
2,DK,RF: Goto EXREIMB
|
11
|
REIMBURX
|
How
much did you receive?
|
Goto
LOANSTAT
|
11
|
EXREIMB
|
Do
you expect to be reimbursed for the value of the (Car
description)?
1.
Yes
2. No
|
1:
Goto EXREIMBX
2,DK,RF: Goto LOANSTAT
|
11
|
EXREIMBX
|
How
much will you receive?
|
Goto
LOANSTAT
|
11
|
LOANSTAT
|
Were
there any outstanding loans on the (Car description) when it was
(sold/traded in/given away to someone outside the CU/damaged
beyond repair/stolen/disposed of)?
1.
Yes
2. No
|
1:
Goto FINPAYMT
2,DK,RF: Goto ANYOTHR
|
11
|
FINPAYMT
|
Were
any final payments made on the loan?
1.
Yes
2. No
|
1:
Goto FINPAYMX
2,DK,RF: Goto ANYOTHR
|
11
|
FINPAYMX
|
How
much was the final payment?
|
Goto
ANYOTHR
|
11
|
ANYOTHR
|
(Did
(you/you household) purchase or acquire any other (vehicle
description)?/(Do/Does) (you/your household) own any other
(vehicle description)?/Did
1.
Yes
2. No
|
Goto
OVB_ITEM, next screen as appropriate
|
12A
|
S12A_INTRO
|
30
I
will now ask about expenses for vehicle services, parts, and
equipment. Please do not include expenses for vehicles used
entirely for business.
Description Month
Amount
(VOPDESC)
(VOPMOA) (VOPEXPX)
1.
Enter 1 to Continue
|
Goto
VEQ_ITEM
|
12A
|
VEQ_ITEM
|
30
? [F1]
Since the first of (reference month), have (you/you or
any members of your household) had
expenses for any of the following?
Read
each item on list
1.
Oil change, lubrication, or oil filter
2. Motor tune-up
3.
Battery purchases or installation
4. Tire purchases or
mounting
5. Tire repair
6. Front end alignment, wheel
balancing, or wheel rotation
7. Shock absorber
replacement
8. Body work or painting
9. Any other
vehicle or engine repairs
10. Vehicle accessories or
customizing
11. Other vehicle services, parts, or
equipment
12. Vehicle cleaning services including car
washes
99. None/No more entries
888. Delete a line
|
1-12:
Goto VOPDESC
99: Goto S12A_END
888:
IF no more rows then goto S12A_END
ELSE goto VEQ_ITEM
- next row of the table
|
12A
|
VOPDESC
|
What
was the expense for?
Description Month Amount
(VOPDESC) (VOPMOA)
(VOPEXPX)
|
IF
ITEM = 3, 4, or 5 then goto VOPMOA
ELSE goto VOPLABOR
|
12A
|
VOPLABOR
|
Did
this expense include labor?
Description Month Amount
(VOPDESC) (VOPMOA)
(VOPEXPX)
1.
Yes
2. No
|
Goto
VOPMOA
|
12A
|
VOPMOA
|
In
what month did you have this expense?
Description Month Amount
(VOPDESC) (VOPMOA)
(VOPEXPX)
1.
January
2. February
3. March
4. April
5.
May
6. June
7. July
8. August
9.
September
10. October
11. November
12. December
|
Goto
VOPEXPX
|
12A
|
VOPEXPX
|
What
was the total
cost?
Description Month Amount
(VOPDESC)
(VOPMOA) (VOPEXPX)
|
1-99999:
Goto VOPTAX
DK,RF: Goto VOPCMB_C
|
12A
|
VOPTAX
|
Did
this include sales tax?
Description Month Amount
(VOPDESC) (VOPMOA)
(VOPEXPX)
1.
Yes
2. No
|
Goto
VOPCMB_C
|
12A
|
VOPCMB_C
|
Enter
'C' for combined expense
|
C:
Goto VOPCMB
EMPTY: Goto VOPREIMB
|
12A
|
VOPCMB
|
30
?[F1]
What
expense was combined with the ^VOPCMB expense?
Enter all that apply, separate with commas.
Description Month Amount
(VOPDESC) (VOPMOA)
(VOPEXPX)
1.
Oil change, lubrication, or oil filter
2. Motor tune-up
3.
Battery purchases or installation
4. Tire purchases or
mounting
5. Tire repair
6. Front end alignment, wheel
balancing, or wheel rotation
7. Shock absorber
replacement
8. Body work or painting
9. Any other
vehicle or engine repairs
10. Vehicle accessories or
customizing
11. Other vehicle services, parts, or
equipment
12. Vehicle cleaning services including car
washes
77. Misc combined (unable to specify/DK)
|
Goto
VOPREIMB
|
12A
|
VOPREIMB
|
Has
any of this expense been, or will any of it be,
reimbursed?
Description Month Amount
(VOPDESC) (VOPMOA)
(VOPEXPX)
1.
Yes
2. No
|
1:
Goto VOPRMBXA
2,DK,RF: Goto MOREVEOP
|
12A
|
VOPRMBXA
|
How
much?
Description Month Amount
(VOPDESC) (VOPMOA)
(VOPEXPX)
|
Goto
MOREVEOP
|
12A
|
MORE
|
Did
you have any other expenses for (description)?
Description Month Amount
(VOPDESC) (VOPMOA)
(VOPEXPX)
1.
Yes
2. No
|
1:
Goto VEQ_ITEM, next row of the table
2,DK,RF: IF
Row number = 26 then goto S12A_END
ELSE goto
VEQ_ITEM, next row of the table
|
12B
|
S12B_INTRO
|
31
Drivers licenses, vehicle inspection, vehicle registration, and
personal property taxes for vehicles
collected in the previous interview:
Description Month
Amount
(VREGDESC) (VOPMO_C) (VOPREGX)
1.
Enter 1 to Continue
|
Goto
VLR_ITEM
|
12B
|
VLR_ITEM
|
31
? [F1]
Since
the first of (reference month), have (you/you or any
members of your household) had any
expenses for
-
Read
each item on list
1.
Driver's licenses?
2. Vehicle inspection?
3. State
vehicle registration?
4. Local vehicle registration?
5.
Personal property taxes for vehicles?
99. None/No more
entries
888. Delete line
|
1-5:
Goto VREGDESC
99: Goto S12B_END
888:
IF no more rows then goto S12B_END
ELSE goto
VLR_ITEM - next row of the table
|
12B
|
VREGDESC
|
What
was the expense for?
Description Month
Amount
(VREGDESC) (VOPMO_C) (VOPREGX)
|
Goto
VOPMO_C
|
12B
|
VOPMO_C
|
In
what month did you have this expense?
Description Month
Amount
(VREGDESC) (VOPMO_C) (VOPREGX)
1.
January
2. February
3. March
4. April
5.
May
6. June
7. July
8. August
9.
September
10. October
11. November
12. December
|
Goto
VOPREGX
|
12B
|
VOPREGX
|
What
was the total amount of the expense?
Description Month
Amount
(VREGDESC) (VOPMO_C) (VOPREGX)
|
Goto
S12BCMB_C
|
12B
|
S12BCMB_C
|
Enter
'C' for combined expense
|
C:
Goto S12B_CMB
EMPTY: Goto MOREREG
|
12B
|
S12B_CMB
|
31
? [F1]
What
was combined with the (Description) expense?
Enter
all that apply, separate with commas
Description Month
Amount
(VREGDESC) (VOPMO_C) (VOPREGX)
1.
Driver's license
2. Vehicle inspection
3. State Vehicle
registration
4. Local Vehicle registration
5. Personal
property taxes for vehicles
|
Goto
MOREREG
|
12B
|
MOREREG
|
Did
you have any other (Description) expenses?
Description Month
Amount
(VREGDESC) (VOPMO_C) (VOPREGX)
1.
Yes
2. No
|
1:
Goto VLR_ITEM, next row or the table
2,DK,RF: IF
ROW number = 11 then goto S12B_END
ELSE goto
VLR_ITEM, next row of the table
|
12C
|
VOPGASX
|
?
[F1]
Since
the first of (reference month) not including this month
--
What has been (your/your household's) AVERAGE
MONTHLY expense for gasoline and other fuels for all vehicles?
|
0,RF:
Goto VOPOIL
1-9999: Goto VOPDIES
DK:
Goto VOPDIES
|
12C
|
VOPDIES
|
?
[F1]
Was
any of this expense for diesel fuel?
1.
Yes
2. No
|
1:
Goto VOPDIESX
2,DK,RF: IF BCeintro.BUSCREEN =
2 AND INTNMBR = 4 AND (INTPER = 201607, 201608, 201609, 201406,
201407 or 201409) then goto GASLOC
ELSEIF
BCeintro.BUSCREEN = 2 goto VOPOIL
ELSE goto
VOPBSNS
|
12C
|
VOPDIESX
|
How
much?
|
1-9999:
IF (VOPDIESX lt 5 or gt 400) then goto ERR1_VOPDIESX
ELSEIF (VOPDIESX gt VOPGASX) then goto CK_VOPDIESX
ELSEIF BCeintro.BUSCREEN = 2 AND INTNMBR = 4 AND ((INTPER =
201607, 201608, 201609, 201406, 201407 or 201409) then goto
GASLOC
ELSEIF BCeintro.BUSCREEN = 2 then goto
VOPOIL
ELSE goto VOPBSNS
DK,RF: IF
BCeintro.BUSCREEN = 2 AND INTNMBR = 4 AND (INTPER = 201607,
201608, 201609, 201406, 201407 or 201409) then goto GASLOC
ELSEIF BCeintro.BUSCREEN = 2 then goto VOPOIL
ELSE goto VOPBSNS
|
12C
|
VOPBSNS
|
Was
any of the AVERAGE MONTHLY cost counted as a business
expense?
1.
Yes
2. No
|
1:
Goto VOPBSPER
2,DK,RF: IF INTNMBR = 4 AND
(INTPER = 201607, 201608, 201609, 201406, 201407 or 201409) then
goto GASLOC
ELSE goto VOPOIL
|
12C
|
VOPBSPER
|
What
percentage of the AVERAGE MONTHLY COST was counted as a business
expense?
|
1-99,DK,RF:
IF INTNMBR = 4 AND (INTPER = 201607, 201608, 201609, 201406,
201407 or 201409) then goto GASLOC
ELSE goto
VOPOIL
100: Goto ERR2_VOPBSPER
|
12C
|
GASLOC
|
From
(reference month) through (last month), where did (you/your
household) (last/most frequently) purchase gas?
Enter city and state
|
Goto
VOPOIL
|
12C
|
VOPOIL
|
?
[F1]
Since
the first of (reference month) not including this month
--
Have (you/you
or any members of your household)
purchased any oil for
operating vehicles?
1.
Yes
2. No
|
1:
Goto VOPOILX
2,DK,RF: Goto VOPFLUID
|
12C
|
VOPOILX
|
?
[F1]
What
was the total cost?
|
Goto
VOPFLUID
|
12C
|
VOPFLUID
|
?
[F1]
Since
the first of (reference month), not including this month
--
Have
(you/you or any members of your household) purchased any
antifreeze, brake fluid, transmission fluid, windshield
wiper fluid, or additives, except if purchased with
a tune-up?
1.
Yes
2. No
|
1:
Goto VOPFLUDX
2,DK,RF: Goto VOPPARK
|
12C
|
VOPFLUDX
|
What
was the total cost of these purchases?
|
Goto
VOPPARK
|
12C
|
VOPPARK
|
?
[F1]
Since
the first of (reference month) not including this month
--
Have (you/you
or any members of your household) had expenses for
parking, such as parking garages, parking lot fees, or
parking meters?
Do not include expenses that are
part of your property ownership or
rental costs, a
business expense or expenses that will
be totally reimbursed.
1.
Yes
2. No
|
1:
Goto VOPPARKX
2,DK,RF: Goto VOPTOLL
|
12C
|
VOPPARKX
|
How
much was paid, not including any payments made this month?
|
Goto
VOPTOLL
|
12C
|
VOPTOLL
|
?
[F1]
Since
the first of (reference month) not including this month,
have (you/you or any members of your household) had expenses
for -
Local
tolls or electronic toll passes?
1.
Yes
2. No
|
1:
Goto VOPTOLLX
2,DK,RF: Goto VOPDOCK
|
12C
|
VOPTOLLX
|
How
much was paid, not including any payments made this month?
|
Goto
VOPDOCK
|
12C
|
VOPDOCK
|
?
[F1]
Since
the first of (reference month) not including this month,
have (you/you or any members of your household) had
expenses for -
Docking and landing fees for boats and
planes?
1.
Yes
2. No
|
1:
Goto VOPDOCKX
2,DK,RF: Goto VOPPOLCY
|
12C
|
VOPDOCKX
|
How
much was paid, not including any payments made this month?
|
Goto
VOPPOLCY
|
12C
|
VOPPOLCY
|
?
[F1]
Since
the first of (reference month) not including this month,
have (you/you or any members of your household) had any expenses
for --
Auto
repair service policies such as extended warranties?
Do
not include service policies for vehicles used entirely for
business.
1.
Yes
2. No
|
1:
Goto VOPPLCYX
2,DK,RF: Goto VOPAUTO
|
12C
|
VOPPLCYX
|
How
much?
|
Goto
VOPAUTO
|
12C
|
VOPAUTO
|
?
[F1]
Since
the first of (reference month) not including this month,
have (you/you or any members of your household) had any
expenses
for --
Automobile service clubs, such as AAA or services such as OnStar
or LoJack?
1.
Yes
2. No
|
1:
Goto VOPCLUBX
2,DK,RF: Goto VOPTOW
|
12C
|
VOPCLUBX
|
How
much?
|
Goto
VOPTOW
|
12C
|
VOPTOW
|
?
[F1]
Since
the first of (reference month) not including this month,
have (you/you or any members of your household)
had
expenses for -
Towing charges, not already reported?
1.
Yes
2. No
|
1:
Goto VOPTOWX
2,DK,RF: Goto TANKGAS
|
12C
|
VOPTOWX
|
How
much was paid, not including any payments made this month?
|
Goto
TANKGAS
|
12C
|
TANKGAS
|
?
[F1]
Since
the first of (reference month) not including this month,
have (you/you or any members of your household) had any
expenses
for --
Bottled or tank gas for recreational vehicles, including
vans, campers, and boats?
1.
Yes
2. No
|
1:
Goto TANKGASX
2,DK,RF: Goto S12C_END
|
12C
|
TANKGASX
|
How
much?
|
Goto
S12C_END
|
13A
|
S13A1_INTRO
|
32
Now
I am going to ask about your non-health insurance
policies.
(Include policies paid by your household for
someone outside your household./
)
Policy|Insurance | |Insurance|Paid|Payroll |Payment|Paid
|Paid
Number|Description|Type| Company | By
|Deduction|Period |Total|Month
1.
Enter 1 to Continue
|
IF
there are any active Policies listed on the inventory chart
(8500.PLCYSTAB ne 1) then goto BSect13A Block
ELSE
goto S13A_END
|
13A
|
PLCYSTIL
|
Do (you/you
or any members of your household) still have or make payments for
the (long term care/life or
disability/auto/homeowner's/tenants'/other type of
non-health) insurance policy from (Insurance
Company)?
Policy|Insurance | |Insurance|Paid|Payroll |Paid
|Paid
Number|Description|Type| Company | By
|Deduction|Total|Month
1.
Yes
2. No
|
IF
8500.PREMYOU = 2 then goto S13A_END
ELSE goto INSEX3A
|
13A
|
INSEX3A
|
Since
the first of (reference month) have you had any expenses for
this
policy?
Policy|Insurance | |Insurance|Paid|Payroll |Paid
|Paid
Number|Description|Type| Company | By
|Deduction|Total|Month
1.
Yes
2. No
|
1:
Goto INSEX3AX
2,DK,RF: Goto S13A_END
|
13A
|
INSEX3AX
|
How
much was
paid?
Policy|Insurance | |Insurance|Paid|Payroll |Paid
|Paid
Number|Description|Type| Company | By
|Deduction|Total|Month
|
1-99999:
Goto INSEXXA
DK,RF: Goto S13A_END
|
13A
|
INSEXXA
|
How
much was paid this
month?
Policy|Insurance | |Insurance|Paid|Payroll |Paid
|Paid
Number|Description|Type| Company | By
|Deduction|Total|Month
|
Goto
S13A_END
|
13B
|
INB_ITEM
|
32
? [F1]
(Do
^YOU_ANYMEM have any or pay for any -/Since the first of
^REF_MONTH have ^YOU_ANYMEM purchased o
Read
each item on list
1.
Long term care insurance?
2. Life insurance or other
policies which provide benefits in case of death or
disability?
3. Homeowners' insurance?
4. Renters'
insurance?
5. Automobile or other vehicle insurance?
6.
Other types of non-health insurance?
99. None/No more
entries
888. Delete a line
|
1-6:
Goto INSCOMP
99: Goto S13B_END
888:
IF no more rows in the table then goto S13B_END
ELSE
goto INB_ITEM - next row of the table
|
13B
|
INSCOMP
|
What
is the name of the insurance company for your (long term
care/life or disability/homeowners'/tenants'/vehicle/other type
of insurance) policy?
Enter
name of insurance company, not the insurance agent.
|
Goto
INSDESC
|
13B
|
INSDESC
|
Briefly
describe the policy.
|
IF
ITEM = 3 then goto INSPROP
ELSE goto PREMYOU
|
13B
|
INSPROP
|
Which
property (ies) does this policy cover?
Enter number of each property covered, separate with commas.
1.
PROPDESC[1]
2. PROPDESC[2]
3. PROPDESC[3]
4.
PROPDESC[4]
5. PROPDESC[5]
6. PROPDESC[6]
7.
PROPDESC[7]
8. PROPDESC[8]
9. PROPDESC[9]
10.
PROPDESC[10]
11. PROPDESC[11]
12. PROPDESC[12]
13.
PROPDESC[13
14. PROPDESC[14]
15. PROPDESC[15]
16.
PROPDESC[16]
17. PROPDESC[17]
18. PROPDESC[18]
19.
PROPDESC[19]
20. PROPDESC[20]
99. Property not owned or
rented by the household
|
Goto
PREMYOU
|
13B
|
PREMYOU
|
(Do/Does)
(you/your household) pay ANY portion of the premiums for this
policy?
1.
Yes
2. No
|
1,
DK, RF: Goto PAYDEDPR
2: Goto PREMOUT
|
13B
|
PREMOUT
|
Who
pays the policy premiums?
1.
An employer or union?
2. Another group or persons outside
your household?
|
Goto
S13_S
|
13B
|
PAYDEDPR
|
Are
any premiums paid through payroll deductions?
1.
Yes
2. No
|
Goto
INSEXPBX
|
13B
|
INSEXPBX
|
Since
the first of (reference month), what was (your/your
household's) total expense for this insurance policy?
Enter
the actual amount the household paid. Do not include
any expenses paid for the household by others.
|
1-99999:
Goto INSNEXXB
0,DK,RF: Goto S13_S
|
13B
|
INSNEXXB
|
How
much was paid this month?
|
Goto
S13_S
|
13B
|
S13_S
|
Enter
"C" for a combined expense
|
C:
Goto S13CMB
EMPTY: Goto INSMORE
|
13B
|
S13CMB
|
32
? [F1]
What
other type of policy is the (Insurance type) combined with?
Enter
all that apply, separate with commas.
1.
Long term care insurance
2. Life insurance or other policies
which provide benefits in case of death or disability
3.
Homeowners' insurance
4. Renters' insurance
5.
Automobile or other vehicle insurance
6. Other types of
non-health insurance
77. Misc. combined (unable to
specify/DK)
|
IF
3 is selected then goto COMBPROP
ELSE goto INSMORE
|
13B
|
S13CMBPROP
|
Which
property (ies) did this policy cover?
Enter number of each property covered, separate with commas.
1.
PROPDESC[1]
2. PROPDESC[2]
3. PROPDESC[3]
4.
PROPDESC[4]
5. PROPDESC[5]
6. PROPDESC[6]
7.
PROPDESC[7]
8. PROPDESC[8]
9. PROPDESC[9]
10.
PROPDESC[10]
11. PROPDESC[11]
12. PROPDESC[12]
13.
PROPDESC[13
14. PROPDESC[14]
15. PROPDESC[15]
16.
PROPDESC[16]
17. PROPDESC[17]
18. PROPDESC[18]
19.
PROPDESC[19]
20. PROPDESC[20]
99. Property not owned or
rented by the household
|
Goto
INSMORE
|
13B
|
INSMORE
|
(Do
^You_Anymem have any or make payments for any other
^inbdescription policy?/Did ^you_Anymem purchase or begin paying
for any other ^inbdescritpion
1.
Yes
2. No
|
1:
ELSE goto INB_ITEM, next row of the table
2,DK,RF:
IF Row number = 100 then goto S13B_END
ELSE
goto INB_ITEM, next row of the table
|
14A
|
S14A_INTRO
|
33
Now
I am going to ask about health
Insurance.
Policy|Insurance | |Insurance|Payroll |Time
| |Paid |Paid
#
|Description|Type| Company |Deduction|Period|Payment|Total|Non-CU
1.
Enter 1 to Continue
|
IF
there are any records on the SCIF with 8500.IHB_STAT = 1 then
goto BSect14ARow block
ELSE goto S14A_END
|
14A
|
HHISTILL
|
(Do/Does)
(you/your household) still have your (HMO/fee for
service/commercial Medicare supplement /special purpose) policy
from (insurance company
name)?
Policy|Insurance | |Insurance|Payroll |Time
| |Paid |Paid
#
|Description|Type| Company |Deduction|Period|Payment|Total|Non-CU
1.
Yes
2. No
|
IF
8500.HHIPRYOU = 2 then goto S14A_END
ELSE goto HHIANYPD
|
14A
|
HHIANYPD
|
Since
the first of (reference month), have (you/you or any
members of your household) made any payments on this policy
(including payroll deductions/
)?
Policy|Insurance | |Insurance|Payroll |Time
| |Paid |Paid
#
|Description|Type| Company |Deduction|Period|Payment|Total|Non-CU
1.
Yes
2. No
|
1:
IF 8500.HHIRPMPD = 1-9 then goto HHILSTTM
ELSE goto HHIRPMPA
2,DK,RF: Goto S14A_END
|
14A
|
HHILSTTM
|
Last
time, I recorded that payments are made (periodicity). Is
this still
correct?
Policy|Insurance | |Insurance|Payroll |Time
| |Paid |Paid
#
|Description|Type| Company |Deduction|Period|Payment|Total|Non-CU
1.
Yes
2. No
|
1:
Goto HHIREGXA
2, DK, RF: Goto HHIRPMPA
|
14A
|
HHIRPMPA
|
How
often are payments made (including payroll deductions/
)?
Policy|Insurance | |Insurance|Payroll |Time
| |Paid |Paid
#
|Description|Type| Company |Deduction|Period|Payment|Total|Non-CU
1.
Once a week
2. Once every 2 weeks
3. Twice a month
4.
Once a month
5. Every 2 months
6. Quarterly (every 3
months)
7. Once every 4 months
8. Twice a year (every 6
months)
9. Once a year
10. Other
|
1-9:
Goto HHIREGXA
10, DK, RF: Goto HHIPDAMT
|
14A
|
HHIREGXA
|
What
is the amount currently paid
(periodicity)?
Policy|Insurance | |Insurance|Payroll |Time
| |Paid |Paid
#
|Description|Type| Company |Deduction|Period|Payment|Total|Non-CU
|
Goto
S14A_END
|
14A
|
HHIPDAMT
|
How
much was paid since the first of (reference
month)?
Policy|Insurance | |Insurance|Payroll |Time
| |Paid |Paid
#
|Description|Type| Company |Deduction|Period|Payment|Total|Non-CU
|
1-99999:
Goto HHICMXXA
DK,RF: Goto S14A_END
|
14A
|
HHICMXXA
|
How
much of that ($(amount from HHIPDAMT) / ) was paid this
month?
Policy|Insurance | |Insurance|Payroll |Time
| |Paid |Paid
#
|Description|Type| Company |Deduction|Period|Payment|Total|Non-CU
|
Goto
S14A_END
|
14B
|
IHB_ITEM
|
33
? [F1]
^IHBITEM
Do not report Medicare Prescription Drug plans (Medicare Part D)
here.
Medicare Prescription Drug
plans are collected in Section 14C.
1.
Hospitalization or health insurance plans
99. None/No More
Entries
888. Delete the Line
|
1:
Goto HINSCMP
99: Goto S14B_END
888:
IF no more grid lines then goto S14B_END
ELSE goto
IHB_ITEM - next line of grid
|
14B
|
HINSCMP
|
What
is the name of the insurance company for this
policy?
Enter
name of insurance company, not the insurance agent
|
Goto
HHIBCBS
|
14B
|
HHIBCBS
|
Do
not read to respondent.
Is the insurance
company Blue Cross/Blue Shield?
1.
Yes
2. No
|
1:
Goto HHICOVQ
2: Goto TRICARE
|
14B
|
TRICARE
|
Do
not read to respondent.
Is the
insurance company Tricare?
1.
Yes
2. No
|
Goto
HHICOVQ
|
14B
|
HHICOVQ
|
How
many household members are/were covered by this policy?
|
IF
TRICARE = 1 goto HHIGROUP
ELSE goto HHICODE
|
14B
|
HHICODE
|
33
? [F1]
What type of insurance plan is it?
Do
not include Medicare prescription drug plans in
Commercial
Medicare Supplements. Medicare prescription drug plans
are
collected in Part C.
1.
Health Maintenance Organization
2. Fee for Service Plan
3.
Commercial Medicare Supplement
4. Other special purpose plan
|
1:
Goto HHIPOS
2-3,DK,RF: Goto HHIGROUP
4:
Goto HHISPECT
|
14B
|
HHIPOS
|
Under
normal circumstances, if you go to a doctor who is not part
of
your plan without a referral, will your insurance pay for the
cost?
1.
Yes
2. No
|
Goto
HHIGROUP
|
14B
|
HHISPECT
|
?
[F1]
Is
this special purpose insurance plan -
1.
Dental insurance?
2. Vision insurance?
3. Prescription
drug insurance?
4. Other type of special purpose health
insurance? - Specify
|
1-3,DK,RF:
Goto HHIGROUP
4: Goto OTHINTYP
|
14B
|
OTHINTYP
|
Specify:
|
Goto
HHIGROUP
|
14B
|
HHIGROUP
|
Was
the policy obtained on an individual or group basis?
1.
Individually obtained
2. Group through place of
employment
3. Group through other organization
|
1,
3, DK, RF: IF TRICARE = 1 goto HHIPRYOU
ELSE
goto PORTAL
2: goto HHIPRYOU
|
14B
|
PORTAL
|
Was
the policy obtained through ^ST_PORTAL Healthcare.gov?
1.
Yes
2. No
|
1:
goto PORTPLAN
2, DK, RF: goto HHIPRYOU
|
14B
|
PORTPLAN
|
Is
this policy a platinum, gold, silver, bronze, or catastrophic
plan?
1.
Platinum plan
2. Gold plan
3. Silver plan
4.
Bronze plan
5. Catastrophic plan
|
Goto
HHIPRYOU
|
14B
|
HHIPRYOU
|
(Do/Does)
(you/your household) pay ANY portion of the premiums for this
policy?
1.
Yes
2. No
|
1,DK,RF:
Goto HHIPRDED
2: Goto HHIPROUT
|
14B
|
HHIPROUT
|
Who
pays the policy premiums?
1.
An employer or union?
2. Another group or persons outside
your household?
|
IF
PORTAL = 1 goto PREMSUBS
ELSE goto HHIMORE
|
14B
|
HHIPRDED
|
Are
any premiums paid through payroll deductions?
1.
Yes
2. No
|
Goto
HHIRPMXB
|
14B
|
HHIRPMXB
|
How
much (do/does) (you/your household) currently spend for (entry
for HINSCMP/this plan ) (including payroll deductions/
)?
Enter
dollar amount for premium payments.
Select time period in next question.
|
Goto
HHIRPMPD
|
14B
|
HHIRPMPD
|
Enter
time period for premium payments.
1.
Once a week
2. Once every 2 weeks
3. Twice a month
4.
Once a month
5. Every 2 months
6. Quarterly (every 3
months)
7. Once every 4 months
8. Twice a year (every 6
months)
9. Once a year
10. Other
|
1-9:
IF PORTAL = 1 goto PREMSUBS
ELSE goto
HHIMORE
10,DK,RF: Goto HHIIRGXB
|
14B
|
HHIIRGXB
|
What
was the total expense paid for this policy since (reference
month)?
|
Goto
HHICMXXB
|
14B
|
HHICMXXB
|
How
much was paid this month?
|
IF
PORTAL = 1 goto PREMSUBS
ELSE goto HHIMORE
|
14B
|
PREMSUBS
|
Is
the cost of the premium subsidized based on (your/your
household's) income?
Subsidized
health coverage is insurance with a reduced premium.
Low
and middle income families are
eligible to receive tax credits that allow
them to pay lower premiums for insurance bought through
healthcare
exchanges or marketplaces.
1.
Yes
2. No
|
1:
goto HHISUBPD
2, DK, RF: goto HHIMORE
|
14B
|
HHISUBPD
|
Is
the subsidy paid directly to the health insurance company?
1.
Yes
2. No
|
Goto
HHIMORE
|
14B
|
HHIMORE
|
Did
you have any other hospitalization or health insurance
plans?
1.
Yes
2. No
|
1:
IF ROW number = 12 then goto ERR_MAX
ELSE goto
IHB_ITEM, next line of grid
2,DK,RF: Goto IHB_ITEM,
next line of grid
|
14C
|
CHGHHMCR
|
(Last
time you said that you were enrolled in Medicare. Has that
changed?/Last time you said that ^8500HHMCRCOV ^MEMBARE2 enrolled
in Medicare. Has
1.
Yes
2. No
|
1:
IF NUMHOUSE gt then goto HHMCRCOV
ELSEIF
8500.HHPARD = 1 goto BUPDATEDPblock
ELSE goto
RETPARTD
2,DK,RF: IF 8500.HHPARTD = 1 then goto
BUPDATEDP block
ELSE goto RETPARTD
|
14C
|
HHMCRENR
|
Are (you/you
or any members of your household) presently enrolled in
Medicare?
Medicare is the Federal Health Insurance
Plan.
1.
Yes
2. No
|
1:
If NUMHOUSE = 1 and ((INTNMBR = 2 and RT25.DESIGN = 00) or
(INTNMBR = 1) or new CU) goto HHPARTD
Elseif
NUMHOUSE = 1 and 8500.HHPARTD = 1 goto BUPDATEDPblock
Elseif NUMHOUSE = 1 goto RETPARTD
Elseif
NUMHOUSE gt 1 goto HHMCRCOV
2,DK,RF: IF
8500.MDCDENR = 1 then goto CHGMDCDE
ELSE goto
MDCDENR
|
14C
|
HHMCRCOV
|
How
many members of your household are covered by Medicare?
|
IF
(INTNMBR = 2 and RT25.DESIGN = 00) OR (INTNMBR = 1) OR new CU
then goto HHPARTD
ELSEIF 8500.HHPARTD = 1 then goto
BUPDATEDP block
ELSE goto RETPARTD
|
14C
|
STILDRUG
|
Is ^NAME
still enrolled in a Medicare Prescription Drug plan?
Enter
'YES' if the member changed to a different Medicare Prescription
Drug plan.
1.
Yes
2. No
|
1:
Goto PREMCHG
2,DK,RF: IF no more members AND
there exist values of MEMBNO that do not match any value of
8500.PRTDMBNO then goto RETPARTD
ELSEIF no more
members AND 8500.MDCDENR ne 1 then goto MDCDENR
ELSEIF no more members goto CHGMDCDE
ELSE goto
next member on 14C_UPDATE
|
14C
|
PREMCHG
|
Is (your/
Name's) premium still (the same/$(DRGPREMX) )?
1.
Yes
2. No
|
1,DK,RF:
IF no more members AND there exist values of MEMBNO that do not
match any value of 8500.PRTDMBNO, then goto RETPARTD
ELSEIF no more members AND 8500.MDCDENR ne 1 thengoto MDCDENR
ELSEIF no more members then goto CHGMDCDE
ELSE goto STILDRUG for next member
2: Goto
PREMCHGX
|
14C
|
PREMCHGX
|
What
is (your/ Name's) current premium amount for the Medicare
Prescription Drug Plan?
|
IF
no more members AND there exist values of MEMBNO that do not
match any value of 8500.PRTDMBNO then goto RETPARTD
ELSEIF
no more members AND 8500.MDCDENR ne 1 then goto MDCDENR
ELSEIF
no more members goto CHGMDCDE
ELSE goto STILDRUG for
next member
|
14C
|
RETPARTD
|
Have
(you/you or any members of your household) enrolled in a Medicare
Prescription Drug plan since the first of (reference
month)?
The
Medicare Prescription Drug plan is also known as Medicare Part
D
1.
Yes
2. No
|
1:
IF NUMHOUSE = 1 goto BNEWEDP block
ELSE
goto DRUGPLAN
2,DK,RF: IF 8500.MDCDENR = 1 then goto
CHGMDCDE
ELSEIF 8500.MDCDENR ne 1 then goto
MDCDENR
|
14C
|
HHPARTD
|
Are (you/you
or any members of your household) presently enrolled in a
Medicare Prescription Drug plan?
The
Medicare Prescription Drug plan is also known as Medicare Part
D
1.
Yes
2. No
|
1:
IF NUMHOUSE = 1 then goto BNEWDP block
ELSE goto DRUGPLAN
2,DK,RF: Goto MDCDENR
|
14C
|
DRUGPLAN
|
Who
(is enrolled/enrolled) in a Medicare Prescription Drug plan?
Enter line numbers for all that apply, separate with commas.
1.
Person 1
2. Person 2
3. Person 3
4. Person 4
5.
Person 5
6. Person 6
7. Person 7
8. Person 8
9.
Person 9
10. Person 10
11. Person 11
12. Person
12
13. Person 13
14. Person 14
15. Person 15
16.
Person 16
17. Person 17
18. Person 18
19. Person
19
20. Person 20
21. Person 21
22. Person 22
23.
Person 23
24. Person 24
25. Person 25
26. Person
26
27. Person 27
28. Person 28
29. Person 29
30.
Person 30
|
1-30:
Goto BNEWDP block
DK,RF: Goto MDCDENR
|
14C
|
ENROLLYR
|
In
what year did (you/ Name) enroll in the prescription drug
plan?
Enter
year of enrollment
|
IF
ENROLLYR gt (current year + 3) then goto CK_ENROLLYR
ELSEIF
ENTRY = current year through current year + 2, goto
ENROLLMO
ELSEIF ENTRY = previous year AND (CUR_MONTH = 1
(January), 2 (February) or 3 (March)) goto ENROLLMO
ELSE
goto DRGPREMX
|
14C
|
ENROLLMO
|
In
what month did (you/ Name) enroll in the prescription drug
plan?
Enter month of enrollment
|
Goto
DRGPREMX
|
14C
|
DRGPREMX
|
What
is the monthly premium for (your/ Name's) Medicare Prescription
Drug plan?
Do not include any monthly co-payments paid by the household.
|
Goto
HHDRGSS
|
14C
|
HHDRGSS
|
Is
the monthly premium deducted from a Social Security payment?
1.
Yes
2. No
|
IF
no more line numbers AND 8500.MDCDENR ne 1 then goto
MDCDENR
ELSEIF no more line numbers then goto
CHGMDCDE
ELSE goto ENROLLMO for the next line number
entered in DRUGPLAN
|
14C
|
CHGMDCDE
|
(Last
time you said that you were enrolled in Medicaid. Has that
changed?/Last time you said that ^8500MDCDCOV ^MEMBARE enrolled
in Medicaid. Has th
1.
Yes
2. No
|
1:
IF NUMHOUSE gt 1 then goto MDCDCOV
ELSEIF
8500.OTHMED = 1 then goto STLOTHMD
ELSE goto
OTHMED
2,DK,RF: IF 8500.OTHMED = 1 then goto
STLOTHMD
ELSE goto OTHMED
|
14C
|
MDCDENR
|
Are (you/you
or any members of your household) enrolled in
Medicaid^MDCDSTfill?
1.
Yes
2. No
|
1:
IF NUMHOUSE gt 1 then goto MDCDCOV
ELSEIF
8500.OTHMED = 1 then goto STLOTHMD
ELSE goto
OTHMED
2,DK,RF: IF 8500.OTHMED = 1 then goto
STLOTHMD
ELSE goto OTHMED
|
14C
|
MDCDCOV
|
How
many members of your household are covered by
Medicaid^MDCDSTfill?
|
ELSEIF
8500.OTHMED = 1 then goto STLOTHMD
ELSE goto OTHMED
|
14C
|
STLOTHMD
|
33
? [F1]
Are
(you/you or any members of your household) still covered by a
plan such as VA Medical, CHAMPVA, CHIP^ST_CHIP, or Indian Health
Service (IHS)?
1.
Yes
2. No
|
Goto
S14C_END
|
14C
|
OTHMED
|
33
? [F1]
Are
(you/you or any members of your household) covered by a plan such
as VA Medical, CHAMPVA, CHIP^ST_CHIP, or Indian Health Service
(IHS)?
1.
Yes
2. No
|
1:
IF NUMHOUSE gt 1 goto OTHMDCOV
ELSE goto S14C_END
2,
DK, RF: Goto S14C_END
|
14C
|
OTHMDCOV
|
How
many members of your household are covered by these plans?
|
Goto
S14C_END
|
15A
|
S15A_INTRO
|
34-35
Now
I am going to ask some questions about medical payments
and reimbursements. I will begin with your
payments.
By payments I mean any co-pays and
out-of-pocket expenses.
Include all payments,
even those for persons who are outside of your
household.
Description Amount Month
(MEDPDESC) (MEDPMTX) (MEDPMTMO)
1.
Enter 1 to Continue
|
Goto
MDB_ITEM
|
15A
|
MDB_ITEM
|
SCREEN
1--------------------------------------------------------------
34
? [F1]
Since
the first of (reference month), have (you/you or any
members of your household) made any payments for the
following?
Read
each item on list
SCREEN
2
-------------------------------------------------------------------------
35
?
[F1]
Have
(you/you or any members of your household) made any payments for
--
Read each item on list
1.
Eye examinations, treatment, or surgery
2. Purchase of eye
glasses or contact lenses
3. Dental care
4. Hospital
room or hospital services
5. Services by medical
professionals other than physicians
6. Physician services
7.
Lab tests or x-rays
8. Care in convalescent or nursing
homes
9. Care for invalids, convalescents, handicapped, or
elderly persons in the home
10. Adult day care centers
11.
Other medical care and services
12. Hearing aids
13.
Prescription drugs
14. Purchase or rental of supportive or
rehabilitative equipment
15. Purchase or rental of medical
or surgical equipment for general use
95. Continue List
99.
None/No more entries
888. Delete a line
|
1-15:
Goto MEDPDESC
95: Goto next ROW
99:
Goto S15A_END
888: IF no more rows then goto
S15A_END
ELSE goto MDB_ITEM - next row of the table
|
15A
|
MEDPDESC
|
Ask
if not apparent
Describe the
care/service/item.
Description Amount Month
(MEDPDESC) (MEDPMTX) (MEDPMTMO)
|
IF
MDB_ITEM = 14 or 15 then goto MEDPPRNT
ELSE goto MEDPGFTC
|
15A
|
MEDPPRNT
|
Ask
if not apparent
Was
this for a purchase or rental?
Description
Amount Month
(MEDPDESC) (MEDPMTX) (MEDPMTMO)
1.
Purchase
2. Rental
|
Goto
MEDPGFTC
|
15A
|
MEDPGFTC
|
Ask
if not apparent
(Was/Were)
the (description) for a member of your household or someone
outside of your
household?
Description Amount Month
(MEDPDESC) (MEDPMTX) (MEDPMTMO)
1.
Household member
2. Non-household member
|
Goto
MEDPMTMO
|
15A
|
MEDPMTMO
|
In
what month was(were) the payment(s) made?
( * Enter 13 for same amount each month of the reference period./
)
Description Amount Month
(MEDPDESC) (MEDPMTX) (MEDPMTMO)
1.
January
2. February
3. March
4. April
5.
May
6. June
7. July
8. August
9.
September
10. October
11. November
12.
December
13. ^S15_13Option
|
Goto
MEDPMTX
|
15A
|
MEDPMTX
|
(What
was the total amount paid in (month)?/What was the total amount
paid?/What is your monthly
expense?)
Description Amount Month
(MEDPDESC) (MEDPMTX) (MEDPMTMO)
|
Goto
MEDPCB_S
|
15A
|
MEDPCB_S
|
Enter
'C' for a combined expense
|
C:
Goto MEDPCMB
EMPTY: Goto MEDPMORE
|
15A
|
MEDPCMB
|
34-35
? [F1]
What
is (description) combined with?
Enter all that apply, separate with commas
Description
Amount Month
(MEDPDESC) (MEDPMTX) (MEDPMTMO)
1.
Eye examinations, treatments, or surgery
2. Purchase of eye
glasses or contact lenses
3. Dental care
4. Hospital
room or hospital services
5. Services by medical
professionals other than physicians
6. Physician services
7.
Lab tests or x-rays
8. Care in convalescent or nursing
homes
9. Care for invalids, convalescents, handicapped, or
elderly persons in the home
10. Adult day care centers
11.
Other medical care and services
12. Hearing aids
13.
Prescription drugs
14. Purchase or rental of supportive or
rehabilitative equipment
15. Purchase or rental of medical
or surgical equipment for general use
77. Misc. combined
(unable to specify/DK)
|
Goto
MEDPMORE
|
15A
|
MEDPMORE
|
Did (you/you
or any members of your household) make any other payments for
(description)?
Description Amount Month
(MEDPDESC) (MEDPMTX) (MEDPMTMO)
1.
Yes
2. No
|
1:
IF ROW number = 40 then goto ERR_MAX
ELSE goto
MDB_ITEM, next line on the grid
2,DK,RF: IF ROW
number = 40 then goto S15A_END
ELSE goto
MDB_ITEM, next line on the grid
|
15B
|
S15B_INTRO
|
34-35
Now
I am going to ask some questions about your reimbursements.
By
reimbursements I mean any money received for any members of your
household from an insurance company, medical care provider or
non-household member for medical expenses which you previously
paid or will pay.
Do not include reimbursements
from any consumer-driven health plans such as Flexible Spending
Accounts (FSA), Health Reimbursement Accounts (HRA), Health
Savings Accounts (HSA), High Deductible Health Plans (HDHP), or
Medical Savings Accounts (MSA).
Description
Amount Month
(MEDRDESC) (MEDRMBX) (MEDRMBMO)
1.
Enter 1 to Continue
|
Goto
MDC_ITEM
|
15B
|
MDC_ITEM
|
SCREEN
1
---------------------------------------------------------------------------------------
34-35
? [F1]
Since
the first of (reference month), have (you/you or any
members of your household) received any medical
reimbursements for the items I just asked
about?
IF
YES - What
did you get reimbursed for?
Read each item on
list
SCREEN
2
----------------------------------------------------------------------------------------
35
?
[F1]
Have
you received any reimbursements for --
Read each item on list
1.
Eye examinations, treatment, or surgery
2. Purchase of eye
glasses or contact lenses
3. Dental care
4. Hospital
room or hospital services
5. Services by medical
professionals other than physicians
6. Physician services
7.
Lab tests or x-rays
8. Care in convalescent or nursing
homes
9. Care for invalids, convalescents, handicapped, or
elderly persons in the home
10. Adult day care centers
11.
Other medical care and services
12. Hearing aids
13.
Prescription drugs
14. Purchase or rental of supportive or
rehabilitative equipment
15. Purchase or rental of medical
or surgical equipment for general use
95. Continue List
99.
None/No more entries
888. Delete a line
|
1-15:
Goto MEDRDESC
95: Goto next ROW
99:
Goto S15B_END
888: IF no more grid lines then
goto S15B_END
ELSE goto MDC_ITEM - next line of grid
|
15B
|
MEDRDESC
|
Ask
if not apparent
Describe the care/service/item.
Description
Amount Month
(MEDRDESC) (MEDRMBX) (MEDRMBMO)
|
IF
ITEM = 14 or 15 then goto MEDRPRNT
ELSE goto MEDRGFTC
|
15B
|
MEDRPRNT
|
Ask
if not apparent
Was
this for a purchase or rental?
Description
Amount Month
(MEDRDESC)
(MEDRMBX) (MEDRMBMO)
1.
Purchase
2. Rental
|
Goto
MEDRGFTC
|
15B
|
MEDRGFTC
|
Ask
if not apparent
(Was/Were) the
(description) for a member of your household or someone outside
of your household?
Description
Amount Month
(MEDRDESC) (MEDRMBX) (MEDRMBMO)
1.
Household member
2. Non-household member
|
Goto
MEDRMBMO
|
15B
|
MEDRMBMO
|
In
what month was(were) the reimbursement(s)
received?
Description
Amount Month
(MEDRDESC) (MEDRMBX) (MEDRMBMO)
1.
January
2. February
3. March
4. April
5.
May
6. June
7. July
8. August
9.
September
10. October
11. November
12. December
|
Goto
MEDRMBX
|
15B
|
MEDRMBX
|
What
was the total amount received (in
month)?
Description
Amount Month
(MEDRDESC) (MEDRMBX) (MEDRMBMO)
|
Goto
MEDRCB_S
|
15B
|
MEDRCB_S
|
Enter
'C' for a combined reimbursement
|
C:
Goto MEDRCMB
EMPTY: Goto MEDRMORE
|
15B
|
MEDRCMB
|
34-35
? [F1]
What
other medical reimbursement is (description) combined
with?
Enter all that apply, separate with
commas
Description
Amount Month
(MEDRDESC) (MEDRMBX) (MEDRMBMO)
1.
Eye examinations, treatments, or surgery
2. Purchase of eye
glasses or contact lenses
3. Dental care
4. Hospital
room or hospital services
5. Services by medical
professionals other than physicians
6. Physician services
7.
Lab tests or x-rays
8. Care in convalescent or nursing
homes
9. Care for invalids, convalescents, handicapped, or
elderly persons in the home
10. Adult day care centers
11.
Other medical care and services
12. Hearing aids
13.
Prescription drugs
14. Purchase or rental of supportive or
rehabilitative equipment
15. Purchase or rental of medical
or surgical equipment for general use
77. Misc. combined
(unable to specify/DK)
|
Goto
MEDRMORE
|
15B
|
MEDRMORE
|
Did (you/you
or any members of your household) receive any other
reimbursements for
(description)?
Description
Amount Month
(MEDRDESC) (MEDRMBX) (MEDRMBMO)
1.
Yes
2. No
|
1:
IF ROW number = 22 then goto ERR_MAX
ELSE goto
MDC_ITEM, next line of grid
2,DK,RF: IF ROW number =
22 then goto S15B_END
ELSE goto MDC_ITEM, next
line of grid
|
16
|
EDA_INTRO
|
36
Now
I am going to ask about education expenses. Please
include
any direct payments made for any members of your
household
or for anyone outside your household and any payments you
made
online or had automatically deducted.
Do
NOT include payments made on student loans
Description Type
Month Amount
(EDUDESC) (EDSHL_A) (EDMONTHA) (EDEXOXA)
1.
Enter 1 to Continue
|
Goto
EDA_ITEM
|
16
|
EDA_ITEM
|
36
? [F1]
Since
the first of (reference month), have (you/you or any
members of your household) paid for any -
Read
each item on list.
Baby
sitting and in home day care are collected in Section 19A
Do not include payments on student loans. They are
collected in Section 22.
1.
Recreational lessons or other instructions?
2. Preschool or
child day care centers?
3. Tuition, including pre-paid
tuition?
4. Housing while attending school?
5. Food or
board while attending school?
6. Private school bus
service?
7. Test preparation or tutoring services?
8.
Purchase of any school books, supplies, or equipment which has
not already been reported?
9. Other school related expenses
not already reported?
99. None/No more entries
888.
Delete the line
|
1-9:
Goto EDUDESC
99: Goto S16_END
888:
IF no more grid lines then goto S16_END
ELSE goto
EDA_ITEM - next line of grid
|
16
|
EDUDESC
|
What
was the expense for?
Description
Type Month
Amount
(EDUDESC) (EDSHL_A) (EDMONTHA) (EDEXOXA)
|
Goto
EDUCGFTC
|
16
|
EDUCGFTC
|
Was
this expense for?
Description
Type Month
Amount
(EDUDESC) (EDSHL_A) (EDMONTHA) (EDEXOXA)
1.
Someone inside the household?
2. Someone outside the
household?
|
IF
ITEM = 3 or 8 then goto EDSCHL_A
ELSE goto EDMONTHA
|
16
|
EDSCHL_A
|
Ask
if not apparent.
What
kind of school or facility was it?
Description
Type Month
Amount
(EDUDESC) (EDSHL_A) (EDMONTHA)
(EDEXOXA)
1.
College or university
2. Elementary through high school
3.
Child day care center
4. Nursery school or preschool
5.
Vocational or technical school
6. Other
|
Goto
EDMONTHA
|
16
|
EDMONTHA
|
In
what month was the payment made?
Enter
13 for same amount each month of the reference period.
Description
Type Month Amount
(EDUDESC) (EDSHL_A) (EDMONTHA) (EDEXOXA)
1.
January
2. February
3. March
4. April
5.
May
6. June
7. July
8. August
9.
September
10. October
11. November
12.
December
13. Same amount each month.
|
Goto
EDEXOXA
|
16
|
EDEXOXA
|
(How
much was paid?/How much is paid monthly?)
Description
Type Month
Amount
(EDUDESC) (EDSHL_A) (EDMONTHA) (EDEXOXA)
|
Goto
EDUCMB_S
|
16
|
EDUCMB_S
|
Enter
'C' for a combined expense
|
C:
Goto EDUCMB
EMPTY: Goto EDREIMB
|
16
|
EDUCMB
|
36
? [F1]
What
was combined with (Description)?
Enter
all that apply, separate with
commas
Description Type
Month Amount
(EDUDESC) (EDSHL_A) (EDMONTHA)
(EDEXOXA)
1.
Recreational lessons or other instructions
2. Preschool or
child day care centers
3. Tuition, including pre-paid
tuition
4. Housing while attending school
5. Food or
board while attending school
6. Private school bus
service
7. Test preparation or tutoring services
8.
Purchase of any school books, supplies, or equipment which has
not already been reported
9. Other school related expenses
not already reported
77. Misc. combined (unable to
specify/DK)
|
Goto
EDREIMB
|
16
|
EDREIMB
|
Has
any of this amount been or will any of it be reimbursed
by
an employer, agency, or other person?
Do
not include reimbursements from dependent flexible spending
accounts (FSA).
Description Type
Month Amount
(EDUDESC) (EDSHL_A) (EDMONTHA) (EDEXOXA)
1.
Yes
2. No
|
1:
Goto EDREIMBX
2,DK,RF: Goto EDUMORE
|
16
|
EDREIMBX
|
How
much was or will be reimbursed?
Do not include reimbursements from dependent flexible spending
accounts (FSA).
Description Type
Month Amount
(EDUDESC) (EDSHL_A) (EDMONTHA) (EDEXOXA)
|
Goto
EDUMORE
|
16
|
EDUMORE
|
Did
you make any other payments for
(Description)?
Description
Type Month
Amount
(EDUDESC) (EDSHL_A) (EDMONTHA) (EDEXOXA)
1.
Yes
2. No
|
1:
IF ROW number = 34 then goto ERR_MAX
ELSE goto
EDA_ITEM, next line of grid
2,DK,RF: IF ROW number =
34 then goto S16_END
ELSE goto EDA_ITEM, next
line of grid
|
17
|
SUB_INTRO
|
37-38
Now
I am going to ask about expenses for subscriptions, memberships,
books, and entertainment. Please remember to include
any payments you made online or had automatically
deducted. Also, include any shipping and handling
charges with the cost of any item that was
shipped.
Description
Month Amount
(SUBDESC)
(SUBMO) (SUBEXPX)
1.
Enter 1 to Continue
|
Goto
SUB_ITEM
|
17A
|
SUB_ITEM
|
SCREEN
1 - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - -
- - - - - - - - - - - - - - - -
37
? [F1]
Since
the first of (reference month) have (you/you or any
members of your household) had any membership costs or other
expenses related to any of the following? Do not include
contributions to or membership in religious, professional,
business, or other tax deductible
organizations.
Read
each item on list.
SCREEN
2 - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - -
- - - - - - - - - - - - - - - - -
37
? [F1]
Since
the first of (reference month), have (you/you or any members
of your household) purchased any of the following items for your
household or for someone outside your household?
Read
each item on list
SCREEN 3
- - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - -
- - - - - - - - - - - - - - - -
38
? [F1]
Have
you purchased any -
Read
each item on list
Report
blank tapes, CDs, and DVDs in Section 6B under item code 11
1.
Golf courses or country clubs
2. Health clubs, fitness
centers, swimming pools, weight loss centers, or other sports or
recreational organizations
3. Fees for participating in
sports such as golf, bowling, biking, hockey, football, or
swimming
4. Vacation clubs
5. Civic, service,
fraternal, or other social organizations
6. Credit card
membership fees
7. Shopping club memberships including
warehouse clubs like Sam's Club and discount memberships like
Amazon Prime
8. Direct or online dating services
9.
Single or season tickets to spectator sports events such as
football, baseball, hockey racing, or track events
10.
Single or season tickets to plays, operas, or concerts
11.
Tickets to movies, parks, or museums
12. Single copies of
newspapers, magazines, or periodicals, including digital
13.
Subscriptions to newspapers, magazines, or periodicals, including
digital
14. Books purchased through a book club
15.
Books or digital books not purchased through a book club. Do not
include school books or reference books.
16. Photographic
film or disposable cameras
17. Photo printing or
processing
18. Purchased music files, CDs, or records
19.
Subscription music services such as Rhapsody or Pandora
20.
Purchased video files, Blu-Ray discs, or DVDs
21. Rented
video files or DVDs
22. Streaming video subscription
23.
Purchased video games, not including computer games
24.
Rented video games
25. Applications, games, or ringtones for
a cellphone or mobile device not already reported
26. Online
games or other internet entertainment sites
95. Continue
list
99. None/No more entries
888.
Delete the line
|
1-26:
Goto SUBDESC
95: Goto next row
99:
Goto S17A_END
888: IF no more grid lines goto
S17A_END
ELSE goto SUB_ITEM - next line of grid
|
17A
|
SUBDESC
|
(Description)
fill
for SUBDESC
Description
Month Amount
(SUBDESC)
(SUBMO) (SUBEXPX)
|
Goto
S17GFTCA
|
17A
|
S17GFTCA
|
Was
this purchase for your household or someone outside your
household?
Description
Month Amount
(SUBDESC)
(SUBMO) (SUBEXPX)
1.
For household
2. For someone outside your household
|
Goto
SUBMO
|
17A
|
SUBMO
|
In
what month did you have this expense?
(* Enter 13 for
same amount each month of the reference period/
)
Description
Month Amount
(SUBDESC)
(SUBMO) (SUBEXPX)
1.
January
2. February
3. March
4. April
5.
May
6. June
7. July
8. August
9.
September
10. October
11. November
12.
December
13. ^S17_13Option
|
Goto
SUBEXPX
|
17A
|
SUBEXPX
|
(What
was the total amount of this expense?/What is ^YR_YRCUS monthly
expense?) ((Include shipping and handling fees./ ))
(Include
ticket/admission service fees and surcharges/
)
Description
Month Amount
(SUBDESC)
(SUBMO) (SUBEXPX)
|
IF
ITEM = 18, 20, 21, 22, or 25, goto C
ELSEIF INTNMBR =
4 AND (ITEM = 11) AND (INTPER = 201607,
201608,
201609, 201406, 201407 or 201409)
then goto
TICSTORE
ELSE goto MORE
|
17A
|
S17ACM_S
|
Enter
a 'C' for a combined expense.
Description
Month Amount
(SUBDESC)
(SUBMO) (SUBEXPX)
|
C:
goto S17ACMB
empty: goto S17AOTHR
|
17A
|
S17ACMB
|
38
? [F1]
What
other expense is the (description) combined with?
Enter all that apply, separate with commas.
Description
Month Amount
(SUBDESC)
(SUBMO) (SUBEXPX)
18.
Purchased music files, CDs, or records
20. Purchased video
files, Blu-Ray discs, or DVDs
21. Rented video files or
DVDs
22. Streaming video subscriptions
25.
Applications, games, or ringtones for a cellphone or mobile
device not already reported
|
Goto
S17AOTHR
|
17A
|
TICSTORE
|
Where
did you purchase these tickets?
Enter store, website, or company name
If
purchased from a private individual, enter "private
individual."
|
IF
ENTRY contains ".com", ".Com", ".cOm",
".coM", ".COm", ".CoM", ".cOM",
or ".COM", then goto MORE
ELSEIF ENTRY = DK
or RF then goto MORE
ELSE goto TICPURCH
|
17A
|
TICPURCH
|
Ask
if not apparent
Was
this purchased online or in-person?
1.
Online
2. In person
|
1,DK,RF:
Goto MORE
2: Goto TICLOC
|
17A
|
TICLOC
|
Where
is ^TICSTORE_fill located?
Enter city and state
|
Goto
MORE
|
17A
|
S17AOTHR
|
Did you
(purchase/pay for renting/pay for) any other
(description)?
Description
Month Amount
(SUBDESC)
(SUBMO) (SUBEXPX)
1.
Yes
2. No
|
1:
IF ROW number = 40 then goto ERR_MAX
ELSE goto
SUB_ITEM, next line of grid
2,DK,RF: Goto SUB_ITEM,
next line of grid
|
18A
|
ANYOUTSD
|
Now
I am going to ask about trips and vacations.
Since
the first of (reference month) have (you/you or any
members of your household) taken any trips entirely
paid
for by anyone outside your household, such as a
business, employer, or relative?
1.
Yes
2. No
|
1:
Goto NUMOUTSD
2,DK,RF: IF I_18Acoun gt 0 then
goto TBLSECT18A_1
ELSE goto ANYTRIPS
|
18A
|
NUMOUTSD
|
How
many?
|
Goto
ANYYUPD
|
18A
|
ANYYUPD
|
Even
on trips entirely paid for by someone outside of your household
there are sometimes
miscellaneous expenses which are
not paid for. Did (you/your household) have any
expenses
on (this trip/these trips) that will not
be covered by a business, employer or other non-household
member?
1.
Yes
2. No
|
1:
Goto FOODYUPD
2,DK,RF: Goto CHKUNTRP
|
18A
|
FOODYUPD
|
Did
these expenses include anything for . . .
. . . Food and beverages?
1.
Yes
2. No
|
Goto
LODGYUPD
|
18A
|
LODGYUPD
|
Did
these expenses include anything for . . .
. . . Lodging?
1.
Yes
2. No
|
Goto
TRANYUPD
|
18A
|
TRANYUPD
|
Did
these expenses include anything for . . .
.
. . Transportation?
1.
Yes
2. No
|
Goto
ELSEYUPD
|
18A
|
ELSEYUPD
|
Did
these expenses include . . .
.
. . Anything else?
1.
Yes
2. No
|
1:
Goto S18AELSE
2,DK,RF: Goto TOTYUPDX
|
18A
|
S18AELSE
|
Specify:
|
Goto
TOTYUPDX
|
18A
|
TOTYUPDX
|
What
was the total amount of these expenses?
|
1Goto
CHKUNTRP
|
18A1
|
ENDTRP1
|
(Last
interview you reported (# of unfinished trips) (trip/trips) which
had not yet ended. I'd like to ask about (that trip/those
trips) now. / )
In what month did your trip to
(place word for 8500.TRIPPLAC)
end?
Destination Ended How
paid Number of trips
(TRPPLACE)
(ENDTRP2) (ANYBOTH2) (NUMTRIPS)
0.
Trip not ended
1. January
2. February
3. March
4.
April
5. May
6. June
7. July
8. August
9.
September
10. October
11. November
12. December
|
0:
IF no more unended trips then exit block and goto ANYTRIPS
ELSE goto next line on grid
REF_MONTH -
CUR_MONTH: Goto ANYBOTH1
DK,RF: Goto ANYBOTH1
|
18A1
|
ANYBOTH1
|
Did
a business, employer, or any other non-household member pay any
of
the costs for this trip?
1.
Yes
2. No
|
IF
no more unended trips then exit the block and
goto
ANYTRIPS
ELSE goto ENDTRP1, next line of grid
|
18A2
|
ANYTRIPS
|
39
? [F1]
Since
the first of (reference month), have (you/you or any
members of your household)
taken (any trips/any other trips)
for reasons such as:
*
Visiting relatives or friends?
*
Business?
* Recreational
trips?
* Other trips overnight or
longer?
* Day trips of at least 75
miles away from home?
1.
Yes
2. No
|
1:
Goto TRPPLACE
2,DK,RF: Goto S18A_END
|
18A2
|
TRIPPLAC
|
Where
did (you/your household) go?
Enter
888 to delete the trip
Destination
Ended How paid Number of
trips
(TRPPLACE) (ENDTRP2) (ANYBOTH2) (NUMTRIPS)
|
30
characters: Goto DESTCODE
888: Goto
S18MORE
|
18A2
|
DESTCODE
|
?
[F1]
Type
state abbreviation for a U.S. destination or X for foreign
country destination
Destination
Ended How paid Number of
trips
(TRPPLACE) (ENDTRP2) (ANYBOTH2) (NUMTRIPS)
|
2
character state abbrev.,DK,RF: Goto ENDTRP2
X:
Goto FOREIGN
|
18A2
|
FOREIGN
|
Select
the country or region.
1.
Africa
2. Asia
3. Australia
4. Canada
5.
Caribbean
6. Central America
7. Europe
8.
Mexico
9. Middle East
10. South America
11. South
Pacific
|
Goto
ENDTRP2
|
18A2
|
ENDTRP2
|
In
what month did this trip end?
(0)
Trip not ended
Destination
Ended How paid Number of
trips
(TRPPLACE) (ENDTRP2) (ANYBOTH2) (NUMTRIPS)
0.
Trip not ended
1. January
2. February
3. March
4.
April
5. May
6. June
7. July
8. August
9.
September
10. October
11. November
12. December
|
0:
Goto S18MORE
REF_MONTH-CUR_MONTH: Goto
MORTHONE
DK,RF: Goto MORTHONE
|
18A2
|
MORTHONE
|
Did
you take more than one trip to (trip destination) in (month
trip ended)?
Destination
Ended How paid Number of
trips
(TRPPLACE) (ENDTRP2) (ANYBOTH2) (NUMTRIPS)
1.
Yes
2. No
|
1:
Goto NUMTRIPS
2,DK,RF: Goto ANYBOTH2
|
18A2
|
NUMTRIPS
|
How
many times did you go to (trip destination)
in
(month trip ended)?
Destination
Ended How paid Number of
trips
(TRPPLACE) (ENDTRP2) (ANYBOTH2) (NUMTRIPS)
|
Goto
ANYBOTH2
|
18A2
|
ANYBOTH2
|
Were
any of the expenses for (this trip/these trips) paid for
by
anyone outside of your household?
Destination
Ended How paid Number of
trips
(TRPPLACE) (ENDTRP2) (ANYBOTH2) (NUMTRIPS)
1.
Yes
2. No
|
Goto
S18MORE
|
18A2
|
S18MORE
|
40
? [F1]
Since
the first of (reference month) , have you taken any other
trips for reasons such as:
*
Visiting relatives or friends?
*
Business?
* Recreational trips?
* Other trips overnight or longer?
* Day
trips of at least 75 miles away from home?
1.
Yes
2. No
|
1:
Goto TRIPPLAC, next line on the grid
2,DK,RF:
Goto S18A_END
|
18BC
|
NUMNIGHT
|
(Now
I'm going to ask you about the ^TRIP that ^YOU_YRCU took to
^TRPPLACE ending in ^NUMNIGHTC/You
(Since
(you/your CU) took a set of similar trips to (Trip destination)
in (month trip ended) , I wil
How many nights
did (you/you or any members of your household) spend away
from home on (these trips/this trip)?
Enter
0 for none
Enter
888 to delete this trip
|
0-800:
Goto PKGTRIP
DK,RF: Goto PKGTRIP
888:
Goto S18BC_END
|
18BC
|
PKGTRIP
|
(Sometimes
when people take a trip they have some sort of package deal that
covers some or all of the costs./ )
Was
all or part of (these trips/this trip) covered by a package
deal?
1.
Yes
2. No
|
1:
Goto FOODDEAL
2,DK,RF: Goto TRPTRNS
|
18BC
|
FOODDEAL
|
Did
the package deal include . . .
. . . Food
and beverages?
1.
Yes
2. No
|
Goto
LODGDEAL
|
18BC
|
LODGDEAL
|
Did
the package deal include . . .
. . . Lodging?
1.
Yes
2. No
|
Goto
TRANDEAL
|
18BC
|
TRANDEAL
|
Did
the package deal include . . .
. . . Transportation?
1.
Yes
2. No
|
Goto
ELSEDEAL
|
18BC
|
ELSEDEAL
|
Did
the package deal include . . .
.
. . Anything else?
1.
Yes
2. No
|
1:
Goto S18BELSE
2,DK,RF: Goto PKGTRIPX
|
18BC
|
S18BELSE
|
Specify:
|
Goto
PKGTRIPX
|
18BC
|
PKGTRIPX
|
How
much did (you/your household) pay for the package deal?
|
Goto
TRPTRNS
|
18BC
|
TRPTRNS
|
39
? [F1]
Starting
at the beginning of this trip, please tell me all the kinds of
transportation
(you/you or any members of your
household) used from the time you (they) left home to the time
you (they) got back home.
Enter all that apply, separate with commas
1.
Local (taxi, etc.)
2. Airplane
3. Train
4. Bus
5.
Ship
6. Automobile, truck, van (Rented)
7. Motorcycle,
moped (Rented)
8. Private plane (Rented)
9. Boat,
trailer (Rented)
10. Camper (Rented)
11. Other vehicles
(Rented)
12. Automobiles or other vehicles privately owned
or leased by household
13. Vehicle owned by someone else
(Private)
14. Other transport (Private)
|
1-14:
IF 1 is selected then goto CMLOCALX
ELSEIF 2 is
selected then goto CMPLANEX
ELSEIF 3 is selected
then goto CMTRAINX
ELSEIF 4 is selected then goto
CMBUSX
ELSEIF 5 is selected then goto CMSHIPX
ELSEIF 6 is selected then goto RTCARX
ELSEIF 7 is selected then goto RTMOPEDX
ELSEIF 8 is
selected then goto RTPLANEX
ELSEIF 9 is selected
then goto RTBOATX
ELSEIF 10 is selected then goto
RTCAMPX
ELSEIF 11 is selected then goto RTOTHERX
ELSEIF 12-14 is selected then goto ANYGAS
DK,RF:
Goto LODGING
|
18BC
|
CMLOCALX
|
How
much did (you/you or any members of your household) spend for
local transportation (taxi, etc.)
(other than what the
package deal covered/ )?
|
IF
2 is selected in TRPTRNS then goto CMPLANEX
ELSEIF 3 is
selected in TRPTRNS then goto CMTRAINX
ELSEIF 4 is selected
in TRPTRNS then goto CMBUSX
ELSEIF 5 is selected in TRPTRNS
then goto CMSHIPX
ELSEIF 6 is selected in TRPTRNS then goto
RTCARX
ELSEIF 7 is selected in TRPTRNS then goto
RTMOPEDX
ELSEIF 8 is selected in TRPTRNS then goto
RTPLANEX
ELSEIF 9 is selected in TRPTRNS then goto
RTBOATX
ELSEIF 10 is selected in TRPTRNS then goto
RTCAMPX
ELSEIF 11 is selected in TRPTRNS then goto
RTOTHERX
ELSEIF 12-14 are selected in TRPTRNS then goto
ANYGAS
ELSE goto LODGING
|
18BC
|
CMPLANEX
|
How
much did (you/you or any members of your household) spend
for airfare (other than what the package deal covered/ )?
|
IF
3 is selected in TRPTRNS then goto CMTRAINX
ELSEIF 4 is
selected in TRPTRNS then goto CMBUSX
ELSEIF 5 is selected in
TRPTRNS then goto CMSHIPX
ELSEIF 6 is selected in TRPTRNS
then goto RTCARX
ELSEIF 7 is selected in TRPTRNS then goto
RTMOPEDX
ELSEIF 8 is selected in TRPTRNS then goto
RTPLANEX
ELSEIF 9 is selected in TRPTRNS then goto
RTBOATX
ELSEIF 10 is selected in TRPTRNS then goto
RTCAMPX
ELSEIF 11 is selected in TRPTRNS then goto
RTOTHERX
ELSEIF 12-14 are selected in TRPTRNS then goto
ANYGAS
ELSE goto LODGING
|
18BC
|
CMTRAINX
|
How
much did (you/you or any members of your household) spend for
train fare (other than what the package deal covered/ )?
|
IF
4 is selected in TRPTRNS then goto CMBUSX
ELSEIF 5 is
selected in TRPTRNS then goto CMSHIPX
ELSEIF 6 is selected
in TRPTRNS then goto RTCARX
ELSEIF 7 is selected in TRPTRNS
then goto RTMOPEDX
ELSEIF 8 is selected in TRPTRNS then goto
RTPLANEX
ELSEIF 9 is selected in TRPTRNS then goto
RTBOATX
ELSEIF 10 is selected in TRPTRNS then goto
RTCAMPX
ELSEIF 11 is selected in TRPTRNS then goto
RTOTHERX
ELSEIF 12-14 are selected in TRPTRNS then goto
ANYGAS
ELSE goto LODGING
|
18BC
|
CMBUSX
|
How
much did (you/you or any members of your household) spend
for bus fare (other than what the package deal covered/
)?
|
IF
5 is selected in TRPTRNS then goto CMSHIPX
ELSEIF 6 is
selected in TRPTRNS then goto RTCARX
ELSEIF 7 is selected in
TRPTRNS then goto RTMOPEDX
ELSEIF 8 is selected in TRPTRNS
then goto RTPLANEX
ELSEIF 9 is selected in TRPTRNS then goto
RTBOATX
ELSEIF 10 is selected in TRPTRNS then goto
RTCAMPX
ELSEIF 11 is selected in TRPTRNS then goto
RTOTHERX
ELSEIF 12-14 are selected in TRPTRNS then goto
ANYGAS
ELSE goto LODGING
|
18BC
|
CMSHIPX
|
How
much did (you/you or any members of your household) spend
for ship fare (other than what the package deal covered/ )?
|
IF
6 is selected in TRPTRNS then goto RTCARX
ELSEIF 7 is
selected in TRPTRNS then goto RTMOPEDX
ELSEIF 8 is selected
in TRPTRNS then goto RTPLANEX
ELSEIF 9 is selected in
TRPTRNS then goto RTBOATX
ELSEIF 10 is selected in TRPTRNS
then goto RTCAMPX
ELSEIF 11 is selected in TRPTRNS then goto
RTOTHERX
ELSEIF 12-14 are selected in TRPTRNS then goto
ANYGAS
ELSE goto LODGING
|
18BC
|
RTCARX
|
How
much did (you/you or any members of your household) spend
for rented automobiles, trucks or vans, not
including
gas (you/you or any members of your
household) bought (other than what the package deal covered/
)?
(* Do not include any rental costs already collected in Section
10 / )
|
IF
7 is selected in TRPTRNS then goto RTMOPEDX
ELSEIF 8 is
selected in TRPTRNS then goto RTPLANEX
ELSEIF 9 is selected
in TRPTRNS then goto RTBOATX
ELSEIF 10 is selected in
TRPTRNS then goto RTCAMPX
ELSEIF 11 is selected in TRPTRNS
then goto RTOTHERX
ELSE goto ANYGAS
|
18BC
|
RTMOPEDX
|
How
much did (you/you or any members of your household) spend
for rented motorcycles or mopeds, not including gas (you/you
or any members of your household) bought (other than what the
package deal covered/ )?
(*
Do not include any rental costs already collected in Section 10
/ )
|
IF
8 is selected in TRPTRNS then goto RTPLANEX
ELSEIF 9 is
selected in TRPTRNS then goto RTBOATX
ELSEIF 10 is selected
in TRPTRNS then goto RTCAMPX
ELSEIF 11 is selected in
TRPTRNS then goto RTOTHERX
ELSE goto ANYGAS
|
18BC
|
RTPLANEX
|
How
much did (you/you or any members of your household) spend
for rented private planes,
not including gas (you/you
or any members of your household) bought (other than what
the package deal covered/ )?
(*Do
not include any rental costs already collected in Section 10 /
)
|
IF
9 is selected in TRPTRNS then goto RTBOATX
ELSEIF 10 is
selected in TRPTRNS then goto RTCAMPX
ELSEIF 11 is selected
in TRPTRNS then goto RTOTHERX
ELSE goto ANYGAS
|
18BC
|
RTBOATX
|
How
much did (you/you or any members of your household) spend
for rented boats or trailers,
not including gas (you/you
or any members of your household) bought (other than what the
package deal covered/ )?
(*
Do not include any rental costs already collected in Section 10
/ )
|
IF
10 is selected in TRPTRNS then goto RTCAMPX
ELSEIF 11 is
selected in TRPTRNS then goto RTOTHERX
ELSE goto ANYGAS
|
18BC
|
RTCAMPX
|
How
much did (you/you or any members of your household) spend
for rented campers,
not including gas (you/you or any
members of your household) bought (other than what the package
deal covered/ )?
(*
Do not include any rental costs already collected in Section 10
/ )
|
IF
11 is selected in TRPTRNS then goto RTOTHERX
ELSE goto
ANYGAS
|
18BC
|
RTOTHERX
|
How
much did (you/you or any members of your household) spend
for other rented vehicle transportation,
not including
gas (you/you or any members of your household) bought (other
than what the package deal covered/ )?
(*
Do not include any rental costs already collected in Section 10
/ )
|
Goto
ANYGAS
|
18BC
|
ANYGAS
|
While
on the trip did (you/you or any members of your household) stop
to buy any gasoline, diesel fuel, or any other fuels?
1.
Yes
2. No
|
1:
Goto GASOILX
2,DK,RF: Goto ANYTOLL
|
18BC
|
GASOILX
|
(How
much did ^YOU_ANYMEM spend for that?/What costs for gasoline or
other fuels won't be reimbursed?)
|
Goto
ANYTOLL
|
18BC
|
ANYTOLL
|
While
on the trip, did (you/you or any members of your household) spend
anything for tolls, not already reported?
1.
Yes
2. No
|
1:
Goto TRPTOLLX
2,DK,RF Goto ANYPARK
|
18BC
|
TRPTOLLX
|
(How
much did ^YOU_ANYMEM spend for tolls?/What costs for tolls won't
be reimbursed?)
|
Goto
ANYPARK
|
18BC
|
ANYPARK
|
Did (you/you
or any members of your household) have any parking fees?
1.
Yes
2. No
|
1:
Goto PARKINGX
2,DK,RF: Goto LODGING
|
18BC
|
PARKINGX
|
(How
much were they?/What cost for parking fees won't be reimbursed?)
|
IF
entry gt 100 and (ne DK or RF) then goto ERR1_PARKINGX
ELSE
goto LODGING
|
18BC
|
LODGING
|
Did (you/you
or any members of your household) spend anything for
hotels, cottages, trailer camps,
or other lodging (not
counting what the package deal covered/ )?
(Do not include
expenses previously reported for vacation clubs.)
1.
Yes
2. No
|
1:
Goto LDGCOSTX
2,DK,RF: Goto TRPFOOD
|
18BC
|
LDGCOSTX
|
(What
was the cost, including taxes and tips?/What costs for lodging,
including taxes and tips, won't be reimbursed?)
|
Goto
TRPFOOD
|
18BC
|
TRPFOOD
|
Did
(you/you or any members of your household) spend anything for
meals, snacks, or drinks at restaurants,
bars, or fast food
places (not counting what the package deal covered/ )?
1.
Yes
2. No
|
1:
Goto TRPFOODX
2,DK,RF: Goto ANYGROC
|
18BC
|
TRPFOODX
|
(What
was the cost, including taxes and tips?/What costs for these
things won't be reimbursed?)
|
Goto
TRPALCIN
|
18BC
|
TRPALCIN
|
Was
any of the (amount/$ (entry in TRPFOODX) for alcoholic
beverages?
1.
Yes
2. No
|
1:
Goto TRPALCHX
2,DK,RF: Goto ANYGROC
|
18BC
|
TRPALCHX
|
(What
was the cost for alcoholic beverages, including taxes and
trips?/What costs for alcoholic beverages, including taxes and
tips, won't be reimburs
|
Goto
ANYGROC
|
18BC
|
ANYGROC
|
Did (you/you
or any members of your household) spend anything for food or
beverages at grocery stores,
convenience stores, or liquor
stores on this trip?
1.
Yes
2. No
|
1:
Goto TRPGROCX
2,DK,RF: Goto ANYSPEQP
|
18BC
|
TRPGROCX
|
(What
were the expenses, including taxes?/What costs, including taxes,
won't be reimbursed?)
|
Goto
ANYALC
|
18BC
|
ANYALC
|
Was
any of the (amount/$ (entry in TRPGROCX) ) for alcoholic
beverages?
1.
Yes
2. No
|
1:
Goto TRPALCGX
2,DK,RF: Goto ANYSPEQP
|
18BC
|
TRPALCGX
|
(What
was the cost for alcoholic beverages, including taxes?/What costs
for alcoholic beverages, including taxes, won't be reimbursed?)
|
Goto
ANYSPEQP
|
18BC
|
ANYSPEQP
|
40
? [F1]
Did (you/you
or any members of your household) pay any fees to play sports,
exercise, or rent an sports equipment
(not counting
what the package deal covered/ )?
1.
Yes
2. No
|
1:
Goto TRPSPRTX
2,DK,RF: Goto ANYENTER
|
18BC
|
TRPSPRTX
|
40
(How
much did (you/you or any member of your CU) pay?/What costs for
playing sports or renting sports equipment won't be reimbursed?)
|
Goto
ANYENTER
|
18BC
|
ANYENTER
|
40 ?
[F1]
Did
(you/you or any members of your household) spend anything on this
trip for entertainment or admissions (not counting
what the package deal covered/ )?
1.
Yes
2. No
|
1:
Goto TRPETRTX
2,DK,RF: Goto ANYMISC
|
18BC
|
TRPETRTX
|
(How
much did (you/you or any member of your CU) spend?/What costs for
entertainment and admissions won't be reimbursed?)
|
Goto
ANYMISC
|
18BC
|
ANYMISC
|
Did (you/you
or any members of your household) have any expenses for this trip
such as for
souvenirs, tourist booklets, and so on?
1.
Yes
2. No
|
1:
Goto TRMISCX
2,DK,RF: Exit block and goto
CHKTCOMB
|
18BC
|
TRMISCX
|
(How
much were these expenses?/What costs for these things won't be
reimbursed?)
|
Exit
block and goto CHKTCOMB
|
18BC
|
CHKTCOMB
|
Are
there combined expenses for this trip the respondent
was not able to separate?
1.
Yes
2. No
|
1:
Goto TCOMBEST
2: Goto TRPGFTC
|
18BC
|
TCOMBEST
|
(Only
those expenses the respondent could not provide individual
expenses for should be combined and entered here./
|
Goto
FOODCOMB
|
18BC
|
FOODCOMB
|
Does
this ($ (entry in TCOMBEST) ) include anything for . .
.
. . .
Food?
1.
Yes
2. No
|
Goto
LODGCOMB
|
18BC
|
LODGCOMB
|
Does
this ($ (entry in TCOMBEST) ) include anything for . . .
. . . Lodging
1.
Yes
2. No
|
Goto
TRANCOMB
|
18BC
|
TRANCOMB
|
Does
this ($ (entry in TCOMBEST) ) include anything for . .
.
. . .Transportation?
1.
Yes
2. No
|
Goto
ELSECOMB
|
18BC
|
ELSECOMB
|
Does
this ($ (entry in TCOMBEST) ) include anything for . .
.
. . . Other expenses?
1.
Yes
2. No
|
Goto
OTHRCOMB
|
18BC
|
OTHRCOMB
|
Does
this ($ (entry in TCOMBEST) ) include . . .
. . . Any expenses for others?
1.
Yes
2. No
|
Goto
TRPGFTC
|
18BC
|
TRPGFTC
|
(You've
told me about many expenses (you/you or your CU) had on this
trip. Were any of these expens
1.
Yes
2. No
|
1:
Goto TRPGTCX
2,DK,RF: Goto S18BC_END
|
18BC
|
TRPGFTCX
|
(How
much of the total expenses for this trip were for persons outside
your CU?/How much of the tota
|
Goto
S18BC_END
|
18E
|
ANYNONCU
|
Sometimes
people in a household don't take a trip themselves, but pay
for
part or all of a trip that someone else
takes. Since the first of
(reference
month), have (you/you or any members of your household) paid
for part or all of
such a trip for any non-household
members?
1.
Yes
2. No
|
1:
Goto FOODNOCU
2,DK,RF: Goto S18E_END
|
18E
|
FOODNOCU
|
Did
these expenses include anything for...
.
. . Food and beverages?
1.
Yes
2. No
|
Goto
LODGNOCU
|
18E
|
LODGNOCU
|
Did
these expenses include anything for...
.
. . Lodging?
1.
Yes
2. No
|
Goto
TRANNOCU
|
18E
|
TRANNOCU
|
Did
these expenses include anything for...
. . . Transportation?
1.
Yes
2. No
|
Goto
ELSENOCU
|
18E
|
ELSENOCU
|
Did
these expenses include ...
. . . Anything else?
1.
Yes
2. No
|
Goto
TRNONCUX
|
18E
|
TRNONCUX
|
What
was the total amount that (you/your household) paid for
those trips?
|
Goto
S18E_END
|
18F
|
ANYLOC
|
Sometimes
people stay overnight in a local hotel or motel during holidays,
family
getaways, moves, or home repair. Since
the first of (reference month), have
(you/you or any
members of your household) stayed overnight in a local hotel or
motel?
1.
Yes
2. No
|
1:
Goto NUMLOC
2,DK,RF: Goto S18F_END
|
18F
|
NUMLOC
|
How
many nights did (you/you or any members of your household)
spend away from home on this stay?
|
Goto
ANYLOCDL
|
18F
|
ANYLOCDL
|
Sometimes
when people stay away from home overnight they have some
sort
of package deal that covers some or all of the costs. Was
all
or part of this stay covered by anything like
that?
1.
Yes
2. No
|
1:
Goto FOODLCDL
2,DK,RF: Goto ANYLODGE
|
18F
|
FOODLCDL
|
Did
the package deal include anything for. . .
. . . Food and beverages?
1.
Yes
2. No
|
Goto
LODGLCDL
|
18F
|
LODGLCDL
|
Did
the package deal include anything for. . .
. . .Lodging?
1.
Yes
2. No
|
Goto
ENTRLCDL
|
18F
|
ENTRLCDL
|
Did
the package deal include anything for. . .
. . . Entertainment?
1.
Yes
2. No
|
Goto
ELSELCDL
|
18F
|
ELSELCDL
|
Did
the package deal include . . .
. . . Anything else?
1.
Yes
2. No
|
1:
Goto S18FELSE
2,DK,RF: Goto LOCDEALX
|
18F
|
S18FELSE
|
Specify:
|
Goto
LOCDEALX
|
18F
|
LOCDEALX
|
How
much did (you/you or any members of your household) pay for
the package deal?
|
Goto
ANYLODGE
|
18F
|
ANYLODGE
|
Did
(you/you or any members of your household) spend anything for
hotels, motels,
cottages, trailer camps, or other
lodging (not counting what the package deal covered/ )?
1.
Yes
2. No
|
1:
Goto LOCLODGX
2,DK,RF: Goto ANYMEAL
|
18F
|
LOCLODGX
|
What
was the cost, including taxes and tips?
|
Goto
ANYMEAL
|
18F
|
ANYMEAL
|
Did (you/you
or any members of your household) spend anything for meals,
snacks, or drinks
at restaurants, bars, or fast food
places (not counting what the package deal covered/ )?
1.
Yes
2. No
|
1:
Goto LOCMEALX
2,DK,RF: Goto ANYLCGR
|
18F
|
LOCMEALX
|
What
was the cost, including taxes and tips?
|
Goto
ANYALCML
|
18F
|
ANYALCML
|
Was
any of the (amount/(entry in LOCMEALX)) for alcoholic
beverages?
1.
Yes
2. No
|
1:
Goto ALCMEALX
2,DK,RF: Goto ANYLCGR
|
18F
|
ALCMEALX
|
What
was the cost for alcoholic beverages, including taxes and tips?
|
Goto
ANYLCGR
|
18F
|
ANYLCGR
|
Did (you/you
or any members of your household) spend anything for food or
beverages at
grocery stores, convenience stores, or
liquor stores?
1.
Yes
2. No
|
1:
Goto LOCGROCX
2,DK,RF: Goto ANYADMIS
|
18F
|
LOCGROCX
|
What
were the expenses, including taxes?
|
Goto
ANYALCGR
|
18F
|
ANYALCGR
|
Was
any of the (amount/ entry in LOCGROCX) for
alcoholic beverages?
1.
Yes
2. No
|
1:
Goto ALCGROCX
2,DK,RF: Goto ANYADMIS
|
18F
|
ALCGROCX
|
What
was the cost for alcoholic beverages, including taxes?
|
Goto
ANYADMIS
|
18F
|
ANYADMIS
|
40
? [F1]
Did (you/you
or any members of your household) spend anything on this stay
for
entertainment or admissions (not counting what the
package deal covered/ )?
1.
Yes
2. No
|
1:
Goto LOCADMSX
2,DK,RF: Goto LOCCOMBX
|
18F
|
LOCADMSX
|
How
much did (you/you or any members of your household) pay?
|
Goto
LOCCOMBX
|
18F
|
CHKFCOMB
|
Are
there combined expenses for food/beverages, lodging,
transportation, or other things?
1.
Yes
2. No
|
1:
Goto LOCCOMBX
2: Goto DIDYOU
|
18F
|
LOCCOMBX
|
Only
those things the respondent could not provide individual
expenses
for should be
combined and entered here.
|
1-99999999:
Goto FOODLCCM
D,R: Goto FOODLCCM
|
18F
|
FOODLCCM
|
Does
this include anything for. . .
. . . Food and beverages?
1.
Yes
2. No
|
Goto
LODGLCCM
|
18F
|
LODGLCCM
|
Does
this include anything for . .
. . . Lodging?
1.
Yes
2. No
|
Goto
ENTRLCCM
|
18F
|
ENTRLCCM
|
Does
this include anything for . .
. . . Entertainment?
1.
Yes
2. No
|
Goto
ELSELCCM
|
18F
|
ELSELCCM
|
Does
this include any . . .
. . . Other expenses?
1.
Yes
2. No
|
Goto
DIDYOU
|
18F
|
DIDYOU
|
Did
(you/you or any members of your household) have any other stays
at local hotels or motels?
1.
Yes
2. No
|
1:
Goto NUMLOC, next row
2,DK,RF: Exit block and
goto S18F_END
|
19A
|
S19A_INTRO
|
41-42
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. Also, please include
any shipping and handling charges with the cost of any item that
was shipped.
Description Amount
Month
(MISCDESC) (MISCEXPX)
(MISCMO)
1.
Enter 1 to Continue
|
Goto
MIS_ITEM
|
19A
|
|
Screen
1
------------------------------------------------------------
41
? [F1]
Since
the first of (reference month), have (you/you or any
members of your household) had expenses for any of the
following,
either for (you/your household) or for someone outside your
household?
Read
each item on list.
SCREEN
2
------------------------------------------------------------------
42
? [F1]
Have (you/you
or any members of your household) had expenses for --
Read each item on list.
Do not include pet food. It is a Diary-only
item.
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
inside or outside of your home?
14. Toys or games?
15.
Arts or crafts kits?
16. Sewing, knitting, or quilting
materials and items?
17. Purchase of pets, pet supplies, or
medicine for pets?
18. Pet services?
19. Veterinarian
expenses for pets?
20. Catering?
21. Arrangement of
live entertainment for special occasions?
22. Rental of
party supplies?
23. Purchase or upkeep of cemetery lots or
vaults?
24. Funerals, burials, or cremation?
95.
Continue List
99. None/No more entries
888. Delete the
line
|
1-24:
Goto MISCDESC
95: Goto MIS_ITEM - next line of
grid
99: Goto S19A_END
888: IF no
more grid lines then goto S19A_END
ELSE goto
MIS_ITEM - next line of grid
|
19A
|
MISCDESC
|
What
was the expense
for?
Description Amount Month
(MISCDESC) (MISCEXPX) (MISCMO)
|
Goto
MISCMO
|
19A
|
MISCMO
|
In
what month did you have this expense?
(*
Enter 13 for same amount each month of the reference
period)
Description Amount
Month
(MISCDESC) (MISCEXPX)
(MISCMO)
1.
January
2. February
3. March
4. April
5.
May
6. June
7. July
8. August
9.
September
10. October
11. November
12.
December
13. ^S19_13Option
|
Goto
MISCGFTC
|
19A
|
MISCGFTC
|
Was
this expense for someone inside or outside your
household?
Description Amount
Month
(MISCDESC) (MISCEXPX)
(MISCMO)
1.
For household
2. For someone outside your household
|
Goto
MISCEXPX
|
19A
|
MISCEXPX
|
(What
was the total amount of this expense?/What is your monthly
expense?)
(* Do not include legal fees related to
real estate closing costs reported in Section 3./
)
Description Amount
Month
(MISCDESC) (MISCEXPX)
(MISCMO)
|
IF
ITEM = 14-24 then goto S19ACM_S
ELSE goto MISCMORE
|
19A
|
S19ACM_S
|
Enter
a 'C' for a combined expense.
|
C:
Goto S19ACMB
EMPTY: Goto MISCMORE
|
19A
|
S19ACMB
|
42
? [F1]
What
other expense is the (description) combined with?
Enter
all that apply, separate with
commas.
Description Amount
Month
(MISCDESC) (MISCEXPX)
(MISCMO)
14.
Toys or games
15. Arts or craft kits
16. Sewing,
knitting, or quilting materials and items
17. Purchase of
pets, pet supplies, or medicine for pets
18. Pet
services
19. Veterinary expenses for pets
20.
Catering
21. Arrangement of live entertainment for special
occasions
22. Rental of party supplies
23. Purchase or
upkeep of cemetery lots or vaults
24. Funerals, burials, or
cremations
|
Goto
MISCMORE
|
19A
|
MISCMORE
|
Did
you have any other expenses for
(description)?
Description Amount
Month
(MISCDESC) (MISCEXPX)
(MISCMO)
1.
Yes
2. No
|
1:
IF ROW number = 43 then goto ERR_MAX
ELSE
goto ITEM, next line of grid
2,DK,RF: IF ROW number
= 43 then goto S19A_END
ELSE goto MIS_ITEM, next
line of grid
|
19B
|
S19B_INTRO
|
43
Now
I am going to ask about payments and contributions to persons
outside of your
household.
Description Month Amount
(CONTDESC) (CONTMO) (CONTEXPX)
1.
Enter 1 to Continue
|
Goto
CNT_ITEM
|
19B
|
CNT_ITEM
|
43 ?
[F1]
SCREEN
1 - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - -
- - - - - - - - - - - - - -
Since the first
of (reference month), have (you/you or any members of
your household) given any money by cash, checks,
or given
any gift cards to . . .
Read
each item on
list
SCREEN
2 - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - -
- - - - - - - - - - - - - - -
Since the first
of (reference month), have (you/you or any members of
your household) paid any of the following . . .
Read
each item on list
SCREEN
3 - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - -
- - - - - - - - - - - - - - -
Since the first
of (reference month), have (you/you or any members of
your household) given any money by cash, checks,
money
orders, or credit cards to benefit . . .
Read
each item on list
SCREEN
4 - - - - - - - - - - - - - - - - - - - - - - - - - - - - - -
-
Since the first of (reference month),
have (you/you or any members of your household) given any .
. .
Read item on list
1.
College students living away from home?
2. Any other people
not in your household, such as friends, co-workers, or homeless
persons?
3. Child support?
4. Alimony?
5.
Educational institutions?
6. Political organizations?
7.
Religious organizations, including churches, temples and
mosques?
8. Charities or other organizations?
9.
Stocks, bonds, or mutual funds to persons or organizations
outside of your household?
95. Continue list
99.
None/No more entries
888. Delete the line
|
1-9:
Goto CONTDESC
95: Goto next row
99:
Goto S19B_END
888: IF no more grid lines then
goto S19B_END
ELSE goto CNT_ITEM - next line of grid
|
19B
|
CONTDESC
|
What
was the (payment/contribution) for?
Description
Month Amount
(CONTDESC) (CONTMO) (CONTEXPX)
|
Goto
CONTMO
|
19B
|
CONTMO
|
In
what month did you make the (payment/contribution)?
Enter 13 for same (payment/contribution) each month of the
reference period.
Description
Month Amount
(CONTDESC) (CONTMO) (CONTEXPX)
1.
January
2. February
3. March
4. April
5.
May
6. June
7. July
8. August
9.
September
10. October
11. November
12.
December
13. Same amount each month.
|
Goto
CONTEXPX
|
19B
|
CONTEXPX
|
(What
was the total amount of the (payment/contribution)./What is the
monthly (payment/contribution).)
Description
Month Amount
(CONTDESC) (CONTMO) (CONTEXPX)
|
Goto
CONTMORE
|
19B
|
CONTMORE
|
Did
you make any other (payment/contribution).
Description
Month Amount
(CONTDESC) (CONTMO) (CONTEXPX)
1.
Yes
2. No
|
1:
IF Row number = 43 then goto ERR_MAX
ELSE goto
CNT_ITEM, next line in grid
2,DK,RF: IF Row number =
43 then goto S19B_END
ELSE goto CNT_ITEM, next
line in grid
|
20A
|
GROCWEKX
|
44
Now
I am going to ask about expenses for food, beverages and other
items (you/your household) (have/has) purchased since
the first of (reference month).
What has been
(you/your household) usual WEEKLY expense for grocery
shopping?
Include
grocery home delivery service fees and drinking water delivery
fees.
|
0,DK,RF:
Goto OTHSTOR
1-9999: Goto OTHSTUFX
|
20A
|
OTHSTUFX
|
About
how much of this amount was for nonfood items, such as
paper
products, detergents, home cleaning supplies, pet
foods, and alcoholic
beverages?
|
Goto
OTHSTOR
|
20A
|
OTHSTOR
|
44
Other
than your regular grocery shopping already reported, have
(you/you or any members of your household) purchased any food or
nonalcoholic beverages from places such as grocery stores,
convenience stores, specialty stores, home delivery, or farmer's
markets?
1.
Yes
2. No
|
1:
Goto OSTORWKX
2,DK,RF: Goto DINE_WKX
|
20A
|
OSTORWKX
|
What
was your usual WEEKLY expense at these places?
|
Goto
DINE_WKX
|
20A
|
DINE_WKX
|
44
What
has been (you/your household) usual WEEKLY expense for meals
or snacks from restaurants, fast food places, cafeterias,
carryouts or other such places? (Do not include meals
purchased at school./ )
|
Goto
CIGARETT
|
20A
|
CIGARETT
|
44
Since
the first of (reference month), have (you/you or any
members of your household) purchased cigarettes?
1.
Yes
2. No
|
1:
Goto CIGARETX
2,DK,RF: Goto OTHTOBAC
|
20A
|
CIGARETX
|
What
is the usual WEEKLY expense for cigarettes?
|
Goto
OTHTOBAC
|
20A
|
OTHTOBAC
|
44
? [F1]
Have (you/you
or any members of your household) purchased other tobacco
products such as cigars, pipe tobacco, or chewing
tobacco?
1.
Yes
2. No
|
1:
Goto OTHTBACX
2,DK,RF: Goto ALC_HOMX
|
20A
|
OTHTBACX
|
44
? [F1]
What
is the usual WEEKLY expense?
|
Goto
ALC_HOMX
|
20A
|
ALC_HOMX
|
What
has been (you/your household) usual MONTHLY expense for
alcohol, including beer and wine to be served at home?
|
Goto
ALC_OUTX
|
20A
|
ALC_OUTX
|
What
has been your usual MONTHLY expense for alcohol, including beer
and wine at restaurants, bars and recreational events?
|
IF
any “active” CU member has AGE lt 22 then goto
ANYMEALS
ELSE goto S20A_END
|
20A
|
ANYMEALS
|
44
Since
the first of (reference month), not including (current
month), have (you/you or any members of your household)
purchased any meals at school for preschool through high school
age children?
1.
Yes
2. No
|
1:
Goto FBPERSN
2,DK,RF: Goto 20A_END
|
20A
|
FBPERSON
|
What
are the names of all household members who purchased meals at
school?
Enter
line numbers for all that apply, separate with commas.
1.
Person 1
2. Person 2
3. Person 3
4. Person 4
5.
Person 5
6. Person 6
7. Person 7
8. Person 8
9.
Person 9
10. Person 10
11. Person 11
12. Person
12
13. Person 13
14. Person 14
15. Person 15
16.
Person 16
17. Person 17
18. Person 18
19. Person
19
20. Person 20
21. Person 21
22. Person 22
23.
Person 23
24. Person 24
25. Person 25
26. Person
26
27. Person 27
28. Person 28
29. Person 29
30.
Person 30
|
1-30:
Goto TblSCHMEAL
DK,RF: Goto 20A_END
|
20A
|
SCHLMLX
|
Since
the first of (reference month), not including (current month),
what has been the usual expense for the meals ^NAME purchased at
school?
Select time period on the next screen.
|
Goto
SCHMLPD
|
20A
|
SCHLMLPD
|
Specify
time period
1.
Day
2. Week
3. Two Weeks
4. Month
5. Other,
specify
|
1:
Goto SCHMLWKQ
2: Goto SCHMLWKQ
3:
Goto SCHMLWKQ
4: Goto SCHMLWKQ
5:
Goto SCHLMLSP
DK,RF: Goto SCHMLWKQ
|
20A
|
SCHLMSP
|
Specify:
|
Goto
SCHMLWKQ
|
20A
|
SCHMLWKQ
|
How
many WEEKS did ^NAME purchase meals?
|
IF
no more persons then goto S20_END
ELSE goto SCHLMLX for next
person
|
20B
|
LNDROMAT
|
44
? [F1]
Since
the first of (reference month), not including (current
month) have (you/you or any members of your household) had any
expenses for self-service laundry machines?
1.
Yes
2. No
|
1:
Goto LNDRYX
2,DK,RF: Goto DRYCLEAN
|
20B
|
LNDRYX
|
44
? [F1]
What
was the total cost?
|
Goto
OTHLNDRY
|
20B
|
OTHLNDRY
|
44
? [F1]
Was
any of this amount for items other than clothes, such as linens
or drapes?
1.
Yes
2. No
|
1:
Goto OTHLNDRX
2,DK,RF: Goto DRYCLEAN
|
20B
|
OTHLNDRX
|
44
? [F1]
How
much?
|
Goto
DRYCLEAN
|
20B
|
DRYCLEAN
|
44
? [F1]
Have (you/you
or any members of your household) had any expenses for dry
cleaning or laundry service?
1.
Yes
2. No
|
1:
Goto DRYCLNX
2,DK,RF: Goto SALONS
|
20B
|
DRYCLNX
|
44
? [F1]
What
was the total cost?
|
Goto
OTHDRCLN
|
20B
|
OTHDRCLN
|
44
? [F1]
Was
any of this amount for items other than clothes, such as linens,
drapes, or rugs?
1.
Yes
2. No
|
1:
Goto OTHDCLNX
2,DK,RF: Goto SALONS
|
20B
|
OTHDCLNX
|
44
? [F1]
How
much?
|
Goto
SALONS
|
20B
|
SALONS
|
44
?
[F1]
Since
the first of (reference month), not including (current
month) have (you/you or any members of your household) had
any expenses for haircutting, styling, attached hair pieces,
manicures, massages or other salon services?
1.
Yes
2. No
|
1:
Goto SALONX
2,DK,RF: Goto WIGS
|
20B
|
SALONX
|
44
? [F1]
What
was the total expense for these services since the first of
(reference month), not including (current month)?
|
Goto
WIGS
|
20B
|
WIGS
|
44
? [F1]
Since
the first of (reference month), not including (current month)
have (you/you or any members of your household) had any expenses
for removable hairpieces, wigs or toupees?
1.
Yes
2. No
|
1:
Goto WIGSX
2,DK,RF: Goto SAFEDPST
|
20B
|
WIGSX
|
44
? [F1]
What
was the total expense for these items since the first of
(reference month), not including (current month)?
|
Goto
SAFEDPST
|
20B
|
SAFEDPST
|
44
Have (you/you
or any members of your household) had any expenses for the rental
of a safe deposit box located in a bank or similar financial
institution?
1.
Yes
2. No
|
1:
Goto SAFDPSTX
2,DK,RF: Goto BANKSRVC
|
20B
|
SAFDPSTX
|
What
was the total rental expense for the safe deposit box since
the first of (reference month), not including (current
month)?
|
Goto
BANKSRVC
|
20B
|
BANKSRVC
|
44
? [F1]
Have (you/you
or any members of your household) paid any charges or fees for
bank services such as ATM or overdraft fees or account service
charges from a bank or similar financial institution?
1.
Yes
2. No
|
1:
Goto BANKMOX
2,DK,RF: Goto TXLIMSRV
|
20B
|
BANKMOX
|
44
? [F1]
What
is the usual MONTHLY charge?
|
Goto
TXLIMSRV
|
20B
|
TXLIMSRV
|
44
? [F1]
Since
the first of (reference month) not including (current
month), have (you/you or any members of your household) had
expenses for taxis or limousine service? Do not
include expenses entirely reimbursed for business purposes or
expenses incurred on a trip.
1.
Yes
2. No
|
1:
Goto TXLIMX
2,DK,RF: Goto MASSTRAN
|
20B
|
TXLIMX
|
44
? [F1]
What
was the total expense?
|
Goto
MASSTRAN
|
20B
|
MASSTRAN
|
44
? [F1]
Do (you/you
or any members of your household) use mass transportation
services such as a bus, subway, mini-bus or train? Include
all commuter services. Do not include expenses
covered by employer-provided transit subsidies.
Include commuter rail, light rail, and trolleys as mass
transit
1.
Yes
2. No
|
1:
Goto TRANWRKX
2,DK,RF: Goto S20B_END
|
20B
|
TRANWRKX
|
44
? [F1]
What
is the usual MONTHLY cost to use mass transit to go to -
Work?
|
1-9999:
Goto TRANSUB
0,DK,RF: Goto TRANSCHX
|
20B
|
TRANSUB
|
Did
you receive a transit subsidy?
1.
Yes
2. No
|
1:
Goto TRANSUBX
2,DK,RF: Goto TRANSCHX
|
20B
|
TRANSUBX
|
What
is the usual monthly amount?
|
Goto
TRANSCHX
|
20B
|
TRANSCHX
|
What
is the usual MONTHLY cost to use mass transit to go to
-
School?
|
Goto
TRANOTHX
|
20B
|
TRANOTHX
|
What
is the usual MONTHLY cost to use mass transit to go to -
Other places?
|
Goto
S20B_END
|
21A
|
ANYWORK
|
Since
the first of (reference month), did (You/NAME) earn any
income from wages or salary?
1.
Yes
2. No
|
1:
Goto 21A_INTRO
2,DK,RF: Goto S21A_CHECK
|
21A
|
S21A_INTRO
|
The
next few questions are about income. We know people aren't
used to discussing their income, but please be assured that, like
all other information you have provided, these answers will be
kept strictly confidential.
1.
Enter 1 to Continue
|
Goto
INCWEEKQ
|
21A
|
INCWEEKQ
|
(Now
I am going to ask about (Your/Name's) work experience and income/
)
In the past 12 months, including paid vacation and
sick leave, how many weeks did (You/NAME) work?
If household member did not work, enter zero.
|
0:
Goto INCNONWK
1-52,DK,RF: Goto INC_HRSQ
|
21A
|
INC_HRSQ
|
In
the weeks that (You/NAME) worked, how many hours
did (you/he/she) usually work per week?
|
Goto
OCCUCODE
|
21A
|
OCCUCODE
|
45
? [F1]
Which
of the following categories best describes the job in
which (You/NAME) received the most earnings during the past
12 months?
1.
Administrator, manager
2. Teacher
3. Professional
4.
Administrative support, including clerical
5. Sales,
retail
6. Sales, business goods and services
7.
Technician
8. Protective service
9. Private household
service
10. Other service
11. Machine or transportation
operator, laborer
12. Construction workers, mechanics
13.
Farming
14. Forestry, fishing, groundskeeping
15. Armed
Forces
|
Goto
INCOMEY
|
21A
|
INCOMEY
|
(Were/Was) (You/NAME):
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 ^YourHisHer OWN business,
partnership, professional practice, or farm?
6. Working
WITHOUT PAY in a family business or farm?
|
Goto
SALARYST
|
21A
|
INCNONWK
|
What
was the main reason (You/NAME) did not work during the past
12 months?
(Were/Was) (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?
|
Goto
SALARYST
|
21A
|
SALARYST
|
? [F1]
The
next few questions are about income DURING THE PAST 12 MONTHS,
that is from (Date - one year ago) to (Yesterdays
date)...
Did (You/NAME) receive any wages,
salary, tips, bonuses, or commissions?
1.
Yes
2. No
|
1:
Goto SALARYX
2,DK,RF: Goto SEMPFRM
|
21A
|
SALARYX
|
?
[F1]
How
much did (You/NAME) receive before taxes?
|
1-99999999:
Goto GROSPAYX
DK,RF: Goto SALARYB
|
21A
|
SALARYB
|
46
? [F1]
Could
you tell me which range on CARD A best reflects (your/NAME's)
total wages and salaries for ALL JOBS during the PAST 12
MONTHS?
1.
$0-$4,999
2. $5,000-$9,999
3. $10,000-$14,999
4.
$15,000-$19,999
5. $20,000-$29,999
6.
$30,000-$39,999
7. $40,000-$49,999
8.
$50,000-$69,999
9. $70,000-$89,999
10.
$90,000-$119,999
11. $120,000 and over
|
Goto
GROSPAYX
|
21A
|
GROSPAYX
|
What
was the amount of (your/NAME's) last pay before any
deductions?
|
Goto
PAYPERD
|
21A
|
PAYPERD
|
What
period of time did this cover?
1.
One week
2. Two weeks
3. Month
4. Quarter
5.
Year
6. Twice a month
7. Other
|
1:
Goto PAYSTUB
2: Goto PAYSTUB
3: Goto
PAYSTUB
4: Goto PAYSTUB
5: Goto
PAYSTUB
6: Goto PAYSTUB
7: Goto
PAYPRDOT
DK,RF: Goto PAYSTUB
|
21A
|
PAYPRDOT
|
Specify:
|
Goto
PAYSTUB
|
21A
|
PAYSTUB
|
Does
the respondent have a paper or electronic pay check record
present for (his / her / his/her) last paycheck?
1.
Yes
2. No
|
Goto
PRIVPENS
|
21A
|
PRIVPENS
|
Was
there any money deducted from (your/NAME's) pay for
-
Private pension fund?
1.
Yes
2. No
|
1:
Goto PRIVPENX
2,DK,RF: Goto GOVRET
|
21A
|
PRIVPENX
|
How
much?
|
1-99999999:
ELSE goto GOVRET
DK,RF: Goto GOVRET
|
21A
|
GOVRET
|
Was
there any money deducted from (your/NAME's) pay for
-
Government retirement?
1.
Yes
2. No
|
1:
Goto GOVRETX
2,DK,RF: Goto RRRDED
|
21A
|
GOVRETX
|
How
much?
|
Goto
RRRDED
|
21A
|
RRRDED
|
Was
there any money deducted from (your/NAME's) pay for
-
Railroad retirement?
1.
Yes
2. No
|
1:
Goto RRRDEDX
2,DK,RF: Goto SSDED
|
21A
|
RRRDEDX
|
How
much?
|
Goto
SSDED
|
21A
|
SSDED
|
Was
there any money deducted from (your/NAME's) pay for
-
Social Security including Medicare?
1.
Yes
2. No
|
1:
Goto MEDICOV
2,DK,RF: Goto SSNORM
|
21A
|
SSNORM
|
Are
Social Security payments NORMALLY deducted from (your/NAME's)
pay?
1.
Yes
2. No
|
1:
Goto MEDICOV
2,DK,RF: Goto EMPLCONT
|
21A
|
MEDICOV
|
Does
the money deducted for Social Security cover only the Medicare
portion of Social Security?
1.
Yes
2. No
|
Goto
EMPLCONT
|
21A
|
EMPLCONT
|
Other
than Social Security, did any employer or union contribute
to (your/NAME's) pension or retirement plan in the past 12
months?
1.
Yes
2. No
|
Goto
SEMPFRM
|
21A
|
SEMPFRM
|
?
[F1]
DURING
THE PAST 12 MONTHS -
Did (You/NAME) receive any
self-employment income or have a loss?
(Report
income from own businesses (farm or non-farm) including
proprietorships and partnerships)
1.
Yes
2. No
|
1:
Goto SEMPFRMX
2,DK,RF: Goto SOCSRRET
|
21A
|
SEMPFRMX
|
?
[F1]
What
was the amount?
(Report
net income after operating expenses. Include earning as a
tenant farmer or sharecropper.)
If
net income was a loss, precede amount with a '-'
Breakeven = 1
|
-999999999-999999999:
Goto SOCSRRET
DK,RF: Goto SEMPFRMB
|
21A
|
SEMPFRMB
|
46
?
[F1]
Could
you tell me which range on CARD A best reflects (your/NAME's)
income or loss from self-employment during the PAST 12
MONTHS?
0.
Loss
1. $0-$4,999
2. $5,000-$9,999
3.
$10,000-$14,999
4. $15,000-$19,999
5.
$20,000-$29,999
6. $30,000-$39,999
7.
$40,000-$49,999
8. $50,000-$69,999
9.
$70,000-$89,999
10. $90,000-$119,999
11. $120,000 and
over
|
Goto
SOCSRRET
|
21A
|
SOCSRRET
|
?
[F1]
DURING
THE PAST 12 MONTHS -
Did (You/NAME) receive any Social
Security or Railroad Retirement benefits?
1.
Yes
2. No
|
1:
Goto RRRETIRX
2,DK,RF: Goto SUPPLINC
|
21A
|
RRRETIRX
|
?
[F1]
What
was the amount of the last Social Security or Railroad Retirement
payment received?
|
1-99999999:
Goto INCMEDCR
DK,RF: Goto RRRETIRB
|
21A
|
RRRETIRB
|
47
?
[F1]
Could
you tell me which range on CARD B best reflects the amount
of (your/NAME's) last Social Security or Railroad Retirement
payment during the PAST 12 MONTHS?
1.
Less than $500
2. $500-$699
3. $700-$999
4.
$1,000-$1,299
5. $1,300-$1,699
6. $1,700 and over
|
Goto
INCMEDCR
|
21A
|
INCMEDCR
|
Is
this amount AFTER the deduction for a Medicare premium?
1.
Yes
2. No
|
Goto
SS_RRQ
|
21A
|
SS_RRQ
|
During
the past 12 months, how many Social Security or Railroad
Retirement payments did (You/NAME) receive?
|
Goto
SUPPLINC
|
21A
|
SUPPLINC
|
?
[F1]
DURING
THE PAST 12 MONTHS -
Did (You/NAME) receive any
-
Supplemental Security Income (SSI) payments?
1.
Yes
2. No
|
1:
Goto SSIX
2,DK,RF: Goto INDRETAC
|
21A
|
SSIX
|
?
[F1]
What
was the amount?
|
1-99999999:
Goto INDRETAC
DK,RF: Goto SSIB
|
21A
|
SSIB
|
48
?
[F1]
Could
you tell me which range on CARD C best reflects the
amount (You/NAME) received in Supplemental Security income
during the past 12 months?
1.
$0-$999
2. $1,000-$1,999
3. $2,000-$2,999
4.
$3,000-$3,999
5. $4,000-$4,999
6. $5,000-$9,999
7.
$10,000-$14,999
8. $15,000-$19,999
9.
$20,000-$29,999
10. $30,000-$39,999
11.
$40,000-$49,999
12. $50,000 and over
|
Goto
INDRETAC
|
21A
|
INDRETAC
|
DURING
THE PAST 12 MONTHS -
Did (You/NAME) place any
money in a retirement plan such as an Individual Retirement
Account (IRA) or Keogh? Do not include
rollovers.
1.
Yes
2. No
|
1:
Goto INDRETX
2,DK,RF: Goto S21A_CHECK
|
21A
|
INDRETX
|
How
much?
|
Goto
S21A_CHECK
|
21B
|
INTERDIV
|
?
[F1]
fill
for INTERDIV
DURING THE PAST 12 MONTHS -
Did
(you/you or any members of your household) receive any interest
or dividends? Report even small amounts credited to an
account.
1.
Yes
2. No
|
1:
Goto INTRDVX
2,DK,RF: Goto NETRENT
|
21B
|
INTRDVX
|
?
[F1]
What
was the amount?
|
1-99999999:
Goto NETRENT
DK,RF: Goto INTRDVB
|
21B
|
INTRDVB
|
48
? [F1]
Could
you tell me which range on CARD C best reflects the amount
(you/you or any members of your household) received in interest
or dividends during the PAST 12 MONTHS?
1.
$0-$999
2. $1,000-$1,999
3. $2,000-$2,999
4.
$3,000-$3,999
5. $4,000-$4,999
6. $5,000-$9,999
7.
$10,000-$14,999
8. $15,000-$19,999
9.
$20,000-$29,999
10. $30,000-$39,999
11.
$40,000-$49,999
12. $50,000 and over
|
Goto
NETRENT
|
21B
|
NETRENT
|
?
[F1]
DURING
THE PAST 12 MONTHS -
Did (you/you or any members of
your household) receive any net rental income or loss?
Net
rental income is the total amount after expenses.
1.
Yes
2. No
|
1:
Goto NETRENTX
2,DK,RF: Goto ROYEST
|
21B
|
NETRENTX
|
?
[F1]
What
was the amount?
The
net amount is the total amount after expenses.
If income was a loss, precede amount with a '-'.
Breakeven = 1.
|
-999999999-999999999:
Goto ROYEST
DK,RF: Goto NETRENTB
|
21B
|
NETRENTB
|
48
? [F1]
Could
you tell me which range on CARD C best reflects the total net
rental income or loss during the PAST 12 MONTHS?
0.
Loss
1. $0-$999
2. $1,000-$1,999
3.
$2,000-$2,999
4. $3,000-$3,999
5. $4,000-$4,999
6.
$5,000-$9,999
7. $10,000-$14,999
8. $15,999-$19,999
9.
$20,000-$29,999
10. $30,000-$39,999
11.
$40,000-$49,999
12. $50,000 and over
|
Goto
ROYEST
|
21B
|
ROYEST
|
?
[F1]
DURING
THE PAST 12 MONTHS -
Did (you/you or any members of
your household) receive any royalty income or income from estates
and trusts?
1.
Yes
2. No
|
1:
Goto ROYESTX
2,DK,RF: Goto RETSURV
|
21B
|
ROYESTX
|
?
[F1]
What
was the amount?
|
1-99999999:
Goto RETSURV
DK,RF: Goto ROYESTB
|
21B
|
ROYESTB
|
48
?
[F1]
Could
you tell me which range on CARD C best reflects the total amount
received in royalty income or income from estates and trusts
during the PAST 12 MONTHS?
1.
$0-$999
2. $1,000-$1,999
3. $2,000-$2,999
4.
$3,000-$3,999
5. $4,000-$4,999
6. $5,000-$9,999
7.
$10,000-$14,999
8. $15,000-$19,999
9.
$20,000-$29,999
10. $30,000-$39,999
11.
$40,000-$49,999
12. $50,000 and over
|
Goto
RETSURV
|
21B
|
RETSURV
|
?
[F1]
DURING
THE PAST 12 MONTHS -
Did (you/you or any members of
your household) receive any retirement, survivor, or disability
pensions?
1.
Yes
2. No
|
1:
Goto RETSURVX
2,DK,RF: Goto OTHREG
|
21B
|
RETSURVX
|
?
[F1]
What
was the amount?
(Do
not include Social Security.)
|
1-99999999:
Goto OTHREG
DK,RF: Goto RETSURVB
|
21B
|
RETSURVB
|
48
?
[F1]
Could
you tell me which range on CARD C best reflects the total amount
received in retirement, survivor, or disability pensions during
the PAST 12 MONTHS?
1.
$0-$999
2. $1,000-$1,999
3. $2,000-$2,999
4.
$3,000-$3,999
5. $4,000-$4,999
6. $5,000-$9,999
7.
$10,000-$14,999
8. $15,000-$19,999
9.
$20,000-$29,999
10. $30,000-$39,999
11.
$40,000-$49,999
12. $50,000 and over
|
Goto
OTHREG
|
21B
|
OTHREG
|
?
[F1]
DURING
THE PAST 12 MONTHS -
Did (you/you or any members of
your household) receive income on a REGULAR basis from any other
source such as Veteran's Administration (VA) payments,
unemployment compensation, child support, or alimony?
1.
Yes
2. No
|
1:
Goto OTHREGX
2,DK,RF: Goto LUMPSUM
|
21B
|
OTHREGX
|
?
[F1]
What
was the amount from all sources?
(Do
not include lump sum payments such as money from an inheritance
or sale of a home.)
|
1-99999999:
Goto LUMPSUM
DK,RF: Goto OTHREGB
|
21B
|
OTHREGB
|
48
? [F1]
Could
you tell me which range on CARD C best reflects the total amount
received in Veteran's Administration (VA) payments, unemployment
compensation, child support, or alimony during the PAST 12
MONTHS?
1.
$0-$999
2. $1,000-$1,999
3. $2,000-$2,999
4.
$3,000-$3,999
5. $4,000-$4,999
6. $5,000-$9,999
7.
$10,000-$14,999
8. $15,000-$19,999
9.
$20,000-$29,999
10. $30,000-$39,999
11.
$40,000-$49,999
12. $50,000 and over
|
Goto
LUMPSUM
|
21B
|
LUMPSUM
|
?
[F1]
DURING
THE PAST 12 MONTHS -
Did (you/you or any
members of your household) receive any lump sum payments from
insurance, estates, trusts, royalties, child support, alimony,
prizes or games of chance, or from persons outside your
household?
1.
Yes
2. No
|
1:
Goto LUMPSUMX
2,DK,RF: Goto OTHERINC
|
21B
|
LUMPSUMX
|
?
[F1]
What
was the total amount received (by all household members/ )?
|
1-99999999:
Goto OTHERINC
DK,RF: Goto LUMPSUMB
|
21B
|
LUMPSUMB
|
48
?
[F1]
Could
you tell me which range on CARD C best reflects the total lump
sum payments during the PAST 12 MONTHS?
1.
$0-$999
2. $1,000-$1,999
3. $2,000-$2,999
4.
$3,000-$3,999
5. $4,000-$4,999
6. $5,000-$9,999
7.
$10,000-$14,999
8. $15,000-$19,999
9.
$20,000-$29,999
10. $30,000-$39,999
11.
$40,000-$49,999
12. $50,000 and over
|
Goto
OTHERINC
|
21B
|
OTHERINC
|
?
[F1]
DURING
THE PAST 12 MONTHS -
Did (you/you or any
members of your household) receive any other money income,
including money received from cash scholarship and fellowships,
stipends not based on working, or from the care of foster
children, not already reported?
1.
Yes
2. No
|
1:
Goto OTHRINCX
2,DK,RF: Goto EITC
|
21B
|
OTHRINCX
|
?
[F1]
What
was the total amount received (by all household members/ )?
|
1-99999999:
Goto EITC
DK,RF: Goto OTHRINCB
|
21B
|
OTHRINCB
|
48
? [F1]
Could
you tell me which range on CARD C best reflects the total amount
of other money income received during the PAST 12 MONTHS?
1.
$0-$999
2. $1,000-$1,999
3. $2,000-$2,999
4.
$3,000-$3,999
5. $4,000-$4,999
6. $5,000-$9,999
7.
$10,000-$14,999
8. $15,000-$19,999
9.
$20,000-$29,999
10. $30,000-$39,999
11.
$40,000-$49,999
12. $50,000 and over
|
Goto
EITC
|
21B
|
EITC
|
?
[F1]
The
Earned Income Tax Credit is a benefit for certain people who work
and have low to moderate wages. A tax credit means more
money in your pocket. It reduces the amount of tax you owe
and may also give you a refund.
During the past 12
months, did (you/you or any members of your household) claim an
Earned Income Tax Credit on your federal income tax return?
1.
Yes
2. No
|
Goto
MISCTAX
|
21B
|
MISCTAX
|
DURING
THE PAST 12 MONTHS -
Did (you/you
or any members of your household) PAY any inheritance or estate
tax?
1.
Yes
2. No
|
1:
Goto MISCTAXX
2,DK,RF: Goto FOODSMP
|
21B
|
MISCTAXX
|
What
was the total amount PAID (by all household members/ )?
|
Goto
FOODSMP
|
21B
|
FOODSMP
|
DURING
THE PAST 12 MONTHS -
Did anyone in this
household receive Food Stamps or a Food Stamp benefit card?
Include government benefits from the Supplemental Nutritional
Assistance Program (SNAP). Do NOT include WIC or the
National School Lunch Program.
1.
Yes
2. No
|
1:
Goto FS_MTHI
2,DK,RF: Goto WELFARE
|
21B
|
FS_MTHI
|
In
how many of the past 12 months were food stamps or EBTs received?
|
Goto
FS_AMT
|
21B
|
FS_AMT
|
What
was the dollar value of the last food stamps or EBT received?
|
Goto
WELFARE
|
21B
|
WELFARE
|
?
[F1]
DURING
THE PAST 12 MONTHS -
Did (you/you or any members
of this household, including children,) receive any welfare
payments or cash assistance from the state or local welfare
office?
Please include even if only for one month.
Do NOT include benefits from food, energy, or rental assistance
programs.
1.
Yes
2. No
|
1:
Goto WELFAREX
2,DK,RF: Goto MEALSPAY
|
21B
|
WELFAREX
|
?
[F1]
What
was the amount for the PAST 12 MONTHS?
|
1-99999999:
Goto MEALSPAY
DK,RF: Goto WELFAREB
|
21B
|
WELFAREB
|
48
?
[F1]
Could
you tell me which range on CARD C best reflects the total amount
of income from cash assistance from state or local government
welfare programs during the PAST 12 MONTHS?
1.
$0-$999
2. $1,000-$1,999
3. $2,000-$2,999
4.
$3,000-$3,999
5. $4,000-$4,999
6. $5,000-$9,999
7.
$10,000-$14,999
8. $15,000-$19,999
9.
$20,000-$29,999
10. $30,000-$39,999
11.
$40,000-$49,999
12. $50,000 and over
|
Goto
MEALSPAY
|
21B
|
MEALSPAY
|
DURING
THE PAST 12 MONTHS -
Have (you/you or any members of
your household) received any free meals at work as part of your
pay?
1.
Yes
2. No
|
1:
Goto MLPAYWKX
2,DK,RF: Goto S21B_END
|
21B
|
MLPAYWKX
|
About
what was the WEEKLY dollar value of these meals?
|
Goto
MLPYQWKS
|
21B
|
MLPYQWKS
|
How
many weeks did (you/you or any members of your household) receive
such meals during the past 12 months?
|
Goto
S21B_END
|
22
|
LIAINTRO
|
The
next few questions are about financial assets, credit, and
loans. We know people aren't used to discussing their debt
and financial assets, but we use this information to get a
picture of how spending relates to changes in debt and savings.
Be assured that, like all other information you have provided,
these answers will be kept strictly confidential.
1.
Enter 1 to Continue
|
Goto
IRAX
|
22
|
IRAX
|
?
[F1]
As
of TODAY --
What is the total value of all
retirement accounts such as 401(k)s, IRAs, Thrift Savings Plans
that (you/your household) (own/owns)?
If no retirement accounts, enter 0
|
0-999999999999:
Goto IRAYRX
DK,RF: Goto IRAB
|
22
|
IRAB
|
49
?
[F1]
Could
you tell me which range on CARD D best reflects the total value
of all retirement accounts such as 401(k)s, IRAs, and Thrift
Savings Plans?
1.
$0-$1,999
2. $2,000-$9,999
3. $10,000-$49,999
4.
$50,000-$199,999
5. $200,000-$449,999
6. $450,000 and
over
|
1-6:
Goto IRAYRX
DK,RF: Goto DEFBENRP
|
22
|
IRAYRX
|
?
[F1]
What
was the total value of all retirement accounts ONE YEAR AGO
TODAY?
|
0-999999999999:
Goto DEFBENRP
DK,RF: Goto IRAYRB
|
22
|
IRAYRB
|
49
? [F1]
Could
you tell me which range on CARD D best reflects the total value
of all retirement accounts ONE YEAR AGO TODAY?
1.
$0-$1,999
2. $2,000-$9,999
3. $10,000-$49,999
4.
$50,000-$199,999
5. $200,000-$449,999
6. $450,000 and
over
|
Goto
DEFBENRP
|
22
|
DEFBENRP
|
?
[F1]
Do
(you/you or any members of your household) have a defined benefit
retirement plan, such as a pension from an employer?
1.
Yes
2. No
|
Goto
STOCK
|
22
|
STOCK
|
?
[F1]
Do
(you/you or any members of your household) have any directly-held
stocks, bonds, or mutual funds (Not in Retirement accounts/
)?
Include
U.S. savings bonds
1.
Yes
2. No
|
1:
Goto STOCKX
2,DK,RF: Goto LIQUIDX
|
22
|
STOCKX
|
?
[F1]
As
of TODAY --
What is the total value of all
directly-held stocks, bonds, and mutual funds (Not in Retirement
accounts/ ) that (you/your household) (own/owns)?
Include
US savings bonds
|
1-999999999999:
Goto STOCKYRX
DK,RF: Goto STOCKB
|
22
|
STOCKB
|
49
? [F1]
Could
you tell me which range on CARD D best reflects the total value
of all directly-held stocks, bonds, and mutual funds (Not in
Retirement accounts/ )?
Include
US savings bonds
1.
$0-$1,999
2. $2,000-$9,999
3. $10,000-$49,999
4.
$50,000-$199,999
5. $200,000-$449,999
6. $450,000 and
over
|
1-6:
Goto STOCKYRX
DK,RF: Goto LIQUIDX
|
22
|
STOCKYRX
|
?
[F1]
What
was the total value of all directly-held stocks, bonds, and
mutual funds (Not in Retirement accounts/ ) ONE YEAR AGO
TODAY?
Include US savings bonds
|
0-999999999999:
Goto LIQUIDX
DK,RF: Goto STOCKYRB
|
22
|
STOCKYRB
|
49
? [F1]
Could
you tell me which range on CARD D best reflects the total value
of all directly-held stocks, bonds, and mutual funds (Not in
Retirement accounts/ ) ONE YEAR AGO TODAY?
Include
US savings bonds
1.
$0-$1,999
2. $2,000-$9,999
3. $10,000-$49,999
4.
$50,000-$199,999
5. $200,000-$449,999
6. $450,000 and
over
|
Goto
LIQUIDX
|
22
|
LIQUIDX
|
?
[F1]
As
of TODAY --
What is the total value of all checking,
savings, money market accounts, and certificates of deposit or
CDs (you/your household) (have/has)?
|
0-999999999999:
Goto LIQUDYRX
DK, RF: Goto LIQUIDB
|
22
|
LIQUIDB
|
50
?
[F1]
Could
you tell me which range on CARD E best reflects the total value
of checking, savings, money market accounts, and certificates of
deposit or CDs?
1.
$0-$499
2. $500-$999
3. $1,000-$2,499
4.
$2,500-$9,999
5. $10,000-$34,999
6. $35,000 and over
|
1-6:
Goto LIQUDYRX
DK, RF: Goto WHOLIF
|
22
|
LIQUDYRX
|
?
[F1]
What
was the total value of all checking, savings, money market
accounts, and certificates of deposit or CDs ONE YEAR AGO TODAY?
|
0-999999999999:
Goto WHOLIF
DK, RF: Goto LIQUDYRB
|
22
|
LIQUDYRB
|
50
? [F1]
Could
you tell me which range on CARD E best reflects the total value
of all checking, savings, money market accounts, and certificates
of deposit or CDs ONE YEAR AGO TODAY?
1.
$0-$499
2. $500-$999
3. $1,000-$2,499
4.
$2,500-$9,999
5. $10,000-$34,999
6. $35,000 and over
|
Goto
WHOLIF
|
22
|
WHOLIF
|
?
[F1]
(Do/Does)
(you/your household) own any whole life insurance or other life
insurance policies that can be surrendered for cash or borrowed
against prior to the death of the person insured?
Also
include universal life and variable life insurance
Do NOT include term life insurance or other policies that only
have a benefit upon death or disability
1.
Yes
2. No
|
1:
Goto WHOLIFX
2,DK,RF: Goto OTHAST
|
22
|
WHOLIFX
|
?
[F1]
As
of TODAY --
What is the total surrender value of these
policies?
Surrender
value is also known as the cash value
Enter the amount that can be borrowed or withdrawn prior to
death, NOT the benefit upon
death of the insured
|
1-999999999999:
Goto WHLFYRX
DK,RF: Goto WHOLIFB
|
22
|
WHOLIFB
|
50
? [F1]
Could
you tell me which range on CARD E best reflects the total
surrender value of these policies?
Surrender value is also known as the cash value
Enter the amount that can be borrowed or withdrawn prior to
death, NOT the benefit upon
death of the insured
1.
$0-$499
2. $500-$999
3. $1,000-$2,499
4.
$2,500-$9,999
5. $10,000-$34,999
6. $35,000 and over
|
1-6:
Goto WHLFYRX
DK,RF: Goto OTHAST
|
22
|
WHLFYRX
|
?
[F1]
What
was the total surrender value of these policies ONE YEAR AGO
TODAY?
Surrender value is also known as the cash value
Enter the amount that can be borrowed or withdrawn prior to
death, NOT the benefit upon
death of the insured
|
0-999999999999:
Goto OTHAST
DK,RF: Goto WHLFYRB
|
22
|
WHLFYRB
|
50
? [F1]
Could
you tell me which range on CARD E best reflects the total
surrender value of these policies ONE YEAR AGO TODAY?
Surrender
value is also known as the cash value
Enter
the amount that can be borrowed or withdrawn prior to death, NOT
the benefit upon
death
of the insured
1.
$0-$499
2. $500-$999
3. $1,000-$2,499
4.
$2,500-$9,999
5. $10,000-$34,999
6. $35,000 and over
|
Goto
OTHAST
|
22
|
OTHAST
|
(Do/Does)
(you/your household) have any other financial assets, such as
annuities, trusts, and royalties?
1.
Yes
2. No
|
1:
Goto OTHASTX
2,DK,RF: Goto CREDIT
|
22
|
OTHASTX
|
As
of TODAY --
What is the total value of these other
financial assets?
|
1-999999999999:
Goto OTHSTYRX
DK, RF: Goto OTHASTB
|
22
|
OTHASTB
|
49
Could
you tell me which range on CARD D best reflects the total value
of these other financial assets?
1.
$0-$1,999
2. $2,000-$9,999
3. $10,000-$49,999
4.
$50,000-$199,999
5. $200,000-$449,999
6. $450,000 and
over
|
1-6:
Goto OTHSTYRX
DK, RF: Goto CREDIT
|
22
|
OTHSTYRX
|
What
was the total value of these other financial assets ONES YEAR AGO
TODAY?
|
0-999999999999:
Goto CREDIT
DK,RF: Goto OTHSTYRB
|
22
|
OTHSTYRB
|
49
Could
you tell me which range on CARD D best reflects the total value
of these other financial assets ONE YEAR AGO TODAY?
1.
$0-$1,999
2. $2,000-$9,999
3. $10,000-$49,999
4.
$50,000-$199,999
5. $200,000-$449,999
6. $450,000 and
over
|
Goto
CREDIT
|
22
|
CREDIT
|
?
[F1]
As
of TODAY --
(Do/Does) (you/your household) have a
balance on any major credit cards including store cards and gas
cards?
1.
Yes
2. No
|
1:
Goto CREDITX
2,DK,RF: Goto STUDNT
|
22
|
CREDITX
|
?
[F1]
What
is the total amount owed on all cards?
|
1-999999999999:
Goto CREDTYRX
DK, RF: Goto CREDITB
|
22
|
CREDITB
|
50
?
[F1]
Could
you tell me which range on CARD E best reflects the total amount
owed on all major credit cards including store cards and gas
cards?
1.
$0-$499
2. $500-$999
3. $1,000-$2,499
4.
$2,500-$9,999
5. $10,000-$34,999
6. $35,000 and over
|
1-6:
Goto CREDTYRX
DK,RF: Goto CREDFINX
|
22
|
CREDTYRX
|
?
[F1]
What
was the total amount owed on all cards ONE YEAR AGO TODAY?
|
0-999999999999:
Goto CREDFINX
DK, RF: Goto CREDYRB
|
22
|
CREDYRB
|
50
? [F1]
Could
you tell me which range on CARD E best reflects the total amount
owed on all major credit cards including store cards and gas
cards ONE YEAR AGO TODAY?
1.
$0-$499
2. $500-$999
3. $1,000-$2,499
4.
$2,500-$9,999
5. $10,000-$34,999
6. $35,000 and over
|
Goto
CREDFINX
|
22
|
CREDFINX
|
What
was the total amount paid in finance, late charges, and interest
for all cards in (last month)?
|
Goto
STUDNT
|
22
|
STUDNT
|
?
[F1]
As
of TODAY --
(Do/Does) (you/your household) have any
student loans?
1.
Yes
2. No
|
1:
Goto STUDNTX
2, DK, RF: Goto OTHLOAN
|
22
|
STUDNTX
|
?
[F1]
What
is the total amount owed on all student loans?
|
1-999999999999:
Goto STDNTYRX
DK, RF: Goto STUDNTB
|
22
|
STUDNTB
|
50
? [F1]
Could
you tell me which range on CARD E best reflects the total amount
owed on all student loans?
1.
$0-$499
2. $500-$999
3. $1,000-$2,499
4.
$2,500-$9,999
5. $10,000-$34,999
6. $35,000 and over
|
1-6:
Goto STDNTYRX
DK, RF: Goto STUDFINX
|
22
|
STDNTYRX
|
?
[F1]
What
was the total amount owed on all student loans ONE YEAR AGO
TODAY?
|
0-999999999999:
Goto STUDFINX
DK, RF: Goto STDNTYRB
|
22
|
STDNTYRB
|
50
? [F1]
Could
you tell me which range on CARD E best reflects the total amount
owed on all student loans ONE YEAR AGO TODAY?
1.
$0-$499
2. $500-$999
3. $1,000-$2,499
4.
$2,500-$9,999
5. $10,000-$34,999
6. $35,000 and over
|
Goto
STUDFINX
|
22
|
STUDFINX
|
What
was the total amount paid in finance, late charges, and interest
for all student loans in (last month)?
|
Goto
OTHLOAN
|
22
|
OTHLOAN
|
?
[F1]
As
of TODAY --
(Do/Does) (you/your household) have any
other debt such as medical loans or personal loans?
Do
not include mortgages, home equity loans, or vehicle loans
1.
Yes
2. No
|
1:
Goto OTHLONX
2,DK,RF: Goto S22_END
|
22
|
OTHLONX
|
?
[F1]
What
is the total amount owed on all other loans?
Do
not include mortgages, home equity loans, or vehicle loans
|
1-999999999999:
Goto OTHLNYRX
DK,RF: Goto OTHLONB
|
22
|
OTHLONB
|
50
? [F1]
Could
you tell me which range on CARD E best reflects the total amount
owed on all other loans?
Do
not include mortgages, home equity loans, or vehicle loans
1.
$0-$499
2. $500-$999
3. $1,000-$2,499
4.
$2,500-$9,999
5. $10,000-$34,999
6. $35,000 and over
|
1-6:
Goto OTHLNYRX
DK,RF: Goto OTHFINX
|
22
|
OTHLNYRX
|
?
[F1]
What
was the total amount owed on all other loans ONE YEAR AGO
TODAY?
Do
not include mortgages, home equity loans, or vehicle loans
|
0-999999999999:
Goto OTHFINX
DK,RF: Goto OTHLNYRB
|
22
|
OTHLNYRB
|
50
? [F1]
Could
you tell me which range on CARD E best reflects the total amount
owed on all other loans ONE YEAR AGO TODAY?
Do
not include mortgages, home equity loans, or vehicle loans
1.
$0-$499
2. $500-$999
3. $1,000-$2,499
4.
$2,500-$9,999
5. $10,000-$34,999
6. $35,000 and over
|
Goto
OTHFINX
|
22
|
OTHFINX
|
What
was the total amount paid in finance, late charges, and interest
for all other loans in (last month)?
Do
not include mortgages, home equity loans, or vehicle loans
|
Goto
S22_END
|
BACK
|
SKIP_CHECK
|
Some
Sections have been skipped.
Is there anyone in the household
now that would be able to provide information on:
Press
Shift-F5 to view the status table
1.
Yes
2. No
3. Battery problem
|
1:
Goto SK_RESP
2: Goto APPTOTH
3:
Goto DONE
|
BACK
|
SK_RESP
|
Ask
if necessary:
With whom am I speaking?
ENTER
LINE NUMBER or 95. For proxy respondent
1.
^NAME[1]
2. ^NAME[2]
3. ^NAME[3]
4. ^NAME[4]
5.
^NAME[5]
6. ^NAME[6]
7. ^NAME[7]
8. ^NAME[8]
9.
^NAME[9]
10. ^NAME[10]
11. ^NAME[11]
12.
^NAME[12]
13. ^NAME[13]
14. ^NAME[14]
15.
^NAME[15]
16. ^NAME[16]
17. ^NAME[17]
18.
^NAME[18]
19. ^NAME[19]
20. ^NAME[20]
21.
^NAME[21]
22. ^NAME[22]
23. ^NAME[23]
24.
^NAME[24]
25. ^NAME[25]
26. ^NAME[26]
27.
^NAME[27]
28. ^NAME[28]
29. ^NAME[29]
30.
^NAME[30]
95. Proxy Respondent
|
Goto
SK_RESP2
|
BACK
|
APPTOTH
|
I'd
like to schedule a DATE to (conduct/complete) the
interview.
What DATE AND TIME would be best to visit
again?
Today
is: (current date)
B.
Battery problem
Missing
Sections: Press shift-F5 to view the status table
|
25
characters: Goto THANKCB
B: Goto DONE
RF:
IF outcome = 202 then goto CBREF
ELSE goto
VERIFY_INFO
|
BACK
|
CBREF
|
Exit
this case now.
Call the case up again and
make it a TYPE A non-interview before transmitting.
1.
Enter 1 to Continue
|
Goto
VERIFY_INFO
|
BACK
|
THANKCB
|
Thank
you.
I will come back at the time suggested
Revisit
(Appointment information)
1.
Enter 1 to Continue
|
Goto
VERIFY_INFO
|
BACK
|
CARDPIN
|
The
letter we mailed you indicated that we would provide you with the
PIN number for the debit card upon completion of the interview.
Since we have now completed the interview, I can inform you that
the PIN number is the last 4 digits of the card number.
1.
Enter 1 to Continue
|
IF
RT25.QTYPE = 1 or 2 then goto R_USE
ELSE goto
DK_CHECK
|
BACK
|
R_USE
|
Did
the respondent(s) refer to at least one record or receipt -
either paper or digital - during the interview?
1.
Yes
2. No
|
1:
Goto CARDNAME
2: Goto DK_CHECK
|
BACK
|
CARDNAME
|
The
letter we mailed you indicated that you would receive an
additional $20 debit card for using any records during this
interview. We will mail this debit card to (you/your household)
within the next month. Who would you like this addressed to?
|
Goto
DK_CHECK
|
BACK
|
DK_CHECK
|
Are
there any Don't Know items that you need to callback
for?
Press Ctrl-M to review all Don't Knows
1.
Yes
2. No
|
1:
Goto DK_APPT
2: Goto THANKYOU
|
BACK
|
DK_APPT
|
I'd
like to schedule a DATE to complete the missing items.
What
DATE AND TIME would be best to visit you again?
Today
is (current date)
DK Items: Press Ctrl-M to review all Don't Knows
|
Goto
DK_THANK
|
BACK
|
DK_THANK
|
Thank
you.
I will come back at the time suggested.
Revisit: (Appointment information)
1.
Enter 1 to Continue
|
Goto
VERIFY_INFO
|
BACK
|
THANKYOU
|
This
concludes the interview. Thank you for your patience, and
for taking the time to answer
our questions.
Let
me remind you that the information you provide is very valuable
because it is used to
update the Consumer Price Index, which
is one of our nation's leading economic indicators.
That
is why we sincerely appreciate your participation in this survey
(and look forward to your continued support when we contact you
again in 3 months.)
Interview number: (1/2/3/4/5)
NOTE: Inform the respondent that a supervisor may call them
to conduct re-interview.
Explain
re-interview as needed.
1.
Enter 1 to Continue
|
IF
(RT25.DESIGN = 00 and INTNMBR = 1-4) or (RT25.DESIGN = 10 and
INTNMBR = 1-3) then goto QTRAPPT
ELSE goto HOW_INTV
|
BACK
|
QTRAPPT
|
Today
is (current date). I would like to return during the first week
of (month) to conduct your next interview. What day and time
works best with your schedule?
Enter date and time of the next quarter appointment.
Give respondent an appointment card with the filled-in date and
time with Regional Office or Field Representative contact
information.
NOTE
: If you are not making an appointment for the next interview,
press Enter.
|
Goto
HOW_INTV
|
BACK
|
THANK2
|
Thank
you for your time. You've been very
helpful.
NOTE: Inform
the respondent that a supervisor
may call them to conduct re-interview.
Explain re-interview as
needed.
Interview
number: (1/2/3/4/5)
1.
Enter 1 to Continue
|
IF
BCNAME ne blank then goto VERIFY_INFO
ELSEIF NONTYP =
1-3 then goto TELPV
ELSE goto DONE
|
BACK
|
TRANS
|
Are
you ready to transmit this case?
1.
Yes
2. No
|
1:
Goto MISS_SEC
2: Goto VERIFY_INFO
|
BACK
|
MISS_SEC
|
No
survey data were collected for a required section(s) in a
302 interview.
Press F5 to view status table
Enter the reason that best describes why survey data was not
collected.
|
Goto
TELPV
|
BACK
|
HOW_INTV
|
How
did you collect the data for
this (first/second/third/fourth/fifth) interview for this
household?
1.
Personal visit for all sections
2. Personal visit for all
sections, but telephone followup for some questions
3.
Personal visit for more than half of the sections, the rest by
telephone
4. Equally split between personal visit and
telephone
5. Telephone for more than half of the sections,
the rest by personal visit
6. Telephone for all sections
|
1,6:
Goto SNGL_INT
2: Goto TEL_RESN
3,4,5:
Goto TEL_SECT
|
BACK
|
SNGL_INT
|
Were
you able to conduct the interview in a single (visit/call)?
1.
Yes
2. No
|
IF
HOW_INTV = 6 then goto TEL_RESN
ELSE goto CONVREF
|
BACK
|
TEL_SECT
|
Which
of these sections did you collect entirely by
telephone?
Enter all that apply, separate with commas.
Do not select 6
or 7 if any part of the section was collected in person.
1.
Sections 2 and 3 Housing - rent, mortgage, home equity loans.
2.
Section 4 Utilities/Communications (electricity, heating,
telephone, cable, internet).
3. Section 6 Appliances
4.
Section 8 Home Furnishings
5. Section 9 Clothing
6.
Sections 10, 11, and 12 Vehicle Expenses
7. Sections 13 and
14 Insurance
8. Section 15 Medical/Health Expenses
9.
Section 18 Trips and Vacations
10. Section 21 Work
Experience and Income
|
Goto
TEL_RSN
|
BACK
|
TEL_RESN
|
What
was the main reason for collecting data by telephone?
1.
Barriers to reaching the sample unit (i.e., doorman, security,
dog).
2. Collecting data from additional respondent(s) in
household
3. Excessive distance or travel time to sample
unit.
4. Respondent called FR to do interview.
5.
Respondent only available by telephone (scheduling issues).
6.
Respondent refused personal visit.
7. Respondent requested
telephone interview.
8. Other (Specify).
|
1-7:
Goto CONVREF
8: Goto OTHTLRSN
|
BACK
|
OTHTLRSN
|
Specify
|
Goto
CONVREF
|
BACK
|
TELPV
|
How
did you collect MOST of the data for this
case?
(Include
follow-ups)
1.
By personal visit
2. By phone
|
IF
Bcoverage.NONTYP = 1 AND SECTCOMP[2 or 3] = 1 AND
NOCONTACT = 0 then goto RESPON
ELSE goto DONE
|
BACK
|
CONVREF
|
?
[F1]
Was
this a converted
refusal?
1.
Yes
2. No
|
Goto
RESPON
|
BACK
|
RESPON
|
Enter
the line number of the MAIN respondent.
1.
^NAME[1]
2. ^NAME[2]
3. ^NAME[3]
4. ^NAME[4]
5.
^NAME[5]
6. ^NAME[6]
7. ^NAME[7]
8. ^NAME[8]
9.
^NAME[9]
10. ^NAME[10]
11. ^NAME[11]
12.
^NAME[12]
13. ^NAME[13]
14. ^NAME[14]
15.
^NAME[15]
16. ^NAME[16]
17. ^NAME[17]
18.
^NAME[18]
19. ^NAME[19]
20. ^NAME[20]
21.
^NAME[21]
22. ^NAME[22]
23. ^NAME[23]
24.
^NAME[24]
25. ^NAME[25]
26. ^NAME[26]
27.
^NAME[27]
28. ^NAME[28]
29. ^NAME[29]
30.
^NAME[30]
95. Proxy Respondent
|
Goto
OTHRSP
|
BACK
|
OTHRSP
|
Enter
the line number of ALL OTHER
respondents.
Enter 0 For
None
(Display
Names of persons in the household)
0.
None
1. ^NAMEonly(1)
2. ^NAMEonly(2)
3.
^NAMEonly(3)
4. ^NAMEonly(4)
5. ^NAMEonly(5)
6.
^NAMEonly(6)
7. ^NAMEonly(7)
8. ^NAMEonly(8)
9.
^NAMEonly(9)
10. ^NAMEonly(10)
11. ^NAMEonly(11)
12.
^NAMEonly(12)
13. ^NAMEonly(13)
14. ^NAMEonly(14)
15.
^NAMEonly(15)
16. ^NAMEonly(16)
17. ^NAMEonly(17)
18.
^NAMEonly(18)
19. ^NAMEonly(19)
20. ^NAMEonly(20)
21.
^NAMEonly(21)
22. ^NAMEonly(22)
23. ^NAMEonly(23)
24.
^NAMEonly(24)
25. ^NAMEonly(25)
26. ^NAMEonly(26)
27.
^NAMEonly(27)
28. ^NAMEonly(28)
29. ^NAMEonly(29)
30.
^NAMEonly(30)
95. Proxy respondent
|
Goto
USERECS
|
BACK
|
USERECS
|
In
this interview, how often did the respondent consult
records?
1.
Always or almost always
2. Most of the time
3.
Occasionally or used at least one record
4. Never, no
records used
|
1-3:
Goto TYPERECS
4: Goto HOMEFILE
|
BACK
|
TYPERECS
|
What
types of bills, receipts, or records did the respondent(s) use to
answer expenditure questions?
Enter all that
apply, separate with commas.
1.
Bills
2. Checkbook ledger or check stubs
3. Personal
finance or budgeting software records
4. Receipts or e-mail
receipts
5. Home file (provided by Census Bureau)
6.
Contracts or agreements
7. Credit card, bank, or online
bill-paying statements
8. Pay stub
9. Other- specify
|
1-8:
Goto RSECTN
9: Goto SPECRECS
|
BACK
|
SPECRECS
|
Specify
|
Goto
RSECTN
|
BACK
|
RSECTN
|
Which
of these sections did the respondent(s) use bills, receipts, or
other resources to answer
expenditure questions?
Enter all that apply, separate with commas.
1.
Section 1 - General Housing Characteristics
2. Section 2 -
Rental Living Quarters
3. Sections 3 - Owned Living Quarters
& Other Owned Real Estate
4. Section 4 - Utilities and
Fuels
5. Section 5 - Construction, Repairs, Alterations, and
Maintenance of Property
6. Section 6 - Appliances, Household
Equipment, and Other Selected Items
7. Section 7 - Household
Item Repairs, Service Contracts, and Extended Warranties
8.
Section 8 - Home Furnishings and Related Household Items
9.
Section 9 - Clothing and Clothing Services
10. Section 10 -
Rented and Leased Vehicles
11. Section 11 - Owned
vehicles
12. Section 12 - Vehicle Operating Expenses
13.
Section 13 - Insurance Other than Health
14. Section 14 -
Health Insurance
15. Section 15 - Medical and Health
Expenses
16. Section 16 - Educational Expenses
17.
Section 17 - Subscriptions, Memberships, Books, and Entertainment
Expenses
18. Section 18 - Trips and Vacations
19.
Section 19 - Miscellaneous Expenses
20. Section 20 - Expense
Patterns for Selected Goods and Services
21. Section 21 -
Work Experience and Income
22. Section 22 - Assets and
Liabilities
|
Goto
HOMEFILE
|
BACK
|
HOMEFILE
|
Did
you give the respondent a Home File this
quarter?
1.
Yes
2. No
|
Goto
INFOBOOK
|
BACK
|
INFOBOOK
|
In
the interview, how often did the respondent consult the
information booklet?
If
reading the book to the respondent, enter
5.
1.
Almost always (90% of the time or more)
2. Most of the time
(50% to 89% of the time)
3. Occasionally (10% to 49% of the
time)
4. Never or almost never (less than 10% of the
time)
5. The respondent did not have access to the
information booklet.
|
Goto
LANGUAGE
|
BACK
|
LANGUAGE
|
In
what language was the interview
conducted?
1.
English
2. Spanish
3. Other - specify
|
1,2:
Goto VERIFY_INFO
3: Goto LANG_SP
|
BACK
|
LANG_SP
|
Specify
|
Goto
VERIFY_INFO
|
BACK
|
VERIFY_INFO
|
Verify/change
any of the information listed below
Telephone
number: ((area)) (phone number)
(Extension)
Second
phone: (2nd phone number) (2nd phone
extension)
Best time to
call : (Bestime code description)
Specific
best time: (best time specify)
No Sunday: ((No Sunday Interview/Sunday interview
okay))
1.
Enter 1 to Continue
2. Change something
|
1:
Goto DONE
2: Goto V_PHONE
|
BACK
|
V_PHONE
|
What
is your telephone number?
Enter
0 for none.
|
Goto
V_BSTTI
|
BACK
|
V_BSTTI
|
Best
time to contact
1.
Morning (9am-12noon)
2. Noon/lunchtime (11am-1pm)
3.
Afternoon (12noon-4pm)
4. Suppertime/early
evening/dinnertime(4pm-7pm)
5. Evening (6pm-9pm)
6.
Anytime (9am-9pm)
7. Late evening/night (7pm-9pm)
8.
Daytime (9am-4pm)
9. After 5pm
10. Battery problem
|
1-9,
Empty: Goto V_BSTTI2
10: Goto DONE
|
BACK
|
V_BSTTI2
|
Enter
specific best time to contact
|
Goto
V_NOSUN
|
BACK
|
V_NOSUN
|
Would
a Sunday interview be acceptable?
1.
Yes
2. No
3. battery problem
|
Goto
DONE
|