Attachment E-CPS_Questionnaire_Labor_Force

Basic CPS Items Booklet
Labor Force Items

LABFOR
I am going to ask a few questions about work-related activities (THE WEEK BEFORE
LAST/LAST WEEK). By (the week before last/last week), I mean the week beginning on
Sunday, (DATE), and ending on Saturday, (DATE).
1

Continue

BUS
(Do you/ Does NAME/ Does anyone in this household) have a business or a farm?
1
2

Yes
No

BUSL
Whose business or farm is it?
Enter all that apply, separate by commas.
Probe: Anyone else?
1
2
3
4
5
6
7
8
9
10
11
12
13
14
15
16

WORK

Person1
Person2
Person3
Person4
Person5
Person6
Person7
Person8
Person9
Person10
Person11
Person12
Person13
Person14
Person15
Person16

(THE WEEK BEFORE LAST/LAST WEEK), did (name/you) do ANY work for
(pay/either pay or profit)?
1
2
3
4
5

Yes
No
Retired
Disabled
Unable to work

BUS1
(THE WEEK BEFORE LAST/LAST WEEK), did (name/you) do any unpaid work in the
family business or farm?
1
2

Yes
No

BUS2
(Do / Does) (name/you) receive any payments or profits from the business?
1
2

Yes
No

RET
Last month (name/you) (was/were) reported to be retired. (Are / Is) (you/he/she) still
retired?
1.
2.
3.

Yes
No
Was not retired last month

DIS
Does (your/his/her) disability continue to prevent (you/he/she) from doing any kind of work
for the next 6 months (or working in the family business)?
1
2
3
RET1_1

Yes
No
Did not have a disability last month

(Do / Does) (name/you) currently want a job, either full or part time?

1
2
3

Yes or maybe, it depends
No
Has a job

DIS1_1
Does (your/his/her) disability prevent (you/he/she) from accepting any kind of work during
the next six months?
1
2

Yes
No

DIS2_1
(Do / Does) (name/you) have a disability that prevents (you/he/she) from accepting any kind
of work during the next six months?
1
2

Yes
No

ABSNT
(THE WEEK BEFORE LAST/LAST WEEK), (in addition to the business) (name/you)
have a job either full or part time? Include any job from which (name/you) (was/were)
temporarily absent.
1
2
3
4
5

Yes
No
Retired
Disabled
Unable to Work

RET1_2
(Do / Does) (name/you) currently want a job, either full or part time?
1
2
3.
DIS1_2

Yes or maybe, it depends
No
Has a job

Does (your/his/her) disability prevent (you/he/she) from accepting any kind of work during
the next six months?
1

Yes

2

No

DIS2_2
(Do / Does) (name/you) have a disability that prevents (you/he/she) from accepting any kind
of work during the next six months?
1
2

Yes
No

LAY
(THE WEEK BEFORE LAST/LAST WEEK), (was/were) (name/you) on layoff from a job?
1
2
3
4
5

Yes
No
Retired
Disabled
Unable to work

RET1_3
(Do / Does) (name/you) currently want a job, either full or part time?
1
2
3

Yes or maybe, it depends
No
Has a job

DIS1_3
Does (your/his/her) disability prevent (you/he/she) from accepting any kind of work during
the next six months?
1
2
3

Yes
No

DIS2_3
(Do / Does) (name/you) have a disability that prevents (you/he/she) from accepting any kind
of work during the next six months?
1
2

Yes
No

ABSRSN1
What was the main reason (you/he/she) (was/were) absent from work (THE WEEK
BEFORE LAST/LAST WEEK)?
1
2
3
4
5
6
7
8
9
10
11
12
13
14

On layoff (temporary or indefinite)
Slack work/business conditions
Waiting for new job to begin
Vacation/personal days
Own illness/injury/medical problems
Child care problems
Other family/personal obligation
Maternity/paternity leave
Labor dispute
Weather affected job
School/training
Civic/military duty
Does not work in the business
Other (specify)

ABSPD
(Are / Is) ( you/he/she) being paid by (your/his/her) employer for any of the time off (the
week before last/last week)?
1
2

Yes
No

MJ
(THE WEEK BEFORE LAST/LAST WEEK), did (name/you) have more than one (job/job
or business), including part time, evening or weekend work?
1
2

Yes
No

MJNUM
Altogether, how many (jobs/ jobs or businesses) did (you/he/she) have?
1
2
3

HRUSL1

2 jobs
3 jobs
4 or more jobs

How many hours per week (do/does) (name/you) USUALLY work at (your/his/her) (job?/
main job?)
Enter number of hours
(00-99) Hours each week
(V) Hours vary each week

HRUSL2
How many hours per week (do/does) (you/he/she) USUALLY work at (your/his/her) other
(job/ jobs)?
Enter number of hours
(00-99) Hours each week
(V) Hours vary each week

HRFTPT
(Do / Does) (you/he/she) usually work 35 hours or more per week (at (your/his/her) job/in
the family business/ at all (your/his/her) jobs combined)?
1
2
3

Yes
No
Hours Vary

HRWANT
(Do / Does) (name/you) want to work a full time workweek of 35 hours or more per week?
1
2
3

Yes
No
Regular hours are full-time

HRRSN1
Some people work part time because they cannot find full time work or because business is
poor. Others work part time because of family obligations or other personal reasons. What
is (name's/your) MAIN reason for working part time?
Probe if necessary: What is (name's/your) main reason for working part time instead of
full time?
1
2
3

Slack work/business conditions
Could only find part-time work
Seasonal work

4
5
6
7
8
9
10

Child care problems
Other family/personal obligations
Health/medical limitations
School/training
Retired/Social Security limit on earnings
Full-time workweek is less than 35 hours
Other - specify

HRSPC1
Enter Verbatim Response

HRRSN2
What is the main reason (you/he/she) (do/does) not want to work full time?
1
2
3
4
5
6
7

Child care problems
Other family/personal obligations
Health/medical limitations
School/training
Retired/Social Security limit on earnings
Full time work week less than 35 hours
Other - specify

HRSPC2
Enter Verbatim Response

HROFF1
Now I have some questions about the exact number of hours (name/you) worked (THE
WEEK BEFORE LAST/LAST WEEK). (THE WEEK BEFORE LAST/LAST WEEK), did
(you/he/she) lose or take off any hours from ((his/her) MAIN job/work), for ANY reason
such as illness, slack work, vacation, or holiday?
1
2

Yes
No

HROFF2
How many hours did (name/you) take off?

Enter number of hours

HROT1
(THE WEEK BEFORE LAST/LAST WEEK), did (name/you) work any overtime or extra
hours (at (his/her) MAIN job that / that)(you/he/she) (do/does) not usually work?
1
2

Yes
No

HROT2
How many ADDITIONAL hours did (you/he/she) work?
Enter number of hours

HRACT1
(LAST WEEK/THE WEEK BEFORE LAST), how many hours did ( you/he/she)
ACTUALLY work at (your/his/her) (job?/MAIN job?)?
Enter number of hours
(00 - 99)

HRACT2
(THE WEEK BEFORE LAST/LAST WEEK), how many hours did ( you/he/she)
ACTUALLY work at (your/his/her) other (job/ jobs?)?
Enter number of hours
(00 - 99)
ABSRSN2
What was the main reason ( you/he/she) (was/were) absent from work (THE WEEK
BEFORE LAST/LAST WEEK)?
1.
2.
3.
4.
5.
6.
7.
8.
9.
10.
11.

On layoff (temporary or indefinite)
Slack work/business conditions
Waiting for new job to begin
Vacation/personal days
Own illness/injury/medical problems
Child care problems
Other family/personal obligation
Maternity/paternity leave
Labor dispute
Weather affected job
School/training

12.
13.
14.

Civic/military duty
Does not work in the business
Other (specify)

ABSPC2
Enter Verbatim Response

HRRSN3
What is the main reason (name/you) worked less than 35 hours (THE WEEK BEFORE
LAST/LAST WEEK)?
1
2
3
4
5
6
7
8
9
10
11
12
13

Slack work/business conditions
Seasonal work
Job started or ended during week
Vacation/personal day
Own illness/injury/medical appointment
Holiday (legal or religious)
Child care problems
Other family/personal obligations
LaborDispute
Weather affected job
School/training
Civic/Military duty
Other reason

HRSPC3
Enter Verbatim Response
HRAVL
(THE WEEK BEFORE LAST/LAST WEEK), could (name/you) have worked full time IF
the hours had been available?
1
2

Yes
No

LAYDT
Has (name's/your) employer given (you/he/she) a date to return to work?
1
2

Yes
No

LAY6M
(Have / Has) (you/he/she) been given any indication that ( you/he/she) will be recalled to
work within the next 6 months?
1
2

Yes
No

LAYAVL
Could (you/he/she) have returned to work (THE WEEK BEFORE LAST/LAST WEEK) IF
(you/he/she) had been recalled?
1
2

Yes
No

LAYAVR
Why is that?
1
2
3

Own temporary illness
Going to school
Other

LAYAVS
Enter specific reason
LAYLK
Even though (you/he/she) (expect/expects) to be called back to work, (have/has) (you/he/she)
been looking for work during the last 4 weeks?
1
2

Yes
No

LAYDR1
As of the end of (THE WEEK BEFORE LAST/LAST WEEK), how long had/has
(you/he/she) been on layoff?
1
2
3

LAYDR2

Weeks
Months
Years

Do not read to respondent
Enter number of (weeks, months, years)

LAYDR3
We would like to have that in weeks, IF possible, exactly how many weeks had (name/you)
been on layoff?
Enter number of weeks

LAYFT
Is the job from which (name/you) (are / is) on layoff a full time job of 35 hours or more per
week?
1
2

Yes
No

LK
(Have / Has) (name/you) been doing anything to find work during the last 4 weeks?
1
2
3
4
5

Yes
No
Retired
Disabled
Unable to work

DIS1_4
Does (your/his/her) disability prevent (you/he/she) from accepting any kind of work during
the next six months?
1
2

DIS2_4

Yes
No

(Do / Does) (name/you) have a disability that prevents (you/he/she) from accepting any kind
of work during the next six months?
1
2

Yes
No

LKM
What are all the things (you/he/she) (have/has) done to find work during the last 4 weeks?
Do not read answer categories
Enter (0) for no additional answer
1
2
3
4
5
6
7
8
9
10
11
12
13

Contact employer directly/interview
Contacted public employment agency
Contacted private employment agency
Contacted friends or relatives
Contacted school/university employment center
Sent out resumes/filled out applications
Checked union/professional registers
Placed or answered ads
Other active
Looked at ads
Attended job training programs/courses
Other passive
Nothing

LKMSP
Enter verbatim response

LKDK
You said (name/you) (have/has) been trying to find work. How did ( you/he/she) go about
looking?
Do not read answer categories
Enter (0) for no additional answer
1
2
3
4
5
6
7
8
9
10
11
12
13

Contact employer directly/interview
Contacted public employment agency
Contacted private employment agency
Contacted friends or relatives
Contacted school/university employment center
Sent out resumes/filled out applications
Checked union/professional registers
Placed or answered ads
Other active
Looked at ads
Attended job training programs/courses
Other passive
Nothing

LKDKS
Enter verbatim response

LKPS
Can you tell me more about what (he/she) did to search for work?
Do not read answer categories
Enter (0) for no additional answer
1
2
3
4
5
6
7
8
9
10
11
12
13

Contact employer directly/interview
Contacted public employment agency
Contacted private employment agency
Contacted friends or relatives
Contacted school/university employment center
Sent out resumes/filled out applications
Checked union/professional registers
Placed or answered ads
Other active
Looked at ads
Attended job training programs/courses
Other passive
Nothing

LKPSP
Enter verbatim response

LKAVL
(THE WEEK BEFORE LAST/LAST WEEK), could (you/he/she) have started a job if one
had been offered?
1
2

Yes
No

LKAVR
Why is that?
1
2
3
4
LKAVS

Waiting for new job to begin
Own temporary illness
Going to school
Other (specify)

Enter verbatim response
LKLL1

BEFORE (name/you) started looking for work, what (was/were) (you/he/she) doing:
working, going to school, or something else?
1
2
3
4

Working
School
Left military service
Something ELSE

LKLL1S
Enter verbatim response

LKLL2
Did (you/he/she) lose or quit that job, or was it a temporary job that ended?
1
2
3

Lost job
Quit job
Temporary job ended

LKLW
When did (you/he/she) last work at (a/that) job or business?
1
2
3

Within the last 12 months
More than 12 months ago
Never worked

CERT3
Earlier you told me (you/name) had a currently active professional certification or license.
Is (your/his/her) certification or license required for (your/his/her) …
a) job
b) main job?
c) job from which (you/he/she/) (are/is) on layoff?
d) job at which (you/he/she) last worked?
1. Yes
2. No
3. Don’t have a currently active certification or license
LKDATM
Ask if necessary, otherwise verify
What was the month and year that (you/he/she) last worked?

Enter month
1
2
3
4
5
6
7
8
9
10
11
12

January
February
March
April
May
June
July
August
September
October
November
December

LKDATY
What was the month and year that (you/he/she) last worked?
Enter year

LKDR1
As of the end of (THE WEEK BEFORE LAST/LAST WEEK), how long had (you/he/she)
been looking for work?
1
2
3

Weeks
Months
Years

LKDR2
Do not read to the respondent
Enter number of (weeks, months, years)

LKDR3
We would like to have that in weeks if possible. Exactly how many weeks (have/has)
(name/you) been looking for work?
Enter number of weeks

LKFT
(Have / Has) (you/he/she) been looking for full time work of 35 hours or more per week?
1
2
3

Yes
No
Doesn't matter

DWWNT
(Do / Does) (name/you) currently want a job, either full or part time?
1
2
3
4
5

Yes, or maybe, it depends
No
Retired
Disabled
Unable to work

DIS1_5
Does (your/his/her) disability prevent (you/he/she) from accepting any kind of work during
the next six months?
1
2

Yes
No

DIS2_5
(Do / Does) (name/you) have a disability that prevents (you/he/she) from accepting any kind
of work during the next six months?
1
2

Yes
No

DWRSN
What is the main reason (you/he/she) (was/were) not looking for work during the LAST 4
WEEKS?
1
2
3

Believes no work available in line of work or area
Couldn't find any work
Lacks necessary schooling, training, skills or experience

4
5
6
7
8
9
10
11

Employers think too young or too old
Other types of discrimination
Can't arrange child care
Family responsibilities
In school or other training
Ill health, physical disability
Transportation problems
Other

DWRSP
Enter verbatim response

DWLK
Did (name/you) look for work at any time during the last 12 months?
1
2

Yes
No

DWWK
Did (you/he/she) actually WORK at a job or business during the last 12 months?
1
2

Yes
No

DW4WK
Did (you/he/she) do any of this work during the last 4 weeks?
1
2

Yes
No

DWLKWK
And since (name/you) LEFT that job or business (have/has) (you/he/she) looked for work?
1
2

DWAVL

Yes
No

(THE WEEK BEFORE LAST/LAST WEEK), could (you/he/she) have started a job IF one
had been offered?
1
2

Yes
No

DWAVR
Why is that?
1
2
3

Own temporary illness
Going to school
Other (SPECIFY)

DWAVS
Enter verbatim response

JHWK
(Have / Has) (name/you) worked at a job or business at any time during the past 12 months?
1
2

Yes
No

JHDP1
Did (you/he/she) do any of this work during the last 4 weeks?
1
2
3

Yes
No

JHRSN
What is the main reason (you/he/she) left (your/his/her) last job?
1
2
3
4
5
6
7
8

Personal, family (including pregnancy)
Return to school
Health
Retirement or old age
Temporary, seasonal or intermittent job completed
Slack work or business conditions
Unsatisfactory work arrangements (hours, pay, etc)
Other (specify)

JHRSP
Enter verbatim reason

JHWANT
(Do / Does) (name/you) intend to look for work during the next 12 months?
1
2

Yes, or it depends
No

IODP1
Last month, it was reported that (name/you) worked for (input.IO1NAM). (Do / Does)
(you/he/she) still work for (input.IO1NAM)
1
2

Yes
No

IODP2
Have the usual activities and duties of (your/his/her) job changed since last month?
1
2

Yes
No

IODP3
Last month (name/you) (was/were) reported as (a/an) (input.IO1OCC) and (your/his/her)
usual activities were (input.IO1DT1 8500.IO1DT2). Is this an accurate description of
(your/his/her) current job?
1
2

Yes
No

IO1INT
(Were/Was) (name/you) employed by government, by a private company, a nonprofit
organization, or (was/were) ( you/he/she) self -(or working in the family business?)?

1
2
3
4
5

Government
Private-for-profit company
Non-profit organization including tax exempt and charitable organizations
Self-employed
Working in the family business

IO1GVT
Would that be the federal, state, or local government?
1
2
3

Fed
State
Local

IO1INC
(Is/Was) this business incorporated?
1
2

Yes
No

PDEMP1
(Do/Does) (name/you) usually have any paid employees?
1
2

Yes
No

NMEMP1
Excluding all owners, how many paid employees does (name's/your) business usually have?

IO1WP
(Were/Was) (name/you) working for pay?
1
2

Yes
No

IO1NMP
What is the name of the (company/non-profit organization) for which (you/he/she) work (at

main job)/worked (at main job)/works (at main job) (work/works/worked)
Do not read to respondent
(name of company, business, organization or other employer)

IO1NMG
What is the name of the government agency for which (you/he/she) (work/works)

IO1NMB
What is the name of (your/name's) business?

IO1IND
What kind of business or industry is this?
Read if necessary: What do they make or do where (you/he/she) (work/works)?

IO1MFG
Ask if necessary: Is this business or organization mainly manufacturing, retail trade, wholesale
trade, or something ELSE?
1
2
3
4

Manufacturing
Retail trade
Wholesale trade
Something else

IO1OCC
What kind of work (DO/DOES/DID) (name/you) do, that is, what (is/was) (your/his/her)
occupation? For example: plumber, typist, farmer

IO1DT1
What (are / were) (your/his/her) usual activities or duties at this job?
For example: typing, keeping account books, filing, selling cars, operating printing press, laying
brick.

IO1DT2
What (are / were) (your/his/her) usual activities or duties at this job?
For example: typing, keeping account books, filing, selling cars, operating printing press, laying
brick.

PDEMP1A
(Do/Does) (name/you) usually have any paid employees?
1
2

Yes
No

NMEMP1A
Excluding all owners, how many paid employees does (name's/your) business usually have?

IO1WPA
(Were/Was) (name/you) working for pay?
1
2

Yes
No

IO1NMBA
What is the name of (your/name's) business?

IO1INDA
What kind of business or industry is this?
Read if necessary: What do they make or do where (you/he/she) (work/works)?

IO1MFGA
Ask if neccessary: Is this business or organization mainly manufacturing,
retail trade, wholesale trade, or something ELSE?
1.
2.
3.
4.

Manufacturing
Retail trade
Wholesale trade
Something else

IO1OCCA
What kind of work (DO/DOES/DID) (name/you) do, that is, what (is/was) (your/his/her)

occupation?
For example: plumber, typist, farmer

IO1DT1A
What (are / were) (your/his/her) usual activities or duties at this job?
For example: typing, keeping account books, filing, selling cars, operating printing press, laying
brick.

IO1DT2A
What (are / were) (your/his/her) usual activities or duties at this job?
For example: typing, keeping account books, filing, selling cars, operating printing press, laying
brick.

IOPRO1
Now I have a few questions about (your/his/her) second job.
1. Continue

IO2INT
(THE WEEK BEFORE LAST/LAST WEEK) at (name's/your) second job,(was/were)
(name/you) employed by government, by a private company, a non-profit organization, or
(was/were) (you/he/she) self (or working in the family business?)
1
2
3
4
5

Government
Private-for-profit company
Non-profit organization including tax exempt and charitable organizations
Self-employed
Working in the family business

IO2GVT
Would that be the federal, state, or local government?
1
2
3

Federal
State
Local (county, city, township)

IO2INC
(Is/Was) this business incorporated?
1
2

Yes
No

PDEMP2
(Do / Does) (name/you) usually have any paid employees?
1
2

Yes
No

NMEMP2
Excluding all owners, how many paid employees does (name's/your) business usually have?

IO2WP
(Was/Were) (name/you) working for pay?
IO2NMP
What is the name of the (company/non-profit organization) for which (name/you) work (at
main job)/worked (at main job)/works (at main job) at (your/his/her) SECOND job?
Do not read to respondent: Name of company, business, organization or other employer

IO2NMG
What is the name of the government agency for which (name/you) (work/works) at
(your/his/her) SECOND job?

IO2NMB
What is the name of (your/name's) business?

IO2IND
What kind of business or industry is this?
Read if necessary:
What do they make or do where (name/you) (work/works)?

IO2MFG
Ask if necessary:
Is this business or organization mainly manufacturing, retail trade, wholesale trade, or something
ELSE?
1
2
3
4

Manufacturing
Retail trade
Wholesale trade
Something else

IO2OCC
What kind of work (DO/DOES/DID) (name/you) do, that is, what (is/was) (your/his/her)
occupation?
For example: plumber, typist, farmer

IO2DT1
What (are / were) (your/his/her) usual activities or duties at this job?
Do not read to respondent:
For example: typing, keeping account books, filing, selling cars, operating printing press, laying
brick.

IO2DT2
What are (your/his/her) usual activities or duties at this job?
For example: typing, keeping account books, filing, selling cars, operating printing press, laying
brick.

ERNP
This month I have a few questions about earnings.
1

Continue

ERNPR
For (name's/your) (job/MAIN job), what is the easiest way for you to report
(your/his/her) total earnings BEFORE taxes or other deductions: hourly, weekly,

annually, or on some other basis?
Read if necessary: We use this information to compare the amount that people earn in different
types of jobs.
1
2
3
4
5
6
7

Hourly
Weekly
Bi-weekly
Twice monthly
Monthly
Annually
Other (specify)

ERNPRS
Enter verbatim response

ERNUOT
(Do / Does) (name/you) usually receive overtime pay, tips, or (commissions?/commissions at
(your/his/her) MAIN job?)
1
2

Yes
No

ERNHRTD
(EXCLUDING overtime pay, tips and commissions) what is (your/his/her) hourly rate of
pay on (this job/ (your/his/her) MAIN job)?
Enter dollar amount

ERNHRTC
(EXCLUDING overtime pay, tips and commissions) what is (your/his/her) hourly rate of
pay on (this job/ (your/his/her) MAIN job)?
Enter cents amount

ERNHRED
What is your best estimate of (your/his/her) hourly rate of pay?
Enter dollar amount

ERNHREC
What is your best estimate of (your/his/her) hourly rate of pay?
Enter cents amount

ERNRG1
Do not ask the respondent
Hourly earnings recorded as: (entry in ERNH1O) hourly. Is this entry correct?
1
2

Yes
No

ERNHCOD
Do not ask the respondent
Incorrect entry was recorded as: (entry in ERNH1O) hourly.
Correct dollar entry is: $

ERNHCOC
Do not ask the respondent
Incorrect entry was recorded as: (entry in ERNH1O) hourly.
Correct cents entry is: $ 00.

ERNHR
How many hours (do/does) (name/you) usually work per week at this rate?
Enter number of hours

ERNOTP
(How/At (your/his/her) MAIN job, how) much (do/does) (you/he/she) usually receive JUST
in overtime pay, tips or commissions, before taxes or other deductions?
Do not read to respondent Enter periodicity
1
2
3
4

Per hour
Per day
Per week
Per month

5
6

Per year
Other

ERNOTHD
(How/At (your/his/her) MAIN job, how) much (do/does) (you/he/she) usually receive
JUST in overtime pay, tips or commissions, before taxes or other deductions?
Do not read to respondent: Enter dollar amount

ERNOTHC
(How/At (your/his/her) MAIN job, how) much (do/does) (you/he/she) usually receive
JUST in overtime pay, tips or commissions, before taxes or other deductions?
Do not read to respondent: Enter cents amount
ERNOTAD
(How/At (your/his/her) MAIN job, how) much (do/does) (you/he/she) usually receive
JUST in overtime pay, tips or commissions, before taxes or other deductions?
Do not read to respondent: Enter dollar amount

ERNOTAC
(How/At (your/his/her) MAIN job, how) much (do/does) (you/he/she) usually receive
JUST in overtime pay, tips or commissions, before taxes or other deductions?
Do not read to respondent: Enter cents amount

ERNOTE
What is your best estimate of how much (you/he/she) usually (earn/earns) WEEKLY, JUST
in overtime pay, tips, or commissions, before taxes or other deductions?
Enter dollar amount

ERNRG2
Do not ask: Usual (weekly/hourly/monthly/annual) earnings in overtime pay, tips or
commissions recorded as: (ERNOTO)
Is this entry correct?
1
2

Yes
No

ERNOCOD
Do not read to respondent: Incorrect entry was recorded as: (ERNOTO)
Correct dollar entry is: $

ERNOCOC
Do not read to respondent: Incorrect entry was recorded as: (ERNOTO)
Correct cents entry is: $

ERNOCHD
Do not read to respondent: Incorrect entry was recorded as: (ERNOTO)
Correct entry is: $

ERNOCHC
Do not read to respondent: Incorrect entry was recorded as: (ERNOTO)
Correct cents entry is: $

ERNOH
How many hours (do/does) (name/you) usually work per week at this rate?
Enter number of hours

ERNOHE
What is your best estimate of the number of hours per week (you/he/she) usually
(work/works) at this rate?
Enter number of hours

ERNVR1
I have estimated (your/his/her) usual WEEKLY earnings (as/for (your/his/her) main job as)
(AMOUNT) before taxes or other deductions. Does that sound correct?
1
2

Yes
No

ERNVRA
I have recorded:
1

(entry in ERNH1O) as (your/his/her) hourly rate of pay.

2

(Entry in ERNHRO) as the number of hours ( you/he/she)usually worked at this
rate.

3

(Entry in ERNOTO) as the amount (you/he/she) usually earned
(weekly/hourly/monthly/annual) in overtime pay, tips and commissions.

4

(Entry in ERNOHE) as the number of hours per week (you/he/she) usually works
at this rate.

Which piece or pieces of information do not seem to be correct?
Enter all that apply, separate by commas.
If all information is correct, enter (0) to continue
1
2
3
4

Hourly_rate
Number of hours
Overtime pay
Hours per week

ERNH1CD
What is (name's/your) hourly rate of pay on this job, excluding overtime pay, tips or
commissions?
Enter dollar amount

ERNH1CC
What is (name's/your) hourly rate of pay on this job, excluding overtime pay, tips or
commissions?
Enter cents amount

ERNHC
How many hours (do/does) (name/you) usually work per week at the rate of (entry in
ERNH1C/ERNH1O)?
Enter hours (01-99)

ERNOTCD

How much (do/does) (name/you) usually earn (weekly/monthly/annually) just in overtime
pay, tips or commissions?
Enter dollar amount

ERNOTCC
How much (do/does) (name/you) usually earn (weekly/monthly/annually) just in overtime pay,
tips or commissions?
Enter cents amount

ERNOHCD
How much (do/does) (name/you) usually earn hourly just in overtime pay, tips or
commissions?
Enter dollar amount

ERNOHCC
How much (do/does) (name/you) usually earn hourly just in overtime pay, tips or commissions?
Enter dollar amount

ERNH2C
How many hours (do/does) (name/you) usually work per week at the rate of (entry in
ERNOHC/ERNOTO)?
Enter hours (00-99)

ERNWK1
Then, including overtime pay, tips and commissions, what are (name/you) usual WEEKLY
earnings on (this job/ (your/his/her) MAIN), before taxes or other deductions?
Correct Entry is:

ERNVR3
I have estimated (your/his/her) total WEEKLY earnings (as/ for (your/his/her) main job, as
(entry in ERNX2) WEEKLY before taxes or other deductions. Does that sound correct?

1
2

Yes
No (Irreconcilable difference)

ERNWK
(Including overtime pay, tips and commissions,) What are (name's/your) usual weekly
earnings on (this job/ (your/his/her) MAIN), before taxes or other deductions?
Enter dollar amount

ERNTMN
(Including overtime pay, tips and commissions,) what are (name's/your) usual twice
monthly earnings on (this job/ (your/his/her) MAIN), before taxes or other deductions?
Enter dollar amount

ERNMON
(Including overtime pay, tips and commissions,) what are (name's/your) usual monthly
earnings on (this job/ (your/his/her) MAIN), before taxes or other deductions?
Enter dollar amount

ERNANN
(Including overtime pay, tips and commissions,) what are (name's/your) usual annual
earnings on (this job/ (your/his/her) MAIN), before taxes or other deductions?
Enter dollar amount

ERNBWK
(Including overtime pay, tips and commissions,) what are (name's/your) usual bi weekly
earnings on (this job/ (your/his/her) MAIN), before taxes or other deductions?
Enter dollar amount

ERNDKP
What is your best estimate of (your/his/her) usual (weekly/bi-weekly/monthly/annual)
earnings before taxes or other deductions?
Enter dollar amount (Reported earnings are greater than $72,000)

ERNRG3
Do not read to respondent
(Weekly/Bi-weekly/Twice Monthly/Monthly/Annual) earnings recorded as: (ERNAMT)
Is this entry correct?
1
2

Yes
No

ERNRGP
Do not read to respondent
Incorrect entry was recorded as: (ERNAMT) (weekly/bi-weekly/monthly/annually)
Correct entry is:

ERNVR4
I have recorded (your/his/her) total earnings (for (your/his/her) (as/main job ) (ERNAMT)
(weekly/bi-weekly/monthly/annually) before taxes or other deductions. Is that correct?
1
2

Yes
No

ERNCOR
(Including overtime pay, tips and commissions,), what are (your/his/her) usual
(weekly/bi-weekly/monthly/annual) earnings on (this job/ (your/his/her) MAIN), before
taxes or other deductions?
Enter dollar amount

ERNRG4
Do not read to respondent
(Weekly/Bi-weekly/Twice Monthly/Monthly/Annual) earnings recorded as: (ERNAMT)
Is this entry correct?
1
2

Yes
No

ERNRP2
Do not read to respondent
Incorrect entry was recorded as: (ERNAMT) weekly/bi-weekly/monthly/annually
Correct entry is:

ERNWKP
How many weeks a year (do/does) (name/you) get paid for?
Number of weeks

ERNRT
(Even though you told me it is easier to report (your/his/her) earnings (you/he/she) PAID
AT AN HOURLY RATE on (this job/ (your/his/her) MAIN)?
1
2

Yes
No

ERNH2D
(EXCLUDING overtime pay, tips and commissions) what is (your/his/her) hourly rate of
pay on (this job/ (your/his/her) MAIN) job?
Enter dollar amount

ERNH2S
(EXCLUDING overtime pay, tips and commissions) what is (your/his/her) hourly rate of pay on
(this job/ (your/his/her) MAIN) job?
Enter cents amount

ERNRG5

Do not read to respondent
Hourly earnings recorded as: ERNH2 hourly
Is this entry correct?
1
2

Yes
No

ERNRP3D
Do not read to respondent
Incorrect entry was recorded as: ERNH2 hourly
Correct dollar entry is: $

ERNRP3C
Do not read to respondent
Incorrect entry was recorded as: ERNH2 hourly
Correct cents entry is: $

ERNLAB
On this job, (are / is) (name/you) a member of a labor union or of an employee association
similar to a union?
1
2

Yes
No

ERNCOV
On this job, (are / is) (name/you) covered by a union or employee association contract?
1
2

Yes
No

NLFJH
When did (name/you) last work at a job or business?

1
2
3

Within last 12 months
More than 12 months ago
Never worked

NLFRET
(Are / Is) (name/you) retired FROM A JOB OR BUSINESS?
1
2

Yes
No

NLFACT
What best describes (name's/your) situation at this time?
For example, (are / is) (you/he/she) disabled, ill, in school, taking care of house or family, or
something ELSE?
1
2
3
4
5
6

Disabled
Ill
In school
Taking care of house or family
In retirement
Something ELSE/other

NLFSPC
Enter verbatim response

SCHENR
(THE WEEK BEFORE LAST/LAST WEEK), (was/were) (you/he/she) enrolled in a high
school, college, or university?
Enter '1' if currently on holiday or seasonal vacation.
Enter '2' for summer vacation.
1
2

Yes
No

SCHLVL
Ask only if necessary: Would that be high school, college or university?
1
2

High school
College or university

SCHFT
(Are / Is) (you/he/she) enrolled in school as a full time or part time student?
1
2

Full-time
Part-time

RIPFLG
(We will recontact this household in 8 months / In the future we may need to recontact this
household / We will recontact this household next month) to update this information. If we
are unable to reach you and we talk to someone else instead, is it OK if we refer to some of
the information you gave us?
♦ If needed: For example, we might say "Last month (name) was a teacher.
Is (s/he) still a teacher?"
1 Yes
2 No

PREDIS
?[F1]
This month we want to learn about people who have physical, mental, or emotional
conditions that cause serious difficulty with their daily activities. (blank/ Please answer for
NAME./Please answer for all household members who are 15 years old or over./Since you
have not previously answered these questions, please answer for yourself only./ Since
NAME has not previously answered these questions, please answer for NAME only./Since
household members who are 15 years of age and older were added to the household this
month, and they have not previously answered these questions, please answer for those
household members only.)
1

Continue

DS1
(Are you/Is NAME/Is anyone/Are any of the new household members) deaf or
(do you/does NAME/does anyone/do they) have serious difficulty hearing?
♦ Blank/Only include new household members who are 15 years of age and older.
1 Yes

2 No

DS1W
(Are you/Is NAME/Is anyone/Are any of the new household members) deaf or
(do you/does NAME/does anyone/do they) have serious difficulty hearing?
Who is that?
♦ Enter all that apply, separate with commas.
♦ Probe: Anyone else?

DS2
(Are you/Is NAME/Is anyone/Are any of the new household members) blind or
(do you/does NAME/does anyone/do they) have serious difficulty seeing, even when wearing
glasses?
♦ Blank/Only include new household members who are 15 years of age and older.
1 Yes
2 No

DS2W
(Are you/Is NAME/Is anyone/Are any of the new household members) blind or
(do you/does NAME/does anyone/do they) have serious difficulty seeing, even when wearing
glasses?
Who is that?
♦ Enter all that apply, separate with commas.
♦ Probe: Anyone else?
DS3
Because of a physical, mental, or emotional condition, (do you/does NAME/does anyone/do
any of the new household members) have serious difficulty concentrating, remembering, or
making decisions?
♦ Blank/Only include new household members who are 15 years of age and older.
1 Yes
2 No

DS3W
Because of a physical, mental, or emotional condition, (do you/does NAME/does anyone/do
any of the new household members) have serious difficulty concentrating, remembering, or
making decisions?
Who is that?
♦ Enter all that apply, separate with commas.
♦ Probe: Anyone else?

DS4
(Do you/Does NAME/Does anyone/Do any of the new household members) have serious
difficulty walking or climbing stairs?
♦ Blank/Only include new household members who are 15 years of age and older.
1 Yes
2 No

DS4W
(Do you/Does NAME/Does anyone/Do any of the new household members) have serious
difficulty walking or climbing stairs?
Who is that?
♦ Enter all that apply, separate with commas.
♦ Probe: Anyone else?
DS5
(Do you/Does NAME/Does anyone/Do any of the new household members) have difficulty
dressing or bathing?
♦ Blank/Only include new household members who are 15 years of age and older.
1 Yes
2 No

DS5W

(Do you/Does NAME/Does anyone/Do any of the new household members) have difficulty
dressing or bathing?
Who is that?
♦ Enter all that apply, separate with commas.
♦ Probe: Anyone else?

DS6
Because of a physical, mental, or emotional condition, (do you/does NAME/does anyone/do
any of the new household members) have difficulty doing errands alone such as visiting a
doctor's office or shopping?
♦ Blank/Only include new household members who are 15 years of age and older.
1 Yes
2 No

DS6W
Because of a physical, mental, or emotional condition, (do you/does NAME/does anyone/do any
of the new household members) have difficulty doing errands alone such as visiting a doctor's
office or shopping?
Who is that?
♦ Enter all that apply, separate with commas.
♦ Probe: Anyone else?

NTVT
In what country (was/were) (name/you) born?

MNTVT
In what country was (your/his/her) mother born?

FNTVT
In what country was (your/his/her) father born?

CITIZN
(Are / Is) (name/you) a CITIZEN of the United States?
1
2

Yes
No, not a citizen

CITYPA
(were/was) (name/you) born a citizen of the United States?
1
2

Yes
No

CITYPB
Did (name/you) become a citizen of the United States through naturalization?
1
2

Yes
No

INUSYR
When did (name/you) come to live in the United States?
Enter '2' if respondent reports the number of years ago instead of the actual year.
Enter year
INUSN
Do not read to respondent
Enter the number of years reported
Enter '0' for mistake if no number reported

S_FAMINC
Which category represents (your/name of reference person/the total combined income)
(total combined income during the past 12 months?/ of all members of your FAMILY
during the past 12 months?/ of all members of (name of reference person) 's FAMILY
during the past 12 months?)

This includes money from jobs, net income from business, farm or rent, pensions,
dividends, interest, social security payments and any other money income received (. / by
members of (your/ name of reference person) FAMILY who are 15 years of age or older.)
1
2
3
4
5
6
7
8
9
10
11
12
13
14
15
16

Less than $5,000
5,000 to 7,499
7,500 to 9,999
10,000 to 12,499
12,500 to 14,999
15,000 to 19,999
20,000 to 24,999
25,000 to 29,999
30,000 to 34,999
35,000 to 39,999
40,000 to 49,999
50,000 to 59,999
60,000 to 74,999
75,000 to 99,999
100,000 to 149,999
150,000 or more