Additional Screening Questions

Enclosure 2 - Additional Screening Questions.docx

Generic Clearance for Questionnaire Pretesting Research

Additional Screening Questions

OMB: 0607-0725

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SNAP ABAWD Message Cognitive Testing – Additional screening questions



1. Do you currently receive food assistance benefits? These are sometimes called food stamps or SNAP.

  • Yes

  • No

  • Don't know or not sure



2. (if Q1 = No or Don’t know/not sure) Have you ever received food assistance benefits in [STATE]?

  • Yes

  • No

  • Don't know or not sure



3. (if Q1 = No or Don’t know/not sure and Q2 = No or Don’t know/not sure) Have you ever received food assistance from a local service, such as a food bank or a food pantry?

  • Yes

  • No

  • Don't know or not sure



File Typeapplication/vnd.openxmlformats-officedocument.wordprocessingml.document
AuthorJessica Holzberg (CENSUS/CSM FED)
File Modified0000-00-00
File Created2025-08-12

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