Survey Questions
for Cognitive Interviewing Round 1
Necessary Household Questions from CPS, needed for fills
ADDRESS: What is your current physical address?
Number and Street_____________
City___________ State___________
HOME: Are your living quarters…
Owned or being bought by you or someone in your household?
Rented for cash?
Occupied without payment of cash rent?
ROSTER1: Including yourself, what are the first names of each person who lives in your household?
ROSTER2: Enter the age for each household member.
Age
[Name] ____
[Name] ____
Main Questionnaire
Health Insurance
Did you have health insurance at any point between January and December 2023?
Health insurance may include employer-sponsored insurance, Medicaid, Medicare, or insurance purchased from healthcare.gov.
Yes – 1
No – 2
Between January and December 2023, were you covered by any of the following types of health insurance? Do not include plans that cover only dental, drug, or vision.
Private health insurance – 1
Medicare – 2
Medicaid or other government program – 3
Veterans health care (enrolled for VA) – 4
TRICARE or other military health care – 5
Indian Health Service – 6
Something else – 7
Not sure – 8
2a. How did you get your private health insurance? Mark all that apply.
Current job (yours or another family member) – 1
Former job (yours or another family member) – 2
Union or professional association – 3
Directly from an insurance company – 4
Broker – 5
State or Federal Marketplace – 6
Healthcare.gov – 7
[^State-Specific Portal Name] – 8
Did you have health insurance for even a short time in 2023?
Yes – 1
No – 2
4. How did you get your health insurance [that you’re not sure how to report/ that was not listed]?
A job – 1
The government -2
Some other way - 3
I’m not sure – 4
5.1 Was that insurance tied to military service?
Yes – 1
No – 2
5.2 Who provided that insurance?
TRICARE – 1
CHAMPVA – 2
Veterans Administration (VA) Care – 3
Other – 4
6.1 Was that insurance though a job with the federal, state, or local government?
Yes – 1
No – 2
6.2 Who provided that insurance?
Medicaid or Medical Assistance – 1
Children’s Health Insurance Program (CHIP) – 2
Medicare – 3
Military – 4
Indian Health Service – 5
Other – 6
6.3 What kind of health insurance did you/they have?
Church – 1
Charity care – 2
HealthShare – 3
Other [write in]
7.1 How did you get this insurance?
Former employer – 1
Union or professional association – 2
Indian Health Service – 3
Student insurance – 4
Parent or spouse’s plan – 5
Purchased – 6
Some other way – 7
7.2 How did you get this insurance?
Job – 1
Purchased – 2
Some other way – 3
Don’t know – 4
7.3 Was that insurance through healthcare.gov [or state exchange portal names]?
Yes – 1
No – 2
Don’t know – 3
11. How long did you have [^health insurance type] in 2023?
All year – 1
Part of the year – 2
I did not have [^health insurance type] in 2023 – 3
12. Did you have another type of health insurance in 2023? Do not include plans that cover only dental, drug, or vision.
Yes – 1
No – 2
13. What other health insurance(s) did you have in 2023?
Mark all that apply.
Private health insurance -- 1
Medicare –2
Medicaid or other government program – 3
Veterans health care (enrolled for VA) – 4
TRICARE or other military health care – 5
Indian Health Service – 6
Other: [Write in]
13a. How did you get your private health insurance? Mark all that apply.
Current job (yours or another family member) – 1
Former job (yours or another family member) – 2
Union or professional association – 3
Directly from an insurance company – 4
Broker – 5
State or Federal Marketplace – 6
Healthcare.gov – 7
[^State-Specific Portal Name] – 8
14. How long did you have [^health insurance type/this other insurance] in 2023?
All year – 1
Part of the year – 2
15. Were you uninsured for part of 2023?
Yes – 1
No – 2
17. Whose name was your [^health insurance type] policy in? (who was the policyholder?)
[HH Roster]
18. Did [your or Person in Q17’s] employer or union help pay for the health insurance?
Yes – 1
No – 2
18a. Did [your or Person in Q17’s] employer or union pay all or part of the cost of the insurance?
All – 1
Part – 2
18.b Did [you/Person in Q17] receive a tax credit or subsidy based on family income to help pay for the insurance?
Yes – 1
No – 2
19a. Did anyone else in your household also have [health insurance type] in 2023?
Yes – 1
No – 2
20. Which people in your household had [health insurance type] in 2023? Mark all that apply.
[HH Roster]
21. How long did [^Person] have [insurance type] in 2023?
[HH Roster with yes/no grid for All year and Part year]
22. Besides {list insurances that were asked about}, was anyone in your household covered by any other type of health insurance in 2023?
Yes – 1
No – 2
22a. Which people in your household were covered by some other type of health insurance? Mark all that apply.
[HH Roster]
22b. Was [Person] uninsured at any point in 2023?
Yes – 1
No – 2
22c. How long was [Person] uninsured in 2023?
All year – 1
Part of the year – 2
22d. Whose name was [Person in 20]’s [^health insurance type] policy in? (who was the policyholder?)
[HH Roster of persons over age 17]
22e. Did [Person in Q22d’s] employer or union help pay for the health insurance?
Yes – 1
No – 2
22f. Did [Person in Q22d’s] employer or union pay all or part of the cost of the insurance?
Yes – 1
No – 2
22g. Did [Person in Q22d] receive a tax credit or subsidy based on family income to help pay for the insurance?
Yes – 1
No – 2
23. What [“other” if coming from Q22a but NOT Q22b or Q22c] health insurance(s) did [Person] have in 2023? Mark all that apply.
Private health insurance – 1
Medicare – 2
Medicaid or other government program – 3
Veterans health care (enrolled for VA) – 4
TRICARE or other military health care – 5
Indian Health Service – 6
23a. How did [^Person] get their private health insurance? Mark all that apply.
Current job (theirs or another family member) – 1
Former job (theirs or another family member) – 2
Union or professional association – 3
Directly from an insurance company – 4
Broker – 5
State or Federal Marketplace – 6
Healthcare.gov – 7
[^State-Specific Portal Name] – 8
24. How long did [^Person] have [^health insurance type] in 2023?
All year -- 1
Part
of the year -
2
25. Was [^Person] uninsured for part of 2023?
Yes – 1
No – 2
25a. Whose name was [Person in 22a]’s [^health insurance type] policy in? (who was the policyholder?)
[HH Roster of persons over age 17]
25b. Did [Person in Q25a’s] employer or union help pay for the health insurance?
Yes – 1
No – 2
25c. Did [Person in Q25a’s] employer or union pay all or part of the cost of the insurance?
Yes – 1
No – 2
25d. Did [Person in Q25a] receive a tax credit or subsidy based on family income to help pay for the insurance?
Yes – 1
No – 2
27. Was anyone else in your household uninsured for all of 2023?
Yes – 1
No – 2
27a. Which other people in your household were uninsured for all of 2023? Mark all that apply.
[HH Roster]
28. What health insurance(s) did [^Person] have in 2023?
Mark all that apply.
Private health insurance – 1
Medicare – 2
Medicaid or other government program – 3
Veterans health care (enrolled for VA) – 4
TRICARE or other military health care – 5
Indian Health Service – 6
29. How did [^Person] get this private health insurance? Mark all that apply.
Current job (theirs or another family member) – 1
Former job (theirs or another family member) – 2
Union or professional association – 3
Directly from an insurance company – 4
Broker – 5
State or Federal Marketplace – 6
Healthcare.gov – 7
[^State-Specific Portal Name] – 8
30. How long did [^Person] have [^insurance type] in 2023?
All year – 1
Part of the year – 2
31. Was [Person] uninsured for part of 2023?
Yes – 1
No – 2
31a. Whose name was [Person in 27a]’s [^health insurance type] policy in? (who was the policyholder?)
[HH Roster of persons over age 17]
31b. Did [Person in Q31a’s] employer or union help pay for the health insurance?
Yes – 1
No – 2
31c. Did [Person in Q31a’s] employer or union pay all or part of the cost of the insurance?
Yes – 1
No – 2
31d. Did [Person in Q31a] receive a tax credit or subsidy based on family income to help pay for the insurance?
Yes – 1
No – 2
Out of Pocket Expenses
32. In 2023, how much did [^you/Person from Q20/Person from Q23/Person from Q28] pay for all health insurance premiums covering [^yourself/themselves] or others in the household? Include comprehensive plans and supplemental plans such as vision and dental insurance. Do not include any Medicare deductions from Social Security, Social Security Disability/ Social Security and Social Security Disability.
$_____
[allow someone to skip this question if they don’t know. There are follow-ups.]
33. If you don't know the exact amount, please estimate how much [you/Person from Q20/Person from Q23/Person from Q28] paid for all health insurance premiums covering yourself [themselves] or others in the household, in 2023.
$0 to $999 – 1
$1,000 to $2,999 – 2
$3,000 and above – 3
34. Choose the range that represents how much [you/Person from Q20/Person from Q23/Person from Q28] paid for health insurance premiums in 2023.
$0 to $199 – 1
$100 and $499 – 2
$500 to $999 – 3
35. In 2023, how much was paid out-of-pocket for [^your own/Person from Q20/Person from Q23/Person from Q28’s] medical care by [^you/Person from Q20/Person from Q23/Person from Q28], or on behalf of [^you/Person from Q20/Person from Q23/Person from Q28] not including any premiums paid? This includes any medical spending like copays, prescription medicine, glasses and contacts, allergy medicine, vitamins, and bandages.
$______
[allow someone to skip this question if they don’t know. There are follow-ups.]
36. If you don't know the exact amount, please estimate.
In 2023, how much was paid out-of-pocket for [^your OWN/Person from Q20’s/Person from Q23’s/Person from Q28’s] medical care, not including premiums?
Include:
- copays for doctor and dentist visits
- diagnostic tests
- prescription medicine
- glasses and contacts
- and medical supplies
Include any amount paid out-of-pocket on [your/Person from Q20’s/Person from Q23’s/Person from Q28’s] behalf by anyone in this household.
$0 to $999 – 1
$1,000 to $2,999 – 2
$3,000 and above – 3
37. Choose the range that represents how much [^you/Person from Q20/Person from Q23/Person from Q28] paid for [^your own/their] medical care not including premiums in 2023.
$0 to $199 – 1
$100 and $499 – 2
$500 to $999 – 3
38. In 2023, how much was paid out-of-pocket for [^your/ Person from Q20’s/Person from Q23’s/Person from Q28’s] non-prescription healthcare products? Include spending on items like vitamins, allergy and cold medicine, and anything else not yet reported.
$_____
[allow someone to skip this question if they don’t know. There are follow-ups.]
39. If you don't know the exact amount, please estimate. How much was paid out-of-pocket for [^your/ Person from Q20’s/Person from Q23’s/Person from Q28’s] non-prescription healthcare products.
$0 to $999 – 1
$1,000 to $2,999 – 2
$3,000 and above – 3
40. Choose the range that represents how much [^you/Person from Q20/Person from Q23/Person from Q28] paid for other medical spending in 2023.
$0 to $199 – 1
$100 and $499 – 2
$500 to $999 – 3
Migration
Q1A: Were you living at [Current Address- just street address] one year ago, on September 1, 2023?
Q2A:
Were you living in the United States (within the 50 states and the
District of Columbia) one year ago, on September 1, 2023?
Yes
No
3A.
MIGSTA_1 - State of residence 1 year ago –
for
respondents with a different residence 1 year ago
Q3A:
What state did you live in one year ago, on September 1, 2023?
Alabama
Alaska
Arizona
Arkansas
California
Colorado
Connecticut
Delaware
District of Columbia
Florida
Georgia
Hawaii
Idaho
Illinois
Indiana
Iowa
Kansas
Kentucky
Louisiana
Maine
Maryland
Massachusetts
Michigan
Minnesota
Mississippi
Missouri
Montana
Nebraska
Nevada
New Hampshire
New Jersey
New Mexico
New York
North Carolina
North Dakota
Ohio
Oklahoma
Oregon
Pennsylvania
Rhode Island
South Carolina
South Dakota
Tennessee
Texas
Utah
Vermont
Virginia
Washington
West Virginia
Wisconsin
Wyoming
Q4A: What county in [State] did you live in one year ago, on September 1, 2023?
[Refer to “MIGCOU County List” (accompanying
spreadsheet)]
Q5A:
What city or town in [State] did you live in one year ago, on
September 1, 2023?
[Respondent self-reports via write-in.]
Q6A: What was the main reason for your most recent move, to [current street address]?
[Displayed information when folded:]
1. Family
2. Nonfamily relationship
3. Work
4. Education or training
5. Housing or neighborhood hardship
6. Better-suited housing or neighborhood
7. Health
8. Natural disaster
9. Better-suited climate or region
10. Legal or institutional
11. Other
12. Not my decision
[Displayed information when unfolded:]
Family
Examples: birth of a child; to help parent; divorced; death in family
Nonfamily relationship
Examples: to be with unmarried partner; wanted to live with friend; conflict with roommate
Work
Examples: shorter commute; starting new job; unemployed; armed forces; retired
Education or training
Examples: college; trade school; unpaid internship; desirable public school district
Housing or neighborhood hardship
Examples: unaffordable housing costs; foreclosure; eviction; landlord negligence – such as refusal to provide repairs, pest or mold control, or heating; neighborhood safety concerns; homelessness
Better-suited housing or neighborhood
Examples: found less expensive housing; desirable neighborhood; wanted to own home; down-sized; amenities such as garage, pool, or yard
Health
Examples: needed home without stairs; aging; injury; illness; assisted living; exited rehabilitation
Natural disaster
Examples: hurricane or tornado damage; flooding; wildfire risk
Better-suited climate or region
Examples: less cold or rainy; wanted to live in a city; wanted to live in the Southwest; closer to the mountains
Legal or institutional
Examples: re-entry from prison; foster care; requirements of parole; probation ended
Other
Any reason that does not fit into one of the categories above
Not my decision
Someone else made the decision to move for me/the household
Q7A:
What were the other reasons, if any, for your most recent
move?
[Displayed information when folded:]
1. Family
2. Nonfamily relationship
3. Work
4. Education or training
5. Housing or neighborhood hardship
6. Better-suited housing or neighborhood
7. Health
8. Natural disaster
9. Better-suited climate or region
10. Legal or institutional
11. Other
[intentional space]
12. None
[Displayed information when unfolded:]
Family
Examples: birth of a child; to help parent; divorced; death in family
Nonfamily relationship
Examples: to be with unmarried partner; wanted to live with friend; conflict with roommate
Work
Examples: shorter commute; starting new job; unemployed; armed forces; retired
Education or training
Examples: college; trade school; unpaid internship; desirable public school district
Housing or neighborhood hardship
Examples: unaffordable housing costs; foreclosure; eviction; landlord negligence – such as refusal to provide repairs, pest or mold control, or heating; neighborhood safety concerns; homelessness
Better-suited housing or neighborhood
Examples: found less expensive housing; desirable neighborhood; wanted to own home; down-sized; amenities such as garage, pool, or yard
Health
Examples: needed home without stairs; aging; injury; illness; assisted living; exited rehabilitation
Natural disaster
Examples: hurricane or tornado damage; flooding; wildfire risk
Better-suited climate or region
Examples: less cold or rainy; wanted to live in a city; wanted to live in the Southwest; closer to the mountains
Legal or institutional
Examples: re-entry from prison; foster care; requirements of parole; probation ended
Other
Any reason that does not fit into one of the categories above
None
No additional reasons for moving
Q8A: Other than your move to [Current address – just street], did you move another time between September 1, 2023 and today?
Yes
No
Q9A: There (are/is) (number) other (people/person) in this household who is/are at least 1 year old. Which of these people, if any, lived with you one year ago, on September 1, 2023?
[ALL OTHER HOUSEHOLDERS]
****** Begin Person Loop – 6A_i – 8A_i *******
For testing, only do one loop. Randomly choose one person to do this loop.
Universe: person selected in 9A (MIGALL_1) (someone living with the R one yr ago)
Q6A_i What was [name selected in 9A]’s main reason for their most recent move, to [current address – street only]?
[Displayed information when folded:]
1. Family
2. Nonfamily relationship
3. Work
4. Education or training
5. Housing or neighborhood hardship
6. Better-suited housing or neighborhood
7. Health
8. Natural disaster
9. Better-suited climate or region
10. Legal or institutional
11. Other
12. Not their decision
[Displayed information when unfolded:]
Family
Examples: birth of a child; to help parent; divorced; death in family
Nonfamily relationship
Examples: to be with unmarried partner; wanted to live with friend; conflict with roommate
Work
Examples: shorter commute; starting new job; unemployed; armed forces; retired
Education or training
Examples: college; trade school; unpaid internship; desirable public school district
Housing or neighborhood hardship
Examples: unaffordable housing costs; foreclosure; eviction; landlord negligence – such as refusal to provide repairs, pest or mold control, or heating; neighborhood safety concerns; homelessness
Better-suited housing or neighborhood
Examples: found less expensive housing; desirable neighborhood; wanted to own home; down-sized; amenities such as garage, pool, or yard
Health
Examples: needed home without stairs; aging; injury; illness; assisted living; exited rehabilitation
Natural disaster
Examples: hurricane or tornado damage; flooding; wildfire risk
Better-suited climate or region
Examples: less cold or rainy; wanted to live in a city; wanted to live in the Southwest; closer to the mountains
Legal or institutional
Examples: re-entry from prison; foster care; requirements of parole; probation ended
Other
Any reason that does not fit into one of the categories above
Not their decision
Someone else made the decision to move for them/ the household
Q7A_i : What were the other reasons, if any, for [person]’s most recent move?
[Displayed information when folded:]
Family
Nonfamily relationship
Work
Education or training
Housing or neighborhood hardship
Better-suited housing or neighborhood
Health
Natural disaster
Better-suited climate or region
Legal or institutional
Other
[space]
None
[Displayed information when unfolded:]
Family
Examples: birth of a child; to help parent; divorced; death in family
Nonfamily relationship
Examples: to be with unmarried partner; wanted to live with friend; conflict with roommate
Work
Examples: shorter commute; starting new job; unemployed; armed forces; retired
Education or training
Examples: college; trade school; unpaid internship; desirable public school district
Housing or neighborhood hardship
Examples: unaffordable housing costs; foreclosure; eviction; landlord negligence – such as refusal to provide repairs, pest or mold control, or heating; neighborhood safety concerns; homelessness
Better-suited housing or neighborhood
Examples: found less expensive housing; desirable neighborhood; wanted to own home; down-sized; amenities such as garage, pool, or yard
Health
Examples: needed home without stairs; aging; injury; illness; assisted living; exited rehabilitation
Natural disaster
Examples: hurricane or tornado damage; flooding; wildfire risk
Better-suited climate or region
Examples: less cold or rainy; wanted to live in a city; wanted to live in the Southwest; closer to the mountains
Legal or institutional
Examples: re-entry from prison; foster care; requirements of parole; probation ended
Other
Any reason that does not fit into one of the categories above
None
No additional reasons for moving
Universe: Just the one person selected for this loop.
Q8A_i: Other than [name]’s move to [Current address – just street], did they move another time between September 1, 2023 and today?
Yes
No
***** End Person Loop ****
** start of loop for people (although only choosing one person) who did not live with R one year ago***
1A-L. NXTSAM_1-L - Residence 1 year ago (ROYA)
Universe: Q1A = 2 (R not living at address one yr ago) AND people who were NOT selected on Q9A (other HH member not living with R one year ago)
Select one person for testing.
Q1A-L: Was [name] living at [Current Address] one year ago, on September 1, 2023?
Yes
No
Q2A-L:
Was [name] living in the United States (within the 50 states and the
District of Columbia) one year ago, on September 1, 2023?
Yes
No
3A-L.
NXTSTA_1-L - State of residence 1 year ago
Q3A-L:
What state did [name] live in one year ago, on September 1, 2023?
Alabama
Alaska
Arizona
Arkansas
California
Colorado
Connecticut
Delaware
District of Columbia
Florida
Georgia
Hawaii
Idaho
Illinois
Indiana
Iowa
Kansas
Kentucky
Louisiana
Maine
Maryland
Massachusetts
Michigan
Minnesota
Mississippi
Missouri
Montana
Nebraska
Nevada
New Hampshire
New Jersey
New Mexico
New York
North Carolina
North Dakota
Ohio
Oklahoma
Oregon
Pennsylvania
Rhode Island
South Carolina
South Dakota
Tennessee
Texas
Utah
Vermont
Virginia
Washington
West Virginia
Wisconsin
Wyoming
Q4A-L: What county in [State] did [name] live in one year ago, on September 1, 2023?
[Refer to “MIGCOU County List”]
5A-L.* NXTPLC_1-L – City or town of residence 1 year ago
Q5A-L:
What city or town in [State] did [name] live in one year ago,
on September 1, 2023?
[Respondent self-reports via write-in.]
Q6A-L: What was the main reason for [name]’s most recent move to [current street address, same one we’ve been using]?
[Displayed information when folded:]
1. Family
2. Nonfamily relationship
3. Work
4. Education or training
5. Housing or neighborhood hardship
6. Better-suited housing or neighborhood
7. Health
8. Natural disaster
9. Better-suited climate or region
10. Legal or institutional
11. Other
[Displayed information when unfolded:]
Family
Examples: birth of a child; to help parent; divorced; death in family
Nonfamily relationship
Examples: to be with unmarried partner; wanted to live with friend; conflict with roommate
Work
Examples: shorter commute; starting new job; unemployed; armed forces; retired
Education or training
Examples: college; trade school; unpaid internship; desirable public school district
Housing or neighborhood hardship
Examples: unaffordable housing costs; foreclosure; eviction; landlord negligence – such as refusal to provide repairs, pest or mold control, or heating; neighborhood safety concerns; homelessness
Better-suited housing or neighborhood
Examples: found less expensive housing; desirable neighborhood; wanted to own home; down-sized; amenities such as garage, pool, or yard
Health
Examples: needed home without stairs; aging; injury; illness; assisted living; exited rehabilitation
Natural disaster
Examples: hurricane or tornado damage; flooding; wildfire risk
Better-suited climate or region
Examples: less cold or rainy; wanted to live in a city; wanted to live in the Southwest; closer to the mountains
Legal or institutional
Examples: re-entry from prison; foster care; requirements of parole; probation ended
Other
Any reason that does not fit into one of the categories above
Not their decision
Q7A-L:
What were the other reasons, if any, for [name]’s most
recent move?
1. Family
2. Nonfamily relationship
3. Work
4. Education or training
5. Housing or neighborhood hardship
6. Better-suited housing or neighborhood
7. Health
8. Natural disaster
9. Better-suited climate or region
10. Legal or institutional
11. Other
[space]
12. None
Family
Examples: birth of a child; to help parent; divorced; death in family
Nonfamily relationship
Examples: to be with unmarried partner; wanted to live with friend; conflict with roommate
Work
Examples: shorter commute; starting new job; unemployed; armed forces; retired
Education or training
Examples: college; trade school; unpaid internship; desirable public school district
Housing or neighborhood hardship
Examples: unaffordable housing costs; foreclosure; eviction; landlord negligence – such as refusal to provide repairs, pest or mold control, or heating; neighborhood safety concerns; homelessness
Better-suited housing or neighborhood
Examples: found less expensive housing; desirable neighborhood; wanted to own home; down-sized; amenities such as garage, pool, or yard
Health
Examples: needed home without stairs; aging; injury; illness; assisted living; exited rehabilitation
Natural disaster
Examples: hurricane or tornado damage; flooding; wildfire risk
Better-suited climate or region
Examples: less cold or rainy; wanted to live in a city; wanted to live in the Southwest; closer to the mountains
Legal or institutional
Examples: re-entry from prison; foster care; requirements of parole; probation ended
Other
Any reason that does not fit into one of the categories above
None
No additional reasons for moving
Q8A-L: Other than [name]’s move to [Current address – just street], did they move another time between September 1, 2023 and today?
Yes
No
** end of loop for person who did not live with R one year ago***
Q1B: Were you living at [Current Address- just street] ten years ago, on September 1, 2014?
Yes
No
Q2B: Were you living in the United States (within the 50 states and the District of Columbia) ten years ago, on September 1, 2014?
Yes
No
Q3B: What state did you live in ten years ago, on September 1, 2014?
Alabama
Alaska
Arizona
Arkansas
California
Colorado
Connecticut
Delaware
District of Columbia
Florida
Georgia
Hawaii
Idaho
Illinois
Indiana
Iowa
Kansas
Kentucky
Louisiana
Maine
Maryland
Massachusetts
Michigan
Minnesota
Mississippi
Missouri
Montana
Nebraska
Nevada
New Hampshire
New Jersey
New Mexico
New York
North Carolina
North Dakota
Ohio
Oklahoma
Oregon
Pennsylvania
Rhode Island
South Carolina
South Dakota
Tennessee
Texas
Utah
Vermont
Virginia
Washington
West Virginia
Wisconsin
Wyoming
4B.*
MIGCTY_10 - County of residence 10 years ago –
for respondents with a different residence 10 years ago
Q4B:
What county in [State] did you live in ten years ago, September 1,
2014?
[Refer to “MIGCOU County List”]
Q5B: What city or town in [State] did you live in ten years ago, on September 1, 2014?
[Respondent self-reports via write-in.]
Q6B: What was the main reason for your most recent move, to [current street address]?
[Displayed information when folded:]
1. Family
2. Nonfamily relationship
3. Work
4. Education or training
5. Housing or neighborhood hardship
6. Better-suited housing or neighborhood
7. Health
8. Natural disaster
9. Better-suited climate or region
10. Legal or institutional
11. Other
12. Not my decision
[Displayed information when unfolded:]
Family
Examples: birth of a child; to help parent; divorced; death in family
Nonfamily relationship
Examples: to be with unmarried partner; wanted to live with friend; conflict with roommate
Work
Examples: shorter commute; starting new job; unemployed; armed forces; retired
Education or training
Examples: college; trade school; unpaid internship; desirable public school district
Housing or neighborhood hardship
Examples: unaffordable housing costs; foreclosure; eviction; landlord negligence – such as refusal to provide repairs, pest or mold control, or heating; neighborhood safety concerns; homelessness
Better-suited housing or neighborhood
Examples: found less expensive housing; desirable neighborhood; wanted to own home; down-sized; amenities such as garage, pool, or yard
Health
Examples: needed home without stairs; aging; injury; illness; assisted living; exited rehabilitation
Natural disaster
Examples: hurricane or tornado damage; flooding; wildfire risk
Better-suited climate or region
Examples: less cold or rainy; wanted to live in a city; wanted to live in the Southwest; closer to the mountains
Legal or institutional
Examples: re-entry from prison; foster care; requirements of parole; probation ended
Other
Any reason that does not fit into one of the categories above
Not my decision
Someone else made the decision to move for me/the household
Q7B: What were the other reasons, if any, for your most recent move?
[Displayed information when folded:]
1. Family
2. Nonfamily relationship
3. Work
4. Education or training
5. Housing or neighborhood hardship
6. Better-suited housing or neighborhood
7. Health
8. Natural disaster
9. Better-suited climate or region
10. Legal or institutional
11. Other
[intentional space]
12. None
Displayed information when unfolded:
Family
Examples: birth of a child; to help parent; divorced; death in family
Nonfamily relationship
Examples: to be with unmarried partner; wanted to live with friend; conflict with roommate
Work
Examples: shorter commute; starting new job; unemployed; armed forces; retired
Education or training
Examples: college; trade school; unpaid internship; desirable public school district
Housing or neighborhood hardship
Examples: unaffordable housing costs; foreclosure; eviction; landlord negligence – such as refusal to provide repairs, pest or mold control, or heating; neighborhood safety concerns; homelessness
Better-suited housing or neighborhood
Examples: found less expensive housing; desirable neighborhood; wanted to own home; down-sized; amenities such as garage, pool, or yard
Health
Examples: needed home without stairs; aging; injury; illness; assisted living; exited rehabilitation
Natural disaster
Examples: hurricane or tornado damage; flooding; wildfire risk
Better-suited climate or region
Examples: less cold or rainy; wanted to live in a city; wanted to live in the Southwest; closer to the mountains
Legal or institutional
Examples: re-entry from prison; foster care; requirements of parole; probation ended
Other
Any reason that does not fit into one of the categories above
None
No additional reasons for moving
Q8B: Other than your move to [Current address – just street], did you move another time between September 1, 2014 and today?
Yes
No
Q9B: There (are/is) (number) other (people/person) in this household at least 10 years old. Which of these people, if any, lived with you ten years ago, on September 1, 2014?
[ALL OTHER HOUSEHOLDERS 10 yrs old or more]
****** Begin Person Loop – 6B_i – 8B_i *******
Universe: any person selected in 9B (someone living with the R 10 yr ago)
For testing, only do one loop. Randomly choose one person to do this loop.
Q6B_i What was [name selected from 9B]’s main reason for their most recent move, to [current address – street only]?
[Displayed information when folded:]
1. Family
2. Nonfamily relationship
3. Work
4. Education or training
5. Housing or neighborhood hardship
6. Better-suited housing or neighborhood
7. Health
8. Natural disaster
9. Better-suited climate or region
10. Legal or institutional
11. Other
12. Not their decision
[Displayed information when unfolded:]
Family
Examples: birth of a child; to help parent; divorced; death in family
Nonfamily relationship
Examples: to be with unmarried partner; wanted to live with friend; conflict with roommate
Work
Examples: shorter commute; starting new job; unemployed; armed forces; retired
Education or training
Examples: college; trade school; unpaid internship; desirable public school district
Housing or neighborhood hardship
Examples: unaffordable housing costs; foreclosure; eviction; landlord negligence – such as refusal to provide repairs, pest or mold control, or heating; neighborhood safety concerns; homelessness
Better-suited housing or neighborhood
Examples: found less expensive housing; desirable neighborhood; wanted to own home; down-sized; amenities such as garage, pool, or yard
Health
Examples: needed home without stairs; aging; injury; illness; assisted living; exited rehabilitation
Natural disaster
Examples: hurricane or tornado damage; flooding; wildfire risk
Better-suited climate or region
Examples: less cold or rainy; wanted to live in a city; wanted to live in the Southwest; closer to the mountains
Legal or institutional
Examples: re-entry from prison; foster care; requirements of parole; probation ended
Other
Any reason that does not fit into one of the categories above
Not their decision
Someone else made the decision to move for them/ the household
Q7B_i : What were the other reasons, if any, for [person]’s most recent move?
[Displayed information when folded:]
1. Family
2. Nonfamily relationship
3. Work
4. Education or training
5. Housing or neighborhood hardship
6. Better-suited housing or neighborhood
7. Health
8. Natural disaster
9. Better-suited climate or region
10. Legal or institutional
11. Other
[space]
None
[Displayed information when unfolded:]
Family
Examples: birth of a child; to help parent; divorced; death in family
Nonfamily relationship
Examples: to be with unmarried partner; wanted to live with friend; conflict with roommate
Work
Examples: shorter commute; starting new job; unemployed; armed forces; retired
Education or training
Examples: college; trade school; unpaid internship; desirable public school district
Housing or neighborhood hardship
Examples: unaffordable housing costs; foreclosure; eviction; landlord negligence – such as refusal to provide repairs, pest or mold control, or heating; neighborhood safety concerns; homelessness
Better-suited housing or neighborhood
Examples: found less expensive housing; desirable neighborhood; wanted to own home; down-sized; amenities such as garage, pool, or yard
Health
Examples: needed home without stairs; aging; injury; illness; assisted living; exited rehabilitation
Natural disaster
Examples: hurricane or tornado damage; flooding; wildfire risk
Better-suited climate or region
Examples: less cold or rainy; wanted to live in a city; wanted to live in the Southwest; closer to the mountains
Legal or institutional
Examples: re-entry from prison; foster care; requirements of parole; probation ended
Other
Any reason that does not fit into one of the categories above
None
No additional reasons for moving
Q8B_i: Other than [name]’s move to [Current address – just street], did they move another time between September 1, 2014 and today?
Yes
No
***** End Person Loop ****
** start of loop for people (although only choosing one person) who did not live with R ten years ago***
Universe: Respondent ages 10+ who was NOT on MIGALL_10 COHABITANT LIST (did not live with R 10 yrs ago)
Select one person for testing
Q1B-L: Was [person] living at [Current Address] ten years ago, on September 1, 2014?
Yes
No
Q2B-L: Was [name] living in the United States (within the 50 states and the District of Columbia) ten years ago, on September 1, 2014?
Yes
No
Q3B-L: What state did [name] live in ten years ago, on September 1, 2014?
Alabama
Alaska
Arizona
Arkansas
California
Colorado
Connecticut
Delaware
District of Columbia
Florida
Georgia
Hawaii
Idaho
Illinois
Indiana
Iowa
Kansas
Kentucky
Louisiana
Maine
Maryland
Massachusetts
Michigan
Minnesota
Mississippi
Missouri
Montana
Nebraska
Nevada
New Hampshire
New Jersey
New Mexico
New York
North Carolina
North Dakota
Ohio
Oklahoma
Oregon
Pennsylvania
Rhode Island
South Carolina
South Dakota
Tennessee
Texas
Utah
Vermont
Virginia
Washington
West Virginia
Wisconsin
Wyoming
Q4B-L:
What county in [State] did [name] live in ten years ago, September 1,
2014?
[Refer to “MIGCOU County List”]
Q5B-L: What city or town in [State] did [reference person name] live in ten years ago, on September 1, 2014?
[Respondent self-reports via write-in.]
Q6B-L: What was the main reason for [name]’s most recent move to [current street address]?
[Displayed information when folded:]
1. Family
2. Nonfamily relationship
3. Work
4. Education or training
5. Housing or neighborhood hardship
6. Better-suited housing or neighborhood
7. Health
8. Natural disaster
9. Better-suited climate or region
10. Legal or institutional
11. Other
12. Not their decision
[Displayed information when unfolded:]
Family
Examples: birth of a child; to help parent; divorced; death in family
Nonfamily relationship
Examples: to be with unmarried partner; wanted to live with friend; conflict with roommate
Work
Examples: shorter commute; starting new job; unemployed; armed forces; retired
Education or training
Examples: college; trade school; unpaid internship; desirable public school district
Housing or neighborhood hardship
Examples: unaffordable housing costs; foreclosure; eviction; landlord negligence – such as refusal to provide repairs, pest or mold control, or heating; neighborhood safety concerns; homelessness
Better-suited housing or neighborhood
Examples: found less expensive housing; desirable neighborhood; wanted to own home; down-sized; amenities such as garage, pool, or yard
Health
Examples: needed home without stairs; aging; injury; illness; assisted living; exited rehabilitation
Natural disaster
Examples: hurricane or tornado damage; flooding; wildfire risk
Better-suited climate or region
Examples: less cold or rainy; wanted to live in a city; wanted to live in the Southwest; closer to the mountains
Legal or institutional
Examples: re-entry from prison; foster care; requirements of parole; probation ended
Other
Any reason that does not fit into one of the categories above
Not their decision
Someone else made the decision to move for them/the household
Q7B-L: What were the other reasons, if any, for [name]’s most recent move?
Displayed information when folded:
1. Family
2. Nonfamily relationship
3. Work
4. Education or training
5. Housing or neighborhood hardship
6. Better-suited housing or neighborhood
7. Health
8. Natural disaster
9. Better-suited climate or region
10. Legal or institutional
11. Other
12. None
Displayed information when unfolded:
Family
Examples: birth of a child; to help parent; divorced; death in family
Nonfamily relationship
Examples: to be with unmarried partner; wanted to live with friend; conflict with roommate
Work
Examples: shorter commute; starting new job; unemployed; armed forces; retired
Education or training
Examples: college; trade school; unpaid internship; desirable public school district
Housing or neighborhood hardship
Examples: unaffordable housing costs; foreclosure; eviction; landlord negligence – such as refusal to provide repairs, pest or mold control, or heating; neighborhood safety concerns; homelessness
Better-suited housing or neighborhood
Examples: found less expensive housing; desirable neighborhood; wanted to own home; down-sized; amenities such as garage, pool, or yard
Health
Examples: needed home without stairs; aging; injury; illness; assisted living; exited rehabilitation
Natural disaster
Examples: hurricane or tornado damage; flooding; wildfire risk
Better-suited climate or region
Examples: less cold or rainy; wanted to live in a city; wanted to live in the Southwest; closer to the mountains
Legal or institutional
Examples: re-entry from prison; foster care; requirements of parole; probation ended
Other
Any reason that does not fit into one of the categories above
None
No additional reasons for moving
Q8B-L: Other than [name]’s move to [Current address – just street], did they move another time between September 1, 2014 and today?
Yes
No
[End of instrument]
| File Type | application/vnd.openxmlformats-officedocument.wordprocessingml.document |
| Author | Jennifer Sinibaldi (CENSUS/CBSM FED) |
| File Modified | 0000-00-00 |
| File Created | 2025-08-12 |