TANF LEAVERS...1 TANF LEAVERS 1X. INTERVIEWER: IS THIS A TRACKER BASED INTERVIEW? 1 YES, TRACKER...

1

TANF LEAVERS

1X. INTERVIEWER: IS THIS A TRACKER BASED INTERVIEW?

1 YES, TRACKER BASED2 NO, R CALLED IN – SKIP TO INSTRUCTION AFTER 2X.3 NO, CALL INITIATED BY PHONE CENTER – SKIP TO INSTRUCTION

AFTER 2X

2X. WHAT IS THE TRACKER’S ID NUMBER?

[CATI: DISPLAY R’S NAME, ADDRESS, PHONE NUMBER.]

SCREENER / INTRODUCTION

Hello, my name is . I’m calling from Response Analysis Corporation. We are a nationalsurvey research company located in Princeton, New Jersey. May I please speak to(RESPONDENT)?

INTERVIEWER: IF NECESSARY READ: “(RESPONDENT) has been selected to help us with astudy on employment and employment issues in [CATI: IF CLEVELAND, INSERT “Cuyahoga (KI-YAH-HOE-GAH) County”. IF LOS ANGELES, INSERT: “the Los Angeles area.”]

A week ago we sent you a letter saying we would be calling to talk to you about your experiences sinceyou stopped receiving cash welfare last year. Did you receive that letter?

CODES1 YES (DISPLAY SECOND TEXT CHOICE IN PARENTHESES BELOW)2 NO (DISPLAY FIRST TEXT CHOICE IN PARENTHESES BELOW)7 DON’T KNOW (DISPLAY FIRST TEXT CHOICE IN PARENTHESES BELOW)8 REFUSED (DISPLAY FIRST TEXT CHOICE IN PARENTHESES BELOW)

(The letter explained that/Good! As we mentioned in the letter,) we are doing a survey of people whostopped receiving cash welfare or AFDC during the past one year on behalf of [CATI: IFCLEVELAND, INSERT: “Cuyahoga Work and Training”. IF LOS ANGELES, INSERT: “TheDepartment of Public and Social Services.”] The purpose of this survey is to learn how well families aredoing once they stop receiving cash welfare. According to our records you received welfare benefitsuntil (LAST BENEFIT MONTH/YEAR). Even if you have children who have received benefits since(LAST BENEFIT MONTH/YEAR) we are interested in the time since just your own benefits ended.Some of the questions I’ll ask you will be about how things in your life have changed since last (LASTBENEFIT MONTH+1/YEAR), that is, since the first month you did not receive cash benefits. I will

2

also ask you a few questions about your children and other family members. This should only takeabout 30 – 40 minutes. Participation is completely voluntary. Your name will not be connected with anyinformation you give me and what you say will not affect your ability to get benefits now or in the future.You may refuse to answer any question. In appreciation for your help, we will pay you $10 forcompleting the interview. If you are ready, we can begin.

First I must make sure that you are the person I am supposed to be interviewing.

1. When were you born? ____ ____ / ____ ____ / 19____ ____

DOES DATE OF BIRTH AGREE WITH THE SCREEN?

1 YES (BEGIN QUESTIONNAIRE)2 NO (ASK NEXT QUESTION)

2. What are the last 4 digits of your Social Security Number? ____ ____ ____ ____

DO THE 4 DIGITS AGREE WITH THE SCREEN?

1 YES (BEGIN QUESTIONNAIRE)2 NO (DISCONTINUE THE INTERVIEW)

3

SECTION A: EDUCATION/EMPLOYMENT TRAINING PARTICIPATION

I’d like to begin with a few questions about any education and employment-related services youreceived.

A1. Since your welfare benefits ended in (FINAL BENEFIT MONTH+1/YEAR), did you takepart for at least one month in any Adult Basic Education (ABE) classes for improving your basicreading and math skills, or GED classes to help you prepare for the GED test, or classes toprepare for a regular high school diploma?

1 YES2 NO7 DON’T KNOW8 REFUSED

A2. Since your welfare benefits ended in (FINAL BENEFIT MONTH+1/YEAR), did you take anycollege courses for credit toward a college degree for at least one month? This would includecourses at community, 2-year, and 4-year colleges.


A3. Since your welfare benefits ended in (FINAL BENEFIT MONTH+1/YEAR), did you takepart in ESL classes, that is, English as a Second Language, for at least one month?


A4. Since your welfare benefits ended in (FINAL BENEFIT MONTH+1/YEAR), did you takevocational training classes for a specific job, trade, or occupation for at least one month?Please don’t include any activities that we already talked about.

1 YES2 NO

4

7 DON’T KNOW8 REFUSED

5

SECTION B: EDUCATIONAL ATTAINMENT

B1a. Do you have any type of trade license or training certificate?

1 YES2 NO — GO TO B2a7 DON’T KNOW — GO TO B2a8 REFUSED — GO TO B2a

B1b. When did you receive it? PROBE: In what month and year? IF R SAYS SPRING, ENTERMAY (05).

OPEN [DATE MM/YYYY]

97/9997 DON’T KNOW98/9998 REFUSED

B1c. What type of certificate/license is it?

OPEN


B2a. Do you have a GED certificate?



OPEN [DATE MM/YYYY]


6

[CATI: IF R HAS A GED, B2A IS “YES” (1), GO TO B4A.]

B3a. Do you have a high school diploma?

1 YES2 NO — GO TO B77 DON’T KNOW — GO TO B78 REFUSED — GO TO B7


OPEN [DATE MM/YYYY]


CATI: IF R DOES NOT HAVE A GED, B2A IS “NO” (2), “DK” (7), OR “RF” (8), AND RDOES NOT HAVE A DIPLOMA, B3A IS “NO” (2), “DK” (7), OR “RF” (8), GO TO B7.

B4a. Do you have an Associate’s degree?



OPEN [DATE MM/YYYY]


7

B5a. Do you have a Bachelor’s degree?

1 YES2 NO — GO TO B77 DON’T KNOW — GO TO B78 REFUSED — GO TO B7


OPEN [DATE MM/YYYY]


B6a. Do you have a graduate degree?

1 YES2 NO — GO TO C17 DON’T KNOW — GO TO C18 REFUSED — GO TO C1


OPEN [DATE MM/YYYY]


[CATI: GO TO C1.]

8

B7. [CATI: DISPLAY “R HAS GED” IF B2A IS “YES” (1).] What was the highest grade orlevel of school or college you have ever completed?

INTERVIEWER: IF R HAS GED AND ANSWERS “12TH GRADE,” SAY: “We’reinterested in knowing the last grade of high school you completed before getting the GED.”

01 UNGRADED PROGRAM — GO TO C102 GRADE 1-11 — GO TO B803 12TH GRADE/SENIOR YEAR — GO TO B9a04 1 YEAR OF COLLEGE — GO TO C105 2+ YEARS OF COLLEGE — GO TO C197 DON’T KNOW — GO TO C198 REFUSED — GO TO C1

B8. WHAT WAS THE NUMBER OF THE GRADE COMPLETED?

RANGE 1-11


[CATI: GO TO C1.]

B9a. [CATI: IF B7 IS “12TH GRADE” (03), AND B3A IS “NO” (2), “DK” (7), OR “RF” (8),ASK B9A, ELSE GO TO C1.] Earlier I recorded you did not have a high school diploma. I’dlike to verify that I entered that correctly. Do you have a high school diploma?

1 YES, DID RECEIVE DIPLOMA — GO TO B3a2 NO, DID NOT RECEIVE DIPLOMA

B9b. Did you complete 12th grade?

1 YES2 NO – GO TO B77 DON’T KNOW — GO TO C18 REFUSED — GO TO C1

9

B9c. Most people receive a high school diploma after completing 12th grade. What is the reason thatyou did not receive a diploma?

OPEN


10

SECTION C: MARRIAGE/HOUSEHOLD COMPOSITION/HOUSING

Now I’d like to ask you some questions about you and your family.

C1. First, have you ever been married?


C2. Are you currently:

1 married and living with your husband,2 separated or living apart from your husband,3 divorced, or4 widowed?7 DON’T KNOW8 REFUSED

C3. Now I’d like to ask you some questions about your housing. Do you:

01 own your own home,02 live with other people and not pay rent,03 live with other people and contribute part of the rent,04 rent your home, or05 live in some other arrangement? SPECIFY:_______________________________06 HOMELESS AND LIVING ON THE STREET07 LIVING IN A SHELTER08 TREATMENT-RELATED FACILITY09 JAIL97 DON’T KNOW98 REFUSED

C4a. How long have you [CATI: IF C3 IS CODE 01-04, INSERT “lived here in this home?” IFC3 IS “LIVE IN SOME OTHER ARRANGEMENT” (05) OR “DK” (7), OR “RF” (8),INSERT “lived in this arrangement?” IF C3 IS “HOMELESS” (06), INSERT “beenhomeless?” IF C3 IS “LIVING IN A SHELTER” (07), INSERT “lived in a shelter?” IF C3

11

IS “TREATMENT-RELATED FACILITY” (08), INSERT “been in this facility?” IF C3 IS“JAIL” (09), INSERT “been in jail?”.]

INTERVIEWER: IF LESS THAN ONE WEEK, ENTER ONE WEEK. IF LESS THANWHOLE WEEK, ROUND UP. IF R GIVES RESPONSE IN MONTHS AND YEARS,CONVERT RESPONSE INTO MONTHS.

12 MONTHS = 1 YEAR24 MONTHS = 2 YEARS36 MONTHS = 3 YEARS48 MONTHS = 4 YEARS60 MONTHS = 5 YEARS

RANGE 1 — ?

96 ALL MY LIFE97 DON’T KNOW98 REFUSED

C4b. R GAVE ANSWER IN:

1 WEEKS2 MONTHS3 YEARS7 DON’T KNOW8 REFUSED

CATI: IF R IS IN JAIL FOR LESS THAN ONE MONTH, C3 IS “JAIL” (09), C4A IS LESSTHAN “4,” AND C4B IS “WEEKS” (1), GO TO C6. IF R IS IN A TREATMENT FACILITYFOR LESS THAN ONE MONTH, C3 IS “TREATMENT FACILITY” (08), C4A IS LESS THAN“4,” AND C4B IS “WEEKS” (1), GO TO C6.

CATI: IF R IS IN JAIL FOR ONE OR MORE MONTHS, C3 IS “JAIL” (09), AND C4A ISGREATER THAN OR EQUAL TO “4” AND C4B IS “WEEKS” (1) OR C4A IS GREATERTHAN OR EQUAL TO “1” AND C4B IS “MONTHS” (2) OR “YEARS” (3), GO TOINSTRUCTIONS FOR HH ROSTER (BEFORE C25).IF R IS IN A TREATMENT FACILITY FOR ONE OR MORE MONTHS, C3 IS “TREATMENTFACILITY” (08), AND C4A IS GREATER THAN OR EQUAL TO “4” AND C4B IS “WEEKS”(1) OR C4A IS GREATER THAN OR EQUAL TO “1” AND C4B IS “MONTHS” (2) OR“YEARS” (3), GO TO INSTRUCTIONS FOR HH ROSTER (BEFORE C25).

CATI: IF C2 IS “CURRENTLY MARRIED AND LIVING WITH HUSBAND” (1), GO TO C6.

12

C5. Are you currently living with a boyfriend or partner as a couple?

1 YES2 NO3 YES, SAME SEX PARTNER7 DON’T KNOW8 REFUSED

Now I’m going to ask you about each person who was living in your household at any time in (PRIORMONTH).

C6. In (PRIOR MONTH), did you have any children of your own living in the household? Pleaseinclude any foster or adopted children. Also include any grandchildren living with you.

1 YES2 NO — GO TO INSTRUCTIONS BEFORE C117 DON’T KNOW — GO TO INSTRUCTIONS BEFORE C118 REFUSED — GO TO INSTRUCTIONS BEFORE C11

CATI: PLEASE DISPLAY ALL NAMES REPORTED IN C7. ALLOW UP TO 10 CHILDREN.IF “NO OTHER” (96), GO TO INSTRUCTION BEFORE C8.

C7. Please tell me the first name of each child. Who else?

95 SPECIFY: 96 NO OTHER97 DON’T KNOW— GO TO INSTRUCTIONS BEFORE C1198 REFUSED— GO TO INSTRUCTIONS BEFORE C11

[CATI: ASK C8 THROUGH C10A FOR AS MANY CHILDREN AS MENTIONED IN C7.]

C8. Is (CHILD’S NAME FROM C7) a male or female?

1 MALE2 FEMALE7 DON’T KNOW8 REFUSED

13

C9. What is (CHILD’S NAME) relationship to you? IF R SAYS “CHILD” PROBE FOR TYPEOF CHILD.

03 R’S BIOLOGICAL CHILD04 BIOLOGICAL CHILD OF R’S SPOUSE OR PARTNER05 R’S ADOPTED/FOSTER CHILD06 PARTNER/SPOUSE’S ADOPTED/FOSTER CHILD13 R’S GRANDCHILD14 PARTNER/SPOUSE’S GRANDCHILD97 DON’T KNOW98 REFUSED

CATI: IF C8 IS “MALE” (1), DISPLAY FIRST TEXT CHOICE IN PARENTHESES FOR C10AAND C10B. IF C8 IS “FEMALE” (2), DISPLAY SECOND TEXT CHOICE IN PARENTHESESFOR C10A AND C10B.

C10a. What was (CHILD’S NAME) age on (his/her) last birthday? INTERVIEWER: IF CHILD ISLESS THAN ONE YEAR OLD, ENTER ZERO.

RANGE 0-? — GO TO INSTRUCTION BEFORE C11


C10b. IF “DK” (7) OR “RF” (8) IN C10A, ASK: On (his/her) last birthday, was (CHILD’SNAME):

1 under 3 years old,2 3 through 5 years old,3 6 through 12 years old,4 13 through 17 years old, or5 18 years old or older?7 DON’T KNOW8 REFUSED

CATI: IF R IS NOT LIVING WITH A SPOUSE, C2 IS GREATER THAN CODE 1 OR C2 IS“NO” (2), “DK” (7), OR “RF” (8), AND R IS NOT LIVING WITH A PARTNER AS A COUPLE,C5 IS “NO” (2), “DK” (7), OR “RF” (8), GO TO INSTRUCTIONS BEFORE C18.

14

CATI: IF C2 IS “MARRIED AND LIVING WITH YOUR HUSBAND” (1), DISPLAY “spouse”IN PARENTHESES FOR C11 THROUGH C13. IF C5 IS “YES” (1) OR “YES, SAME SEXPARTNER” (3), DISPLAY “partner” IN PARENTHESES FOR C11 THROUGH C13.

CATI: IF C5 IS “YES, SAME SEX PARTNER” (3), DISPLAY “she” IN PARENTHESESFOR C13. ELSE DISPLAY “he”.

C11. Now let me record your (spouse/partner)’s first name.

OPEN


C12. Was your (spouse/partner) living in your household in (PRIOR MONTH)?

1 YES2 NO — GO TO INSTRUCTIONS BEFORE C187 DON’T KNOW8 REFUSED

[CATI: DISPLAY ONE COLUMN WITH ALL NAMES REPORTED IN C7.]

C13. In (PRIOR MONTH), did your (spouse/partner) have any children living in the household(other than the child(ren) we’ve already listed)? Please include any foster or adopted children(he/she) may have. Also include any grandchildren (he/she) has living with you.


CATI: DISPLAY ONE COLUMN WITH ALL NAMES REPORTED IN C7. DISPLAY ASECOND COLUMN WITH ALL NAMES REPORTED IN C14.

CATI: ASK C14 FOR UP TO 10 CHILDREN. IF “NO OTHER” (96), GO TO INSTRUCT-IONBEFORE C15.

15

C14. Please tell me the first name of each child. Who else? INTERVIEWER: IF DUPLICATENAME IN C7 AND C14 ASK: You have already mentioned a (DUPLICATE NAME) as amember of your household. Is this a different (DUPLICATE NAME)?

95 SPECIFY:

96 NO OTHER97 DON’T KNOW— GO TO INSTRUCTIONS BEFORE C1898 REFUSED— GO TO INSTRUCTIONS BEFORE C18

[CATI: ASK C15 THROUGH C17 FOR AS MANY CHILDREN AS MENTIONED IN C14.]

C15. Is (CHILD’S NAME FROM C14) a male or female?


C16. What is (CHILD’S NAME) relationship to you? IF R SAYS “CHILD” PROBE FOR TYPEOF CHILD.

03 R’S BIOLOGICAL CHILD04 BIOLOGICAL CHILD OF R’S SPOUSE OR PARTNER05 R’S ADOPTED/FOSTER CHILD06 PARTNER/SPOUSE’S ADOPTED/FOSTER CHILD13 R’S GRANDCHILD14 PARTNER/SPOUSE’S GRANDCHILD97 DON’T KNOW98 REFUSED

CATI: IF C15 IS “MALE” (1), DISPLAY FIRST TEXT CHOICE IN PARENTHESES FORC17A AND C17B. IF C15 IS “FEMALE” (2), DISPLAY SECOND TEXT CHOICE INPARENTHESES FOR C17A AND C17B.

16

C17a. What was (CHILD’S NAME) age on (his/her) last birthday? INTERVIEWER: IF CHILD ISLESS THAN ONE YEAR OLD, ENTER ZERO.

RANGE 0-? — GO TO INSTRUCTIONS BEFORE C18


C17b. IF “DK” (7) OR “RF” (8) IN C17A, ASK: On (his/her) last birthday, was (CHILD’SNAME):


CATI: DISPLAY ONE COLUMN WITH ALL NAMES REPORTED IN C7. DISPLAY ASECOND COLUMN WITH ALL NAMES REPORTED IN C14. DISPLAY A THIRD COLUMNWITH ALL NAMES REPORTED IN C18. IF SPOUSE/PARTNER LIVED IN HOUSEHOLD INPRIOR MONTH, C12 IS “YES” (1), DISPLAY NAME FROM C11 AT BOTTOM OF SECONDCOLUMN IN PARENTHESES.

CATI: ASK C18 FOR UP TO 10 PEOPLE. IF “NO OTHER” (96), GO TO INSTRUCTIONBEFORE C21.

C18. Now please tell me the first names of everyone else who lived in your household in (PRIORMONTH). Who else? INTERVIEWER: IF DUPLICATE NAME IN C18 ASK: You havealready mentioned a (DUPLICATE NAME) as a member of your household. Is this a different(DUPLICATE NAME)?

95 SPECIFY:_________________

96 NO OTHER97 DON’T KNOW— GO TO INSTRUCTIONS BEFORE C2198 REFUSED— GO TO INSTRUCTIONS BEFORE C21

17

[CATI: ASK C19 THROUGH C20B FOR AS MANY NAMES AS MENTIONED IN C18.]

C19. Is (NAME) a male or female?


C20a. How is (NAME) related to you?

07 R’S MOTHER08 R’S FATHER09 R’S FOSTER PARENT10 R’S BROTHER/SISTER11 OTHER RELATIVE12 FRIEND/NON-RELATIVE13 R’S GRANDCHILD14 PARTNER/SPOUSE’S GRANDCHILD97 DON’T KNOW98 REFUSED

CATI: IF C19 IS “MALE” (1), DISPLAY FIRST TEXT CHOICE IN PARENTHESES FORC20B AND C20C. IF C19 IS “FEMALE” (2), DISPLAY SECOND TEXT CHOICE INPARENTHESES FOR C20B AND C20C.

C20b. What was (NAME)’s age on (his/her) last birthday? INTERVIEWER: IF CHILD IS LESSTHAN ONE YEAR OLD, ENTER ZERO.

RANGE 0-94 — GO TO INSTRUCTION BEFORE C21


C20c. IF “DK” (7) OR “RF” (8) IN C20B, ASK: On (his/her) last birthday, was (NAME):

1 under 3 years old,2 3 through 5 years old,

18

3 6 through 12 years old,4 13 through 17 years old, or5 18 years old or older?7 DON’T KNOW8 REFUSED

19

CATI: PLEASE DISPLAY RESPONDENT’S FIRST NAME AND NAMES OF EVERYONELISTED IN C7, C14 AND C18. ALSO DISPLAY NAME IN C11 IFSPOUSE/PARTNER LIVED IN HOUSEHOLD IN PRIOR MONTH, C12 IS “YES” (1).

C21. Did we list everyone, including any babies or small children and anyone else who lived in yourhousehold in (PRIOR MONTH) but is away?

1 YES — GO TO INTRODUCTION BEFORE C252 NO7 DON’T KNOW— GO TO INTRODUCTION BEFORE C258 REFUSED— GO TO INTRODUCTION BEFORE C25

C22. Please tell me the first name(s) of anyone we missed.

95 SPECIFY:

96 NO OTHER97 DON’T KNOW98 REFUSED

CATI: ASK C23 THROUGH C24B FOR AS MANY NAMES AS MENTIONED IN C22. IF“NO OTHER” (96), GO TO INTRODUCTION BEFORE C25.

C23. Is (NAME FROM C22) a male or female?


20

C24a. What is (NAME)’s relationship to you?

01 R’S SPOUSE02 R’S PARTNER (BOYFRIEND/GIRLFRIEND)03 R’S BIOLOGICAL CHILD04 BIOLOGICAL CHILD OF R’S SPOUSE OR PARTNER05 R’S ADOPTED/FOSTER CHILD06 PARTNER/SPOUSE’S ADOPTED/FOSTER CHILD07 R’S MOTHER08 R’S FATHER09 R’S FOSTER PARENT10 R’S BROTHER/SISTER11 OTHER RELATIVE12 FRIEND/NON-RELATIVE13 R’S GRANDCHILD14 PARTNER/SPOUSE’S GRANDCHILD97 DON’T KNOW98 REFUSED

CATI: IF C23 IS “MALE” (1), DISPLAY FIRST TEXT CHOICE IN PARENTHESES FORC24B AND C24C. IF C23 IS “FEMALE” (2), DISPLAY SECOND TEXT CHOICE INPARENTHESES FOR C24B AND C24C.

C24b. What was (NAME)’s age on (his/her) last birthday? INTERVIEWER: IF CHILD IS LESSTHAN ONE YEAR OLD, ENTER ZERO.

RANGE 0-94


21

C24c. IF “DK” (7) OR “RF” (8) IN C24B, ASK: On (his/her) last birthday, was (NAME):


HOUSEHOLD ROSTER:

CATI: CREATE ROSTER (4 QUESTIONS) INCLUDING NAME, GENDER, RELATIONSHIP,AND AGE RANGE OF ALL HOUSEHOLD MEMBERS. THE FIRST QUESTION SHOULDINCLUDE NAMES OF ALL HOUSEHOLD MEMBERS REPORTED IN C7, C14, C18, ANDC22. INCLUDE NAME REPORTED IN C11 IF SPOUSE/PARTNER LIVED IN THEHOUSEHOLD IN THE PRIOR MONTH, C12 IS “YES” (1). INCLUDE R’S NAME FROMSAMPLE AS FIRST MEMBER OF HH. THE SECOND QUESTION SHOULD INCLUDEGENDER OF ALL HH MEMBERS AS REPORTED IN C8, C15, C19, AND C23. CODE R’SGENDER AS “FEMALE” (2). IF SPOUSE/PARTNER LIVED IN THE HOUSEHOLD IN THEPRIOR MONTH, C12 IS “YES” (1), CODE GENDER OF NAME FROM C11 AS “MALE” (1)UNLESS C5 IS “SAME SEX PARTNER” (3). THE THIRD QUESTION SHOULD INCLUDERELATIONSHIP TO R OF ALL HH MEMBERS AS REPORTED IN C9, C16, C20A, ANDC24A. INSERT “SELF” (00) FOR R’S RELATIONSHIP. IF R IS MARRIED AND LIVINGWITH SPOUSE, C2 IS “YES” (1) AND SPOUSE/PARTNER LIVED IN THE HOUSEHOLD INTHE PRIOR MONTH, C12 IS “YES” (1), INSERT “SPOUSE” (01) FOR NAME IN C11. IF RHAS A PARTNER, C5 IS “YES” (1), OR “YES, SAME SEX PARTNER” (3) ANDSPOUSE/PARTNER LIVED IN THE HOUSEHOLD IN THE PRIOR MONTH, C12 IS “YES”(1), INSERT “PARTNER” (02) FOR NAME IN C11. THE FOURTH QUESTION SHOULDCREATE A VARIABLE “AGE RANGE”. IF AGE IN C10A, C17A, C20B OR C24B IS UNDER3 YEARS OLD, CODE AGE RANGE AS (1). IF AGE IS 3 THROUGH 5 YEARS OLD, CODEAGE RANGE AS (2). IF AGE IS 6 THROUGH 12 YEARS OLD, CODE AGE RANGE AS (3).IF AGE IS 13 THROUGH 17 YEARS OLD, CODE AGE RANGE AS (4). IF AGE IS 18 YEARSOLD OR OLDER OR NO AGE IS GIVEN, CODE AGE RANGE AS (5). IF AGE IN C10A,C17A, C20B OR C24B IS “DK” (7), USE AGE RANGE GIVEN IN C10B, C17B, C20C ORC24C.

Sometimes when relatives or friends live in the same household, they pool their income and contribute toone another’s support. Other times the individuals or families keep their finances separate from the restof the household. For this interview, we want to talk about your “immediate family,” that is, JUST THE

22

PEOPLE IN YOUR HOUSEHOLD that you help to support or who help support you or yourchildren.

IMMEDIATE FAMILY MEMBER:

CATI: LOOP THROUGH C25 FOR EACH MEMBER OF HOUSEHOLD ROSTER. IF HHMEMBER’S RELATIONSHIP IS SELF (00), R’S SPOUSE (01), OR R’S PARTNER (02), CODEAS “YES” (1) AND DO NOT DISPLAY QUESTION TO INTERVIEWER. IF HH MEMBER’SRELATIONSHIP IS TYPE OF CHILD (03-06) AND CHILD’S AGE RANGE IN ROSTER ISUNDER 18 YEARS OLD (1-4), CODE AS “YES” (1) AND DO NOT DISPLAY QUESTION TOINTERVIEWER. FOR ALL OTHER HH MEMBERS, ASK C25. IF NO OTHER HHMEMBERS REMAIN, GO TO INTRODUCTION BEFORE C26.

CATI: PLEASE DISPLAY QUESTION TEXT FOR C25 WHEN ASKING ABOUT EACH HHMEMBER. IF GENDER IS “MALE” (1), DISPLAY FIRST TEXT CHOICE IN PARENTHESESFOR C25. IF GENDER IS “FEMALE” (2), DISPLAY SECOND TEXT CHOICE INPARENTHESES FOR C25.

C25. How about (NAME)? Would you consider (him/her) to be part of your immediate family, thatis, someone you help to support or who helps to support you or your children?


Thinking back to your living situation since your welfare benefits ended — that is, since (FINALBENEFIT MONTH+1/YEAR) — have any of the following things happened to you?

C26. Since (FINAL BENEFIT MONTH+1/YEAR) did you start living with a boyfriend or partner?


C27. Since (FINAL BENEFIT MONTH+1/ YEAR) did you get married?

23


C28. Since (FINAL BENEFIT MONTH+1/YEAR) did you stop living with a boyfriend or partner?


24

CATI: IF C2 IS “MARRIED AND LIVING WITH YOUR HUSBAND” (1), DISPLAY “or yourspouse” IN PARENTHESES FOR C29. IF C5 IS “YES” (1) OR “YES, SAME SEXPARTNER” (3), DISPLAY “or your partner” IN PARENTHESES FOR C29.

C29. Since your welfare benefits ended — that is, since (FINAL BENEFIT MONTH+1/ YEAR)did any child of yours leave home before turning 18 to go live somewhere else? Please includeany adopted and foster children you (or your spouse/or your partner) may have orgrandchildren living with you as part of your immediate family.


[CATI: IF C29 IS “NO” (2), “DK” (7), OR “RF” (8), GO TO C33.]

C30. How many children under the age of 18 left to live somewhere else?

RANGE 1 — 10

97 DON’T KNOW — GO TO C3398 REFUSED — GO TO C33

[CATI: IF C30 IS GREATER THAN ONE, REPEAT C31 AND C32 FOR EACH CHILD.]

CATI: IF C30 IS ONE, DISPLAY FIRST TEXT CHOICE IN PARENTHESES FOR C31. IFC30 IS GREATER THAN ONE, DISPLAY SECOND TEXT CHOICE FOR FIRST CHILD ANDTHIRD TEXT CHOICE FOR SUBSEQUENT CHILDREN FOR C31.

C31. Why did (this/the first/next) child leave? PROBE FOR THE MAIN REASON.

OPEN


25

C32. Who does this child live with now?

01 MATERNAL GRANDPARENT02 OTHER MATERNAL RELATIVE03 CHILD’S BIOLOGICAL FATHER04 PATERNAL RELATIVE05 FOSTER HOME06 ALONE/WITH FRIENDS OR PARTNER07 IN SCHOOL AWAY FROM HOME08 IN JAIL/JUVENILE FACILITY09 IN THE MILITARY10 IN THE HOSPITAL11 CHILD’S BIOLOGICAL MOTHER95 OTHER (SPECIFY):


C33. Since (FINAL BENEFIT MONTH+1/YEAR) did any child or grandchild of yours return toyour home before turning 18 after living somewhere else?


C34. Since (FINAL BENEFIT MONTH+1/YEAR) did you move in with another householdbecause you needed a place to live?


C35. Since (FINAL BENEFIT MONTH+1/YEAR) did you take in family or friends because theyneeded a place to live?

1 YES2 NO7 DON’T KNOW

26

8 REFUSED

C36. Since (FINAL BENEFIT MONTH+1/YEAR) did you start taking in boarders or roommatesto help pay expenses?


C37. Since (FINAL BENEFIT MONTH+1/YEAR) did you set up your own household so youwouldn’t have to share a place with family or friends?


CATI: IF C2 IS “MARRIED AND LIVING WITH YOUR HUSBAND” (1), ASK C38 ANDINSERT FIRST TEXT CHOICE IN PARENTHESES. IF R IS LIVING WITH ABOYFRIEND OR PARTNER AS A COUPLE, C5 IS ONE OR THREE (1, 3), ASK C38AND INSERT SECOND TEXT CHOICE IN PARENTHESES. ELSE, GO TOINSTRUCTION BEFORE C39.

C38. Since (FINAL BENEFIT MONTH+1/YEAR) would you say your relationship with your(husband/partner) has:

1 improved,2 become worse, or3 stayed about the same?7 DON’T KNOW8 REFUSED

CATI: IF C3 IS “HOMELESS” (06), “LIVING IN A SHELTER” (07), “TREATMENT-RELATEDFACILITY” (08), OR “JAIL” (09), GO TO C41.

27

C39. How many rooms altogether are there in your home -- that is, in the space occupied byeveryone staying in your household? Count all the rooms, including the kitchen, but don’t countbathrooms. ONLY COUNT THE BASEMENT IF IT IS FINISHED.

RANGE 1-20 ROOMS


[CATI: IF C3 IS “OWN YOUR OWN HOME” (01), GO TO C41.]

C40a. Does some public agency pay for part of your rent, such as in Section 8 housing or do you livein public housing? IF YES, PROBE FOR PUBLIC AGENCY OR PUBLIC HOUSING.

1 YES, LIVE IN SUBSIDIZED HOUSING WITH PART OF RENT PAID BY APUBLIC AGENCY

2 YES, LIVE IN PUBLIC HOUSING3 NO7 DON’T KNOW8 REFUSED

C40b. Last (FINAL BENEFIT MONTH+1/YEAR) did some public agency pay for part of your rent,such as in Section 8 housing or did you live in public housing? IF YES, PROBE FOR PUBLICAGENCY OR PUBLIC HOUSING.

1 YES, LIVE IN SUBSIDIZED HOUSING WITH PART OF RENT PAID BY APUBLIC AGENCY

2 YES, LIVE IN PUBLIC HOUSING3 NO7 DON’T KNOW8 REFUSED

28

C41. Thinking back to your living situation since your welfare benefits ended — that is since (FINALBENEFIT MONTH+1/YEAR), were you evicted from any residence?


C42a. Thinking back to your living situation since (FINAL BENEFIT MONTH+1/YEAR), did youlive in an emergency housing shelter or a domestic violence shelter?


[CATI: IF C42A IS “NO” (2), “DK” (7), OR “RF” (8), GO TO C43A.]

C42b. Since your welfare benefits ended in (FINAL BENEFIT MONTH+1/YEAR), for how longaltogether were you living in a shelter? INTERVIEWER: IF LESS THAN WHOLE WEEK,CONVERT INTO DAYS. IF LESS THAN WHOLE MONTH, CONVERT INTOWEEKS.

1 MONTH = 4 WEEKS2 MONTHS = 8 WEEKS3 MONTHS = 12 WEEKS

RANGE 1 — ?


C42c. R GAVE ANSWER IN:

1 DAYS2 WEEKS3 MONTHS7 DON’T KNOW8 REFUSED

29

C43a. Thinking back to your living situation since (FINAL BENEFIT MONTH+1/YEAR), were youhomeless and living on the street?


[CATI: IF C43A IS “NO” (2), “DK” (7), OR “RF” (8), GO TO C44.]

C43b. Since your welfare benefits ended in (FINAL BENEFIT MONTH+1/YEAR), for how longaltogether were you homeless? INTERVIEWER: IF LESS THAN WHOLE WEEK,CONVERT INTO DAYS. IF LESS THAN WHOLE MONTH, CONVERT INTOWEEKS.

1 MONTH = 4 WEEKS2 MONTHS = 8 WEEKS3 MONTHS = 12 WEEKS

RANGE 01 — ?


C43c. R GAVE ANSWER IN:

1 DAYS2 WEEKS3 MONTHS7 DON’T KNOW8 REFUSED

C44. Since your welfare benefits ended in (FINAL BENEFIT MONTH+1/YEAR), how many timesaltogether have you moved [CATI: IF C3 IS “JAIL” (09), INSERT: “not including when youbecame incarcerated”]? INTERVIEWER: MOVES IN AND OUT OF TREATMENTFACILITIES DON’T COUNT.

30

RANGE 0-? MOVES


[CATI: IF C44 IS ZERO, GO TO THE INSTRUCTION BEFORE C46. ELSE, GO TO C45.]

C45. What was the main reason for [CATI: IF C44 IS ONE, INSERT “that move”. IF C44 ISGREATER THAN ONE, “DK” (97) OR “RF” (98), INSERT “your most recent move”]?

OPEN


CATI: FOR ALL QUESTIONS FROM C46 IN SECTION C THROUGH SECTION I WITHCHOICE OF TEXT FOR “(children/grandchildren)”, DISPLAY TEXT FOR “children” IFANY IMMEDIATE FAMILY MEMBER HAS RELATIONSHIP CODE “03-06”.DISPLAY TEXT FOR “grandchildren” IF ANY IMMEDIATE FAMILY MEMBER HASRELATIONSHIP CODE “13-14”. BOTH TEXT OPTIONS SHOULD BE DISPLAYEDWHEN IMMEDIATE FAMILY INCLUDES BOTH CHILDREN, RELATIONSHIP CODE“03-06”, AND GRANDCHILDREN, RELATIONSHIP CODE “13-14”.

C46. Now I would like to ask you a few questions about your immediate family and yourneighborhood and your (children’s/grandchildren’s) progress in school.”]

[CATI: ASK C46A FOR HUD SAMPLE ONLY.]

CATI: IF R IS IN JAIL, C3 IS “JAIL” (09), INSERT AT THE BEGINNING OF C46B: “The nextfew questions are about the home you lived in just before you went to jail.”IF R IS IN A TREATMENT FACILITY, C3 IS “TREATMENT-RELATED FACILITY” (08),INSERT AT THE BEGINNING OF C46B: “The next few questions are about the home you lived injust before you entered the treatment facility.”IF R IS HOMELESS, C3 IS “HOMELESS” (06), INSERT AT THE BEGINNING OF C46B: “Thenext few questions are about the home you lived in just before you became homeless.”IF R IS LIVING IN A SHELTER, C3 IS “LIVING IN A SHELTER” (07), INSERT AT THEBEGINNING OF C46B: “The next few questions are about the home you lived in just before youentered the shelter.”

31

C46a. Overall, how would you describe the condition of your [CATI: IF C3 HOUSINGARRANGEMENT IS 01-05, INSERT “current”] house or apartment? Would you say it wasin:

1 excellent condition,2 good condition,3 fair condition, or4 poor condition?7 DON’T KNOW8 REFUSED

32

CATI: IF R IS HOMELESS (C3 IS “06”), LIVING IN A SHELTER (C3 IS “07”), OR ATREATMENT FACILITY (C3 IS “08”), OR IS IN JAIL (C3 IS “09”), DISPLAY SECOND TEXTCHOICE IN PARENTHESES FOR C46B THROUGH C46K.

C46b. Which of the following statements best describes how satisfied you (are/were) with yourneighborhood? (Are/were) you:

1 very satisfied,2 somewhat satisfied,3 in the middle,4 somewhat dissatisfied, or5 very dissatisfied?7 DON’T KNOW8 REFUSED

CATI: ASK C46C THROUGH C46K FOR HUD SAMPLE ONLY. IF NOT HUD SAMPLE,GO TO C47.

CATI: IF NO IMMEDIATE FAMILY MEMBER (IN C25) WITH RELATIONSHIP CODES “03-06, 13-14” HAS AGE RANGE “3-4”, GO TO C46D.

C46c. How safe (is/was) the area near your (children’s/grandchildren’s) school? (Is/was) it:

1 very safe,2 safe,3 unsafe, or4 very unsafe?7 DON’T KNOW8 REFUSED

C46d. How safe (is/was) it for you to be at home alone at night? (Is/was) it:


33

C46e. How safe (are/were) the streets near your home during the day? (Are/were) they:


C46f. How safe (are/were) the streets near your home at night? (Are/were) they:


CATI: IF NO IMMEDIATE FAMILY MEMBER (IN C25) WITH RELATIONSHIP CODES “03-06, 13-14” HAS AGE RANGE “3, 4”, GO TO C46H.

C46g. How long (does/did) it take your (child/grandchild) to get to school? (Is/was) it:

1 10 minutes,2 20 minutes,3 30 minutes, or4 more than 30 minutes?7 DON’T KNOW8 REFUSED

34

C46h. How long (does/did) it take you to get to the nearest bus or train stop? (Is/was) it:


C46i. How long (does/did) it take you to get to the grocery store you (use/used) most of the time?(Is/was) it:


C46j. How long (does/did) it take you to get to the doctor or health clinic you (use/used) most of thetime? (Is/was) it:


C46k. How long (does/did) it take you to get to the nearest park or playground? (Is/was) it:


35

[CATI: ASK C47 FOR EACH ITEM (A-I) LISTED BELOW.]

CATI: DISPLAY FIRST TEXT CHOICE IN PARENTHESES FOR C47B, C47C, AND C47D.DISPLAY SECOND TEXT CHOICE IN PARENTHESES FOR C47A, AND C47E – C47I.

C47. How much of a problem do you feel any of the following problems (are/were) in yourneighborhood? How much of a problem [(is/was)(are/were)] ________? [(Is it/was it) (arethey/were they)]:

a. gangsb. lack of police protectionc. vandalismd. thefte. vehicle break-insf. assaults/fightsg. concerns with unsupervised teenagersh. gunsi. drugs

1 no problem at all,2 a small problem, or3 a big problem?7 DON’T KNOW8 REFUSED

36

SECTION D: LABOR FORCE/EMPLOYMENT

The next questions are about all paid jobs you’ve had since you last received financial assistance fromthe government.

D1. Since (FINAL BENEFIT MONTH +1/YEAR), have you worked for pay at a regular job atall? Please don’t count unpaid work experience, but do include any paid jobs, including paidcommunity service jobs or paid on-the-job training. [CATI: IF R IS IN JAIL, C3 IS “JAIL”(09), INSERT: Please do not include any jobs you may have had in jail.]

1 YES — GO TO D32 NO7 DON’T KNOW8 REFUSED

D2. A lot of people have irregular or temporary jobs on the side to make ends meet. This wouldinclude odd jobs like babysitting, doing hair, other paid work at home, or other occasional jobslike cleaning houses or doing day labor. Have you done any jobs like that for pay since(FINAL BENEFIT MONTH +1/YEAR)? . [CATI: IF R IS IN JAIL, C3 IS “JAIL” (09),INSERT: Please do not include any jobs you may have had in jail.]

1 YES2 NO — GO TO INSTRUCTION BEFORE D377 DON’T KNOW8 REFUSED

D3. Are you currently working at any regular or odd job for pay?

1 YES2 NO — GO TO INSTRUCTION BEFORE D77 DON’T KNOW8 REFUSED

37

D4. Are you working for an employer, self-employed, or both? PROBE: By self-employed I meanyou work for yourself or you own your own business, professional practice or farm.

1 WORKING FOR EMPLOYER ONLY2 SELF-EMPLOYED ONLY3 BOTH7 DON’T KNOW8 REFUSED

D5. How many jobs do you currently have — counting self-employment as one job?

RANGE 1 — ?


[CATI: IF R HAS ONE JOB, D5 IS ONE (1), GO TO INSTRUCTION BEFORE D7.]

D6. Of these jobs, which one do you work at the most hours? INTERVIEWER: IF R REFUSESTO NAME EMPLOYER, GET A GENERAL DESCRIPTION OF PLACE OFEMPLOYMENT.

OPEN


[CATI: ALL GO TO D8A.]

38

CATI: IF R IS CURRENTLY WORKING, D3 IS “YES” (1), DISPLAY FIRST TEXT CHOICEIN PARENTHESES FOR D7 THROUGH D15. IF R IS NOT CURRENTLY WORKING,D3 IS “NO” (2), “DK” (7), OR “RF” (8), DISPLAY SECOND TEXT CHOICE INPARENTHESES FOR D7 THROUGH D15.

D7. Please tell me where you (work/worked last). What (is/was) your employer’s name?INTERVIEWER: IF R REFUSES TO NAME EMPLOYER, GET A GENERALDESCRIPTION OF PLACE OF EMPLOYMENT.

OPEN


D8a. What kind of work (do/did) you do on this job? PROBE FOR MOST IMPORTANTACTIVITIES. What (are/were) your main responsibilities? IF APPROPRIATE ANDUSEFUL, PROBE: What (is/was) your job title?

OPEN


[CATI: IF R IS CURRENTLY WORKING, D3 IS “YES” (1), GO TO D8C.]

CATI: DISPLAY ANSWER FROM D6 AND D7 ABOVE QUESTION TEXT FOR D8BTHROUGH D21.

D8b. When you worked (for) (REFER TO JOB NAME OR DESCRIPTION DISPLAYEDABOVE) were you working for an employer or were you self-employed?

1 WORKING FOR EMPLOYER2 SELF-EMPLOYED7 DON’T KNOW8 REFUSED

D8c. What kind of business or industry (is/was) this? PROBE: What (do/did) they make or dowhere you (work/worked)?

OPEN

39


D9a. In what month and year did you start (REFER TO JOB)?

OPEN [DATE MM/YYYY]


D9b. In what month and year did you stop (REFER TO JOB)?

OPEN [DATE MM/YYYY]

77/7777 STILL WORKING97/9997 DON’T KNOW98/9998 REFUSED

D10. Which of the following best describes your usual weekly work schedule at your job during thelast month you worked? Did you work a:

01 regular daytime shift,02 regular evening shift,03 regular night shift,04 rotating shift (one that changes regularly from days to evenings to nights)05 split shift (one consisting of two distinct periods each day)06 an irregular schedule (one that changes from day to day), or95 something else? (SPECIFY)__________________________________________

D11. Including overtime, how many hours per week (do/did) you usually work on this job?

RANGE 1 — 65 [80 MAX]


D12. How much (are/were) you earning in total before taxes and other deductions were taken out(now at this job/just before you left)? Please include all earnings, including any tips,

40

commissions, regular overtime pay, and so on. IF R SAYS THE EARNINGS VARY,PROBE FOR A TYPICAL WEEK.

RANGE 1.00 — 25,000.00 [50,000.00 MAX]

99999.97 DON’T KNOW — GO TO D1499999.98 REFUSED — GO TO D14

D13a. (Is/was) that amount you gave me your earnings: READ ALL OPTIONS.

INTERVIEWER: IF R SAYS SOME OTHER UNIT (95) AND ANSWER SPECIFIED ISPIECE WORK (EX. PER HAIRCUT OR PER CAKE DECORATED), PROBE: “Howmany (do/did) you do per week or month?”

01 per hour,02 per day,03 per week,04 every two weeks,05 twice a month,06 once a month, or07 yearly?95 SOME OTHER UNIT (SPECIFY) ____________________________________97 DON’T KNOW98 REFUSED

CATI: IF PAYMENT SCHEDULE WAS DAILY, D13A IS “PER DAY” (02), ASK D13B. ELSEGO TO INSTRUCTIONS BEFORE D14.

D13b. How many days per week (do/did) you work?

RANGE 1— 7


CATI: IF R IS SELF-EMPLOYED, D4 IS “SELF-EMPLOYED ONLY” (2) OR D8B IS “SELF-EMPLOYED” (2), GO TO D16A.

41

CATI: ASK D14 FOR EACH ITEM (A-E) LISTED BELOW. IF YES (1) TO D14C,IMMEDIATELY ASK D15A. IF YES (1) TO D14D, IMMEDIATELY ASK D15B. THENRETURN TO D14E.

D14. (Does/did) your employer make available: INTERVIEWER: WE WANT TO KNOW IF R’SEMPLOYER IS OFFERING IT — REGARDLESS OF WHETHER SHE’S TAKINGADVANTAGE OF IT.

a. sick or personal days with pay?b. paid vacation?c. a health plan or medical insurance for you?d. a health plan or medical insurance for your children?e. training classes or tuition reimbursement?


D15a. (Are/Were) you enrolled in this health plan?

1 YES —GO TO D15a-12 NO — GO TO D15a-37 DON’T KNOW — GO TO D14d8 REFUSED — GO TO D14d

D15a-1 How much do you yourself have to pay per month to participate in this plan?

RANGE $1 — $996 — GO TO D14d

997 DON’T KNOW — GO TO D15a-2998 REFUSED— GO TO D15a-2

D15a-2 Your best guess is fine. Would you say it was:

1 below $10,2 $11 to $25,3 $26 to $50,4 $51 to $75,5 $76 to $100,

42

6 or over $100 per month?7 DON”T KNOW8 REFUSED

[CATI: ALL GO TO D14D.]

43

D15a-3 Why aren’t you enrolled in this plan? What else?

OPEN

97 DON”T KNOW98 REFUSED

[CATI: ALL GO TO D14D.]

D15b. (Are/Were) your children enrolled in this health plan?


D16a. How (do/did) you usually get to this job? (Do/did) you:

01 drive your own car,02 drive someone else’s car,03 walk,04 get a ride with someone,05 ride a bus or other public transportation, or06 get there some other way? SPECIFY: __________________________________07 R WORKS AT HOME (GO TO D22)97 DON’T KNOW98 REFUSED

D16b. How many minutes does it usually take you to travel to this job from your home one way?PROBE: Your best guess is fine.

RANGE 1 — 120 MINUTES [180 MAX]


[CATI: IF NO JOB END DATE GIVEN, D9B IS “STILL WORKING” (77/7777), GO TO D22.]

44

D17. When you left that job at (REFER TO JOB):

1 did you quit,2 were you laid off, — GO TO D203 were you fired, or — GO TO D204 did the job end? — GO TO D227 DON’T KNOW — GO TO D228 REFUSED — GO TO D22

D18. What was the main reason you quit that job?

OPEN


D19. What other reasons did you have for quitting that job? What else?

OPEN


[CATI: GO TO D21.]

D20. Why do you think you were let go from this job? Why else?

OPEN


[CATI: IF D17 IS “LAID OFF” (2) OR “FIRED” (3), GO TO D22.]

45

D21. Aside from the reasons you just told me, was there anything you would have liked to changeabout that job that would have gotten you to continue working there? What else?

OPEN


D22. Excluding the job we’ve just discussed, how many other regular or odd jobs have you had since(FINAL BENEFIT MONTH +1/YEAR). Count any other job(s) you have now.INTERVIEWER: COUNT SELF-EMPLOYMENT AS ONE JOB.

RANGE 0 — 10 [15 MAX]


[CATI: IF D22 IS ZERO, GO TO D38.]

[CATI: IF R HAS ONLY ONE CURRENT JOB, D5 IS ONE, GO TO D23B.]

[CATI: ASK D23A FOR UP TO 5 JOBS. IF “NO OTHER” JOB (96), GO TO D23B.]

46

D23a. What other regular or odd job(s) do you have now? IF R REFUSES TO NAMEEMPLOYER, GET A GENERAL DESCRIPTION.

OPEN


CATI: ASK D23B FOR UP TO 10 JOBS. IF “NO OTHER” JOB (96), GO TO INSTRUCTIONSBEFORE D24.

D23b. What other regular or odd job(s) have you had since (FINAL BENEFIT MONTH +1/YEAR). Let’s begin with [CATI: IF R IS CURRENTLY WORKING, D3 IS “YES” (1),INSERT “the one before the current one.” ELSE INSERT “the one before the most recentone.”] IF R REFUSES TO NAME EMPLOYER, GET A GENERAL DESCRIPTION.PROBE: and the next most recent job? Where did you work before that?

OPEN


CATI: ASK D24 THROUGH D36 FOR EACH JOB REPORTED IN D23A AND D23B.DISPLAY JOB NAME OR DESCRIPTION FROM D23A OR D23B FOR D24 THROUGH D36.

CATI: IF JOB IS FROM D23A, DISPLAY FIRST TEXT CHOICE IN PARENTHESES FORD24 THROUGH D36. IF JOB IS FROM D23B, DISPLAY SECOND TEXT CHOICE FROMPARENTHESES FOR D24 THROUGH D36.

D24. What kind of work (do/did) you do on this job? PROBE FOR MOST IMPORTANTACTIVITIES. What (are/were) your main responsibilities? IF APPROPRIATE ANDUSEFUL, PROBE: What (is/was) your job title?

OPEN


47

D25. When you worked at (REFER TO JOB) were you working for an employer or were you self-employed?

1 WORKING FOR EMPLOYER2 SELF-EMPLOYED7 DON’T KNOW8 REFUSED

D26. In what month and year did you start (REFER TO JOB)?

OPEN [DATE MM/YYYY]


D27. In what month and year did you stop (REFER TO JOB)?

OPEN [DATE MM/YYYY]

77/7777 STILL WORKING97/9997 DON’T KNOW98/9998 REFUSED

D28. Which of the following best describes your usual weekly work schedule at (REFER TO JOB)during the last month you worked? Did you work a:

01 regular daytime shift,02 regular evening shift,03 regular night shift,04 rotating shift (one that changes regularly from days to evenings to nights),05 split shift (one consisting of two distinct periods each day),06 an irregular schedule (one that changes from day to day), or95 something else? (SPECIFY)__________________________________________97 DON’T KNOW98 REFUSED

D29. Including overtime, how many hours per week (do/did) you usually work on this job?

48

RANGE 1 — 65 [80 MAX]


D30. How much (are/were) your earnings in total before taxes and other deductions were taken out?Please include all earnings, including any tips, commissions, regular overtime pay and so on.

RANGE 1.00 — 25,000.00 [50,000.00 MAX]

99999.97 DON’T KNOW99999.98 REFUSED

D31a. (Is/was) that amount you gave me your earnings:

INTERVIEWER: IF R SAYS “SOME OTHER UNIT” (95) AND ANSWER SPECIFIEDIS PIECE WORK (EX. PER HAIRCUT OR PER CAKE DECORATED), PROBE: “Howmany (do/did) you do per week or month?”

01 per hour,02 per day,03 per week,04 every 2 weeks,05 twice a month,06 per month,07 per year, or95 something else? (SPECIFY)__________________________________________97 DON’T KNOW98 REFUSED

CATI: IF PAYMENT SCHEDULE IS DAILY, D31A IS “PER DAY” (02), ASK D31B. ELSEGO TO D32.

D31b. How many days per week (do/did) you work?

RANGE 1 — 7


49

CATI: IF NO JOB END DATE GIVEN, D27 IS “STILL WORKING” (77/7777), GO TO D38.

D32. When you left that job at (REFER TO JOB):

1 did you quit,2 were you laid off, — GO TO D363 were you fired, or — GO TO D364 did the job end? — GO TO D377 DON’T KNOW8 REFUSED

D33. What was the main reason you quit that job?

OPEN


D34. For what other reasons did you quit that job? What else?

OPEN


D35. Aside from the reasons you just told me, was there anything you would have liked to changeabout that job that would have gotten you to continue working there? What else?

OPEN


[CATI: ALL GO TO INSTRUCTIONS BEFORE D37.]

D36. Why do you think you were let go from this job? What else?

OPEN

50


[CATI: IF R IS STILL WORKING, D3 IS “YES” (1), GO TO D38.]

51

[CATI: IF R IS IN JAIL, C3 IS “JAIL” (09), GO TO D38.]

D37. Some people may not be able to get a job even if they want to work. Other people may havepersonal or other reasons for not working for pay right now. What is the main reason you arenot working for pay?

OPEN


D38. Do you have a physical, mental, or other health condition that limits the kind or amount of workyou can do or affects your chances for more education?


52

SECTION E: INCOME SOURCES/EXPENDITURES

Sometimes when relatives or friends live together, they pool their income and contribute to oneanother’s support. Other times the individuals or families keep their finances separate (from the rest ofthe household). Now I have some questions about the various sources of income that you and yourimmediate family may have received in (PRIOR MONTH) of this year. By “immediate family” I meanpeople in your household that you help to support or who help support you or your children. Again, Iwant to assure you that none of your answers will be discussed with anyone.

E1. You may have already answered this, but during (PRIOR MONTH), did you have a job,including any regular, temporary, or odd job?

1 YES2 NO — GO TO INSTRUCTIONS BEFORE E37 DON’T KNOW — GO TO INSTRUCTIONS BEFORE E38 REFUSED — GO TO INSTRUCTIONS BEFORE E3

E2a. During (PRIOR MONTH), how much did you earn in total before taxes and other deductionswere taken out at this job? ROUND TO NEAREST DOLLAR.

RANGE $1 — $9994 — GO TO INSTRUCTIONS BEFORE E3


E2b. Do you think it was closer to:

01 $100,02 $200,03 $400,04 $600,05 $800,06 $1,000, or07 $1,500 or more?97 DON’T KNOW98 REFUSED

CATI: IF R IS THE ONLY IMMEDIATE FAMILY (IN C25) OVER 12, AGE RANGE CODESFOUR AND FIVE (4-5), GO TO E5.

53

E3. Did anyone else in your immediate family have a job last month, including both regular jobs andtemporary or odd jobs?

1 YES2 NO — GO TO E57 DON’T KNOW — GO TO E58 REFUSED — GO TO E5

E4a. During (PRIOR MONTH), how much did they earn in total before taxes and other deductionswere taken out at this job? ROUND TO NEAREST DOLLAR.

RANGE $1 — $9994 — GO TO E5



01 $100,02 $200,03 $400,04 $600,05 $800,06 $1,000, or07 $1,500 or more?97 DON’T KNOW98 REFUSED

E5. In (PRIOR MONTH), did you receive any cash aid from welfare , not counting any childsupport money or child care payments?

1 YES2 NO — GO TO INSTRUCTION BEFORE E77 DON’T KNOW — GO TO INSTRUCTION BEFORE E78 REFUSED — GO TO INSTRUCTION BEFORE E7

54

E6a. During (PRIOR MONTH), how much did you receive in cash aid from welfare? ROUND TONEAREST DOLLAR.

RANGE $1 — $994 — GO TO INSTRUCTION BEFORE E7



01 $100,02 $200,03 $300,04 $400,05 $500,06 $600,07 $700, or08 $750 or more?97 DON’T KNOW98 REFUSED

[CATI: IF R IS THE ONLY IMMEDIATE FAMILY MEMBER IN HH (IN C25), GO TO E9.]

E7. Did anyone else in your immediate family receive welfare on their own grant in (PRIORMONTH)?


55

E8a. During (PRIOR MONTH), how much did they receive in cash aid from welfare? ROUND TONEAREST DOLLAR.

RANGE $1 — $994 — GO TO E9



01 $100,02 $200,03 $300,04 $400,05 $500,06 $600,07 $700, or08 $750, or more?97 DON’T KNOW98 REFUSED

E9. In (PRIOR MONTH), did you receive any Food Stamps?


E10a. During (PRIOR MONTH), how much did you receive in Food Stamps? ROUND TONEAREST DOLLAR.



56


1 $100,2 $200,3 $300,4 $400, or5 $500, or more?7 DON’T KNOW8 REFUSED

CATI: IF R IS THE ONLY IMMEDIATE FAMILY MEMBER IN HH (IN C25), GO TO E13.

E11. Did anyone else in your immediate family receive Food Stamps?


E12a. During (PRIOR MONTH), how much did they receive in Food Stamps? ROUND TONEAREST DOLLAR.

RANGE $1 — $994 — GO TO E13



1 $100,2 $200,3 $300,4 $400, or5 $500 or more?7 DON’T KNOW8 REFUSED

57

E13. In (PRIOR MONTH), did you receive any income from child support, including any childsupport that you or your child received directly from the other parent or through the welfare orchild support agency?

1 YES2 NO — GO TO INSTRUCTIONS BEFORE E157 DON’T KNOW — GO TO INSTRUCTIONS BEFORE E158 REFUSED — GO TO INSTRUCTIONS BEFORE E15

E14a. During (PRIOR MONTH), how much did you receive in child support? ROUND TONEAREST DOLLAR.

RANGE $1 — $9994 — GO TO INSTRUCTIONS BEFORE E15



01 $50,02 $100,03 $200,04 $300,05 $400,06 $500,07 $600,08 $700, or09 $750 or more?97 DON’T KNOW98 REFUSED

CATI: IF R IS THE ONLY IMMEDIATE FAMILY (IN C25) OVER 12, AGE RANGE CODESFOUR AND FIVE (4-5), GO TO E17.

E15. Did anyone else in your immediate family receive child support, including any child support thatthey or their children received directly from another parent or through the welfare or childsupport agency?

1 YES2 NO — GO TO E17

58

7 DON’T KNOW — GO TO E178 REFUSED — GO TO E17

E16a. During (PRIOR MONTH), how much did they receive in child support? ROUND TONEAREST DOLLAR.

RANGE $1 — $9994 — GO TO E17




E17. In (PRIOR MONTH), did you receive disability income , through Supplemental SecurityIncome or SSI, Social Security, or through some other source? INTERVIEWER: THISREFERS TO DISABILITY ONLY, NOT RETIREMENT OR SURVIVOR BENEFITS.


59

E18a. During (PRIOR MONTH), how much did you receive from disability income?

RANGE $1 — $9994 — GO TO INSTRUCTION BEFORE C19





E19. Did anyone else in your immediate family receive disability income?


E20a. During (PRIOR MONTH) how much did they receive from disability income? ROUND TONEAREST DOLLAR.

RANGE $1 — $9994 — GO TO E21


60

E20b. Do you think it was closer:


61

E21. In (PRIOR MONTH), did you receive any money from family or friends outside theimmediate family to help pay for living expenses? Please include anyone living in yourhousehold but who may not be part of your immediate family.


E22a. During (PRIOR MONTH), how much did you receive from someone outside the immediatefamily? ROUND TO NEAREST DOLLAR.






E23. Did anyone else in your immediate family receive money from someone outside theimmediate family?

1 YES2 NO — GO TO E257 DON’T KNOW — GO TO E25

62

8 REFUSED — GO TO E25

E24a. During (PRIOR MONTH), how much did they receive from someone outside the immediatefamily? ROUND TO THE NEAREST DOLLAR.

RANGE $1 — $9994 — GO TO E25




E25. In (PRIOR MONTH), did you receive any money or income from any other source? Thismight include (READ SLOWLY) unemployment insurance, workers’ compensation, alimony,rent from a tenant or boarder, an income tax refund, foster child payments, stipends fromtraining programs, grandparents’ social security income and so on.


E26. What was the source of the money you received? What else? RECORD ALL MENTIONS.

95 SPECIFY: .

96 NO OTHER97 DON’T KNOW

63

98 REFUSED

CATI: ASK E27A FOR EACH SOURCE MENTIONED IN E26. IF “NO OTHER” (96), GO TOE28.

E27a. During (PRIOR MONTH), how much did you receive from (SOURCE)? ROUND TONEAREST DOLLAR.

RANGE $1 — $9994 GO TO INSTRUCTION BEFORE E28





E28. Did anyone else in your immediate family receive money from another source?


64

E29. What was the source of the money they received? What else? RECORD ALL MENTIONS.

95 SPECIFY: .


CATI: ASK E30A FOR EACH SOURCE MENTIONED IN E29. IF “NO OTHER” (96), GO TOE31.

E30a. During (PRIOR MONTH), how much did they receive from (SOURCE)?

RANGE $1 — $9994 — GO TO E31




E31. Did you or anyone in your immediate family get food from a church, food pantry, food bank orany clothing from a church or other charitable organization in (PRIOR MONTH)?


65

E32. The federal government has a special rule that allows parents who make less than about$29,000 a year to pay lower taxes. It’s called the Earned Income Credit or EIC. Did you useit on your most recent federal income tax return?

1 YES2 NO6 DIDN’T FILE TAX RETURN7 DON’T KNOW/NOT SURE/CAN’T REMEMBER8 REFUSED

E33. Not counting any money you might owe on a mortgage or a vehicle, do you [CATI: IF R ISLIVING WITH HER HUSBAND, HH ROSTER INCLUDES A RELATIONSHIP CODE“SPOUSE” (01), INSERT: “or your husband”. IF R IS LIVING WITH A PARTNER, HHROSTER INCLUDES A RELATIONSHIP CODE “PARTNER” (02), INSERT: “or yourpartner”.] have over $100 in debts — that is, do you owe more than $100 to stores, banks,hospitals or doctors, credit unions, credit card companies, friends or relatives and so on?

1 YES2 NO — GO TO INSTRUCTION BEFORE E357 DON’T KNOW8 REFUSED

E34a. Rounding to the nearest hundred dollars, how much do you owe altogether?



E34b. Would it be less than $500, $500 to $1,000, $1,001 to $2000, or more than $2,000?

9991 LESS THAN $5009992 $500 TO $1,0009993 $1,001 TO $2,0009994 MORE THAN $2,0009997 DON’T KNOW9998 REFUSED

66

CATI: IF R HAS BEEN HOMELESS FOR 1+ MONTHS, C3 IS “HOMELESS” (06) AND C4AIS GREATER THAN OR EQUAL TO “4” AND C4B IS “WEEKS” (1) OR C4A IS GREATERTHAN OR EQUAL TO “1” AND C4B IS “MONTHS” (2) OR “YEARS” (3), GO TO F1.IF R HAS BEEN LIVING IN A SHELTER FOR 1+ MONTHS, C3 IS “LIVING IN A SHELTER”(07) AND C4A IS GREATER THAN OR EQUAL TO “4” AND C4B IS “WEEKS” (1) OR C4AIS GREATER THAN OR EQUAL TO “1” AND C4B IS “MONTHS” (2) OR “YEARS” (3), GOTO F1.IF R HAS BEEN IN A TREATMENT FACILITY FOR 1+ MONTHS, C3 IS “TREATMENT-RELATED FACILITY” (08) AND C4A IS GREATER THAN OR EQUAL TO “4” AND C4B IS“WEEKS” (1) OR C4A IS GREATER THAN OR EQUAL TO “1” AND C4B IS “MONTHS” (2)OR “YEARS” (3), GO TO F1.IF R HAS BEEN IN JAIL FOR 1+ MONTHS, C3 IS “JAIL” (09) AND C4A IS GREATER THANOR EQUAL TO “4” AND C4B IS “WEEKS” (1) OR C4A IS GREATER THAN OR EQUAL TO“1” AND C4B IS “MONTHS” (2) OR “YEARS” (3), GO TO F1.

E35. Altogether, in (PRIOR MONTH), what did your immediate family spend on housing—that is,what was your [CATI: IF R OWNS HOME, C3 IS “own your own home” (01), INSERT:“mortgage”. ELSE, INSERT “rent”.] payment. [CATI: IF R OWNS HOME , C3 IS “ownyour own home” (01), INSERT: “Include home insurance and property taxes.”] Please do notinclude utilities like gas, heat and electricity? PROBE FOR AN APPROXIMATION.

RANGE $0 — $9994


E36a. Now I have some questions about the costs for electricity, and other utilities for your home.First, what was your cost for electricity in (PRIOR MONTH)?

RANGE $0 — $500 — GO TO E37


67

E36b. Your best guess is fine. Would you say it was:

1 below $50,2 $50 to $74,3 $75 to $99,4 $100 to $149, or5 $150 or more?7 DON’T KNOW8 REFUSED

E37. Do you use gas, heating oil or propane in your home?

1 YES2 NO — GO TO E39a7 DON’T KNOW — GO TO E39a8 REFUSED

E38a. What was your cost for gas, heating oil or propane in (PRIOR MONTH)?

RANGE $0 — $500 — GO TO E38c



1 below $50,2 $50 to $74,3 $75 to $99,4 $100 to $149, or5 $150 or more?7 DON’T KNOW — GO TO E39a8 REFUSED —GO TO E39a

E38c. Was that amount for (PRIOR MONTH) only or did it cover the past year, the past 3 months (aquarter), or some other time period?

1 PRIOR MONTH ONLY2 PRIOR YEAR3 PRIOR 3 MONTHS (QUARTER)

68

5 OTHER (SPECIFY:) .7 DON’T KNOW8 REFUSED

69

E39a. What was your cost for water supply and sewage disposal in (PRIOR MONTH)?

RANGE $0 — $500 — GO TO E39c



1 below $50,2 $50 to $74,3 $75 to $99,4 $100 to $149, or5 $150 or more?7 DON’T KNOW — GO TO E40a8 REFUSED — GO TO E40a


1 PRIOR MONTH ONLY2 PRIOR YEAR3 PRIOR 3 MONTHS (QUARTER)5 OTHER (SPECIFY:) .7 DON’T KNOW8 REFUSED

E40a. What was your cost for garbage and trash collection in (PRIOR MONTH)?

RANGE $0 — $500 — GO TO E40c


70


1 below $50,2 $50 to $74,3 $75 to $99,4 $100 to $149, or5 $150 or more?7 DON’T KNOW — GO TO F18 REFUSED — GO TO F1


1 PRIOR MONTH ONLY2 PRIOR YEAR3 PRIOR 3 MONTHS (QUARTER)5 OTHER (SPECIFY:) .7 DON’T KNOW8 REFUSED

71

SECTION F: MATERIAL HARDSHIP

These next few questions are about the food eaten in your immediate family. People do different thingswhen they are running out of money for food in order to make their food or their food money go further.

F1. Since your welfare benefits ended in (FINAL BENEFIT MONTH+1/YEAR), did you [CATI:IF THERE IS MORE THAN ONE IMMEDIATE FAMILY MEMBER OVER 17 YEARSOLD, AGE RANGE IS “18 YEARS OLD OR OLDER” (5), INSERT: “or other adults inyour immediate family”.] ever cut the size of your meals or skip meals because there wasn’tenough money for food?

1 YES2 NO — GO TO F37 DON’T KNOW — GO TO F38 REFUSED — GO TO F3

F2. How often did this happen? Would you say:

1 almost every month,2 some months but not every month, or3 only 1 or 2 months?7 DON’T KNOW8 REFUSED

F3. Since your welfare benefits ended in (FINAL BENEFIT MONTH+1/YEAR), did you ever eatless than you felt you should because there wasn’t enough money to buy food?


F4. Since your welfare benefits ended in (FINAL BENEFIT MONTH+1/YEAR), were you everhungry but didn’t eat because you couldn’t afford enough food?

1 YES2 NO7 DON’T KNOW

72

8 REFUSED

Now I’m going to read you several statements that people have made about their food situation. Forthese statements, please tell me whether the statement was OFTEN true, SOMETIMES true, orNEVER true for you [CATI: IF THERE IS MORE THAN ONE IMMEDIATE FAMILYMEMBER IN C25, INSERT: “and your immediate family”.] since your welfare benefits ended, that is,since (FINAL BENEFIT MONTH+1/YEAR).

F5. The first statement is, “the food you bought just didn’t last, and you didn’t have money to getmore.” Was this:

1 often true,2 sometimes true, or3 never true?7 DON’T KNOW8 REFUSED

CATI: IF THERE IS MORE THAN ONE IMMEDIATE FAMILY MEMBER IN C25, DISPLAYSECOND CHOICE IN PARENTHESES IN F6.

F6. The second statement is, “(I/We) couldn’t afford to eat balanced meals.” Was this:

1 often true,2 sometimes true, or3 never true?7 DON’T KNOW8 REFUSED

F7. Which of these statements best describes the food eaten in (PRIOR MONTH). Was it:

1 enough of the kinds of food we wanted,2 enough but not always the kind of food we wanted to eat,3 sometimes not enough to eat, or4 often not enough to eat?7 DON’T KNOW8 REFUSED

73

F8. Has there been any time since your welfare benefits ended in (FINAL BENEFITMONTH+1/YEAR) when you, (your children/your grandchildren), [CATI: IF R IS LIVINGWITH HER HUSBAND, HH ROSTER INCLUDES A RELATIONSHIP CODE“SPOUSE” (01), INSERT: “or your husband”. IF R IS LIVING WITH A PARTNER, HHROSTER INCLUDES A RELATIONSHIP CODE “PARTNER” (02), INSERT: “or yourpartner”.] needed to see a doctor or go to the hospital but you didn’t go because you didn’thave money or medical insurance?


F9. Has there been any time since your welfare benefits ended in (FINAL BENEFITMONTH+1/YEAR) when you, (your children/your grandchildren), [CATI: IF R IS LIVINGWITH HER HUSBAND, HH ROSTER INCLUDES A RELATIONSHIP CODE“SPOUSE” (01), INSERT: “or your husband”. IF R IS LIVING WITH A PARTNER, HHROSTER INCLUDES A RELATIONSHIP CODE “PARTNER” (02), INSERT: “or yourpartner”.] needed to see a dentist but you didn’t go because you didn’t have money or dental ormedical insurance?


F10. [CATI: IF C3 IS “HOMELESS” (06), INSERT “Before you were homeless,”. IF C3 IS“LIVING IN A SHELTER” (07), INSERT “Before you were living in a shelter,” IF C3 IS “INA TREATMENT FACILITY” (08), INSERT “Before you entered the facility,” IF C3 IS “INJAIL” (09), INSERT “Before you were in jail”.] was your gas or electricity ever turned off atany time since your welfare benefits ended in (FINAL BENEFIT MONTH+1/YEAR) becauseyou (or your household) couldn’t afford to pay the bill?

1 YES2 NO3 NOT APPLICABLE — INCLUDED IN MONTHLY RENT7 DON’T KNOW8 REFUSED

74

F11. (Are/Were) there any problems with your housing that sometimes cause you difficulty such as aleaking ceiling, broken windows, any problems with plumbing, running water, heat, rats or bugs?


75

SECTION G: WELFARE EXPERIENCES

Now I’d like to ask you about any experience you, (your children/your grandchildren) might have hadwith government programs like welfare.

G1. When you stopped getting cash welfare benefits last (FINAL BENEFIT MONTH+1/ YEAR),did the welfare office cut you off, or was it your decision to leave welfare?

1 CUT OFF BY WELFARE DEPARTMENT — GO TO G32 OWN DECISION5 OTHER (SPECIFY:) — GO TO G47 DON’T KNOW — GO TO G48 REFUSED — GO TO G4

G2. Why did you leave welfare? What else?

OPEN


[CATI: ALL GO TO G4.]

G3. Why did the welfare office cut you off? What else? RECORD ALL MENTIONS.

01 EARNINGS MADE R INELIGIBLE02 ASSETS WERE TOO HIGH03 YOUNGEST CHILD/GRANDCHILD TURNED 1804 DID NOT FOLLOW PROGRAM RULES—SANCTIONED05 REACHED END OF WELFARE TIME LIMIT06 NOT A U.S. CITIZEN95 OTHER (SPECIFY:) _______________________________________________97 DON’T KNOW98 REFUSED

G4. What did you do to get by when your family stopped receiving benefits? What else?

OPEN

76


G5. When you left cash welfare benefits did you still receive food stamps?

1 YES — GO TO INSTRUCTION BEFORE G82 NO7 DON’T KNOW — GO TO G78 REFUSED — GO TO G7

G6. Why did you stop receiving food stamps? What else?

OPEN


G7. When you left cash welfare benefits, did anyone else in your immediate family receive foodstamps?


CATI: IF SAMPLE IS LOS ANGELES, REPLACE “MEDICAID” WITH “MEDI-CAL” FOR G8THROUGH G11.

G8. When you left cash welfare benefits did anyone in your immediate family continue on(Medicaid/Medi-Cal)?

1 YES2 NO — GO TO INSTRUCTION BEFORE G107 DON’T KNOW8 REFUSED

G9. Did you continue on (Medicaid/Medi-Cal) after leaving cash welfare benefits?

1 YES2 NO

77


CATI: IF R HAS NO CHILD OR GRANDCHILD UNDER 18 YEARS OLD IN HERIMMEDIATE FAMILY, NO ONE WITH RELATIONSHIP CODES “03-06” AND AGE RANGE“1-4”, GO TO G12.

78

[CATI: IF G8 IS NO (2), GO TO G11.]

G10. Did your (children/grandchildren) under 18 continue on (Medicaid/Medi-Cal) after you left cashwelfare benefits?

1 YES, ALL COVERED — GO TO G122 SOME COVERED3 NO, NONE COVERED7 DON’T KNOW — GO TO G128 REFUSED — GO TO G12

G11. Why didn’t those (children/grandchildren) continue on (Medicaid/Medi-Cal)? What else?

OPEN


G12. Have you or (your children/grandchildren) received any cash aid from welfare at any time since(FINAL BENEFIT MONTH+1/YEAR)?

1 YES2 NO — GO TO H17 DON’T KNOW — GO TO H18 REFUSED — GO TO H1

G13. Why did you (or your children/your grandchildren) receive cash aid after (FINAL BENEFITMONTH+1/YEAR)? What else?

OPEN


CATI: IF R HAS NO CHILD OR GRANDCHILD UNDER 18 YEARS OLD IN HERIMMEDIATE FAMILY, NO ONE WITH RELATIONSHIP CODES “03-06” AND AGE RANGE“1-4”, GO TO INTRO BEFORE H1.

79

G14. Since (FINAL BENEFIT MONTH+1/YEAR) did your (children/grandchildren) who are under18 stop receiving welfare benefits?


80

SECTION H: HEALTH AND HEALTH CARE

The next few questions are about health coverage for you and your family.

CATI: IF SAMPLE IS LOS ANGELES, REPLACE “MEDICAID” WITH “MEDI-CAL.” FORH1, H6, H11, H12, H14, H15, AND H18.

H1. In (PRIOR MONTH) were you covered by (Medicaid/Medi-Cal)? PROBE: Did you have avalid (Medicaid/Medi-Cal) card?

1 YES — GO TO H32 NO7 DON’T KNOW8 REFUSED

H2. In (PRIOR MONTH) were you covered by any other health insurance plan?

1 YES2 NO — GO TO H47 DON’T KNOW8 REFUSED

H3. Since (FINAL BENEFIT MONTH+1/YEAR) were there any months when you did not haveany health care coverage?

1 YES2 NO — GO TO INSTRUCTIONS BEFORE H67 DON’T KNOW — GO TO INSTRUCTIONS BEFORE H68 REFUSED — GO TO INSTRUCTIONS BEFORE H6

H4. For how many months since (FINAL BENEFIT MONTH+1/YEAR) did you go without anyhealth care coverage?

RANGE MONTHS 1 — 18

96 NEVER HAD COVERAGE97 DON’T KNOW

81

98 REFUSED

H5. What is the main reason you were not covered by health insurance?

OPEN


CATI: IF “SPOUSE” (01) PART OF HH ROSTER, ASK H6 THROUGH H10. INSERT: “spouse”IN H6 AND “he” IN H7 THROUGH H10.

[CATI: IF “PARTNER” (02) PART OF HH ROSTER, ASK H6 THROUGH H10. INSERT:“partner” IN H6. IF PARTNER’S GENDER IS “FEMALE” (2), INSERT “she” IN H7 THOUGHH10. ELSE INSERT “he” IN H7 THOUGH H10.]

H6. In (PRIOR MONTH) was your (spouse/partner) covered by (Medicaid/Medi-Cal)? PROBE:Did (he/she) have a valid card?


H7. In (PRIOR MONTH) was (he/she) covered by any other health insurance plan?

1 YES2 NO — GO TO H97 DON’T KNOW8 REFUSED

H8. Were there any months since (FINAL BENEFIT MONTH+1/YEAR) when (he/she) did nothave any health care coverage?

1 YES2 NO — GO TO INSTRUCTION BEFORE H117 DON’T KNOW — GO TO INSTRUCTION BEFORE H118 REFUSED — GO TO INSTRUCTION BEFORE H11

82

H9. For how many months since (FINAL BENEFIT MONTH+1/YEAR) did (he/she) go withoutany health care coverage?

RANGE MONTHS 1 — 18

96 NEVER HAD COVERAGE97 DON’T KNOW98 REFUSED

H10. What is the main reason (he/she) was not covered by health insurance?

OPEN


CATI: IF R HAS ONLY ONE CHILD OR GRANDCHILD UNDER 18 YEARS OLD, ONLYONE PERSON WITH RELATIONSHIP CODE “03-06, 13-14” AND AGE RANGE “1-4”, GOTO H15.IF R HAS NO CHILD OR GRANDCHILD UNDER 18 YEARS OLD, NO ONE WITHRELATIONSHIP CODES “03-06, 13-14” AND AGE RANGE “1-4”, GO TO H20.

H11. Thinking about all your (children/grandchildren) under 18 who lived with you in (PRIORMONTH), were all of your (children/grandchildren) covered by (Medicaid/Medi-Cal), weresome of them covered, or were none of them covered?

1 ALL — GO TO H192 SOME3 NONE7 DON’T KNOW8 REFUSED

H12. Thinking about the (children/grandchildren) who were not covered by (Medicaid/Medi-Cal),were all of them covered by any other health insurance plan, were some of them covered byanother health insurance plan, or were none of them covered?

1 ALL2 SOME3 NONE — GO TO H14

83

7 DON’T KNOW8 REFUSED — GO TO H20

H13a. Were they covered by a state health plan such as [CATI: IF SAMPLE IS LOS ANGELES,INSERT: “AIM”. IF SAMPLE IS CLEVELAND, INSERT: “Children’s Health InsuranceProgram (CHIPS) or the Children’s Health Care program”.]?


H13b. What health insurance plan(s) were they covered by? What else?

OPEN


CATI: IF ALL CHILDREN WERE COVERED BY A HEALTH INSURANCE PLAN, H11 IS“ALL” (1) OR H12 IS “ALL” (1), GO TO H19.

H14. What is the main reason your (children/grandchildren) who were not covered by insurance werenot covered by (Medicaid/Medi-Cal)?

OPEN


[CATI: GO TO H20.]

84

H15. In (PRIOR MONTH) was your (child/grandchild) who is under age 18 covered by(Medicaid/Medi-Cal)?


85

H16. In (PRIOR MONTH) was this (child/grandchild) covered by any other health insurance plan?

1 YES2 NO — GO TO H187 DON’T KNOW8 REFUSED — GO TO H19

H17a. Was this child covered by a state health plan such as [CATI: IF SAMPLE IS LOSANGELES, INSERT: “AIM”. IF SAMPLE IS CLEVELAND, INSERT: “Children’s HealthInsurance Program (CHIPS) or the Children’s Health Care program”.]?


H17b. What health insurance plan(s) was this child covered by? What else?

OPEN


[CATI: GO TO H19.]

H18. What is the main reason your (child/grandchild) who is under 18 was not covered by(Medicaid/Medi-Cal)?

OPEN


[CATI: GO TO H20.]

86

H19. Since (FINAL BENEFIT MONTH+1/YEAR) were there any months when your (children/grandchildren) under 18 in your immediate family were without health care coverage?


H20. Would you say that in general your health is:

1 excellent,2 very good,3 good,4 fair, or5 poor?7 DON’T KNOW8 REFUSED

87

SECTION I: CHILD CARE ARRANGEMENTS

CATI: IF R HAS NO CHILDREN OR GRANDCHILDREN UNDER 13 LIVING WITH HER,NO CHILDREN ON THE HH ROSTER WITH RELATIONSHIP CODE “03-06, 13-14” ANDAGE RANGE CODE 1-3, GO TO I-6.

Now I’d like to ask you some questions about any child care arrangements you may be using for your(children/grandchildren) who live with you as part of your immediate family.

I-1. Since your welfare benefits stopped in (FINAL BENEFIT MONTH+1/YEAR), have yougotten any help paying for your child care costs? That is, has a government agency or someoneelse paid for all or part of your child care?

1 YES2 NO — GO TO I-37 DON’T KNOW — GO TO I-38 REFUSED — GO TO I-3

I-2. Are you currently receiving any help paying for your child care costs? That is, does agovernment agency or someone else pay for all or part of your child care?


I-3. Sometimes it’s difficult to make arrangements to look after children all the time. Do any of your(children/grandchildren) under 13 years old in your immediate family take care of themselves ona regular basis, even for a small amount of time?


88

I-4. At any time since your welfare benefits ended in (FINAL BENEFIT MONTH+1/YEAR), didyou have to quit a job, school, or a training activity because you had problems arranging childcare or keeping a child care arrangement?


I-5. At any time since your welfare benefits ended in (FINAL BENEFIT MONTH+1/YEAR), wereyou unable to take a job, or start school, a job search, or a training activity because you hadproblems arranging child care or keeping a child care arrangement?


CATI: IF R HAS NO CHILDREN UNDER 18 LIVING WITH HER, NO CHILDREN IN HERIMMEDIATE FAMILY WITH RELATIONSHIP CODE “03-06, 13-14” AND AGE RANGE “1-4”, GO TO J1.

I-6. My next questions are about the health of the (children’s/grandchildren’s) in your immediatefamily. Do any of your (children/grandchildren) have an illness or disability that demands a lot ofyour attention and makes it hard for you to go to work or school?


I-7. Thinking of your immediate family, do any of your (children/grandchildren) have a physical,learning, or mental health condition that limits their participation in the usual kind of activitiesdone by most children their age (ANY LIMITATION)?


90

CATI: IF R HAS ONLY ONE CHILD OR GRANDCHILD IN HER IMMEDIATE FAMILY,RELATIONSHIP CODE “03-06, 13-14” AND AGE RANGE “1-4”, READ “Now, I would like toask you a few questions about your (child/grandchild) under 18 years old” AND GO TO I-9. ELSEREAD: “Now, I would like to ask you a few questions about one of your (children/grandchildren) under18 years old who is part of your immediate family”.

I-8. Please think of the (child/grandchild) under 18 years old who most recently had his or herbirthday. I’d like to ask you a few questions about that child. What is this child’s name?

OPEN

95 OTHER (SPECIFY):97 DON’T KNOW98 REFUSED

CATI: I-9 THROUGH I-29 REFER TO FOCAL CHILD. IF R HAS ONLY ONE CHILD INHER IMMEDIATE FAMILY WITH RELATIONSHIP CODE “03-06, 13-14” UNDER 18 YEARSOLD, AGE RANGE “1-4”, THAT CHILD IS THE FOCAL CHILD. IF R HAS MORE THANONE CHILD IN HER IMMEDIATE FAMILY, FOCAL CHILD IS SELECTED IN I-8.

CATI: DISPLAY NAME OF FOCAL CHILD FROM I-8 OR HH ROSTER FOR I-9 THROUGHI-15, I-21 THROUGH I-24, AND I-29.

I-9. What is (FOCAL CHILD)’s birth date?

OPEN [DATE MM/YYYY]


91

I-9a. IF “DK” (7) OR “RF” (8) IN C24B, ASK: On (his/her) last birthday, was (NAME):


I-10. Is this child a boy or girl?


[CATI: ASK I-11 THROUGH I-19 FOR HUD SAMPLE ONLY.]

I am going to read a list of items that describe children. For each item, please tell me if it has beenOFTEN true, SOMETIMES true, or NEVER true of (FOCAL CHILD) in the past month.

CATI: IF FOCAL CHILD NAMED IS UNDER 3 YEARS OLD, AGE RANGE IS “UNDER 3”(1), GO TO I-16.

CATI: IF FOCAL CHILD IS A BOY, I-10 IS “MALE” (1), INSERT: “He” IN I-11 THROUGH I-15. IF CHILD IS A GIRL, I-10 IS “FEMALE” (2), INSERT: “She” in I-11 through I-15.

I-11. (He/she) doesn’t get along with other kids. Was that:

1 often true,2 sometimes true, or3 never true of (FOCAL CHILD) in the past month?7 DON’T KNOW8 REFUSED

I-12. (He/she) has been unhappy, sad or depressed. Was that:

92


I-13. (He/she) acts too young for his/her age. Was that:


I-14. (He/she) lies or cheats. Was that:


I-15. (He/she) feels worthless or inferior. Was that:


I-16. How much of the time in the past month have you felt (FOCAL CHILD) is much harder to carefor than most? Was it:

1 all of the time,2 most of the time,3 some of the time, or4 none of the time?7 DON’T KNOW8 REFUSED

93

I-17. How much of the time in the past month have you felt (FOCAL CHILD) does things that reallybother you a lot. Was it:


94

I-18. How much of the time in the past month have you felt you are giving up more of your life tomeet (FOCAL CHILD) needs than you ever expected? Was it:


I-19. How much of the time in the past month have you felt angry with (FOCAL CHILD)? Was it:


CATI: IF FOCAL CHILD IS UNDER 6 YEARS OF AGE, AGE RANGE IS ONE OR TWO (1-2), GO TO I-26.

I-20. Is (FOCAL CHILD) currently in school? INTERVIEWER: HOME SCHOOL IS “NO” (2).

1 YES — GO TO I-222 NO7 DON’T KNOW8 REFUSED

95

I-21a. Why doesn’t (FOCAL CHILD) go to school?

01 GRADUATED02 DROPPED OUT03 SUSPENDED/EXPELLED04 HEALTH PROBLEMS05 CHILD IS HOME SCHOOLED06 CHILD IS ON SUMMER BREAK FROM SCHOOL07 HASN’T STARTED SCHOOL YET — GO TO I-2695 OTHER (SPECIFY:) _______________________________________________97 DON’T KNOW98 REFUSED

I-21b. Has (FOCAL CHILD) been in school since (FINAL BENEFIT MONTH+1/YEAR)?

1 YES2 NO — GO TO I-257 DON’T KNOW — GO TO I-258 REFUSED — GO TO I-25

I-22. Based on your knowledge of (FOCAL CHILD’s) schoolwork, including (his/her) report cards,how has (he/she) been doing in school overall since your welfare benefits ended in (FINALBENEFIT MONTH+1/YEAR)? Would you say:

1 very well,2 well,3 average,4 below average, or5 not well at all?7 DON’T KNOW8 REFUSED

I-23. Since (FINAL BENEFIT MONTH+1/YEAR), were you or anyone in your household,contacted by the school regarding any attendance, behavior or academic problems (FOCALCHILD) may be having?


96

I-24. Since (FINAL BENEFIT MONTH+1/YEAR), has (FOCAL CHILD) been suspended orexpelled from school? This includes both in-school and out-of-school suspensions.


I-25. Since (FINAL BENEFIT MONTH+1/YEAR), has (FOCAL CHILD) participated in anyorganized activities, including sports teams (either in or out of school), lessons, clubs or youthgroups, after school or on weekends?


[CATI: ALL GO TO I-30.]

I-26. Is (FOCAL CHILD) in a Head Start program?


I-27. Other than Head Start, does (FOCAL CHILD) regularly attend a formal preschool or day careprogram, including a group day care home?


97

I-28. Is (FOCAL CHILD) cared for regularly by another family member (sibling, child’s father),another relative or a babysitter?


I-29. How many days in the past week did you or any family member read stories or tell stories to(FOCAL CHILD)?

RANGE 0-7


CATI: IF C2 IS “MARRIED AND LIVING WITH YOUR HUSBAND” (1), DISPLAY “or yourspouse” IN PARENTHESES FOR I-30. IF C5 IS “YES” (1) OR “YES, SAME SEXPARTNER” (3), DISPLAY “or your partner” IN PARENTHESES FOR I-30.

I-30. Since last (FINAL BENEFIT MONTH+1/YEAR) would you say your relationship with your(children/grandchildren) has improved, become worse or stayed about the same? Pleaseinclude any adopted or foster children or grandchildren you, (or your spouse/or your partner)may have living with you. Would you say it:

1 improved,2 became worse, or3 stayed about the same?4 MIXED7 DON’T KNOW8 REFUSED

98

SECTION J: DEMOGRAPHIC AND BACKGROUND QUESTIONS

The next few questions are about your family background.

J1. Are you a citizen of the United States?

1 YES — GO TO J42 NO7 DON’T KNOW8 REFUSED

J2. Are you a legal alien — that is, do you have a green card? IF R IS RELUCTANT ORSEEMS ANXIOUS, SAY: I want to assure you that none of your answers will be discussedwith anyone.


J3. Have you applied for citizenship?


J4. Are you of Spanish or Hispanic origin?


99

J5. Please tell me which of the options best describes your race. Are you:

1 Black/African American/Carribean Black,2 White/Anglo,3 American Indian/Native American/Native Alaskan, or4 Asian/Pacific Islander?5 OTHER (SPECIFY): _______________________________________________7 DON’T KNOW8 REFUSED

100

SECTION K: CONTACT INFORMATION

CATI: SHOW ADDRESS AND PHONE NUMBER FROM SAMPLE. PROVIDEOPPORTUNITY FOR CORRECTIONS TO EXISTING INFORMATION.

K1. Again, thank you very much for your participation. Before I go, I’d like to confirm the spellingof your full name, your address, and your phone number.

[INTERVIEWER: READ INFORMATION ON SCREEN. MAKE CORRECTIONS IFNECESSARY.]

NAME:

PHYSICAL ADDRESS:

APT:

CITY: , STATE:

ZIP:

PHONE NUMBER: ( )

1 YES, CORRECTION WAS MADE2 NO, ADDRESS AND PHONE NUMBER WERE CORRECT

K2. Is this the address you would like us to mail your money to?

1 YES — GO TO CONCLUSION2 NO7 DON’T KNOW8 REFUSED

K3. To what address should I send your ten dollars?

MAILING ADDRESS:

APT:

CITY: , STATE:

101

ZIP:

CONCLUSION:[INTERVIEWER: IF CALL INITIATED BY A FIELD INTERVIEWER READ, “Thank you foryour time. May I speak with our interviewer please. Thank you.”]

Thank you for your time. Have a good day/evening.

TANF LEAVERS...1 TANF LEAVERS 1X. INTERVIEWER: IS THIS A TRACKER BASED INTERVIEW? 1 YES, TRACKER...

Documents

Transcript of TANF LEAVERS...1 TANF LEAVERS 1X. INTERVIEWER: IS THIS A TRACKER BASED INTERVIEW? 1 YES, TRACKER...