ask_application | | ask applicants and beneficiaries |
intro1a | Do you currently receive ^FLSSDI or ^FLSSI? | currently receive SSDI or SSI |
intro1a_2 | Do you receive ^FLSSDI or ^FLSSI? | what receive SSDI or SSI |
intro1b | Have you received ^FLSSDI or ^FLSSI in the past? | received SSDI or SSI |
intro2a | Are you married, or do you have a partner who you live with? | married or partner |
intro2b | Is your spouse/domestic partner currently receiving, or has ever received, Social Security Disability Benefits (SSDI) or Supplemental Security Income (SSI)? | spouse receiving or received SSDI or SSI |
intro3 | Have you ever applied for Social Security Disability Insurance (SSDI) or Supplemental Security Income (SSI) in the past? | ever applied for SSDI or SSI |
intro3b | Do you currently have a health condition that prevents you from working or that significantly reduces the amount of work you can do? | currently have health condition prevents from working or reduces |
intro4a | Have you ever had a health condition that prevented you from working or that reduced the amount of work you could do? | ever had health condition prevented from working or reduced work |
intro4b | What was the condition you had that prevented you from working/reduced how much you could work? | what health condition prevented from working or reduced work |
intro4c_month | When did you stop working, or reduce how much you work, due to your health condition/s? | month when stop working, or reduce how much work, due to health condition/s |
intro4c_year | | year when stop working, or reduce how much work, due to health condition/s |
intro4d | Do you expect to be able to work normally in 12 months or less? | expect to be able to work normally in 12 months or less |
intro4e | For how long did this condition prevent you from working or significantly reduce the amount of work you could do? | long did condition prevent from working or significantly reduce the amount of work could do |
intro5a | Do you have any friends or family members who have a health problem that negatively affects whether and how much they can work? | any friends or family members who have health problem |
intro5b | Who do you know that has a health problem that prevents them from working? Please select all that apply. | who know has health problem |
intro6a | Do you have any friends or family members who receive Social Security disability benefits (^FLSSDI2 or ^FLSSI2)? | any friends or family members who receive SSID or SSI |
intro6b | Who do you know that receives Social Security disability benefits (SSI or SSDI)? Please select all that apply. | who know receives SSI or SSDI |