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 in the past, ^FLSSDI or ^FLSSI? | 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 SSID or SSI |
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 | How long ago were you first affected by this condition? | how long ago first affected by condition |
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 her/him from working? Please select all that apply. | Spouse |
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. | Spouse |