## Routing for UAS551

reward := 9
FLCurrentYear := date("Y")
main_begintime := date("Y-m-d H:i:s")
intro1 (intro)
Thank for your interest in this study. In this survey, we are interested in your views and knowledge about the Social Security disability program.
currentage := calcAge(dateofbirth_year, dateofbirth_month, dateofbirth_day)
if currentage = empty then
currentage (current calculated age)
RANGE 0..120
End of if
mod1_intro
We now want to ask you some general questions. Please use the text boxes and write as much as you feel like. Your opinions and thoughts are important to us! There is no right or wrong answer.
open1 (goal of a good disability program)
In your view, what would be a "good" social security program for individuals with a disability? What would be the goal of a good disability program?
STRING
open2 (which programs can help people with work-limiting disability)
Which programs do you know of that can help people with a work-limiting disability? Please write the names of programs that you know of.
STRING
if sizeof(pur1_order) = 0 then
pur1_order := shuffleArray(array(1 => 1, 2 => 2, 3 => 3, 4 => 4))
pur1_order[5] := 5
End of if
Group of questions presented on the same screen
pur1 (characterize Social Security disability programs)
The Social Security Administration administers programs that provide support for disabled individuals.

How would you characterize the Social Security disability programs? Please select all that apply.
1 Public insurance program
2 Pension plan/annuity
3 Assistance program for individuals in need
4 Welfare program
pur1_other (other characterize Social Security disability programs)
STRING
End of group of questions
pur2_questions := array(1 => "pur2a", 2 => "pur2b", 3 => "pur2c", 4 => "pur2d", 5 => "pur2e")
if sizeof(pur2_order) = 0 then
pur2_order := shuffleArray(array(1 => 1, 2 => 2, 3 => 3, 4 => 4, 5 => 5))
End of if
Group of questions presented on the same screen
pur2_intro
To what extent do you agree or disagree with the following statements?

Subgroup of questions
Loop from 1 to 5
Value of question 'pur2_questions[pur2_order[cnt]]' asked as question
End of loop
End of subgroup of questions
End of group of questions
pur3 (funds that pay for Social Security Disability benefits)
To the best of your knowledge, where do the funds that pay for Social Security Disability benefits come from? Please select all that apply.
1 Federal Income taxes
2 State and local sales taxes
3 Government assets
4 National debt
5 Social Security payroll taxes paid by employers and employees
if sizeof(sco1_order) = 0 then
sco1_order := shuffleArray(array(1 => 1, 2 => 2, 3 => 3, 4 => 4, 5 => 5, 6 => 6, 7 => 7, 8 => 8, 9 => 9))
sco1_order[10] := 10
End of if
Group of questions presented on the same screen
sco1 (main causes of disability benefits)
What do you think are some of the main causes of disability among disability program beneficiaries? Please select three that you think are the main cause of disability benefits in the United States.
1 Mental health disorders (e.g. depression)
2 Cancer
3 Musculoskeletal conditions (e.g. rheumatoid arthritis)
4 Neurological disorders (e.g. Alzheimer’s disease; multiple sclerosis)
5 Non-communicable chronic diseases (e.g. diabetes, heart disease)
6 Short-term work-related injury or illness
7 Short-term non-work injury or illness
8 Pregnancy
9 Fraud (i.e. people making false claims about having a disability)
sco1_other (other main causes of disability benefits)
STRING
End of group of questions
if cardinal(sco1) > 1 then
sco1a_order := sco1_order
Loop from 1 to 10
if not(sco1_order[cnt] in sco1) then
sco1a_order[cnt] := empty
End of if
End of loop
sco1a (main cause of disability benefits)
Among these, which do you think is the most common cause of disability?
1 Mental health disorders (e.g. depression)
2 Cancer
3 Musculoskeletal conditions (e.g. rheumatoid arthritis)
4 Neurological disorders (e.g. Alzheimer’s disease; multiple sclerosis)
5 Non-communicable chronic diseases (e.g. diabetes, heart disease)
6 Short-term work-related injury or illness
7 Short-term non-work injury or illness
8 Pregnancy
9 Fraud (i.e. people making false claims about having a disability)
10 Others ([other main causes of disability benefits[]])
End of if
if sco3_randomizer = empty then
sco3_randomizer := mt_rand(1,6)
End of if
if sco3_randomizer = 1 then
Group of questions presented on the same screen
What percentage of adults in the US do you think currently receive Social Security retirement benefits? If you don’t know, please give us your best estimate.
What percentage of adults in the US do you think currently receive Social Security disability benefits? If you don’t know, please give us your best estimate.
What percentage of adults in the US do you think currently receive SNAP/food stamp benefits benefits? If you don’t know, please give us your best estimate.
slider_script_group
End of group of questions
elseif sco3_randomizer = 2 then
Group of questions presented on the same screen
What percentage of adults in the US do you think currently receive Social Security retirement benefits? If you don’t know, please give us your best estimate.
What percentage of adults in the US do you think currently receive SNAP/food stamp benefits benefits? If you don’t know, please give us your best estimate.
What percentage of adults in the US do you think currently receive Social Security disability benefits? If you don’t know, please give us your best estimate.
slider_script_group
End of group of questions
elseif sco3_randomizer = 3 then
Group of questions presented on the same screen
What percentage of adults in the US do you think currently receive SNAP/food stamp benefits benefits? If you don’t know, please give us your best estimate.
What percentage of adults in the US do you think currently receive Social Security retirement benefits? If you don’t know, please give us your best estimate.
What percentage of adults in the US do you think currently receive Social Security disability benefits? If you don’t know, please give us your best estimate.
slider_script_group
End of group of questions
elseif sco3_randomizer = 4 then
Group of questions presented on the same screen
What percentage of adults in the US do you think currently receive SNAP/food stamp benefits benefits? If you don’t know, please give us your best estimate.
What percentage of adults in the US do you think currently receive Social Security disability benefits? If you don’t know, please give us your best estimate.
What percentage of adults in the US do you think currently receive Social Security retirement benefits? If you don’t know, please give us your best estimate.
slider_script_group
End of group of questions
elseif sco3_randomizer = 5 then
Group of questions presented on the same screen
What percentage of adults in the US do you think currently receive SNAP/food stamp benefits benefits? If you don’t know, please give us your best estimate.
What percentage of adults in the US do you think currently receive Social Security retirement benefits? If you don’t know, please give us your best estimate.
What percentage of adults in the US do you think currently receive Social Security disability benefits? If you don’t know, please give us your best estimate.
slider_script_group
End of group of questions
elseif sco3_randomizer = 6 then
Group of questions presented on the same screen
What percentage of adults in the US do you think currently receive SNAP/food stamp benefits benefits? If you don’t know, please give us your best estimate.
What percentage of adults in the US do you think currently receive Social Security disability benefits? If you don’t know, please give us your best estimate.
What percentage of adults in the US do you think currently receive Social Security retirement benefits? If you don’t know, please give us your best estimate.
slider_script_group
End of group of questions
End of if
Loop from 1 to 10
sco5 (how much beneficiaries receive from Social Security disability)
On average, how much money do you think beneficiaries receive from Social Security disability? Please give us your best guess.

RANGE 0..99999
if sco5 = response and (sco5 < 100 OR sco5 > 9999) then
FL_sco5 := number_format(str_replace(",", "", sco5), 0)
You said that, on average, beneficiaries receive \$[[]] per month. Is that your best guess?
1 Yes
2 No, I made a mistake
3 I prefer not to answer this question
if sco5_fol in [1,3] then
End of if
Else
End of if
End of loop
sco6 (statements correct about disability benefits)
Which of the following statements do you think are correct? Please select all that apply.
1 A very small percentage of disabled worker beneficiaries are younger than 35 (less than 5 out of 100)
2 A majority (more than half) of disabled worker beneficiaries start receiving benefits when young and remain on the program for the rest of their lives
3 A majority (more than half) of disabled worker beneficiaries are older than 50.
4 A small percentage (less than 5 out of 100) of disabled worker beneficiaries have difficulty conducting an activity of daily living, such as getting around inside the house or getting into or out of bed.
5 Most disabled worker beneficiaries live in households with income levels below \$25,000 per year
6 None of the above
if sco7_position = empty then
sco7_position := mt_rand(1,2)
End of if
if sco7_position = 1 then
sco7 (percentage of disability beneficiaries are veterans)
Some of the Social Security disability recipients are veterans. What percentage of people who get disability benefits from Social Security do you think are veterans?
End of if
Group of questions presented on the same screen
rul1_intro

Subgroup of questions
rul1a (20-year-old very unlikely to ever have disability )
A 20-year-old in the United States today is very unlikely (less than a 10% chance) to ever have a disability that prevents them from working
1 True
2 False
rul1b (Social Security disability programs provide beneficiaries with access to Medicare or Medicaid)
1 True
2 False
End of subgroup of questions
End of group of questions
rul2 (how easy to obtain disability benefits)
How easy or hard do you think it is to obtain disability benefits from Social Security?
1 Very easy
2 Easy
3 Neither easy nor hard
4 Hard
5 Very hard
rul3 (how long takes from apply to receie)
On average, how long do you think it takes from the time an individual applies for disability until they start receiving benefits? Your best guess is ok.
1 Less than 1 month
2 1-6 months
3 6 to 12 months
4 1 to 2 years
5 More than 2 years
is001
Social Security Disability Insurance (SSDI) is a federal insurance program of the United States government. It is managed by the Social Security Administration and designed to provide income support to people who have a disability that restricts their ability to be employed.

Social Security Disability Insurance pays benefits to a disabled person and certain members of this person’s family if the person is "insured," meaning that the person worked long enough throughout his or her life and paid Social Security taxes.
awa1 (aware that Social Security Disability Insurance (SSDI) program existed)
Were you aware that the Social Security Disability Insurance (SSDI) program existed?
1 (YES) Yes
2 (NO) No
sco2_a (percentage of applicants ultimately approved for SSDI)
What percentage of applicants do you believe are ultimately approved for Social Security Disability Insurance benefits? If you don’t know, please give us your best estimate.
rul4_questions := array(1 => "rul4a", 2 => "rul4b", 3 => "rul4c", 4 => "rul4d", 5 => "rul4e", 6 => "rul4f", 7 => "rul4g", 8 => "rul4h", 9=> "rul4i", 10 => "rul4j", 11 => "rul4k", 12 => "rul4l", 13 => "rul4m", 14 => "rul4n")
if sizeof(rul4_order) = 0 then
rul4_order := shuffleArray(array(1 => 1, 2 => 2, 3 => 3, 4 => 4, 5 => 5, 6 => 6, 7 => 7, 8 => 8, 9 => 9, 10 => 10, 11 => 11, 12 => 12, 13 => 13, 14 => 14))
End of if
Group of questions presented on the same screen
rul4_intro

Subgroup of questions
Loop from 1 to 5
Value of question 'rul4_questions[rul4_order[cnt]]' asked as question
End of loop
End of subgroup of questions
End of group of questions
Group of questions presented on the same screen
rul4_intro

Subgroup of questions
Loop from 6 to 10
Value of question 'rul4_questions[rul4_order[cnt]]' asked as question
End of loop
End of subgroup of questions
End of group of questions
Group of questions presented on the same screen
rul4_intro

Subgroup of questions
Loop from 11 to 14
Value of question 'rul4_questions[rul4_order[cnt]]' asked as question
End of loop
End of subgroup of questions
End of group of questions
is002
Supplemental Security Income (SSI) is a federal benefit program administered by the Social Security Administration. The program provides safety-net financial support for people in need. Someone may qualify for monthly SSI payments if they are 65 or older, blind, or otherwise disabled and have very limited income and financial resources.

Supplemental Security Income benefits are paid out of general U.S. Treasury funds, not from Social Security taxes. A person does not need to have worked a certain amount, or paid Social Security payroll taxes, to be eligible.
awa2 (aware that Supplemental Security Income program existed)
Were you aware that the Supplemental Security Income program existed?
1 (YES) Yes
2 (NO) No
sco2_b (percentage of applicants ultimately approved for SSI)
What percentage of applicants do you believe are ultimately approved for Supplemental Security Income (SSI) benefits? If you don’t know, please give us your best estimate.
rul5_questions := array(1 => "rul5a", 2 => "rul5b", 3 => "rul5c", 4 => "rul5d", 5 => "rul5e", 6 => "rul5f", 7 => "rul5g")
if sizeof(rul5_order) = 0 then
rul5_order := shuffleArray(array(1 => 1, 2 => 2, 3 => 3, 4 => 4, 5 => 5, 6 => 6, 7 => 7))
End of if
Group of questions presented on the same screen
rul5_intro

Subgroup of questions
Loop from 1 to 7
Value of question 'rul5_questions[rul5_order[cnt]]' asked as question
End of loop
End of subgroup of questions
End of group of questions
if currentage < 65 then
self0 (currently working)
Are you currently working?
1 (YES) Yes
2 (NO) No
if self0 = 1 then
Group of questions presented on the same screen
self1 (actions if long term health care problem)
In the next 5-10 years, if you were to get a long-term health problem and not be able to do your current job, what do you think you would do? Please select all that apply.
1 Apply for disability benefits in the first instance
6 Apply for workers’ compensation, if I was ill/injured on the job
2 Look for another job that I could do in spite of my health problem
3 I would stop working and rely on savings and/or other income
7 I would retire and claim Social Security retirement benefits
4 Not applicable / I am not eligible for disability benefits
self1_other (other actions if long term health care problem)
STRING
End of group of questions
if 2 in self1 and not(1 in self1) then
self2 (unable to find job would apply for disability benefits)
If you were unable to find another job you could do with your disability, would you apply for Social Security disability benefits?
1 Yes, I would apply for Social Security disability benefits
2 No, I would never apply for Social Security disability benefits
End of if
if 3 in self1 and not(1 in self1) then
self3 (savings or income insufficient would apply for disability benefits)
If your savings or other income became insufficient, would you apply for Social Security disability benefits?
1 Yes, I would apply for Social Security disability benefits
2 No, I would never apply for Social Security disability benefits
End of if
if 6 in self1 and not(1 in self1) then
self3a (not approved Workers Compensation would apply for disability benefits)
If you were not approved for workers' compensation, would you apply for Social Security disability benefits?
1 Yes, I would apply for Social Security disability benefits
2 No, I would never apply for Social Security disability benefits
End of if
End of if
End of if
Group of questions presented on the same screen
self4 (information sources about disability benefits)
Have you ever sought or received information about Social Security disability benefits from the following sources? Please select all that apply.
1 Family, friends and/or colleagues
2 Healthcare provider (doctor, nurse, physical therapist, etc.)
3 Television, radio, newspaper and other media
5 Community organizations (such as churches, libraries and community centers)
9 Disability advocacy or assistance organizations
6 Lawyers
10 Online (e.g. Google, social media, etc.)
8 I have never sought information about Social Security disability benefits
self4_other (other information sources about disability benefits)
STRING
End of group of questions
if 4 in self4 then
Group of questions presented on the same screen
self5 (information sources from Social Security Administration)
In the previous question you said you have sought or received information about disability benefits from the Social Security Administration. How did you go about seeking this information? Please select all that apply.
2 my Social Security portal
3 Social Security phone line
4 In person at a Social Security office;
self5_other (other information sources from Social Security Administration)
STRING
End of group of questions
End of if
Group of questions presented on the same screen
self6_intro
Please tell us how strongly you agree or disagree with the following statements:

Subgroup of questions
self6a (I am interested in learning more about Social Security disability benefits)
I am interested in learning more about Social Security disability benefits
1 Strongly agree
2 Somewhat agree
3 Neither agree nor disagree
4 Somewhat disagree
5 Strongly disagree
self6b (I know what the best sources of information are for learning about Social Security disability benefits)
I know what the best sources of information are for learning about Social Security disability benefits
1 Strongly agree
2 Somewhat agree
3 Neither agree nor disagree
4 Somewhat disagree
5 Strongly disagree
self6c (I can easily find the information I want/need about the Social Security disability program and benefits)
I can easily find the information I want/need about the Social Security disability program and benefits
1 Strongly agree
2 Somewhat agree
3 Neither agree nor disagree
4 Somewhat disagree
5 Strongly disagree
End of subgroup of questions
End of group of questions
if currentage < 65 then
Group of questions presented on the same screen
self7a (chance have disability prevent working)
What is the chance that you will, at some point, have a disability that will prevent you from working? Answer on a scale from 0 to 100, where 0 means you are sure you will never have such a disability, and 100 means you are certain that you will have a disability at some point.
self7b (chance have to rely on disability insurance)
What is the chance that you will need to rely on disability insurance in the near future? Answer on a scale from 0 to 100, where 0 means you are certain that you will never need disability benefits, and 100 means you are certain that you will need them at some point.
slider_script_group_self
End of group of questions
End of if
self8 (preference to change system)
Social Security retirement benefits and disability insurance programs are paid by a 6.2% tax rate on employers and employees. Of these, approximately 5.3% go to the fund that pays retirement benefits and 0.9% go to the fund that pays disability insurance.

If you were given a choice, would you rather:
1 Reduce the Social Security tax rate paid and lose your disability insurance
2 Keep the system as it is currently
3 Increase the total Social Security tax and increase the benefit amount you would receive should you become disabled
if currentage = empty then
currentage (current calculated age)
RANGE 0..120
End of if
if currentage < 65 then
self9 (enough credits to quality for Social Security Disability Insurance)
Do you have enough work credits to qualify for Social Security Disability Insurance (SSDI)? (That is, have you worked enough quarters in a covered job to be eligible for benefits)
1 Yes
2 No
3 I do not know
4 Not applicable
if currentage > 30 then
self9b (worked five of the last ten years in a job that pays into Social Security)
Have you worked five of the last ten years in a job that pays into Social Security?
1 (YES) Yes
2 (NO) No
elseif currentage < 31 then
self9c (worked five of the last three years in a job that pays into Social Security)
Have you worked half of the last three years in a job that pays into Social Security?
1 (YES) Yes
2 (NO) No
End of if
if self9 = 1 then
self10 (know monthly payment amount entitled to)
Do you know (approximately) the monthly Social Security payment amount you would be entitled to if you were to become disabled?
1 (YES) Yes
2 (NO) No
if self10 = 1 then
Group of questions presented on the same screen
self11 (monthly payment amount entitled to)
About how much would that be?
RANGE 0..9999
self11_rf (refuse monthly payment amount entitled to)
1 I prefer not to answer
End of group of questions
End of if
End of if
End of if
self12 (ever checked Social Security statement)
Have you ever seen your Social Security Statement?
1 (YES) Yes
2 (NO) No
self13 (know can check Social Security statement through MySocialSecurity)
Did you know you can check your Social Security Statement through my Social Security (an online platform on the Social Security website that provides you with all your Social Security information)?
1 (YES) Yes
2 (NO) No
Group of questions presented on the same screen
val1_intro
Do you agree with the following statements?

Subgroup of questions
val1a (The amount that disabled workers get from Social Security should be increased (even if that means raising taxes))
The amount that disabled workers get from Social Security should be increased (even if that means raising taxes)
1 Strongly agree
2 Somewhat agree
3 Neither agree nor disagree
4 Somewhat disagree
5 Strongly disagree
val1b (It should be easier for disabled individuals to get benefits from Social Security (even if that means raising taxes))
It should be easier for disabled individuals to get benefits from Social Security (even if that means raising taxes)
1 Strongly agree
2 Somewhat agree
3 Neither agree nor disagree
4 Somewhat disagree
5 Strongly disagree
val1c (The work requirements for Social Security disability insurance should be reduced (even if that means raising taxes))
The work requirements for Social Security disability insurance should be reduced (even if that means raising taxes)
1 Strongly agree
2 Somewhat agree
3 Neither agree nor disagree
4 Somewhat disagree
5 Strongly disagree
val1d (The amount that disabled individuals living in low-income households receive from Social Security should be increased (even if that means raising taxes))
The amount that disabled individuals living in low-income households receive from Social Security should be increased (even if that means raising taxes)
1 Strongly agree
2 Somewhat agree
3 Neither agree nor disagree
4 Somewhat disagree
5 Strongly disagree
End of subgroup of questions
End of group of questions
if sco7_position = 2 then
sco7 (percentage of disability beneficiaries are veterans)
Some of the Social Security disability recipients are veterans. What percentage of people who get disability benefits from Social Security do you think are veterans?
End of if
Fill code of question 'FLSSDI' executed
Fill code of question 'FLSSI' executed
Fill code of question 'FLSSDI2' executed
Fill code of question 'FLSSI2' executed
intro1a (currently receive SSDI or SSI)
Do you currently receive [Social Security Disability Insurance (SSDI)/Social Security Disability Insurance (or SSDI) is a federal insurance program of the United States government. It is managed by the Social Security Administration and designed to provide income support to people who have a disability that restricts their ability to be employed.

Social Security Disability Insurance pays benefits to a disabled person and certain members of this person’s family if the person is "insured," meaning that the person worked long enough throughout his or her life and paid Social Security taxes./] or [Supplemental Security Income (SSI)/Supplemental Security Income (SSI) is a federal benefit program administered by the Social Security Administration. The program provides safety-net financial support for people in need. Someone may qualify for monthly SSI payments if they are 65 or older, blind or disabled and have very limited income and financial resources.

Supplemental Security Income benefits are paid out of general U.S. Treasury funds, not from Social Security taxes. One need not have worked a certain amount, or paid FICA taxes, to be eligible.//]?
1 (YES) Yes
2 (NO) No
if intro1a = 1 then
intro1a_2 (what receive SSDI or SSI)
Do you receive [Social Security Disability Insurance (SSDI)/Social Security Disability Insurance (or SSDI) is a federal insurance program of the United States government. It is managed by the Social Security Administration and designed to provide income support to people who have a disability that restricts their ability to be employed.

Social Security Disability Insurance pays benefits to a disabled person and certain members of this person’s family if the person is "insured," meaning that the person worked long enough throughout his or her life and paid Social Security taxes./] or [Supplemental Security Income (SSI)/Supplemental Security Income (SSI) is a federal benefit program administered by the Social Security Administration. The program provides safety-net financial support for people in need. Someone may qualify for monthly SSI payments if they are 65 or older, blind or disabled and have very limited income and financial resources.

Supplemental Security Income benefits are paid out of general U.S. Treasury funds, not from Social Security taxes. One need not have worked a certain amount, or paid FICA taxes, to be eligible.//]?
3 I receive benefits from one of the programs but I am not sure which one.
4 I receive benefits from both SSDI and SSI
Else
Have you received [Social Security Disability Insurance (SSDI)/Social Security Disability Insurance (or SSDI) is a federal insurance program of the United States government. It is managed by the Social Security Administration and designed to provide income support to people who have a disability that restricts their ability to be employed.

Social Security Disability Insurance pays benefits to a disabled person and certain members of this person’s family if the person is "insured," meaning that the person worked long enough throughout his or her life and paid Social Security taxes./] or [Supplemental Security Income (SSI)/Supplemental Security Income (SSI) is a federal benefit program administered by the Social Security Administration. The program provides safety-net financial support for people in need. Someone may qualify for monthly SSI payments if they are 65 or older, blind or disabled and have very limited income and financial resources.

Supplemental Security Income benefits are paid out of general U.S. Treasury funds, not from Social Security taxes. One need not have worked a certain amount, or paid FICA taxes, to be eligible.//] in the past?
1 (YES) Yes
2 (NO) No
if intro1b = 1 then
Else
intro3 (ever applied for SSDI or SSI)
Have you ever applied for Social Security Disability Insurance (SSDI) or Supplemental Security Income (SSI) in the past?
1 (YES) Yes
2 (NO) No
if intro3 = 1 then
End of if
End of if
End of if
intro2a (married or partner)
Are you married, or do you have a partner who you live with?
1 (YES) Yes
2 (NO) No
if intro2a = 1 then
intro2b (spouse receiving or received SSDI or SSI)
Is your spouse/domestic partner currently receiving, or has ever received, Social Security Disability Benefits (SSDI) or Supplemental Security Income (SSI)?
1 Yes, my spouse/domestic partner is currently receiving SSDI
2 Yes, my spouse/domestic partner is currently receiving SSI
3 My spouse/domestic partner has received SSDI or SSI in the past but is no longer receiving benefits
4 No, my spouse/domestic partner is not receiving disability benefits
End of if
intro3b (currently have health condition prevents from working or reduces)
Do you currently have a health condition that prevents you from working or that significantly reduces the amount of work you can do?
1 (YES) Yes
2 (NO) No
if intro3b != 1 then
intro4a (ever had health condition prevented from working or reduced work)
Have you ever had a health condition that prevented you from working or that reduced the amount of work you could do?
1 (YES) Yes
2 (NO) No
End of if
IF intro1a = 1 OR (intro1a != 1 and intro1b = 1) OR intro3b = 1 OR (intro3b != 1 and intro4a = 1) then
Group of questions presented on the same screen
intro4b (what health condition prevented from working or reduced work)
What was the condition you had that prevented you from working/reduced how much you could work?
1 Musculoskeletal problems, such as back injuries; limb amputation
2 Cardiovascular conditions, such as heart failure; stroke
3 Respiratory illnesses, such as COPD; asthma
4 Senses and speech issues, such as vision and hearing loss
5 Neurological disorders, such as multiple sclerosis, Parkinson's Disease or epilepsy
6 Mental health disorders, such as depression; schizophrenia
7 Cancer
intro4b_other (other what health condition prevented from working or reduced work)
STRING
End of group of questions
Group of questions presented on the same screen
intro4c_month (month when stop working, or reduce how much work, due to health condition/s)
When did you stop working, or reduce how much you work, due to your health condition/s?
1 January
2 February
3 March
4 April
5 May
6 June
7 July
8 August
9 September
10 October
11 November
12 December
intro4c_year (year when stop working, or reduce how much work, due to health condition/s)
RANGE 1910..^FLCurrentYear
End of group of questions
if intro3b = 1 then
intro4d (expect to be able to work normally in 12 months or less)
Do you expect to be able to work normally in 12 months or less?
1 (YES) Yes
2 (NO) No
elseif intro3b != 1 and intro4a = 1 then
intro4e (long did condition prevent from working or significantly reduce the amount of work could do)
For how long did this condition prevent you from working or significantly reduce the amount of work you could do?
1 Less than one month
2 More than one month but less than one year
3 1-2 years
4 3-5 years
5 More than 5 years
End of if
End of if
intro5a (any friends or family members who have health problem)
Do you have any friends or family members who have a health problem that negatively affects whether and how much they can work?
1 (YES) Yes
2 (NO) No
if intro5a = 1 then
Group of questions presented on the same screen
intro5b (who know has health problem)
Who do you know that has a health problem that prevents them from working? Please select all that apply.
1 Spouse/partner
2 Parent
3 Child
4 Other family member
5 Friend
6 Co-worker or former co-worker
7 Neighbor
9 Former spouse/former partner
intro5b_other (other who know has health problem)
STRING
End of group of questions
End of if
intro6a (any friends or family members who receive SSID or SSI)
Do you have any friends or family members who receive Social Security disability benefits ([SSDI/Social Security Disability Insurance (or SSDI) is a federal insurance program of the United States government. It is managed by the Social Security Administration and designed to provide income support to people who have a disability that restricts their ability to be employed.

Social Security Disability Insurance pays benefits to a disabled person and certain members of this person’s family if the person is "insured," meaning that the person worked long enough throughout his or her life and paid Social Security taxes./] or [SSI/Supplemental Security Income (SSI) is a federal benefit program administered by the Social Security Administration. The program provides safety-net financial support for people in need. Someone may qualify for monthly SSI payments if they are 65 or older, blind or disabled and have very limited income and financial resources.

Supplemental Security Income benefits are paid out of general U.S. Treasury funds, not from Social Security taxes. One need not have worked a certain amount, or paid FICA taxes, to be eligible.//])?
1 (YES) Yes
2 (NO) No
if intro6a = 1 then
Group of questions presented on the same screen
intro6b (who know receives SSI or SSDI)
Who do you know that receives Social Security disability benefits (SSI or SSDI)? Please select all that apply.
1 Spouse/partner
2 Parent
3 Child
4 Other family member
5 Friend
6 Co-worker or former co-worker
7 Neighbor
9 Former spouse/former partner
intro6b_other (other any friends or family members who receive SSDI or SSI)
STRING
End of group of questions
End of if
main_endtime := date("Y-m-d H:i:s")
main_time := strtotime(main_endtime) - strtotime(main_begintime)
appl_begintime := date("Y-m-d H:i:s")
reward := 13
application_status := empty
if intro1a = 1 or (intro1a != 1 and intro1b = 1) then
Group of questions presented on the same screen
You told us in a previous question that you receive or have received Social Security Disability Insurance ([SSDI/Social Security Disability Insurance (or SSDI) is a federal insurance program of the United States government. It is managed by the Social Security Administration and designed to provide income support to people who have a disability that restricts their ability to be employed.

Social Security Disability Insurance pays benefits to a disabled person and certain members of this person’s family if the person is "insured," meaning that the person worked long enough throughout his or her life and paid Social Security taxes./]) and/or Supplemental Security Income ([SSI/Supplemental Security Income (SSI) is a federal benefit program administered by the Social Security Administration. The program provides safety-net financial support for people in need. Someone may qualify for monthly SSI payments if they are 65 or older, blind or disabled and have very limited income and financial resources.

Supplemental Security Income benefits are paid out of general U.S. Treasury funds, not from Social Security taxes. One need not have worked a certain amount, or paid FICA taxes, to be eligible.//]). From which programs do you receive or have received benefits?
1 Social Security Disability Insurance (SSDI) only
2 Supplemental Security Income (SSI) only
3 Both Social Security Disability Insurance (SSDI) and Supplemental Security Income (SSI)
4 At least one of these programs but I am not sure which one
serv1a_other (other which programs receive benefits)
STRING
End of group of questions
Group of questions presented on the same screen
serv1b_years (years ago started receiving beneifts)
How long ago did you first start receiving these benefits? (Your best guess is ok)
RANGE 0..120
serv1b_months (months ago started receiving beneifts)
RANGE 0..12
End of group of questions
if serv1b_years = empty and serv1b_months = empty then
Approximately how long ago did you first receive benefits?
1 Less than one year
2 Between one and three years ago
3 Between three and five years ago
4 Between five and ten years ago
5 Between ten and twenty years ago
6 More than twenty years ago
End of if
End of if
if intro1a != 1 and intro1b != 1 and intro3 = 1 then
application_status := 1
Group of questions presented on the same screen
serv1c (which programs applied benefits)
You told us in a previous question that you applied for Social Security Disability Insurance ([SSDI/Social Security Disability Insurance (or SSDI) is a federal insurance program of the United States government. It is managed by the Social Security Administration and designed to provide income support to people who have a disability that restricts their ability to be employed.

Social Security Disability Insurance pays benefits to a disabled person and certain members of this person’s family if the person is "insured," meaning that the person worked long enough throughout his or her life and paid Social Security taxes./]) or Supplemental Security Income ([SSI/Supplemental Security Income (SSI) is a federal benefit program administered by the Social Security Administration. The program provides safety-net financial support for people in need. Someone may qualify for monthly SSI payments if they are 65 or older, blind or disabled and have very limited income and financial resources.

Supplemental Security Income benefits are paid out of general U.S. Treasury funds, not from Social Security taxes. One need not have worked a certain amount, or paid FICA taxes, to be eligible.//]) in the past. Which program/s did you apply for?
1 Social Security Disability Insurance (SSDI) only
2 Supplemental Security Income (SSI) only
3 Both Social Security Disability Insurance (SSDI) and Supplemental Security Income (SSI)
4 At least one of these programs but I am not sure which one
serv1c_other (other which programs applied benefits)
STRING
End of group of questions
End of if
if intro1a = 1 OR (intro1a != 1 and intro1b = 1) = 1 OR (intro1a != 1 and intro1b != 1 and intro3 = 1) then
Group of questions presented on the same screen
serv2 (how decided to apply for benefits)
How did you first decide to apply for benefits?
1 I knew I was eligible for benefits
2 I decided to apply on the advice of my healthcare provider
3 I decided to apply on the advice of family/friends/colleagues
4 I decided to apply on the advice of my former employer / medical insurance company
serv2_other (other how decided to apply for benefits)
STRING
End of group of questions
Group of questions presented on the same screen
serv3 (what condition first applied for)
What is the condition for which you FIRST applied?
1 Musculoskeletal problems, such as back injuries; limb amputation
2 Cardiovascular conditions, such as heart failure; stroke
3 Respiratory illnesses, such as COPD; asthma
4 Senses and speech issues, such as vision and hearing loss
5 Neurological disorders, such as multiple sclerosis, Parkinson's Disease or epilepsy
6 Mental health disorders, such as depression; schizophrenia
7 Cancer
9 None, applied on the basis of age (65 and older)
serv3_other (other what condition first applied for)
STRING
End of group of questions
serv3a (how long after onset disability applied)
How long after the onset of your disability did you did you apply for Social Security disability?
1 Immediately after the onset of my disability
2 Within a year of the onset of my disability
3 One to three years after the onset of my disability
4 Four or more years after the onset of my disability
serv4 (year impairment or health problem begin to interfere with work)
In what year did the impairment or health problem begin to interfere with your work?
RANGE 1950..^FLCurrentYear
appl_2_minimum := serv4
if appl_2_minimum = empty then
appl_2_minimum := 1950
End of if
appl2 (first apply for disability benefits)
When did you first apply for disability benefits?
RANGE ^appl_2_minimum..^FLCurrentYear
if appl2 > 2022 then
appl2_followup1 (no of months first apply for disability benefits)
1 1
2 2
3 3
4 4
5 5
6 6
7 7
8 8
9 9
10 10
11 11
12 12
elseif appl2 = empty then
appl2_followup2 (nonresponse first apply for disability benefits)
Approximately how long ago did you first apply for benefits?
1 Less than one year
2 Between one and three years ago
3 Between three and five years ago
4 Between five and ten years ago
5 Between ten and twenty years ago
6 More than twenty years ago
End of if
if serv3a < 3 OR (appl2 = response and (appl2 - appl_2_minimum) < 2) then
Else
if sizeof(serv_bar1_order) = 0 then
serv_bar1_order := shuffleArray(array(1 => 1, 2 => 2, 3 => 3, 4 => 4, 5 => 5, 6 => 6, 7 => 7, 8 => 8, 9 => 9, 10 => 10))
serv_bar1_order[11] := 11
End of if
Group of questions presented on the same screen
serv_bar1 (main reasons waited more than one year after onset of disability to apply for benefits)
What were the main reasons you waited more than one year after the onset of your disability to apply for benefits? Please select all that apply.
1 I was still able to work
2 I wanted to try to work again
3 I did not know about the disability programs
4 I did not think my disability would last 12 months or more
5 I did not think I would qualify for benefits
6 I thought the application process would be too difficult
7 I thought that the application process would take too long
8 I heard it was too difficult to get approved for benefits
9 Being on disability benefits felt like I would be giving up
10 I felt that people would look down on me if I received disability benefits
serv_bar1_other (other main reason waited more than one year after onset of disability to apply for benefits)
STRING
End of group of questions
if serv_bar1 = response then
if cardinal(serv_bar1) > 1 then
Loop from 1 to 11
if serv_bar1_order[cnt] in serv_bar1 then
serv_bar1a_order[cnt] := serv_bar1_order[cnt]
Else
serv_bar1a_order[cnt] := empty
End of if
End of loop
serv_bar1a (most important main reason waited more than one year after onset of disability to apply for benefits)
What was the most important main reason you waited more than one year after the onset of your disability to apply for benefits?
1 I was still able to work
2 I wanted to try to work again
3 I did not know about the disability programs
4 I did not think my disability would last 12 months or more
5 I did not think I would qualify for benefits
6 I thought the application process would be too difficult
7 I thought that the application process would take too long
8 I heard it was too difficult to get approved for benefits
9 Being on disability benefits felt like I would be giving up
10 I felt that people would look down on me if I received disability benefits
11 [other main reason waited more than one year after onset of disability to apply for benefits[]]
if serv_bar1a = response then
Loop from 1 to 11
if serv_bar1_order[cnt] in serv_bar1 AND serv_bar1_order[cnt] != serv_bar1a then
serv_bar1b_order[cnt] := serv_bar1_order[cnt]
Else
serv_bar1b_order[cnt] := empty
End of if
End of loop
if cardinal(serv_bar1) > 2 then
serv_bar1b (second most important main reason waited more than one year after onset of disability to apply for benefits)
What was the second most important main reason you waited more than one year after the onset of your disability to apply for benefits?
1 I was still able to work
2 I wanted to try to work again
3 I did not know about the disability programs
4 I did not think my disability would last 12 months or more
5 I did not think I would qualify for benefits
6 I thought the application process would be too difficult
7 I thought that the application process would take too long
8 I heard it was too difficult to get approved for benefits
9 Being on disability benefits felt like I would be giving up
10 I felt that people would look down on me if I received disability benefits
11 [other main reason waited more than one year after onset of disability to apply for benefits[]]
Else
serv_bar1b := reset(serv_bar1b_order)
End of if
Else
serv_bar1b := empty
End of if
Else
serv_bar1a := serv_bar1
End of if
Else
serv_bar1a := empty
End of if
End of if
if sizeof(serv_bar3_order) = 0 then
serv_bar3_order := shuffleArray(array(1 => 1, 2 => 2, 3 => 3, 4 => 4))
serv_bar3_order[5] := 5
serv_bar3_order[6] := 6
End of if
Group of questions presented on the same screen
serv_bar3 (anyone suggest that could/should apply for disability benefits)
Before you applied, did anyone suggest that you could/should apply for disability benefits?
1 Yes, a family member, friend, or colleague
2 Yes, a healthcare provider (e.g. doctor, nurse)
3 Yes, a social worker
4 Yes, my employer or former employer;
5 Yes, other:
6 No, no one ever suggested it
serv_bar3_other (other anyone suggest that could/should apply for disability benefits)
STRING
End of group of questions
Group of questions presented on the same screen
1 I did not receive any assistance
2 I received assistance from a lawyer
3 I received assistance from family/friends
4 I received assistance from a social worker/insurance company/employer
6 I received assistance from an SSA representative by phone or at a field office
appl3_other (other receive assistance with claim)
STRING
End of group of questions
Group of questions presented on the same screen
appl4 (how submitted application)
1 Online
2 Application form sent by mail
3 Application filled out in the SSA office
5 By telephone, with an SSA office
appl4_other (other how submitted application)
STRING
End of group of questions
appl5 (rate process of making claim)
How would you rate the process of preparing and submitting your claim?
1 Very easy
2 Easy
3 Neither easy nor difficult
4 Difficult
5 Very difficult
appl6 (provide medical information)
For this application, were you able to provide medical information (medical records, doctor contact information, other documentation)?
1 (YES) Yes
2 (NO) No
if appl6 = 2 then
Group of questions presented on the same screen
appl6a (why unable to provide medical information)
Why were you unable to provide medical information? Please select all that apply.
1 Couldn't pay for a doctor's visit, medical tests, or other services
2 Did not have transportation to a doctor's office
3 Did not have a doctor or medical provider to obtain a diagnosis or records
4 Did not have the assistance needed to interact with the medical provider (language, understanding)
5 Doctor or medical provider did not diagnose a medical condition or provide other evidence
appl6a_other (other why unable to provide medical records)
STRING
End of group of questions
End of if
appl7 (asked by SSA to visit doctor)
For this application, were you asked by SSA/the office of Disability Determination Services to visit a doctor?
1 (YES) Yes
2 (NO) No
appl8 (outcome first application)
What was the outcome of the first application?
1 It was approved
2 It was rejected
3 It is currently under review
if appl8 in [1,2] then
application_status := 2
appl9 (how long to hear back from application)
How long did it take to hear back whether your application was approved or denied?
RANGE 1..99
End of if
Group of questions presented on the same screen
appl9b (how support while waiting for disability decision)
How did you support yourself while you waited for your disability decision? Please select all that apply.
1 Worked full-time
2 Worked part-time
3 Government assistance (e.g., Food Stamps/SNAP/EBT , workers’ compensation, unemployment insurance)
4 Spouse's earnings
5 Personal savings
6 Took on credit card debt or debt from other commercial sources
7 Changed living arrangements (e.g., moved in with family members, moved into lower cost housing)
8 Sold assets (e.g. home, car, investments)
9 Assistance or loans from friends and/or family (other than spouse)
appl9b_other (other how support while waiting for disability decision)
STRING
End of group of questions
if appl8 = 2 then
application_status := 2
Group of questions presented on the same screen
appl10 (why application rejected)
What reason did SSA give for denying your application?
1 Insufficient work credits
2 Insufficient medical evidence
3 Insufficient non-medical documentation
6 I did not attend the necessary medical exams
7 I was found to be able to work
11 My impairment was not considered severe
12 My impairment lasted or will last less than 12 months
13 My impairment was not considered to be disabling
8 I was making too much money to qualify for benefits
appl10_other (other why application rejected)
STRING
End of group of questions
appl11 (action after application was rejected)
What did you do after your disability application was rejected?
1 I appealed the decision
2 I submitted a new application
3 Neither
if appl11 = 1 then
application_status := 1
Group of questions presented on the same screen
appl12 (any assistance with appeal)
Did you receive any assistance in preparing the appeal?
1 I did not receive any assistance
2 I received assistance from a lawyer
3 I received assistance from family/friends
4 I received assistance from a social worker/insurance company/employer
6 I received assistance from an SSA representative by phone or at a field office
appl12_other (other any assistance with appeal)
STRING
End of group of questions
appl13 (final outcome of appeal)
What was the final outcome for this application?
1 It was approved
2 It was rejected
3 It is currently under review
if appl13 in [1,2] then
application_status := 2
appl14 (how long to hear back between first appeal and final decision)
How long did it take between the first appeal and the final decision on your application?
RANGE 1..99
End of if
if appl13 = 2 then
appl15 (submit new application)
Did you submit a new application?
1 (YES) Yes
2 (NO) No
if appl15 = 1 then
application_status := 1
End of if
End of if
elseif appl11 = 2 then
application_status := 1
End of if
if appl11 = 2 OR (appl11 = 1 and appl13 = 2 and appl15 = 1) then
application_status := 1
Group of questions presented on the same screen
appl_b1_year (year how long waited after first application apply again)
The following questions are about the second time you applied for disability benefits.

How long did you wait after your first application was rejected before you applied again?
RANGE 0..120
appl_b1_month (month how long waited after first application apply again)
RANGE 0..12
End of group of questions
Group of questions presented on the same screen
appl_b2_year (year how long ago second application)
RANGE 0..120
appl_b2_month (month how long ago second application)
RANGE 0..12
End of group of questions
Group of questions presented on the same screen
appl_b3 (receive assistance with second application)
1 I did not receive any assistance
2 I received assistance from a lawyer
3 I received assistance from family/friends
4 I received assistance from a social worker/insurance company/employer
6 I received assistance from an SSA representative by phone or at a field office
appl_b3_other (other receive assistance with second application)
STRING
End of group of questions
Group of questions presented on the same screen
appl_b4 (how submitted second application)
How was the second application submitted?
1 Online
2 Application form sent by mail
3 Application filled out in the SSA office
5 By telephone, with an SSA office
appl_b4_other (other how submitted second application)
STRING
End of group of questions
appl_b5 (rate process of making second application)
How would you rate the process of preparing and submitting your application?
1 Very easy
2 Easy
3 Neither easy nor difficult
4 Difficult
5 Very difficult
appl_b6 (provide medical information second application)
For this application, were you able to provide medical information (medical records, doctor contact information, other documentation)?
1 (YES) Yes
2 (NO) No
if appl6 = 2 then
Group of questions presented on the same screen
appl_b6a (why unable to provide medical information second application)
Why were you unable to provide medical information? Please select all that apply.
1 Couldn't pay for a doctor's visit, medical tests, or other services
2 Did not have transportation to a doctor's office
3 Did not have a doctor or medical provider to obtain a diagnosis or records
4 Did not have the assistance needed to interact with the medical provider (language, understanding)
5 Doctor or medical provider did not diagnose a medical condition or provide other evidence
appl_b6a_other (other why unable to provide medical records second application)
STRING
End of group of questions
End of if
appl_b7 (asked by SSA to visit doctor second application)
For this application, were you asked by SSA/the office of Disability Determination Services to visit a doctor?
1 (YES) Yes
2 (NO) No
appl_b8 (outcome second application )
What was the outcome of the second application?
1 It was approved
2 It was rejected
3 It is currently under review
if appl_b8 in [1,2] then
application_status := 2
appl_b9 (how long to hear back from second application)
How long did it take to hear back on your application?
RANGE 1..99
End of if
Group of questions presented on the same screen
appl_b9b (how support while waiting for disability decision second application)
How did you support yourself while you waited for your disability decision? Please select all that apply.
1 Worked full-time
2 Worked part-time
3 Government assistance (e.g., Food Stamps/SNAP/EBT , workers’ compensation, unemployment insurance)
4 Spouse's earnings
5 Personal savings
6 Took on credit card debt or debt from other commercial sources
7 Changed living arrangements (e.g., moved in with family members, moved into lower cost housing)
8 Sold assets (e.g. home, car, investments)
9 Assistance or loans from friends and/or family (other than spouse)
appl_b9b_other (other how support while waiting for disability decision second application)
STRING
End of group of questions
if appl_b8 = 2 then
application_status := 2
Group of questions presented on the same screen
appl_b10 (why application rejected second application)
What reason did SSA give for denying your application?
1 Insufficient work credits
2 Insufficient medical evidence
3 Insufficient non-medical documentation
6 I did not attend the necessary medical exams
7 I was found to be able to work
11 My impairment was not considered severe
12 My impairment lasted or will last less than 12 months
13 My impairment was not considered to be disabling
8 I was making too much money to qualify for benefits
appl_b10_other (other why application rejected second application)
STRING
End of group of questions
appl_b11 (action after second application was rejected)
What did you do after your disability application was rejected?
1 I appealed the decision
2 I submitted a new application
3 Neither
if appl_b11 = 1 then
application_status := 1
Group of questions presented on the same screen
appl_b12 (any assistance with appeal second application)
Did you receive any assistance in preparing the appeal?
1 I did not receive any assistance
2 I received assistance from a lawyer
3 I received assistance from family/friends
4 I received assistance from a social worker/insurance company/employer
6 I received assistance from an SSA representative by phone or at a field office
appl_b12_other (other any assistance with appeal second application)
STRING
End of group of questions
appl_b13 (final outcome of appeal second application)
What was the final outcome for this application?
1 It was approved
2 It was rejected
3 It is currently under review
if appl_b13 in [1,2] then
application_status := 2
appl_b14 (how long to hear back between first appeal and final decision second application)
How long did it take between the first appeal and the final decision on your application?
RANGE 1..99
End of if
if appl_b13 = 2 then
appl_b15 (submit new application)
Did you submit a new application?
1 (YES) Yes
2 (NO) No
if appl_b15 = 1 then
application_status := 1
End of if
End of if
elseif appl11 = 2 then
application_status := 1
End of if
if appl_b11 = 2 OR (appl_b11 = 1 and appl_b13 = 2 and appl_b15 = 1) then
application_status := 1
appl_c1 (how many applications in total)
In total, how many times have you applied for disability benefits?
1 3
2 4
3 5 or more
appl_c2_year (year how long ago most recent application)

When did you submit your most recent application?

RANGE 1950..^FLCurrentYear
Group of questions presented on the same screen
appl_c3 (receive assistance with most recent application)
1 I did not receive any assistance
2 I received assistance from a lawyer
3 I received assistance from family/friends
4 I received assistance from a social worker/insurance company/employer
6 I received assistance from an SSA representative by phone or at a field office
appl_c3_other (other receive assistance with most recent application)
STRING
End of group of questions
Group of questions presented on the same screen
appl_c4 (how submitted most recent application)
How was the most recent application submitted?
1 Online
2 Application form sent by mail
3 Application filled out in the SSA office
5 By telephone, with an SSA office
appl_c4_other (other how submitted most recent application)
STRING
End of group of questions
appl_c5 (rate process of making most recent application)
How would you rate the process of preparing and submitting your application?
1 Very easy
2 Easy
3 Neither easy nor difficult
4 Difficult
5 Very difficult
appl_c6 (provide medical information most recent application)
For this application, were you able to provide medical information (medical records, doctor contact information, other documentation)?
1 (YES) Yes
2 (NO) No
appl_c7 (asked by SSA to visit doctor most recent application)
For this application, were you asked by SSA/the office of Disability Determination Services to visit a doctor?
1 (YES) Yes
2 (NO) No
appl_c8 (outcome most recent application)
What was the outcome of the most recent application?
1 It was approved
2 It was rejected
3 It is currently under review
if appl_c8 in [1,2] then
application_status := 2
appl_c9 (how long to hear back from most recent application)
How long did it take to hear back on your application?
RANGE 1..99
End of if
Group of questions presented on the same screen
appl_c9b (how support while waiting for disability decision most recent application)
How did you support yourself while you waited for your disability decision? Please select all that apply.
1 Worked full-time
2 Worked part-time
3 Government assistance (e.g., Food Stamps/SNAP/EBT , workers’ compensation, unemployment insurance)
4 Spouse's earnings
5 Personal savings
6 Took on credit card debt or debt from other commercial sources
7 Changed living arrangements (e.g., moved in with family members, moved into lower cost housing)
8 Sold assets (e.g. home, car, investments)
9 Assistance or loans from friends and/or family (other than spouse)
appl_c9b_other (other how support while waiting for disability decision most recent application)
STRING
End of group of questions
if appl_c8 = 2 then
application_status := 2
Group of questions presented on the same screen
appl_c10 (why application rejected most recent application)
What reason did SSA give for denying your application?
1 Insufficient work credits
2 Insufficient medical evidence
3 Insufficient non-medical documentation
6 I did not attend the necessary medical exams
7 I was found to be able to work
11 My impairment was not considered severe
12 My impairment lasted or will last less than 12 months
13 My impairment was not considered to be disabling
8 I was making too much money to qualify for benefits
appl_c10_other (other why application rejected most recent application)
STRING
End of group of questions
appl_c11 (action after most recent application was rejected)
What did you do after your disability application was rejected?
1 I appealed the decision
2 I submitted a new application
3 Neither
if appl_c11 = 1 then
application_status := 1
Group of questions presented on the same screen
appl_c12 (any assistance with appeal most recent application)
Did you receive any assistance in preparing the appeal?
1 I did not receive any assistance
2 I received assistance from a lawyer
3 I received assistance from family/friends
4 I received assistance from a social worker/insurance company/employer
6 I received assistance from an SSA representative by phone or at a field office
appl_c12_other (other any assistance with appeal most recent application)
STRING
End of group of questions
appl_c13 (final outcome of appeal most recent application)
What was the final outcome for this application?
1 It was approved
2 It was rejected
3 It is currently under review
if appl_c13 in [1,2] then
application_status := 2
appl_c14 (how long to hear back between first appeal and final decision most recent application)
How long did it take between the first appeal and the final decision on your application?
RANGE 1..99
End of if
End of if
End of if
End of if
End of if
End of if
End of if
End of if
if intro1a != 1 and intro1b != 1 and intro3 = 1 and application_status = 2 then
appl_d1 (plan to submit application for disability)
Do you intend to submit a new application for disability benefits in the future?
1 (YES) Yes
2 (NO) No
Group of questions presented on the same screen
appl_d2 (how support after application rejected)
How have you supported yourself since your last application was rejected or your benefits ended?
1 Worked full-time
2 Worked part-time
3 Government assistance (e.g., Food Stamps/SNAP/EBT , workers’ compensation, unemployment insurance)
4 Spouse's earnings
5 Personal savings
6 Took on credit card debt or debt from other commercial sources
7 Changed living arrangements (e.g., moved in with family members, moved into lower cost housing)
8 Sold assets (e.g. home, car, investments)
9 Assistance or loans from friends and/or family (other than spouse)
appl_d2_other (other how support after application rejected)
STRING
End of group of questions
End of if
End of if
if intro1a = 1 then
serv8 (how satisfied with benefits)
How satisfied are you with the amount of your disability benefit?
1 Very satisfied
2 Satisfied
3 Neither satisfied nor dissatisfied
4 Dissatisfied
5 Very dissatisfied
serv9a (part of income coming from benefits)
How much of your household income comes from [SSDI/Social Security Disability Insurance (or SSDI) is a federal insurance program of the United States government. It is managed by the Social Security Administration and designed to provide income support to people who have a disability that restricts their ability to be employed.

Social Security Disability Insurance pays benefits to a disabled person and certain members of this person’s family if the person is "insured," meaning that the person worked long enough throughout his or her life and paid Social Security taxes./] / [SSI/Supplemental Security Income (SSI) is a federal benefit program administered by the Social Security Administration. The program provides safety-net financial support for people in need. Someone may qualify for monthly SSI payments if they are 65 or older, blind or disabled and have very limited income and financial resources.

Supplemental Security Income benefits are paid out of general U.S. Treasury funds, not from Social Security taxes. One need not have worked a certain amount, or paid FICA taxes, to be eligible.//]?
End of if
if intro1a = 1 OR (intro1a != 1 and intro1b = 1) OR (intro1a != 1 and intro1b != 1 and intro3 = 1) then
serv10 (how health compared to when first applied for benefits)
Compared to when you first applied for [SSDI/Social Security Disability Insurance (or SSDI) is a federal insurance program of the United States government. It is managed by the Social Security Administration and designed to provide income support to people who have a disability that restricts their ability to be employed.

Social Security Disability Insurance pays benefits to a disabled person and certain members of this person’s family if the person is "insured," meaning that the person worked long enough throughout his or her life and paid Social Security taxes./] / [SSI/Supplemental Security Income (SSI) is a federal benefit program administered by the Social Security Administration. The program provides safety-net financial support for people in need. Someone may qualify for monthly SSI payments if they are 65 or older, blind or disabled and have very limited income and financial resources.

Supplemental Security Income benefits are paid out of general U.S. Treasury funds, not from Social Security taxes. One need not have worked a certain amount, or paid FICA taxes, to be eligible.//] benefits, how would you rate your health in general now?
1 Much better now
2 Somewhat better now
4 Somewhat worse now
5 Much worse now
serv12 (how life compared to when first applied for benefits)
Compared to when you first applied for [SSDI/Social Security Disability Insurance (or SSDI) is a federal insurance program of the United States government. It is managed by the Social Security Administration and designed to provide income support to people who have a disability that restricts their ability to be employed.

Social Security Disability Insurance pays benefits to a disabled person and certain members of this person’s family if the person is "insured," meaning that the person worked long enough throughout his or her life and paid Social Security taxes./]/[SSI/Supplemental Security Income (SSI) is a federal benefit program administered by the Social Security Administration. The program provides safety-net financial support for people in need. Someone may qualify for monthly SSI payments if they are 65 or older, blind or disabled and have very limited income and financial resources.

Supplemental Security Income benefits are paid out of general U.S. Treasury funds, not from Social Security taxes. One need not have worked a certain amount, or paid FICA taxes, to be eligible.//] benefits, would you say your standard of living now is:
1 Much better
2 Somewhat better
4 Somewhat worse
5 Much worse
End of if
if intro1a = 1 then
Group of questions presented on the same screen
serv13 (how likely go back to work)
How likely do you think it is that you will ever go back to work? Enter 0 if you are sure that you will never go back work, and 100 if you are sure you will go back to work at some point.
slider_script
End of group of questions
Else
serv13_b1 (currently working)
Are you currently working?
1 (YES) Yes
2 (NO) No
if serv13_b1 = 2 then
Group of questions presented on the same screen
serv13_b2 (how likely go back to work)
How likely do you think it is that you will ever go back to work?
slider_script
End of group of questions
End of if
End of if
serv14 (aware of SS rule)
Did you know that the Social Security rules allow an individual who receives disability benefits to work as long as their income is below an amount set by the Social Security Administration (i.e., the Substantial Gainful Activity amount)?
1 (YES) Yes
2 (NO) No
if serv14 = 1 then
serv14b (if not for Substantial Gainful Activity rule working more)
If it was not for the Substantial Gainful Activity rule, would you be working more?
1 (YES) Yes
2 (NO) No
End of if
appl_endtime := date("Y-m-d H:i:s")
appl_time := strtotime(appl_endtime) - strtotime(appl_begintime)
End of if
if intro1a = 2 AND intro1b = 2 AND intro3 = 2 and (intro3b = 1 OR (intro4a = 1 AND intro4e > 1)) then
bar_begintime := date("Y-m-d H:i:s")
barr_intro
You told us in a previous question that you experience a health condition that prevents you from working or severely reduces how much you can work. Now, we would like to ask you a few more questions about your experience with this work disability.
bar1 (never applied for Social Security disability benefits)
In a previous question, you told us you have never applied for Social Security disability benefits. Is that correct?
1 Yes, it is correct - I have never applied for Social Security disability benefits
2 Yes, this is correct - I have not yet applied, but I am in the process of preparing my application
3 No, it is not correct - I have applied for Social Security disability benefits
4 I'm not sure
if bar1 != 3 then
barr1b1_3_flag := 2
bar2 (likelihood approved Social Security disability benefits)
Imagine you decided to apply for Social Security disability benefits. What is the likelihood that you would be approved? Your best guess is ok.
barr1b1_3 (currently earn \$1470 per month or more from work)
Do you currently earn \$1,470 or more per month from work?
1 Yes
2 No
3 Sometimes
Group of questions presented on the same screen
barr3 (programs would apply for)
Imagine you decided to apply for Social Security disability benefits. Which of the programs below would you apply for?
1 [Supplemental Security Income (SSI)/Supplemental Security Income (SSI) is a federal benefit program administered by the Social Security Administration. The program provides safety-net financial support for people in need. Someone may qualify for monthly SSI payments if they are 65 or older, blind or disabled and have very limited income and financial resources.

Supplemental Security Income benefits are paid out of general U.S. Treasury funds, not from Social Security taxes. One need not have worked a certain amount, or paid FICA taxes, to be eligible.//]
2 [Social Security Disability Insurance (SSDI)/Social Security Disability Insurance (or SSDI) is a federal insurance program of the United States government. It is managed by the Social Security Administration and designed to provide income support to people who have a disability that restricts their ability to be employed.

Social Security Disability Insurance pays benefits to a disabled person and certain members of this person’s family if the person is "insured," meaning that the person worked long enough throughout his or her life and paid Social Security taxes./]
3 Both
5 I don't know
barr3_other (other programs would apply for)
STRING
End of group of questions
bar4 (reasons have not yet applied for Social Security disability benefits)
In your own words, what are the reasons you have not yet applied for Social Security disability benefits?
STRING
if sizeof(bar5_order) = 0 then
bar5_order := shuffleArray(array(1 => 1, 2 => 2, 3 => 3, 4 => 4, 5 => 5, 6 => 6, 7 => 7, 8 => 8, 9 => 9, 10 => 10))
bar5_order[11] := 11
End of if
Group of questions presented on the same screen
bar5 (reasons for not applying for Social Security disability benefits)
Which one of the following most closely reflects your reasons for not applying for Social Security disability benefits? Please select all that apply.
1 I am not sure if my disability is severe enough
2 I do not have all the necessary medical documents to apply for benefits
3 I do not think my disability will last 12 months or more
4 I do not think I qualify for benefits
5 I think that the application process is too difficult
6 I would like to go back to work
7 I think that the application process takes too long
8 I heard that it is too difficult to get approved for benefits
9 Being on disability benefits would feel like I’ve given up
10 I feel that people would look down on me if I received disability benefits
bar5_other (other reasons for not applying for Social Security disability benefits)
STRING
End of group of questions
if bar5 = response then
if cardinal(bar5) > 1 then
Loop from 1 to 11
if bar5_order[cnt] in bar5 then
bar5a_order[cnt] := bar5_order[cnt]
Else
bar5a_order[cnt] := empty
End of if
End of loop
bar5a (most important reason for not applying for Social Security disability benefits)
Which one of the following is your most important reason for not applying for Social Security disability benefits?
1 I am not sure if my disability is severe enough
2 I do not have all the necessary medical documents to apply for benefits
3 I do not think my disability will last 12 months or more
4 I do not think I qualify for benefits
5 I think that the application process is too difficult
6 I would like to go back to work
7 I think that the application process takes too long
8 I heard that it is too difficult to get approved for benefits
9 Being on disability benefits would feel like I’ve given up
10 I feel that people would look down on me if I received disability benefits
11 [other reasons for not applying for Social Security disability benefits[]]
if bar5a = response then
Loop from 1 to 11
if bar5_order[cnt] in bar5 AND bar5_order[cnt] != bar5a then
bar5b_order[cnt] := bar5_order[cnt]
Else
bar5b_order[cnt] := empty
End of if
End of loop
if cardinal(bar5) > 2 then
bar5b (second most important reason for not applying for Social Security disability benefits)
Which one of the following is your second most important reason for not applying for Social Security disability benefits?
1 I am not sure if my disability is severe enough
2 I do not have all the necessary medical documents to apply for benefits
3 I do not think my disability will last 12 months or more
4 I do not think I qualify for benefits
5 I think that the application process is too difficult
6 I would like to go back to work
7 I think that the application process takes too long
8 I heard that it is too difficult to get approved for benefits
9 Being on disability benefits would feel like I’ve given up
10 I feel that people would look down on me if I received disability benefits
11 [other reasons for not applying for Social Security disability benefits[]]
Else
bar5b := reset(bar5b_order)
End of if
Else
bar5b := empty
End of if
Else
bar5a := bar5
End of if
Else
bar5a := empty
End of if
if sizeof(barr6_b_order) = 0 then
barr6_b_order := shuffleArray(array(1 => 1, 2 => 2, 3 => 3, 4 => 4))
barr6_b_order[5] := 5
barr6_b_order[6] := 6
End of if
Group of questions presented on the same screen
barr6_b (anyone suggest that could/should apply for disability benefits)
Has anyone ever suggested that you could/should apply for Social Security disability benefits?
1 Yes, a family member, friend, or colleague
2 Yes, a healthcare provider (e.g. doctor, nurse)
3 Yes, a social worker
4 Yes, my employer or former employer
5 Yes, other:
6 No, no one ever suggested it
barr6_b_other (other anyone suggest that could/should apply for disability benefits)
STRING
End of group of questions
bar7 (apply in next five years)
How likely is it that you will apply for Social Security disability benefits in the next five years?
bar7a (apply in next ten years)
How about in the next ten years?
bar8 (what done to make process more accessible)
If you have considered applying for Social Security Disability benefits but decided not to, what could be done to make the process more accessible or appealing to you?
STRING
bar_endtime := date("Y-m-d H:i:s")
bar_time := strtotime(bar_endtime) - strtotime(bar_begintime)
reward := 11
Else
intro3 := 1
appl_begintime := date("Y-m-d H:i:s")
reward := 13
application_status := empty
if intro1a = 1 or (intro1a != 1 and intro1b = 1) then
Group of questions presented on the same screen
You told us in a previous question that you receive or have received Social Security Disability Insurance ([SSDI/Social Security Disability Insurance (or SSDI) is a federal insurance program of the United States government. It is managed by the Social Security Administration and designed to provide income support to people who have a disability that restricts their ability to be employed.

Social Security Disability Insurance pays benefits to a disabled person and certain members of this person’s family if the person is "insured," meaning that the person worked long enough throughout his or her life and paid Social Security taxes./]) and/or Supplemental Security Income ([SSI/Supplemental Security Income (SSI) is a federal benefit program administered by the Social Security Administration. The program provides safety-net financial support for people in need. Someone may qualify for monthly SSI payments if they are 65 or older, blind or disabled and have very limited income and financial resources.

Supplemental Security Income benefits are paid out of general U.S. Treasury funds, not from Social Security taxes. One need not have worked a certain amount, or paid FICA taxes, to be eligible.//]). From which programs do you receive or have received benefits?
1 Social Security Disability Insurance (SSDI) only
2 Supplemental Security Income (SSI) only
3 Both Social Security Disability Insurance (SSDI) and Supplemental Security Income (SSI)
4 At least one of these programs but I am not sure which one
serv1a_other (other which programs receive benefits)
STRING
End of group of questions
Group of questions presented on the same screen
serv1b_years (years ago started receiving beneifts)
How long ago did you first start receiving these benefits? (Your best guess is ok)
RANGE 0..120
serv1b_months (months ago started receiving beneifts)
RANGE 0..12
End of group of questions
if serv1b_years = empty and serv1b_months = empty then
Approximately how long ago did you first receive benefits?
1 Less than one year
2 Between one and three years ago
3 Between three and five years ago
4 Between five and ten years ago
5 Between ten and twenty years ago
6 More than twenty years ago
End of if
End of if
if intro1a != 1 and intro1b != 1 and intro3 = 1 then
application_status := 1
Group of questions presented on the same screen
serv1c (which programs applied benefits)
You told us in a previous question that you applied for Social Security Disability Insurance ([SSDI/Social Security Disability Insurance (or SSDI) is a federal insurance program of the United States government. It is managed by the Social Security Administration and designed to provide income support to people who have a disability that restricts their ability to be employed.

Social Security Disability Insurance pays benefits to a disabled person and certain members of this person’s family if the person is "insured," meaning that the person worked long enough throughout his or her life and paid Social Security taxes./]) or Supplemental Security Income ([SSI/Supplemental Security Income (SSI) is a federal benefit program administered by the Social Security Administration. The program provides safety-net financial support for people in need. Someone may qualify for monthly SSI payments if they are 65 or older, blind or disabled and have very limited income and financial resources.

Supplemental Security Income benefits are paid out of general U.S. Treasury funds, not from Social Security taxes. One need not have worked a certain amount, or paid FICA taxes, to be eligible.//]) in the past. Which program/s did you apply for?
1 Social Security Disability Insurance (SSDI) only
2 Supplemental Security Income (SSI) only
3 Both Social Security Disability Insurance (SSDI) and Supplemental Security Income (SSI)
4 At least one of these programs but I am not sure which one
serv1c_other (other which programs applied benefits)
STRING
End of group of questions
End of if
if intro1a = 1 OR (intro1a != 1 and intro1b = 1) = 1 OR (intro1a != 1 and intro1b != 1 and intro3 = 1) then
Group of questions presented on the same screen
serv2 (how decided to apply for benefits)
How did you first decide to apply for benefits?
1 I knew I was eligible for benefits
2 I decided to apply on the advice of my healthcare provider
3 I decided to apply on the advice of family/friends/colleagues
4 I decided to apply on the advice of my former employer / medical insurance company
serv2_other (other how decided to apply for benefits)
STRING
End of group of questions
Group of questions presented on the same screen
serv3 (what condition first applied for)
What is the condition for which you FIRST applied?
1 Musculoskeletal problems, such as back injuries; limb amputation
2 Cardiovascular conditions, such as heart failure; stroke
3 Respiratory illnesses, such as COPD; asthma
4 Senses and speech issues, such as vision and hearing loss
5 Neurological disorders, such as multiple sclerosis, Parkinson's Disease or epilepsy
6 Mental health disorders, such as depression; schizophrenia
7 Cancer
9 None, applied on the basis of age (65 and older)
serv3_other (other what condition first applied for)
STRING
End of group of questions
serv3a (how long after onset disability applied)
How long after the onset of your disability did you did you apply for Social Security disability?
1 Immediately after the onset of my disability
2 Within a year of the onset of my disability
3 One to three years after the onset of my disability
4 Four or more years after the onset of my disability
serv4 (year impairment or health problem begin to interfere with work)
In what year did the impairment or health problem begin to interfere with your work?
RANGE 1950..^FLCurrentYear
appl_2_minimum := serv4
if appl_2_minimum = empty then
appl_2_minimum := 1950
End of if
appl2 (first apply for disability benefits)
When did you first apply for disability benefits?
RANGE ^appl_2_minimum..^FLCurrentYear
if appl2 > 2022 then
appl2_followup1 (no of months first apply for disability benefits)
1 1
2 2
3 3
4 4
5 5
6 6
7 7
8 8
9 9
10 10
11 11
12 12
elseif appl2 = empty then
appl2_followup2 (nonresponse first apply for disability benefits)
Approximately how long ago did you first apply for benefits?
1 Less than one year
2 Between one and three years ago
3 Between three and five years ago
4 Between five and ten years ago
5 Between ten and twenty years ago
6 More than twenty years ago
End of if
if serv3a < 3 OR (appl2 = response and (appl2 - appl_2_minimum) < 2) then
Else
if sizeof(serv_bar1_order) = 0 then
serv_bar1_order := shuffleArray(array(1 => 1, 2 => 2, 3 => 3, 4 => 4, 5 => 5, 6 => 6, 7 => 7, 8 => 8, 9 => 9, 10 => 10))
serv_bar1_order[11] := 11
End of if
Group of questions presented on the same screen
serv_bar1 (main reasons waited more than one year after onset of disability to apply for benefits)
What were the main reasons you waited more than one year after the onset of your disability to apply for benefits? Please select all that apply.
1 I was still able to work
2 I wanted to try to work again
3 I did not know about the disability programs
4 I did not think my disability would last 12 months or more
5 I did not think I would qualify for benefits
6 I thought the application process would be too difficult
7 I thought that the application process would take too long
8 I heard it was too difficult to get approved for benefits
9 Being on disability benefits felt like I would be giving up
10 I felt that people would look down on me if I received disability benefits
serv_bar1_other (other main reason waited more than one year after onset of disability to apply for benefits)
STRING
End of group of questions
if serv_bar1 = response then
if cardinal(serv_bar1) > 1 then
Loop from 1 to 11
if serv_bar1_order[cnt] in serv_bar1 then
serv_bar1a_order[cnt] := serv_bar1_order[cnt]
Else
serv_bar1a_order[cnt] := empty
End of if
End of loop
serv_bar1a (most important main reason waited more than one year after onset of disability to apply for benefits)
What was the most important main reason you waited more than one year after the onset of your disability to apply for benefits?
1 I was still able to work
2 I wanted to try to work again
3 I did not know about the disability programs
4 I did not think my disability would last 12 months or more
5 I did not think I would qualify for benefits
6 I thought the application process would be too difficult
7 I thought that the application process would take too long
8 I heard it was too difficult to get approved for benefits
9 Being on disability benefits felt like I would be giving up
10 I felt that people would look down on me if I received disability benefits
11 [other main reason waited more than one year after onset of disability to apply for benefits[]]
if serv_bar1a = response then
Loop from 1 to 11
if serv_bar1_order[cnt] in serv_bar1 AND serv_bar1_order[cnt] != serv_bar1a then
serv_bar1b_order[cnt] := serv_bar1_order[cnt]
Else
serv_bar1b_order[cnt] := empty
End of if
End of loop
if cardinal(serv_bar1) > 2 then
serv_bar1b (second most important main reason waited more than one year after onset of disability to apply for benefits)
What was the second most important main reason you waited more than one year after the onset of your disability to apply for benefits?
1 I was still able to work
2 I wanted to try to work again
3 I did not know about the disability programs
4 I did not think my disability would last 12 months or more
5 I did not think I would qualify for benefits
6 I thought the application process would be too difficult
7 I thought that the application process would take too long
8 I heard it was too difficult to get approved for benefits
9 Being on disability benefits felt like I would be giving up
10 I felt that people would look down on me if I received disability benefits
11 [other main reason waited more than one year after onset of disability to apply for benefits[]]
Else
serv_bar1b := reset(serv_bar1b_order)
End of if
Else
serv_bar1b := empty
End of if
Else
serv_bar1a := serv_bar1
End of if
Else
serv_bar1a := empty
End of if
End of if
if sizeof(serv_bar3_order) = 0 then
serv_bar3_order := shuffleArray(array(1 => 1, 2 => 2, 3 => 3, 4 => 4))
serv_bar3_order[5] := 5
serv_bar3_order[6] := 6
End of if
Group of questions presented on the same screen
serv_bar3 (anyone suggest that could/should apply for disability benefits)
Before you applied, did anyone suggest that you could/should apply for disability benefits?
1 Yes, a family member, friend, or colleague
2 Yes, a healthcare provider (e.g. doctor, nurse)
3 Yes, a social worker
4 Yes, my employer or former employer;
5 Yes, other:
6 No, no one ever suggested it
serv_bar3_other (other anyone suggest that could/should apply for disability benefits)
STRING
End of group of questions
Group of questions presented on the same screen
1 I did not receive any assistance
2 I received assistance from a lawyer
3 I received assistance from family/friends
4 I received assistance from a social worker/insurance company/employer
6 I received assistance from an SSA representative by phone or at a field office
appl3_other (other receive assistance with claim)
STRING
End of group of questions
Group of questions presented on the same screen
appl4 (how submitted application)
1 Online
2 Application form sent by mail
3 Application filled out in the SSA office
5 By telephone, with an SSA office
appl4_other (other how submitted application)
STRING
End of group of questions
appl5 (rate process of making claim)
How would you rate the process of preparing and submitting your claim?
1 Very easy
2 Easy
3 Neither easy nor difficult
4 Difficult
5 Very difficult
appl6 (provide medical information)
For this application, were you able to provide medical information (medical records, doctor contact information, other documentation)?
1 (YES) Yes
2 (NO) No
if appl6 = 2 then
Group of questions presented on the same screen
appl6a (why unable to provide medical information)
Why were you unable to provide medical information? Please select all that apply.
1 Couldn't pay for a doctor's visit, medical tests, or other services
2 Did not have transportation to a doctor's office
3 Did not have a doctor or medical provider to obtain a diagnosis or records
4 Did not have the assistance needed to interact with the medical provider (language, understanding)
5 Doctor or medical provider did not diagnose a medical condition or provide other evidence
appl6a_other (other why unable to provide medical records)
STRING
End of group of questions
End of if
appl7 (asked by SSA to visit doctor)
For this application, were you asked by SSA/the office of Disability Determination Services to visit a doctor?
1 (YES) Yes
2 (NO) No
appl8 (outcome first application)
What was the outcome of the first application?
1 It was approved
2 It was rejected
3 It is currently under review
if appl8 in [1,2] then
application_status := 2
appl9 (how long to hear back from application)
How long did it take to hear back whether your application was approved or denied?
RANGE 1..99
End of if
Group of questions presented on the same screen
appl9b (how support while waiting for disability decision)
How did you support yourself while you waited for your disability decision? Please select all that apply.
1 Worked full-time
2 Worked part-time
3 Government assistance (e.g., Food Stamps/SNAP/EBT , workers’ compensation, unemployment insurance)
4 Spouse's earnings
5 Personal savings
6 Took on credit card debt or debt from other commercial sources
7 Changed living arrangements (e.g., moved in with family members, moved into lower cost housing)
8 Sold assets (e.g. home, car, investments)
9 Assistance or loans from friends and/or family (other than spouse)
appl9b_other (other how support while waiting for disability decision)
STRING
End of group of questions
if appl8 = 2 then
application_status := 2
Group of questions presented on the same screen
appl10 (why application rejected)
What reason did SSA give for denying your application?
1 Insufficient work credits
2 Insufficient medical evidence
3 Insufficient non-medical documentation
6 I did not attend the necessary medical exams
7 I was found to be able to work
11 My impairment was not considered severe
12 My impairment lasted or will last less than 12 months
13 My impairment was not considered to be disabling
8 I was making too much money to qualify for benefits
appl10_other (other why application rejected)
STRING
End of group of questions
appl11 (action after application was rejected)
What did you do after your disability application was rejected?
1 I appealed the decision
2 I submitted a new application
3 Neither
if appl11 = 1 then
application_status := 1
Group of questions presented on the same screen
appl12 (any assistance with appeal)
Did you receive any assistance in preparing the appeal?
1 I did not receive any assistance
2 I received assistance from a lawyer
3 I received assistance from family/friends
4 I received assistance from a social worker/insurance company/employer
6 I received assistance from an SSA representative by phone or at a field office
appl12_other (other any assistance with appeal)
STRING
End of group of questions
appl13 (final outcome of appeal)
What was the final outcome for this application?
1 It was approved
2 It was rejected
3 It is currently under review
if appl13 in [1,2] then
application_status := 2
appl14 (how long to hear back between first appeal and final decision)
How long did it take between the first appeal and the final decision on your application?
RANGE 1..99
End of if
if appl13 = 2 then
appl15 (submit new application)
Did you submit a new application?
1 (YES) Yes
2 (NO) No
if appl15 = 1 then
application_status := 1
End of if
End of if
elseif appl11 = 2 then
application_status := 1
End of if
if appl11 = 2 OR (appl11 = 1 and appl13 = 2 and appl15 = 1) then
application_status := 1
Group of questions presented on the same screen
appl_b1_year (year how long waited after first application apply again)
The following questions are about the second time you applied for disability benefits.

How long did you wait after your first application was rejected before you applied again?
RANGE 0..120
appl_b1_month (month how long waited after first application apply again)
RANGE 0..12
End of group of questions
Group of questions presented on the same screen
appl_b2_year (year how long ago second application)
RANGE 0..120
appl_b2_month (month how long ago second application)
RANGE 0..12
End of group of questions
Group of questions presented on the same screen
appl_b3 (receive assistance with second application)
1 I did not receive any assistance
2 I received assistance from a lawyer
3 I received assistance from family/friends
4 I received assistance from a social worker/insurance company/employer
6 I received assistance from an SSA representative by phone or at a field office
appl_b3_other (other receive assistance with second application)
STRING
End of group of questions
Group of questions presented on the same screen
appl_b4 (how submitted second application)
How was the second application submitted?
1 Online
2 Application form sent by mail
3 Application filled out in the SSA office
5 By telephone, with an SSA office
appl_b4_other (other how submitted second application)
STRING
End of group of questions
appl_b5 (rate process of making second application)
How would you rate the process of preparing and submitting your application?
1 Very easy
2 Easy
3 Neither easy nor difficult
4 Difficult
5 Very difficult
appl_b6 (provide medical information second application)
For this application, were you able to provide medical information (medical records, doctor contact information, other documentation)?
1 (YES) Yes
2 (NO) No
if appl6 = 2 then
Group of questions presented on the same screen
appl_b6a (why unable to provide medical information second application)
Why were you unable to provide medical information? Please select all that apply.
1 Couldn't pay for a doctor's visit, medical tests, or other services
2 Did not have transportation to a doctor's office
3 Did not have a doctor or medical provider to obtain a diagnosis or records
4 Did not have the assistance needed to interact with the medical provider (language, understanding)
5 Doctor or medical provider did not diagnose a medical condition or provide other evidence
appl_b6a_other (other why unable to provide medical records second application)
STRING
End of group of questions
End of if
appl_b7 (asked by SSA to visit doctor second application)
For this application, were you asked by SSA/the office of Disability Determination Services to visit a doctor?
1 (YES) Yes
2 (NO) No
appl_b8 (outcome second application )
What was the outcome of the second application?
1 It was approved
2 It was rejected
3 It is currently under review
if appl_b8 in [1,2] then
application_status := 2
appl_b9 (how long to hear back from second application)
How long did it take to hear back on your application?
RANGE 1..99
End of if
Group of questions presented on the same screen
appl_b9b (how support while waiting for disability decision second application)
How did you support yourself while you waited for your disability decision? Please select all that apply.
1 Worked full-time
2 Worked part-time
3 Government assistance (e.g., Food Stamps/SNAP/EBT , workers’ compensation, unemployment insurance)
4 Spouse's earnings
5 Personal savings
6 Took on credit card debt or debt from other commercial sources
7 Changed living arrangements (e.g., moved in with family members, moved into lower cost housing)
8 Sold assets (e.g. home, car, investments)
9 Assistance or loans from friends and/or family (other than spouse)
appl_b9b_other (other how support while waiting for disability decision second application)
STRING
End of group of questions
if appl_b8 = 2 then
application_status := 2
Group of questions presented on the same screen
appl_b10 (why application rejected second application)
What reason did SSA give for denying your application?
1 Insufficient work credits
2 Insufficient medical evidence
3 Insufficient non-medical documentation
6 I did not attend the necessary medical exams
7 I was found to be able to work
11 My impairment was not considered severe
12 My impairment lasted or will last less than 12 months
13 My impairment was not considered to be disabling
8 I was making too much money to qualify for benefits
appl_b10_other (other why application rejected second application)
STRING
End of group of questions
appl_b11 (action after second application was rejected)
What did you do after your disability application was rejected?
1 I appealed the decision
2 I submitted a new application
3 Neither
if appl_b11 = 1 then
application_status := 1
Group of questions presented on the same screen
appl_b12 (any assistance with appeal second application)
Did you receive any assistance in preparing the appeal?
1 I did not receive any assistance
2 I received assistance from a lawyer
3 I received assistance from family/friends
4 I received assistance from a social worker/insurance company/employer
6 I received assistance from an SSA representative by phone or at a field office
appl_b12_other (other any assistance with appeal second application)
STRING
End of group of questions
appl_b13 (final outcome of appeal second application)
What was the final outcome for this application?
1 It was approved
2 It was rejected
3 It is currently under review
if appl_b13 in [1,2] then
application_status := 2
appl_b14 (how long to hear back between first appeal and final decision second application)
How long did it take between the first appeal and the final decision on your application?
RANGE 1..99
End of if
if appl_b13 = 2 then
appl_b15 (submit new application)
Did you submit a new application?
1 (YES) Yes
2 (NO) No
if appl_b15 = 1 then
application_status := 1
End of if
End of if
elseif appl11 = 2 then
application_status := 1
End of if
if appl_b11 = 2 OR (appl_b11 = 1 and appl_b13 = 2 and appl_b15 = 1) then
application_status := 1
appl_c1 (how many applications in total)
In total, how many times have you applied for disability benefits?
1 3
2 4
3 5 or more
appl_c2_year (year how long ago most recent application)

When did you submit your most recent application?

RANGE 1950..^FLCurrentYear
Group of questions presented on the same screen
appl_c3 (receive assistance with most recent application)
1 I did not receive any assistance
2 I received assistance from a lawyer
3 I received assistance from family/friends
4 I received assistance from a social worker/insurance company/employer
6 I received assistance from an SSA representative by phone or at a field office
appl_c3_other (other receive assistance with most recent application)
STRING
End of group of questions
Group of questions presented on the same screen
appl_c4 (how submitted most recent application)
How was the most recent application submitted?
1 Online
2 Application form sent by mail
3 Application filled out in the SSA office
5 By telephone, with an SSA office
appl_c4_other (other how submitted most recent application)
STRING
End of group of questions
appl_c5 (rate process of making most recent application)
How would you rate the process of preparing and submitting your application?
1 Very easy
2 Easy
3 Neither easy nor difficult
4 Difficult
5 Very difficult
appl_c6 (provide medical information most recent application)
For this application, were you able to provide medical information (medical records, doctor contact information, other documentation)?
1 (YES) Yes
2 (NO) No
appl_c7 (asked by SSA to visit doctor most recent application)
For this application, were you asked by SSA/the office of Disability Determination Services to visit a doctor?
1 (YES) Yes
2 (NO) No
appl_c8 (outcome most recent application)
What was the outcome of the most recent application?
1 It was approved
2 It was rejected
3 It is currently under review
if appl_c8 in [1,2] then
application_status := 2
appl_c9 (how long to hear back from most recent application)
How long did it take to hear back on your application?
RANGE 1..99
End of if
Group of questions presented on the same screen
appl_c9b (how support while waiting for disability decision most recent application)
How did you support yourself while you waited for your disability decision? Please select all that apply.
1 Worked full-time
2 Worked part-time
3 Government assistance (e.g., Food Stamps/SNAP/EBT , workers’ compensation, unemployment insurance)
4 Spouse's earnings
5 Personal savings
6 Took on credit card debt or debt from other commercial sources
7 Changed living arrangements (e.g., moved in with family members, moved into lower cost housing)
8 Sold assets (e.g. home, car, investments)
9 Assistance or loans from friends and/or family (other than spouse)
appl_c9b_other (other how support while waiting for disability decision most recent application)
STRING
End of group of questions
if appl_c8 = 2 then
application_status := 2
Group of questions presented on the same screen
appl_c10 (why application rejected most recent application)
What reason did SSA give for denying your application?
1 Insufficient work credits
2 Insufficient medical evidence
3 Insufficient non-medical documentation
6 I did not attend the necessary medical exams
7 I was found to be able to work
11 My impairment was not considered severe
12 My impairment lasted or will last less than 12 months
13 My impairment was not considered to be disabling
8 I was making too much money to qualify for benefits
appl_c10_other (other why application rejected most recent application)
STRING
End of group of questions
appl_c11 (action after most recent application was rejected)
What did you do after your disability application was rejected?
1 I appealed the decision
2 I submitted a new application
3 Neither
if appl_c11 = 1 then
application_status := 1
Group of questions presented on the same screen
appl_c12 (any assistance with appeal most recent application)
Did you receive any assistance in preparing the appeal?
1 I did not receive any assistance
2 I received assistance from a lawyer
3 I received assistance from family/friends
4 I received assistance from a social worker/insurance company/employer
6 I received assistance from an SSA representative by phone or at a field office
appl_c12_other (other any assistance with appeal most recent application)
STRING
End of group of questions
appl_c13 (final outcome of appeal most recent application)
What was the final outcome for this application?
1 It was approved
2 It was rejected
3 It is currently under review
if appl_c13 in [1,2] then
application_status := 2
appl_c14 (how long to hear back between first appeal and final decision most recent application)
How long did it take between the first appeal and the final decision on your application?
RANGE 1..99
End of if
End of if
End of if
End of if
End of if
End of if
End of if
End of if
if intro1a != 1 and intro1b != 1 and intro3 = 1 and application_status = 2 then
appl_d1 (plan to submit application for disability)
Do you intend to submit a new application for disability benefits in the future?
1 (YES) Yes
2 (NO) No
Group of questions presented on the same screen
appl_d2 (how support after application rejected)
How have you supported yourself since your last application was rejected or your benefits ended?
1 Worked full-time
2 Worked part-time
3 Government assistance (e.g., Food Stamps/SNAP/EBT , workers’ compensation, unemployment insurance)
4 Spouse's earnings
5 Personal savings
6 Took on credit card debt or debt from other commercial sources
7 Changed living arrangements (e.g., moved in with family members, moved into lower cost housing)
8 Sold assets (e.g. home, car, investments)
9 Assistance or loans from friends and/or family (other than spouse)
appl_d2_other (other how support after application rejected)
STRING
End of group of questions
End of if
End of if
if intro1a = 1 then
serv8 (how satisfied with benefits)
How satisfied are you with the amount of your disability benefit?
1 Very satisfied
2 Satisfied
3 Neither satisfied nor dissatisfied
4 Dissatisfied
5 Very dissatisfied
serv9a (part of income coming from benefits)
How much of your household income comes from [SSDI/Social Security Disability Insurance (or SSDI) is a federal insurance program of the United States government. It is managed by the Social Security Administration and designed to provide income support to people who have a disability that restricts their ability to be employed.

Social Security Disability Insurance pays benefits to a disabled person and certain members of this person’s family if the person is "insured," meaning that the person worked long enough throughout his or her life and paid Social Security taxes./] / [SSI/Supplemental Security Income (SSI) is a federal benefit program administered by the Social Security Administration. The program provides safety-net financial support for people in need. Someone may qualify for monthly SSI payments if they are 65 or older, blind or disabled and have very limited income and financial resources.

Supplemental Security Income benefits are paid out of general U.S. Treasury funds, not from Social Security taxes. One need not have worked a certain amount, or paid FICA taxes, to be eligible.//]?
End of if
if intro1a = 1 OR (intro1a != 1 and intro1b = 1) OR (intro1a != 1 and intro1b != 1 and intro3 = 1) then
serv10 (how health compared to when first applied for benefits)
Compared to when you first applied for [SSDI/Social Security Disability Insurance (or SSDI) is a federal insurance program of the United States government. It is managed by the Social Security Administration and designed to provide income support to people who have a disability that restricts their ability to be employed.

Social Security Disability Insurance pays benefits to a disabled person and certain members of this person’s family if the person is "insured," meaning that the person worked long enough throughout his or her life and paid Social Security taxes./] / [SSI/Supplemental Security Income (SSI) is a federal benefit program administered by the Social Security Administration. The program provides safety-net financial support for people in need. Someone may qualify for monthly SSI payments if they are 65 or older, blind or disabled and have very limited income and financial resources.

Supplemental Security Income benefits are paid out of general U.S. Treasury funds, not from Social Security taxes. One need not have worked a certain amount, or paid FICA taxes, to be eligible.//] benefits, how would you rate your health in general now?
1 Much better now
2 Somewhat better now
4 Somewhat worse now
5 Much worse now
serv12 (how life compared to when first applied for benefits)
Compared to when you first applied for [SSDI/Social Security Disability Insurance (or SSDI) is a federal insurance program of the United States government. It is managed by the Social Security Administration and designed to provide income support to people who have a disability that restricts their ability to be employed.

Social Security Disability Insurance pays benefits to a disabled person and certain members of this person’s family if the person is "insured," meaning that the person worked long enough throughout his or her life and paid Social Security taxes./]/[SSI/Supplemental Security Income (SSI) is a federal benefit program administered by the Social Security Administration. The program provides safety-net financial support for people in need. Someone may qualify for monthly SSI payments if they are 65 or older, blind or disabled and have very limited income and financial resources.

Supplemental Security Income benefits are paid out of general U.S. Treasury funds, not from Social Security taxes. One need not have worked a certain amount, or paid FICA taxes, to be eligible.//] benefits, would you say your standard of living now is:
1 Much better
2 Somewhat better
4 Somewhat worse
5 Much worse
End of if
if intro1a = 1 then
Group of questions presented on the same screen
serv13 (how likely go back to work)
How likely do you think it is that you will ever go back to work? Enter 0 if you are sure that you will never go back work, and 100 if you are sure you will go back to work at some point.
slider_script
End of group of questions
Else
serv13_b1 (currently working)
Are you currently working?
1 (YES) Yes
2 (NO) No
if serv13_b1 = 2 then
Group of questions presented on the same screen
serv13_b2 (how likely go back to work)
How likely do you think it is that you will ever go back to work?
slider_script
End of group of questions
End of if
End of if
serv14 (aware of SS rule)
Did you know that the Social Security rules allow an individual who receives disability benefits to work as long as their income is below an amount set by the Social Security Administration (i.e., the Substantial Gainful Activity amount)?
1 (YES) Yes
2 (NO) No
if serv14 = 1 then
serv14b (if not for Substantial Gainful Activity rule working more)
If it was not for the Substantial Gainful Activity rule, would you be working more?
1 (YES) Yes
2 (NO) No
End of if
appl_endtime := date("Y-m-d H:i:s")
appl_time := strtotime(appl_endtime) - strtotime(appl_begintime)
End of if
End of if
End of if
dis_intro
Before concluding, we have a few short questions about disabilities.
diffhear (acs6-disability : deaf or hearing difficulty)
Are you deaf or do you have serious difficulty hearing?
1 (YES) Yes
2 (NO) No
diffeye (acs6-disability : Vision Difficulty or blind)
Are you blind or do you have serious difficulty seeing even when wearing glasses?
1 (YES) Yes
2 (NO) No
diffrem (acs6-disability : Cognitive Difficulty)
Because of a physical, mental, or emotional condition, do you have serious difficulty concentrating, remembering, or making decisions?
1 (YES) Yes
2 (NO) No
diffwalk (acs6-disability: difficulty walking or climbing)
Do you have serious difficulty walking or climbing stairs?
1 (YES) Yes
2 (NO) No
diffcare (acs6-disability: selfcare difficulty, dressing or bathing)
Do you have difficulty dressing or bathing?
1 (YES) Yes
2 (NO) No
differrand (acs6-disability: difficulty doing errands)
Because of a physical, mental, or emotional condition, do you have difficulty doing errands alone such as visiting a doctor's office or shopping?
1 (YES) Yes
2 (NO) No
sc006 (consider to be person with disability)
Do you consider yourself to be a person with a disability?
1 Yes
2 No
98 I prefer not to respond
99 I don't know
if sc006 = 1 then
Group of questions presented on the same screen
sc007 (how be person with disability)
Please indicate how you self-identify (select all that apply):
1 Person living with a physical disability
2 Person living with a learning disability
3 Person living with a mental and/or psychological disability
4 Person living with a vision disability
5 Person living with a hearing disability
6 Person with an intellectual disability
7 Person with a developmental disability
8 Person living with a disability not listed above, please describe:
9 I prefer not to respond
sc007_other (other how be person with disability)
STRING
End of group of questions
End of if
CS_001 (HOW PLEASANT INTERVIEW)
Could you tell us how interesting or uninteresting you found the questions in this survey?
1 Very interesting
2 Interesting
3 Neither interesting nor uninteresting
4 Uninteresting
5 Very uninteresting