Thank you for agreeing to participate in our ongoing survey which focuses on the impact of the novel coronavirus (COVID-19). We will send you a reminder to check in [Monday/Tuesday/Wednesday/Thursday/Friday/Saturday/Sunday/once every two weeks/once every four weeks/], on [day[]], to let us know how the coronavirus epidemic is affecting you. Most of the questions in this survey were asked in previous surveys. Thank you for answering them accurately again, to ensure we always have the most up-to-date information.
Have you experienced any of the following symptoms in the past 7 days?
Subgroup of questions
Loop from 1 to 18
Value of question 'cr001_questions[cr001_order[cnt]]' asked as question
End of loop
End of subgroup of questions
End of group of questions
cr002 (tested for the coronavirus)
Have you been tested for coronavirus[ since ^FLDateEarlierSurvey (when you last took our coronavirus survey)]? If so, what was the result?
1 I have been tested and I tested positive (I had coronavirus) 2 I have been tested and I tested negative (I did not have coronavirus) 3 I have been tested and I do not know the result 4 I have not been tested
if cr002 in [1,2,3] then
cr079 (how many times tested)
How many times have you been tested since [^FLDateEarlierSurvey/March 2020]?
1 I only tested positive (I had the coronavirus) 2 I only tested negative (I did not have the coronavirus) 3 I tested both negative and positive 4 I do not know the results
End of if
End of if
cr005 (diagnosed with the coronavirus)
Whether or not you have had a coronavirus test, has a doctor or another healthcare professional diagnosed you as having or probably having the coronavirus[ since ^FLDateEarlierSurvey]?
1 Yes 2 No 3 Unsure
if cr002 != 1 AND cr005 !=1 then
cr007 (think infected with coronavirus)
Do you think you have been infected with the coronavirus[ since ^FLDateEarlierSurvey]?
1 (YES) Yes 2 (NO) No
End of if
if cr002 = 1 OR cr005 = 1 OR cr007 = 1 then
Fill code of question 'FL_cr011' executed
cr011 (contacted a doctor, employer, family)
Have you contacted anyone[, other than the medical professionals that tested or diagnosed or treated you, ] to inform them you have coronavirus[ since ^FLDateEarlierSurvey]?
In the last seven days, have you done the following:
Subgroup of questions
Loop from 1 to 18
if cr015_questions[cr015_order[cnt]] = response then
Value of question 'cr015_questions[cr015_order[cnt]]' asked as question
End of if
End of loop
End of subgroup of questions
End of group of questions
if cr015a = 1 OR cr015b = 1 OR cr015c = 1 OR cr015d = 1 OR cr015e = 1 OR cr015f = 1 OR cr015k = 1 OR cr015l = 1 OR cr015m = 1 OR cr015n = 1 OR cr015r = 1 OR cr015s = 1 then
Group of questions presented on the same screen
cr069_intro
For each of the following activities, please indicate how often, if ever, you wore a mask or face covering.
Subgroup of questions
Loop from 1 to 16
if cr015_order[cnt] = 1 AND cr015a = 1 then
cr069a (face mask gone out to a bar, club, or other place where people gather )
When you went to a bar, club, or other place where people gather
1 Always 2 Most of the time 3 Sometimes 4 Rarely 5 Never 6 Unsure
elseif cr015_order[cnt] = 2 AND cr015b = 1 then
cr069b (face mask gone to the grocery store or pharmacy )
When you went to the grocery store or pharmacy
1 Always 2 Most of the time 3 Sometimes 4 Rarely 5 Never 6 Unsure
elseif cr015_order[cnt] = 3 AND cr015c = 1 then
cr069c (face mask friend, neighbor, or other relative’s residence)
When you went to a friend, neighbor, or other relative’s residence
1 Always 2 Most of the time 3 Sometimes 4 Rarely 5 Never 6 Unsure
elseif cr015_order[cnt] = 4 AND cr015d = 1 then
cr069d (face mask visitors such as friends, neighbors, or relatives at residence)
When you had visitors such as friends, neighbors, or relatives at your residence
1 Always 2 Most of the time 3 Sometimes 4 Rarely 5 Never 6 Unsure
elseif cr015_order[cnt] = 5 AND cr015e = 1 then
cr069e (face mask attended a gathering with more than 10 people)
When you attended a gathering with more than 10 people
1 Always 2 Most of the time 3 Sometimes 4 Rarely 5 Never 6 Unsure
elseif cr015_order[cnt] = 6 AND cr015f = 1 then
cr069f (face mask sought care from a hospital or health care facility)
When you sought care from a hospital or health care facility
1 Always 2 Most of the time 3 Sometimes 4 Rarely 5 Never 6 Unsure
elseif cr015_order[cnt] = 11 AND cr015k = 1 then
cr069k (face mask had close contact (within 6 feet) with people who do not live with you)
When you had close contact (within 6 feet) with people who do not live with you
1 Always 2 Most of the time 3 Sometimes 4 Rarely 5 Never 6 Unsure
elseif cr015_order[cnt] = 12 AND cr015l = 1 then
cr069l (face mask gone outside to walk, hike, or exercise)
When you went outside to walk, hike or exercise
1 Always 2 Most of the time 3 Sometimes 4 Rarely 5 Never 6 Unsure
elseif cr015_order[cnt] = 13 AND cr015m = 1 then
cr069m (face mask attended a political rally, protest, or demonstration)
When you attended a political rally, protest, or demonstration
1 Always 2 Most of the time 3 Sometimes 4 Rarely 5 Never 6 Unsure
elseif cr015_order[cnt] = 14 AND cr015n = 1 then
cr069n (face mask attended an in-person religious service)
When you attended an in-person religious service
1 Always 2 Most of the time 3 Sometimes 4 Rarely 5 Never 6 Unsure
elseif cr015_order[cnt] = 17 AND cr015r = 1 then
cr069r (face mask traveled by airplane)
When you traveled by airplane
1 Always 2 Most of the time 3 Sometimes 4 Rarely 5 Never 6 Unsure
elseif cr015_order[cnt] = 18 AND cr015s = 1 then
cr069s (face mask traveled by public transportation (bus, subway, commuter rail, etc.))
When you traveled by public transportation (bus, subway, commuter rail, etc.)
1 Always 2 Most of the time 3 Sometimes 4 Rarely 5 Never 6 Unsure
How safe or unsafe are the following actions for avoiding exposure to coronavirus?
Subgroup of questions
Loop from 1 to 13
Value of question 'cr020_questions[cr020_order[cnt]]' asked as question
End of loop
End of subgroup of questions
End of group of questions
if alternatewave = 1 then
cr021 (how many family or close friends)
We'd like to ask about your family, as well as your close friends. How many family or close friends do you have? Only include people who are still alive, regardless of where they live.
RANGE 0..9223372036854775807
if cr021 > 999 then
cr021_warning (warning how many family or close friends)
Do you really have [how many family or close friends[]] family and close friends? If so, click "Next" to continue.
End of if
if cr021 > 0 then
cr022 (infected how many family or close friends)
How many family and close friends do you think have been infected with the coronavirus?
RANGE 0..9223372036854775807
if cr022 > cr021 then
cr022_warning
You said you know [how many family or close friends[]] people but that [infected how many family or close friends[]] people have been infected. Please go back and correct your answer(s).
elseif cr022 > 999 then
cr022_warning2
Do you really know [infected how many family or close friends[]] people who have been infected? If so, click "Next" to continue.
End of if
cr022a (hospitalized how many family or close friends)
How many family and close friends do you think have been hospitalized (spent at least one night in the hospital) from the coronavirus?
RANGE 0..9223372036854775807
if cr022a > cr021 then
cr022a_warning
You said you know [how many family or close friends[]] people but that [hospitalized how many family or close friends[]] people have been hospitalized. Please go back and correct your answer(s).
elseif cr022a > 999 then
cr022a_warning2
Do you really know [hospitalized how many family or close friends[]] people who have been hospitalized? If so, click "Next" to continue.
End of if
cr022b (died how many family or close friends)
How many family and close friends do you think have died from the coronavirus?
RANGE 0..9223372036854775807
if cr022b > cr021 then
cr022b_warning
You said you know [how many family or close friends[]] people but that [died how many family or close friends[]] people have died. Please go back and correct your answer(s).
elseif cr022b > 999 then
cr022b_warning2
Do you really know [died how many family or close friends[]] people who have died? If so, click "Next" to continue.
End of if
cr022c (received vaccine how many family or close friends)
How many family and close friends do you think have received at least one dose of the coronavirus vaccine?
RANGE 0..9223372036854775807
if cr022c > cr021 then
cr022c_warning
You said you know [how many family or close friends[]] people but that [received vaccine how many family or close friends[]] people have received at least one dose of the coronavirus vaccine. Please go back and correct your answer(s).
elseif cr022c > 999 then
cr022c_warning2
Do you really know [received vaccine how many family or close friends[]] people who have received at least one dose of the coronavirus vaccine? If so, click "Next" to continue.
End of if
End of if
End of if
Group of questions presented on the same screen
cr023 (chance get coronavirus in next 3 months)
On a scale of 0 to 100 percent, what is the chance that you will get the coronavirus in the next three months? If you’re not sure, please give your best guess.
If you do get the coronavirus, what is the percent chance you will be hospitalized (spend at least one night in the hospital) from it? If you’re not sure, please give your best guess.
You previously told us that you received your first dose of the coronavirus vaccine on [previous survey month first dose[]] [previous survey day first dose[]]. Is this correct?
1 Yes 2 No 3 Unsure
End of if
if cr096 = 1 then
cr082_month := preload_cr082_month
cr082_day := preload_cr082_day
Else
cr082_month := preload_cr082_month
cr082_day := preload_cr082_day
Group of questions presented on the same screen
cr082_month (month first dose)
When did you receive your first dose of the coronavirus vaccine?
1 January 2 February 3 March 4 April 5 May 6 June 7 July 8 August 9 September 10 October 11 November 12 December
You previously told us that you received your second dose of the coronavirus vaccine on [previous survey month second dose[]] [previous survey day second dose[]]. Is this correct?
1 Yes 2 No 3 Unsure
End of if
if cr097 = 1 then
cr083_month := preload_cr083_month
cr083_day := preload_cr083_day
Else
cr083_month := preload_cr083_month
cr083_day := preload_cr083_day
Group of questions presented on the same screen
cr083_month (month second dose)
When did you receive your second dose of the coronavirus vaccine?
1 January 2 February 3 March 4 April 5 May 6 June 7 July 8 August 9 September 10 October 11 November 12 December
Did you experience any of the following side effects in the days after you received your first dose of the coronavirus vaccine? Please mark all that apply.
1 Pain near the injection 2 Redness near the injection 3 Swelling near the injection 4 Tiredness 5 Headache 6 Muscle pain 7 Chills 8 Fever 9 Nausea 10 (NONE) I did not experience side effects
if cr098 = response AND cr098 != NONE then
cr099 (miss work, school, or any other activities because of first dose side effects)
Did you miss work, school, or any other activities because of these side effects?
1 Yes 2 No 3 Unsure
End of if
End of if
if cr076 > 1 then
if sizeof(cr100_order) = 0 then
cr100_order := cr098_order
End of if
cr100 (side effects second dose)
Did you experience any of the following side effects in the days after you received your second dose of the coronavirus vaccine? Please mark all that apply.
1 Pain near the injection 2 Redness near the injection 3 Swelling near the injection 4 Tiredness 5 Headache 6 Muscle pain 7 Chills 8 Fever 9 Nausea 10 (NONE) I did not experience side effects
if cr100 = response AND cr100 != NONE then
cr101 (miss work, school, or any other activities because of second dose side effects)
Did you miss work, school, or any other activities because of these side effects?
1 Yes 2 No 3 Unsure
End of if
End of if
elseif cr075 = 2 or cr075 = empty then
cr078 (coronavirus vaccine currently available for people like you in your community)
Is the coronavirus vaccine currently available for people like you in your community?
1 Yes 2 No 3 Unsure
End of if
if cr075 in [2,3] then
cr030 (how likely to get vaccinated for coronavirus once vaccination)
How likely are you to get vaccinated for coronavirus once a vaccine is available to the public?
1 Very unlikely 2 Somewhat unlikely 3 Somewhat likely 4 Very likely 5 Unsure
Do you agree or disagree with the following statements?
Vaccines for the coronavirus (COVID-19):
Subgroup of questions
Loop from 1 to 4
Value of question 'cr072_questions[cr072_order[cnt]]' asked as question
End of loop
End of subgroup of questions
End of group of questions
if cr075 in [2,3] then
cr084 (tried to get vaccine)
Since [^FLDateEarlierSurvey/December 1, 2020], have you actively tried to get the coronavirus vaccine for yourself?
1 Yes 2 No 3 Unsure
if cr084 = 1 then
Group of questions presented on the same screen
cr085 (steps taken to try and get vaccine)
What steps did you take to try to get the coronavirus vaccine? Please mark all that apply.
1 I tried to schedule a vaccine appointment. 2 I visited a vaccine provider without an appointment. 3 Other, please specify:
cr085_other (other steps taken to try and get vaccine)
STRING
End of group of questions
if 1 in cr085 then
Group of questions presented on the same screen
cr086 (why unable to schedule appointment)
What was the outcome when you tried to schedule an appointment? Please mark all that apply.
1 There were no appointments available. 2 The available appointments did not work for my schedule. 3 I was told I am not eligible. 4 I had trouble understanding the system. 5 I had technical issues. 6 I was able to schedule an appointment but I missed my appointment. 7 Other, please specify:
cr086_other (other why unable to schedule appointment)
STRING
End of group of questions
End of if
if 2 in cr085 then
Fill code of question 'FL_cr087' executed
Group of questions presented on the same screen
cr087 (why unable to get vaccine without appointment)
What was the outcome when you visited a vaccine provider without an appointment? Please mark all that apply.
1 There were no walk-in vaccinations available. 2 The wait time was too long. 3 I was told I am not eligible. 4 Other, please specify:
cr087_other (other why unable to get vaccine without appointment)
STRING
End of group of questions
End of if
Else
Group of questions presented on the same screen
cr088 (why not tried to get vaccine)
Why haven’t you tried to get the vaccine since [^FLDateEarlierSurvey/December 1, 2020]? Please mark all that apply.
1 I don't want to get vaccinated. 2 I don't know how to schedule an appointment. 3 I don't know where to go for the vaccine. 4 I am waiting for a vaccine provider to contact me. 5 The vaccine providers are too far away. 6 There is a vaccine shortage in my community. 7 I don't have access to transportation. 8 I don't have access to a phone or computer. 9 I don't have time. 10 I am physically unable to travel. 11 I believe the vaccine is not effective. 12 I believe the vaccine is unsafe. 13 I don't need the vaccine. 14 The vaccine is not available in my community for people like me. 15 Other, please specify:
cr088_other (other why not tried to get vaccine)
STRING
End of group of questions
End of if
End of if
cr073 (chance someone vaccinated against coronavirus still catch it)
On a scale of 0 to 100, what is the percent chance that someone who is vaccinated against the coronavirus could still catch it? If you’re not sure, please give your best guess.
cr074 (chance coronavirus vaccine will cause serious side effects)
On a scale of 0 to 100, what is the percent chance that a coronavirus vaccine will cause serious side effects or long-term health problems for someone who has been vaccinated? If you are unsure, please give your best guess.
ucv005 (trust in vaccine manufacturing process)
How much do you trust the process in general (not just for COVID-19) to develop safe vaccines for the public?
1 Fully trust 2 Mostly trust 3 Somewhat trust 4 Do not trust
cr089 (trust in child vaccine manufacturing process)
How much do you trust the process in general (not just for COVID-19) to develop safe vaccines for children?
1 Fully trust 2 Mostly trust 3 Somewhat trust 4 Do not trust
ucv006 (trust in governmental approval process)
How much do you trust the governmental approval process to ensure the COVID-19 vaccine is safe for the public?
1 Fully trust 2 Mostly trust 3 Somewhat trust 4 Do not trust
cr090 (trust in children governmental approval process)
How much do you trust the governmental approval process to ensure a COVID-19 vaccine is safe for children?
1 Fully trust 2 Mostly trust 3 Somewhat trust 4 Do not trust
In the past fourteen days, how often have you felt:
Subgroup of questions
cr028a (That you were unable to control the important things in your life)
That you were unable to control the important things in your life?
1 Never 2 Almost Never 3 Sometimes 4 Fairly Often 5 Very Often
cr028b (Confident about your ability to handle personal problems)
Confident about your ability to handle personal problems?
1 Never 2 Almost Never 3 Sometimes 4 Fairly Often 5 Very Often
cr028c (That things were going your way)
That things were going your way?
1 Never 2 Almost Never 3 Sometimes 4 Fairly Often 5 Very Often
cr028d (Difficulties were piling up so high that you could not overcome them)
Difficulties were piling up so high that you could not overcome them?
1 Never 2 Almost Never 3 Sometimes 4 Fairly Often 5 Very Often
End of subgroup of questions
End of group of questions
if preload_cr053a = empty AND preload_cr053b = empty AND preload_cr053c = empty AND preload_cr053d = empty AND preload_cr053e = empty AND preload_cr053f = empty then
Have you ever been told by a doctor, nurse, or other health professional that you have any of the following medical conditions? (please select all that apply)
1 Diabetes 2 Cancer (other than skin cancer) 3 Heart disease 4 High blood pressure 5 Asthma 6 Chronic lung disease such as COPD or emphysema 7 Kidney disease 8 Autoimmune disorder such as rheumatoid arthritis or Crohn’s Disease 9 A mental health condition 10 Obesity 11 None of the above
Else
cr054 := preload_cr054
End of if
if preload_cr056a = empty AND preload_cr056b = empty AND preload_cr056c = empty AND preload_cr056d = empty AND preload_cr056e = empty AND preload_cr056f = empty AND preload_cr056g = empty AND preload_cr056h = empty AND preload_cr056i = empty then
Which of the following mental health conditions has a doctor or another health professional ever told you that you have?
Subgroup of questions
Loop from 1 to 9
Value of question 'cr056_questions[cr056_order[cnt]]' asked as question
End of loop
End of subgroup of questions
cr056i_other (specify other mental issue)
STRING
End of group of questions
Else
cr056a := preload_cr056a
cr056b := preload_cr056b
cr056c := preload_cr056c
cr056d := preload_cr056d
cr056e := preload_cr056e
cr056f := preload_cr056f
cr056g := preload_cr056g
cr056h := preload_cr056h
cr056i := preload_cr056i
cr056i_other := preload_cr056i_other
End of if
if preload_cr054 = empty then
if 1 in cr054 then
cr055a (since when diabetes)
Did the doctor or other health professional first say that you have diabetes before or after March 10, 2020?
1 Before March 10, 2020 2 After March 10, 2020 3 Unsure
End of if
if 2 in cr054 then
cr055b (since when cancer (other than skin cancer))
Did the doctor or other health professional first say that you have cancer (other than skin cancer) before or after March 10, 2020?
1 Before March 10, 2020 2 After March 10, 2020 3 Unsure
End of if
if 3 in cr054 then
cr055c (since when heart disease)
Did the doctor or other health professional first say that you have heart disease before or after March 10, 2020?
1 Before March 10, 2020 2 After March 10, 2020 3 Unsure
End of if
if 4 in cr054 then
cr055d (since when high blood pressure)
Did the doctor or other health professional first say that you have high blood pressure before or after March 10, 2020?
1 Before March 10, 2020 2 After March 10, 2020 3 Unsure
End of if
if 5 in cr054 then
cr055e (since when asthma)
Did the doctor or other health professional first say that you have asthma before or after March 10, 2020?
1 Before March 10, 2020 2 After March 10, 2020 3 Unsure
End of if
if 6 in cr054 then
cr055f (since when chronic lung disease such as COPD or emphysema)
Did the doctor or other health professional first say that you have chronic lung disease such as COPD or emphysema before or after March 10, 2020?
1 Before March 10, 2020 2 After March 10, 2020 3 Unsure
End of if
if 7 in cr054 then
cr055g (since when kidney disease)
Did the doctor or other health professional first say that you have kidney disease before or after March 10, 2020?
1 Before March 10, 2020 2 After March 10, 2020 3 Unsure
End of if
if 8 in cr054 then
cr055h (since when an autoimmune disorder such as rheumatoid arthritis or Crohn’s disease)
Did the doctor or other health professional first say that you have an autoimmune disorder such as rheumatoid arthritis or Crohn’s disease before or after March 10, 2020?
1 Before March 10, 2020 2 After March 10, 2020 3 Unsure
End of if
if 9 in cr054 then
cr055i (since when a mental health condition)
Did the doctor or other health professional first say that you have a mental health condition before or after March 10, 2020?
1 Before March 10, 2020 2 After March 10, 2020 3 Unsure
End of if
if 10 in cr054 then
cr055j (since when obesity)
Did the doctor or other health professional first say that you have obesity before or after March 10, 2020?
1 Before March 10, 2020 2 After March 10, 2020 3 Unsure
End of if
Else
cr055a := preload_cr055a
cr055b := preload_cr055b
cr055c := preload_cr055c
cr055d := preload_cr055d
cr055e := preload_cr055e
cr055f := preload_cr055f
cr055g := preload_cr055g
cr055h := preload_cr055h
cr055i := preload_cr055i
cr055j := preload_cr055j
End of if
if preload_cr056a = empty AND preload_cr056b = empty AND preload_cr056c = empty AND preload_cr056d = empty AND preload_cr056e = empty AND preload_cr056f = empty AND preload_cr056g = empty AND preload_cr056h = empty AND preload_cr056i = empty then
Loop from 1 to 10
if cr056_order[cnt] = 1 and cr056a = 1 then
cr057a (since when an anxiety disorder)
Did the doctor or other health professional first say that you have an anxiety disorder before or after March 10, 2020?
1 Before March 10, 2020 2 After March 10, 2020 3 Unsure
elseif cr056_order[cnt] = 2 and cr056b = 1 then
cr057b (since when attention deficit hyperactivity disorder (ADHD))
Did the doctor or other health professional first say that you have attention deficit hyperactivity disorder (ADHD) before or after March 10, 2020?
1 Before March 10, 2020 2 After March 10, 2020 3 Unsure
elseif cr056_order[cnt] = 3 and cr056c = 1 then
cr057c (since when bipolar disorder)
Did the doctor or other health professional first say that you have bipolar disorder before or after March 10, 2020?
1 Before March 10, 2020 2 After March 10, 2020 3 Unsure
elseif cr056_order[cnt] = 4 and cr056d = 1 then
cr057d (since when an eating disorder)
Did the doctor or other health professional first say that you have an eating disorder before or after March 10, 2020?
1 Before March 10, 2020 2 After March 10, 2020 3 Unsure
elseif cr056_order[cnt] = 5 and cr056e = 1 then
cr057e (since when depression or another depressive disorder)
Did the doctor or other health professional first say that you have depression or another depressive disorder before or after March 10, 2020?
1 Before March 10, 2020 2 After March 10, 2020 3 Unsure
elseif cr056_order[cnt] = 6 and cr056f = 1 then
cr057f (since when obsessive-compulsive disorder (OCD))
Did the doctor or other health professional first say that you have obsessive-compulsive disorder (OCD) before or after March 10, 2020?
1 Before March 10, 2020 2 After March 10, 2020 3 Unsure
elseif cr056_order[cnt] = 7 and cr056g = 1 then
cr057g (since when post-traumatic stress disorder (PTSD))
Did the doctor or other health professional first say that you have post-traumatic stress disorder (PTSD) before or after March 10, 2020?
1 Before March 10, 2020 2 After March 10, 2020 3 Unsure
elseif cr056_order[cnt] = 8 and cr056h = 1 then
cr057h (since when schizophrenia or another psychotic disorder)
Did the doctor or other health professional first say that you have schizophrenia or another psychotic disorder before or after March 10, 2020?
1 Before March 10, 2020 2 After March 10, 2020 3 Unsure
elseif cr056_order[cnt] = 9 and cr056i = 1 then
cr057i (since when other mental issue)
Did the doctor or other health professional first say that you have another mental health condition ([specify other mental issue[]]) before or after March 10, 2020?
1 Before March 10, 2020 2 After March 10, 2020 3 Unsure
End of if
End of loop
Else
cr057a := preload_cr057a
cr057b := preload_cr057b
cr057c := preload_cr057c
cr057d := preload_cr057d
cr057e := preload_cr057e
cr057f := preload_cr057f
cr057g := preload_cr057g
cr057h := preload_cr057h
cr057i := preload_cr057i
End of if
cr058 (how often have you felt lonely)
In the past 7 days, how often have you felt lonely?
1 Not at all or less than 1 day 2 1-2 days 3 3-4 days 4 5-7 days
cr071 (current weight)
We are interested in understanding how the coronavirus epidemic may be affecting the health of U.S. residents.
About how much do you weigh? (enter your weight in pounds)
RANGE 50..400
if alternatewave = 1 then
Group of questions presented on the same screen
cr059_intro
Have you received any of the following services from a mental health provider in the past 14 days?
Subgroup of questions
cr059a (An in-person appointment)
An in-person appointment
1 Yes 2 No 3 Unsure
cr059b (A live video, phone, or chat interaction)
A live video, phone, or chat interaction
1 Yes 2 No 3 Unsure
cr059c (Non-live communication (such as by email))
Non-live communication (such as by email)
1 Yes 2 No 3 Unsure
End of subgroup of questions
End of group of questions
Group of questions presented on the same screen
cr067_intro
Since [^FLDateEarlierSurvey/March 2020], how often have any of the following things happened to you in your day-to-day life because of your actual or perceived race, ethnicity, age, gender, health, income, education, religion, or some other personal characteristic?
Subgroup of questions
cr067a (You were treated with less courtesy or respect than other people)
You were treated with less courtesy or respect than other people
1 Almost every day 2 At least once a week 3 A few times a month 4 Once a month or less 5 Never
cr067b (You received poorer service than other people at restaurants or stores)
You received poorer service than other people at restaurants or stores
1 Almost every day 2 At least once a week 3 A few times a month 4 Once a month or less 5 Never
cr067c (People acted as if they thought you were not smart)
People acted as if they thought you were not smart
1 Almost every day 2 At least once a week 3 A few times a month 4 Once a month or less 5 Never
cr067d (People acted as if they were afraid of you)
People acted as if they were afraid of you
1 Almost every day 2 At least once a week 3 A few times a month 4 Once a month or less 5 Never
cr067e (You were threatened or harassed)
You were threatened or harassed
1 Almost every day 2 At least once a week 3 A few times a month 4 Once a month or less 5 Never
End of subgroup of questions
End of group of questions
if cr067a in [1,2,3,4] OR cr067b in [1,2,3,4] OR cr067c in [1,2,3,4] OR cr067d in [1,2,3,4] OR cr067e in [1,2,3,4] then
cr068 (main reason for poor treatment experiences)
What do you think is the main reason for these experiences of poor treatment? You may check up to two main reasons.
1 Your ancestry, ethnicity, or national origin 2 Your gender 3 Your race 4 Your shade of skin color 5 Your age 6 Your religion 7 Your height 8 Your weight 9 Some other aspect of your physical appearance 10 Your sexual orientation 11 Your education or income level 12 A physical disability 13 Your physical health (or perceived physical health) 14 Your mental health (or perceived mental health) 15 Other, please specify:
cr068_other (other main reason for poor treatment experiences)
Thinking about your sexual identity, how would you define yourself?
1 Homosexual or gay or lesbian or “not straight” 2 Bisexual 3 Heterosexual or straight or “not gay” 4 Some other description (please specify):
cr060_other (other sexual identity)
STRING
End of group of questions
Else
cr060 := preload_cr060
cr060_other := preload_cr060_other
End of if
if preload_cr061 = empty then
Group of questions presented on the same screen
cr061 (gender identity)
Thinking about your gender identity, how would you define yourself? (Check all that apply)
1 Woman 2 Man 3 Trans woman 4 Trans man 5 Non-binary, gender-nonconforming, or genderqueer 6 Some other description (please specify):
cr061_other (other gender identity)
STRING
End of group of questions
Else
cr061 := preload_cr061
cr061_other := preload_cr061_other
End of if
preload_hadjob := getCovid19Preload("cr008")
preload_lr001 := getCovid19Preload("lr001")
preload_lr003 := getCovid19Preload("lr003")
IF preload_hadjob = 1 THEN
Group of questions presented on the same screen
lr001 (employment status)
The next set of questions are about your primary job. If you have multiple jobs, think of the job in which you work the most hours or receive the most pay.
You told us on [date of earlier survey[]] that you had a job. Which statement best reflects your current employment status:
1 I am still working in the same job 2 I lost my job and I am looking for work 3 I have been temporarily laid off from the same job 4 I am on sick leave or other leave from the same job 5 I am now working at a different job 7 I am now retired 6 None of these, please specify:
lr001_other (other employment status)
STRING
End of group of questions
IF lr001 = 2 OR lr001 = 3 OR lr001 = 4 THEN
lr002 (still receiving benefits)
Are you still receiving benefits such as health insurance through your former job?
1 Yes 2 No 3 Unsure
End of if
Else
if preload_hadjob = response then
if preload_lr001 = 3 then
Group of questions presented on the same screen
lr003aa (job status after laid off)
You told us on [ ^FLDateEarlierSurvey] that you were temporarily laid off from your job. Which statement best reflects your current employment status?
1 I have resumed working at the same job 2 I am still temporarily laid off from the same job 3 I have lost my job and I am looking for work 4 I am on sick leave or other leave from the same job 5 I am now working at a different job 6 None of these, please specify:
lr003aa_other (other job status after laid off)
STRING
End of group of questions
elseif preload_lr001 = 4 then
Group of questions presented on the same screen
lr003bb (job status after sick leave)
You told us on [ ^FLDateEarlierSurvey] that you were on sick leave or other leave from your job. Which statement best reflects your current employment status?
1 I have resumed working at the same job 2 I am still on sick leave or other leave from the same job 3 I have lost my job and I am looking for work 4 I have been temporarily laid off from the same job 5 I am now working at a different job 6 None of these, please specify:
lr003bb_other (other job status after sick leave)
STRING
End of group of questions
Else
if preload_lr003 = 4 then
Group of questions presented on the same screen
lr003cc (job status after retired)
You told us on [ ^FLDateEarlierSurvey] that you were retired. Which statement best reflects your current employment status?
1 I am still retired 2 I now have a job 3 I am unemployed and looking for work 4 None of these, please specify:
lr003cc_other (other job status after retired)
STRING
End of group of questions
elseif preload_lr003 = 5 then
Group of questions presented on the same screen
lr003dd (job status after not in labor force)
You told us on [ ^FLDateEarlierSurvey] that you were not in the labor force. Which statement best reflects your current employment status?
1 I am still not in the labor force (not currently working and not looking for work) 2 I now have a job 3 I am unemployed and looking for work 4 I am retired 5 None of these, please specify:
lr003dd_other (other job status after not in labor force)
STRING
End of group of questions
Else
Group of questions presented on the same screen
lr003 (employment status prev no job)
You told us on [date of earlier survey[]] that you did not have a job. Which statement best reflects your current employment status:
1 I still do not have a job 2 I now have a job 4 I am retired 5 I am not in the labor force (not currently working and not looking for work) 3 None of these, please specify:
lr003_other (other employment status prev no job)
STRING
End of group of questions
End of if
End of if
Else
lr003a (currently have job)
Do you currently have a job?
1 (YES) Yes 2 (NO) No
End of if
End of if
lr004 := 2
IF (preload_hadjob = 1 AND (lr001 = 1 OR lr001 = 5)) THEN
lr004 := 1
ELSEIF (preload_hadjob = 2 and preload_lr001 = 3 and lr003aa in [1,5]) then
lr004 := 1
ELSEIF (preload_hadjob = 2 and preload_lr001 = 4 and lr003bb in [1,5]) then
lr004 := 1
ELSEIF (preload_hadjob = response and preload_lr001 != 3 and preload_lr001 != 4 and preload_lr003 = 4 AND lr003cc = 2) then
lr004 := 1
ELSEIF (preload_hadjob = response and preload_lr001 != 3 and preload_lr001 != 4 and preload_lr003 = 5 AND lr003dd = 2) then
lr004 := 1
ELSEIF (preload_hadjob = 2 and preload_lr001 != 3 and preload_lr001 != 4 and lr003 = 2) then
lr004 := 1
ELSEIF (preload_hadjob = empty and lr003a = 1) then
lr004 := 1
End of if
IF lr004 = 1 THEN
Group of questions presented on the same screen
lr005 (self employed or work for employer)
In your primary job, are you self-employed or do you work for an employer?
1 Self-employed 2 Work for an employer 3 Other (specify)
lr005_other (self employed or work for employer other)
STRING
End of group of questions
lr019 (describe primary job)
Do any of the following describe your primary job? Please check all that apply.
1 Independent contractor (for example, freelance worker, Uber driver, Instacart worker, independent consultant) 2 On-call worker or day laborer 3 Temporary agency worker 4 Contract company worker 5 None of the above
lr006 (how many day work past seven days)
Out of the past seven days, how many days did you work at your job?
0 0 days 1 1 day 2 2 days 3 3 days 4 4 days 5 5 days 6 6 days 7 7 days
lr008 (home many hours work for pay past 7 days)
Think of every day you worked in the past seven days. How many total hours did you work for pay across all the days?
RANGE 0..150
lr009 (hours reduced since previous survey)
Have your work hours been reduced[ since ^FLDateEarlierSurvey/ since March 1, 2020]?
1 Yes 2 No 3 Unsure
if lr005 = 2 then
lr020 (employer instructed you to work from home)
Has your employer instructed you to work from home?
1 Yes 2 No 3 Unsure
End of if
lr007 (how many day work from home past seven days)
Out of the past seven days, how many days did you work from home?
0 0 days 1 1 day 2 2 days 3 3 days 4 4 days 5 5 days 6 6 days 7 7 days
Group of questions presented on the same screen
lr010 (how frequently paid)
How frequently are you paid for your job?
1 Monthly 6 Twice a month 2 Every two weeks 3 Every week 4 Every day 5 Other (specify)
lr010_other (how frequently paid other)
How frequently are you paid?
STRING
End of group of questions
Loop from 1 to 5
lr011 (amount most recent paycheck)
What was the amount on your most recent paycheck?
RANGE 0..10000000
IF lr011 > 50000 THEN
check_lr011 (amount over 50k)
You entered an amount over $50,000. Is this correct?
1 Yes 2 No
ELSEIF lr011 = response and lr011 < 30 then
lr011a (confirm paycheck amount)
You said your last paycheck was $[amount most recent paycheck[]]. Is this correct?
1 Yes, it is correct 2 No, I made a mistake 3 I did not receive a paycheck in the past fourteen days 4 I do not recall the amount of my last paycheck 5 I prefer not to answer
if lr011a != 2 then
End of if
Else
End of if
End of loop
lr012_ask := 2
if lr011 > 29 OR (lr011 < 30 and lr011a = 1) then
lr012_ask := 1
End of if
if lr011 = empty OR (lr011 = response and lr011 < 30 AND lr011a = 4) then
if lr010 = 1 then
lr011b_i (paycheck monthly)
For the most recent paycheck for your job, would you say the amount was
1 Lower than $1,500 2 Between $1,500 and $3,000 3 Between $3,000 and $4,500 4 Between $4,500 and $6,000 5 Higher than $6,000 6 Prefer not to answer 7 Don't know
if lr011b_i in [1,2,3,4,5] then
lr012_ask := 1
End of if
elseif lr010 in [2,6] then
lr011b_ii (paycheck twice a month or every two weeks)
For the most recent paycheck for your job, would you say the amount was
1 Lower than $750 2 Between $750 and $1,500 3 Between $1,500 and $2,250 4 Between $2,250 and $3,000 5 Higher than $3,000 6 Prefer not to answer 7 Don't know
if lr011b_ii in [1,2,3,4,5] then
lr012_ask := 1
End of if
elseif lr010 = 3 then
lr011b_iii (paycheck every week)
For the most recent paycheck for your job, would you say the amount was
1 Lower than $375 2 Between $375 and $750 3 Between $750 and $1,125 4 Between $1,125 and $1,500 5 Higher than $1,500 6 Prefer not to answer 7 Don't know
if lr011b_iii in [1,2,3,4,5] then
lr012_ask := 1
End of if
elseif lr010 = 4 then
lr011b_iv (paycheck every day)
For the most recent paycheck for your job, would you say the amount was
1 Lower than $75 2 Between $75 and $150 3 Between $150 and $300 4 Between $300 and $600 5 Higher than $600 6 Prefer not to answer 7 Don't know
if lr011b_iv in [1,2,3,4,5] then
lr012_ask := 1
End of if
elseif lr010 = 5 then
lr011b_v (paycheck other frequency)
For the most recent paycheck for your job, would you say the amount was
1 Lower than $375 2 Between $375 and $750 3 Between $750 and $1,500 4 Between $1,500 and $3,000 5 Higher than $3,000 6 Prefer not to answer 7 Don't know
if lr011b_v in [1,2,3,4,5] then
lr012_ask := 1
End of if
End of if
End of if
if lr012_ask = 1 then
lr012 (amount before or after taxes)
Is that amount before or after taxes were withheld?
1 Before taxes (gross) 2 After taxes (net) 3 Unsure
End of if
if lr010 = 4 OR lr010 = 5 OR lr005 = 1 then
lr011c (takeaway amount last month)
Overall, taking into account all sources of income related to your job(s) and/or business, what was your income or “take home pay” in the past month?
RANGE 0..10000000
if lr011c > 50000 then
check_lr011c (takeaway amount over 50k)
You entered an amount over $50,000. Is this correct?
1 Yes 2 No
elseif lr011c = empty then
lr011c_i (followup takeaway amount past month)
Would you say that your income or "take home pay" in the past month was:
1 Lower than $1,500, 2 Between $1,500 and $3,000 3 Between $3,000 and $4,500 4 Between $4,500 and $6,000 5 Higher than $6,000 6 Prefer not to answer 7 Don't know
End of if
End of if
if alternatewave = 1 then
lr013 (how may days stay home and still get paid)
If you get sick, how many days can you stay home from your job and still get paid?
1 0 2 1-7 3 8-14 4 More than 14
IF lr013 > 1 AND lr005 = 2 THEN
lr014 (require permission to use sick days)
Do you require your employer’s permission to use these sick days?
1 Yes 2 No 3 Unsure
End of if
End of if
Group of questions presented on the same screen
lr015 (percent chance you lose your job)
The coronavirus may cause economic challenges for some people regardless of whether they are actually infected.
What is the percent chance that you will lose your job because of the coronavirus within the next three months?
cr_error
Please enter a number between 0% and 100%.
End of group of questions
End of if
lr016 (received unemployment insurance past 14 days)
Have you received unemployment insurance benefits in the past fourteen days?
1 Yes 2 No 3 Unsure
IF lr016 = 1 THEN
Loop from 1 to 5
lr017 (amount unemployment insurance)
How much did you receive in unemployment insurance in your most recent payment?
RANGE 0..10000
IF lr017 > 5000 THEN
check_lr017 (amount over 5k)
You entered an amount over $5,000. Is this correct?
1 Yes 2 No
ELSEIF lr017 = response and lr017 < 15 then
lr017b (confirm unemployment amount)
You said your most recent payment for unemployment compensation was $[amount unemployment insurance[]]. Is this correct?
1 Yes, that is correct 2 No, I made a mistake 3 I did not receive a payment in the past fourteen days 4 I do not recall the amount of my last UI payment 5 I prefer not to answer
if lr017b != 2 then
End of if
Else
End of if
End of loop
if lr017 = empty OR (lr017 = response and lr017 < 15 AND lr017b = 4) then
lr017b_i (followup unemployment amount)
Would you say the amount was?
1 $300 or less 2 $301 to $600 3 $601 to $900 4 $901 to $1200 5 More than $1200 6 I prefer not to answer 7 Don't know
End of if
if lr017 > 14 OR (lr017 = response AND lr017 < 15 AND lr017b = 1) OR (lr017 = response AND lr017 < 15 AND lr017b = 4 AND lr017b_i in [1,2,3,4,5]) then
Group of questions presented on the same screen
lr017a (how often receive unemployment insurance)
How often do you expect to receive this amount?
1 Once every week 2 Once every two weeks 3 Once every month 4 Another interval, please specify: 5 Unsure
lr017a_other (other how often receive unemployment insurance)
STRING
End of group of questions
End of if
ELSEIF lr016 = response THEN
if lr016 = 3 then
Group of questions presented on the same screen
lr016a (why unsure about whether received unemployment insurance in past 14 days)
Why are you unsure about whether you have received unemployment insurance in the past 14 days?
1 I received a benefit payment but I am unsure about whether it is from unemployment insurance or some other program 2 I am expecting to receive a payment but I am unsure whether it has been deposited/mailed 3 I received a payment but I am unsure when I received it 4 I prefer not to answer this question 5 Other, please specify:
lr016a_other (other why unsure about whether received unemployment insurance in past 14 days)
STRING
End of group of questions
End of if
lr031 (applied for unemployment benefits since february 2020)
Have you applied for unemployment insurance since February 2020?
1 Yes 2 No 3 Unsure
if lr031 = 1 then
Group of questions presented on the same screen
lr032_month (month applied unemployment)
When did you apply? If you’re not sure, just give your best guess. If you have applied more than once since February 2020, please tell us about the first time that you applied.
0 January 1 February 2 March 3 April 4 May 5 June 6 July 7 August 8 September 9 October 10 November 11 December
Why haven't you received unemployment insurance benefits?
1 My application was approved but I haven’t been paid yet. 2 My application was rejected. 3 I am still waiting for my application to be approved. 4 I am receiving benefits but have not been paid in the past fourteen days 6 I went back to work 7 I am still being paid by employer 8 I did receive benefits at some point 5 Other, please specify:
lr033_other (other why not received unemployment)
STRING
End of group of questions
elseif lr031 = 2 then
Group of questions presented on the same screen
lr034 (why not applied unemployment)
Why haven't you applied for unemployment insurance benefits?
1 I am currently working 2 My former employer has not made me eligible 3 I am not eligible for other reasons 4 I am unsure how to apply 5 I decided not to apply for other reasons 7 I am retired 8 I receive disability or Supplemental Security Income 9 I am temporarily on leave from my job /summer break / seasonal 6 Other, please specify:
Thinking back to February 2020, were you employed by the government, employed by a private company, employed by a nonprofit organization, self-employed, not employed or retired?
1 Government (Federal, State, or Local) 2 Private-for-profit company 3 Non-profit organization including tax exempt and charitable organizations 4 Self-employed 5 Not employed 6 Retired
if lr019a in [1,2,3] then
lr021 (February 2020 number of employees)
About how many employees (including yourself) worked for this company or organization? If the company or organization has more than one location, add up all employees at the different locations.
1 Less than 5 2 5-14 3 15-24 4 25-49 5 50-99 6 100-499 7 500-1,000 8 1,000-5,000 9 5,000-50,000 10 More than 50,000 11 Unsure
elseif lr019a = 4 then
lr022 (February 2020 self-employed number of employees)
Including yourself, how many people worked in your business or organization in February 2020?
lr020a (February 2020 interaction within six feet)
Some people have jobs that require them to interact with people face to face in the same location. Thinking back to February 2020, how often did your job require you to come within six feet of other people (such as customers, clients, patients, or coworkers)?
1 Never 2 Less than once per week 3 1-2 times per week 4 Several times per week 5 Nearly every day 6 Every day
End of if
Else
lr019a := preload_lr019a
lr020a := preload_lr020a
lr021 := preload_lr021
lr022 := preload_lr022
End of if
IF lr004 = 1 THEN
lr026 (currently interaction within six feet)
How often does your job currently require you to come within six feet of other people (such as customers, clients, patients, or coworkers)?
1 Never 2 Less than once per week 3 1-2 times per week 4 Several times per week 5 Nearly every day 6 Every day
End of if
if lr019a in [1,2,3,4] then
Group of questions presented on the same screen
lr023_intro
To encourage social distancing, some governments have imposed restrictions on some businesses and organizations. Since February 2020, has the government imposed any of the following restrictions on businesses or organizations like yours:
Subgroup of questions
lr023a (Ordered them to close completely)
Ordered them to close completely
1 Yes 2 No 3 Unsure
lr023b (Ordered them to substantially limit operations)
Ordered them to substantially limit operations
1 Yes 2 No 3 Unsure
lr023c (Ordered employees to work from home)
Ordered employees to work from home
1 Yes 2 No 3 Unsure
End of subgroup of questions
End of group of questions
if lr023a = 1 then
lr024a (government allowed to reopen)
Has the government allowed businesses or organizations like yours to reopen?
1 Yes, completely 2 Yes, partially or with restrictions 3 No 4 Unsure
End of if
if lr023b = 1 then
lr024b (government allowed to resume fully)
Has the government allowed businesses or organizations like yours to resume normal operations?
1 Yes, completely 2 Yes, partially or with restrictions 3 No 4 Unsure
End of if
if lr023c = 1 then
lr024c (government allowed to stop working from home)
Has the government allowed employees to stop working from home?
1 Yes 2 No 3 Unsure
End of if
End of if
if lr019a in [1,2,3,4] then
lr025 (government identified business as essential)
Has the government identified your business or organization as "essential" during the coronavirus epidemic?
1 Yes 2 No 3 Unsure
End of if
lr026a (married or with partner)
Are you married, or do you have a partner who you live with?
1 (YES) Yes 2 (NO) No
if lr026a = 1 then
if preload_lr027 = empty then
lr027 (February 2020 employment status spouse/partner)
Which statement best reflects the employment status of your spouse or partner in February 2020?
1 My spouse or partner was employed and had a job 2 My spouse or partner was unemployed and was looking for work 3 My spouse or partner was temporarily laid off 4 My spouse or partner was on sick leave or other leave 5 My spouse or partner was not in the labor force (not employed and not looking for work) 6 My spouse or partner was retired 7 None of these
Else
lr027 := preload_lr027
End of if
lr028 (current employment status spouse/partner)
Which statement best reflects the current employment status of your spouse or partner?
1 My spouse or partner is employed and has a job 2 My spouse or partner is unemployed and looking for work 3 My spouse or partner is temporarily laid off 4 My spouse or partner is on sick leave or other leave 5 My spouse or partner is not in the labor force (not employed and not looking for work) 6 My spouse or partner is retired 7 None of these
if lr027 = response and lr028 = response and lr027 != lr028 then
if preload_lr029_month = empty and preload_lr029_day = empty then
Group of questions presented on the same screen
lr029_intro (employment status changed)
When did the employment status of your spouse or partner change?
If you’re not sure, just give your best guess
lr029_month (month unemployment status changed)
1 January 2 February 3 March 4 April 5 May 6 June 7 July 8 August 9 September 10 October 11 November 12 December
Have your spouse or partner's hours been reduced since February 2020?
1 Yes 2 No 3 Unsure
Else
lr030 := preload_lr030
End of if
if preload_lr030 = response then
lr030a (spouse/partner hours reduced)
Have your spouse or partner’s hours been reduced since [ ^FLDateEarlierSurvey]?
1 Yes 2 No 3 Unsure
End of if
End of if
lr035 (spouse or partner received unemployment)
Has your spouse or partner received unemployment insurance benefits in the past fourteen days?
1 Yes 2 No 3 Unsure
End of if
Fill code of question 'FLlr036' executed
lr036 (anyone else in household received unemployment)
Other than you[ and your spouse or partner/ yourself], has anyone else in your household received unemployment insurance benefits in the past fourteen days?
1 Yes 2 No 3 Unsure
if (lr026a = 1 and lr035 = 1) or lr036 = 1 then
lr037 (unemployment household received)
Over the past month, how much did you and other household members receive from unemployment insurance? If you are not sure, please give your best guess.
RANGE 0..9999
End of if
preload_ei007 := getCovid19Preload("ei007")
Group of questions presented on the same screen
ei001 (chance run out of money)
The coronavirus may cause economic challenges for some people regardless of whether they are actually infected.
What is the percent chance you will run out of money because of the coronavirus in the next three months?
cr_error
Please enter a number between 0% and 100%.
End of group of questions
ei002 (worried you would run out of food)
In the past seven days, were you worried you would run out of food because of a lack of money or other resources?
1 Yes 2 No 3 Unsure
ei003 (did you eat less)
In the past seven days, did you eat less than you thought you should because of a lack of money or other resources?
1 Yes 2 No 3 Unsure
ei004 (did you go without eating)
In the past seven days, did you go without eating for a whole day because of a lack of money or other resources?
ei005_intro (past month receive any of following intro)
In the past month, did you or anyone in your household receive any of the following government benefits?
Subgroup of questions
Loop from 1 to 13
Value of question 'ei005_questions[ei005_order[cnt]]' asked as question
End of loop
End of subgroup of questions
End of group of questions
IF ei005h = 1 THEN
ei006 (able to use SNAP)
Were you able to use your SNAP (Food Stamps) benefits at the grocery store?
1 Yes 2 No 3 I did not try
End of if
if ei005c = 1 then
ei005inc_c (how much received social security)
Over the past month (since [[]]), how much did you and other household members receive from Social Security? If you are not sure, please give your best guess.
RANGE 0..9999
End of if
if ei005d = 1 then
ei005inc_d (how much received Supplemental Security Income (SSI))
Over the past month (since [[]]), how much did you and other household members receive from Supplemental Security Income (SSI)? If you are not sure, please give your best guess.
RANGE 0..9999
End of if
if ei005e = 1 then
ei005inc_e (how much received Social Security Disability Insurance (SSDI))
Over the past month (since [[]]), how much did you and other household members receive from Social Security Disability Insurance (SSDI)? If you are not sure, please give your best guess.
RANGE 0..9999
End of if
IF ei005h = 1 THEN
ei005inc_h (how much received SNAP or Food Stamps benefits)
Over the past month (since [[]]), how much did your household receive in SNAP or Food Stamps benefits? If you are not sure, please give your best guess.
RANGE 0..9999
End of if
IF ei005i = 1 THEN
ei005inc_i (how much received Economic Impact Payment (stimulus check))
Over the past month (since [[]]), how much did your household receive from the Economic Impact Payment (stimulus check)?? If you are not sure, please give your best guess.
RANGE 0..9999
End of if
End of if
if preload_ei007 = empty then
ei007 (file tax return)
Did you file a tax return in 2019 or 2020?
1 Yes 2 No 3 Unsure
Else
ei007 := preload_ei007
End of if
if alternatewave = 1 then
ei008 (owe money on student loans)
Do you owe money on student loans?
1 Yes 2 No
IF ei008 = 1 THEN
ei009 (permission to delay payment on student loans)
Have you received permission from your lender to delay or reduce payment on your student loans?
1 Yes 2 No
ei010 (missed payment in the past)
In the past month, did you miss or delay payment on your student loans, or did you pay less than the full amount?
1 Yes 2 No
End of if
ei011 (do you have a mortgage)
Do you have a mortgage?
1 Yes 2 No
IF ei011 = 1 THEN
ei012 (permission to delay mortgage payment)
Have you received permission from your lender to delay or reduce payment on your mortgage?
1 Yes 2 No
ei013 (past month delay payment on mortgage)
In the past month, did you miss or delay payment on your mortgage, or did you pay less than the full amount?
1 Yes 2 No
End of if
ei014 (rent primary residence)
Do you rent your primary residence?
1 Yes 2 No
IF ei014 = 1 THEN
ei015 (permission to delay or reduce rent payment)
Have you received permission from your landlord to delay or reduce payment of your rent?
1 Yes 2 No
ei016 (past month missed or delay rent payment)
In the past month, did you miss or delay payment of your rent, or did you pay less than the full amount?
1 Yes 2 No
End of if
End of if
ei030 (have you been evicted or foreclosed, received an eviction or foreclosure notice)
Since April 1, have you been evicted or foreclosed, received an eviction or foreclosure notice, or been told by a landlord to move from your residence?
1 Yes, I have been, or am currently being, evicted or foreclosed from my residence 2 Yes, I have received an eviction or foreclosure notice, but have not yet been evicted or foreclosed from my residence 3 Yes, I have been told by a landlord to leave my residence, but have not yet received a written eviction notice 4 No, I have not been evicted or foreclosed, received an eviction or foreclosure notice, or been told by a landlord to leave my residence
if ei030 in [2,3,4] then
Group of questions presented on the same screen
ei031 (chance will be evicted)
What is the percent chance that you will be evicted, go into foreclosure, or be forced by a landlord to move from your current residence in the next thirty days? If you are not sure, please give your best guess.
ei031_na (does not apply chance will be evicted)
OR
1 Does not apply to my housing situation
ei_error
Please select a value or check the box.
End of group of questions
End of if
ei017 (how confident you could come up with 2000)
How confident are you that you could come up with $2,000 if an unexpected need arose within the next month?
1 I am certain I could come up with the full $2,000 2 I could probably come up with $2,000 3 I could probably not come up with $2,000 4 I am certain I could not come up with $2,000 5 Don’t know 6 Prefer not to say
Group of questions presented on the same screen
ei018_intro (emergency expense 400 dollars info)
Suppose now you have an emergency expense that costs $400. Based on your current financial situation, how would you pay this expense? If you would use more than one method, please select all that apply.
Subgroup of questions
ei018a (By putting it on my credit card and paying it off in full at the next statement)
By putting it on my credit card and paying it off in full at the next statement
1 Yes 2 No 3 Unsure
ei018b (By putting it on my credit card and paying it off over time)
By putting it on my credit card and paying it off over time
1 Yes 2 No 3 Unsure
ei018c (With the money currently in my checking/savings account or with cash)
With the money currently in my checking/savings account or with cash
1 Yes 2 No 3 Unsure
ei018d (Using a bank loan or line of credit)
Using a bank loan or line of credit
1 Yes 2 No 3 Unsure
ei018e (By borrowing from a friend or family member)
By borrowing from a friend or family member
1 Yes 2 No 3 Unsure
ei018f (Using a payday loan, deposit advance, or overdraft)
Using a payday loan, deposit advance, or overdraft
1 Yes 2 No 3 Unsure
ei018g (By selling something)
By selling something
1 Yes 2 No 3 Unsure
ei018h (I wouldn’t be able to pay for the expense right now)
I wouldn’t be able to pay for the expense right now
1 Yes 2 No 3 Unsure
End of subgroup of questions
End of group of questions
if alternatewave = 1 then
ei019 (something been stolen in last 7 days)
In the past seven days, has anything belonging to you been stolen, such as a wallet or purse, clothing, jewelry, things in your home, or things in your vehicle?
1 Yes 2 No 3 Unsure
Group of questions presented on the same screen
ei020_intro (My neighborhood is clean)
Do you agree or disagree with each of the following statements?
How many members of your household are 5-18 years old?
0 0 1 1 2 2 3 3 4 4 5 5 6 6 7 7 8 8 9 9 10 10
if sl082 > 0 then
Group of questions presented on the same screen
sl015b_intro
You said that [total number of kids in elementary, middle, or high school[]] household members are currently in grades K-12. What are their first names or nicknames? Just first names or nicknames will do.
Loop from 1 to SL082
Fill code of question 'FLsl015b' executed
FLsl015b_dummy[cnt] := FLsl015b[cnt]
sl015b (name student)
STRING
End of loop
End of group of questions
Loop from 1 to SL082
if sl015b[checkcnt] = empty then
if sl082 > 1 then
checkcntwarning
You said that [total number of kids in elementary, middle, or high school[]] household members are currently in grades K-12. Please go back and give all of their names or nicknames OR click "Next" to continue.
Else
checkcntwarning_single
You said that [total number of kids in elementary, middle, or high school[]] household member is currently in grades K-12. Please go back and give their name or nickname OR click "Next" to continue.
Is [[]] enrolled in a public, private, charter or virtual school for the 2020-21 school year (even if currently attending school from home), or are they homeschooled, or does some other situation apply?
1 Yes, [[]] is enrolled in a public, charter, private or virtual school (select this option even if your child is attending school from home) 2 No, [[]] is not enrolled and is homeschooling 3 No, [[]] is neither enrolled nor homeschooling (e.g. dropped out, taking a year off, pursuing a GED) 4 No, some other situation applies (please specify):
sl057a_other (other enrolled in any type of school)
STRING
End of group of questions
if sl057a = 1 then
sl058a (kind of school enrolled in)
What kind of school is [[]] enrolled in?
1 Public school 2 Private school 3 Charter school 4 Virtual School 5 Other 6 Unsure
sl060a (percent currently attending in person)
Approximately what percent of the students at [[]]'s school are currently attending school in person?
Group of questions presented on the same screen
sl061a (how currently attending school)
How is [[]] currently attending school?
1 In-person only 2 Remote only 3 Both in-person and remote (hybrid) 4 Other, please specify:
sl061a_other (other how currently attending school)
STRING
End of group of questions
Group of questions presented on the same screen
sl062a (how prefer attending school)
Given the state of the COVID-19 pandemic in your area and your school’s safety protocols, how would you prefer[[]] to attend school right now?
1 In-person only 2 Remote only 3 Both in-person and remote (hybrid) 4 Other, please specify: 5 Unsure
sl062a_other (other how prefer attending school)
STRING
End of group of questions
if sl060a > 0 OR sl061a in [1,3] then
Group of questions presented on the same screen
sl063_intro
Is [[]]'s school using any of the following COVID-19 mitigation strategies?
Subgroup of questions
sl063a (School policy requires students to wear masks at all times)
School policy requires students to wear masks at all times
1 Yes 2 No 3 Unsure
sl063b (School policy requires teachers to wear masks at all times)
School policy requires teachers to wear masks at all times
1 Yes 2 No 3 Unsure
sl063c (School policy requires everyone on campus to have their temperature taken)
School policy requires everyone on campus to have their temperature taken
1 Yes 2 No 3 Unsure
sl063d (School policy requires that everyone on campus remain six feet apart)
School policy requires that everyone on campus remain six feet apart
1 Yes 2 No 3 Unsure
sl063e (Hand sanitizer is available in classroom(s))
Hand sanitizer is available in [[]]'s classroom(s)
1 Yes 2 No 3 Unsure
sl063f (School policy requires contact tracing if cases arise in the school)
School policy requires contact tracing if cases arise in the school
Which of the following are reasons for why [[]] is not attending in-person? Check all that apply.
1 Remote learning is safer for [[]], my family, and/or my community. 2 Too many adults at [[]]'s school are not vaccinated 3 The safety measures in place at [[]]'s school are not enough to protect the students 4 The safety measures in place at [[]]'s school are uncomfortable, overly strict, or too restrictive for [[]]. 5 We like the remote learning schedule better 6 [[]] wants to stay home and attend school remotely 7 Something, like scheduling, child care, or transportation, was too difficult or complicated to make it worth [[]] going to school in person 8 [[]] was only offered a hybrid option which he/she/we did not want 9 The in-person learning experience is no different than the remote experience (for example, though physically at school, students are not in the same physical space as their teacher). 10 I, or my family, can be more involved in my child's education when [[]] is at home learning 11 [[]] is just as happy (or more happy) learning remotely than when in-person 12 [[]] is doing just as well (or better) academically than when in-person 13 [[]]'s school did not offer an in-person option 14 I do not trust the school to protect my child from COVID 15 Other. If the reason(s) are not listed here, in a few words, please explain why you have not sent your child back to school in-person:
se006_other (other why child not attending in person)
STRING
End of group of questions
End of if
End of if
End of if
if selectedchild = response and selectednames[selectedchild] = response then
Group of questions presented on the same screen
se001_intro
To what extent do you think schools should use each of the following practices during the 2021-22 school year?
Subgroup of questions
se001a (Remote school when weather is bad or when school buildings have to be closed for another reason.)
Remote school when weather is bad or when school buildings have to be closed for another reason
1 Definitely should not 2 Probably should not 3 Probably should 4 Definitely should
se001b (Tutoring students, or giving extra instruction to students, remotely (through zoom or other video tool) )
Tutoring students, or giving extra instruction to students, remotely (through zoom or other video tool)
1 Definitely should not 2 Probably should not 3 Probably should 4 Definitely should
se001c (uuse asynchronous learning)
"Asynchronous," class work when students work on their own time, without a teacher physically present
1 Definitely should not 2 Probably should not 3 Probably should 4 Definitely should
se001d (Zoom or other video software for parents to meet with teachers)
Zoom or other video software for parents to meet with teachers
1 Definitely should not 2 Probably should not 3 Probably should 4 Definitely should
se001f (more online reading materials than hard-copy books/textbooks)
More online reading materials than hard-copy books/textbooks
1 Definitely should not 2 Probably should not 3 Probably should 4 Definitely should
se001g (Asking students to submit assignments online more than handing in work on paper)
Asking students to submit assignments online more than handing in work on paper
1 Definitely should not 2 Probably should not 3 Probably should 4 Definitely should
se001h (Using online platforms (like canvas, google classroom) to store, organize and hand out class materials)
Using online platforms (like canvas, google classroom) to store, organize and hand out class materials
1 Definitely should not 2 Probably should not 3 Probably should 4 Definitely should
se001i (Students using email and other forms of electronic communication to talk to teachers)
Students using email and other forms of electronic communication to talk to teachers
1 Definitely should not 2 Probably should not 3 Probably should 4 Definitely should
End of subgroup of questions
End of group of questions
Group of questions presented on the same screen
se002_intro
Assume all students and schools are back to full-time in-person attendance for the next school year. Do you support or oppose the following changes for the 2021-2022 school year?
Subgroup of questions
se002a (Longer school days)
Longer school days
1 Strongly oppose 2 Oppose 3 Support 4 Strongly support 5 Unsure
se002b (A longer school year (more days of instruction, fewer days off))
A longer school year (more days of instruction, fewer days off)
1 Strongly oppose 2 Oppose 3 Support 4 Strongly support 5 Unsure
se002g (A shorter summer vacation)
A shorter summer vacation
1 Strongly oppose 2 Oppose 3 Support 4 Strongly support 5 Unsure
se002c (No longer requiring tests like the SAT or ACT to get in to college)
No longer requiring tests like the SAT or ACT to get in to college
1 Strongly oppose 2 Oppose 3 Support 4 Strongly support 5 Unsure
se002d (Sending students on to the next grade level even if they do not meet requirements for advancing)
Sending students on to the next grade level even if they do not meet requirements for advancing
1 Strongly oppose 2 Oppose 3 Support 4 Strongly support 5 Unsure
se002e (Offering students the option to repeat their 2020-21 grade level )
Offering students the option to repeat their 2020-21 grade level
1 Strongly oppose 2 Oppose 3 Support 4 Strongly support 5 Unsure
se002f (Using pass/fail for grades instead of A-F letter grades)
Using pass/fail for grades instead of A-F letter grades
1 Strongly oppose 2 Oppose 3 Support 4 Strongly support 5 Unsure
End of subgroup of questions
End of group of questions
End of if
Group of questions presented on the same screen
se004_intro
How important do you feel it is that students learn about the following topics in school?
Subgroup of questions
se004a (Political issues like immigration or gun control )
Political issues like immigration or gun control
1 Not at all important 2 Slightly important 3 Important 4 Very important
se004b (How the U.S. government system works (e.g. the three branches of the federal government, the U.S. Constitution))
How the U.S. government system works (e.g. the three branches of the federal government, the U.S. Constitution)
1 Not at all important 2 Slightly important 3 Important 4 Very important
se004c (racism in the United States)
Racism in the United States
1 Not at all important 2 Slightly important 3 Important 4 Very important
se004d (Requirements for voting)
Requirements for voting
1 Not at all important 2 Slightly important 3 Important 4 Very important
se004e (Income inequality in the United States)
Income inequality in the United States
1 Not at all important 2 Slightly important 3 Important 4 Very important
se004f (The United States' leadership role in the world)
The United States' leadership role in the world
1 Not at all important 2 Slightly important 3 Important 4 Very important
se004g (The federal government's influence over state and local affairs)
The federal government's influence over state and local affairs
1 Not at all important 2 Slightly important 3 Important 4 Very important
se004h (Benefits and challenges of social programs like Medicare and Social Security )
Benefits and challenges of social programs like Medicare and Social Security
1 Not at all important 2 Slightly important 3 Important 4 Very important
se004i (How students can get involved in local government or politics)
How students can get involved in local government or politics
1 Not at all important 2 Slightly important 3 Important 4 Very important
se004j (The contributions of historical figures who are racial and/or ethnic minorities)
The contributions of historical figures who are racial and/or ethnic minorities
1 Not at all important 2 Slightly important 3 Important 4 Very important
se004k (The contributions of historical figures who are women)
The contributions of historical figures who are women
1 Not at all important 2 Slightly important 3 Important 4 Very important
End of subgroup of questions
End of group of questions
if selectedchild = response and selectednames[selectedchild] = response then
Group of questions presented on the same screen
se003_intro
To what extent do the following teaching practices or strategies help [[]] learn?
Subgroup of questions
se003a (help lectures)
Lectures
1 Not at all 2 A little bit 3 Some 4 A lot 5 I don't know
se003b (help projects )
Projects
1 Not at all 2 A little bit 3 Some 4 A lot 5 I don't know
se003c (help small groups of students discussing a topic, with the teacher walking around from group to group)
Small groups of students discussing a topic, with the teacher walking around from group to group
1 Not at all 2 A little bit 3 Some 4 A lot 5 I don't know
se003d (help large group class discussions, led by the teacher)
Large group class discussions, led by the teacher
1 Not at all 2 A little bit 3 Some 4 A lot 5 I don't know
se003e (help technology in the classroom)
Technology in the classroom
1 Not at all 2 A little bit 3 Some 4 A lot 5 I don't know
se003f (help oral presentations)
Oral presentations
1 Not at all 2 A little bit 3 Some 4 A lot 5 I don't know
se003g (help debates)
Debates
1 Not at all 2 A little bit 3 Some 4 A lot 5 I don't know
End of subgroup of questions
End of group of questions
if sl057a = 1 then
Group of questions presented on the same screen
se005_intro
To what extent do you agree or disagree with the following statements about [[]]'s school?
[[]]'s school...
Subgroup of questions
se005a (Explains why they make the decisions they make)
se008a (planning to continue homeschooling next year)
Are you planning to continue homeschooling [[]] next year?
1 Yes 2 No 3 Unsure
End of if
if sl057a != 2 OR (sl057a = 2 AND se008a = 2) then
se008 (plan to send to school in person)
Are you planning to send [[]] to school in-person at the beginning of the 2021-22 school year?
1 Yes 2 No 3 Unsure
End of if
End of if
Group of questions presented on the same screen
se007_intro
How concerned or unconcerned are you about each of the following now, in spring 2021?
Subgroup of questions
se007a (child psychological well-being)
[[]]'s psychological well-being
1 Not at all concerned 2 A little concerned 3 Concerned 4 Very concerned
se007b (child relationships with peers)
[[]]'s relationships with peers
1 Not at all concerned 2 A little concerned 3 Concerned 4 Very concerned
if sl057a = 1 then
se007c (child relationships with teachers)
[[]]'s relationships with teachers
1 Not at all concerned 2 A little concerned 3 Concerned 4 Very concerned
End of if
se007d (child missing out on school-sponsored extracurricular activities)
[[]] missing out on school-sponsored extracurricular activities
1 Not at all concerned 2 A little concerned 3 Concerned 4 Very concerned
se007e (child amount learning)
The amount [[]] is learning this year compared to a typical school year
1 Not at all concerned 2 A little concerned 3 Concerned 4 Very concerned
se007f (child how engaged)
How engaged [[]] is in school this year
1 Not at all concerned 2 A little concerned 3 Concerned 4 Very concerned
se007g (child doing socially)
How [[]] is doing socially
1 Not at all concerned 2 A little concerned 3 Concerned 4 Very concerned
se007h (child doing emotionally)
How [[]] is doing emotionally
1 Not at all concerned 2 A little concerned 3 Concerned 4 Very concerned
se007i (child progress in math)
[[]]'s progress in math
1 Not at all concerned 2 A little concerned 3 Concerned 4 Very concerned
se007j (child progress in science)
[[]]'s progress in science
1 Not at all concerned 2 A little concerned 3 Concerned 4 Very concerned
se007k (child progress in reading/language arts)
[[]]'s progress in reading/language arts
1 Not at all concerned 2 A little concerned 3 Concerned 4 Very concerned
End of subgroup of questions
End of group of questions
if se007_se008_order = 1 then
if sl057a = 2 then
se008a (planning to continue homeschooling next year)
Are you planning to continue homeschooling [[]] next year?
1 Yes 2 No 3 Unsure
End of if
if sl057a != 2 OR (sl057a = 2 AND se008a = 2) then
se008 (plan to send to school in person)
Are you planning to send [[]] to school in-person at the beginning of the 2021-22 school year?
1 Yes 2 No 3 Unsure
End of if
End of if
Group of questions presented on the same screen
se009_intro
Thinking about [[]]'s school experiences during the COVID pandemic, how would you rate each of the following now compared to before the pandemic?
Subgroup of questions
se009a (Communication between you and your child's teacher(s))
Communication between you and your child's teacher(s)
1 Much worse now 2 A little worse now 3 Unchanged 4 A little better now 5 Much better now 6 Not applicable
se009b (Communication between you and the school principal (or assistant principal))
Communication between you and the school principal (or assistant principal)
1 Much worse now 2 A little worse now 3 Unchanged 4 A little better now 5 Much better now 6 Not applicable
se009c (How involved you are in your child's education)
How involved you are in your child's education
1 Much worse now 2 A little worse now 3 Unchanged 4 A little better now 5 Much better now 6 Not applicable
se009d (child engagement with school)
[[]]'s engagement with school
1 Much worse now 2 A little worse now 3 Unchanged 4 A little better now 5 Much better now 6 Not applicable
se009e (child ability to complete school work)
[[]]'s ability to complete school work
1 Much worse now 2 A little worse now 3 Unchanged 4 A little better now 5 Much better now 6 Not applicable
se009f (child ability to do well in school)
[[]]'s ability to do well in school
1 Much worse now 2 A little worse now 3 Unchanged 4 A little better now 5 Much better now 6 Not applicable
se009g (child confidence)
[[]]'s confidence
1 Much worse now 2 A little worse now 3 Unchanged 4 A little better now 5 Much better now 6 Not applicable
se009h (child mental health)
[[]]'s mental health
1 Much worse now 2 A little worse now 3 Unchanged 4 A little better now 5 Much better now 6 Not applicable
se009i (child communication with teachers)
[[]]'s communication with teachers
1 Much worse now 2 A little worse now 3 Unchanged 4 A little better now 5 Much better now 6 Not applicable
se009j (child how much learning)
How much [[]] is learning
1 Much worse now 2 A little worse now 3 Unchanged 4 A little better now 5 Much better now 6 Not applicable
End of subgroup of questions
End of group of questions
if sl057a = 1 OR sl057a = 4 then
Group of questions presented on the same screen
se010_intro
For each of the following, is [[]]'s school currently offering the activity?
Subgroup of questions
se010a (offering summer School)
Summer School
1 Yes 2 No 3 I don't know
se010b (offering in-person tutoring during school)
In-person tutoring during school
1 Yes 2 No 3 I don't know
se010c (offering in-person tutoring after school)
In-person tutoring after school
1 Yes 2 No 3 I don't know
se010d (offering learning pods)
Learning pods: in-person groups of students learning together with the help of an in-person tutor or teacher. Students in pods are engaging in the school's curriculum and following the school schedule.
1 Yes 2 No 3 I don't know
End of subgroup of questions
End of group of questions
if se010a = 1 OR se010b = 1 OR se010c = 1 OR se010d = 1 then
Group of questions presented on the same screen
se011_intro
Is [[]] participating or signed up to participate for these activities?
Subgroup of questions
if se010a = 1 then
se011a (participating summer school)
Summer School
1 Yes 2 No 3 I don't know
End of if
if se010b = 1 then
se011b (participating in-person tutoring during school)
In-person tutoring during school
1 Yes 2 No 3 I don't know
End of if
if se010c = 1 then
se011c (participating in-person tutoring after school)
In-person tutoring after school
1 Yes 2 No 3 I don't know
End of if
if se010d = 1 then
se011d (participating learning pods)
Learning pods: in-person groups of students learning together with the help of an in-person tutor or teacher. Students in pods are engaging in the school's curriculum and following the school schedule.
1 Yes 2 No 3 I don't know
End of if
End of subgroup of questions
End of group of questions
End of if
if se010a in [2,3] OR se010b in [2,3] OR se010c in [2,3] OR se010d in [2,3] then
Group of questions presented on the same screen
se012_intro
Would you sign up [[]] for these activities if offered?
Subgroup of questions
if se010a in [2,3] then
se012a (sign up summer school)
Summer School
1 Yes 2 No 3 I don't know
End of if
if se010b in [2,3] then
se012b (sign up in-person tutoring during school)
In-person tutoring during school
1 Yes 2 No 3 I don't know
End of if
if se010c in [2,3] then
se012c (sign up in-person tutoring after school)
In-person tutoring after school
1 Yes 2 No 3 I don't know
End of if
if se010d in [2,3] then
se012d (sign up learning pods)
Learning pods: in-person groups of students learning together with the help of an in-person tutor or teacher. Students in pods are engaging in the school's curriculum and following the school schedule.
1 Yes 2 No 3 I don't know
End of if
End of subgroup of questions
End of group of questions
End of if
End of if
End of if
school_end := date("Y-m-d H:i:s")
se099 (student or employee at a college or university)
Are you a student or employee at a college or university?
1 No, not a college student or employee 2 Yes, undergraduate student 3 Yes, graduate student 4 Yes, staff or contractor 5 Yes, faculty 6 Yes, administration
sd_intro
The next several questions ask about your experiences during recent holidays and gatherings.
sd001 (thanksgiving get together with friends, relatives)
Thinking back to this past Thanksgiving, did you get together with friends or relatives who do not live with you to celebrate?
1 Yes 2 No 3 Unsure
if sd001 = 1 then
sd002 (thanksgiving how many wore masks)
When you were inside, how many of you both wore masks and socially distanced?
1 All of us 2 Most of us 3 Some of us 4 None of us 5 Not applicable
End of if
sd003 (xmas get together with friends, relatives)
Thinking back to this past Christmas holiday, did you get together with friends or relatives who do not live with you to celebrate?
1 Yes 2 No 3 Unsure
if sd003 = 1 then
sd004 (xmas how many wore masks)
When you were inside, how many of you both wore masks and socially distanced?
1 All of us 2 Most of us 3 Some of us 4 None of us 5 Not applicable
End of if
sd005 (super bowl get together with friends, relatives)
Thinking back to Super Bowl Sunday in February, did you get together with friends or relatives who do not live with you to celebrate?
1 Yes 2 No 3 Unsure
if sd005 = 1 then
sd006 (super bowl how many wore masks)
When you were inside, how many of you both wore masks and socially distanced?
1 All of us 2 Most of us 3 Some of us 4 None of us 5 Not applicable
End of if
ca01
The next questions ask you about payments you have made recently. You make a payment any time you give money to someone else, such as when you buy something at a store, pay your rent or mortgage, ordered food from a restaurant, or pay another person.
if ca_format_randomizer = empty then
ca_format_randomizer := mt_rand(1,2)
End of if
if ca_format_randomizer = 1 then
ca02 (cash currently in pocket, purse, wallet)
How much cash do you currently have in your pocket, purse or wallet?
RANGE 0..100000
Else
Group of questions presented on the same screen
ca02_custom
How much cash do you currently have in your pocket, purse or wallet?
ca02_1_num (pocket number of 1 dollar bills)
Number of $1 bills
RANGE 0..50000
ca02_1_amnt (pocket amount of 1 dollar bills)
Amount of $1 bills
ca02_2_num (pocket number of 2 dollar bills)
Number of $2 bills
RANGE 0..50000
ca02_2_amnt (pocket amount of 2 dollar bills)
Amount of $2 bills
ca02_5_num (pocket number of 5 dollar bills)
Number of $5 bills
RANGE 0..50000
ca02_5_amnt (pocket amount of 5 dollar bills)
Amount of $5 bills
ca02_10_num (pocket number of 10 dollar bills)
Number of $10 bills
RANGE 0..50000
ca02_10_amnt (pocket amount of 10 dollar bills)
Amount of $10 bills
ca02_20_num (pocket number of 20 dollar bills)
Number of $20 bills
RANGE 0..50000
ca02_20_amnt (pocket amount of 20 dollar bills)
Amount of $20 bills
ca02_50_num (pocket number of 50 dollar bills)
Number of $50 bills
RANGE 0..50000
ca02_50_amnt (pocket amount of 50 dollar bills)
Amount of $50 bills
ca02_100_num (pocket number of 100 dollar bills)
Number of $100 bills
RANGE 0..50000
ca02_100_amnt (pocket amount of 100 dollar bills)
Amount of $100 bills
ca02_total (total amount in pocket)
End of group of questions
End of if
if ca_format_randomizer = 1 then
ca03 (cash stored elsewhere)
How much cash do you have stored elsewhere in your home, car, or elsewhere?
RANGE 0..1000000
Else
Group of questions presented on the same screen
ca03_custom
How much cash do you have stored elsewhere in your home, car, or elsewhere?
ca03_1_num (elsewhere number of 1 dollar bills)
Number of $1 bills
RANGE 0..50000
ca03_1_amnt (elsewhere amount of 1 dollar bills)
Amount of $1 bills
ca03_2_num (elsewhere number of 2 dollar bills)
Number of $2 bills
RANGE 0..50000
ca03_2_amnt (elsewhere amount of 2 dollar bills)
Amount of $2 bills
ca03_5_num (elsewhere number of 5 dollar bills)
Number of $5 bills
RANGE 0..50000
ca03_5_amnt (elsewhere amount of 5 dollar bills)
Amount of $5 bills
ca03_10_num (elsewhere number of 10 dollar bills)
Number of $10 bills
RANGE 0..50000
ca03_10_amnt (elsewhere amount of 10 dollar bills)
Amount of $10 bills
ca03_20_num (elsewhere number of 20 dollar bills)
Number of $20 bills
RANGE 0..50000
ca03_20_amnt (elsewhere amount of 20 dollar bills)
Amount of $20 bills
ca03_50_num (elsewhere number of 50 dollar bills)
Number of $50 bills
RANGE 0..50000
ca03_50_amnt (elsewhere amount of 50 dollar bills)
Amount of $50 bills
ca03_100_num (elsewhere number of 100 dollar bills)
Number of $100 bills
RANGE 0..50000
ca03_100_amnt (elsewhere amount of 100 dollar bills)
Amount of $100 bills
ca03_total (total amount elsewhere )
End of group of questions
End of if
FL30days := get30DaysAgo()
ca05_intro
Now we would like to ask about payments that you made in person, such as times when you bought something from a physical store, ordered food from a restaurant, shopped at a farmers market, or any other time you paid someone in person.
ca05a (made any in-person payments in the past 30 days)
Have you made any in-person payments in the past 30 days (since [[]])?
1 Yes 2 No 3 Unsure
if ca05a = 1 then
ca06 (use cash for any payments)
Did you use cash for any of these payments?
1 Yes 2 No 3 Unsure
ca14 (how often did sellers ask to use a debit or credit card instead of cash)
When you made in-person payments, how often did the sellers ask you to use a debit or credit card instead of cash?
1 Always 2 Most of the time 3 Sometimes 4 Rarely 5 Never 6 Unsure
if ca06 = 1 then
ca16 (received change)
Think of the most recent time that you made an in-person payment with cash. Did you receive change?
1 Yes, I received change. 2 No, I paid the exact amount. 3 No, I should have received change but I did not receive any. 4 Unsure.
End of if
End of if
Group of questions presented on the same screen
ca018_intro
Have you done any of the following things in the past 30 days (since [[]])?
Subgroup of questions
ca18a (Paid for something using coins)
Paid for something using coins
1 Yes 2 No 3 Unsure
ca18b (Deposited coins at a banks)
Deposited coins at a banks
1 Yes 2 No 3 Unsure
ca18c (Redeemed coins at a kiosk (e.g. Coinstar))
Redeemed coins at a kiosk (e.g. Coinstar)
1 Yes 2 No 3 Unsure
End of subgroup of questions
End of group of questions
Group of questions presented on the same screen
ca100_intro
Now we would like to ask about payments that you made yesterday using a credit card.
ca100 (make any credit card payments yesterday)
Did you buy anything or pay any bills with a credit card yesterday?
1 Yes 2 No 3 Unsure
End of group of questions
if ca100 = 1 then
Group of questions presented on the same screen
ca101_intro
Where did you make a credit card payment?
Subgroup of questions
ca101a (credit card payment grocery store)
Grocery store
1 Yes 2 No 3 Unsure
ca101b (credit card payment restaurant or fast food)
Restaurant or fast food
1 Yes 2 No 3 Unsure
ca101c (credit card payment online using a phone, tablet, or computer)
Online using a phone, tablet, or computer
1 Yes 2 No 3 Unsure
ca101d (credit card payment convenience store)
Convenience store
1 Yes 2 No 3 Unsure
ca101e (credit card payment general merchandise or big box stores)
Now we would like to ask about any subscription service you or someone in your household pays for.
ca110 (pay for video services)
Did you or anyone in your household pay for the following subscription service the last 30 days? (If yes, please check the box)
1 Netflix 2 Hulu 3 HBO 4 Showtime 5 Disney Plus 6 ESPN + 7 Peacock 8 Cable /Satellite TV 9 Spotify 10 Apple Music 11 Amazon Music 12 YouTube Music 13 Other 14 None of these
End of group of questions
CS_001 (HOW PLEASANT INTERVIEW)
Could you tell us how interesting or uninteresting you found the questions in this interview?
1 Very interesting 2 Interesting 3 Neither interesting nor uninteresting 4 Uninteresting 5 Very uninteresting
CS_003 (comments)
Do you have any other comments on the interview? Please type these in the box below. (If you have no comments, please click next to complete this survey.)