Routing for UAS322

reward := 10
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. For those of you who ever applied for benefits, this survey also asks questions about your experiences with the program.
currentage := calcAge(dateofbirth_year, dateofbirth_month, dateofbirth_day)
if currentage = empty then
currentage (current calculated age)
What is your current age?
RANGE 0..120
End of if
mod1_intro
We now want to ask you a general question. Please use the text boxes below 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 disability? What would be the goal of a good disability program?
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
5 Other, please specify:
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 Income and sales taxes
2 Local and state governments
3 The disability insurance trust fund
4 National debt
5 Social security 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 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)
10 Others, please specify:
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 would 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
Group of questions presented on the same screen
sco2 (percentage of applicants ultimately approved for disability benefits)
What percentage of applicants do you believe are ultimately approved for disability benefits? If you don’t know, please give us your best estimate .
slider_script
End of group of questions
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
sco3a (percentage of adults receive Social Security retirement)
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.
sco3b (percentage of adults receive Social Security disability)
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.
sco3c (percentage of adults receive SNAP/food stamp benefits)
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
sco3a (percentage of adults receive Social Security retirement)
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.
sco3c (percentage of adults receive SNAP/food stamp benefits)
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.
sco3b (percentage of adults receive Social Security disability)
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
sco3c (percentage of adults receive SNAP/food stamp benefits)
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.
sco3a (percentage of adults receive Social Security retirement)
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.
sco3b (percentage of adults receive Social Security disability)
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
sco3c (percentage of adults receive SNAP/food stamp benefits)
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.
sco3b (percentage of adults receive Social Security disability)
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.
sco3a (percentage of adults receive Social Security retirement)
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
sco3c (percentage of adults receive SNAP/food stamp benefits)
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.
sco3a (percentage of adults receive Social Security retirement)
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.
sco3b (percentage of adults receive Social Security disability)
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
sco3c (percentage of adults receive SNAP/food stamp benefits)
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.
sco3b (percentage of adults receive Social Security disability)
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.
sco3a (percentage of adults receive Social Security retirement)
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 do you think that 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(sco5, 0)
sco5_fol (confirmation average beneficiaries receive)
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 is 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 Social Security disability recipients are veterans. What percentage of disability beneficiaries do you think are veterans? If you don’t know, please give us your best estimate.
End of if
Group of questions presented on the same screen
rul1_intro
Please answer the following True/False questions about the Social Security disability programs:

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 him/her from working
1 True
2 False
rul1b (Social Security disability programs provide beneficiaries with access to Medicare or Medicaid)
The 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 week.
2 A few weeks
3 A couple of months
4 Several months
5 Between six months and one year
6 More than one year
if is_randomizer = empty then
is_random_number := mt_rand(1,9)
if is_random_number < 4 then
is_randomizer := 1
elseif is_random_number < 6 then
is_randomizer := 2
elseif is_random_number < 8 then
is_randomizer := 3
elseif is_random_number < 10 then
is_randomizer := 4
End of if
End of if
Group of questions presented on the same screen
is001
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.
if is_randomizer in [2,4] then
is001a
Disability is something that can happen to anyone. A person is considered disabled by Social Security if they can’t work due to a severe medical condition that is expected to last at least one year or result in death. Because the program defines disability so strictly, its beneficiaries are among the most severely impaired in the country. There are a range of conditions that may render a person disabled and eligible for benefits, such as disability from traumatic injuries, cancer, chronic heart failure, chronic obstructive pulmonary disease (COPD), mental disorders, and others. Disability benefits provide a critical source of financial support to people when they need it the most.
End of if
End of group of questions
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
Group of questions presented on the same screen
rul4_intro
Please answer the following True/False questions about the Social Security Disability Insurance (SSDI) program:

Subgroup of questions
rul4a (Anyone with a Social Security number is eligible for Social Security Disability Insurance (SSDI) benefits)
Anyone with a Social Security number is eligible for Social Security Disability Insurance (SSDI) benefits
1 True
2 False
rul4b (A person receiving Social Security Disability Insurance (SSDI) benefits will continue to receive benefits forever, even if their condition improves to the point they are no longer considered disabled)
A person receiving Social Security Disability Insurance (SSDI) benefits will continue to receive benefits forever, even if their condition improves to the point they are no longer considered disabled
1 True
2 False
rul4c (People with short-term disability (a disability that is expected to last less than 12 months) are not eligible for Social Security Disability Insurance (SSDI) )
People with short-term disability (a disability that is expected to last less than 12 months) are not eligible for Social Security Disability Insurance (SSDI)
1 True
2 False
rul4d (Individuals must submit a claim for review by Social Security before they can receive SSDI benefits)
Individuals must submit a claim for review by Social Security before they can receive SSDI benefits
1 True
2 False
rul4e (Spouses and children of a person with disabilities may also receive SSDI benefits based on the person’s earnings record)
Spouses and children of a person with disabilities may also receive SSDI benefits based on the person’s earnings record
1 True
2 False
rul4f (Individuals need to have been employed and paid Social Security taxes for at least 60 quarters (fifteen years) in order to be eligible for SSDI benefits )
Individuals need to have been employed and paid Social Security taxes for at least 60 quarters (fifteen years) in order to be eligible for SSDI benefits
1 True
2 False
End of subgroup of questions
End of group of questions
Group of questions presented on the same screen
rul4_intro
Please answer the following True/False questions about the Social Security Disability Insurance (SSDI) program:

Subgroup of questions
rul4g (People who receive Social Security retirement benefits may still be eligible for SSDI)
People who receive Social Security retirement benefits may still be eligible for SSDI
1 True
2 False
rul4h (If the Disability Determination Services office decides - based on the claimant’s age, education, experience, and skills - that he/she can do other work, the claim will be denied )
If the Disability Determination Services office decides - based on the claimant’s age, education, experience, and skills - that he/she can do other work, the claim will be denied
1 True
2 False
rul4i (Social Security Disability Insurance (SSDI) beneficiaries are insured by Medicare immediately after the start date for their benefit)
Social Security Disability Insurance (SSDI) beneficiaries are insured by Medicare immediately after the start date for their benefit
1 True
2 False
rul4j (To qualify for Social Security Disability Insurance (SSDI) , an individual must have worked in jobs covered by Social Security in the last ten years and have a medical condition that meets Social Security definition of disability )
To qualify for Social Security Disability Insurance (SSDI) , an individual must have worked in jobs covered by Social Security in the last ten years and have a medical condition that meets Social Security definition of disability
1 True
2 False
rul4k (An individual who is able to perform work that she has done in the past may still be able to receive Social Security Disability Insurance benefits )
An individual who is able to perform work that she has done in the past may still be able to receive Social Security Disability Insurance benefits
1 True
2 False
rul4l (The children of an individual receiving Social Security Disability income (SSDI) can receive a benefit check themselves)
The children of an individual receiving Social Security Disability income (SSDI) can receive a benefit check themselves
1 True
2 False
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 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.
if is_randomizer in [3,4] then
is002a
SSI provides cash to disabled beneficiaries so they can meet basic needs for food, clothing, and shelter. Three quarters of SSI beneficiaries live below the federal poverty line; that is, they have an income lower than $26,500 for a family of four. SSI benefits are modest: the current benefit rate is $783 for an individual and $1,175 for a couple.
End of if
awa2 (aware that Supplemental Security Income program existed)
Were you aware that the Supplemental Security Income program existed for disabled individuals with low income?
1 (YES) Yes
2 (NO) No
Group of questions presented on the same screen
rul5_intro
Please answer the following True/False questions about the Supplemental Security Income (SSI) program:

Subgroup of questions
rul5a (Supplemental Security Income (SSI) pays benefits to aged, blind or disabled people who have little or no income)
Supplemental Security Income (SSI) pays benefits to aged, blind or disabled people who have little or no income
1 True
2 False
rul5b (Supplemental Security Income (SSI) beneficiaries are eligible for Medicaid coverage)
Supplemental Security Income (SSI) beneficiaries are eligible for Medicaid coverage
1 True
2 False
rul5c (An individual who is able to perform work that she has done in the past may still be considered disabled and receive Supplemental Security Income benefits)
An individual who is able to perform work that she has done in the past may still be considered disabled and receive Supplemental Security Income benefits
1 True
2 False
rul5d (Only those who are blind, disabled, or over 65 are eligible for SSI )
Only those who are blind, disabled, or over 65 are eligible for SSI
1 True
2 False
End of subgroup of questions
End of group of questions
if self_position = empty then
self_position := mt_rand(1,2)
End of if
if self_position = 1 then
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? Check all that apply.
1 Apply for disability benefits in the first instance
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
4 Not applicable / I am not eligible for disability benefits
5 Other, please specify:
self1_other (other actions if long term health care problem)
STRING
End of group of questions
if 2 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 disability benefits?
1 Yes, I would apply for disability benefits
2 No, I would never apply for disability benefits
End of if
if 3 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 disability benefits?
1 Yes, I would apply for disability benefits
2 No, I would never apply for 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 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
4 Social Security Administration
5 Community organizations (such as churches, libraries and community centers)
6 Lawyers
7 Other, please specify:
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 information about disability benefits from the Social Security Administration. How did you go about seeking this information? Please select all that apply.
1 Social Security Administration website
2 mySocial Security website
3 Social Security phone line
4 In person at a Social Security office;
5 Social Security social media (Facebook, Twitter, etc.)
6 Other, please specify:
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 Agree strongly
2 Agree somewhat
3 Neither agree nor disagree
4 Disagree somewhat
5 Disagree strongly
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 Agree strongly
2 Agree somewhat
3 Neither agree nor disagree
4 Disagree somewhat
5 Disagree strongly
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 Agree strongly
2 Agree somewhat
3 Neither agree nor disagree
4 Disagree somewhat
5 Disagree strongly
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)
What is your current 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 self9 = 1 then
self10 (know monthly payment amount entitled to)
Do you know (approximately) the monthly 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 checked 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 MySocialSecurity (an online tool on the Social Security website that provides you with all your Social Security information)?
1 (YES) Yes
2 (NO) No
End of if
vg_intro
We will now show you a number of short stories of fictional people with varying health and work conditions and different hypothetical scenarios. Then we will ask for your opinion of these people’s situations. There are no right or wrong answers.
if vignette_group = empty then
vignette_group_number := mt_rand(1,4)
if vignette_group_number in [1,2] then
vignette_group := 1
elseif vignette_group_number = 3 then
vignette_group := 2
elseif vignette_group_number = 4 then
vignette_group := 3
End of if
vignette_name := mt_rand(1,4)
End of if
vignette_order := array()
if vignette_group = 1 then
vignette_order[1] := 1
vignette_order[3] := 3
vignette_order[6] := 6
vignette_order[7] := 7
vignette_order[10] := 10
elseif vignette_group = 2 then
vignette_order[2] := 2
vignette_order[3] := 3
vignette_order[4] := 4
vignette_order[5] := 5
if vignette_name != 3 then
vignette_order[10] := 10
End of if
elseif vignette_group = 3 then
vignette_order[1] := 1
vignette_order[6] := 6
vignette_order[7] := 7
vignette_order[8] := 8
vignette_order[9] := 9
End of if
Fill code of question 'FLName' executed
Fill code of question 'FLHeShe' executed
Loop from 1 to 10
if vignette_order[cnt] = response then
if vignette_order[cnt] = 1 then
vignette1
[Michael/Diane/Darnell/Jane/Juan/Carlos/Latoya/Darnell/Tamika/Juan/Michael/Diane/Bill/Jane/John/Michael/David/Octavia/Robert/Rocio/Mary/Diane/Jose/Max/Juan/Rosa/Latoya/Jose/Jermaine/Juan/Mary/Diane/Michael/Max//Mary/Diane/Jose/Max/Juan/Sam/Darnell/Jane/Joe/Susan/Carlos/Darnell/Tamika/Willie/Guadalupe/Sam/Bill/Jane/Joe/Susan/Sam/Octavia/Robert/Jennifer/Mark/] is a 48-year-old life-long construction worker who has recently developed pain in his back and legs. The pain is present almost all the time, but it gets worse while he is working. Although medication helps, he has a difficult time moving around, holding and lifting things at work.
elseif vignette_order[cnt] = 2 then
vignette2
[Michael/Diane/Darnell/Jane/Juan/Carlos/Latoya/Darnell/Tamika/Juan/Michael/Diane/Bill/Jane/John/Michael/David/Octavia/Robert/Rocio/Mary/Diane/Jose/Max/Juan/Rosa/Latoya/Jose/Jermaine/Juan/Mary/Diane/Michael/Max//Mary/Diane/Jose/Max/Juan/Sam/Darnell/Jane/Joe/Susan/Carlos/Darnell/Tamika/Willie/Guadalupe/Sam/Bill/Jane/Joe/Susan/Sam/Octavia/Robert/Jennifer/Mark/] is a 57-year-old bilingual customer service worker with a modest cognitive impairment caused by a recent stroke. She is still five years away from the earliest eligibility age for retirement and is struggling to make ends meet.
elseif vignette_order[cnt] = 3 then
if vignette_group = 1 AND vignette_name = 4 then
vignette3_male (male version)
[Michael/Diane/Darnell/Jane/Juan/Carlos/Latoya/Darnell/Tamika/Juan/Michael/Diane/Bill/Jane/John/Michael/David/Octavia/Robert/Rocio/Mary/Diane/Jose/Max/Juan/Rosa/Latoya/Jose/Jermaine/Juan/Mary/Diane/Michael/Max//Mary/Diane/Jose/Max/Juan/Sam/Darnell/Jane/Joe/Susan/Carlos/Darnell/Tamika/Willie/Guadalupe/Sam/Bill/Jane/Joe/Susan/Sam/Octavia/Robert/Jennifer/Mark/] is an attorney and competitive cyclist. Last summer, he was hit by a car while biking and severely broke his leg. He is expected to be off work recovering from the injury for 9 months.
Else
vignette3_female
[Michael/Diane/Darnell/Jane/Juan/Carlos/Latoya/Darnell/Tamika/Juan/Michael/Diane/Bill/Jane/John/Michael/David/Octavia/Robert/Rocio/Mary/Diane/Jose/Max/Juan/Rosa/Latoya/Jose/Jermaine/Juan/Mary/Diane/Michael/Max//Mary/Diane/Jose/Max/Juan/Sam/Darnell/Jane/Joe/Susan/Carlos/Darnell/Tamika/Willie/Guadalupe/Sam/Bill/Jane/Joe/Susan/Sam/Octavia/Robert/Jennifer/Mark/] is an attorney and competitive cyclist. Last summer, she was hit by a car while biking and severely broke her leg. She is expected to be off work recovering from the injury for 9 months.
End of if
elseif vignette_order[cnt] = 4 then
vignette4
[Michael/Diane/Darnell/Jane/Juan/Carlos/Latoya/Darnell/Tamika/Juan/Michael/Diane/Bill/Jane/John/Michael/David/Octavia/Robert/Rocio/Mary/Diane/Jose/Max/Juan/Rosa/Latoya/Jose/Jermaine/Juan/Mary/Diane/Michael/Max//Mary/Diane/Jose/Max/Juan/Sam/Darnell/Jane/Joe/Susan/Carlos/Darnell/Tamika/Willie/Guadalupe/Sam/Bill/Jane/Joe/Susan/Sam/Octavia/Robert/Jennifer/Mark/] has used a wheelchair since he was a child, due to a muscle disorder in his legs. He has a college degree and works in an office, but last year he was laid off when the company downsized.
elseif vignette_order[cnt] = 5 then
vignette5
[Michael/Diane/Darnell/Jane/Juan/Carlos/Latoya/Darnell/Tamika/Juan/Michael/Diane/Bill/Jane/John/Michael/David/Octavia/Robert/Rocio/Mary/Diane/Jose/Max/Juan/Rosa/Latoya/Jose/Jermaine/Juan/Mary/Diane/Michael/Max//Mary/Diane/Jose/Max/Juan/Sam/Darnell/Jane/Joe/Susan/Carlos/Darnell/Tamika/Willie/Guadalupe/Sam/Bill/Jane/Joe/Susan/Sam/Octavia/Robert/Jennifer/Mark/] has worked various jobs for most of his adult life, but he was laid off 8 years ago and hasn’t been able to find a job since then. To make matters worse, he recently developed a mild form of multiple sclerosis.
elseif vignette_order[cnt] = 6 then
if vignette_name = 4 then
vignette6_female (female version)
[Michael/Diane/Darnell/Jane/Juan/Carlos/Latoya/Darnell/Tamika/Juan/Michael/Diane/Bill/Jane/John/Michael/David/Octavia/Robert/Rocio/Mary/Diane/Jose/Max/Juan/Rosa/Latoya/Jose/Jermaine/Juan/Mary/Diane/Michael/Max//Mary/Diane/Jose/Max/Juan/Sam/Darnell/Jane/Joe/Susan/Carlos/Darnell/Tamika/Willie/Guadalupe/Sam/Bill/Jane/Joe/Susan/Sam/Octavia/Robert/Jennifer/Mark/] is a 58-year-old female who has developed severe arthritis as a result of working most of her life at an auto manufacturing plant. Six months ago, she was laid off when her plant was relocated overseas and has developed clinical depression. With only a high school diploma, she has been unable to secure another manufacturing position within her rural, tri-county area.
Else
vignette6_male
[Michael/Diane/Darnell/Jane/Juan/Carlos/Latoya/Darnell/Tamika/Juan/Michael/Diane/Bill/Jane/John/Michael/David/Octavia/Robert/Rocio/Mary/Diane/Jose/Max/Juan/Rosa/Latoya/Jose/Jermaine/Juan/Mary/Diane/Michael/Max//Mary/Diane/Jose/Max/Juan/Sam/Darnell/Jane/Joe/Susan/Carlos/Darnell/Tamika/Willie/Guadalupe/Sam/Bill/Jane/Joe/Susan/Sam/Octavia/Robert/Jennifer/Mark/] is a 58-year-old male who has developed severe arthritis as a result of working most of his life at an auto manufacturing plant. Six months ago, he was laid off when his plant was relocated overseas and has developed clinical depression. With only a high school diploma, he has been unable to secure another manufacturing position within his rural, tri-county area.
End of if
elseif vignette_order[cnt] = 7 then
if vignette_name = 4 then
vignette7_male (male version)
[Michael/Diane/Darnell/Jane/Juan/Carlos/Latoya/Darnell/Tamika/Juan/Michael/Diane/Bill/Jane/John/Michael/David/Octavia/Robert/Rocio/Mary/Diane/Jose/Max/Juan/Rosa/Latoya/Jose/Jermaine/Juan/Mary/Diane/Michael/Max//Mary/Diane/Jose/Max/Juan/Sam/Darnell/Jane/Joe/Susan/Carlos/Darnell/Tamika/Willie/Guadalupe/Sam/Bill/Jane/Joe/Susan/Sam/Octavia/Robert/Jennifer/Mark/] is a grandfather who supplemented his wife’s farm income earning cash as a housekeeper. During recent years, [Michael/Diane/Darnell/Jane/Juan/Carlos/Latoya/Darnell/Tamika/Juan/Michael/Diane/Bill/Jane/John/Michael/David/Octavia/Robert/Rocio/Mary/Diane/Jose/Max/Juan/Rosa/Latoya/Jose/Jermaine/Juan/Mary/Diane/Michael/Max//Mary/Diane/Jose/Max/Juan/Sam/Darnell/Jane/Joe/Susan/Carlos/Darnell/Tamika/Willie/Guadalupe/Sam/Bill/Jane/Joe/Susan/Sam/Octavia/Robert/Jennifer/Mark/]'s diabetes has become unmanageable and has led him to develop severe foot ulcers. Last month, [Michael/Diane/Darnell/Jane/Juan/Carlos/Latoya/Darnell/Tamika/Juan/Michael/Diane/Bill/Jane/John/Michael/David/Octavia/Robert/Rocio/Mary/Diane/Jose/Max/Juan/Rosa/Latoya/Jose/Jermaine/Juan/Mary/Diane/Michael/Max//Mary/Diane/Jose/Max/Juan/Sam/Darnell/Jane/Joe/Susan/Carlos/Darnell/Tamika/Willie/Guadalupe/Sam/Bill/Jane/Joe/Susan/Sam/Octavia/Robert/Jennifer/Mark/] had to have his right foot amputated and can no longer work or complete most activities of daily living.
Else
vignette7_female
[Michael/Diane/Darnell/Jane/Juan/Carlos/Latoya/Darnell/Tamika/Juan/Michael/Diane/Bill/Jane/John/Michael/David/Octavia/Robert/Rocio/Mary/Diane/Jose/Max/Juan/Rosa/Latoya/Jose/Jermaine/Juan/Mary/Diane/Michael/Max//Mary/Diane/Jose/Max/Juan/Sam/Darnell/Jane/Joe/Susan/Carlos/Darnell/Tamika/Willie/Guadalupe/Sam/Bill/Jane/Joe/Susan/Sam/Octavia/Robert/Jennifer/Mark/] is a grandmother who supplemented her husband’s farm income earning cash as a housekeeper. During recent years, [Michael/Diane/Darnell/Jane/Juan/Carlos/Latoya/Darnell/Tamika/Juan/Michael/Diane/Bill/Jane/John/Michael/David/Octavia/Robert/Rocio/Mary/Diane/Jose/Max/Juan/Rosa/Latoya/Jose/Jermaine/Juan/Mary/Diane/Michael/Max//Mary/Diane/Jose/Max/Juan/Sam/Darnell/Jane/Joe/Susan/Carlos/Darnell/Tamika/Willie/Guadalupe/Sam/Bill/Jane/Joe/Susan/Sam/Octavia/Robert/Jennifer/Mark/]'s diabetes has become unmanageable and has led her to develop severe foot ulcers. Last month, [Michael/Diane/Darnell/Jane/Juan/Carlos/Latoya/Darnell/Tamika/Juan/Michael/Diane/Bill/Jane/John/Michael/David/Octavia/Robert/Rocio/Mary/Diane/Jose/Max/Juan/Rosa/Latoya/Jose/Jermaine/Juan/Mary/Diane/Michael/Max//Mary/Diane/Jose/Max/Juan/Sam/Darnell/Jane/Joe/Susan/Carlos/Darnell/Tamika/Willie/Guadalupe/Sam/Bill/Jane/Joe/Susan/Sam/Octavia/Robert/Jennifer/Mark/] had to have her right foot amputated and can no longer work or complete most activities of daily living.
End of if
elseif vignette_order[cnt] = 8 then
if vignette_name = 4 then
vignette8_female
[Michael/Diane/Darnell/Jane/Juan/Carlos/Latoya/Darnell/Tamika/Juan/Michael/Diane/Bill/Jane/John/Michael/David/Octavia/Robert/Rocio/Mary/Diane/Jose/Max/Juan/Rosa/Latoya/Jose/Jermaine/Juan/Mary/Diane/Michael/Max//Mary/Diane/Jose/Max/Juan/Sam/Darnell/Jane/Joe/Susan/Carlos/Darnell/Tamika/Willie/Guadalupe/Sam/Bill/Jane/Joe/Susan/Sam/Octavia/Robert/Jennifer/Mark/] is a 20-year old community college student who has had cerebral palsy since birth. Her father earns a modest income as a city policeman while her mother is a homemaker and looks after her and her other teenage siblings. [Michael/Diane/Darnell/Jane/Juan/Carlos/Latoya/Darnell/Tamika/Juan/Michael/Diane/Bill/Jane/John/Michael/David/Octavia/Robert/Rocio/Mary/Diane/Jose/Max/Juan/Rosa/Latoya/Jose/Jermaine/Juan/Mary/Diane/Michael/Max//Mary/Diane/Jose/Max/Juan/Sam/Darnell/Jane/Joe/Susan/Carlos/Darnell/Tamika/Willie/Guadalupe/Sam/Bill/Jane/Joe/Susan/Sam/Octavia/Robert/Jennifer/Mark/] excels academically but, struggles socially because her mobility issues limit her ability to spend time with her peers. She spends most of her time at home reading books and playing with her computer.
Else
vignette8_male
[Michael/Diane/Darnell/Jane/Juan/Carlos/Latoya/Darnell/Tamika/Juan/Michael/Diane/Bill/Jane/John/Michael/David/Octavia/Robert/Rocio/Mary/Diane/Jose/Max/Juan/Rosa/Latoya/Jose/Jermaine/Juan/Mary/Diane/Michael/Max//Mary/Diane/Jose/Max/Juan/Sam/Darnell/Jane/Joe/Susan/Carlos/Darnell/Tamika/Willie/Guadalupe/Sam/Bill/Jane/Joe/Susan/Sam/Octavia/Robert/Jennifer/Mark/] is a 20-year old community college student who has had cerebral palsy since birth. His father earns a modest income as a city policeman while his mother is a homemaker and looks after him and his other teenage siblings. [Michael/Diane/Darnell/Jane/Juan/Carlos/Latoya/Darnell/Tamika/Juan/Michael/Diane/Bill/Jane/John/Michael/David/Octavia/Robert/Rocio/Mary/Diane/Jose/Max/Juan/Rosa/Latoya/Jose/Jermaine/Juan/Mary/Diane/Michael/Max//Mary/Diane/Jose/Max/Juan/Sam/Darnell/Jane/Joe/Susan/Carlos/Darnell/Tamika/Willie/Guadalupe/Sam/Bill/Jane/Joe/Susan/Sam/Octavia/Robert/Jennifer/Mark/] excels academically but, struggles socially because his mobility issues limit his ability to spend time with his peers. He spends most of his time at home reading books and playing with his computer.
End of if
elseif vignette_order[cnt] = 9 then
if vignette_name = 4 then
vignette9_male
[Michael/Diane/Darnell/Jane/Juan/Carlos/Latoya/Darnell/Tamika/Juan/Michael/Diane/Bill/Jane/John/Michael/David/Octavia/Robert/Rocio/Mary/Diane/Jose/Max/Juan/Rosa/Latoya/Jose/Jermaine/Juan/Mary/Diane/Michael/Max//Mary/Diane/Jose/Max/Juan/Sam/Darnell/Jane/Joe/Susan/Carlos/Darnell/Tamika/Willie/Guadalupe/Sam/Bill/Jane/Joe/Susan/Sam/Octavia/Robert/Jennifer/Mark/] is a 35 year-old man with bi-polar schizophrenia who lives with his parents. Although he appears 'normal' most of the time, his episodes are quite severe when they happen which makes it really hard for him to function like her peers. While these symptoms are episodic, they are permanent.
Else
vignette9_female
[Michael/Diane/Darnell/Jane/Juan/Carlos/Latoya/Darnell/Tamika/Juan/Michael/Diane/Bill/Jane/John/Michael/David/Octavia/Robert/Rocio/Mary/Diane/Jose/Max/Juan/Rosa/Latoya/Jose/Jermaine/Juan/Mary/Diane/Michael/Max//Mary/Diane/Jose/Max/Juan/Sam/Darnell/Jane/Joe/Susan/Carlos/Darnell/Tamika/Willie/Guadalupe/Sam/Bill/Jane/Joe/Susan/Sam/Octavia/Robert/Jennifer/Mark/] is a 35 year-old woman with bi-polar schizophrenia who lives with her parents. Although she appears 'normal' most of the time, her episodes are quite severe when they happen which makes it really hard for her to function like her peers. While these symptoms are episodic, they are permanent.
End of if
elseif vignette_order[cnt] = 10 then
if vignette_group = 1 AND vignette_name = 4 then
vignette10_female (female version)
[Michael/Diane/Darnell/Jane/Juan/Carlos/Latoya/Darnell/Tamika/Juan/Michael/Diane/Bill/Jane/John/Michael/David/Octavia/Robert/Rocio/Mary/Diane/Jose/Max/Juan/Rosa/Latoya/Jose/Jermaine/Juan/Mary/Diane/Michael/Max//Mary/Diane/Jose/Max/Juan/Sam/Darnell/Jane/Joe/Susan/Carlos/Darnell/Tamika/Willie/Guadalupe/Sam/Bill/Jane/Joe/Susan/Sam/Octavia/Robert/Jennifer/Mark/] is a 55 year-old female with only a high school education. She has lived in Puerto Rico all her life and only speaks Spanish. She has trouble finding and keeping jobs and it is not clear if that is due to minor health problems or other factors.
Else
vignette10_male
[Michael/Diane/Darnell/Jane/Juan/Carlos/Latoya/Darnell/Tamika/Juan/Michael/Diane/Bill/Jane/John/Michael/David/Octavia/Robert/Rocio/Mary/Diane/Jose/Max/Juan/Rosa/Latoya/Jose/Jermaine/Juan/Mary/Diane/Michael/Max//Mary/Diane/Jose/Max/Juan/Sam/Darnell/Jane/Joe/Susan/Carlos/Darnell/Tamika/Willie/Guadalupe/Sam/Bill/Jane/Joe/Susan/Sam/Octavia/Robert/Jennifer/Mark/] is a 55 year-old male with only a high school education. He has lived in Puerto Rico all his life and only speaks Spanish. He has trouble finding and keeping jobs and it is not clear if that is due to minor health problems or other factors.
End of if
End of if
FLQuestionName := FLName[cnt]
FLQuestionHeShe := FLHeShe[cnt]
sco_v1 (should apply for disability benefits)
Do you think [[]] should apply for disability benefits?
1 (YES) Yes
2 (NO) No
Group of questions presented on the same screen
sco_v2 (chance approved for benefits)
What is the chance that [[]] would be approved for disability benefits if [[]] were to apply?
slider_script
End of group of questions
Group of questions presented on the same screen
sco_v3 (chance working if not getting benefits)
What is the chance that [[]] would be working 5 years from now if [[]] did not get disability benefits?
slider_script
End of group of questions
End of if
End of loop
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 disagree
2 Disagree
3 Neither disagree or agree
4 Agree
5 Strongly agree
val1b (It should be easier for disabled individuals to get benefits from Social Security (even if that means raising the taxes))
It should be easier for disabled individuals to get benefits from Social Security (even if that means raising the taxes)
1 Strongly disagree
2 Disagree
3 Neither disagree or agree
4 Agree
5 Strongly agree
val1c (The work requirements for Social Security disability insurance should be reduced (even if that means raising the taxes))
The work requirements for Social Security disability insurance should be reduced (even if that means raising the taxes)
1 Strongly disagree
2 Disagree
3 Neither disagree or agree
4 Agree
5 Strongly agree
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 disagree
2 Disagree
3 Neither disagree or agree
4 Agree
5 Strongly agree
End of subgroup of questions
End of group of questions
val2 (which part of disability insurance is more important)
The SSDI program provides health coverage through Medicare to beneficiaries after a 24-month waiting period. Which part of disability insurance is more important to you: the monthly benefit payment or access to Medicare?
1 The monthly payment is much more important than access to Medicare
2 The monthly payment is somewhat more important than access to Medicare
3 Both the monthly payment and access to Medicare are equally important
4 Access to Medicare is more important than the monthly payment
5 Access to Medicare is much more important than the monthly payment
if sco7_position = 2 then
sco7 (percentage of disability beneficiaries are veterans)
Some of Social Security disability recipients are veterans. What percentage of disability beneficiaries do you think are veterans? If you don’t know, please give us your best estimate.
End of if
if self_position = 2 then
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? Check all that apply.
1 Apply for disability benefits in the first instance
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
4 Not applicable / I am not eligible for disability benefits
5 Other, please specify:
self1_other (other actions if long term health care problem)
STRING
End of group of questions
if 2 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 disability benefits?
1 Yes, I would apply for disability benefits
2 No, I would never apply for disability benefits
End of if
if 3 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 disability benefits?
1 Yes, I would apply for disability benefits
2 No, I would never apply for 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 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
4 Social Security Administration
5 Community organizations (such as churches, libraries and community centers)
6 Lawyers
7 Other, please specify:
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 information about disability benefits from the Social Security Administration. How did you go about seeking this information? Please select all that apply.
1 Social Security Administration website
2 mySocial Security website
3 Social Security phone line
4 In person at a Social Security office;
5 Social Security social media (Facebook, Twitter, etc.)
6 Other, please specify:
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 Agree strongly
2 Agree somewhat
3 Neither agree nor disagree
4 Disagree somewhat
5 Disagree strongly
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 Agree strongly
2 Agree somewhat
3 Neither agree nor disagree
4 Disagree somewhat
5 Disagree strongly
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 Agree strongly
2 Agree somewhat
3 Neither agree nor disagree
4 Disagree somewhat
5 Disagree strongly
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)
What is your current 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 self9 = 1 then
self10 (know monthly payment amount entitled to)
Do you know (approximately) the monthly 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 checked 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 MySocialSecurity (an online tool on the Social Security website that provides you with all your Social Security information)?
1 (YES) Yes
2 (NO) No
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
ask_application := 2
if intro1a = 1 then
ask_application := 1
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.//]?
1 I receive SSDI
2 I receive SSI
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
intro1b (received SSDI or SSI)
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
ask_application := 1
Else
intro3 (ever applied for SSID 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
ask_application := 1
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 in the past, [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, he/she is currently receiving SSDI
2 Yes he/she is currently receiving SSI
3 He/she has received SSDI or SSI in the past but is no longer receiving benefits
4 No, he/she is not receiving disability benefits.
End of if
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
if 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
2 Cardiovascular conditions, such as heart failure
3 Respiratory illnesses, such as COPD
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
7 Cancer
8 Other, please specify:
intro4b_other (other what health condition prevented from working or reduced work)
STRING
End of group of questions
intro4c (how long ago first affected by condition)
How long ago were you first affected by this condition?
1 Less than a year
2 One to two years
3 Two to five years
4 Five to ten years
5 More than ten years
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 her/him from working? Please select all that apply.
1 Spouse
2 Parent
3 Child
4 Other family member
5 Friend
6 Co-worker or former co-worker
7 Neighbor
8 Other, please specify:
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
2 Parent
3 Child
4 Other family member
5 Friend
6 Co-worker or former co-worker
7 Neighbor
8 Other, please specify:
intro6b_other (other any friends or family members who receive SSID or SSI)
STRING
End of group of questions
End of if
FLCurrentYear := date("Y")
if ask_application = 1 then
reward := 16
application_status := empty
if intro1a = 1 or (intro1a != 1 and intro1b = 1) then
Group of questions presented on the same screen
serv1a (which programs receive benefits)
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
5 Other, please explain:
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
serv1b_fwp (follow up how long ago received benefits)
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
7 I prefer not to answer this question
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
5 Other, please explain:
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
5 Other, please specify:
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? Please select all that apply.
1 Musculoskeletal problems, such as back injuries
2 Cardiovascular conditions, such as heart failure
3 Respiratory illnesses, such as COPD
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
7 Cancer
8 Other, please specify:
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 > 2020 then
appl2_followup1 (no of months first apply for disability benefits)
About how many months ago did you submit your application?
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
7 I prefer not to answer this question
End of if
Group of questions presented on the same screen
appl3 (receive assistance with claim)
Did you receive any assistance in preparing and submitting your claim?
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
5 I received assistance from someone else, please specify:
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)
How was the application submitted?
1 Online
2 Application form sent by mail
3 Application filled out in the SSA office
4 Other, please specify:
5 Do not know
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
6 I don't remember
appl6 (provide medical records)
For this application, did you provide medical records (such as notes from doctors)?
1 (YES) Yes
2 (NO) No
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 on your application?
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, workers’ compensation, unemployment insurance)
4 Spouse's earnings
5 Borrowed from credit cards or other commercial sources
6 Changed living arrangements (e.g., moved in with family members, moved into lower cost housing)
7 Sold assets (e.g. home, car, investments)
8 Assistance from friends and/or family (other than spouse)
9 Other, please specify:
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)
Why was it rejected?
1 I did not have enough work credits
2 I provided insufficient medical evidence
3 I provided insufficient non-medical documentation
4 There were errors in my application
5 I did not follow prescribed medical treatment
6 I did not attend necessary medical exams
7 I was deemed to be able to work
8 My income was too high
9 Other, please specify:
10 I don’t know
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
5 I received assistance from someone else, please specify:
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)
About how long ago was this?
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)
Did you receive any assistance in preparing and submitting your claim?
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
5 I received assistance from someone else, please specify:
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
4 Other, please specify:
5 Do not know
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 claim?
1 Very easy
2 Easy
3 Neither easy nor difficult
4 Difficult
5 Very difficult
6 I don't remember
appl_b6 (provide medical records second application)
For this application, did you provide medical records (such as notes from doctors)?
1 (YES) Yes
2 (NO) No
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, workers’ compensation, unemployment insurance)
4 Spouse's earnings
5 Borrowed from credit cards or other commercial sources
6 Changed living arrangements (e.g., moved in with family members, moved into lower cost housing)
7 Sold assets (e.g. home, car, investments)
8 Assistance from friends and/or family (other than spouse)
9 Other, please specify:
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)
Why was it rejected?
1 I did not have enough work credits
2 I provided insufficient medical evidence
3 I provided insufficient non-medical documentation
4 There were errors in my application
5 I did not follow prescribed medical treatment
6 I did not attend necessary medical exams
7 I was deemed to be able to work
8 My income was too high
9 Other, please specify:
10 I don’t know
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
5 I received assistance from someone else, please specify:
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
Group of questions presented on the same screen
appl_c2_year (year how long ago most recent application)
The following questions are about your most recent application.

About how long ago did you submit your most recent application?
RANGE 0..120
appl_c2_month (month how long ago most recent application)
RANGE 0..12
End of group of questions
Group of questions presented on the same screen
appl_c3 (receive assistance with most recent application)
Did you receive any assistance in preparing and submitting your claim?
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
5 I received assistance from someone else, please specify:
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
4 Other, please specify:
5 Do not know
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 claim?
1 Very easy
2 Easy
3 Neither easy nor difficult
4 Difficult
5 Very difficult
6 I don't remember
appl_c6 (provide medical records most recent application)
For this application, did you provide medical records (such as notes from doctors)?
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, workers’ compensation, unemployment insurance)
4 Spouse's earnings
5 Borrowed from credit cards or other commercial sources
6 Changed living arrangements (e.g., moved in with family members, moved into lower cost housing)
7 Sold assets (e.g. home, car, investments)
8 Assistance from friends and/or family (other than spouse)
9 Other, please specify:
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)
Why was it rejected?
1 I did not have enough work credits
2 I provided insufficient medical evidence
3 I provided insufficient non-medical documentation
4 There were errors in my application
5 I did not follow prescribed medical treatment
6 I did not attend necessary medical exams
7 I was deemed to be able to work
8 My income was too high
9 Other, please specify:
10 I don’t know
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
5 I received assistance from someone else, please specify:
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, workers’ compensation, unemployment insurance)
4 Spouse's earnings
5 Borrowed from credit cards or other commercial sources
6 Changed living arrangements (e.g., moved in with family members, moved into lower cost housing)
7 Sold assets (e.g. home, car, investments)
8 Assistance from friends and/or family (other than spouse)
9 Other, please specify:
appl_d2_other (other how support after application rejected)
STRING
End of group of questions
End of if
serv7b (most important part disability insurance)
Health care coverage through Medicare or Medicaid is provided by SSDI/SSI to beneficiaries after a 24-month waiting period. Which part of disability insurance is more important to you: the monthly benefit payment or the healthcare coverage?
1 The monthly payment is much more important than the health coverage
2 The monthly payment is somewhat more important than the health coverage
3 Both the monthly payment and the health coverage are equally important
4 The health coverage is more important than the monthly payment
5 The health coverage is much more important than the monthly payment
End of if
if ask_application = 1 then
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
serv9 (how satisfied with benefits)
How much do you rely on your [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.//] benefit today. Is it a major source of income, a minor source of income or not a source at all?
1 Major source
2 Minor source
3 Not a source
4 No opinion
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
3 About the same
4 Somewhat worse now
5 Much worse now
serv11 (how happy 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 you are:
1 Much happier now
2 Somewhat happier now
3 About the same
4 Somewhat less happy now
5 Much less happy 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 life:
1 Much better now
2 Somewhat better now
3 About the same
4 Somewhat worse now
5 Much worse now
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)
Were you aware of the Social Security rule that states that an individual who files for disability benefit may be working as long as their income is below an amount set by the Social Security (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
End of if
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.)
STRING
if reward > 0 then
dummy := doPayout(reward)
End of if