Survey Text

2003 1997 1991 1985
2002 1996 1990 1984
2001 1995 1989 1983
2000 1994 1988 1982
1999 1993 1987
1998 1992 1986
top
2003
Survey form view entire document:  text  image
FIN.250

Now I am going to ask about the total combined income {for you/of your family} in {last year in 4 digit format}, including income from all sources we have just talked about such as wages, salaries, Social Security or retirement benefits, help from relatives and so forth. Can you tell me that amount before taxes?

FR: IF NECESSARY REMIND RESPONDENT THAT TOTAL COMBINED FAMILY INCOME IS THEIR INCOME PLUS THE INCOME OF ALL FAMILY MEMBERS INCLUDING COHABITING PARTNERS AND ARMED FORCES MEMBERS LIVING AT HOME BEFORE TAXES.
FR: ENTER 999,996 IF THE REPORTED INCOME IS GREATER THAN $999,995
FAMINC
(0-999995) 0-999,995 dollars (FIN.280)
(999996) 999,995+ dollars (FIN.280)
(999997) Refused (FIN.260)
(999999) Don't know (FIN.260)

FIN.260

You may not be able to give us an exact figure for {your /your total combined family} income, but can you tell me, if your income in {last year in 4 digit format} was
FINC20
(1) $20,000 or more (FIN.270)
(2) Less than $20,000 (FIN.270)
(7) Refused (FIN.280)
(9) Don't know (FIN.280)

FR: IF ANSWER FOR FIN.260 = 1, SHOW CARD F19.
IF ANSWER FOR FIN.260 = 2, SHOW CARD F20.

READ IF NECESSARY: INCOME IS IMPORTANT IN ANALYZING THE HEALTH INFORMATION WE COLLECT. FOR EXAMPLE, THIS INFORMATION HELPS US TO LEARN WHETHER PERSONS IN ONE INCOME GROUP USE CERTAIN TYPES OF MEDICAL SERVICES OR HAVE CERTAIN CONDITIONS MORE OR LESS OFTEN THAN THOSE IN ANOTHER GROUP.
Card F19
U. $20,000 - $20,999
V. $21,000 - $21,999
W. $22,000 - $22,999
X. $23,000 - $23,999
Y. $24,000 - $24,999
Z. $25,000 - $25,999
AA. $26,000 - $26,999
BB. $27,000 - $27,999
CC. $28,000 - $28,999
DD. $29,000 - $29,999
EE. $30,000 - $30,999
FF. $31,000 - $31,999
GG. $32,000 - $32,999
HH. $33,000 - $33,999
II. $34,000 - $34,999
JJ. $35,000 - $39,999
KK. $40,000 - $44,999
LL. $45,000 - $49,999
MM. $50,000 - $54,999
NN. $55,000 - $59,999
OO. $60,000 - $64,999
PP. $65,000 - $69,999
QQ. $70,000 - $74,999
RR. $75,000 and over
Card F20
A. Less than $1,000
B. $1,000 - $1,999
C. $2,000 - $2,999
D. $3,000 - $3,999
E. $4,000 - $4,999
F. $5,000 - $5,999
G. $6,000 - $6,999
H. $7,000 - $7,999
I. $8,000 - $8,999
J. $9,000 - $9,999
K. $10,000 - $10,999
L. $11,000 - $11,999
M. $12,000 - $12,999
N. $13,000 - $13,999
O. $14,000 - $14,999
P. $15,000 - $15,999
Q. $16,000 - $16,999
R. $17,000 - $17,999
S. $18,000 - $18,999
T. $19,000 - $19,999

FIN.270

Of those income groups, can you tell me which letter best represents {your/the total combined FAMILY} income during {last year in 4 digit format}?

FR: ENTER NUMBER CORRESPONDING TO TOTAL COMBINED FAMILY INCOME.
FINCCAT
(00) A. Less than $1,000
(01) B. $1,000 - $1,999
(02) C. $2,000 - $2,999
(03) D. $3,000 - $3,999
(04) E. $4,000 - $4,999
(05) F. $5,000 - $5,999
(06) G. $6,000 - $6,999
(07) H. $7,000 - $7,999
(08) I. $8,000 - $8,999
(09) J. $9,000 - $9,999
(10) K. $10,000 - $10,999
(11) L. $11,000 - $11,999
(12) M. $12,000 - $12,999
(13) N. $13,000 - $13,999
(14) O. $14,000 - $14,999
(15) P. $15,000 - $15,999
(16) Q. $16,000 - $16,999
(17) R. $17,000 - $17,999
(18) S. $18,000 - $18,999
(19) T. $19,000 - $19,999
(20) U. $20,000 - $20,999
(21) V. $21,000 - $21,999
(22) W. $22,000 - $22,999
(23) X. $23,000 - $23,999
(24) Y. $24,000 - $24,999
(25) Z. $25,000 - $25,999
(26) AA. $26,000 - $26,999
(27) BB. $27,000 - $27,999
(28) CC. $28,000 - $28,999
(29) DD. $29,000 - $29,999
(30) EE. $30,000 - $30,999
(31) FF. $31,000 - $31,999
(32) GG. $32,000 - $32,999
(33) HH. $33,000 - $33,999
(34) II. $34,000 - $34,999
(35) JJ. $35,000 - $39,999
(36) KK. $40,000 - $44,999
(37) LL. $45,000 - $49,999
(38) MM. $50,000 - $54,999
(39) NN. $55,000 - $59,999
(40) OO. $60,000 - $64,999
(41) PP. $65,000 - $69,999
(42) QQ. $70,000 - $74,999
(43) RR. $75,000 and over
(97) Refused
(99) Don't know

top
2002
Survey form view entire document:  text  image
FIN.250

Now I am going to ask about the total combined income {for you/of your family} in {last year in 4 digit format}, including income from all sources we have just talked about such as wages, salaries, Social Security or retirement benefits, help from relatives and so forth. Can you tell me that amount before taxes?

FR: IF NECESSARY REMIND RESPONDENT THAT TOTAL COMBINED FAMILY INCOME IS THEIR INCOME PLUS THE INCOME OF ALL FAMILY MEMBERS INCLUDING COHABITING PARTNERS AND ARMED FORCES MEMBERS LIVING AT HOME BEFORE TAXES.
FR: ENTER 999,996 IF THE REPORTED INCOME IS GREATER THAN $999,995
FAMINC
(0-999995) 0-999,995 dollars (FIN.280)
(999996) 999,995+ dollars (FIN.280)
(999997) Refused (FIN.260)
(999999) Don't know (FIN.260)

FIN.260

You may not be able to give us an exact figure for {your /your total combined family} income, but can you tell me, if your income in {last year in 4 digit format} was
FINC20
(1) $20,000 or more (FIN.270)
(2) Less than $20,000 (FIN.270)
(7) Refused (FIN.280)
(9) Don't know (FIN.280)

FR: IF ANSWER FOR FIN.260 = 1, SHOW CARD F19.
IF ANSWER FOR FIN.260 = 2, SHOW CARD F20.

READ IF NECESSARY: INCOME IS IMPORTANT IN ANALYZING THE HEALTH INFORMATION WE COLLECT. FOR EXAMPLE, THIS INFORMATION HELPS US TO LEARN WHETHER PERSONS IN ONE INCOME GROUP USE CERTAIN TYPES OF MEDICAL SERVICES OR HAVE CERTAIN CONDITIONS MORE OR LESS OFTEN THAN THOSE IN ANOTHER GROUP.
Card F19
U. $20,000 - $20,999
V. $21,000 - $21,999
W. $22,000 - $22,999
X. $23,000 - $23,999
Y. $24,000 - $24,999
Z. $25,000 - $25,999
AA. $26,000 - $26,999
BB. $27,000 - $27,999
CC. $28,000 - $28,999
DD. $29,000 - $29,999
EE. $30,000 - $30,999
FF. $31,000 - $31,999
GG. $32,000 - $32,999
HH. $33,000 - $33,999
II. $34,000 - $34,999
JJ. $35,000 - $39,999
KK. $40,000 - $44,999
LL. $45,000 - $49,999
MM. $50,000 - $54,999
NN. $55,000 - $59,999
OO. $60,000 - $64,999
PP. $65,000 - $69,999
QQ. $70,000 - $74,999
RR. $75,000 and over
Card F20
A. Less than $1,000
B. $1,000 - $1,999
C. $2,000 - $2,999
D. $3,000 - $3,999
E. $4,000 - $4,999
F. $5,000 - $5,999
G. $6,000 - $6,999
H. $7,000 - $7,999
I. $8,000 - $8,999
J. $9,000 - $9,999
K. $10,000 - $10,999
L. $11,000 - $11,999
M. $12,000 - $12,999
N. $13,000 - $13,999
O. $14,000 - $14,999
P. $15,000 - $15,999
Q. $16,000 - $16,999
R. $17,000 - $17,999
S. $18,000 - $18,999
T. $19,000 - $19,999

FIN.270

Of those income groups, can you tell me which letter best represents {your/the total combined FAMILY} income during {last year in 4 digit format}?

FR: ENTER NUMBER CORRESPONDING TO TOTAL COMBINED FAMILY INCOME.
FINCCAT
(00) A. Less than $1,000
(01) B. $1,000 - $1,999
(02) C. $2,000 - $2,999
(03) D. $3,000 - $3,999
(04) E. $4,000 - $4,999
(05) F. $5,000 - $5,999
(06) G. $6,000 - $6,999
(07) H. $7,000 - $7,999
(08) I. $8,000 - $8,999
(09) J. $9,000 - $9,999
(10) K. $10,000 - $10,999
(11) L. $11,000 - $11,999
(12) M. $12,000 - $12,999
(13) N. $13,000 - $13,999
(14) O. $14,000 - $14,999
(15) P. $15,000 - $15,999
(16) Q. $16,000 - $16,999
(17) R. $17,000 - $17,999
(18) S. $18,000 - $18,999
(19) T. $19,000 - $19,999
(20) U. $20,000 - $20,999
(21) V. $21,000 - $21,999
(22) W. $22,000 - $22,999
(23) X. $23,000 - $23,999
(24) Y. $24,000 - $24,999
(25) Z. $25,000 - $25,999
(26) AA. $26,000 - $26,999
(27) BB. $27,000 - $27,999
(28) CC. $28,000 - $28,999
(29) DD. $29,000 - $29,999
(30) EE. $30,000 - $30,999
(31) FF. $31,000 - $31,999
(32) GG. $32,000 - $32,999
(33) HH. $33,000 - $33,999
(34) II. $34,000 - $34,999
(35) JJ. $35,000 - $39,999
(36) KK. $40,000 - $44,999
(37) LL. $45,000 - $49,999
(38) MM. $50,000 - $54,999
(39) NN. $55,000 - $59,999
(40) OO. $60,000 - $64,999
(41) PP. $65,000 - $69,999
(42) QQ. $70,000 - $74,999
(43) RR. $75,000 and over
(97) Refused
(99) Don't know

top
2001
Survey form view entire document:  text  image
FIN.250

Now I am going to ask about the total combined income {for you/of your family} in {last year in 4 digit format}, including income from all sources we have just talked about such as wages, salaries, Social Security or retirement benefits, help from relatives and so forth. Can you tell me that amount before taxes?

FR: IF NECESSARY REMIND RESPONDENT THAT TOTAL COMBINED FAMILY INCOME IS THEIR INCOME PLUS THE INCOME OF ALL FAMILY MEMBERS INCLUDING COHABITING PARTNERS AND ARMED FORCES MEMBERS LIVING AT HOME BEFORE TAXES.
FR: ENTER 999,996 IF THE REPORTED INCOME IS GREATER THAN $999,995
FAMINC
(0-999995) 0-999,995 dollars (FIN.280)
(999996) 999,995+ dollars (FIN.280)
(999997) Refused (FIN.260)
(999999) Don't know (FIN.260)

FIN.260

You may not be able to give us an exact figure for {your /your total combined family} income, but can you tell me, if your income in {last year in 4 digit format} was
FINC20
(1) $20,000 or more (FIN.270)
(2) Less than $20,000 (FIN.270)
(7) Refused (FIN.280)
(9) Don't know (FIN.280)

FR: IF ANSWER FOR FIN.260 = 1, SHOW CARD F19.
IF ANSWER FOR FIN.260 = 2, SHOW CARD F20.

READ IF NECESSARY: INCOME IS IMPORTANT IN ANALYZING THE HEALTH INFORMATION WE COLLECT. FOR EXAMPLE, THIS INFORMATION HELPS US TO LEARN WHETHER PERSONS IN ONE INCOME GROUP USE CERTAIN TYPES OF MEDICAL SERVICES OR HAVE CERTAIN CONDITIONS MORE OR LESS OFTEN THAN THOSE IN ANOTHER GROUP.
Card F19
U. $20,000 - $20,999
V. $21,000 - $21,999
W. $22,000 - $22,999
X. $23,000 - $23,999
Y. $24,000 - $24,999
Z. $25,000 - $25,999
AA. $26,000 - $26,999
BB. $27,000 - $27,999
CC. $28,000 - $28,999
DD. $29,000 - $29,999
EE. $30,000 - $30,999
FF. $31,000 - $31,999
GG. $32,000 - $32,999
HH. $33,000 - $33,999
II. $34,000 - $34,999
JJ. $35,000 - $39,999
KK. $40,000 - $44,999
LL. $45,000 - $49,999
MM. $50,000 - $54,999
NN. $55,000 - $59,999
OO. $60,000 - $64,999
PP. $65,000 - $69,999
QQ. $70,000 - $74,999
RR. $75,000 and over
Card F20
A. Less than $1,000
B. $1,000 - $1,999
C. $2,000 - $2,999
D. $3,000 - $3,999
E. $4,000 - $4,999
F. $5,000 - $5,999
G. $6,000 - $6,999
H. $7,000 - $7,999
I. $8,000 - $8,999
J. $9,000 - $9,999
K. $10,000 - $10,999
L. $11,000 - $11,999
M. $12,000 - $12,999
N. $13,000 - $13,999
O. $14,000 - $14,999
P. $15,000 - $15,999
Q. $16,000 - $16,999
R. $17,000 - $17,999
S. $18,000 - $18,999
T. $19,000 - $19,999

FIN.270

Of those income groups, can you tell me which letter best represents {your/the total combined FAMILY} income during {last year in 4 digit format}?

FR: ENTER NUMBER CORRESPONDING TO TOTAL COMBINED FAMILY INCOME.
FINCCAT
(00) A. Less than $1,000
(01) B. $1,000 - $1,999
(02) C. $2,000 - $2,999
(03) D. $3,000 - $3,999
(04) E. $4,000 - $4,999
(05) F. $5,000 - $5,999
(06) G. $6,000 - $6,999
(07) H. $7,000 - $7,999
(08) I. $8,000 - $8,999
(09) J. $9,000 - $9,999
(10) K. $10,000 - $10,999
(11) L. $11,000 - $11,999
(12) M. $12,000 - $12,999
(13) N. $13,000 - $13,999
(14) O. $14,000 - $14,999
(15) P. $15,000 - $15,999
(16) Q. $16,000 - $16,999
(17) R. $17,000 - $17,999
(18) S. $18,000 - $18,999
(19) T. $19,000 - $19,999
(20) U. $20,000 - $20,999
(21) V. $21,000 - $21,999
(22) W. $22,000 - $22,999
(23) X. $23,000 - $23,999
(24) Y. $24,000 - $24,999
(25) Z. $25,000 - $25,999
(26) AA. $26,000 - $26,999
(27) BB. $27,000 - $27,999
(28) CC. $28,000 - $28,999
(29) DD. $29,000 - $29,999
(30) EE. $30,000 - $30,999
(31) FF. $31,000 - $31,999
(32) GG. $32,000 - $32,999
(33) HH. $33,000 - $33,999
(34) II. $34,000 - $34,999
(35) JJ. $35,000 - $39,999
(36) KK. $40,000 - $44,999
(37) LL. $45,000 - $49,999
(38) MM. $50,000 - $54,999
(39) NN. $55,000 - $59,999
(40) OO. $60,000 - $64,999
(41) PP. $65,000 - $69,999
(42) QQ. $70,000 - $74,999
(43) RR. $75,000 and over
(97) Refused
(99) Don't know

top
2000
Survey form view entire document:  text  image
FIN.250

Now I am going to ask about the total combined income {for you/of your family} in {last year in 4 digit format}, including income from all sources we have just talked about such as wages, salaries, Social Security or retirement benefits, help from relatives and so forth. Can you tell me that amount before taxes?

FR: IF NECESSARY REMIND RESPONDENT THAT TOTAL COMBINED FAMILY INCOME IS THEIR INCOME PLUS THE INCOME OF ALL FAMILY MEMBERS INCLUDING COHABITING PARTNERS AND ARMED FORCES MEMBERS LIVING AT HOME BEFORE TAXES.
FR: ENTER 999,996 IF THE REPORTED INCOME IS GREATER THAN $999,995
FAMINC
(0-999995) 0-999,995 dollars (FIN.280)
(999996) 999,995+ dollars (FIN.280)
(999997) Refused (FIN.260)
(999999) Don't know (FIN.260)

FIN.260

You may not be able to give us an exact figure for {your /your total combined family} income, but can you tell me, if your income in {last year in 4 digit format} was
FINC20
(1) $20,000 or more (FIN.270)
(2) Less than $20,000 (FIN.270)
(7) Refused (FIN.280)
(9) Don't know (FIN.280)

FR: IF ANSWER FOR FIN.260 = 1, SHOW CARD F19.
IF ANSWER FOR FIN.260 = 2, SHOW CARD F20.

READ IF NECESSARY: INCOME IS IMPORTANT IN ANALYZING THE HEALTH INFORMATION WE COLLECT. FOR EXAMPLE, THIS INFORMATION HELPS US TO LEARN WHETHER PERSONS IN ONE INCOME GROUP USE CERTAIN TYPES OF MEDICAL SERVICES OR HAVE CERTAIN CONDITIONS MORE OR LESS OFTEN THAN THOSE IN ANOTHER GROUP.
Card F19
U. $20,000 - $20,999
V. $21,000 - $21,999
W. $22,000 - $22,999
X. $23,000 - $23,999
Y. $24,000 - $24,999
Z. $25,000 - $25,999
AA. $26,000 - $26,999
BB. $27,000 - $27,999
CC. $28,000 - $28,999
DD. $29,000 - $29,999
EE. $30,000 - $30,999
FF. $31,000 - $31,999
GG. $32,000 - $32,999
HH. $33,000 - $33,999
II. $34,000 - $34,999
JJ. $35,000 - $39,999
KK. $40,000 - $44,999
LL. $45,000 - $49,999
MM. $50,000 - $54,999
NN. $55,000 - $59,999
OO. $60,000 - $64,999
PP. $65,000 - $69,999
QQ. $70,000 - $74,999
RR. $75,000 and over
Card F20
A. Less than $1,000
B. $1,000 - $1,999
C. $2,000 - $2,999
D. $3,000 - $3,999
E. $4,000 - $4,999
F. $5,000 - $5,999
G. $6,000 - $6,999
H. $7,000 - $7,999
I. $8,000 - $8,999
J. $9,000 - $9,999
K. $10,000 - $10,999
L. $11,000 - $11,999
M. $12,000 - $12,999
N. $13,000 - $13,999
O. $14,000 - $14,999
P. $15,000 - $15,999
Q. $16,000 - $16,999
R. $17,000 - $17,999
S. $18,000 - $18,999
T. $19,000 - $19,999

FIN.270

Of those income groups, can you tell me which letter best represents {your/the total combined FAMILY} income during {last year in 4 digit format}?

FR: ENTER NUMBER CORRESPONDING TO TOTAL COMBINED FAMILY INCOME.
FINCCAT
(00) A. Less than $1,000
(01) B. $1,000 - $1,999
(02) C. $2,000 - $2,999
(03) D. $3,000 - $3,999
(04) E. $4,000 - $4,999
(05) F. $5,000 - $5,999
(06) G. $6,000 - $6,999
(07) H. $7,000 - $7,999
(08) I. $8,000 - $8,999
(09) J. $9,000 - $9,999
(10) K. $10,000 - $10,999
(11) L. $11,000 - $11,999
(12) M. $12,000 - $12,999
(13) N. $13,000 - $13,999
(14) O. $14,000 - $14,999
(15) P. $15,000 - $15,999
(16) Q. $16,000 - $16,999
(17) R. $17,000 - $17,999
(18) S. $18,000 - $18,999
(19) T. $19,000 - $19,999
(20) U. $20,000 - $20,999
(21) V. $21,000 - $21,999
(22) W. $22,000 - $22,999
(23) X. $23,000 - $23,999
(24) Y. $24,000 - $24,999
(25) Z. $25,000 - $25,999
(26) AA. $26,000 - $26,999
(27) BB. $27,000 - $27,999
(28) CC. $28,000 - $28,999
(29) DD. $29,000 - $29,999
(30) EE. $30,000 - $30,999
(31) FF. $31,000 - $31,999
(32) GG. $32,000 - $32,999
(33) HH. $33,000 - $33,999
(34) II. $34,000 - $34,999
(35) JJ. $35,000 - $39,999
(36) KK. $40,000 - $44,999
(37) LL. $45,000 - $49,999
(38) MM. $50,000 - $54,999
(39) NN. $55,000 - $59,999
(40) OO. $60,000 - $64,999
(41) PP. $65,000 - $69,999
(42) QQ. $70,000 - $74,999
(43) RR. $75,000 and over
(97) Refused
(99) Don't know

top
1999
Survey form view entire document:  text  image
FIN.250

Now I am going to ask about the total combined income {for you/of your family} in {last year in 4 digit format}, including income from all sources we have just talked about such as wages, salaries, Social Security or retirement benefits, help from relatives and so forth. Can you tell me that amount before taxes?

FR: IF NECESSARY REMIND RESPONDENT THAT TOTAL COMBINED FAMILY INCOME IS THEIR INCOME PLUS THE INCOME OF ALL FAMILY MEMBERS INCLUDING COHABITING PARTNERS AND ARMED FORCES MEMBERS LIVING AT HOME BEFORE TAXES.
FR: ENTER 999,996 IF THE REPORTED INCOME IS GREATER THAN $999,995
FAMINC
(0-999995) 0-999,995 dollars (FIN.280)
(999996) 999,995+ dollars (FIN.280)
(999997) Refused (FIN.260)
(999999) Don't know (FIN.260)

FIN.260

You may not be able to give us an exact figure for {your /your total combined family} income, but can you tell me, if your income in {last year in 4 digit format} was
FINC20
(1) $20,000 or more (FIN.270)
(2) Less than $20,000 (FIN.270)
(7) Refused (FIN.280)
(9) Don't know (FIN.280)

FR: IF ANSWER FOR FIN.260 = 1, SHOW CARD F19.
IF ANSWER FOR FIN.260 = 2, SHOW CARD F20.

READ IF NECESSARY: INCOME IS IMPORTANT IN ANALYZING THE HEALTH INFORMATION WE COLLECT. FOR EXAMPLE, THIS INFORMATION HELPS US TO LEARN WHETHER PERSONS IN ONE INCOME GROUP USE CERTAIN TYPES OF MEDICAL SERVICES OR HAVE CERTAIN CONDITIONS MORE OR LESS OFTEN THAN THOSE IN ANOTHER GROUP.
Card F19
U. $20,000 - $20,999
V. $21,000 - $21,999
W. $22,000 - $22,999
X. $23,000 - $23,999
Y. $24,000 - $24,999
Z. $25,000 - $25,999
AA. $26,000 - $26,999
BB. $27,000 - $27,999
CC. $28,000 - $28,999
DD. $29,000 - $29,999
EE. $30,000 - $30,999
FF. $31,000 - $31,999
GG. $32,000 - $32,999
HH. $33,000 - $33,999
II. $34,000 - $34,999
JJ. $35,000 - $39,999
KK. $40,000 - $44,999
LL. $45,000 - $49,999
MM. $50,000 - $54,999
NN. $55,000 - $59,999
OO. $60,000 - $64,999
PP. $65,000 - $69,999
QQ. $70,000 - $74,999
RR. $75,000 and over
Card F20
A. Less than $1,000
B. $1,000 - $1,999
C. $2,000 - $2,999
D. $3,000 - $3,999
E. $4,000 - $4,999
F. $5,000 - $5,999
G. $6,000 - $6,999
H. $7,000 - $7,999
I. $8,000 - $8,999
J. $9,000 - $9,999
K. $10,000 - $10,999
L. $11,000 - $11,999
M. $12,000 - $12,999
N. $13,000 - $13,999
O. $14,000 - $14,999
P. $15,000 - $15,999
Q. $16,000 - $16,999
R. $17,000 - $17,999
S. $18,000 - $18,999
T. $19,000 - $19,999

FIN.270

Of those income groups, can you tell me which letter best represents {your/the total combined FAMILY} income during {last year in 4 digit format}?

FR: ENTER NUMBER CORRESPONDING TO TOTAL COMBINED FAMILY INCOME.
FINCCAT
(00) A. Less than $1,000
(01) B. $1,000 - $1,999
(02) C. $2,000 - $2,999
(03) D. $3,000 - $3,999
(04) E. $4,000 - $4,999
(05) F. $5,000 - $5,999
(06) G. $6,000 - $6,999
(07) H. $7,000 - $7,999
(08) I. $8,000 - $8,999
(09) J. $9,000 - $9,999
(10) K. $10,000 - $10,999
(11) L. $11,000 - $11,999
(12) M. $12,000 - $12,999
(13) N. $13,000 - $13,999
(14) O. $14,000 - $14,999
(15) P. $15,000 - $15,999
(16) Q. $16,000 - $16,999
(17) R. $17,000 - $17,999
(18) S. $18,000 - $18,999
(19) T. $19,000 - $19,999
(20) U. $20,000 - $20,999
(21) V. $21,000 - $21,999
(22) W. $22,000 - $22,999
(23) X. $23,000 - $23,999
(24) Y. $24,000 - $24,999
(25) Z. $25,000 - $25,999
(26) AA. $26,000 - $26,999
(27) BB. $27,000 - $27,999
(28) CC. $28,000 - $28,999
(29) DD. $29,000 - $29,999
(30) EE. $30,000 - $30,999
(31) FF. $31,000 - $31,999
(32) GG. $32,000 - $32,999
(33) HH. $33,000 - $33,999
(34) II. $34,000 - $34,999
(35) JJ. $35,000 - $39,999
(36) KK. $40,000 - $44,999
(37) LL. $45,000 - $49,999
(38) MM. $50,000 - $54,999
(39) NN. $55,000 - $59,999
(40) OO. $60,000 - $64,999
(41) PP. $65,000 - $69,999
(42) QQ. $70,000 - $74,999
(43) RR. $75,000 and over
(97) Refused
(99) Don't know

top
1998
Survey form view entire document:  text  image
FIN.250

Now I am going to ask about the total combined income {for you/of your family} in {last year in 4 digit format}, including income from all sources we have just talked about such as wages, salaries, Social Security or retirement benefits, help from relatives and so forth. Can you tell me that amount before taxes?

FR: IF NECESSARY REMIND RESPONDENT THAT TOTAL COMBINED FAMILY INCOME IS THEIR INCOME PLUS THE INCOME OF ALL FAMILY MEMBERS INCLUDING COHABITING PARTNERS AND ARMED FORCES MEMBERS LIVING AT HOME BEFORE TAXES.
FR: ENTER 999,996 IF THE REPORTED INCOME IS GREATER THAN $999,995
FAMINC
(0-999995) 0-999,995 dollars (FIN.280)
(999996) 999,995+ dollars (FIN.280)
(999997) Refused (FIN.260)
(999999) Don't know (FIN.260)

FIN.260

You may not be able to give us an exact figure for {your /your total combined family} income, but can you tell me, if your income in {last year in 4 digit format} was
FINC20
(1) $20,000 or more (FIN.270)
(2) Less than $20,000 (FIN.270)
(7) Refused (FIN.280)
(9) Don't know (FIN.280)

FR: IF ANSWER FOR FIN.260 = 1, SHOW CARD F19.
IF ANSWER FOR FIN.260 = 2, SHOW CARD F20.

READ IF NECESSARY: INCOME IS IMPORTANT IN ANALYZING THE HEALTH INFORMATION WE COLLECT. FOR EXAMPLE, THIS INFORMATION HELPS US TO LEARN WHETHER PERSONS IN ONE INCOME GROUP USE CERTAIN TYPES OF MEDICAL SERVICES OR HAVE CERTAIN CONDITIONS MORE OR LESS OFTEN THAN THOSE IN ANOTHER GROUP.
Card F19
U. $20,000 - $20,999
V. $21,000 - $21,999
W. $22,000 - $22,999
X. $23,000 - $23,999
Y. $24,000 - $24,999
Z. $25,000 - $25,999
AA. $26,000 - $26,999
BB. $27,000 - $27,999
CC. $28,000 - $28,999
DD. $29,000 - $29,999
EE. $30,000 - $30,999
FF. $31,000 - $31,999
GG. $32,000 - $32,999
HH. $33,000 - $33,999
II. $34,000 - $34,999
JJ. $35,000 - $39,999
KK. $40,000 - $44,999
LL. $45,000 - $49,999
MM. $50,000 - $54,999
NN. $55,000 - $59,999
OO. $60,000 - $64,999
PP. $65,000 - $69,999
QQ. $70,000 - $74,999
RR. $75,000 and over
Card F20
A. Less than $1,000
B. $1,000 - $1,999
C. $2,000 - $2,999
D. $3,000 - $3,999
E. $4,000 - $4,999
F. $5,000 - $5,999
G. $6,000 - $6,999
H. $7,000 - $7,999
I. $8,000 - $8,999
J. $9,000 - $9,999
K. $10,000 - $10,999
L. $11,000 - $11,999
M. $12,000 - $12,999
N. $13,000 - $13,999
O. $14,000 - $14,999
P. $15,000 - $15,999
Q. $16,000 - $16,999
R. $17,000 - $17,999
S. $18,000 - $18,999
T. $19,000 - $19,999

FIN.270

Of those income groups, can you tell me which letter best represents {your/the total combined FAMILY} income during {last year in 4 digit format}?

FR: ENTER NUMBER CORRESPONDING TO TOTAL COMBINED FAMILY INCOME.
FINCCAT
(00) A. Less than $1,000
(01) B. $1,000 - $1,999
(02) C. $2,000 - $2,999
(03) D. $3,000 - $3,999
(04) E. $4,000 - $4,999
(05) F. $5,000 - $5,999
(06) G. $6,000 - $6,999
(07) H. $7,000 - $7,999
(08) I. $8,000 - $8,999
(09) J. $9,000 - $9,999
(10) K. $10,000 - $10,999
(11) L. $11,000 - $11,999
(12) M. $12,000 - $12,999
(13) N. $13,000 - $13,999
(14) O. $14,000 - $14,999
(15) P. $15,000 - $15,999
(16) Q. $16,000 - $16,999
(17) R. $17,000 - $17,999
(18) S. $18,000 - $18,999
(19) T. $19,000 - $19,999
(20) U. $20,000 - $20,999
(21) V. $21,000 - $21,999
(22) W. $22,000 - $22,999
(23) X. $23,000 - $23,999
(24) Y. $24,000 - $24,999
(25) Z. $25,000 - $25,999
(26) AA. $26,000 - $26,999
(27) BB. $27,000 - $27,999
(28) CC. $28,000 - $28,999
(29) DD. $29,000 - $29,999
(30) EE. $30,000 - $30,999
(31) FF. $31,000 - $31,999
(32) GG. $32,000 - $32,999
(33) HH. $33,000 - $33,999
(34) II. $34,000 - $34,999
(35) JJ. $35,000 - $39,999
(36) KK. $40,000 - $44,999
(37) LL. $45,000 - $49,999
(38) MM. $50,000 - $54,999
(39) NN. $55,000 - $59,999
(40) OO. $60,000 - $64,999
(41) PP. $65,000 - $69,999
(42) QQ. $70,000 - $74,999
(43) RR. $75,000 and over
(97) Refused
(99) Don't know

top
1997
Survey form view entire document:  text  image
FIN.250

Now I am going to ask about the total combined income {for you/of your family} in {last year in 4 digit format}, including income from all sources we have just talked about such as wages, salaries, Social Security or retirement benefits, help from relatives and so forth. Can you tell me that amount before taxes?

FR: IF NECESSARY REMIND RESPONDENT THAT TOTAL COMBINED FAMILY INCOME IS THEIR INCOME PLUS THE INCOME OF ALL FAMILY MEMBERS INCLUDING COHABITING PARTNERS AND ARMED FORCES MEMBERS LIVING AT HOME BEFORE TAXES.
FR: ENTER 999,996 IF THE REPORTED INCOME IS GREATER THAN $999,995
FAMINC
(0-999995) 0-999,995 dollars (FIN.280)
(999996) 999,995+ dollars (FIN.280)
(999997) Refused (FIN.260)
(999999) Don't know (FIN.260)

FIN.260

You may not be able to give us an exact figure for {your /your total combined family} income, but can you tell me, if your income in {last year in 4 digit format} was
FINC20
(1) $20,000 or more (FIN.270)
(2) Less than $20,000 (FIN.270)
(7) Refused (FIN.280)
(9) Don't know (FIN.280)

FR: IF ANSWER FOR FIN.260 = 1, SHOW CARD F19.
IF ANSWER FOR FIN.260 = 2, SHOW CARD F20.

READ IF NECESSARY: INCOME IS IMPORTANT IN ANALYZING THE HEALTH INFORMATION WE COLLECT. FOR EXAMPLE, THIS INFORMATION HELPS US TO LEARN WHETHER PERSONS IN ONE INCOME GROUP USE CERTAIN TYPES OF MEDICAL SERVICES OR HAVE CERTAIN CONDITIONS MORE OR LESS OFTEN THAN THOSE IN ANOTHER GROUP.
Card F19
U. $20,000 - $20,999
V. $21,000 - $21,999
W. $22,000 - $22,999
X. $23,000 - $23,999
Y. $24,000 - $24,999
Z. $25,000 - $25,999
AA. $26,000 - $26,999
BB. $27,000 - $27,999
CC. $28,000 - $28,999
DD. $29,000 - $29,999
EE. $30,000 - $30,999
FF. $31,000 - $31,999
GG. $32,000 - $32,999
HH. $33,000 - $33,999
II. $34,000 - $34,999
JJ. $35,000 - $39,999
KK. $40,000 - $44,999
LL. $45,000 - $49,999
MM. $50,000 - $54,999
NN. $55,000 - $59,999
OO. $60,000 - $64,999
PP. $65,000 - $69,999
QQ. $70,000 - $74,999
RR. $75,000 and over
Card F20
A. Less than $1,000
B. $1,000 - $1,999
C. $2,000 - $2,999
D. $3,000 - $3,999
E. $4,000 - $4,999
F. $5,000 - $5,999
G. $6,000 - $6,999
H. $7,000 - $7,999
I. $8,000 - $8,999
J. $9,000 - $9,999
K. $10,000 - $10,999
L. $11,000 - $11,999
M. $12,000 - $12,999
N. $13,000 - $13,999
O. $14,000 - $14,999
P. $15,000 - $15,999
Q. $16,000 - $16,999
R. $17,000 - $17,999
S. $18,000 - $18,999
T. $19,000 - $19,999

FIN.270

Of those income groups, can you tell me which letter best represents {your/the total combined FAMILY} income during {last year in 4 digit format}?

FR: ENTER NUMBER CORRESPONDING TO TOTAL COMBINED FAMILY INCOME.
FINCCAT
(00) A. Less than $1,000
(01) B. $1,000 - $1,999
(02) C. $2,000 - $2,999
(03) D. $3,000 - $3,999
(04) E. $4,000 - $4,999
(05) F. $5,000 - $5,999
(06) G. $6,000 - $6,999
(07) H. $7,000 - $7,999
(08) I. $8,000 - $8,999
(09) J. $9,000 - $9,999
(10) K. $10,000 - $10,999
(11) L. $11,000 - $11,999
(12) M. $12,000 - $12,999
(13) N. $13,000 - $13,999
(14) O. $14,000 - $14,999
(15) P. $15,000 - $15,999
(16) Q. $16,000 - $16,999
(17) R. $17,000 - $17,999
(18) S. $18,000 - $18,999
(19) T. $19,000 - $19,999
(20) U. $20,000 - $20,999
(21) V. $21,000 - $21,999
(22) W. $22,000 - $22,999
(23) X. $23,000 - $23,999
(24) Y. $24,000 - $24,999
(25) Z. $25,000 - $25,999
(26) AA. $26,000 - $26,999
(27) BB. $27,000 - $27,999
(28) CC. $28,000 - $28,999
(29) DD. $29,000 - $29,999
(30) EE. $30,000 - $30,999
(31) FF. $31,000 - $31,999
(32) GG. $32,000 - $32,999
(33) HH. $33,000 - $33,999
(34) II. $34,000 - $34,999
(35) JJ. $35,000 - $39,999
(36) KK. $40,000 - $44,999
(37) LL. $45,000 - $49,999
(38) MM. $50,000 - $54,999
(39) NN. $55,000 - $59,999
(40) OO. $60,000 - $64,999
(41) PP. $65,000 - $69,999
(42) QQ. $70,000 - $74,999
(43) RR. $75,000 and over
(97) Refused
(99) Don't know

top
1996
Survey form view entire document:  text  image
8a. Was the total combined FAMILY income during the past 12 months - that is, yours, (read names, including Armed Forces members living at home) more or less than $20,000? Include money from jobs, social security, retirement income, unemployment payments, public assistance, and so forth. Also include income from interest, dividends, net income from business, farm, or rent, and any other money income received.
Read if necessary: Income is important in analyzing the health information we collect. For example, this information helps us to learn whether persons in one income group use certain types of medical care services or have certain conditions more or less often than those in another group.

1[] $20,000 or more (Hand Card I)
2[] Less than $20,000 (Hand Card J)
CARD I
U ... $20,000 - $24,999
V ... $25,000 - $29,999
W ... $30,000 - $34,999
X ... $35,000 - $39,999
Y ... $40,000 - $44,999
Z ... $45,000 - $49,999
ZZ ... $50,000 and over
CARD J
A ... Less than $1,000 (including loss)
B ... $1,000 - $1,999
C ... $2,000 - $2,999
D ... $3,000 - $3,999
E ... $4,000 - $4,999
F ... $5,000 - $5,999
G ... $6,000 - $6,999
H ... $7,000 - $7,999
I ... $8,000 - $8,999
J ... $9,000 - $9,999
K ... $10,000 - $10,999
L ... $11,000 - $11,999
M ... $12,000 - $12,999
N ... $13,000 - $13,999
O ... $14,000 - $14,999
P ... $15,000 - $15,999
Q ... $16,000 - $16,999
R ... $17,000 - $17,999
S ... $18,000 - $18,999
T ... $19,000 - $19,999

Read parenthetical phrase if Armed Forces member living at home or if necessary:
b. Of those income groups, which letter best represents the total combined FAMILY income during the past 12 months (that is, yours, (read names, including Armed Forces members living at home))? Include wages, salaries, and other items we just talked about.
Read if necessary: Income is important in analyzing the health information we collect. For example, this information helps us to learn whether persons in one income group use certain types of medical care services or have certain conditions more or less often than those in another group.

00[] A
01[] B
02[] C
03[] D
04[] E
05[] F
06[] G
07[] H
08[] I
09[] J
10[] K
11[] L
12[] M
13[] N
14[] O
15[] P
16[] Q
17[] R
18[] S
19[] T
20[] U
21[] V
22[] W
23[] X
24[] Y
25[] Z
26[] ZZ

top
1995
Survey form view entire document:  text  image
8a. Was the total combined FAMILY income during the past 12 months - that is, yours, (read names, including Armed Forces members living at home) more or less than $20,000? Include money from jobs, social security, retirement income, unemployment payments, public assistance, and so forth. Also include income from interest, dividends, net income from business, farm, or rent, and any other money income received.
Read if necessary: Income is important in analyzing the health information we collect. For example, this information helps us to learn whether persons in one income group use certain types of medical care services or have certain conditions more or less often than those in another group.

1[] $20,000 or more (Hand Card I)
2[] Less than $20,000 (Hand Card J)
CARD I
U ... $20,000 - $24,999
V ... $25,000 - $29,999
W ... $30,000 - $34,999
X ... $35,000 - $39,999
Y ... $40,000 - $44,999
Z ... $45,000 - $49,999
ZZ ... $50,000 and over
CARD J
A ... Less than $1,000 (including loss)
B ... $1,000 - $1,999
C ... $2,000 - $2,999
D ... $3,000 - $3,999
E ... $4,000 - $4,999
F ... $5,000 - $5,999
G ... $6,000 - $6,999
H ... $7,000 - $7,999
I ... $8,000 - $8,999
J ... $9,000 - $9,999
K ... $10,000 - $10,999
L ... $11,000 - $11,999
M ... $12,000 - $12,999
N ... $13,000 - $13,999
O ... $14,000 - $14,999
P ... $15,000 - $15,999
Q ... $16,000 - $16,999
R ... $17,000 - $17,999
S ... $18,000 - $18,999
T ... $19,000 - $19,999

Read parenthetical phrase if Armed Forces member living at home or if necessary:
b. Of those income groups, which letter best represents the total combined FAMILY income during the past 12 months (that is, yours, (read names, including Armed Forces members living at home))? Include wages, salaries, and other items we just talked about.
Read if necessary: Income is important in analyzing the health information we collect. For example, this information helps us to learn whether persons in one income group use certain types of medical care services or have certain conditions more or less often than those in another group.

00[] A
01[] B
02[] C
03[] D
04[] E
05[] F
06[] G
07[] H
08[] I
09[] J
10[] K
11[] L
12[] M
13[] N
14[] O
15[] P
16[] Q
17[] R
18[] S
19[] T
20[] U
21[] V
22[] W
23[] X
24[] Y
25[] Z
26[] ZZ

top
1994
Survey form view entire document:  text  image
8a. Was the total combined FAMILY income during the past 12 months - that is, yours, (read names, including Armed Forces members living at home) more or less than $20,000? Include money from jobs, social security, retirement income, unemployment payments, public assistance, and so forth. Also include income from interest, dividends, net income from business, farm, or rent, and any other money income received.
Read if necessary: Income is important in analyzing the health information we collect. For example, this information helps us to learn whether persons in one income group use certain types of medical care services or have certain conditions more or less often than those in another group.

1[] $20,000 or more (Hand Card I)
2[] Less than $20,000 (Hand Card J)
CARD I
U ... $20,000 - $24,999
V ... $25,000 - $29,999
W ... $30,000 - $34,999
X ... $35,000 - $39,999
Y ... $40,000 - $44,999
Z ... $45,000 - $49,999
ZZ ... $50,000 and over
CARD J
A ... Less than $1,000 (including loss)
B ... $1,000 - $1,999
C ... $2,000 - $2,999
D ... $3,000 - $3,999
E ... $4,000 - $4,999
F ... $5,000 - $5,999
G ... $6,000 - $6,999
H ... $7,000 - $7,999
I ... $8,000 - $8,999
J ... $9,000 - $9,999
K ... $10,000 - $10,999
L ... $11,000 - $11,999
M ... $12,000 - $12,999
N ... $13,000 - $13,999
O ... $14,000 - $14,999
P ... $15,000 - $15,999
Q ... $16,000 - $16,999
R ... $17,000 - $17,999
S ... $18,000 - $18,999
T ... $19,000 - $19,999

Read parenthetical phrase if Armed Forces member living at home or if necessary:
b. Of those income groups, which letter best represents the total combined FAMILY income during the past 12 months (that is, yours, (read names, including Armed Forces members living at home))? Include wages, salaries, and other items we just talked about.
Read if necessary: Income is important in analyzing the health information we collect. For example, this information helps us to learn whether persons in one income group use certain types of medical care services or have certain conditions more or less often than those in another group.

00[] A
01[] B
02[] C
03[] D
04[] E
05[] F
06[] G
07[] H
08[] I
09[] J
10[] K
11[] L
12[] M
13[] N
14[] O
15[] P
16[] Q
17[] R
18[] S
19[] T
20[] U
21[] V
22[] W
23[] X
24[] Y
25[] Z
26[] ZZ

top
1993
Survey form view entire document:  text  image
8a. Was the total combined FAMILY income during the past 12 months - that is, yours, (read names, including Armed Forces members living at home) more or less than $20,000? Include money from jobs, social security, retirement income, unemployment payments, public assistance, and so forth. Also include income from interest, dividends, net income from business, farm, or rent, and any other money income received.
Read if necessary: Income is important in analyzing the health information we collect. For example, this information helps us to learn whether persons in one income group use certain types of medical care services or have certain conditions more or less often than those in another group.

1[] $20,000 or more (Hand Card I)
2[] Less than $20,000 (Hand Card J)
CARD I
U ... $20,000 - $24,999
V ... $25,000 - $29,999
W ... $30,000 - $34,999
X ... $35,000 - $39,999
Y ... $40,000 - $44,999
Z ... $45,000 - $49,999
ZZ ... $50,000 and over
CARD J
A ... Less than $1,000 (including loss)
B ... $1,000 - $1,999
C ... $2,000 - $2,999
D ... $3,000 - $3,999
E ... $4,000 - $4,999
F ... $5,000 - $5,999
G ... $6,000 - $6,999
H ... $7,000 - $7,999
I ... $8,000 - $8,999
J ... $9,000 - $9,999
K ... $10,000 - $10,999
L ... $11,000 - $11,999
M ... $12,000 - $12,999
N ... $13,000 - $13,999
O ... $14,000 - $14,999
P ... $15,000 - $15,999
Q ... $16,000 - $16,999
R ... $17,000 - $17,999
S ... $18,000 - $18,999
T ... $19,000 - $19,999

Read parenthetical phrase if Armed Forces member living at home or if necessary:
b. Of those income groups, which letter best represents the total combined FAMILY income during the past 12 months (that is, yours, (read names, including Armed Forces members living at home))? Include wages, salaries, and other items we just talked about.
Read if necessary: Income is important in analyzing the health information we collect. For example, this information helps us to learn whether persons in one income group use certain types of medical care services or have certain conditions more or less often than those in another group.

00[] A
01[] B
02[] C
03[] D
04[] E
05[] F
06[] G
07[] H
08[] I
09[] J
10[] K
11[] L
12[] M
13[] N
14[] O
15[] P
16[] Q
17[] R
18[] S
19[] T
20[] U
21[] V
22[] W
23[] X
24[] Y
25[] Z
26[] ZZ

top
1992
Survey form view entire document:  text  image
8a. Was the total combined FAMILY income during the past 12 months - that is, yours, (read names, including Armed Forces members living at home) more or less than $20,000? Include money from jobs, social security, retirement income, unemployment payments, public assistance, and so forth. Also include income from interest, dividends, net income from business, farm, or rent, and any other money income received.
Read if necessary: Income is important in analyzing the health information we collect. For example, this information helps us to learn whether persons in one income group use certain types of medical care services or have certain conditions more or less often than those in another group.

1[] $20,000 or more (Hand Card I)
2[] Less than $20,000 (Hand Card J)
CARD I
U ... $20,000 - $24,999
V ... $25,000 - $29,999
W ... $30,000 - $34,999
X ... $35,000 - $39,999
Y ... $40,000 - $44,999
Z ... $45,000 - $49,999
ZZ ... $50,000 and over
CARD J
A ... Less than $1,000 (including loss)
B ... $1,000 - $1,999
C ... $2,000 - $2,999
D ... $3,000 - $3,999
E ... $4,000 - $4,999
F ... $5,000 - $5,999
G ... $6,000 - $6,999
H ... $7,000 - $7,999
I ... $8,000 - $8,999
J ... $9,000 - $9,999
K ... $10,000 - $10,999
L ... $11,000 - $11,999
M ... $12,000 - $12,999
N ... $13,000 - $13,999
O ... $14,000 - $14,999
P ... $15,000 - $15,999
Q ... $16,000 - $16,999
R ... $17,000 - $17,999
S ... $18,000 - $18,999
T ... $19,000 - $19,999

Read parenthetical phrase if Armed Forces member living at home or if necessary:
b. Of those income groups, which letter best represents the total combined FAMILY income during the past 12 months (that is, yours, (read names, including Armed Forces members living at home))? Include wages, salaries, and other items we just talked about.
Read if necessary: Income is important in analyzing the health information we collect. For example, this information helps us to learn whether persons in one income group use certain types of medical care services or have certain conditions more or less often than those in another group.

00[] A
01[] B
02[] C
03[] D
04[] E
05[] F
06[] G
07[] H
08[] I
09[] J
10[] K
11[] L
12[] M
13[] N
14[] O
15[] P
16[] Q
17[] R
18[] S
19[] T
20[] U
21[] V
22[] W
23[] X
24[] Y
25[] Z
26[] ZZ

top
1991
Survey form view entire document:  text  image
8a. Was the total combined FAMILY income during the past 12 months - that is, yours, (read names, including Armed Forces members living at home) more or less than $20,000? Include money from jobs, social security, retirement income, unemployment payments, public assistance, and so forth. Also include income from interest, dividends, net income from business, farm, or rent, and any other money income received.
Read if necessary: Income is important in analyzing the health information we collect. For example, this information helps us to learn whether persons in one income group use certain types of medical care services or have certain conditions more or less often than those in another group.

1[] $20,000 or more (Hand Card I)
2[] Less than $20,000 (Hand Card J)
CARD I
U ... $20,000 - $24,999
V ... $25,000 - $29,999
W ... $30,000 - $34,999
X ... $35,000 - $39,999
Y ... $40,000 - $44,999
Z ... $45,000 - $49,999
ZZ ... $50,000 and over
CARD J
A ... Less than $1,000 (including loss)
B ... $1,000 - $1,999
C ... $2,000 - $2,999
D ... $3,000 - $3,999
E ... $4,000 - $4,999
F ... $5,000 - $5,999
G ... $6,000 - $6,999
H ... $7,000 - $7,999
I ... $8,000 - $8,999
J ... $9,000 - $9,999
K ... $10,000 - $10,999
L ... $11,000 - $11,999
M ... $12,000 - $12,999
N ... $13,000 - $13,999
O ... $14,000 - $14,999
P ... $15,000 - $15,999
Q ... $16,000 - $16,999
R ... $17,000 - $17,999
S ... $18,000 - $18,999
T ... $19,000 - $19,999

Read parenthetical phrase if Armed Forces member living at home or if necessary:
b. Of those income groups, which letter best represents the total combined FAMILY income during the past 12 months (that is, yours, (read names, including Armed Forces members living at home))? Include wages, salaries, and other items we just talked about.
Read if necessary: Income is important in analyzing the health information we collect. For example, this information helps us to learn whether persons in one income group use certain types of medical care services or have certain conditions more or less often than those in another group.

00[] A
01[] B
02[] C
03[] D
04[] E
05[] F
06[] G
07[] H
08[] I
09[] J
10[] K
11[] L
12[] M
13[] N
14[] O
15[] P
16[] Q
17[] R
18[] S
19[] T
20[] U
21[] V
22[] W
23[] X
24[] Y
25[] Z
26[] ZZ

top
1990
Survey form view entire document:  text  image
8a. Was the total combined FAMILY income during the past 12 months - that is, yours, (read names, including Armed Forces members living at home) more or less than $20,000? Include money from jobs, social security, retirement income, unemployment payments, public assistance, and so forth. Also include income from interest, dividends, net income from business, farm, or rent, and any other money income received.
Read if necessary: Income is important in analyzing the health information we collect. For example, this information helps us to learn whether persons in one income group use certain types of medical care services or have certain conditions more or less often than those in another group.

1[] $20,000 or more (Hand Card I)
2[] Less than $20,000 (Hand Card J)
CARD I
U ... $20,000 - $24,999
V ... $25,000 - $29,999
W ... $30,000 - $34,999
X ... $35,000 - $39,999
Y ... $40,000 - $44,999
Z ... $45,000 - $49,999
ZZ ... $50,000 and over
CARD J
A ... Less than $1,000 (including loss)
B ... $1,000 - $1,999
C ... $2,000 - $2,999
D ... $3,000 - $3,999
E ... $4,000 - $4,999
F ... $5,000 - $5,999
G ... $6,000 - $6,999
H ... $7,000 - $7,999
I ... $8,000 - $8,999
J ... $9,000 - $9,999
K ... $10,000 - $10,999
L ... $11,000 - $11,999
M ... $12,000 - $12,999
N ... $13,000 - $13,999
O ... $14,000 - $14,999
P ... $15,000 - $15,999
Q ... $16,000 - $16,999
R ... $17,000 - $17,999
S ... $18,000 - $18,999
T ... $19,000 - $19,999

Read parenthetical phrase if Armed Forces member living at home or if necessary:
b. Of those income groups, which letter best represents the total combined FAMILY income during the past 12 months (that is, yours, (read names, including Armed Forces members living at home))? Include wages, salaries, and other items we just talked about.
Read if necessary: Income is important in analyzing the health information we collect. For example, this information helps us to learn whether persons in one income group use certain types of medical care services or have certain conditions more or less often than those in another group.

00[] A
01[] B
02[] C
03[] D
04[] E
05[] F
06[] G
07[] H
08[] I
09[] J
10[] K
11[] L
12[] M
13[] N
14[] O
15[] P
16[] Q
17[] R
18[] S
19[] T
20[] U
21[] V
22[] W
23[] X
24[] Y
25[] Z
26[] ZZ

top
1989
Survey form view entire document:  text  image
8a. Was the total combined FAMILY income during the past 12 months - that is, yours, (read names, including Armed Forces members living at home) more or less than $20,000? Include money from jobs, social security, retirement income, unemployment payments, public assistance, and so forth. Also include income from interest, dividends, net income from business, farm, or rent, and any other money income received.
Read if necessary: Income is important in analyzing the health information we collect. For example, this information helps us to learn whether persons in one income group use certain types of medical care services or have certain conditions more or less often than those in another group.

1[] $20,000 or more (Hand Card I)
2[] Less than $20,000 (Hand Card J)
CARD I
U ... $20,000 - $24,999
V ... $25,000 - $29,999
W ... $30,000 - $34,999
X ... $35,000 - $39,999
Y ... $40,000 - $44,999
Z ... $45,000 - $49,999
ZZ ... $50,000 and over
CARD J
A ... Less than $1,000 (including loss)
B ... $1,000 - $1,999
C ... $2,000 - $2,999
D ... $3,000 - $3,999
E ... $4,000 - $4,999
F ... $5,000 - $5,999
G ... $6,000 - $6,999
H ... $7,000 - $7,999
I ... $8,000 - $8,999
J ... $9,000 - $9,999
K ... $10,000 - $10,999
L ... $11,000 - $11,999
M ... $12,000 - $12,999
N ... $13,000 - $13,999
O ... $14,000 - $14,999
P ... $15,000 - $15,999
Q ... $16,000 - $16,999
R ... $17,000 - $17,999
S ... $18,000 - $18,999
T ... $19,000 - $19,999

Read parenthetical phrase if Armed Forces member living at home or if necessary:
b. Of those income groups, which letter best represents the total combined FAMILY income during the past 12 months (that is, yours, (read names, including Armed Forces members living at home))? Include wages, salaries, and other items we just talked about.
Read if necessary: Income is important in analyzing the health information we collect. For example, this information helps us to learn whether persons in one income group use certain types of medical care services or have certain conditions more or less often than those in another group.

00[] A
01[] B
02[] C
03[] D
04[] E
05[] F
06[] G
07[] H
08[] I
09[] J
10[] K
11[] L
12[] M
13[] N
14[] O
15[] P
16[] Q
17[] R
18[] S
19[] T
20[] U
21[] V
22[] W
23[] X
24[] Y
25[] Z
26[] ZZ

top
1988
Survey form view entire document:  text  image
8a. Was the total combined FAMILY income during the past 12 months - that is, yours, (read names, including Armed Forces members living at home) more or less than $20,000? Include money from jobs, social security, retirement income, unemployment payments, public assistance, and so forth. Also include income from interest, dividends, net income from business, farm, or rent, and any other money income received.
Read if necessary: Income is important in analyzing the health information we collect. For example, this information helps us to learn whether persons in one income group use certain types of medical care services or have certain conditions more or less often than those in another group.

1[] $20,000 or more (Hand Card I)
2[] Less than $20,000 (Hand Card J)
CARD I
U ... $20,000 - $24,999
V ... $25,000 - $29,999
W ... $30,000 - $34,999
X ... $35,000 - $39,999
Y ... $40,000 - $44,999
Z ... $45,000 - $49,999
ZZ ... $50,000 and over
CARD J
A ... Less than $1,000 (including loss)
B ... $1,000 - $1,999
C ... $2,000 - $2,999
D ... $3,000 - $3,999
E ... $4,000 - $4,999
F ... $5,000 - $5,999
G ... $6,000 - $6,999
H ... $7,000 - $7,999
I ... $8,000 - $8,999
J ... $9,000 - $9,999
K ... $10,000 - $10,999
L ... $11,000 - $11,999
M ... $12,000 - $12,999
N ... $13,000 - $13,999
O ... $14,000 - $14,999
P ... $15,000 - $15,999
Q ... $16,000 - $16,999
R ... $17,000 - $17,999
S ... $18,000 - $18,999
T ... $19,000 - $19,999

Read parenthetical phrase if Armed Forces member living at home or if necessary:
b. Of those income groups, which letter best represents the total combined FAMILY income during the past 12 months (that is, yours, (read names, including Armed Forces members living at home))? Include wages, salaries, and other items we just talked about.
Read if necessary: Income is important in analyzing the health information we collect. For example, this information helps us to learn whether persons in one income group use certain types of medical care services or have certain conditions more or less often than those in another group.

00[] A
01[] B
02[] C
03[] D
04[] E
05[] F
06[] G
07[] H
08[] I
09[] J
10[] K
11[] L
12[] M
13[] N
14[] O
15[] P
16[] Q
17[] R
18[] S
19[] T
20[] U
21[] V
22[] W
23[] X
24[] Y
25[] Z
26[] ZZ

top
1987
Survey form view entire document:  text  image
8a. Was the total combined FAMILY income during the past 12 months - that is, yours, (read names, including Armed Forces members living at home) more or less than $20,000? Include money from jobs, social security, retirement income, unemployment payments, public assistance, and so forth. Also include income from interest, dividends, net income from business, farm, or rent, and any other money income received.
Read if necessary: Income is important in analyzing the health information we collect. For example, this information helps us to learn whether persons in one income group use certain types of medical care services or have certain conditions more or less often than those in another group.

1[] $20,000 or more (Hand Card I)
2[] Less than $20,000 (Hand Card J)
CARD I
U ... $20,000 - $24,999
V ... $25,000 - $29,999
W ... $30,000 - $34,999
X ... $35,000 - $39,999
Y ... $40,000 - $44,999
Z ... $45,000 - $49,999
ZZ ... $50,000 and over
CARD J
A ... Less than $1,000 (including loss)
B ... $1,000 - $1,999
C ... $2,000 - $2,999
D ... $3,000 - $3,999
E ... $4,000 - $4,999
F ... $5,000 - $5,999
G ... $6,000 - $6,999
H ... $7,000 - $7,999
I ... $8,000 - $8,999
J ... $9,000 - $9,999
K ... $10,000 - $10,999
L ... $11,000 - $11,999
M ... $12,000 - $12,999
N ... $13,000 - $13,999
O ... $14,000 - $14,999
P ... $15,000 - $15,999
Q ... $16,000 - $16,999
R ... $17,000 - $17,999
S ... $18,000 - $18,999
T ... $19,000 - $19,999

Read parenthetical phrase if Armed Forces member living at home or if necessary:
b. Of those income groups, which letter best represents the total combined FAMILY income during the past 12 months (that is, yours, (read names, including Armed Forces members living at home))? Include wages, salaries, and other items we just talked about.
Read if necessary: Income is important in analyzing the health information we collect. For example, this information helps us to learn whether persons in one income group use certain types of medical care services or have certain conditions more or less often than those in another group.

00[] A
01[] B
02[] C
03[] D
04[] E
05[] F
06[] G
07[] H
08[] I
09[] J
10[] K
11[] L
12[] M
13[] N
14[] O
15[] P
16[] Q
17[] R
18[] S
19[] T
20[] U
21[] V
22[] W
23[] X
24[] Y
25[] Z
26[] ZZ

top
1986
Survey form view entire document:  text  image
8a. Was the total combined FAMILY income during the past 12 months - that is, yours, (read names, including Armed Forces members living at home) more or less than $20,000? Include money from jobs, social security, retirement income, unemployment payments, public assistance, and so forth. Also include income from interest, dividends, net income from business, farm, or rent, and any other money income received.
Read if necessary: Income is important in analyzing the health information we collect. For example, this information helps us to learn whether persons in one income group use certain types of medical care services or have certain conditions more or less often than those in another group.

1[] $20,000 or more (Hand Card I)
2[] Less than $20,000 (Hand Card J)
CARD I
U ... $20,000 - $24,999
V ... $25,000 - $29,999
W ... $30,000 - $34,999
X ... $35,000 - $39,999
Y ... $40,000 - $44,999
Z ... $45,000 - $49,999
ZZ ... $50,000 and over
CARD J
A ... Less than $1,000 (including loss)
B ... $1,000 - $1,999
C ... $2,000 - $2,999
D ... $3,000 - $3,999
E ... $4,000 - $4,999
F ... $5,000 - $5,999
G ... $6,000 - $6,999
H ... $7,000 - $7,999
I ... $8,000 - $8,999
J ... $9,000 - $9,999
K ... $10,000 - $10,999
L ... $11,000 - $11,999
M ... $12,000 - $12,999
N ... $13,000 - $13,999
O ... $14,000 - $14,999
P ... $15,000 - $15,999
Q ... $16,000 - $16,999
R ... $17,000 - $17,999
S ... $18,000 - $18,999
T ... $19,000 - $19,999

Read parenthetical phrase if Armed Forces member living at home or if necessary:
b. Of those income groups, which letter best represents the total combined FAMILY income during the past 12 months (that is, yours, (read names, including Armed Forces members living at home))? Include wages, salaries, and other items we just talked about.
Read if necessary: Income is important in analyzing the health information we collect. For example, this information helps us to learn whether persons in one income group use certain types of medical care services or have certain conditions more or less often than those in another group.

00[] A
01[] B
02[] C
03[] D
04[] E
05[] F
06[] G
07[] H
08[] I
09[] J
10[] K
11[] L
12[] M
13[] N
14[] O
15[] P
16[] Q
17[] R
18[] S
19[] T
20[] U
21[] V
22[] W
23[] X
24[] Y
25[] Z
26[] ZZ

top
1985
Survey form view entire document:  text  image
8a. Was the total combined FAMILY income during the past 12 months - that is, yours, (read names, including Armed Forces members living at home) more or less than $20,000? Include money from jobs, social security, retirement income, unemployment payments, public assistance, and so forth. Also include income from interest, dividends, net income from business, farm, or rent, and any other money income received.
Read if necessary: Income is important in analyzing the health information we collect. For example, this information helps us to learn whether persons in one income group use certain types of medical care services or have certain conditions more or less often than those in another group.

1[] $20,000 or more (Hand Card I)
2[] Less than $20,000 (Hand Card J)
CARD I
U ... $20,000 - $24,999
V ... $25,000 - $29,999
W ... $30,000 - $34,999
X ... $35,000 - $39,999
Y ... $40,000 - $44,999
Z ... $45,000 - $49,999
ZZ ... $50,000 and over
CARD J
A ... Less than $1,000 (including loss)
B ... $1,000 - $1,999
C ... $2,000 - $2,999
D ... $3,000 - $3,999
E ... $4,000 - $4,999
F ... $5,000 - $5,999
G ... $6,000 - $6,999
H ... $7,000 - $7,999
I ... $8,000 - $8,999
J ... $9,000 - $9,999
K ... $10,000 - $10,999
L ... $11,000 - $11,999
M ... $12,000 - $12,999
N ... $13,000 - $13,999
O ... $14,000 - $14,999
P ... $15,000 - $15,999
Q ... $16,000 - $16,999
R ... $17,000 - $17,999
S ... $18,000 - $18,999
T ... $19,000 - $19,999

Read parenthetical phrase if Armed Forces member living at home or if necessary:
b. Of those income groups, which letter best represents the total combined FAMILY income during the past 12 months (that is, yours, (read names, including Armed Forces members living at home))? Include wages, salaries, and other items we just talked about.
Read if necessary: Income is important in analyzing the health information we collect. For example, this information helps us to learn whether persons in one income group use certain types of medical care services or have certain conditions more or less often than those in another group.

00[] A
01[] B
02[] C
03[] D
04[] E
05[] F
06[] G
07[] H
08[] I
09[] J
10[] K
11[] L
12[] M
13[] N
14[] O
15[] P
16[] Q
17[] R
18[] S
19[] T
20[] U
21[] V
22[] W
23[] X
24[] Y
25[] Z
26[] ZZ

top
1984
Survey form view entire document:  text  image
8a. Was the total combined FAMILY income during the past 12 months - that is, yours, (read names, including Armed Forces members living at home) more or less than $20,000? Include money from jobs, social security, retirement income, unemployment payments, public assistance, and so forth. Also include income from interest, dividends, net income from business, farm, or rent, and any other money income received.
Read if necessary: Income is important in analyzing the health information we collect. For example, this information helps us to learn whether persons in one income group use certain types of medical care services or have certain conditions more or less often than those in another group.

1[] $20,000 or more (Hand Card I)
2[] Less than $20,000 (Hand Card J)
CARD I
U ... $20,000 - $24,999
V ... $25,000 - $29,999
W ... $30,000 - $34,999
X ... $35,000 - $39,999
Y ... $40,000 - $44,999
Z ... $45,000 - $49,999
ZZ ... $50,000 and over
CARD J
A ... Less than $1,000 (including loss)
B ... $1,000 - $1,999
C ... $2,000 - $2,999
D ... $3,000 - $3,999
E ... $4,000 - $4,999
F ... $5,000 - $5,999
G ... $6,000 - $6,999
H ... $7,000 - $7,999
I ... $8,000 - $8,999
J ... $9,000 - $9,999
K ... $10,000 - $10,999
L ... $11,000 - $11,999
M ... $12,000 - $12,999
N ... $13,000 - $13,999
O ... $14,000 - $14,999
P ... $15,000 - $15,999
Q ... $16,000 - $16,999
R ... $17,000 - $17,999
S ... $18,000 - $18,999
T ... $19,000 - $19,999

Read parenthetical phrase if Armed Forces member living at home or if necessary:
b. Of those income groups, which letter best represents the total combined FAMILY income during the past 12 months (that is, yours, (read names, including Armed Forces members living at home))? Include wages, salaries, and other items we just talked about.
Read if necessary: Income is important in analyzing the health information we collect. For example, this information helps us to learn whether persons in one income group use certain types of medical care services or have certain conditions more or less often than those in another group.

00[] A
01[] B
02[] C
03[] D
04[] E
05[] F
06[] G
07[] H
08[] I
09[] J
10[] K
11[] L
12[] M
13[] N
14[] O
15[] P
16[] Q
17[] R
18[] S
19[] T
20[] U
21[] V
22[] W
23[] X
24[] Y
25[] Z
26[] ZZ

top
1983
Survey form view entire document:  text  image
8a. Was the total combined FAMILY income during the past 12 months - that is, yours, (read names, including Armed Forces members living at home) more or less than $20,000? Include money from jobs, social security, retirement income, unemployment payments, public assistance, and so forth. Also include income from interest, dividends, net income from business, farm, or rent, and any other money income received.
Read if necessary: Income is important in analyzing the health information we collect. For example, this information helps us to learn whether persons in one income group use certain types of medical care services or have certain conditions more or less often than those in another group.

1[] $20,000 or more (Hand Card I)
2[] Less than $20,000 (Hand Card J)
CARD I
U ... $20,000 - $24,999
V ... $25,000 - $29,999
W ... $30,000 - $34,999
X ... $35,000 - $39,999
Y ... $40,000 - $44,999
Z ... $45,000 - $49,999
ZZ ... $50,000 and over
CARD J
A ... Less than $1,000 (including loss)
B ... $1,000 - $1,999
C ... $2,000 - $2,999
D ... $3,000 - $3,999
E ... $4,000 - $4,999
F ... $5,000 - $5,999
G ... $6,000 - $6,999
H ... $7,000 - $7,999
I ... $8,000 - $8,999
J ... $9,000 - $9,999
K ... $10,000 - $10,999
L ... $11,000 - $11,999
M ... $12,000 - $12,999
N ... $13,000 - $13,999
O ... $14,000 - $14,999
P ... $15,000 - $15,999
Q ... $16,000 - $16,999
R ... $17,000 - $17,999
S ... $18,000 - $18,999
T ... $19,000 - $19,999

Read parenthetical phrase if Armed Forces member living at home or if necessary:
b. Of those income groups, which letter best represents the total combined FAMILY income during the past 12 months (that is, yours, (read names, including Armed Forces members living at home))? Include wages, salaries, and other items we just talked about.
Read if necessary: Income is important in analyzing the health information we collect. For example, this information helps us to learn whether persons in one income group use certain types of medical care services or have certain conditions more or less often than those in another group.

00[] A
01[] B
02[] C
03[] D
04[] E
05[] F
06[] G
07[] H
08[] I
09[] J
10[] K
11[] L
12[] M
13[] N
14[] O
15[] P
16[] Q
17[] R
18[] S
19[] T
20[] U
21[] V
22[] W
23[] X
24[] Y
25[] Z
26[] ZZ

top
1982
Survey form view entire document:  text  image
8a. Was the total combined FAMILY income during the past 12 months - that is, yours, (read names, including Armed Forces members living at home) more or less than $20,000? Include money from jobs, social security, retirement income, unemployment payments, public assistance, and so forth. Also include income from interest, dividends, net income from business, farm, or rent, and any other money income received.
Read if necessary: Income is important in analyzing the health information we collect. For example, this information helps us to learn whether persons in one income group use certain types of medical care services or have certain conditions more or less often than those in another group.

1[] $20,000 or more (Hand Card I)
2[] Less than $20,000 (Hand Card J)
CARD I
U ... $20,000 - $24,999
V ... $25,000 - $29,999
W ... $30,000 - $34,999
X ... $35,000 - $39,999
Y ... $40,000 - $44,999
Z ... $45,000 - $49,999
ZZ ... $50,000 and over
CARD J
A ... Less than $1,000 (including loss)
B ... $1,000 - $1,999
C ... $2,000 - $2,999
D ... $3,000 - $3,999
E ... $4,000 - $4,999
F ... $5,000 - $5,999
G ... $6,000 - $6,999
H ... $7,000 - $7,999
I ... $8,000 - $8,999
J ... $9,000 - $9,999
K ... $10,000 - $10,999
L ... $11,000 - $11,999
M ... $12,000 - $12,999
N ... $13,000 - $13,999
O ... $14,000 - $14,999
P ... $15,000 - $15,999
Q ... $16,000 - $16,999
R ... $17,000 - $17,999
S ... $18,000 - $18,999
T ... $19,000 - $19,999

Read parenthetical phrase if Armed Forces member living at home or if necessary:
b. Of those income groups, which letter best represents the total combined FAMILY income during the past 12 months (that is, yours, (read names, including Armed Forces members living at home))? Include wages, salaries, and other items we just talked about.
Read if necessary: Income is important in analyzing the health information we collect. For example, this information helps us to learn whether persons in one income group use certain types of medical care services or have certain conditions more or less often than those in another group.

00[] A
01[] B
02[] C
03[] D
04[] E
05[] F
06[] G
07[] H
08[] I
09[] J
10[] K
11[] L
12[] M
13[] N
14[] O
15[] P
16[] Q
17[] R
18[] S
19[] T
20[] U
21[] V
22[] W
23[] X
24[] Y
25[] Z
26[] ZZ