Survey Text

2021
2020
2019
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2021
Survey form view entire document:  text  image
Question ID: INC.0130.00.1
Variable: INCTOTAL_A
Interview Module: Adult
Content Type: Annual Core
Question text:
^INCALLFAM
What is your best estimate of ^TOTALINCOME from all sources, before taxes, in ^LASTYEAR?
Enter '999995' if the reported income $999,995 or greater.
Fills:
^INCALLFAM
Description: INCTOTAL_A Introduction
Instruction:
IF PCNT_A GT 1 fill "When answering this next question, please remember to include your income PLUS the income of
all family members living in this household."
^TOTALINCOME
Description: your total income/the total income of all family members
Instruction:
If PCNT_A=1 fill "your total income" else if PCNT_A GT 1 fill "the total income of all family members"
^LASTYEAR
Description: Last year
Instruction:
Fill year prior to current year
Response:
000000-999995 - Range of values
999997 - Refused
999999 - Don't Know
Universe:
Sample Adults 18+ and Sample Adult and Sample Child are in the same family and the Sample Child INC section has not been completed OR the Sample Adult and Sample Child are not in the same family OR Sample Adult and Sample Child are in the same family, Sample Child respondent answered all questions asked in the INC section with dk/rf and Sample Adult is not the Sample Child respondent and the Sample Adult did not refuse both the income from wages and income from accounts questions
Skip Instructions:
0-999 [goto ERR1_INCTOTAL_A]
250001-999995 [goto ERR2_INCTOTAL_A]
1000-250000 [goto next section]
RF,DK [goto INC250PCT_A]
Soft Edit:
Check Text: ERR2_INCTOTAL_A
Check Description: Income high soft edit
Check Text: {signal ERR2_INCTOTAL_A} Do not read to the respondent. ^INCTOTAL_A is unusually high. Make corrections if necessary.
Check Text: ERR1_INCTOTAL_A
Check Description: Income low soft edit
Check Text: {signal ERR1_INCTOTAL_A} Do not read to the respondent. ^INCTOTAL_A is unusually low. Make corrections if necessary. Replicate To: INCTOTAL_C
Question ID: INC.0120.00.1
Variable: INCTOTAL_C
Interview Module: Child
Content Type: Annual Core
Question text:
When answering this next question, please remember to include your income PLUS the income of all family members living in this household.
What is your best estimate of the total income of all family members from all sources, before taxes, in the last calendar year?
Enter '999995' if the reported income is $999,995 or greater.
Response:
000000-999995 - Range of values
999997 - Refused
999999 - Don't Know
Universe:
Sample Children 0-17 and Sample Adult and Sample Child are in the same family and the Sample Adult INC section has not been completed OR the Sample Adult and Sample Child are not in the same family OR the Sample Adult and the Sample Child are in the same family and the Sample Adult is not the Sample Child respondent and every question asked in the Sample Adult income section was don't know or refused and both the income from wages and income from accounts questions have not been refused
Skip Instructions:
0-999 [goto ERR1_INCTOTAL_C]
250001-999995 [goto ERR2_INCTOTAL_C]
1000-250000 [goto next section]
RF,DK [goto INC250PCT_C]
Soft Edit:
Check Text: ERR2_INCTOTAL_C
Check Description: Income high soft edit
Check Text: {signal ERR2_INCTOTAL_C} Do not read to the respondent. ^INCTOTAL_C is unusually high. Make corrections if necessary.
Check Text: ERR1_INCTOTAL_C
Check Description: Income low soft edit
Check Text: {signal ERR1_INCTOTAL_C} Do not read to the respondent. ^INCTOTAL_C is unusually low. Make corrections if necessary. Replicate To: INCTOTAL_A

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2020
Survey form view entire document:  text  image
Question ID: INC.0130.00.1
Variable: INCTOTAL_A
Interview Module: Adult
Content Type: Annual Core
Question text:
^INCALLFAM
What is your best estimate of ^TOTALINCOME from all sources, before taxes, in ^LASTYEAR?
* Enter '999995' if the reported income $999,995 or greater.
Fills:
^INCALLFAM
Description: INCTOTAL_A Introduction
Instruction:
IF PCNT_A GT 1 fill "When answering this next question, please remember to include your income PLUS the income of
all family members living in this household."
^TOTALINCOME
Description: your total income/the total income of all family members
Instruction:
If PCNT_A=1 fill "your total income" else if PCNT_A GT 1 fill "the total income of all family members"
^LASTYEAR
Description: Last year
Instruction:
Fill year prior to current year
Response:
000000-999995 - Range of values
999997 - Refused
999999 - Don't Know
Universe:
Sample Adults 18+ and Sample Adult and Sample Child are in the same family and the Sample Child INC section has not been completed OR the Sample Adult and Sample Child are not in the same family OR Sample Adult and Sample Child are in the same family, Sample Child respondent answered all questions asked in the INC section with dk/rf and Sample Adult is not the Sample Child respondent and the Sample Adult did not refuse both the income from wages and income from accounts questions
Skip Instructions:
0-999 [goto ERR1_INCTOTAL_A]
250001-999995 [goto ERR2_INCTOTAL_A]
1000-250000 [goto next section]
RF,DK [goto INC250PCT_A]
Soft Edit:
Check Text: ERR2_INCTOTAL_A
Check Description: Income high soft edit
Check Text: {signal ERR2_INCTOTAL_A} Do not read to the respondent. ^INCTOTAL_A is unusually high. Make corrections if necessary.
Check Text: ERR1_INCTOTAL_A
Check Description: Income low soft edit
Check Text: {signal ERR1_INCTOTAL_A} Do not read to the respondent. ^INCTOTAL_A is unusually low. Make corrections if necessary. Replicate To: INCTOTAL_C
Question ID: INC.0120.00.1
Variable: INCTOTAL_C
Interview Module: Child
Content Type: Annual Core
Question text:
When answering this next question, please remember to include your income PLUS the income of all
family members living in this household.
What is your best estimate of the total income of all family members from all sources, before
taxes, in the last calendar year?
* Enter '999995' if the reported income is $999,995 or greater.
Response:
000000-999995 - Range of values
999997 - Refused
999999 - Don't Know
Universe:
Sample Children 0-17 and Sample Adult and Sample Child are in the same family and the Sample Adult INC section has not been completed OR the Sample Adult and Sample Child are not in the same family OR the Sample Adult and the Sample Child are in the same family and the Sample Adult is not the Sample Child respondent and every question asked in the Sample Adult income section was don't know or refused and both the income from wages and income from accounts questions have not been refused
Skip Instructions:
0-999 [goto ERR1_INCTOTAL_C]
250001-999995 [goto ERR2_INCTOTAL_C]
1000-250000 [goto next section]
RF,DK [goto INC250PCT_C]
Soft Edit:
Check Text: ERR2_INCTOTAL_C
Check Description: Income high soft edit
Check Text: {signal ERR2_INCTOTAL_C} Do not read to the respondent. ^INCTOTAL_C is unusually high. Make corrections if necessary.
Check Text: ERR1_INCTOTAL_C
Check Description: Income low soft edit
Check Text: {signal ERR1_INCTOTAL_C} Do not read to the respondent. ^INCTOTAL_C is unusually low. Make corrections if necessary. Replicate To: INCTOTAL_A

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2019
Survey form view entire document:  text  image
Question ID: INC.0130.00.1
Variable: INCTOTAL_A
Interview Module: Adult
Content Type: Annual Core

Question Text:

^INCALLFAM

What is your best estimate of ^TOTALINCOME from all sources, before taxes, in ^LASTYEAR?

Enter '999995' if the reported income $999,995 or greater.
Fills:
^INCALLFAM

Description INCTOTAL_A Introduction
Instruction IF PCNT_A GT 1 fill "When answering this next question, please remember to include your income PLUS the income of all family members living in this household."

^TOTALINCOME

Description your total income/the total income of all family members
Instruction If PCNT_A=1 fill "your total income" else if PCNT_A GT 1 fill "the total income of all family members"

^LASTYEAR

Description Last year
Instruction Fill year prior to current year
Response:
000000-999995 Range of values
999997 Refused
999998 Not Ascertained
999999 Do not Know
Universe:
Sample Adults 18+ and Sample Adult and Sample Child are in the same family and the Sample Child INC section has not been completed OR the Sample Adult and Sample Child are not in the same family OR Sample Adult and Sample Child are in the same family, Sample Child respondent answered all questions asked in the INC section with dk/rf and Sample Adult is not the Sample Child respondent and the Sample Adult did not refuse both the income from wages and income from accounts questions
Skip Instructions:
0-999 = [goto ERR1_INCTOTAL_A]
250001-999995 = [goto ERR2_INCTOTAL_A]
1000-250000 = [goto next section]
RF,DK = [goto INC250PCT_A]
Soft Edit:
ERR2_INCTOTAL_A

Check Description: Income high soft edit
Check Text: {signal ERR2_INCTOTAL_A} Do not read to the respondent. ^INCTOTAL_A is unusually high. Make corrections if necessary.

ERR1_INCTOTAL_A

Check Description: Income low soft edit
Check Text: {signal ERR1_INCTOTAL_A} Do not read to the respondent. ^INCTOTAL_A is unusually low. Make corrections if necessary.
Replicate To:
INCTOTAL_C
Question ID: INC.0150.00.1
Variable: INC250PCT_A
Interview Module: Adult
Content Type: Annual Core

Question Text:

Was your total ^FAMILY income from all sources less than ^250POVERTY_A or ^250POVERTY_A or more?
Fills:
^FAMILY

Description family
Instruction If PCNT_A > 1 fill "family"

^250POVERTY_A

Description 250% of poverty threshold
Instruction Fill value stored in INC250FILL_A
Response:
1 Less than ^250POVERTY_A
2 ^250POVERTY_A or more
7 Refused
9 Do not Know
Universe:
Sample Adult 18+ who do not know or refuse the total family income and Sample Adult and Sample Child are in the same family and the Sample Child INC section has not been completed OR the Sample Adult and Sample Child are not in the same family OR Sample Adult and Sample Child are in the same family, Sample Child respondent answered all questions asked in the INC section with dk/rf and Sample Adult is not the Sample Child respondent

Skip Instructions:
1 = [goto INC138PCT_A]
2 = if GEN.PCNT_A IN (1,2) [goto INC75K_A]
else if GEN.PCNT_A=4 or GEN.PCNT_A ge 7 [goto INC400PCT_A] else if GEN.PCNT_A IN (3,5,6) [goto INC100K_A]
RF,DK = [goto next section]
Replicate To:
INC250PCT_C
Question ID: INC.0160.00.1
Variable: INC138PCT_A
Interview Module: Adult
Content Type: Annual Core

Question Text:

Was your total ^FAMILY income from all sources less than ^138POVERTY_A or ^138POVERTY_A or more?
Fills:
^FAMILY
Description family
Instruction If PCNT_A > 1 fill "family"

^138POVERTY_A

Description 138% of poverty threshold
Instruction Fill value stored in INC138FILL_A
Response:
1 Less than ^138POVERTY_A
2 ^138POVERTY_A or more
7 Refused
9 Do not Know

Universe:

Sample Adult 18+ answered less than 250% of poverty threshold and Sample Adult and Sample Child are in the same family and the Sample Child INC section has not been completed OR the Sample Adult and Sample Child are not in the same family OR Sample Adult and Sample Child are in the same family, Sample Child respondent answered all questions asked in the INC section with dk/rf and Sample Adult is not the Sample Child respondent
Skip Instructions:
1 = [goto INC100PCT_A]
2 = [goto INC200PCT_A]
RF,DK = [goto next section]
Replicate To:
INC138PCT_C
Question ID: INC.0170.00.1
Variable: INC100PCT_A
Interview Module: Adult
Content Type: Annual Core

Question Text:

Was your total ^FAMILY income from all sources less than ^100POVERTY_A or ^100POVERTY_A or more?
Fills:
^FAMILY

Description family
Instruction If PCNT_A > 1 fill "family"

^100POVERTY_A

Description 100% of poverty threshold
Instruction Fill value stored in INC100FILL_A
Response:
1 Less than ^100POVERTY_A
2 ^100POVERTY_A or more
7 Refused
9 Do not Know
Universe:
Sample Adults 18+ who answered less than 138% of poverty threshold and Sample Adult and Sample Child are in the same family and the Sample Child INC section has not been completed OR the Sample Adult and Sample Child are not in the same family OR Sample Adult and Sample Child are in the same family, Sample Child respondent answered all questions asked in the INC section with dk/rf and Sample Adult is not the Sample Child respondent
Skip Instructions:
1,2,RF,DK = [goto next section]
Replicate To:
INC100PCT_C
Question ID: INC.0120.00.1
Variable: INCTOTAL_C
Interview Module: Child
Content Type: Annual Core
Question Text:
When answering this next question, please remember to include your income PLUS the income of all family members living in this household.

What is your best estimate of the total income of all family members from all sources, before taxes, in the last calendar year?

Enter '999995' if the reported income is $999,995 or greater.

Response:

000000-999995 Range of values
999997 Refused
999998 Not Ascertained
999999 Do not Know
Universe:
Sample Children 0-17 and Sample Adult and Sample Child are in the same family and the Sample Adult INC section has not been completed OR the Sample Adult and Sample Child are not in the same family OR the Sample Adult and the Sample Child are in the same family and the Sample Adult is not the Sample Child respondent and every question asked in the Sample Adult income section was do not know or refused and both the income from wages and income from accounts questions have not been refused
Skip Instructions:
0-999= [goto ERR1_INCTOTAL_C]
250001-999995= [goto ERR2_INCTOTAL_C]
1000-250000= [goto next section]
RF,DK= [goto INC250PCT_C]
Soft Edit:
Check Text: ERR2_INCTOTAL_C
Check Description: Income high soft edit
Check Text:{signal ERR2_INCTOTAL_C}
Do not read to the respondent.
^INCTOTAL_C is unusually high. Make corrections if necessary.
Check Text: ERR1_INCTOTAL_C
Check Description: Income low soft edit
Check Text:{signal ERR1_INCTOTAL_C}
Do not read to the respondent.
^INCTOTAL_C is unusually low. Make corrections if necessary.
Replicate To
INCTOTAL_A
Question ID: INC.0140.01.1
Variable: INC250PCT_C
Interview Module: Child
Content Type: Annual Core

Question Text:

Was your total family income from all sources less than ^250POVERTY_C or ^250POVERTY_C or more?
Fills:
^250POVERTY_C

Description: 250% of poverty threshold
Instruction: fill value stored in Child.INC.INC250PCT_C
Response:
1 Less than ^250POVERTY_C
2 ^250POVERTY_C or more
7 Refused
9 Do not Know
Universe:
Sample Children 0-17 who do not know or refuse the total family income and Sample Adult and Sample Child are in the same family and the Sample Adult INC section has not been completed OR the Sample Adult and Sample Child are not in the same family OR the Sample Adult and the Sample Child are in the same family and the Sample Adult is not the Sample Child respondent and every question asked in the Sample Adult income section was do not know or refused
Skip Instructions:
1= [goto INC138PCT_C]
2= if GEN.PCNT_C=2 [goto INC75K_C];
else if GEN.PCNT_C=4 OR GEN.PCNT_C ge 7 [goto INC400PCT_C]; else if GEN.PCNT_C IN (3,5,6) [goto INC100K_C]
RF,DK= [goto next section]
Replicate To
INC250PCT_A
Question ID: INC.0150.01.
Variable: INC138PCT_C
Interview Module: Child
Content Type: Annual Core
Question Text:
Was your total family income from all sources less than ^138POVERTY_C or ^138POVERTY_C or more?
Fills:
^138POVERTY_C

Description: 138% of poverty threshold
Instruction: fill value stored in Child.INC.INC138PCT_C
Response:
1 Less than ^138POVERTY_C
2 ^138POVERTY_C or more
7 Refused
9 Do not Know
Universe:
Sample Children 0-17 answered less than 250% of poverty threshold and Sample Adult and Sample Child are in the same family and the Sample Adult INC section has not been completed OR the Sample Adult and Sample Child are not in the same family OR the Sample Adult and the Sample Child are in the same family and the Sample Adult is not the Sample Child respondent and every question asked in the Sample Adult income section was do not know or refused
Skip Instructions:
1= [goto INC100PCT_C]
2= [goto INC200PCT_C]
RF,DK= [goto next section]
Replicate To
INC138PCT_A
Question ID: INC.0160.01.1
Variable: INC100PCT_C
Interview Module: Child
Content Type: Annual Core
Question Text:
Was your total family income from all sources less than ^100POVERTY_C or ^100POVERTY_C or more?
Fills:
^100POVERTY_C

Description: 100% of poverty threshold
Instruction: fill value stored in Child.INC.INC100PCT_C
Response:
1 Less than ^100POVERTY_C
2 ^100POVERTY_C or more
7 Refused
9 Do not Know
Universe:
Sample Children 0-17 who answered less than 138% of poverty threshold and Sample Adult and Sample Child are in the same family and the Sample Adult INC section has not been completed OR the Sample Adult and Sample Child are not in the same family OR the Sample Adult and the Sample Child are in the same family and the Sample Adult is not the Sample Child respondent and every question asked in the Sample Adult income section was do not know or refused
Skip Instructions:
1,2,RF,DK= [goto next section]
Replicate To
INC100PCT_A