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2020

No questionnaire text is available for this sample.

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2019

No questionnaire text is available for this sample.

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2018

Survey form view entire document: text image

IN45A
=====

[PERSON'S FIRST MIDDLE AND LAST NAME]
For how many months in [YEAR] did (PERSON) receive checks from public assistance?

[Enter Number of Months] ................ [IN45B]
REF .................................... -7 [IN45B]
DK ..................................... -8 [IN45B]
----------------------------------------------------
(FOR SPECIFICATIONS PURPOSES ONLY; CAPI HANDLES AUTOMATICALLY:) IF ROUND 3, DISPLAY FIRST CALENDAR YEAR OF PANEL FOR [YEAR]. IF ROUND 5, DISPLAY SECOND CALENDAR YEAR OF PANEL FOR [YEAR].
----------------------------------------------------
----------------------------------------------------
HARD CHECK:
RANGE CHECK: 1-12
----------------------------------------------------

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2017

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IN45A
=====

[PERSON'S FIRST MIDDLE AND LAST NAME]
For how many months in [YEAR] did (PERSON) receive checks from public assistance?

[Enter Number of Months] ................ [IN45B]
REF .................................... -7 [IN45B]
DK ..................................... -8 [IN45B]
----------------------------------------------------
(FOR SPECIFICATIONS PURPOSES ONLY; CAPI HANDLES AUTOMATICALLY:) IF ROUND 3, DISPLAY FIRST CALENDAR YEAR OF PANEL FOR [YEAR]. IF ROUND 5, DISPLAY SECOND CALENDAR YEAR OF PANEL FOR [YEAR].
----------------------------------------------------
----------------------------------------------------
HARD CHECK:
RANGE CHECK: 1-12
----------------------------------------------------

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2016

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IN45A
=====

[PERSON'S FIRST MIDDLE AND LAST NAME]
For how many months in [YEAR] did (PERSON) receive checks from public assistance?

[Enter Number of Months] ................ [IN45B]
REF .................................... -7 [IN45B]
DK ..................................... -8 [IN45B]
----------------------------------------------------
(FOR SPECIFICATIONS PURPOSES ONLY; CAPI HANDLES AUTOMATICALLY:) IF ROUND 3, DISPLAY FIRST CALENDAR YEAR OF PANEL FOR [YEAR]. IF ROUND 5, DISPLAY SECOND CALENDAR YEAR OF PANEL FOR [YEAR].
----------------------------------------------------
----------------------------------------------------
HARD CHECK:
RANGE CHECK: 1-12
----------------------------------------------------

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2015

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IN45A
=====

[PERSON'S FIRST MIDDLE AND LAST NAME]
For how many months in [YEAR] did (PERSON) receive checks from public assistance?

[Enter Number of Months] ................ [IN45B]
REF .................................... -7 [IN45B]
DK ..................................... -8 [IN45B]
----------------------------------------------------
(FOR SPECIFICATIONS PURPOSES ONLY; CAPI HANDLES AUTOMATICALLY:) IF ROUND 3, DISPLAY FIRST CALENDAR YEAR OF PANEL FOR [YEAR]. IF ROUND 5, DISPLAY SECOND CALENDAR YEAR OF PANEL FOR [YEAR].
----------------------------------------------------
----------------------------------------------------
HARD CHECK:
RANGE CHECK: 1-12
----------------------------------------------------

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2014

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IN45A
=====

[PERSON'S FIRST MIDDLE AND LAST NAME]
For how many months in [YEAR] did (PERSON) receive checks from public assistance?

[Enter Number of Months] ................ [IN45B]
REF .................................... -7 [IN45B]
DK ..................................... -8 [IN45B]
----------------------------------------------------
(FOR SPECIFICATIONS PURPOSES ONLY; CAPI HANDLES AUTOMATICALLY:) IF ROUND 3, DISPLAY FIRST CALENDAR YEAR OF PANEL FOR [YEAR]. IF ROUND 5, DISPLAY SECOND CALENDAR YEAR OF PANEL FOR [YEAR].
----------------------------------------------------
----------------------------------------------------
HARD CHECK:
RANGE CHECK: 1-12
----------------------------------------------------

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2013

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IN45A
=====

[PERSON'S FIRST MIDDLE AND LAST NAME]
For how many months in [YEAR] did (PERSON) receive checks from public assistance?

[Enter Number of Months] ................ [IN45B]
REF .................................... -7 [IN45B]
DK ..................................... -8 [IN45B]
----------------------------------------------------
(FOR SPECIFICATIONS PURPOSES ONLY; CAPI HANDLES AUTOMATICALLY:) IF ROUND 3, DISPLAY FIRST CALENDAR YEAR OF PANEL FOR [YEAR]. IF ROUND 5, DISPLAY SECOND CALENDAR YEAR OF PANEL FOR [YEAR].
----------------------------------------------------
----------------------------------------------------
HARD CHECK:
RANGE CHECK: 1-12
----------------------------------------------------

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2012

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IN45A
=====

[PERSON'S FIRST MIDDLE AND LAST NAME]
For how many months in [YEAR] did (PERSON) receive checks from public assistance?

[Enter Number of Months] ................ [IN45B]
REF .................................... -7 [IN45B]
DK ..................................... -8 [IN45B]
----------------------------------------------------
(FOR SPECIFICATIONS PURPOSES ONLY; CAPI HANDLES AUTOMATICALLY:) IF ROUND 3, DISPLAY FIRST CALENDAR YEAR OF PANEL FOR [YEAR]. IF ROUND 5, DISPLAY SECOND CALENDAR YEAR OF PANEL FOR [YEAR].
----------------------------------------------------
----------------------------------------------------
HARD CHECK:
RANGE CHECK: 1-12
----------------------------------------------------

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2011

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IN45A
=====

[PERSON'S FIRST MIDDLE AND LAST NAME]
For how many months in [YEAR] did (PERSON) receive checks from public assistance?

[Enter Number of Months] ................ [IN45B]
REF .................................... -7 [IN45B]
DK ..................................... -8 [IN45B]
----------------------------------------------------
(FOR SPECIFICATIONS PURPOSES ONLY; CAPI HANDLES AUTOMATICALLY:) IF ROUND 3, DISPLAY FIRST CALENDAR YEAR OF PANEL FOR [YEAR]. IF ROUND 5, DISPLAY SECOND CALENDAR YEAR OF PANEL FOR [YEAR].
----------------------------------------------------
----------------------------------------------------
HARD CHECK:
RANGE CHECK: 1-12
----------------------------------------------------

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2010

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IN45A
=====

[PERSON'S FIRST MIDDLE AND LAST NAME]
For how many months in [YEAR] did (PERSON) receive checks from public assistance?

[Enter Number of Months] ................ [IN45B]
REF .................................... -7 [IN45B]
DK ..................................... -8 [IN45B]
----------------------------------------------------
(FOR SPECIFICATIONS PURPOSES ONLY; CAPI HANDLES AUTOMATICALLY:) IF ROUND 3, DISPLAY FIRST CALENDAR YEAR OF PANEL FOR [YEAR]. IF ROUND 5, DISPLAY SECOND CALENDAR YEAR OF PANEL FOR [YEAR].
----------------------------------------------------
----------------------------------------------------
HARD CHECK:
RANGE CHECK: 1-12
----------------------------------------------------

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2009

Survey form view entire document: text image

IN45A
=====

[PERSON'S FIRST MIDDLE AND LAST NAME]
For how many months in [YEAR] did (PERSON) receive checks from public assistance?

[Enter Number of Months] ................ [IN45B]
REF .................................... -7 [IN45B]
DK ..................................... -8 [IN45B]
----------------------------------------------------
(FOR SPECIFICATIONS PURPOSES ONLY; CAPI HANDLES AUTOMATICALLY:) IF ROUND 3, DISPLAY FIRST CALENDAR YEAR OF PANEL FOR [YEAR]. IF ROUND 5, DISPLAY SECOND CALENDAR YEAR OF PANEL FOR [YEAR].
----------------------------------------------------
----------------------------------------------------
HARD CHECK:
RANGE CHECK: 1-12
----------------------------------------------------

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2008

Survey form view entire document: text image

IN45A
=====

[PERSON'S FIRST MIDDLE AND LAST NAME]
For how many months in [YEAR] did (PERSON) receive checks from public assistance?

[Enter Number of Months] ................ [IN45B]
REF .................................... -7 [IN45B]
DK ..................................... -8 [IN45B]
----------------------------------------------------
(FOR SPECIFICATIONS PURPOSES ONLY; CAPI HANDLES AUTOMATICALLY:) IF ROUND 3, DISPLAY FIRST CALENDAR YEAR OF PANEL FOR [YEAR]. IF ROUND 5, DISPLAY SECOND CALENDAR YEAR OF PANEL FOR [YEAR].
----------------------------------------------------
----------------------------------------------------
HARD CHECK:
RANGE CHECK: 1-12
----------------------------------------------------

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2007

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2006

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2005

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2004

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2003

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2002

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IN45A
=====

[PERSON'S FIRST MIDDLE AND LAST NAME]
For how many months in 2002 did (PERSON) receive checks from public assistance?

[Enter Number of Months] ................
REF .................................... -7
DK ..................................... -8
----------------------------------------------------
RANGE CHECK: 1-12
----------------------------------------------------

IN45B
=====

[PERSON'S FIRST MIDDLE AND LAST NAME]
On average, how much money did (PERSON) get per month [from public assistance in 2002]?

[Enter $ Amount] ........................ [END_LP05]
REF .................................... -7 [END_LP05]
DK ..................................... -8
----------------------------------------------------
SOFT RANGE CHECK: 0-50,000
----------------------------------------------------

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2001

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IN45A
=====

[PERSON'S FIRST MIDDLE AND LAST NAME]
For how many months in 2001 did (PERSON) receive checks from public assistance?

[Enter Number of Months] ................
REF .................................... -7
DK ..................................... -8
----------------------------------------------------
RANGE CHECK: 1-12
----------------------------------------------------

IN45B
=====

[PERSON'S FIRST MIDDLE AND LAST NAME]
On average, how much money did (PERSON) get per month [from public assistance in 2001]?

[Enter $ Amount] ........................ [END_LP05]
REF .................................... -7 [END_LP05]
DK ..................................... -8
----------------------------------------------------
SOFT RANGE CHECK: 0-50,000
----------------------------------------------------

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2000

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IN45A
=====

[PERSON'S FIRST MIDDLE AND LAST NAME]
For how many months in 2000 did (PERSON) receive checks from public assistance?

[Enter Number of Months] ................
REF .................................... -7
DK ..................................... -8
----------------------------------------------------
RANGE CHECK: 1-12
----------------------------------------------------

IN45B
=====

[PERSON'S FIRST MIDDLE AND LAST NAME]
On average, how much money did (PERSON) get per month [from public assistance in 2000]?

[Enter $ Amount] ........................ [END_LP05]
REF .................................... -7 [END_LP05]
DK ..................................... -8
----------------------------------------------------
SOFT RANGE CHECK: 0-50,000
----------------------------------------------------

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1999

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IN45A
=====

[PERSON'S FIRST MIDDLE AND LAST NAME]
For how many months in 1999 did (PERSON) receive checks from public assistance?

[Enter Number of Months] ................
REF .................................... -7
DK ..................................... -8
----------------------------------------------------
RANGE CHECK: 1-12
----------------------------------------------------

IN45B
=====

[PERSON'S FIRST MIDDLE AND LAST NAME]
On average, how much money did (PERSON) get per month [from public assistance in 1999]?

[Enter $ Amount] ........................ [END_LP05]
REF .................................... -7 [END_LP05]
DK ..................................... -8
----------------------------------------------------
SOFT RANGE CHECK: 0-50,000
----------------------------------------------------

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1998

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IN40A
=====

[PERSON'S FIRST MIDDLE AND LAST NAME]
For how many months in 1998 did (PERSON) receive money from Supplemental Security Income?

[Enter Number of Months] ................
REF .................................... -7
DK ..................................... -8
----------------------------------------------------
RANGE CHECK: 1-12
----------------------------------------------------

IN40B
=====

[PERSON'S FIRST MIDDLE AND LAST NAME]
On average, how much money did (PERSON) get per month [from Supplemental Security Income in 1998]?

[Enter $ Amount] ........................ [END_LP04]
REF .................................... -7 [END_LP04]
DK ..................................... -8
----------------------------------------------------
SOFT RANGE CHECK: 0-50,000
----------------------------------------------------

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1997

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IN45A
=====

[PERSON'S FIRST MIDDLE AND LAST NAME]
For how many months in 1997 did (PERSON) receive checks from public assistance?

[Enter Number of Months] ................
REF .................................... -7
DK ..................................... -8
----------------------------------------------------
RANGE CHECK: 1-12
----------------------------------------------------

IN45B
=====

[PERSON'S FIRST MIDDLE AND LAST NAME]
On average, how much money did (PERSON) get per month [from public assistance in 1997]?

[Enter $ Amount] ........................ [END_LP05]
REF .................................... -7 [END_LP05]
DK ..................................... -8
----------------------------------------------------
SOFT RANGE CHECK: 0-50,000
----------------------------------------------------

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1996

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IN45A
=====

[PERSON'S FIRST MIDDLE AND LAST NAME]
For how many months in 1996 did (PERSON) receive checks from public assistance?

[Enter Number of Months] ................
REF .................................... -7
DK ..................................... -8
----------------------------------------------------
RANGE CHECK: 1-12
----------------------------------------------------

IN45B
=====

[PERSON'S FIRST MIDDLE AND LAST NAME]
On average, how much money did (PERSON) get per month [from public assistance in 1996]?

[Enter $ Amount] ........................ [END_LP05]
REF .................................... -7 [END_LP05]
DK ..................................... -8
----------------------------------------------------
SOFT RANGE CHECK: 0-50,000
----------------------------------------------------

2020	2013	2006	1999
2019	2012	2005	1998
2018	2011	2004	1997
2017	2010	2003	1996
2016	2009	2002
2015	2008	2001
2014	2007	2000

Survey Text