2006 NSDUH CAI Specs for Programming - Substance Abuse and ...

QI12AN
[IF SAMPLE B] AND (QI08N=1 OR QI10N=1) AND QI07N=2]
[IF ONE FAMILY MEMBER IN ROSTER AND HASJOIN NE 1] For how many months in [CURRENT YEAR
- 1] did you or your [FAMILY RELATIONSHIP FILL] receive any type of welfare or public assistance?
[IF ONE FAMILY MEMBER IN ROSTER AND HASJOIN=1] For how many months in [CURRENT YEAR -
1] did [SAMPLE MEMBER] or you receive any type of welfare or public assistance?
[IF AT LEAST TWO FAMILY MEMBER IN ROSTER] For how many months in [CURRENT YEAR - 1] did
[SAMPLE MEMBER] or any other family member living here receive any type of welfare or public assistance?
# OF MONTHS RECEIVED ASSISTANCE: [RANGE: 1 - 12]
DK/REF
QI12BN
[IF SAMPLE B AND (QI08N=1 OR QI10N=1) AND QI07N=(1, DK OR REF)]
[IF ONE FAMILY MEMBER IN ROSTER AND HASJOIN NE 1] For how many months in [CURRENT YEAR
- 1] did you or your [FAMILY RELATIONSHIP FILL] receive any type of welfare or public assistance, not
including food stamps?
[IF ONE FAMILY MEMBER IN ROSTER AND HASJOIN=1] For how many months in [CURRENT YEAR -
1] did [SAMPLE MEMBER] or you receive any type of welfare or public assistance, not including food stamps?
[IF AT LEAST TWO FAMILY MEMBER IN ROSTER] For how many months in [CURRENT YEAR - 1] did
[SAMPLE MEMBER] or any other family member living here receive any type of welfare or public assistance,
not including food stamps?
# OF MONTHS RECEIVED ASSISTANCE: [RANGE: 1 - 12]
DK/REF
QI12A
[IF SAMPLE A AND QI08=1 OR QI09A=1 OR QI09B=1 OR QI10=1 OR QI11a =1 OR QI11b = 1 AND
(QI07a=2 OR QI07b=2)] For how many months in [CURRENT YEAR - 1] did [(you/SAMPLE MEMBER)] or
any other family member living here [SAMPLE MEMBER POSS] [FAMILY RELATIONSHIP FILLS] receive
any type of welfare or public assistance?
# OF MONTHS RECEIVED ASSISTANCE: [RANGE: 1 - 12]
DK/REF
QI12B
[IF SAMPLE A AND QI08=1 OR QI09A=1 OR QI09B=1 OR QI10=1 OR QI11a =1 OR QI11b = 1 AND
(QI07A = 1, DK/REF OR QI07B=1, DK/REF)]. For how many months in [CURRENT YEAR - 1] did
[(you/SAMPLE MEMBER)] or any other family member living here [SAMPLE MEMBER POSS] [FAMILY
RELATIONSHIP FILLS]receive any type of welfare or public assistance, not including food stamps?
# OF MONTHS RECEIVED ASSISTANCE: [RANGE: 1 - 12]
DK/REF
QI13
[IF SAMPLE A] In [CURRENT YEAR - 1], did [(you/SAMPLE MEMBER)] have money in any kind of savings
or other bank account that earned interest or did [(you/SAMPLE MEMBER)] receive dividend income from
stocks or mutual funds or income from rental property, royalties, estates, or trusts?
(Include money market funds, treasury notes, IRAs or certificates of deposit, interest earning checking accounts,
bonds, or any other investments that earn interest.)
1 YES
2 NO
DK/REF
INTERVIEWER NOTE:
Dividends: Some people make investments by purchasing shares of stock in
corporations. The corporation then distributes some of the profits to shareholders in the
form of dividends.
Mutual funds consist of investors who pool their money to purchase shares of stock.
December 2, 2005 425