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

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INTROTIN [IF SAMPLE A] The next two questions are about [(your/SAMPLE MEMBER’S) POSS] total personal income<br />

from all sources during [CURRENT YEAR - 1] be<strong>for</strong>e taxes <strong>and</strong> other deductions.<br />

[IF INCFILLP NE BLANK] Please include money from[ INCFILLP1, INCFILLP2, INCFILLP3, <strong>and</strong> INCFILLP<br />

UNTIL ALL INCFILLPS INSERTED] that we just talked about.<br />

PRESS [ENTER] TO CONTINUE.<br />

QI20<br />

[IF SAMPLE A] Be<strong>for</strong>e taxes <strong>and</strong> other deductions, was [(your/SAMPLE MEMBER’S) POSS] total personal<br />

income during [CURRENT YEAR - 1] more or less than 20,000 dollars?<br />

(Income data are important in analyzing the health in<strong>for</strong>mation we collect. For example, the in<strong>for</strong>mation helps us<br />

to learn whether persons in one income group use certain types of medical care services or have conditions more<br />

or less often than those in another group.)<br />

1 $20,000 OR MORE<br />

2 LESS THAN $20,000<br />

DK/REF<br />

INTERVIEWER NOTE:<br />

Do not include money received from loans or tax refunds.<br />

INTRTINN [IF SAMPLE B] HAND R SHOWCARD 16a. Here is a list of some other sources of income. When you answer<br />

the next questions, please consider these as well as the other sources that we just talked about.<br />

INTERVIEWER: PLEASE READ THIS ALOUD TO THE RESPONDENT AS HE/SHE FOLLOWS ALONG<br />

ON THE SHOWCARD.<br />

Social Security payments<br />

Railroad Retirement payments<br />

Veteran’s Administration payments<br />

Other disability, retirement or survivor pension<br />

Unemployment or worker’s compensation<br />

Interest income<br />

Dividends from stocks or mutual funds<br />

Income from rental properties, royalties, estates or trusts<br />

Alimony<br />

Child support<br />

PRESS [ENTER] TO CONTINUE.<br />

QI20N [IF SAMPLE B]<br />

[IF NO FAMILY MEMBERS IN ROSTER] Be<strong>for</strong>e taxes <strong>and</strong> other deductions, was your total personal<br />

income from all sources during [CURRENT YEAR - 1] more or less than 20,000 dollars?<br />

[IF AT LEAST ONE FAMILY MEMBER IN ROSTER] First I am going to ask about [SAMPLE MEMBER<br />

POSS] own personal income, <strong>and</strong> then I will ask about your family income. Be<strong>for</strong>e taxes <strong>and</strong> other deductions,<br />

was [SAMPLE MEMBER POSS] total personal income from all sources during [CURRENT YEAR – 1] more<br />

or less than 20,000 dollars?<br />

(Income data are important in analyzing the health in<strong>for</strong>mation we collect. For example, the in<strong>for</strong>mation helps us<br />

to learn whether persons in one income group use certain types of medical care services or have conditions more<br />

or less often than those in another group.)<br />

1 $20,000 OR MORE<br />

2 LESS THAN $20,000<br />

DK/REF<br />

INTERVIEWER NOTE:<br />

Do not include money received from loans or tax refunds.<br />

HAND18a [IF QI20=2 OR QI20N = 2] HAND R SHOWCARD 17.<br />

PRESS [ENTER] TO CONTINUE.<br />

December 2, 2005 430

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