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Evaluation of the Ticket to Work Program, Implementation ...

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C-10Table C.2. Overview <strong>of</strong> <strong>the</strong> National Beneficiary Survey QuestionnaireSection Title Of Section Respondents Receiving <strong>the</strong> SectionA Screener All respondentsB Disability/Current <strong>Work</strong> Status All respondentsC Current Employment Respondents who answer (B24 = YES)Question B24: Are you currently working at ajob or business for pay or pr<strong>of</strong>it?D Jobs/O<strong>the</strong>r Jobs During 2003 Respondents who answer (B30 = YES)Question B30: Did you work at a job or businessfor pay or pr<strong>of</strong>it anytime in 2004?EAwareness <strong>of</strong> SSA <strong>Work</strong> Incentive<strong>Program</strong>s and <strong>Ticket</strong> <strong>to</strong> <strong>Work</strong>All respondentsF <strong>Ticket</strong> Nonparticipants in 2003 Respondents who answer (E35 = NO, DON’TKNOW, OR REFUSED)Question E35: Did you ever try <strong>to</strong> get a <strong>Ticket</strong>from Social Security or anywhere else?ORRespondents who answer (E36 = NO, DON’TKNOW, OR REFUSED)Question E36: Have you ever used your <strong>Ticket</strong><strong>to</strong> sign up with an Employment Network?ORRespondents who answer (E37 = NO, DON’TKNOW, OR REFUSED)Question E37: Were you signed up with anyEmployment Network or a State VocationalRehabilitation Agency at any time in 2003?GEmployment-Related Services andSupports Used in 2003All respondentsH <strong>Ticket</strong> Participants in 2003 Respondents who answer (E37 = YES)Question E37: Were you signed up with anyEmployment Network or a State VocationalRehabilitation Agency at any time in 2003?I Health and Functional Status All respondentsJ Health Insurance All respondentsK Income and O<strong>the</strong>r Assistance All respondentsL Sociodemographic Information All respondentsMClosing Information andObservationsAll respondentsSource: MPR’s National Beneficiary Survey, Round One.Appendix C: National Beneficiary Survey Methodology

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