1

LIST-FRAME SCREENING INTERVIEW

>a0< My name is __________. We recently sent you a letter explaining that an interviewer

would contact you to take part in a study about the Food Stamp Program. The United

Stated Department of Agriculture wants to learn about your experiences with the Food

Stamp Program. Have you received a letter?

<1> YES, PROCEED WITH INTERVIEW [goto T130]

<0> NO, HAS NOT RECEIVED LETTER[goto plet]

<2> WANTS MORE INFORMATION [goto info]

<6> MESSAGE PHONE [goto msph]

<7> CALLBACK[goto T140]

<8> PROBLEM FOR SUPERVISOR[goto T160]

<9> REFUSED[goto T150] ===>

>RFS< Hello, my name is ____, I'm calling on behalf of the United States Department of

Agriculture. We are calling residents of your county to get there opinion for a study to

improve the Food Stamp Program. One of our interviewers recently called your

household and either you or someone else declined to participate. I am calling to check

if there was a problem or if our interviewer was rude or impolite. PAUSE BRIEFLY,

LET RESPONDENT COMMENT. I want to assure you that this is not a sales call and

we are not asking for a contribution. I have a few questions about your food stamp

benefits. After that, the computer may randomly select your household for a few

additional questions about your experiences using food stamps.

<1> CONTINUE, SAMPLED PERSON IS ON PHONE[goto T130]

<2> WANTS MORE INFORMATION [goto info]

<7> CALLBACK [goto T140]

<8> PROBLEMS -- LANGUAGE, SUPERVISOR REVIEW[goto T160]

<9> REFUSED [goto T150] ===>

>what< My name is __________. We recently sent you a letter explaining that an interviewer

would contact you to take part in a study about the Food Stamp Program. The United

Stated Department of Agriculture wants to learn about your experiences with the Food

Stamp Program. Have you received a letter?

INTERVIEWER: IF SAMPLE MEMBER COMES TO PHONE, REREAD INTRO

ABOVE, THEN CODE "1" TO CONTINUE.

<1> SAMPLE MEMBER ON PHONE, CONTINUE [goto T130]

<2> SAMPLE MEMBER UNAVAILABLE [goto thar]

<6> MESSAGE PHONE [goto msph]

<7> CALLBACK[goto T140]

<8> PROBLEM FOR SUPERVISOR[goto T160]

<9> REFUSED [goto thar]

===>
2

>info< WHAT IS THE STUDY ABOUT? The purpose of the study is to learn about people's

experiences with the Food Stamp Program. WHO IS SPONSORING/CONDUCTING THIS

STUDY? The United States Department of Agriculture, Food and Nutrition Service (USDA,

FNS) is sponsoring the study. Mathematica Policy Research, Inc., an independent research

and survey company located in Princeton, New Jersey is conducting the study for them.

WHY IS MATHEMATICA CALLING ME NOW? Mathematica would like you to take part

in an interview for the study. The interview is about you and your household, and your

experiences with the Food Stamp Program. HOW LONG WILL IT TAKE? The interview

has two parts. The first part will take between two and ten minutes and is used to determine

if you are eligible for the second part. Depending on your situation, the second part of the

interview will take between 15 and 40 minutes. We can do both parts of the interview

together, or we can schedule a call back to complete the second part.

<5> NEED MORE INFORMATION[goto inf2]

<1> CONTINUE SCREENER WITH SAMPLED PERSON [goto T130]

<7> CALLBACK [goto T140] <8> PROBLEMS--LANGUAGE, SUPERVISOR

REVIEW [goto T160]

<2> RESPONDENT WANTS LETTER [goto T141] <9> REFUSED [goto T150] ===>

>inf2< HOW WAS I SELECTED? You have been randomly selected from among active food stamp

clients to participate in the study. WILL PARTICIPATING IN THE STUDY AFFECT MY

BENEFITS? Your participation in the study will not affect any benefits you are receiving now

or at any time in the future. DO I HAVE TO PARTICIPATE? Although your participation

is very important, it is voluntary. Your participation will not affect any benefits you get now

or in the future. WILL THE INFORMATION BE CONFIDENTIAL? Yes. All information

collected will be kept strictly confidential and used only for research purposes with no names

attached. The results of the study are for research purposes only. IF I HAVE A QUESTION

ABOUT THE LEGITIMACY OF THE STUDY, WHO CAN I CALL? Please call XXXX,

the Survey Director at 1-800-XXX-XXXX. CAN YOU ANSWER QUESTIONS ABOUT

MY FOOD STAMP BENEFITS? I'm sorry, I cannot anwer those questions Please call [fill

INPH], for information about your food stamp benefits.

<1> CONTINUE SCREENER WITH SAMPLED PERSON [goto T130]

<7> CALLBACK [goto T140] <8> PROBLEMS--LANGUAGE, SUPERVISOR

REVIEW [goto T160]

<2> RESPONDENT WANTS LETTER [goto T141] <9> REFUSED [goto T150] ===>
3

>czip< This call may be monitored or recorded for quality assurance purposes.

Is your zipcode [fill ZIP:0]?

<1> YES

<0> NO [goto ZIP2]

<8> DON'T KNOW

<9> REFUSED

===>[goto zchk]

>ZIP2< Please tell me your zipcode.

INTERVIEWER: ENTER THE FIRST FIVE DIGITS OF ZIPCODE.

<00100-99999> ZIP CODE [goto zchk]

 <8> DON'T KNOW

 <9> REFUSED

===>[goto s1t]

>ZiP2< This call may be monitored or recorded for quality assurance purposes.

First, please tell me your zipcode.

INTERVIEWER: ENTER THE FIRST FIVE DIGITS OF ZIPCODE.

<00100-99999> ZIP CODE [goto zchk]

 <8> DON'T KNOW

<9> REFUSED

===>[goto s1t]

>zchk< Check zipcode
4

>s1m< When did you receive your most recent food stamp benefits? 

PROBE: When was your most recent food stamp benefits credited to

 your [fill EBT]?

INTERVIEWER: ENTER MONTH HERE AND DAY AND YEAR ON NEXT

SCREENS.

<1> JANUARY <7> JULY

<2> FEBRUARY <8> AUGUST

<3> MARCH <9> SEPTEMBER

<4> APRIL <10> OCTOBER

<5> MAY <11> NOVEMBER

<6> JUNE <12> DECEMBER

<98> DON'T KNOW

<99> REFUSED

===>[goto s1d]

>s1M< When did you receive your most recent food stamp benefits? 

INTERVIEWER: ENTER MONTH HERE AND DAY AND YEAR ON NEXT

SCREENS.

<1> JANUARY <7> JULY

<2> FEBRUARY <8> AUGUST

<3> MARCH <9> SEPTEMBER

<4> APRIL <10> OCTOBER

<5> MAY <11> NOVEMBER

<6> JUNE <12> DECEMBER

<98> DON'T KNOW

<99> REFUSED

===>

>s1d< ENTER DAY

<01-31>

<98> DON'T KNOW

<99> REFUSED

===>

>s1y< ENTER YEAR

19<90-98> [goto s20]

<8> DON'T KNOW

<9> REFUSED

===>[goto Ts20]
5

>s20< CATI: IS MONTH IN s1m EITHER THIS MONTH OR LAST MONTH? 

 [goto xs3] 

 

>s3< What was the amount of food stamp benefits you received in [fill SMon]?

PROBE: What was the amount of the food stamp benefits credited to your [fill EBT] in

[fill SMon]?

$<1-1500>

<9998> DON'T KNOW

<9999> REFUSED

===>[goto ts3]

>S3< What was the amount of food stamp benefits you received in [fill SMon]?

$<1-1500>

<9998> DON'T KNOW

<9999> REFUSED

===>

[goto s3a]

>Vs3< CHECK SCREEN

YOU HAVE RECORDED FOOD STAMP BENEFITS OF $[fill s3]. THE CODE FOR

DON'T KNOW IS 9998 AND THE CODE FOR REFUSED IS 9999. HAVE YOU

RECORDED THE CORRECT AMOUNT?

<1> YES, $[fill s3] IS CORRECT

<0> NO, NEED TO CHANGE AMOUNT ([fill s3])[goto xs3]

===>

>s3a< Did you complete a new application for food stamp benefits within the past three years,

that is since [fill y3]? 

Please do not include forms you may have completed for recertification.

<1> YES

<0> NO [goto rx1]

<8> DON'T KNOW [goto rx1]

<9> REFUSED [goto rx1]

===>
6

>s4< How many people live in your household? By household I mean yourself and the people

who live with you and share food with you.

PROBE: Include any persons who live with you more than half time.

<1-20> PERSONS IN HOUSEHOLD

<98> DON'T KNOW

<99> REFUSED

===>

>s5< Did you or anyone in your household work at a job for pay during [fill PMon] or [fill CMon]?

Please include all full- and part-time jobs but exclude any jobs held by school children under

18 years of age who live with you.

<1> YES

<0> NO

<8> DON'T KNOW

<9> REFUSED

===>[goto s6]

>S5< Did you work at a job for pay during [fill PMon] or [fill CMon]? 

Please include all full- and part-time jobs.

<1> YES

<0> NO

<8> DON'T KNOW

 <9> REFUSED

===>

>s6< Are you[fill hhld] 60 years of age or older?

<1> YES

<0> NO

<8> DON'T KNOW

<9> REFUSED

===>

>CH9< CATI : Is there a working or elderly person in the household?

If s5 ne 1 and s6 ne 1 go to rx1

>CH12< IS THIS A SHORT OR LONG INTERVIEW?

IF LONG, GO TO CH14.
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>CH13< CATI: DETERMINE APPROPRIATE QUESTIONNAIRE

 If s5=1 and s6=0, goto WORKING SHORT PARTICIPANT QSN

 If s5=0 and s6=1, goto ELDERLY SHORT PARTICIPANT QSN

If s5=1 and s6=1 RANDOMIZE BETWEEN WORKING AND ELDERLY SHORT

PARTICIPANT QSN

===> goto CH15

>CH14< CATI: GO TO APPROPRIATE QUESTIONNAIRE

 If s5=1 and s6=0, goto WORKING LONG PARTICIPANT QSN

 If s5=0 and s6=1, goto ELDERLY LONG PARTICIPANT QSN

If s5=1 and s6=1 RANDOMIZE BETWEEN WORKING AND ELDERLY LONG

PARTICIPANT QSN

>CH15< CATI: DETERMINE WHETHER FIELD

If FIELD, goto s26

If NOT FIELD, goto XXY

>s26< We would like to complete the remainder of this interview with you in person. [fill FINT]

will call you within a week or so to schedule an appointment. Let me confirm your

address:

[fill add1]

[fill city], [fill ST] [fill fzip]

INTERVIEWER: IF ADDRESS IS NOT CORRECT - RECORD CORRECT

ADDRESS ON THE CONTACT SHEET

<1> TO CONTINUE

<9> REFUSED TO ALLOW IN PERSON INTERVIEW

 ===> [goto CBIN]
8

>XXY< INTERVIEWER: IMMEDIATELY START INTERVIEWING RESPONDENT USING

THE [fill QCOL] QUESTIONNAIRE:

 [fill QSN].

Next, I'd like to ask about your household. . . .

<1> TO CONTINUE TO INFO SCREEN - AFTER HARD COPY IS FINISHED

<2> RESPONDENT BREAKS OFF - SCHEDULE CALLBACK FOR

PAPER (HARD COPY)

QUESTIONNAIRE - RECORD ON FRONT OF HARD COPY INSTRUMENT

<7> NON-RESIDEN CE/GROU P

QUARTERS/INSTITUTION/VACATION HOME [goto ntrs]

<9> RESPONDENT REFUSES TO DO HARD COPY INTERVIEW[goto pref]

===>

>INFO< THIS RESPONDENT IS ELIGIBLE FOR OUR STUDY - CONDUCT [fill QSN] WITH

THIS RESPONDENT. TRANSCRIBE THE FOLLOWING INFORMATION TO THE

FRONT OF THE [fill QCOL] QUESTIONNAIRE.

MPR ID : [fill csid]

NAME OF RESPONDENT:[fill Name]

PHONE NUMBER: ([fill ph1]) [fill ph2]-[fill ph3] 

TIME ZONE: [fill tzon]

[fill ELD]

TYPE <g> TO RECORD NOTES FOR THE CONTACT SHEET AND EXIT THE

SCREENER===>

>CBIN< RECORD CALLBACK TIME OR ANY NOTES THAT SHOULD BE ON THE

PRINTED CONTACT SHEET - PLEASE BE AS BRIEF ANDCOMPLETE AS

POSSIBLE

<1> TO RECORD NOTES

<0> NO NOTES FOR CONTACT SHEET

===>

[goto fcmp]

>rx1< Thank you for your time. That was my last question.

TYPE <g> TO EXIT===>[goto ntfs]
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