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1 [Version D. Updated from Version C for changes introduced in CAPI, for reference by data users] QUESTIONNAIRE - SEPTEMBER 2000 FOOD SECURITY SUPPLEMENT SPECIFICATIONS Set SUPTM SUPTM is a timer for the entire supplement. ------------------------------------------------------------- POORCK NUMHOU = 1 and FAMINC = 1, 2, 3, 4, 5 or 6 set POOR=1 else if NUMHOU = 2 and FAMINC = 1, 2, 3, 4, 5, 6, or 7 set POOR=1 else if NUMHOU = 3 and FAMINC = 1, 2, 3, 4, 5, 6 or 7 set POOR=1 else if NUMHOU = 4 and FAMINC = 1, 2, 3, 4, 5, 6, 7, 8, or 9 set POOR=1 else if NUMHOU = 5 and FAMINC = 1, 2, 3, 4, 5, 6, 7, 8, 9, or 10 set POOR=1 else if NUMHOU = 6 and FAMINC = 1, 2, 3, 4, 5, 6, 7, 8, 9, 10, or 11 set POOR=1 else if NUMHOU = 7 and FAMINC = 1, 2, 3, 4, 5, 6, 7, 8, 9, 10 or 11 set POOR=1 else if NUMHOU = 8 and FAMINC = 1, 2, 3, 4, 5, 6, 7, 8, 9, 10, 11, or 12 set POOR=1 else if NUMHOU= 9-16 and FAMINC = 1, 2, 3, 4, 5, 6, 7, 8, 9, 10, 11, 12 or 13 set POOR=1 else if Set POOR = 2. ------------------------------------------------------------- I. FOOD COSTS AND PROGRAM PARTICIPATION [LEAD] This month we are asking some questions about food used in your household and the ways you are managing to meet your food needs. I. FOOD EXPENDITURES S1A If more than one hhmem=1 has an AGE equal to or greater than 10 fill with second option else fill with first option. These first questions are about all the places at which you bought food last week. By last week, I mean from Sunday through Saturday. First, did (you/anyone in your household) shop for food at a supermarket or grocery store last week? <1> Yes <2> No Blind <D> or <R> SCOMPL If onpath entry, D or R in S1A then set SCOMPL=1 otherwise set SCOMPL=0 S1B If more than one hhmem=1 has an AGE equal to or greater than 10 fill with second option else fill with first option. 2 Think about other places where people buy food, such as meat markets, produce stands, bakeries, warehouse clubs, and convenience stores. Did (you/anyone in your household) buy food from any stores such as these last week? <1> Yes <2> No Blind <D> or <R> S1C If more than one hhmem=1 has an AGE equal to or greater than 6 fill with second option else fill with first option else fill with first option in first parenthetical. If one or more hhmem=1 with AGE between 6 and 18 then fill second parenthetical with first option else fill with second option. Last week, did (you/anyone in your household) buy food at a restaurant, fast food place, cafeteria, or vending machine? (Include any children who may have bought food at the school cafeteria/ ). <1> Yes <2> No Blind <D> or <R> S1D If more than one hhmem=1 has an AGE equal to or greater than 10 fill with second option else fill with first option. Did (you/anyone in your household) buy food from any other kind of place last week? <1> Yes <2> No Blind <D> or <R> SCKA If onpath entry of <2>, <D> or <R> in S1A, S1B, S1C and S1D then skip to S8 else go to Slead. Slead Now I'm going to ask you about the ACTUAL amount you spent on food last week in all the places where you bought food. Then, since last week may have been unusual for you, I will ask about the amount you USUALLY spend. <P> Proceed SCKB If onpath entry of <1> in S1A then ask S2 else skip to SCKC. S2 If more than one hhmem=1 has an AGE equal to or greater than 10 fill with second option else fill with first option. 3 If POOR=2 then fill second parenthetical with first option else fill with second option. How much did (you/your household) ACTUALLY spend at supermarkets and grocery stores last week (?/including any purchases made with food stamps?) ENTER X IF RESPONDENT CAN ONLY GIVE RANGE $_ _ _.00 S2CK If entry of X in S2 goto S2CK1 else store entry in S2O. If S2O is between $1.00 and $450.00 go to S3 else if S2O is equal to D or R go to SCKC otherwise go to S2RC. S2CK1 *******************DO NOT READ RESPONDENT**************** Enter range reported by respondent _ _ _.00 to _ _ _.00 S2RG Add the entries in S2CK1 and divide by 2. Store the answer in S2O. If S2O is between $1.00 and $450.00 go to S3 otherwise go to S2RC. S2RC *****************DO NOT ASK THE RESPONDENT******************* AMOUNT SPENT RECORDED AS: (entry in S2O) IS THIS ENTRY CORRECT? <1> YES (go to S3) <2> NO (go to S2COR) S2COR ***************DO NOT ASK THE RESPONDENT**************** INCORRECT ENTRY WAS RECORDED AS: (entry in S2O) CORRECT ENTRY IS: $_ _ _.00 (store entry in S2O) S3 If more than one hhmem=1 has an AGE equal to or greater than 10 fill first parenthetical with second option else fill with first. How much of the (fill with S2O) was for non-food items, such as pet food, paper products, detergents, or cleaning supplies? ENTER X IF RESPONDENT CAN ONLY GIVE RANGE $_ _ _.00 4 Blind <D> or <R> S3CK If entry of X in S3 goto S3CK2 else store entry in S3O. Do not allow entry in S3O to be greater than entry in S2O. If S3O is between $1.00 and $100.00 or <D> or <R> go to SCKC otherwise go to S3RC. S3CK2 ****************DO NOT READ TO RESPONDENT******************* Enter range reported by respondent _ _ _.00 to _ _ _.00 S3RG Add the entries in S3CK2 and divide by 2. Store the answer in S3O. Do not allow entry in S3O to be greater than entry in S2O. If S3O is between $1.00 and $100.00 go to SCKC otherwise go to S3RC. S3RC *************DO NOT ASK THE RESPONDENT********************** AMOUNT SPENT RECORDED AS: (entry in S3O) IS THIS ENTRY CORRECT? <1> YES (go to SCKC) <2> NO (go to S3COR) S3COR ***************DO NOT ASK THE RESPONDENT****************** INCORRECT ENTRY WAS RECORDED AS: (entry in S3O) CORRECT ENTRY IS: $_ _ _.00 (store entry in S3O) Do not allow entry in S3O to be greater than entry in S2O. SCKC If onpath entry of <1> in S1B then ask S4 else skip to SCKD. S4 If more than one hhmem=1 has an AGE equal to or greater than 10 fill with second option else fill with first option. If POOR=2 then fill second parenthetical with first option else fill with second option. How much did (you/your household) spend at stores such as meat markets, produce stands, bakeries, warehouse clubs, and convenience stores last week (including any purchases made with food stamps?)? ENTER X IF RESPONDENT CAN ONLY GIVE RANGE $_ _ _.00 5 Blind <D> or <R> go to SCKD S4CK If entry of X in S4 go to S4CK1 else store entry in S4O. If S4O is between $1.00 and $150.00 go to S5 else if S4O is D or R go to SCKD otherwise go to S4RC. S4CK1 ***************DO NOT READ TO RESPONDENT******************** Enter range reported by respondent _ _ _ .00 to _ _ _.00 S4RG Add the entries in S4CK1 and divide by 2. Store the answer in S4O. If S4O is between $1.00 and $150.00 go to S5 otherwise go to S4RC. S4RC *****************DO NOT READ TO RESPONDENT****************** AMOUNT SPENT RECORDED AS: (entry in S4O) IS THIS ENTRY CORRECT? <1> Yes (go to S5) <2> No (go to S4COR) S4COR ***************DO NOT READ TO RESPONDENT******************** INCORRECT ENTRY WAS RECORDED AS: (entry in S4O) CORRECT ENTRY IS: $_ _ _.00 (store entry in S4O) S5 How much of the $(fill with S4O) was for nonfood items, such as pet food, paper products, detergents, or cleaning supplies? ENTER X IF RESPONDENT CAN ONLY GIVE RANGE $_ _ _.00 Blind <D> or <R> S5CK If entry of X in S5 goto S5CK1 else store entry in S5O. Do not allow entry in S5O to be greater than entry in S4O. If S5O is between $1.00 and $100.00 or D or R go to SCKD else go to S5RC S5CK1 ***************DO NOT ASK THE RESPONDENT***************** Enter range reported by respondent _ _ _.00 to _ _ _.00 6 S5RG Add the entries in S5CK1 and divide by 2. Store the answer in S5O. Do not allow entry in S5O to be greater than entry in S4O. If S5O is between $1.00 and $100.00 go to SCKD else go to S5RC. S5RC ***************DO NOT ASK THE RESPONDENT*************** AMOUNT SPENT RECORDED AS : (entry in S5O) IS THIS ENTRY CORRECT? <1> Yes (go to SCKD) <2> No (go to S5COR) S5COR ***************DO NOT ASK THE RESPONDENT******************* INCORRECT ENTRY WAS RECORDED AS: (entry in S5O) CORRECT ENTRY IS: $_ _ _.00 (store entry in S5O) Do not allow entry in S5O to be greater than entry in S4O. SCKD If entry of <1> in S1C then ask S6 else skip to SCKE S6 If more than one hhmem=1 has an AGE equal to or greater than 10 fill with second option else fill with first option. How much did (you/your household) spend for food at restaurants, fast food places, cafeterias, and vending machines last week? ENTER X IF RESPONDENT CAN ONLY GIVE RANGE $_ _ _.00 Blind <D> or <R> S6CK If entry of X in S6 goto S6CK1 else store entry in S6O. If S6O is between $1.00 and $200.00 or D or R go to SCKE else go to S6RC. S6CK1 ***************DO NOT ASK THE RESPONDENT***************** Enter range reported by respondent _ _ _.00 to _ _ _.00 S6RG Add the entries in S6CK1 and divide by 2. Store the answer in S6O. If S6O is between $1.00 and $200.00 go to SCKE else go to S6RC. S6RC ***************DO NOT ASK THE RESPONDENT***************** AMOUNT SPENT RECORDED AS : (entry in S6O) 7 IS THIS ENTRY CORRECT? <1> Yes (go to SCKE) <2> No (go to S6COR) S6COR **************DO NOT ASK THE RESPONDENT******************** INCORRECT ENTRY WAS RECORDED AS: (entry in S6O) CORRECT ENTRY IS: $_ _ _.00 (store entry in S6O) SCKE If entry of <1> in S1D then ask S7 else skip to SCKF. S7 If more than one hhmem=1 has an AGE equal to or greater than 10 fill with second option else fill with first option. How much did (you/your household) spend for food at any other kind of place last week? ENTER X IF RESPONDENT CAN ONLY GIVE RANGE $_ _ _.00 Blind <D> or <R> S7CK If entry of X in S7 goto S7CK1 else store entry in S7O. If S7O is between $1.00 and $150.00 or equal to D or R goto SCKF otherwise go to S7RC. S7CK1 ******************DO NOT READ TO RESPONDENT***************** Enter range reported by respondent _ _ _.00 to _ _ _.00 S7RG Add the entries in S7CK1 and divide by 2. Store the answer in S7O. If S7O is between $1.00 and $150.00 go to SCKF otherwise go to S7RC. S7RC *************DO NOT ASK THE RESPONDENT********************** AMOUNT SPENT RECORDED AS: (entry in S7O) IS THIS ENTRY CORRECT? <1> YES (go to SCKF) <2> NO (go to S7COR) S7COR **************DO NOT ASK THE RESPONDENT******************* INCORRECT ENTRY WAS RECORDED AS: (entry in S7O) CORRECT ENTRY IS: 8 $_ _ _.00 (store entry in S7O) SCKF If any amounts 0 or over in S2O, S4O, S6O or S7O then add together and store in SFDAMT. If any amounts 0 or over in S3O or S5O, then add these together and store in SNFAMT. Subtract SNFAMT from SFDAMT and store the result in S8O. S8 If (entry of D or R in S2, S4, S6, and S7) or (S8O equals 0) or (onpath entry of <2>, <D>, or <R> in S1A, S1B, S1C and S1D) then fill first parenthetical with first option else fill with second option. If more than one hhmem=1 has an AGE equal to or greater than 10 fill second parenthetical with second option else fill with first. If POOR= 2 fill last parenthetical with first option else fill with second option. (Let's see, it seems that (you/your household) did not buy any food last week./Let's see, (you/your household) spent about(fill with S8O) on food last week.) Now think about how much (you/your household) USUALLY (spend/spends). How much (do you/does your household) USUALLY spend on food at all the different places we've been talking about in a week? ( /Please include any purchases made with food stamps). Do not include nonfood items such as pet food, paper products, detergent or cleaning supplies. ENTER X IF RESPONDENT CAN ONLY GIVE A RANGE $_ _ _ _.00 Blind <D> or <R> S8CK If entry of X in S8 goto S8CK1 else store entry in S8OU. If S8OU is between $1.00 and $450.00 or equal to D or R go to S9 otherwise go to S8RC. S8CK1 *******************DO NOT READ TO RESPONDENT**************** Enter range reported by respondent $ _ _ _ _ .00 to $ _ _ _ _.00 S8RG Add the entries in S8CK1 and divide by 2. Store the answer in S8OU. If S8OU is between $1.00 and $450.00 go to S9 otherwise go to S8RC. S8RC *************DO NOT ASK THE RESPONDENT******************** AMOUNT SPENT RECORDED AS: (entry in S8OU) IS THIS ENTRY CORRECT? <1> Yes (go to SCK9) <2> No (go to S8COR) 9 S8COR *************DO NOT ASK THE RESPONDENT*********************** INCORRECT ENTRY WAS RECORDED AS: (entry in S8OU) CORRECT ENTRY IS: $ _ _ _ _.00 S9 People do different things when they are running out of money for food in order to make their food or their food money go further. In the last 12 months, since September of last year, did you ever run short of money and try to make your food or your food money go further? <1> Yes (SKIP TO SP1) <2 > No (SKIP to SP1CK) Blind <D> or <R> skip to SP1 ------------------------------------------------------------- SP1CK If POOR=2 skip to SS1 else ask SP1. ------------------------------------------------------------- SP1 If numhou=1 fill with first option else fill with second. In the past 12 months, since September of last year, did(you/anyone in this household) get food stamp benefits that is, either food stamps or a food-stamp benefit card? <1> Yes (Ask SP2) <2> No (SKIP TO SP5CK) Blind <D> or <R> skip to SP5CK SP2 If numhou=1 fill with first option else fill with second. In what month did (you/your household) last receive food stamp benefits? SP2M Month _________ [If Month is August or September, ask Date. Otherwise, go to SP3] Blind <D> or <R> (SKIP TO SP3) SP2D Day _______ <1-31> Blind <D> or <R> 10 SP3 If numhou=1 fill with first option else fill with second. How much did (you/your household) receive (in MONTH/ the last time you got food stamp benefits)? $ _ _ _ .00 Blind <D> or <R> ------------------------------------------------------------- SP3CK Store entry in SP3O. If SP3O is between $1.00 and $700.00 go to SP4 otherwise go to SP3RC. ------------------------------------------------------------- SP3RC *************DO NOT ASK THE RESPONDENT************* AMOUNT RECEIVED RECORDED AS: (entry in SP3O) IS THIS ENTRY CORRECT? <1> YES (go to SP4) <2> NO (go to SP3COR) SP3COR **********DO NOT ASK THE RESPONDENT************ INCORRECT ENTRY WAS RECORDED AS: (entry in SP3O) CORRECT ENTRY IS: $_ _ _.00 (store entry in SP3O) Items SP3 through SP3COR go into making the out variable SP3O. This is the amount received in food stamp benefits. SP4 If numhou=1 fill first, second, and fourth parenthetical with first option else fill with second. If valid response to MONTH, fill third parenthetical with first option, else fill with second. (In MONTH did (you/your household) get (your/its) food stamp benefits as/ The last time (you/your household) got food stamp benefits were they) paper food stamps or a plastic EBT benefit card? <1> _____ paper food stamps <2> _____ plastic EBT benefit card Blind <D> or <R> ------------------------------------------------------------- SP5CK IF HHMEM=1 and AGE is 60 years old or older of anyone in the household ask SP5 else skip to SP6CK. 11 ------------------------------------------------------------- SP5 If more than one person in household fill with second option, else fill with first option. During the past 30 days, did (you/ anyone in the household) receive any meals delivered to the home from community programs, "Meals on Wheels," or any other programs? <1> Yes <2> No Blind <D> or <R> SP5A If more than one person in household fill with second option, else fill with first option. During the past 30 days, did (you/anyone in the household) go to a community program or senior center to eat prepared meals? <1> Yes <2> No Blind <D> or <R> ------------------------------------------------------------- SP6CK If HHMEM=1 and AGE is 5 THROUGH 18 for anyone in the household ask SP6 else skip to SP7ACK. ------------------------------------------------------------- SP6 If only 1 child between 5 and 18 years old fill with "your child" else fill with second option. During the past 30 days, did (your child/ any children in the household between 5 and 18 years old) receive free or reduced-cost lunches at school? <1> Yes <2> No (SKIP TO SP7ACK) Blind <D> or <R> SKIP TO SP7ACK SP7 If only 1 child between 5 and 18 years old fill with "your child" else fill with second option. During the past 30 days, did (your child/any children in the household) receive free or reduced-cost breakfasts at school? <1> Yes <2> No Blind <D> or <R> 12 ----------------------------------------------------------- SP7ACK If HHMEM=1 and AGE is less than 13 for anyone in the household ask SP7A else skip to SP8CK. ----------------------------------------------------------- SP7A If only 1 child under age 13 fill with first option else fill with second option During the past 30 days, did (your child/any children in the household) receive free or reduced-cost food at a day-care or Head Start program? <1> Yes <2> No Blind <D> or <R> ------------------------------------------------------------- SP8CK If [(SEX=2 and AGE = 15-45) OR (AGE<5)] and HHMEM=1 for anyone in the household then ask SP8 else skip to SS1. ------------------------------------------------------------- SP8 If [(SEX=2 and AGE=15-45) and (AGE<5)] then fill second option else if (SEX=2 and AGE=15-45) and (no AGE<5) then fill first option else fill third option. During the past 30 days, did any (women/women or children/children) in this household get food through the WIC program? <1> Yes <2> No (SKIP TO SS1) Blind <D> or <R> (SKIP TO SS1) SP9 If (SEX=2 and AGE=15-45) and (AGE<5) then fill second option else if (SEX=2 and AGE=15-45) and (no AGE<5) then fill first option else fill third option. How many (women/women or children/children) in the household got WIC foods? Number ______ Blind <D> or <R> ------------------------------------------------------------- II. FOOD SUFFICIENCY These next questions are about the food eaten in your household in the last 12 months, since September of last year, and whether you were able to afford the food you need. 13 SS1 Which of these statements best describes the food eaten in your household--enough of the kinds of food we want to eat, enough but not always the kinds of food we want to eat, sometimes not enough to eat, or often not enough to eat? <1> Enough of the kinds of food we want to eat (SKIP TO SX1CK) <2> Enough but not always the kinds of food we want to eat (SKIP TO SS1B) <3> Sometimes not enough to eat (SKIP TO SS1C) <4> Often not enough to eat (SKIP TO SS1C) Blind <D> or <R> (SKIP TO SX1CK) SS1B Here are some reasons why people don't always have the kinds of food they want. For each one, please tell me if that is a reason why YOU don't always have the kinds of food you want to eat. READ LIST. MARK ALL THAT APPLY. YES NO Not enough money for food [ ] [ ] Kinds of food we want not available [ ] [ ] Not enough time for shopping or cooking [ ] [ ] Too hard to get to the store [ ] [ ] On a special diet [ ] [ ] Blind <D> or <R> for each category All responses go to SX1CK SS1C Here are some reasons why people don't always have enough to eat. For each one, please tell me if that is a reason why YOU might not always have enough to eat. READ LIST. MARK ALL THAT APPLY. YES NO Not enough money for food [ ] [ ] Not enough time for shopping or cooking [ ] [ ] Too hard to get to the store [ ] [ ] On a diet [ ] [ ] No working stove available [ ] [ ] Not able to cook or eat because of health problems [ ] [ ] Blind <D> or <R> for each category All responses go to SX1CK ----------------------------------------------------- SX1CKIf POOR=2 and (SS1=<1>or <R>) and S9=<2> or <R>, then skip to S10 else continue to SS2CK. ------------------------------------------------------ ------------------------------------------------------ SS2CK If MISCK=8 then skip to SS2A else continue to SS2. ------------------------------------------------------ 14 SS2 If only 1 HHMEM=1 and (AGE>=18 or PURRP<=3) in household then fill first option in parenthetical else fill second option. Now I'm going to read you several statements that people have made about their food situation. For these statements, please tell me whether the statement was OFTEN true, SOMETIMES true, or NEVER true for (you/your household) in the last 12 months. The first statement is "(I/We) worried whether (my/our) food would run out before (I/we) got money to buy more." Was that OFTEN true, SOMETIMES true, or NEVER true for (you/your household) in the last 12 months? <1> Often true <2> Sometimes true <3> Never true Blind <D> or <R> All responses go to SS3 SS2A If only 1 HHMEM=1 and (AGE >=18 or PURRP <=3) in household then fill first option in parenthetical else fill second option. In the past 12 months, did(you/you or anyone else in your household) worry that there would not be enough to eat because of the lack of money? <1> Yes <2> No Blind <D> or <R> All responses go to SS3A SS3 "The food that (I/we) bought just didn't last, and (I/we) didn't have money to get more." Was that OFTEN, SOMETIMES or NEVER true for you in the last 12 months? <1> Often true <2> Sometimes true <3> Never true Blind <D> or <R> All responses go to SS4 SS3A In the past 12 months, did(you/you or anyone else in your household) not have enough food to eat because of lack of money? <1> Yes <2> No Blind <D> or <R> All responses go to SS4A 15 SS4 "(I/we) couldn't afford to eat balanced meals." Was that often, sometimes or never true for you in the last 12 months? <1> Often true <2> Sometimes true <3> Never true Blind <D> or <R> All responses go to SS5CK SS4A In the past 12 months, did (you/you or anyone else in your household) not eat the quality or variety of foods that you wanted to eat because of lack of money? <1> Yes <2> No Blind <D> or <R> All responses go to SS5CK. ------------------------------------------------------------- SS5CK If any HHMEM=1 and AGE<=17 and PURRP>=4 in household go to SS5CK2 else skip to SX2CK ------------------------------------------------------------- ------------------------------------------------------------- SS5CK2 If MISCK=8 then read following, else skip to SS5. ------------------------------------------------------------- Now I'm going to read you several statements that people have made about their food situation. For these statements, please tell me whether the statement was OFTEN true, SOMETIME true, or NEVER true for (you/your household) in the last 12 months. The first statement is: SS5 If only 1 HHMEM=1 and (AGE>=18 or PURRP<=3) in household fill first, second, and fourth parenthetical with first option else fill with second option. If only one person with AGE<=17 and PURR>=4 then fill third parenthetical with first option else fill with second option. "(I/we) relied on only a few kinds of low-cost food to feed ((my/our) child/the children) because (I was/we were) running out of money to buy food. Was that often, sometimes or never true for you in the last 12 months? <1> Often true <2> Sometimes true <3> Never true Blind <D> or <R> 16 SS6 If only 1 HHMEM=1 and (AGE>=18 or PURRP<=3) in household fill first, second and fourth parenthetical with first option else fill with second option. If only one person with AGE<=17 and PURRP>=4 then fill third parenthetical with first option else fill with second option. "(I/we) couldn't feed ((my/our) child/the children) a balanced meal, because (I/we) couldn't afford that." Was that often, sometimes, or never true for you in the last 12 months? <1> Often true <2> Sometimes true <3> Never true Blind <D> or <R> ------------------------------------------------------------ SX2CKIf SS1 = <3> or <4> OR SS2 = <1> or <2> OR SS2A = <1> OR SS3 = <1> or <2> OR SS3A = <1> OR SS4 = <1> or <2> OR SS4A = <1> OR SS5 = <1> or <2> OR SS6 =<1> or <2> then continue to SH1CK2 else skip to SC1. ------------------------------------------------------------ ------------------------------------------------------------ SH1CK2 If any HHMEM=1 and AGE <=17 and PURRP >= 4 in household, ask SH1 else skip to SH2. ------------------------------------------------------------ SH1 If only 1 HHMEM=1 and (AGE>=18 or PURRP<=3) in household fill first and third parenthetical with first option else fill with second option. If only one person with AGE<=17 and PURRP>=4 then fill second parenthetical with first option else fill with second option. "((My/Our) child was/The children were) not eating enough because (I/we) just couldn't afford enough food." Was that often, sometimes or never true for you in the last 12 months? <1> Often true <2> Sometimes true <3> Never true Blind <D> or <R> All responses go to SH2 SH2 If only 1 HHMEM=1 and (AGE>=18 or PURRP<=3) in household fill parenthetical with first option else fill with second option. In the last 12 months, did (you/ you or other adults in your household) ever cut the size of your meals or skip meals because there wasn't enough money for food? <1> Yes 17 <2> No (SKIP TO SH3) Blind <D> or <R> SKIP TO SH3 SHF2 How often did this happen--almost every month, some months but not every month, or in only 1 or 2 months? <1> Almost every month <2> Some months but not every month <3> Only 1 or 2 months Blind <D> or <R> SKIP TO SHM2 SHF2ACK If MISCK=8 ask SHF2A, else skip to SHM2 SHF2A In months when you cut the size of you meals or skipped meals how many days did this usually happen? _____number of days <1-30> Blind <D> or <R> All responses go to SH3 SHM2 If only 1 HHMEM=1 and (AGE>=18 or PURRP<=3) in household fill parenthetical with first option else fill with second option. Now think about the last 30 days. During that time did (you/ you or other adults in your household) ever cut the size of your meals or skip meals because there wasn't enough money for food? <1> Yes <2> No (SKIP TO SH3) Blind <D> or <R> SKIP TO SH3 SHMF2 How many days did this happen in the last 30 days? ______number of days <1-30> Blind <D> or <R> SH3 In the last 12 months, did you ever eat less than you felt you should because there wasn't enough money for food? <1> Yes 18 <2> No (SKIP TO SH4) Blind <D> or <R> SKIP TO SH4 SHF3 How often did this happen--almost every month, some months but not every month, or in only 1 or 2 months? <1> Almost every month <2> Some months but not every month <3> Only 1 or 2 months Blind <D> or <R> SKIP TO SHM3 --------------------------------- SHF3ACK If MISCK=8 ask SHF3A else skip to SHM3 --------------------------------- SHF3A In months when you ate less than you felt you should, how many days did this usually happen? ______number of days <1-30> Blind <D> or <R> All responses go to SH4 SHM3 Did this happen in the last 30 days? <1> Yes <2> No (SKIP TO SH4) Blind <D> or <R> SKIP TO SH4 SHMF3In the last 30 days, how many days did you eat less than you felt you should because there wasn't enough money to buy food? ______ number of days <1-30> Blind <D> or <R> SH4 In the last 12 months, since September of last year, were you ever hungry but didn't eat because you couldn't afford enough food? <1> Yes <2> No (SKIP TO SH5) Blind <D> or <R> SKIP TO SH5 19 SHF4 How often did this happen--almost every month, some months but not every month, or in only 1 or 2 months? <1> Almost every month <2> Some months but not every month <3> Only 1 or 2 months Blind <D> or <R> SKIP TO SHM4 ------------------------------------------ SHF4ACK If MISCK= 8 ask SHF4A else skip to SHM4 ------------------------------------------ SHF4A In months when you were hungry because you couldn’t afford enough food, how many days did this usually happen? _______number of days <1-30> Blind <D> or <R> All responses go to SH5 SHM4 Did this happen in the last 30 days? <1>Yes <2> No (SKIP TO SH5) Blind <D> or <R> SKIP TO SH5 SHMF4In the last 30 days, how many days were you hungry but didn't eat because you couldn't afford enough food? _____ number of days <1-30> Blind <D> or <R> SH5 In the last 12 months, did you lose weight because you didn't have enough money for food? <1> Yes <2> No (SKIP TO SX3CK) Blind <D> or <R> SKIP TO SX3CK SHM5 Did this happen in the last 30 days? <1> Yes 20 <2> No Blind <D> or <R> ----------------------------------------------------------------- SX3CKIf SH1=<1> or <2> OR SH2=<1> OR SH3=<1> OR SH4=<1> OR SH5=<1> then continue to SSH1 else skip to SC1 ----------------------------------------------------------------- SSH1 If only 1 HHMEM=1 and (AGE>=18 or PURRP<=3) in household fill parenthetical with first option else fill with second option. In the last 12 months, since last September, did (you/ you or other adults in your household) ever not eat for a whole day because there wasn't enough money for food? <1> Yes <2> No (SKIP TO SSH2CK) Blind <D> or <R> SKIP TO SSH2CK SSHF1 How often did this happen--almost every month, some months but not every month, or in only 1 or 2 months? <1> Almost every month <2> Some months but not every month <3> Only 1 or 2 months Blind <D> or <R> SKIP TO SSHM1 ------------------------------------------- SSHF1ACK If MISCK = 8 ask SSHF1A else skip to SSHM1 ------------------------------------------- SSHF1A In months when you did not eat for a whole day, how many days did this usually happen? ________number of days <1-30> Blind <D> or <R> All responses go to SSH2CK SSHM1 If only 1 HHMEM=1 and (AGE>=18 or PURRP<=3) in household fill with first option else fill with second option. Now think about the last 30 days. During that time did (you/ you or other adults in your household) ever not eat for a whole day because there wasn't enough money for food? 21 <1> Yes <2> No (SKIP TO SSH2CK) Blind <D> or <R> SKIP TO SSH2CK SSHMF1 How many times did this happen in the last 30 days? ______ times <1-30> Blind <D> or <R> All responses go to SSH2CK -------------------------------------------------- SSH2CK If HHMEM=1 and AGE<=17 and PURRPP>=4 of anyone in the household go to SSH2 else skip to SC1. -------------------------------------------------- SSH2 If only one person with AGE<=17 and PURRP>=4 then fill with first option else fill with second option. The next questions are about (your child/ children living in the household who are under 18 years old). In the last 12 months, since September of last year, did you ever cut the size of (your child's/ any of the children's) meals because there wasn't enough money for food? <1> Yes <2> No (SKIP TO SSH3) Blind <D> or <R> SKIP TO SSH3 SSHF2 How often did this happen - almost every month, some months but not every month, or in only 1 or 2 months? <1> Almost every month <2> Some months but not every month <3> Only 1 or 2 months Blind <D> or <R> SKIP TO SSHM2 ------------------------------------------ SSH2ACK If MISCK = 8 ask SSHF2A else skip to SSHM2 ------------------------------------------ SSHF2A In months when you cut the size of (your child’s/the children’s) meals, how many days did this usually happen? 22 _______number of days <1-30> Blind <D> or <R> All responses go to SSH3 SSHM2Did this happen in the last 30 days? <1> Yes <2> No (SKIP TO SSH3) Blind <D> or <R> SKIP TO SSH3 SSHMF2 If only one person with AGE<=17 and PURRP>=4 then fill with first option else fill with second option. In the last 30 days, how many days did you cut the size of (your child's/the children's) meals because there wasn't enough money for food? ______ days <1-30> Blind <D> or <R> All responses go to SSH3 SSH3 If only one person with AGE<=17 and PURRP>=4 then fill with first option else fill with second option. In the last 12 months, (was your child/were the children) ever hungry but you just couldn't afford more food? <1> Yes <2> No (SKIP TO SSH4) Blind <D> or <R> SKIP TO SSH4 SSHM3Did this happen in the last 30 days? <1> Yes <2> No (SKIP TO SSH4) Blind <D> or <R> SKIP TO SSH4 SSHMF3 If only one person with AGE<=17 and PURRP>=4then fill with first option else fill with second option. 23 In the last 30 days, how many days (was your child/ were the children) hungry but you just couldn't afford more food? ______ number of days <1-30> Blind <D> or <R> SSH4 If only one person with AGE<=17 and PURRP>=4 then fill with first option else fill with second option. In the last 12 months, did (your child/ any of the children) ever skip a meal because there wasn't enough money for food? <1> Yes <2> No (SKIP TO SSH5) Blind <D> or <R> SKIP TO SSH5 SSHF4 How often did this happen--almost every month, some months but not every \ month, or in only 1 or 2 months? <1> Almost every month <2> Some months but not every month <3> Only 1 or 2 months Blind <D> or <R> SKIP TOP SSHM4 ------------------------------------------ SSHF4ACK If MISCK = 8 ask SSHF4A else skip to SSHM4 ------------------------------------------ SSHF4A In months when (your child/the children) skipped a meal because there wasn’t enough money for food, how many days did this usually happen? _______number of days <1-30> Blind <D> or <R> All responses go to SSH5 SSHM4If only one person with AGE<=17 and PURRP>=4 then fill with first option else fill with second option. Now think about the last 30 days. Did (your child/ the children) ever skip a meal during that time because there wasn't enough money for food? <1> Yes <2> No (SKIP TO SSH5) 24 Blind <D> or <R> SKIP TO SSH5 SSHMF4 How many days did this happen in the last 30 days? ______ days <1-30> Blind <D> or <R> All responses go to SSH5 SSH5 If only one person with AGE<=17 and PURRP>=4 then fill with first option else fill with second option. In the last 12 months, since September of last year, did (your child/ any of the children) ever not eat for a whole day because there wasn't enough money for food? <1> Yes <2> No (SKIP TO SC1) Blind <D> or <R> SKIP TO SC1 SSHM5 Did this happen in the last 30 days? <1> Yes <2 > No Blind <D> or <R> All responses go to SC1 For items SC1 through SC4, if only 1 HHMEM=1 and (AGE>=18 or PURRP<=3) in household then fill first parenthetical with first option else fill with second option. SC1 In the last 12 months, did (you/you or other adults in your household) ever get food or borrow money for food from friends or relatives? <1> Yes <2> No (Skip to SC2CK) Blind <D> or <R> SKIP TO SC2CK SCF1 How often did this happen-almost every month, some months but not every month, or in only 1 or 2 months? <1> Almost every month <2> Some months but not every month <3> Only 1 or 2 months Blind <D> or <R> 25 ----------------------------------------------------------------- SC2CK IF HHMEM=1 and AGE <=17 and PURRP>=4 of anyone in the household ask SC2 else skip to SC3. ----------------------------------------------------------------- SC2 If only one child with AGE <=17 and PURRP>=4 then fill second parenthetical with"your child" else fill with second option. In the last 12 months, did (you/ you or other adults in your household) ever send or take (your child/ the children) to the homes of friends or relatives for a meal because you were running out of food? <1> Yes <2> No Blind <D> or <R> SC3 In the last 12 months, did (you/ you or other adults in your household) ever get emergency food from a church, a food pantry, or food bank? <1> Yes <2> No (SKIP TO SC3A) Blind <D> or <R> SKIP TO SC4 SCF3 How often did this happen-almost every month, some months but not every month, or in only 1 or 2 months? <1>Almost every month (SKIP TO SC4) <2> Some months but not every month (SKIP TO SC4) <3> Only 1 or 2 months (SKIP TO SC4) Blind <D> or <R> (SKIP TO SC4) SC3A Is there a church, food pantry or food bank in your community where you could get emergency food if you needed it? <1> Yes <2> No Blind <D> or <R> for each category SC4 In the last 12 months, did (you/you or other adults in your household) ever eat any meals at a soup kitchen? <1>Yes <2> No 26 Blind <D> or <R> S10 If NUMHOU = 1 then fill first and third parenthetical with first option else fill with second option. If definite amount calculated in S8, fill second parenthetical with S8O else if range given in S8 fill with range calculated. You said that altogether (you usually spend/your household usually spends) ($_ _ _ _ / about $_ _ _ _ to $_ _ _ _) on food in an average week. In order to buy just enough food to meet (your needs/the needs of your household), would you need to spend more than you do now, or could you spend less? <1> More (GO TO S11) <2> Less (SKIP TO S12) <3> Same (SKIP TO END OF MODULE) Blind <DK> or <R> (SKIP TO END OF MODULE) S11 About how much MORE would you need to spend each week to buy just enough food to meet (your needs/the needs of your household)? $_____ (SKIP TO END OF MODULE) Accept range $____to $_____ (SKIP TO END OF MODULE) Blind <DK> or <R> (SKIP TO END OF MODULE) S12 About how much LESS could you spend each week and still buy enough food to meet (your needs/the needs of your household)? $____ Accept range $____to $_____ Blind <DK> or <R> *****END SUPPLEMENT*****
