ATTACHMENT 8
SUPPLEMENT QUESTIONNAIRE
DECEMBER 2009 FOOD SECURITY SUPPLEMENT
Set SUPTM SUPTM is a timer for the entire supplement
NOTE: (SNAPNAME1) and (SNAPNAME2) are State-specific names for the SNAP/Food Stamp program.
NUMHOU = 2 and FAMINC = 1, 2, 3, 4, 5, 6, 7, or 8 set POOR=1 else if
NUMHOU = 3 and FAMINC = 1, 2, 3, 4, 5, 6, 7, 8, or 9 set POOR=1 else if
NUMHOU = 4 and FAMINC = 1, 2, 3, 4, 5, 6, 7, 8, 9, 10, or 11 set POOR=1 else if
NUMHOU = 5 and FAMINC = 1, 2, 3, 4, 5, 6, 7, 8, 9, 10, 11, or 12 set POOR=1 else if
NUMHOU = 6 and FAMINC = 1, 2, 3, 4, 5, 6, 7, 8, 9, 10, 11, or 12 set POOR=1 else if
NUMHOU = 7 and FAMINC = 1, 2, 3, 4, 5, 6, 7, 8, 9, 10, 11, 12, or 13 set POOR=1 else if
NUMHOU = 8 and FAMINC = 1, 2, 3, 4, 5, 6, 7, 8, 9, 10, 11, 12, 13, or 14 set POOR=1 else if
NUMHOU= 9-16 and FAMINC = 1, 2, 3, 4, 5, 6, 7, 8, 9, 10, 11, 12, 13, or 14 set POOR=1 else if
Set POOR = 2.
[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.
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?
(2) No
Blind (D) or (R)
SCOMPL
If onpath entry, D or R in S1A then set SCOMPL=1 otherwise set SCOMPL=0
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?
(2) No
Blind (D) or (R)
If one or more HHMEM=1 with AGE between 6 and 18 then fill second parenthetical else fill blank.
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).
(2) No
Blind (D) or (R)
Did (you/anyone in your household) buy food from any other kind of place LAST WEEK?
(2) No
Blind (D) or (R)
else go to SLEAD.
If POOR=1 then fill second parenthetical else fill blank.
How much did (you/anyone in your household) ACTUALLY spend at supermarkets and grocery stores LAST WEEK (including any purchases made with (SNAPNAME1) or food stamp benefits)?
ENTER (0) IF RESPONDENT CAN ONLY GIVE RANGE
Enter range reported by respondent
(1-999) GOTO S2CK1B
(D,R) GOTO SCKC
(1-999) GOTO S2CK1B
(D,R) GOTO SCKC
Amount spent recorded as: (entry in S2O)
Is this entry correct?
(2) NO (GO TO S2COR)
S2COR
***************DO NOT ASK THE RESPONDENT****************
Correct entry is:
ENTER X IF RESPONDENT CAN ONLY GIVE RANGE
Enter (1) for whole dollar (GOTO S3)
Enter (2) if respondent can only give range (GOTO S3CK2A)
Blind (D) or (R) (GOTO SCKC)
Store amount in S3O
(1-100) GOTO SCKC
(0, ge 101) GOTO S3RC
Enter range reported by respondent
If entry is D or R, store in S3O
(1-999) GOTO S3CK2B
(D, R) GOTO SCKC
If entry is D or R, store in S3O
(1-999) GOTO S3RG
(D, R) GOTO SCKC
Amount spent recorded as: (entry in S3O)
Is this entry correct?
(2) NO (GO TO S3COR)
Incorrect entry was recorded as: (entry in S3O)
Correct entry is:
If POOR=1 then fill second parenthetical with first option else fill with blank.
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 (SNAPNAME1) or food stamp benefits)?
Enter (0) if respondent can only give range
$_ _ _.00
Blind (D) or (R) (GO TO SCKD)
Enter range reported by respondent
If entry is D or R, store in S4O
(1-999) GOTO S4CK1B
(D, R) GOTO SCKD
If entry is D or R, store in S3O
(1-999) GOTO S3RG
(D, R) GOTO SCKC
Amount spent recorded as: (entry in S4O)
Is this entry correct?
(2) No (GO TO S4COR)
Incorrect entry was recorded as: (entry in S4O)
Correct entry is:
Enter (1) for whole dollar amount (GO TO S5)
Enter (2) if respondent can only give range (GO TO S5CK1A)
Blind (D) or (R) (GOTO SCKD)
Store amount in S5O
(1-100) GOTO SCKD
(D, R,0, ge 101) GOTO S5RC
Enter range reported by respondent
If entry is D or R, store in S5O
(1-999) GOTO S5CK1B
(D, R) GOTO SCKD
If entry is D or R, store in S5O
(1-999) GOTO S5RG
(D, R) GOTO SCKD
Amount spent recorded as: (entry in S5O)
Is this entry correct?
(2) No (GO TO S5COR)
Incorrect entry was recorded as: (entry in S5O)
Correct entry is:
How much did (you/your household) spend for food at restaurants, fast food places, cafeterias, and vending machines LAST WEEK, not including alcohol purchases?
Enter (0) if respondent can only give range
$_ _ _.00
Blind (D) or (R)
(1-200, D, R) GOTO SCKE
(ge 201) GOTO S6RC
Enter range reported by respondent
(D, R) GOTO SCKE
(D, R) GOTO SCKE
Amount spent recorded as: (entry in S6O)
Is this entry correct?
(2) No (GO TO S6COR)
S6COR
**************DO NOT ASK THE RESPONDENT********************
Correct entry is:
How much did (you/your household) spend for food at any other kind of place LAST WEEK?
Enter (0) if respondent can only give range
$_ _ _.00
Blind (D) or (R)
If entry is 1-999, D or R store in S7O.
(0) GOTO S7CK1A
(1-150) GOTO SCKF
(ge 151) GOTO S7RC
(D, R) GOTO SCKF
Enter range reported by respondent
If entry is D or R store in S6O.
(1-999) GOTO S7RG
(D, R) GOTO SCKF
Amount spent recorded as: (entry in S7O)
Is this entry correct?
(2) NO (GO TO S7COR)
Incorrect entry was recorded as: (entry in S7O)
Correct entry is:
If more than one HHMEM=1 has an AGE equal to or greater than 10 fill remaining parentheticals with second option else fill with first.
If POOR= 1 fill last parenthetical with first option else fill with blank.
(Let's see, it seems that (you/your household) did not buy any food LAST WEEK. /Let's see, (you/anyone in 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 (SNAPNAME1) or food stamp benefits). Do not include non-food items such as pet food, paper products, detergent or cleaning supplies.
Enter (2) if respondent can only give range
Blind (D) or (R)
If entry is D or R store in S8OU.
(1) (GO TO S8)
(2) (GO TO S8CK1A)
(D, R) GO TO S9
Store amount in S8OU
(0) GO TO S8ZA
(1-450) GO TO S8B
( ge 451) GOTO S8RC
(D, R ) GO TO S9
Enter range reported by respondent
If entry is D or R store in S8OU
(1-999) GO TO S8CK1B
(D, R) GO TO S9
If entry is D or R store in S8OU
(1-999) GO TO S8RG
(D, R) GO TO S9
S8ZA
Enter (2) if respondent can only give range
Blind (D) or (R)
If entry is D or R store in S8OU
(1) GO TO S8Z
(2) GO TO S8ZCK1A
(D, R) GO TO S9
Store amount in S8OU
(0) GO TO S8RC
(1-450) GO TO S8B
( ge 451) GOTO S8RC
Enter range reported by respondent
If entry is D or R store in S8OU
(1-999) GO TO S8ZCK1B
(D, R) GO TO S9
If entry is D or R store in S8OU
(1-999) GO TO S8ZRG
(D, R) GO TO S9
Amount spent recorded as: (entry in S8OU)
Is this entry correct?
(2) No (GO TO S8COR)
Incorrect entry was recorded as: (entry in S8OU)
Correct entry is:
II. MINIMUM SPENDING NEED TO HAVE ENOUGH FOOD
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?
************************DO NOT READ************************
(2) Less (GO TO S8D)
(3) Same (GO TO S9)
Blind (D) or (R) (GO TO S9)
Enter (0) if respondent can only give range.
_ _ _.00
Blind (D) or (R)
If entry is 1-999, D, or R store in S8CO
(0) GO TO S8CCKA
(1-999, D, R) GO TO S9
Enter range reported by respondent
If entry is D or R store in S8CO
(1-999) GO TO S8CCKB
(D, R) GO TO S9
Enter range reported by respondent
If entry is D or R store in S8CO
(1-999) GO TO S8CRG
(D, R) GO TO S9
Enter (0) if respondent can only give range.
_ _ _.00
Blind (D) or (R)
If entry is 1-999, D, or R store in S8DO
(0) GO TO S8DCKA
(1-999, D, R) GO TO S9
Enter range reported by respondent
If entry is D or R store in S8DO
(1-999) GO TO S8DCKB
(D, R) GO TO S9
If entry is D or R store in S8DO
(1-999) GO TO S8DRG
(D, R) GO TO S9
III. FOOD PROGRAM PARTICIPATION
In the last 12 months, since December of last year, did you ever run short of money and try to make your food or your food money go further?
(2) No (GO TO SP1CK)
Blind (D) or (R) (GO TO SP1)
In the past 12 months, since December of last year, did (you/anyone in this household) get (SNAPNAME2) or food stamp benefits?
(2) No (GO TO SP6CK)
Blind (D) or (R) (GO TO SP6CK)
(1) January
(2) February
(3) March
(4) April
(5) May
(6) June
(7) July
(8) August
(9) September
(10) October
(11) November
(12) December
(13) All
On what date in November did (you/your household) receive (SNAPNAME1) or food stamp benefits?
Blind (D) or (R)
How much did (you/your household) receive the last time you got (SNAPNAME1) or food stamp benefits?
Blind (D) or (R)
AMOUNT RECEIVED RECORDED AS: (entry in SP3O)
IS THIS ENTRY CORRECT?
(2) NO (GO TO SP3COR)
INCORRECT ENTRY WAS RECORDED AS: (entry in SP3O). CORRECT ENTRY IS:
During the past 30 days, did any children in the household (between 5 and 18 years old) receive free or reduced-cost lunches at school?
(2) No (GO TO SP7ACK)
Blind (D) or (R) (GO TO SP7ACK)
During the past 30 days, did any children in the household (between 5 and 18 years old) receive free or reduced-cost breakfasts at school?
(2) No
Blind (D) or (R)
(2) No
Blind (D) or (R)
(SEX = 2 and AGE = 15-45) and any hh member and (no AGE = 0-4) for any hh member 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?
(2) No (GO TO SS1)
Blind (D) or (R) (GO TO SS1)
(SEX = 2 and AGE = 15-45) for any hh member and (no AGE = 0-4) for any hh member then fill first option else fill third option.
How many (women/women or children/children) in the household got WIC foods?
Blind (D) or (R
IV. FOOD SUFFICIENCY AND FOOD SECURITY
If NUMHOU = 1 then fill parenthetical with first option else fill with second option.
(2) Enough but not always the kinds of food we want to eat
(3) Sometimes not enough to eat
(4) Often not enough to eat
Blind (D) or (R)
CHILD_COUNT = number of household members with AGE (= 17 and PURRP )= 4 and PURRP not 13 or 14
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?
(2) Sometimes true
(3) Never true (GO TO SS3)
Blind (D) or (R) (GO TO SS3)
(2) No
Blind (D) or (R)
(2) Sometimes true
(3) Never true (GO TO SS4)
Blind (D) or (R) (GO TO SS4)
(2) No
Blind (D) or (R)
(2) Sometimes true (GO TO SSM4)
(3) Never true (GO TO SX2CK)
Blind (D) or (R) (GO TO SX2CK)
(2) No
Blind (D or (R)
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?
(2) No (GO TO SH3)
Blind (D) or (R) (GO TO SH3)
(2) Some months but not every month
(3) Only 1 or 2 months
Blind (D) or (R)
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?
(2) No (GO TO SH3)
Blind (D) or (R) (GO TO SH3)
Blind (D) or (R) (GO TO SH3)
In the last 12 months, did (you/ you or other adults in your household) ever cut the size of your meals because there wasn't enough money for food?
(2) No (GO TO SH2B)
Blind (D) or (R) (GO TO SH2B)
(2) Some months but not every month
(3) Only 1 or 2 months
Blind (D) or (R)
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 because there wasn't enough money for food?
(2) No (GO TO SH2B)
Blind (D) or (R) (GO TO SH2B)
Blind (D) or (R)
In the last 12 months, did (you/ you or other adults in your household) ever skip meals because there wasn't enough money for food?
(2) No (GO TO SH3)
Blind (D) or (R) (GO TO SH3)
(2) Some months but not every month
(3) Only 1 or 2 months
Blind (D) or (R)
Now think about the last 30 days. During that time did (you/ you or other adults in your household) ever skip meals because there wasn't enough money for food?
(2) No (GO TO SH3)
Blind (D) or (R) (GO TO SH3)
Blind (D) or (R) (GO TO SH3)
(2) No (GO TO SH4)
Blind (D) or (R) (GO TO SH4)
(2) Some months but not every month
(3) Only 1 or 2 months
Blind (D) or (R)
(2) No (GO TO SH4)
Blind (D) or (R) (GO TO SH4)
Blind (D) or (R)
(2) No (GO TO SH5)
Blind (D) or (R) (GO TO SH5)
(2) Some months but not every month
(3) Only 1 or 2 months
Blind (D) or (R)
(2) No (GO TO SH5)
Blind (D) or (R) (GO TO SH5)
Blind (D) or (R)
(2) No (GO TO SX3CK)
Blind (D) or (R) (GO TO SX3CK)
(2) No
Blind (D) or (R)
In the last 12 months, did (you/you or other adults in your household) ever not eat for a whole day because there wasn't enough money for food?
(2) No (GO TO SX4CK)
Blind (D) or (R) (GO TO SX4CK)
(2) Some months but not every month
(3) Only 1 or 2 months
Blind (D) or (R)
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?
(2) No (GO TO SX4CK)
Blind (D) or (R) (GO TO SX4CK)
Blind (D) or (R)
If only 1 HHMEM=1 and (AGE)=18 or PURRP(=3) and only one person with AGE(=17 and PURR)=4 in household then fill parenthetical with first option else fill with second option.
If CHILD_COUNT = 1 then fill second parenthetical with first option else fill with second option.
"(I/we) relied on only a few kinds of low-cost food to feed (the child in (my/our) household/the children) because (I was/we were) running out of money to buy food. Was that OFTEN, SOMETIMES or NEVER true for (you/your household) in the last 12 months?
(2) Sometimes true
(3) Never true (GO TO SS6)
Blind (D) or (R) (GO TO SS6)
(2) No
Blind (D) or (R)
If CHILD_COUNT = 1 then fill second parenthetical with first option else fill with second option.
"(I/we) couldn't feed (the child in (my/our) household/the children) a balanced meal, because (I/we) couldn't afford that." Was that OFTEN, SOMETIMES or NEVER true for (you, your household) in the last 12 months?
(2) Sometimes true (GO TO SSM6)
(3) Never true (GO TO SH1)
Blind (D) or (R) (GO TO SH1)
(2) No
Blind (D) or (R)
If CHILD_COUNT = 1 then fill first parenthetical with first option else fill with second option.
"(The child in (my/our) household 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/ your household) in the last 12 months?
(2) Sometimes true
(3) Never true (GO TO SX5CK)
Blind (D) or (R) (GO TO SX5CK)
(2) No
Blind (D) or (R)
In the last 12 months, did you ever cut the size of (the child's/any of the children's) meals because there wasn't enough money for food?
(2) No (GO TO SSH3)
Blind (D) or (R) (GO TO SSH3)
(2) Some months but not every month
(3) Only 1 or 2 months
Blind (D) or (R)
(2) No (GO TO SSH3)
Blind (D) or (R) (GO TO SSH3)
In the last 30 days, how many days did you cut the size of (the child's/any of the children's) meals because there wasn't enough money for food?
Blind (D) or (R)
In the last 12 months, (was the child/were the children) ever hungry but you just couldn't afford more food?
(2) No (GO TO SSH4)
Blind (D) or (R) (GO TO SSH4)
(2) Some months but not every month
(3) Only 1 or 2 months
Blind (D) or (R)
(2) No (GO TO SSH4)
Blind (D) or (R) (GO TO SSH4)
In the last 30 days, how many days (was the child/were the children) hungry but you just couldn't afford more food?
Blind (D) or (R)
In the last 12 months, did (the child/ any of the children) ever skip a meal because there wasn't enough money for food?
(2) No (GO TO SSH5)
Blind (D) or (R) (GO TO SSH5)
(2) Some months but not every month
(3) Only 1 or 2 months
Blind (D) or (R)
Now think about the last 30 days. Did (the child/ any of the children) ever skip a meal during that time because there wasn't enough money for food?
(2) No (GO TO SSH5)
Blind (D) or (R) (GO TO SSH5)
Blind (D) or (R)
In the last 12 months, did (the child/any of the children) ever not eat for a whole day because there wasn't enough money for food?
(2) No (GO TO SC1CK)
Blind (D) or (R) (GO TO SC1CK)
(2) No
Blind (D) or (R)
All responses go to SC1CK
V. WAYS OF COPING WITH NOT HAVING ENOUGH FOOD
During the past 30 days, did (you/anyone in this household) receive any meals delivered to the home from community programs, "Meals on Wheels," or any other programs?
(2) No
Blind (D) or (R)
During the past 30 days, did (you/anyone in this household) go to a community program or senior center to eat prepared meals?
(2) No
Blind (D) or (R)
For items SC3 and 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.
(2) No (GO TO SC3A)
Blind (D) or (R) (GO TO SC4)
(2) Some months but not every month
(3) Only 1 or 2 months
Blind (D) or (R)
(2) No (GO TO SC4)
(2) No
Blind (D) or (R)
(2) No (GO TO END OF SUPPLEMENT)
Blind (D) or (R) (GO TO END OF SUPPLEMENT)
(2) Some months but not every month
(3) Only 1 or 2 months
Blind (D) or (R)
(2) No
Blind (D) or (R)
*****************************END OF SUPPLEMENT****************************