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ATTACHMENT 8
SUPPLEMENT QUESTIONNAIRE
Current Population Survey, July 2021
Disability Supplement



PRESUP
This month we would like to learn more about how people in different circumstances deal with labor market challenges.
Press (1) to Continue

SDIS1
Previously, you mentioned that (you/Name) had difficulty (hearing/seeing/concentrating, remembering or making decisions/walking or climbing stairs/dressing or bathing/doing errands alone such as going to the doctor's office or going shopping). How has this affected (your/his/her) ability to complete current work duties? Would you say this has caused no difficulty, a little difficulty, moderate difficulty, or severe difficulty?
(1) No difficulty
(2) A little difficulty
(3) Moderate difficulty
(4) Severe difficulty
[blind] (D) Don't Know
[blind] (R) Refused
All go to SDIS3

SDIS2
[(Have/Has)/( you/Name)] EVER worked for pay at a job or business?
(1) Yes (go to SDIS3)
(2) No (go to SDIS4)
[blind] (D) Don't Know (go to SDIS4)
[blind] (R) Refused (go to SDIS4)

SDIS3
Earlier it was reported that (you/Name) had difficulty (hearing/seeing/concentrating, remembering or making decisions/walking or climbing stairs/dressing or bathing/doing errands alone such as going to the doctor's office or going shopping). Did (you/he/she) ever leave or lose a job because of reason related to (this difficulty /these difficulties)?
(1) Yes
(2) No
[blind] (D) Don't Know
[blind] (R) Refused
If SDIS2 =1 OR [(MLR = 3 OR 5) AND (DS1W or DS2W or DS3W or DW4W or DS5W or DS6W = 1), go to SDIS4, Else if (DS1W or DS2W or DS3W or DW4W or DS5W or DS6W = 1), go to SDIS6a.

PESDIS4
The purpose of this next question is to identify barriers to employment faced by persons with difficulties. (Do/Does) (Name/you) consider any of the following barrier to employment for (you/him/her)? Read answer categories, wait for respondent to answer yes or no mark all answers respondent says yes.
(1) Lack of education or training (go to SDIS5)
(2) Lack of job counseling (go to SDIS5)
(3) Lack of transportation (go to SDIS5)
(4) Loss of government assistance (go to SDIS5)
(5) Need for special features at the job (go to SDIS5)
(6) Employer or coworker attitudes (go to SDIS5)
(7) (Your/NAME's) difficulty (hearing/seeing/concentrating, remembering or making decisions/walking or climbing stairs/dressing or bathing, doing errands alone such as going to the doctor's office or going shopping) (go to SDIS6a)
(8) Other specify (go to SDIS4S)
(9) None (go to SDIS6a)
[blind] (D) Don't Know (go to SDIS6a)
[blind] (R) Refused (go to SDIS6a)

If SDIS41 = -2,-3,-9 go to SDIS6a
Else if SDIS4= 8 go to SDIS4S
Else if SDIS4= 1 to 6 go to SDIS5
Else if SDIS4= 7 or 9 go to SDIS6a

SDIS4S
Enter Verbatim Response
(What is the other barrier to employment for (you/Name)?)
(If SDIS4 = 16 or 8, go to SDIS5; else, go to SDIS6a)

SDIS5
If (this barrier/these barriers) could be removed, would (you/Name) be able to work?
(1) Yes
(2) No
[blind] (D) Don't Know
[blind] (R) Refused
All go to SDIS6a

SDIS6a
The purpose of this next question is to find out if [(you/Name)(have/has)] taken advantage of any of the following sources that help people prepare for work or advance on the job. In the past 5 years, [(have/has)(you/Name)] received assistance from: Vocational Rehabilitation Centers
(1) Yes (go to SDIS7a)
(2) No (go to SDIS6b)
(3) Haven't heard of this program (go to SDIS6b)
[blind] (D) Don't Know (go to SDIS6b)
[blind] (R) Refused (go to SDIS6b)

SDIS7a
How helpful was the Vocational Rehabilitation Centers? Would you say it was not at all helpful, a little helpful, somewhat helpful, or very helpful?
(1) Not at all helpful
(2) A little helpful
(3) Somewhat helpful
(4) Very helpful
[blind] (D) Don't Know
[blind] (R) Refused
All go to SDIS6b

SDIS6b
In the past 5 years, [(have/has)(you/Name)] received assistance from: One Stop Career Centers
(1) Yes (go to SDIS7b)
(2) No (go to SDIS6c)
(3) Haven't heard of this program (go to SDIS6c)
[blind] (D) Don't Know (go to SDIS6c)
[blind] (R) Refused (go to SDIS6c)

SDIS7b
How helpful was the One Stop Career Centers? Would you say it was not at all helpful, a little helpful, somewhat helpful, or very helpful?
(1) Not at all helpful
(2) A little helpful
(3) Somewhat helpful
(4) Very helpful
[blind] (D) Don't Know
[blind] (R) Refused
All go to SDIS6c

SDIS6c
In the past 5 years, [(have/has)(you/Name)] received assistance from: The Ticket to Work Program
(1) Yes (go to SDIS7c)
(2) No (go to SDIS6d)
(3) Haven't heard of this program (go to SDIS6d)
[blind] (D) Don't Know (go to SDIS6d)
[blind] (R) Refused (go to SDIS6d)

SDIS7c
How helpful was the Ticket to Work Program? Would you say it was not at all helpful, a little helpful, somewhat helpful, or very helpful?
(1) Not at all helpful
(2) A little helpful
(3) Somewhat helpful
(4) Very helpful
[blind] (D) Don't Know
[blind] (R) Refused
All go to SDIS6d

SDIS6d
In the past 5 years, [(have/has)(you/Name)] received assistance from: The Assistive Technology Act Program.
(1) Yes (go to SDIS7d)
(2) No (go to SDIS6e)
(3) Haven't heard of this program (go to SDIS6e)
[blind] (D) Don't Know (go to SDIS6e)
[blind] (R) Refused (go to SDIS6e)

SDIS7d
How helpful was the Assistive Technology Act Program? Would you say it was not at all helpful, a little helpful, somewhat helpful, or very helpful?
(1) Not at all helpful
(2) A little helpful
(3) Somewhat helpful
(4) Very helpful
[blind] (D) Don't Know
[blind] (R) Refused
All go to SDIS6e

SDIS6e
In the past 5 years, [(have/has)(you/Name)] received assistance from: The Center for Independent Living for Individuals with Disabilities.
(1) Yes (go to SDIS7e)
(2) No (go to SDIS6f)
(3) Haven't heard of this program (go to SDIS6f)
[blind] (D) Don't Know (go to SDIS6f)
[blind] (R) Refused (go to SDIS6f)

SDIS7e
How helpful was the Center for Independent Living for Individuals with Disabilities?
Would you say it was not at all helpful, a little helpful, somewhat helpful, or very helpful?
(1) Not at all helpful
(2) A little helpful
(3) Somewhat helpful
(4) Very helpful
[blind] (D) Don't Know
[blind] (R) Refused
All go to SDIS6f

SDIS6f
In the past 5 years, [(have/has)(you/Name)] received assistance from: The Client Assistance Program.
(1) Yes (go to SDIS7f)
(2) No (go to SDIS6g)
(3) Haven't heard of this program (go to SDIS6g)
[blind] (D) Don't Know (go to SDIS6g)
[blind] (R) Refused (go to SDIS6g)

SDIS7f
How helpful was the Client Assistance Program? Would you say it was not at all helpful, a little helpful, somewhat helpful, or very helpful?
(1) Not at all helpful
(2) A little helpful
(3) Somewhat helpful
(4) Very helpful
[blind] (D) Don't Know
[blind] (R) Refused
All go to SDIS6g

SDIS6g
In the past 5 years, [(have/has)(you/Name)] received assistance from: Any other employment assistance program.
(1) Yes
(2) No
[blind] (D) Don't Know
[blind] (R) Refused
If SDIS6g = 1, go to SDIS6S
Else if MLR = 1 or 2, go to SDIS8
Else, go to SDIS19

SDIS6S
Enter Verbatim Response (What is the other employment assistance program?)
(go to SDIS7g)

SDIS7g
How helpful was the other employment assistance program? Would you say it was not at all helpful, a little helpful, somewhat helpful, or very helpful?
(1) Not at all helpful
(2) A little helpful
(3) Somewhat helpful
(4) Very helpful
[blind] (D) Don't Know
[blind] (R) Refused
If MLR = 1 or 2, go to SDIS8
Else, go to SDIS19

SDIS8
(Have/Has)(you/NAME) ever requested any change in (your/his/her) current workplace to help (you/him/her) do (your/his/her) job better? For example, changes in work policies, equipment, or schedules.
(1) Yes (go to SDIS9)
(2) No (go to SDIS11)
[blind] (D) Don't Know (go to SDIS11)
[blind] (R) Refused (go to SDIS11)

SDIS9
What changes did (you/Name) request? Read and Mark all that apply. Separate by commas.
(1) New or modified equipment
(2) Physical changes to the workplace
(3) Policy changes to the workplace
(4) Changes in work tasks, job structure or schedule
(5) Changes in communication or information sharing
(6) Changes to comply with religious beliefs
(7) Accommodations for family or personal obligations
(8) Training
(9) Other changes - specify
[blind] (D) Don't Know
[blind] (R) Refused
If SDIS91 = -2,-3,-9 go to SDIS10
If SDIS9 = 9, go to SDIS9S
Else, go to SDIS10

SDIS9S
Enter Verbatim Response (What other changes did (you/Name) request?)
(go to SDIS10)

SDIS10
(Was/Were) the (change/changes) granted?
(1) Yes (go to SDIS11)
(2) No (go to SDIS11)
(3) Partially (go to SDIS11)
[blind] (D) Don't Know (go to SDIS11)
[blind] (R) Refused (go to SDIS11)

SDIS11
How [(do/does)(you/Name)] typically commute to work? Mark all that apply. Separate by commas.
(1) Bus
(2) Specialized bus or van service for people with disabilities
(3) Train/subway
(4) Taxi
(5) Own vehicle
(6) Passenger in a friend or family member's car
(7) Carpool
(8) Bicycle
(9) Walk
(10) Other - specify
(11) Work from home
[blind] (D) Don't Know
[blind] (R) Refused
If SDIS111 = -2,-3,-9 go to SDIS12
If SDIS11 = 10, go to SDS11S
If SDIS11 = 11, fill SDIS12 = 1 and go to SDIS13
Else, go to SDIS12

SDS11S
Enter Verbatim Response. What Other way (do/does)(you/Name) typically commute to work?

If SDIS11 = 11, fill SDIS12 = 1 and go to SDIS13. Else, go to SDIS12

SDIS12
(Do/Does)(you/Name) do any work at home for (your/his/her) job or business?
(1) Yes (go to SDIS13)
(2) No (go to SDIS17)
[blind] (D) Don't Know (go to SDIS17)
[blind] (R) Refused (go to SDIS17)

SDIS13
[When (you/he/she) (work/works) at home, how/How] many hours per week (do/does) (you/he/she) usually work at home as part of this job?
Enter number of hours (099)
(V) Hours vary
(go to SDIS14)
[blind] (D) Don't Know (go to SDIS14)
[blind] (R) Refused (go to SDIS14)

SDIS14
Are those hours worked at home usually considered paid work hours?
(1) Yes (go to SDIS15)
(2) No (go to SDIS15)
[blind] (D) Don't Know (go to SDIS15)
[blind] (R) Refused (go to SDIS15)

If SDIS14 = 1, 2, -2, -3, -9 AND IO1COW = 1-5 or -1, go to SDIS15.
Else, go to SDIS16

SDIS15
(Do/Does)(you/he/she) have a formal arrangement with (your/his/her) employer to be paid for the work that (you/he/she) (do/does) at home, or (were/was) (you/he/she) just taking work home from the job?
(1) Paid (go to SDIS16)
(2) Taking work home (go to SDIS16)
[blind] (D) Don't Know (go to SDIS16)
[blind] (R) Refused (go to SDIS16)

SDIS16
What are the reasons why (you/Name)(work/works) at home? Do not read answer categories. Mark all that apply, separate by commas.
(1) Less commuting
(2) Reduce expenses for transportation, food, clothing, etc.
(3) Coordinate work schedule with work and family needs
(4) More control over own life
(5) Illness, disability, health reasons
(6) Mandated by employer to reduce employer costs
(7) Mandated by employer to meet local transportation management and pollution abatement requirement.
(8) More productive
(9) Self-employed/Business at home
(10) Other specify
[blind] (D) Don't Know
[blind] (R) Refused
If SDIS161 = -2,-3,-9 go to SDIS17
If SDIS16 = 10, go to SDIS16S
Else, go to SDIS17

SDIS16S
Enter Verbatim Response. What is the Other reason (you/Name)(work/works) at home?
(go to SDIS17)

SDIS17
(Do/Does)(you/Name) have flexible work hours that allow (you/him/her) to vary or make changes in the time [(you/he/she)(begin and end/begins and ends)] work?
(1) Yes (go to SDIS18)
(2) No (go to SDIS18)
[blind] (D) Don't Know (go to SDIS18)
[blind] (R) Refused (go to SDIS18)

SDIS18
Some people are in temporary jobs that last only for a limited time or until the completion of a project. Is (your/Name's) job temporary?
(1) Yes (go to SDIS19)
(2) No (go to SDIS19)
[blind] (D) Don't Know (go to SDIS19)
[blind] (R) Refused (go to SDIS19)

SDIS19
There are a variety of programs designed to provide financial assistance to people. In the PAST YEAR did (you/Name) receive assistance from any of the following programs? Read and select all that apply.
(1) Workers Compensation
(2) Social Security Disability Income
(3) Supplemental Security Income
(4) Veterans Disability compensation
(5) Disability Insurance Payments
(6) Other disability payments
(7) Medicaid
(8) Medicare
(9) Other program - specify
(10) None
[blind] (D) Don't Know
[blind] (R) Refused
If SDIS191 = -2,-3,-9 then end interview
If SDIS19 = 15, 7 or 8, go to SDIS20
If SDIS19 = 6 or 9, go to SDS19S
Else, go to next available person or end interview

SDS19S
Enter Verbatim Response. What (Other disability payments/Other programs) did (you/Name) receive assistance from? (go to SDIS20)

SDIS20

Some financial assistance programs include limitations on the amount of work you can do. Did (this program/any of these programs) cause (you/Name) to work less than (you/he/she) would otherwise?
(1) Yes
(2) No
[blind] (D) Don't Know
[blind] (R) Refused

Go to next available person or end interview