Questionnaire Text

ASEC 2020
ASEC 2018
ASEC 2016
ASEC 2014
ASEC 2012
ASEC 2010
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ASEC 2020

No questionnaire text is available for this sample.


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ASEC 2018
Questionnaire form view entire document:  text  image
S331
So you received ($_,___.00) every (week/other week/twice a month/every month/every quarter/for the year) for ((all the children covered by the (agreement/understanding/court order/court award)/
(child's name(s))
(child's name(s))
(child's name(s))
(child's name(s))
(child's name(s))
(child's name(s))
in 2009. Is this correct?
(1) Yes
(2) No
S332
How much child support did you actually receive ALTOGETHER in 2009 for (CHILD/the children)?
ENTER AMOUNT
$__,___ .00
S333
The next questions ask about the amount of child support you received between January 1 and December 31, 2009. (Please include any back support received./Please include any child support passed through the welfare agency EXCLUDING your regular A.F.D.C. payment or[state fill for local TANF] payment./Please include any back support and any child support passed through the welfare agency EXCLUDING your regular A.F.D.C. or [state fill for local TANF] payment.)
How much child support did you actually receive ALTOGETHER in 2009 for ((all the children covered by the (agreement/understanding/court order/court award)/
(child's name(s))
(child's name(s))
(child's name(s))
(child's name(s))
(child's name(s))
(child's name(s))
ENTER DOLLAR AMOUNT
$__,___ .00
S334
So you received ($_,___) dollars ALTOGETHER in 2009. Is this correct?
(1) Yes
(2) No
S335
What is the correct amount of child support you ACTUALLY received in 2009?
ENTER DOLLAR AMOUNT
$__,___ .00

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ASEC 2016
Questionnaire form view entire document:  text  image
S331
So you received ($_,___.00) every (week/other week/twice a month/every month/every quarter/for the year) for ((all the children covered by the (agreement/understanding/court order/court award)/
(child's name(s))
(child's name(s))
(child's name(s))
(child's name(s))
(child's name(s))
(child's name(s))
in 2009. Is this correct?
(1) Yes
(2) No
S332
How much child support did you actually receive ALTOGETHER in 2009 for (CHILD/the children)?
ENTER AMOUNT
$__,___ .00
S333
The next questions ask about the amount of child support you received between January 1 and December 31, 2009. (Please include any back support received./Please include any child support passed through the welfare agency EXCLUDING your regular A.F.D.C. payment or[state fill for local TANF] payment./Please include any back support and any child support passed through the welfare agency EXCLUDING your regular A.F.D.C. or [state fill for local TANF] payment.)
How much child support did you actually receive ALTOGETHER in 2009 for ((all the children covered by the (agreement/understanding/court order/court award)/
(child's name(s))
(child's name(s))
(child's name(s))
(child's name(s))
(child's name(s))
(child's name(s))
ENTER DOLLAR AMOUNT
$__,___ .00
S334
So you received ($_,___) dollars ALTOGETHER in 2009. Is this correct?
(1) Yes
(2) No
S335
What is the correct amount of child support you ACTUALLY received in 2009?
ENTER DOLLAR AMOUNT
$__,___ .00

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ASEC 2014
Questionnaire form view entire document:  text  image
S331
So you received ($_,___.00) every (week/other week/twice a month/every month/every quarter/for the year) for ((all the children covered by the (agreement/understanding/court order/court award)/
(child's name(s))
(child's name(s))
(child's name(s))
(child's name(s))
(child's name(s))
(child's name(s))
in 2009. Is this correct?
(1) Yes
(2) No
S332
How much child support did you actually receive ALTOGETHER in 2009 for (CHILD/the children)?
ENTER AMOUNT
$__,___ .00
S333
The next questions ask about the amount of child support you received between January 1 and December 31, 2009. (Please include any back support received./Please include any child support passed through the welfare agency EXCLUDING your regular A.F.D.C. payment or[state fill for local TANF] payment./Please include any back support and any child support passed through the welfare agency EXCLUDING your regular A.F.D.C. or [state fill for local TANF] payment.)
How much child support did you actually receive ALTOGETHER in 2009 for ((all the children covered by the (agreement/understanding/court order/court award)/
(child's name(s))
(child's name(s))
(child's name(s))
(child's name(s))
(child's name(s))
(child's name(s))
ENTER DOLLAR AMOUNT
$__,___ .00
S334
So you received ($_,___) dollars ALTOGETHER in 2009. Is this correct?
(1) Yes
(2) No
S335
What is the correct amount of child support you ACTUALLY received in 2009?
ENTER DOLLAR AMOUNT
$__,___ .00

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ASEC 2012
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S331
So you received ($_,___.00) every (week/other week/twice a month/every month/every quarter/for the year) for ((all the children covered by the (agreement/understanding/court order/court award)/
(child's name(s))
(child's name(s))
(child's name(s))
(child's name(s))
(child's name(s))
(child's name(s))
in 2009. Is this correct?
(1) Yes
(2) No
S332
How much child support did you actually receive ALTOGETHER in 2009 for (CHILD/the children)?
ENTER AMOUNT
$__,___ .00
S333
The next questions ask about the amount of child support you received between January 1 and December 31, 2009. (Please include any back support received./Please include any child support passed through the welfare agency EXCLUDING your regular A.F.D.C. payment or[state fill for local TANF] payment./Please include any back support and any child support passed through the welfare agency EXCLUDING your regular A.F.D.C. or [state fill for local TANF] payment.)
How much child support did you actually receive ALTOGETHER in 2009 for ((all the children covered by the (agreement/understanding/court order/court award)/
(child's name(s))
(child's name(s))
(child's name(s))
(child's name(s))
(child's name(s))
(child's name(s))
ENTER DOLLAR AMOUNT
$__,___ .00
S334
So you received ($_,___) dollars ALTOGETHER in 2009. Is this correct?
(1) Yes
(2) No
S335
What is the correct amount of child support you ACTUALLY received in 2009?
ENTER DOLLAR AMOUNT
$__,___ .00

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ASEC 2010
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S313
During 2009, (how/including back support, how) much was (the weekly/every other week's/the twice monthly/the monthly/the quarterly/the yearly) payment SUPPOSED to be for ((all the children covered by the (agreement/understanding/court order/court award)/(NAME ALL COVERED CHILDREN)?
ENTER THE AMOUNT
$__,___ .00
(S) Other - Specify
S313S
Please specify.

S313a

So you said you were SUPPOSED to receive $X (per month, per week, every other week, twice monthly, per year) (including back support), is that correct?
(1) Yes
(2) No
S313b
How much child support, in total, were you SUPPOSED to receive?
ENTER THE AMOUNT
$__,___ .00