Questionnaire Text

ASEC 2014
ASEC 2012
ASEC 2010
top
ASEC 2014

No questionnaire text is available for this sample.


top
ASEC 2012

No questionnaire text is available for this sample.


top
ASEC 2010
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