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IN CONFIDENCE

M0405

MONTHLY POPULATION SURVEY


MAY 2004
PSU

BLOCK

DWELLING

HH

PERSON

1A.
0
1
2
3
4
5
6
7
8
9

0
1
2
3
4
5
6
7
8
9

0
1
2
3
4
5
6
7
8
9

0
1
2
3
4
5
6
7
8
9

0
1
2
3
4
5
6
7
8
9

0
1
2
3
4
5
6
7
8
9

1
2
3
4
5
6
7
8

0 A
1 C
2 F
3 J
4 K
5 L
6 R
7 T
8 V
9 W
X

0
1
2
3
4
5
6
7
8
9

1C. OFFICE USE ONLY


02

04

09
14

2.

3.

06

7.
07

08

0
1
2
3
4
5
6
7
8
9

1
2
3
4
5
6
7
8
9

0
1
2
3
4
5
6
7
8
9

0
1
2
3
4
5
6
7
8
9

11

12

13

15

16

17

18

Male

Female .

0
1
2
3
4
5
6
7
8
9

If respondent
does not know
postcode ask for:- ... ...

S.D.

Not known ... ... ... ... ..

B. Postcode

00 0
2
3
4
5
6
7

1101

England

2102

New Zealand

1201

Italy

3104

S.D. ONLY

Viet Nam

0
5105

S.D. Institutionalised
person
(No more questions)

Scotland

2105

Greece

3207

Germany

2304

Philippines

5204
9

Usually lives with a


spouse/partner

Does not usually live


with a spouse/partner

0
1
2
3
4
5
6
7
8
9

0
1
2
3
4
5
6
7
8
9

3
0
1
2
3
4
5
6
7
8
9

8A. COUNTRY OF BIRTH


Australia
Q.9

MARITAL STATUS

S.D. Boarding school


pupil
(No more questions)

S.D. Other .

YEAR OF ARRIVAL

0
1
2
3
4
5
6
7
8
9

0
1
2
3
4
5
6
7
8
9

No

Aboriginal

Torres Strait Islander

Both ..

Commonwealth of Australia 2002

0
1
2
3
4
5
6
7
8
9

0
1
2
3
4
5
6
7
8
9

0
1
2
3
4
5
6
7
8
9

10. Sequence Guide

11.

. If aged 25 years
or more ... ... ...

Q.18

. If aged
20-24 years ... ..

Q.17

. If still at school

Q.18

. Otherwise ... ...

Q.11

DATE LEFT SCHOOL


Enter month
and year
Q.17

9. INDIGENOUS STATUS

State ...............................................
When editing, enter
postcode below

City/Town .....................................

PERSON TYPE

Visitor to P.D.

19
20

Suburb ...........................................

AGE

FORM S1

8B.

A. If respondent
knows postcode,
enter below .. .. .. .. .. .. ..

6.

y
l
n
o

Schedule obtained
by phone ... ... ... ..
Schedule obtained
face to face... ... ... ..

WHAT IS THE POSTCODE OF


THE SUBURB OR TOWN
WHERE ..... USUALLY LIVES?

SEX

Usual resident of P.D.


(Complete Q.12 to
Q.15 when editing)
Q.8A

5.

1B.

e
l
p
m
a
S
10

1
2
3
4
5
6
7
8
9

4.

0
1
2
3
4
5
6
7
8
9

Schedule obtained
from person
him/herself... ... ... .
Other Responsible
Adult... ... ... ... ... ..

0
1
2
3
4
5
6
7
8
9

01
02
03
04
05
06
07
08
09
10
11
12

1993
1994
1995
1996
1997
1998
1999
2000
2001
2002
2003
2004

FORM S1
12.

13.

14.

15.

HOUSEHOLD TYPE (PSO)

OFFICE USE ONLY

16.

1 (Nothing further) .. ..

2 .. .. .. .. .. .. .. .. .. .. .. ..

3 .. .. .. .. .. .. .. .. .. .. .. ..

4 .. .. .. .. .. .. .. .. .. .. .. ..

5 .. .. .. .. .. .. .. .. .. .. .. ..

6 (Complete Q.14) . .. ..

7 (Complete Q.15) .. ..

8 (Complete Q.14) . .. ..

9 (Nothing further) .. ..

Husband
(Complete Q.15) . .. .. ..

Wife
(Nothing further) .. .. ..

Son/daughter
(Nothing further) .. .. ..

Relationship

Family
number

Children
0-14 years

0
1

1
2
3
4
5
6
7
8
9

1
2
3
4
5
6
7
8

UR scope/coverage
exclusion

Incomplete
H/H, L/U

e
l
p
m
a
S

Father/mother .. .. .. .. ..

Son/daughter
(Nothing further) .. .. ..

Schedule,
initial response

Schedule,
final response

1
2
3
4
5

1
2
3
4
5
6

1
2

y
l
n
o
1
2
3
4
5
6
7
8
9

1
2
3
4
5
6
7

If Household Type
2, 3 or 6 in Q.12,
nothing further.

If Household Type
4, 5, 7 or 8 in Q.12,
enter number of
children aged
0 to 14 years.

1
2
3
4
5
6
7
8
9

1
2
3
4
5
6
7
8
9

1
2
3
4
5
6
7
8
9

Interviewer
number

0 0 0
1 1 1
2 2 2
3 3 3
4 4 4
5 5 5
6 6 6
7 7 7
8 8 8
9 9 9

0
1
2
3
4
5
6
7
8
9

1
2
3
4
5
6
7
8
9

1
2
3
4
5
6
7
8
9

0
1
2
3
4
5
6
7
8
9

Workload
number

Week

1
2

N
0 0
1 1
2 2
3 3
4 4
5 5
6 6
7 7
8 8
9 9

M
0
1
2
3
4
5
6
7
8
9

0
1
2
3
4
5
6
7
8
9

0
1
2
3
4
5
6
7
8
9

0 0
1 1
2 2
3 3
4 4
5 5
6 6
7 7
8 8
9 9

FORM S1
17.

IS ..... CURRENTLY A FULL-TIME STUDENT AT A


TAFE, UNIVERSITY OR OTHER EDUCATIONAL
INSTITUTION?
Yes

18.

24.

No

Dec, Jan, Feb only Not known, unclear

Interviewer: Read statement for the first person to be


interviewed in the household, or if the respondent changes.

(YOU TOLD ME THAT ..... DIDNT LOOK FOR WORK


DURING THE LAST 4 WEEKS.)

Q.82

No

Q.94

Yes

25.

DID ..... HAVE MORE THAN 1 JOB OR BUSINESS


LAST WEEK?
Yes

I WOULD LIKE TO ASK ABOUT LAST WEEK, THAT IS,


THE WEEK STARTING MONDAY THE ..... AND
ENDING (LAST SUNDAY THE ...../YESTERDAY).
19.

No

Permanently unable to work

20.

Permanently not intending to work


(if aged 65+ only)
Q.94

Q.27A

No

Q.27B

Yes

DID ..... WORK FOR AN EMPLOYER, OR IN ..... OWN


BUSINESS?

Q.25

Employer

No

Own business

Permanently not intending to work


(if aged 65+ only)
Q.94

29.

DID ..... HAVE A JOB, BUSINESS OR FARM


THAT ..... WAS AWAY FROM BECAUSE OF
HOLIDAYS, SICKNESS OR ANY OTHER REASON?
Q.45

No

Permanently not intending to work


(if aged 65+ only)
Q.94

AT ANY TIME DURING THE LAST 4 WEEKS HAS


..... BEEN LOOKING FOR FULL-TIME WORK?

30.

Q.31

Q.30

Other/Uncertain

IS ..... PAID A WAGE OR SALARY, OR SOME OTHER


FORM OF PAYMENT?
Q.33

Wage/Salary
Other/Uncertain

WHAT ARE ..... (WORKING/PAYMENT)


ARRANGEMENTS?
Q.73

01

Contractor/Subcontractor

02

Own business/Partnership

03

Commission only

04

Unpaid voluntary work

Q.75

No

Commission with retainer

Q.33

05

Permanently not intending to work


(if aged 65+ only)
Q.94

In a family business
without pay

Q.33

06

Payment in kind

Q.33

07

Yes

23.

27B. THE NEXT FEW QUESTIONS ARE ABOUT THE JOB


OR BUSINESS IN WHICH ..... USUALLY WORKS THE
MOST HOURS, THAT IS, ..... MAIN JOB.
28.

LAST WEEK, DID ..... DO ANY WORK WITHOUT


PAY IN A FAMILY BUSINESS?

Yes

22.

Q.28

27A. THE NEXT FEW QUESTIONS ARE ABOUT THE


WORK ..... DOES NOW.

Q.94

Yes

21.

WAS THAT BECAUSE ..... CHANGED JOBS DURING


THE WEEK?

e
l
p
m
a
S
Q.25

Yes

No
26.

LAST WEEK, DID ..... DO ANY WORK AT


ALL IN A JOB, BUSINESS OR FARM?

y
l
n
o

WAS THAT BECAUSE ..... WAS WAITING TO START


WORK ..... HAD ALREADY OBTAINED?

HAS ..... BEEN LOOKING FOR PART-TIME WORK AT


ANY TIME DURING THE LAST 4 WEEKS?
Q.75

Paid by the piece/


item produced

Q.33

08

No

Wage/salary earner

Q.33

09

Permanently not intending to work


(if aged 65+ only)
Q.94

Other

Q.33

10

Yes

FORM S1

DOES ..... HAVE EMPLOYEES (IN THAT BUSINESS)?

31.

Yes

No

2
a

IS THAT BUSINESS INCORPORATED?

32.

Yes

No

2
b

I WOULD NOW LIKE TO ASK ABOUT WHEN .....


WORKED (IN ..... MAIN JOB) LAST WEEK.

33.

a
Yes
No

42.

THU

FRI

SAT

SUN?

HOW MANY HOURS DOES ..... USUALLY WORK


EACH WEEK IN (THAT JOB/THAT BUSINESS/
ALL ..... JOBS)?
0
1
2
35 hours or more
3
4
5
Q.60
1 - 34 hours
6
7
8
Less than 1 hour/
9
No hours
Q.60

HOW MANY HOURS DOES ..... USUALLY WORK


EACH WEEK IN (THAT JOB/THAT BUSINESS/
ALL ..... JOBS)?

e
l
p
m
a
S
1
2

35 hours or more
1 - 34 hours

34.

35.

36.

Sequence Guide

. If no days worked in Q.33

Q.39

. If Q.31 answered

Q.37

. Otherwise

Q.35

38.

Yes

No

DID ..... WORK ANY EXTRA HOURS OR OVERTIME?

Q.60

Less than 1 hour/


No hours

Q.60

WHAT WAS THE MAIN REASON ..... WORKED LESS


THAN 35 HOURS LAST WEEK?
Holiday/Flextime/Study/
Personal reasons

Own illness or injury/Sick leave

Standard work arrangements/


Shift work/RDO

Stood down/On short time/


Insufficient work

No

Bad weather/Plant breakdown

Began/left/lost job during week

Sequence Guide

. If only 1 job/business
(2 in Q.25 or 1 in Q.26)

Q.39

On strike/Locked out/
Industrial dispute

. Otherwise

Q.38

Other

HOW MANY HOURS DID ..... ACTUALLY


WORK IN ..... MAIN JOB LAST WEEK
(LESS THE TIME OFF) (BUT) (COUNTING
THE EXTRA HOURS WORKED)?

Less than 1 hour/


No hours

0
1
2
3
4
5
6
7
8
9

1 hour or more

0
1
2
3
4
5
6
7
8
9

39.

43.

ON THE DAYS THAT ..... WORKED (IN THAT JOB),


DID ..... HAVE ANY TIME OFF?

Yes

37.

y
l
n
o
0
1
2
3
4
5
6
7
8
9

Q.65

41.

[REMEMBERING THAT (Day) WAS A PUBLIC


HOLIDAY,] DID ..... WORK (IN THAT JOB) ON
MON TUES WED

40.

0
1
2
3
4
5
6
7
8
9

HOW MANY HOURS DID ..... ACTUALLY WORK (IN


ALL ..... JOBS) LAST WEEK (LESS THE TIME OFF)
(BUT) (COUNTING THE EXTRA HOURS WORKED)?

35 hours or more

1-34 hours

Q.42

Less than 1 hour/


No hours

Q.53

Q.65

44.

0
1
2
3
4
5
6
7
8
9

0
1
2
3
4
5
6
7
8
9

0
1
2
3
4
5
6
7
8
9

45.

DID ..... HAVE MORE THAN 1 JOB OR BUSINESS


LAST WEEK?
Yes

Q.47

No
46.

THE NEXT FEW QUESTIONS ARE ABOUT THE JOB


OR BUSINESS IN WHICH ..... USUALLY WORKS THE
MOST HOURS.

47.

DOES ..... WORK FOR AN EMPLOYER, OR IN ..... OWN


BUSINESS?
Employer

Q.50

Q.49

Own business
Other/Uncertain

FORM S1
48.

IS ..... PAID A WAGE OR SALARY, OR SOME OTHER


FORM OF PAYMENT?

49.

Yes

No

WHAT ARE ..... (WORKING/PAYMENT)


ARRANGEMENTS?

53.

Q.56

WILL ..... BE RETURNING TO WORK FOR .....


EMPLOYER?

01

Yes

Q.59

Contractor/Subcontractor

02

No

Q.73

Own business/Partnership

03

Dont know

Q.73

Commission only

04

Commission with retainer

Q.53

05

In a family business
without pay

Q.73

06

Payment in kind

Q.53

07

Paid by the piece/


item produced

Q.53

08

Wage/salary earner

Q.53

09

Other

Q.53

10

56.

UP UNTIL THE END OF LAST WEEK, HOW LONG


HAD ..... BEEN AWAY FROM WORK?
Q.59

Less than 4 weeks

e
l
p
m
a
S
57.

DOES ..... HAVE EMPLOYEES (IN THAT BUSINESS)?

58.

4 weeks or more

WAS ..... PAID, OR WILL ..... BE PAID, FOR ANY PART


OF THE LAST 4 WEEKS?

Q.59

No

Q.73

Yes

WHAT WAS THE MAIN REASON ..... WAS AWAY


FROM WORK LAST WEEK?

Holiday/Study/Personal reasons

No

Own illness or injury

No work available/Not enough


work

Locked out/Industrial dispute

Bad weather/Plant breakdown

IS THAT BUSINESS INCORPORATED?

Q.53

No

Yes

52.

55.

Q.73

Yes

51.

y
l
n
o

Unpaid voluntary work

50.

WAS ..... ON WORKERS COMPENSATION LAST


WEEK?

Q.53

Wage/Salary
Other/Uncertain

54.

Q.58

Other

WHAT WAS THE MAIN REASON ..... WAS AWAY


FROM WORK LAST WEEK?
Holiday/Flextime/Study/
Personal reasons

59.

Q.56

No work available/
Not enough work

Q.56

Standard work arrangements/


Shift work

Q.59

On strike/Locked out/
Industrial dispute

Q.59

Stood down

Q.56

Bad weather/
Plant breakdown

Q.56

Other

Q.56

Own illness or injury/Sick leave

HOW MANY HOURS DOES ..... USUALLY WORK


EACH WEEK IN (THAT JOB/THAT BUSINESS/
ALL ..... JOBS)?

35 hours or more

0
1
2
3
4
5
6
7
8
9

Q.65

1 - 34 hours ... ... ... ... ...

60.

Less than 1 hour/


No hours

WOULD ..... PREFER TO WORK MORE HOURS THAN


..... USUALLY WORKS?

No

Q.65

Don't know

Q.65

Yes

61.

Q.73

0
1
2
3
4
5
6
7
8
9

LAST WEEK, WAS ..... AVAILABLE TO WORK MORE


HOURS THAN ..... USUALLY WORKS?
Q.62

No

Yes

FORM S1

61A. IN THE NEXT 4 WEEKS, WOULD ..... BE


AVAILABLE TO WORK MORE HOURS THAN .....
USUALLY WORKS?

66.

Yes

WHAT KIND OF BUSINESS OR SERVICE


IS CARRIED OUT BY ..... (EMPLOYER
AT THE PLACE WHERE ..... WORKS/
BUSINESS)?

y
l
n
o
0
1
2
3
4
5
6
7
8
9

......................................................................
No

......................................................................
62.

IN THE LAST 4 WEEKS, HAS ..... DONE ANYTHING


TO OBTAIN MORE HOURS OF WORK?
Yes

Q.65

No
63.

67.

DOES ..... WANT TO WORK 35 HOURS OR MORE A


WEEK?
1

......................................................................

No

......................................................................

e
l
p
m
a
S

......................................................................

AT ANY TIME IN THE LAST 4 WEEKS HAS .....


(ASKED ..... CURRENT EMPLOYER
FOR MORE HOURS?)

01

WRITTEN, PHONED OR APPLIED IN


PERSON TO (AN/ANOTHER) EMPLOYER
FOR WORK?

02

ANSWERED AN ADVERTISEMENT
FOR A JOB?

03

68.

69.

LOOKED IN NEWSPAPERS?

0
1
2
3
4
5
6
7
8
9

WHAT IS THE NAME OF ..... (EMPLOYER/BUSINESS)?

Yes

64.

......................................................................

0
1
2
3
4
5
6
7
8
9

1
2

HAS ..... WORKED (FOR ..... EMPLOYER/IN .....


BUSINESS) FOR 12 MONTHS OR MORE?
Q.70

No/Less

Yes/More

HOW MANY MONTHS HAS ..... WORKED


(FOR ..... EMPLOYER/IN ..... BUSINESS)?

0
1

0
1
2
3
4
5
6
7
8
9

Yes

No

CHECKED FACTORY NOTICE BOARDS,


OR USED THE TOUCHSCREENS AT
CENTRELINK OFFICES?

04

70.

AT ANY TIME IN THE LAST 4 WEEKS


HAS .....

BEEN REGISTERED WITH CENTRELINK


AS A JOBSEEKER?

05

CHECKED OR REGISTERED WITH AN


EMPLOYMENT AGENCY?

06

71.

DONE ANYTHING ELSE TO FIND A JOB?

DOES ..... EXPECT TO BE WORKING (FOR .....


EMPLOYER/IN ..... BUSINESS) IN 12 MONTHS TIME?
Yes/Dont know

Q.94

No/Depends

1
2

WHAT IS THE MAIN REASON ..... (EXPECTS TO/MAY)


FINISH WORK (FOR ..... EMPLOYER/IN ..... BUSINESS)
IN THE NEXT 12 MONTHS?
Changing jobs/Seeking other
employment

09

Returning to study/Travel/
Family reasons

10

Retiring

None of these

11

Seasonal/Temporary job/
Fixed contract

Employer/business closing down/


downsizing

Other

Advertised or tendered for work

07

Contacted friends/relatives

08

Other

Only looked in newspapers

65.

Months

WHAT (WAS/IS) ..... OCCUPATION IN


(THAT/..... MAIN) (JOB/BUSINESS)?

(Title) ............................................................
......................................................................
WHAT (WERE/ARE) ..... MAIN TASKS
AND DUTIES?
(Main tasks/duties) .......................................
......................................................................
......................................................................

0
1
2
3
4
5
6
7
8
9

0
1
2
3
4
5
6
7
8
9

0
1
2
3
4
5
6
7
8
9

0
1
2
3
4
5
6
7
8
9

72.

Q.94

FORM S1
73.

Yes

No

No

HAS ..... BEEN LOOKING FOR PART-TIME WORK AT


ANY TIME DURING THE LAST 4 WEEKS?
Yes

Q.81A

No
75.

Q.94

80.

81A. (YOU TOLD ME THAT ..... DIDNT LOOK FOR WORK


DURING THE LAST 4 WEEKS.)
WAS THAT BECAUSE ..... WAS WAITING TO START
(PAID) WORK ..... HAD ALREADY OBTAINED?

AT ANY TIME IN THE LAST 4 WEEKS HAS .....

81B. LAST WEEK, WAS ..... WAITING TO START (PAID)


WORK ..... HAD ALREADY OBTAINED?

WRITTEN, PHONED OR APPLIED IN


PERSON TO AN EMPLOYER FOR
WORK?

01

ANSWERED AN ADVERTISEMENT
FOR A JOB?

02

Yes

e
l
p
m
a
S
LOOKED IN NEWSPAPERS?

03

04

CHECKED OR REGISTERED WITH AN


EMPLOYMENT AGENCY?

05

06

Contacted friends/relatives

07

Q.81B

08

Only looked in newspapers

Q.81B

09

None of these

Q.81B

10

Other

IF ..... HAD FOUND A (PART-TIME) JOB COULD


..... HAVE STARTED WORK LAST WEEK?

Yes

No

Q.85

Don't know

77.

WHAT WERE THE REASONS ..... COULD NOT


HAVE STARTED WORK LAST WEEK?
Waiting to start a job

Q.79

Other
78.

WILL ..... BE STARTING THAT WORK IN


THE NEXT 4 WEEKS?
1

No

Q.94

No

Yes

Q.94

Yes/Full-time

No/Part-time

No

WHEN DID ..... BEGIN LOOKING FOR WORK?

85.

Enter date
Less than
2 years ago

................./................./.................
DD
MM
YY

2 years to less
than 5 years ago

................./.................
MM
YY
.................
YY
Day
0 0
1 1
2 2
3 3
4
5
6 6
7 7
8 8
9 9

Month
0 0
1 1
2
3
4
5
6
7
8
9

Year
0 0
1 1
2 2
3 3
4 4
5 5
6 6
7 7
8 8
9 9

b Did not look for work

Q.83

Yes

5 years or
more ago

Q.85

Yes

WILL THAT WORK BE FULL-TIME?

84.

DONE ANYTHING ELSE TO FIND A JOB?


Advertised or tendered for work

Q.94

COULD ..... HAVE STARTED LAST WEEK


IF THAT WORK HAD BEEN AVAILABLE?

83.

AT ANY TIME IN THE LAST 4 WEEKS


HAS .....

BEEN REGISTERED WITH CENTRELINK


AS A JOBSEEKER?

No

No

CHECKED FACTORY NOTICE BOARDS,


OR USED THE TOUCHSCREENS AT
CENTRELINK OFFICES?

WILL ..... BE STARTING THAT WORK IN THE


NEXT 4 WEEKS?

82.

Yes

76.

y
l
n
o

Q.75

Yes

74.

COULD ..... START IN THE NEXT 4 WEEKS IF WORK


WAS AVAILABLE?

79.

AT ANY TIME DURING THE LAST 4 WEEKS HAS


..... BEEN LOOKING FOR FULL-TIME WORK?

FORM S1
86.

WHEN DID ..... LAST WORK FOR 2 WEEKS OR


MORE?

WHAT WAS THE MAIN REASON ..... STOPPED


WORKING IN ..... JOB OR BUSINESS?

91.

a Enter date
Less than
2 years ago

................./................./.................
DD
MM
YY

2 years to less
than 5 years ago

Job ended/Temporary/seasonal job

Unsatisfactory work arrangements/


pay/hours

.................
YY

Own ill health or injury

Holiday job/Returned to studies

Self-employed: Business closed


down for economic reasons
(Went broke/Liquidated/No work/
No supply or demand etc.)

Other

Day

Month

0
1
2
3
4
5
6
7
8
9

0
1

b Has never worked


(for 2 weeks or more) ... ... ... ...
87.

88.

Year
0
1
2
3
4
5
6
7
8
9

0
1
2
3
4
5
6
7
8
9

0
1
2
3
4
5
6
7
8
9

e
l
p
m
a
S
6
7
8
9

DID ..... USUALLY WORK 35 HOURS OR MORE A


WEEK IN ..... JOB OR BUSINESS?

92.

Q.94

No

Sequence Guide

. If less than 2 years ago in Q.86

Q.88

a Enter date

. Otherwise

Q.92

Less than
2 years ago

WHAT WAS ..... OCCUPATION IN


THAT JOB OR BUSINESS?

......................................................................

WHAT WERE ..... MAIN TASKS AND


DUTIES?
(Main tasks/duties) .......................................
......................................................................
......................................................................

WHAT KIND OF BUSINESS OR SERVICE


WAS CARRIED OUT BY ..... EMPLOYER
OR BUSINESS AT THE PLACE WHERE
..... WORKED?

......................................................................
......................................................................
......................................................................

90.

Q.94

Yes

WHEN DID ..... LAST WORK FOR AT LEAST 2 WEEKS


IN A JOB OF 35 HOURS OR MORE A WEEK?

93.

................./................./.................
DD
MM
YY

2 years to less
than 5 years ago

(Title) ............................................................

89.

................./.................
MM
YY

5 years or
more ago

0
1
2
3

y
l
n
o

Lost job - (Retrenched/Made


redundant/Employer went out
of business/Dismissed/No work
available etc.)

0
1
2
3
4
5
6
7
8
9

0
1
2
3
4
5
6
7
8
9

0
1
2
3
4
5
6
7
8
9

0
1
2
3
4
5
6
7
8
9

0
1
2
3
4
5
6
7
8
9

WHAT WAS THE NAME OF ..... EMPLOYER OR


BUSINESS?

......................................................................
......................................................................
......................................................................
1
2

5 years or
more ago

0
1
2
3
4
5
6
7
8
9

0
1
2
3
4
5
6
7
8
9

................./.................
MM
YY

.................
YY
Day

Month

Year

0
1
2
3

0
1

0
1
2
3
4
5
6
7
8
9

6
7
8
9

0
1
2
3
4
5
6
7
8
9

0
1
2
3
4
5
6
7
8
9

Has never worked in a job of


35+ hrs/week (for 2 weeks
or more)

Q.94

0
1
2
3
4
5
6
7
8
9

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