CBS News & the New York Times

December 4, 2013 CBS News & the New York Times DEC13A

DEC13A QUESTIONNAIRE

Q1. (ObamaJob) Do you approve or disapprove of the way Barack Obama is handling his job as President?

1 Approve 2 Disapprove 9 (DO NOT READ) Don't know/No answer

Q2. (Track) Do you feel things in this country are generally going in the right direction or do you feel things have pretty seriously gotten off on the wrong track?

1 Right direction 2 Wrong track 9 (DO NOT READ) Don't know/No answer

Q3. (MIP) What do you think is the most important problem facing this country today?

1 Specify ______9 (DO NOT READ) Don't know/No answer

Q4. (ObamaForPol) Do you approve or disapprove of the way Barack Obama is handling foreign policy? 1 Approve 2 Disapprove 9 (DO NOT READ) Don't know/No answer

Q5. (ObamaEcon) Do you approve or disapprove of the way Barack Obama is handling the economy?

Q6. (ObamaHealth) Do you approve or disapprove of the way Barack Obama is handling health care?

1 Approve 2 Disapprove 9 (DO NOT READ) Don't know/No answer Q8. (CongJob) Do you approve or disapprove of the way Congress is handling its job?

(ROTATE ORDER OF Q9 and Q10; include rotate variable in data file) Q9. (RepHealth) Do you approve or disapprove of the way the Republicans in Congress are handling health care?

(ROTATE ORDER OF Q9 and Q10; include rotate variable in data file) Q10. (DemHealth) Do you approve or disapprove of the way Democrats in Congress are handling health care?

Q11. (StateGovHealth) Do you approve or disapprove of the way your state government is handling health care?

Q12. (RateEcon) How would you rate the condition of the national economy these days? Is it very good, fairly good, fairly bad, or very bad?

1 Very good 2 Fairly good 3 Fairly bad 4 Very bad 9 (DO NOT READ) Don't know/No answer

2 Q13. (EconDirect) Do you think the economy is getting better, getting worse, or staying about the same?

1 Better 2 Worse 3 Same 9 (DO NOT READ) Don't know/No answer

Q17. (GovtDo) Which comes closer to your view: 1. Government should do more to solve national problems; or 2. Government is doing too many things better left to businesses and individuals?

1 Gov’t do more 2 Gov’t doing too much 9 (DO NOT READ) Don't know/No answer

Q19. (ObamaPrior) Do you think Barack Obama has the same priorities for the country as you have, or doesn't he?

1 Yes, he does 2 No, he doesn’t 9 (DO NOT READ) Don't know/No answer

Q20. (ObamaHonest) Do you think Barack Obama is honest and trustworthy, or not?

1 Is honest and trustworthy 2 Is not 9 (DO NOT READ) Don't know/No answer

(ROTATE ORDER OF Q21 and Q22; include rotate variable in data file) Q21. (HCRespPoor) Do you think providing health care coverage for the poor is the responsibility of the federal government, or is this not the responsibility of the federal government?

1 Responsibility of federal government 2 Not responsibility of federal government 9 (DO NOT READ) Don't know/No answer

Q22. (HCRespOld) Do you think providing health care coverage for the elderly is the responsibility of the federal government, or is this not the responsibility of the federal government?

3 Q23. (HCRespAll) Do you think that providing access to affordable health care coverage for all Americans is the responsibility of the federal government, or is this not the responsibility of the federal government?

Q23A.Do you think health insurance plans for all employers should have to cover the full cost of birth control for their female employees, or should employers be allowed to opt out of covering that, based on religious or moral objections?

1 Cover birth control 2 Allowed to opt out 3 (DO NOT READ) Depends 9 (DO NOT READ) Don't know/No answer

Q24. (HCQual) Are you generally satisfied or dissatisfied with the quality of the health care you receive?

(If SATISFIED, ask) Would you say you are very satisfied or somewhat satisfied? (If DISSATISFIED, ask) Would you say you are very dissatisfied or somewhat dissatisfied?

(INTERVIEWER NOTE: Please make sure respondent is referring to the quality of their current health care experiences)

1 Very satisfied 2 Somewhat satisfied 3 Somewhat dissatisfied 4 Very dissatisfied 9 (DO NOT READ) Don't know/No answer

(ROTATE RESPONSE OPTIONS; include rotate variable in data file) Q25. (HCCntryEffct) When individuals don’t have health insurance, how do you think that affects the country overall – does it (help) the country, (hurt) the country, or does it have no effect on the country?

1 Help the country 2 Hurt the country 3 No effect on the country 9 (DO NOT READ) Don't know/No answer

4 Q27. (HltCareLaw) From what you've heard or read, do you approve or disapprove of the health care law that was enacted in 2010?

(IF APPROVE, ASK: Do you strongly approve or somewhat approve?) (IF DISAPPROVE, ASK: Do you somewhat disapprove or strongly disapprove?)

(INTERVIEWER NOTE: If respondent says do you mean Obamacare, then say: “It is sometimes referred to as Obamacare.”)

1 Strongly approve 2 Somewhat approve 3 Somewhat disapprove 4 Strongly disapprove 9 (DO NOT READ) Don't know/ No answer

Q28. (HltCareFar) Does the 2010 health care law go too far in changing the U.S. health care system, not far enough, or is it about right?

1 Too far 2 Not far enough 3 About right 9 (DO NOT READ) Don't know/No answer

Q29. (ACA3Prt) Which comes closest to your view about the 2010 health care law? 1. The law is working well and should be kept in place as is. 2. There are some good things in the law, but some changes are needed to make it work better. 3. The law has so much wrong with it that it needs to be repealed entirely.

1 Working well and kept in place 2 Good things, but changes needed 3 Needs to be repealed it entirely 9 (DO NOT READ) Don't know/No answer

5 Q30. (HltCareChng) In the long run, do you think the 2010 health care law will make the health care system in the U.S. better than it was before, worse than it was before, or don’t you think there will be much of a difference either way?

1 Better than before 2 Worse than before 3 No difference 9 (DO NOT READ) Don't know/No answer

Q31. (HCHelp) From what you've heard or read, do you think the 2010 health care law will mostly help you personally, will mostly hurt you personally, or don't you think it will have much of an effect on you personally?

1 Help 2 Hurt 3 No effect 9 (DO NOT READ) Don't know/No answer

Q35. (HCUnder) Do you feel you have a good understanding of how the 2010 health care law will affect you and your family, or is it confusing to you?

1 Understand 2 Confusing 9 (DO NOT READ) Don’t know/No Answer

(ROTATE ORDER OF Q32 AND Q33; include rotate variables in data file) Q32. (ACACosts) Do you think the 2010 health care law will eventually increase your own health care costs, will eventually lower your own health care costs, or don't you think it will have much effect on your own health care costs?

1 Increase 2 Decrease 3 No effect 9 (DO NOT READ) Don’t know/No Answer

6 Q33. (ACAQual) Do you think that the 2010 health care law will make the quality of health care you receive better, will make the quality of health care you receive worse, or don't you think it will have much effect on the quality of your health care?

1 Better 2 Worse 3 No effect 9 (DO NOT READ) Don’t know/No Answer

Q34. (ACAObtn) Do you think that the 2010 health care law will make it easier for you to obtain health insurance in the future if you are lacking insurance, harder to obtain insurance, or don't you think it will have much effect on your ability to obtain health insurance?

1 Easier 2 Harder 3 No effect 9 (DO NOT READ) Don’t know/No Answer

Q36. (ACAAdmin) Regardless of your overall opinion of the 2010 health care law, how confident are you in the Obama Administration’s ability to implement the law – very confident, somewhat confident, not very confident, or not at all confident?

1 Very confident 2 Somewhat confident 3 Not very confident 4 Not at all confident 9 (DO NOT READ) Don’t know/No answer

Q46. (ACARep) When you evaluate your own member of Congress, how much will his or her position on the 2010 health care law matter--will it matter a lot, somewhat, not much, or not at all?

1 A lot 2 Somewhat 3 Not much 4 Not at all 9 (DO NOT READ) Don't know/No answer

7 Q39. (ACASignup) As you may know, as part of the 2010 health care law, health insurance exchanges have opened up so people can sign up for health insurance. Based on what you’ve heard or read, has the sign-up for the health care exchanges been going very well, somewhat well, not very well, not at all well, or don’t you know enough to say?

1 Very well 2 Somewhat well 3 Not very well 4 Not at all well 5 Don’t know enough to say 9 (DO NOT READ) Don’t know/No Answer

Q39A. (ACASignup2) Do you think the sign-up for the health-care exchanges is getting better, getting worse, or staying about the same?

1 Better 2 Worse 3 Same 9 (DO NOT READ) Don't know/No answer

(ROTATE RESPONSE OPTIONS; include rotate variable in data file) Q40. (HCWebScope) Which comes closest to your opinion about the problems affecting the federal government’s health care website? 1. (They are isolated problems), or 2. (They are signs of more widespread problems to come.)

1 Isolated problems 2 Signs of widespread problems 9 (DO NOT READ) Don't know/No answer

Q41. (HCWebLook) Have you personally looked up information about applying for health insurance under the new exchanges that opened up this past October under the 2010 health care law, or not?

1 Yes 2 No 9 (DO NOT READ) Don't know/No answer

8 (ASK IF Q41=1) (ALLOW MULTIPLE RESPONSES) Q42. (HCWebHow) When you looked up information about applying for health insurance, did you visit the federal government’s health care website Healthcare.gov, or did you visit a state-run website that offered health insurance exchanges, or did you call by phone?

1 Healthcare.gov 2 State agency 3 Phone 4 (DO NOT READ) Visited website – not sure which 5 (DO NOT READ) In person 6 (DO NOT READ) None of these 7 (DO NOT READ) Something else (SPECIFY) 9 (DO NOT READ) Don't know/No answer

(ASK IF Q42=1, 2, 4) Q43. (HCWebEase) Would you say the health exchange website you visited was very easy to use, somewhat easy, somewhat difficult, or very difficult to use?

1 Very easy 2 Somewhat 3 Somewhat difficult 4 Very difficult 9 (DO NOT READ) Don't know/No answer

(ASK IF Q41=1) Q44. (HCWebNeed) When you looked up information about applying for health insurance under the new federal or state exchanges, were you able to get the information that you needed, or not?

(ASK IF Q41=1) Q45. (HCWebApply) Did you apply for health insurance under the new federal or state exchanges that opened up this past October, or not? (IF YES, ASK: And did you get confirmation through the exchange that you will have health insurance beginning in 2014, or not?)

1 Yes, applied and got insurance through exchange 2 Yes, applied but did not get insurance 3 No, did not apply 9 (DO NOT READ) Don't know/No answer

9 Q47. (ACAState) As part of the 2010 health care law, the federal government is providing money to state governments so they can expand health insurance coverage to people who cannot afford it. Some states are accepting the money, and others are not. Do you think your state should or should not accept this money from the federal government?

[IF respondent says their state ALREADY accepted or ALREADY DID NOT accept the money, ASK: Well, do you think your state should have or should not have accepted the money?]

1 My state should accept this money 2 My state should not accept this money 9 (DO NOT READ) Don't know/No answer

(SCRAMBLE ITEMS A-H; include rotate variable in data file) Q48. Next, I’m going to read you some parts of the health care law. Please tell me if you approve or disapprove of each one. First, do you approve or disapprove of the part in the 2010 health care law (INSERT ITEM) Next, (INSERT ITEM)…

[IF NECESSARY: Do you approve or disapprove of the part in the 2010 health care law (INSERT ITEM).]

1 Approve 2 Dispprove 9 (DO NOT READ) Don't know/No answer

(SCRAMBLE) a. (AppMandate) Requiring nearly all Americans to have health insurance coverage by 2014 or pay a penalty b. (AppACAPrior) Requiring health insurance companies to cover those who may have an existing medical condition or prior illness c. (AppACAUndr25) Allowing children to stay on their parents' health insurance policies until the age of 26? d. (AppACATaxCr) Providing tax credits to small businesses that offer health insurance coverage to their employees? e. (AppACAPoor) Providing financial help to low and moderate income Americans who don’t get health insurance through their jobs to help them purchase coverage f. (AppACA50) Requiring employers with 50 or more employees to pay a fine if they don’t offer health insurance g. (AppACAPyrll) Increasing the Medicare payroll tax on earnings for higher income Americans h. (AppACABetCov) Requiring existing insurance policies to meet higher standards of health care coverage

10 Q57. (ACACutJobs) How likely do you think it is that under the 2010 health care law, many businesses will have to cut jobs because they may not be able to afford to provide insurance to their employees--very likely, somewhat likely, not too likely or not at all likely?

1 Very likely 2 Somewhat likely 3 Not too likely 4 Not at all likely 9 (DO NOT READ) Don't know/No answer

(ROTATE RESPONSE OPTIONS; include rotate variable in data file) Q58. (HCPrem1) A premium is the monthly amount you pay for health care. Which do you prefer in an insurance plan: 1. (Paying lower premiums each month, but paying more for each doctor’s visit and prescription filled), OR 2. (Paying higher premiums each month, but paying less for each doctor’s visit and prescription filled?)

1 Lower monthly premiums, pay more for doctor and prescriptions 2 Higher monthly premiums, pay less for doctor and prescriptions 9 (DO NOT READ) Don't know/No answer

(ROTATE RESPONSE OPTIONS; include rotate variable in data file) Q59 (HCPrem2) Which do you prefer in an insurance plan: 1. Paying lower monthly premiums, but having limited choices of doctors and health facilities, or 2. Paying higher monthly premiums, but having greater choices of doctors and health facilities?

1 Lower monthly premiums, less choice 2 Higher monthly premium, more choice 9 (DO NOT READ) Don't know/No answer

Q60. (HCCostSlow) Over the last three years, do you think that health care costs in the United States have been growing at a faster rate, a slower rate, or have health care costs grown at the same rate, or don’t you know enough to say?

1 Health-care costs grew at faster rate 2 Health-care costs grew at slower rate 3 Health-care costs grew at same rate 4 Don’t know enough to say 9 (DO NOT READ) No answer

11 (ASK IF Q60=1, 2; IF FASTER OR SLOWER RATE) (PN: IF Q60=1 show “FASTER”, IF Q60=2 show “SLOWER”) Q60a. Do you think the 2010 health-care law has played a role in health care costs growing at a (faster/slower) rate or has it not affected the rate of growing health care costs?

1 Played a role in (faster/slower) rate of health-care costs 2 No effect 9 (DO NOT READ)Don’t know/ Refused

Q61. (AffordHC) How would you describe the affordability of basic medical care for you and your family – would you say basic medical care is affordable, or is it a hardship?

1 Affordable 2 Hardship 9 (DO NOT READ) Don't know/No answer

Q62. (HCWhere) Where do you usually receive your basic health care--at a doctor's office, a clinic or health center, a hospital emergency room, or some other place?

1 Doctor’s office 2 Clinic or health center 3 Hospital emergency room 4 Some other place 9 (DO NOT READ) Don't know/No answer

(SCRAMBLE Q63-Q66; include rotate variable in data file) Q63. (CostNoHC) In the past five years, have you or someone in your household gone without medical treatment you thought was needed because of the COST, or not?

(IF YES, ASK: Was that you, or another family member?)

1 Yes, self 2 Yes, other family member 3 No 4 (DO NOT READ) Yes, both 9 (DO NOT READ) Don't know/No answer

12 Q64. (CostNoPrvnt) In the past five years, have you or someone in your household put off or postponed preventive health services, such as a yearly check-up or routine test because of the COST, or not?

Q65. (CostNoPrscpt) In the past five years, have you or someone in your household not filled a prescription, cut pills in half or skipped doses of medicine because of the COST, or not?

Q66. (CostNoMental) In the past five years, have you or someone in your household had problems getting mental health care because of the COST, or not?

Q67. (NoPayHC) In the past five years, did you or anyone in your immediate family have problems paying or were unable to pay any medical bills?

13 (ASK IF Q67=1, 2, 4) Q68. (ImpctHCNoPay) And how much of a financial impact did these medical bills have on your household – a major impact, a minor impact, or no impact at all?

1 Major impact 2 Minor impact 3 No impact at all 9 (DO NOT READ) Don't know/No answer

(ASK OF GEN POP ONLY) Q69. (HlthIns2) Are you, yourself, now covered by any form of health insurance or health plan or do you not have health insurance at this time? A health plan would include any private insurance plan through your employer or a plan that you purchased yourself, as well as a government program like Medicare or Medicaid?

1 Yes, covered by health insurance GO TO Q70 2 Not covered by health insurance GO TO Q74 3 (DO NOT READ) Signed up for insurance on state or fed exchange, doesn’t begin until January GO TO Q74 9 (DO NOT READ) Don't know/No answer

(ASK IF Q69=1) Q70. (HlthIns2Srce) Which of the following is your main source of health insurance coverage? Is it a plan through your employer, a plan through your spouse's employer, a plan you purchased yourself, are you covered by Medicare or Medicaid, some other government program, or do you get your health insurance from somewhere else?

1 Plan through employer/spouse’s GO TO Q71 2 Plan you purchased yourself GO TO Q71 3 Medicare GO TO DEMOS 4 Medicaid GO TO DEMOS 5 Some other government program GO TO DEMOS 6 Something else GO TO DEMOS 7 (DO NOT READ) Plan through parent(s) GO TO Q71 8 (DO NOT READ) Just signed up through the new federal exchange or state exchange GO TO Q74 9 (DO NOT READ) Don't know/No answer GO TO DEMOS

(ASK IF Q70 = 1, 2, 7) (PRIVATE INSURED ONLY) Q71. (SatCstIns2) How satisfied are you with the cost of your health insurance? Are you very satisfied, somewhat satisfied, somewhat dissatisfied, or very dissatisfied?

1 Very satisfied 2 Somewhat satisfied 3 Somewhat dissatisfied 4 Very dissatisfied 9 (DO NOT READ) Don't know/No answer

14 (ASK IF Q70 = 1, 2, 7) (PRIVATE INSURED ONLY) Q72. (CnclHlthIns) In the last few months, did you receive any notice from your insurance company that your insurance plan was being cancelled or changed because it did not meet the minimum coverage requirements as required by the 2010 health care law, or not?

1 Yes, received cancellation/change notice 2 No, did not receive cancellation/change notice 9 (DO NOT READ) Don't know/No answer

(ASK IF Q69=2, 3 OR Q70=8) (UNINSURED ONLY) Q74. (TimeNoIns) How long have you been uninsured? Less than six months, seven months to less than a year, one year to less than three years, or three years or more?

1 Less than 6 months 2 Seven to 12 months 3 1 to 3 years 4 More than 3 years 9 (DO NOT READ) Don't know/No answer

(ASK IF Q69=2, 3 OR Q70=8) (UNINSURED ONLY) (SCRAMBLE RESPONSE OPTIONS 1-5; include variable in data file) Q75. (WhyNoIns) What is the MAIN reason you do not currently have health insurance? Is it MAINLY because 1. (The cost is too high), 2. (Your job does not provide it), 3. (You have a health condition that has prohibited you from getting insurance), 4. (You feel that you don’t need it), 5. (You don’t know how to get it), or is there some OTHER reason? (IF SOME OTHER REASON, ASK: What is that?)

1 Cost too high 2 Job doesn’t offer it 3 Health condition 4 Don’t need it 5 Don’t know how to get it 6 Other (Specify) 9 (DO NOT READ) Don't know/No answer

(ASK IF Q69=2, 3 OR Q70=8) (UNINSURED ONLY) (ROTATE RESPONSE OPTIONS; include rotate variable in data file) Q76. (ObtnInsHelp) Do you think that obtaining health insurance would mostly (help) you financially, mostly (hurt) you financially, or have no effect?

1 Help financially 2 Hurt financially 3 No effect 9 (DO NOT READ) Don't know/No answer

15 (ASK IF Q69=2, 3 OR Q70=8) (UNINSURED ONLY) (ROTATE RESPONSE OPTIONS; include rotate variable in data file) Q77. (ObtnInsHlth) Do you think that obtaining health insurance would make your health (better), make your health (worse), or have no effect?

1 Better health 2 Worse health 3 No effect 9 (DO NOT READ) Don't know/No answer

(ASK IF Q69=2, 3 OR Q70=8) (UNINSURED ONLY) (ROTATE RESPONSE OPTIONS; include rotate variable in data file) Q78. By the end of March 2014, Americans without health insurance will either have to get health insurance or pay a fine. Given what you know, would you say you are (more likely to get health insurance) or (more likely to pay the fine)?

1 Get insurance 2 Pay the fine GO TO Q81 3 (DO NOT READ) Have already signed up through fed or state exchange GO TO Q80 4 (DO NOT READ) Depends 9 (DO NOT READ) Don't know/No answer

(ASK IF Q78=1, 4, 9) Q79. Do you plan to get health insurance for 2014 through the federal health insurance exchange, a state health insurance exchange, through an employer, or through some other way?

1 Federal exchange 2 State exchange 3 Employer 4 Some other way (SPECIFY) 5 (DO NOT READ) Medicare/Medicaid 9 (DO NOT READ) Don't know/No answer

16 (ASK IF Q78=1, 3, 4, 9) (SCRAMBLE RESPONSE OPTIONS 1-5; include variable in data file) (PN: INSERT “OR HAVE SIGNED UP” IF Q78=3) Q80. What is the MAIN reason you will sign up (or have signed up) for health insurance? Is it because 1. (The law requires it,) 2. (Health insurance is now more affordable), 3. (You think health insurance is a good thing to have) 4. (You have a health condition and are now eligible to get health insurance), 5. (Your employer is now offering it), or is there some other reason? (IF SOME OTHER REASON, ASK: What is that?)

1 The law requires it 2 Health insurance is now more affordable 3 Health insurance is a good thing to have 4 Have a health condition and now eligible for insurance 5 Employer is now offering it 6 Other (Specify) 7 (DO NOT READ) Aging into Medicare 9 (DO NOT READ) Don't know/No answer

(ASK IF Q78=2) Q81. What is the MAIN reason you do not plan to get health insurance? Is it MAINLY because 1. (You feel that you don’t need it,) 2. (The cost is too high,) 3. (You don’t know how to get it,) or 4. (You object to the government requiring it,) or is there some other reason? (IF SOME OTHER REASON, ASK: What is that?)

1 Feel you don’t need it 2 The cost is too high 3 Don’t know how to get it 4 Object to the government requiring it 6 Other (Specify) 7 (DO NOT READ) Not eligible 9 (DO NOT READ) Don't know/No answer

17 Demographics

DescHlth Would you describe your health as excellent, good, only fair, or poor?

1 Excellent 2 Good 3 Fair 4 Poor 9 (DO NOT READ) Don't know/No answer

Job Are you currently employed--either full-time or part-time, are you temporarily out of work, or are you not in the market for work at all?

(IF NOT IN MARKET FOR WORK, ASK: Are you currently retired, or not?)

1 Currently employed 2 Temporarily out of work 3 Not in the market for work 4 Retired 9 (DO NOT READ) Don't know/No answer

PreExist In general, the term 'pre-existing condition' is used by insurance companies to describe an illness or medical condition that a person had before they began looking for insurance. For example, if you were looking to buy health insurance but had a history of asthma, diabetes or high blood pressure, those would be considered pre-existing conditions, along with illnesses such as cancer. Given that definition, would you say that you or someone else in your household would be considered to have a 'pre-existing condition' of some sort, or not?

1 Yes, someone in household has pre-existing condition 2 No, no one in household has pre-existing condition 9 (DO NOT READ) Don't know/No answer

reg Some people are registered to vote and others are not. Are you registered to vote in the election district where you now live, or aren't you?

18 kids Do you have any children?

(IF YES, ASK: Are any of your children under 18?)

1 Yes, one or more child under 18 2 Yes, all over 18 3 No children 9 (DO NOT READ) Don't know/No answer

marr Are you now married, widowed, divorced, separated, or have you never been married?

1 Married 2 Widowed 3 Divorced 4 Separated 5 Never been married 9 (DO NOT READ) Don't know/No answer

tea Do you consider yourself to be a supporter of the Tea Party movement, or not?

1 Yes 2 No 9 (DO NOT READ) Don't know/No answer evan Some people think of themselves as evangelical or born again Christians. Do you ever think of yourself in either of these ways?

19 reli What is your religious preference today? (DO NOT READ LIST)

01 Baptist 02 Catholic/Roman Catholic 03 Christian/Non-Denominational Christian 04 Episcopalian 05 Evangelical 06 Jehovah’s Witness 07 Jewish/Judaism 08 Lutheran 09 Methodist/Wesleyan 10 Mormon/Church of Jesus Christ of Latter-Day Saints 11 Muslim/Islamic 12 Orthodox (Eastern, Greek, Russian, Armenian, etc.) 13 Pentecostal 14 Presbyterian 15 Protestant 16 Seventh Day Adventist 17 Church of Christ 18 Reformed Church in America (Dutch, German, Scandinavians, etc) 19 Unitarian/Universalist 20 Buddhist 21 Hindu 97 Other (SPECIFY) ______NN No Religion/none DD (DO NOT READ) Don't know/No answer

prty Generally speaking, do you usually consider yourself a Republican, a Democrat, an Independent, or what?

1 Republican 2 Democrat 3 Independent 9 (DO NOT READ) Don't know/No answer

(ASK IF PRTY=3) Lean Do you think of yourself as closer to the Republican party or to the Democratic party?

1 Republican 2 Democrat 9 (DO NOT READ) Don't know/No answer

20 pphl How would you describe your views on most political matters? Generally do you think of yourself as liberal, moderate, or conservative?

(IF LIBERAL, ASK: Would you say you are very liberal or only somewhat liberal?) (IF CONSERVATIVE, ASK: Would you say you are only somewhat conservative or very conservative?)

1 Very liberal 2 Somewhat liberal 3 Moderate 4 Somewhat conservative 5 Very conservative 9 (DO NOT READ) Don't know/No answer

age How old are you?

______(18 98 Actual age between 18 and 98(or over)) 99 (DO NOT READ) Refused

agea Are you between 18 and 29, 30 and 44, 45 and 64, or are you over 64?

1 Between 18 and 29 2 Between 30 and 44 3 Between 45 and 64 4 Over 64 9 (DO NOT READ) Refused

(PN: STORE AGE ANSWERS IN AGEA)

educ What was the last grade in school you completed? (DO NOT READ LIST)

1 Not a High School grad 2 High School grad 3 Some college (including trade or business) 4 College grad 5 Post grad work or degree (Masters, MBA, JD, MD, Ph.D.) 9 (DO NOT READ) Don't know/No answer

hisp Are you of Hispanic origin or descent, or not?

1 Hispanic 2 Not Hispanic 9 (DO NOT READ) Don't know/ No answer

(PN: IF RESPONDENT ANSWERED HISP=9 BUT IS INTERVIEWED IN SPANISH, CODE AS HISP=1)

21 race Are you White, Black, Asian, or some other race?

1 White or Caucasian 2 Black or African American 3 Asian 4 Other (Specify) 9 (DO NOT READ) Don't know/No answer

(ASK IF HISP=1) Born Were you born in the United States, the island of Puerto Rico, or in another country?

1 United States 2 Puerto Rico 3 Another Country 8 (DO NOT READ) Don’t know/Refused

inc Was your total family income in the year 2012 UNDER or OVER $50,000? (INTERVIEWER NOTE: IF RESPONDENT SAYS EXACTLY $50,000 SELECT 2 “OVER”)

1 Under (GO TO INC1) 2 Over (GO TO INC2) 9 (DO NOT READ) Refused/No answer (GO TO NEXT Q – L1 or C1)

(IF INC = 9, STORE 9 IN INCOME THEN GO TO NEXT QUESTION – IF LL GO TO L1 IF CELL GO TO C1)

(ASK IF INC=1) inc1 Was it under $15,000, was it $15,000 but under $30,000, or was it $30,000 but under $50,000?

1 Under $15,000 2 $15,000 but under $30,000 3 $30,000 but under $50,000 9 (DO NOT READ) Won't specify/Refused

(PN INSTRUCTION: IF REFUSED OR DON’T KNOW CODE AS 3 $30,000 $50,000 IN FINAL VARIABLE INCOME)

22 (ASK IF INC=2) inc2 Was it $50,000 but under $75,000, was it $75,000 but under $100,000 or was it $100,000 or over?

4 $50,000 but under $75,000 5 $75,000 but under $100,000 6 $100,000 and over 9 (DO NOT READ) Won't specify/Refused

(PN INSTRUCTION: IF REFUSED OR DON’T KNOW CODE AS 4 $50,000 $75,000 IN FINAL VARIABLE INCOME) (PN INSTRUCTION: STORE INC, INC1 AND INC2 in INCOME)

(IF LANDLINE SAMPLE) L1 Now thinking about your telephone use. . . Does anyone in your household including yourself, have a working cell phone?

1 Yes respondent or someone else has cell phone in household 2 No 9 (DO NOT READ) Don't know/No answer

(IF CELL PHONE SAMPLE) C1 Now thinking about your telephone use, is there at least one telephone INSIDE your home that is currently working and is not a cell phone?

1 Yes, has a home telephone 2 No, no home telephone 9 (DO NOT READ) Don't know/No answer

(ASK IF CELL PHONE SAMPLE OR HH HAS A CELL PHONE (L1=1)) C3 How many different cell phone numbers do you personally answer calls on?

______(ENTER # CELL PHONE NUMBERS) RR (DO NOT READ) Don't know/No answer

(ASK IF CELL PHONE SAMPLE) C4. How many adults who live in your house or apartment are 18 years old or older? Please be sure to include yourself. (INTERVIEWER NOTE: This does not include college students living away from home or military who are deployed and living somewhere else.)

______(ENTER # OF ADULTS) RR (DO NOT READ) Refused

23 zip9 Just for statistical purposes, what is the zip code where you now live? (INSTRUCTION: If "Don't Know" or "Refused" enter "99999")

______(00000 99999)

(ASK IF ZIP9 = 99999) state In what State do you reside? (DO NOT READ LIST)

______(LIST OF STATES) 9 (DO NOT READ) Refused

thx Those are all the questions I have. Thank you for your cooperation.