Section 13, Part A.1 - Insurance Other than Health - Screening Questions - (For New
Consumer Units Go to Part A.2)
Section 13, Part A.1 is used in subsequent interviews to update information on previously
recorded non-health insurance policies, and to collect information on any non-health
insurance policies purchased during the reference period.
Now I am going to ask about your non-health
insurance policies.
Do you or any member of your CU still make payments on the [fill: description]
insurance policy from [fill: insurance company name] for someone outside your CU?/ Do you
still have your [fill: description] insurance policy from [fill: insurance company name]?
Since the first of the reference month have you had any expenses
for this policy?
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How much was paid? [enter value] _____________
How much was paid this month?[enter value] ________
Since the first of the reference month, have you or any members of
your CU purchased any additional insurance, other than health insurance?
What kind of insurance was it?
* Enter all that apply, separate with commas.
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How many life insurance or other policies which provide benefits in case of death or
disability did you purchase? [enter value] ____________
How many automobile or other vehicle insurance policies did you purchase?
[enter value] ____________
How many homeowner’s insurance (including flood, fire and extended coverage)
policies did you purchase?[enter value] ____________
How many tenant’s insurance policies did you purchase?
[enter value] ____________
How many other types of non-health insurance policies did you purchase?
[enter value] ____________
Since the first of the reference month, have you or any members of
your CU made any payments for insurance, other than health, for persons NOT IN YOUR CU?
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What kind of insurance policy was it?
* Enter all that apply, separate with commas.
How many life insurance or other policies which provide benefits in case of death or
disability did you make payments on for persons NOT IN YOUR CU?
[enter value] ____________
How many automobile or other vehicle insurance policies
did you make payments on for persons NOT IN YOUR CU? [enter value] ____________
How many homeowner’s insurance (including flood, fire and extended coverage)
policies did you make payments on for persons NOT IN YOUR CU?
[enter value] ____________
How many tenant’s insurance policies did you make
payments on for persons NOT IN YOUR CU?[enter value] ____________
How many other types of non-health insurance policies
did you make payments on for persons NOT IN YOUR CU?[enter value] ____________
End of Section 13A.1
Go to Section 13 Part B - Detailed Questions »
Go to CE CAPI Survey Instrument Home Page
Last Modified Date: November 29, 2005
