Section 17, Part A - Subscriptions and Memberships
Section 17, Part A deals with expenditures for subscriptions, mail order clubs, season tickets,
reference books, recreational club memberships and shopping club memberships.
Now I am going to ask you about expenses for subscriptions,
memberships, books, and entertainment. Please remember to include any payments
you made online or had automatically deducted.
Since the first of reference month have you purchased any
of the following items for your household or for someone outside your household?
* Read each item on list.
Have you had any membership costs or other expenses related to
any of the following?
Do not include contributions to or membership in religious, professional, business,
or other tax deductible organizations.
* Read each item on list.
6. Golf courses, country clubs, and other social organizations
7. Health clubs, fitness centers, swimming pools, weight loss centers,
or other sports and recreational organizations
8. Vacation clubs
9. Civic, service, or fraternal organizations
10. Credit card membership fees
11. Shopping club memberships such as COSTCO and Sam's Club
12. Services that use Global positioning services, or GPS, such as Onstar, not already
reported
13. Direct or online dating services
99. None/No more entries
What is the name of the newspaper, magazines or periodicals?
[enter text] _____________________
What is the name of the book club?
[enter text] _____________________
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What is the name of the theater, concert, opera, other musical series,
or amusement parks?
[enter text] _____________________
What is the name of the sporting event?
[enter text] _____________________
What is the name of the encyclopedias or other sets of reference books?
[enter text] _____________________
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What is the name of the golf courses, country clubs, and other recreational organizations?
[enter text] _____________________
What is the name of the health clubs, fitness centers, swimming pools,
weight loss centers, or other sports and recreational organizations?
[enter text] _____________________
What is the name of the vacation club?
[enter text] _____________________
What is the name of the civic, service, or fraternal organizations?
[enter text] _____________________
What is the name of the credit card?
[enter text] _____________________
What is the name of the discount club?
[enter text] _____________________
What is the name of the GPS services?
[enter text] _____________________
What is the name of the dating services?
[enter text] _____________________
Was this purchase for your household or someone outside your household?
What was the total cost since the first of the reference month?
(Include shipping and handling fees.) [enter value] _____________
How much of the total amount was paid this month?
[enter value] ________
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Did you "purchase/pay for" any other "items from the above list"?
End of Section 17A
Go to Section 17 Part B - Books and Entertainment »
Go to CE CAPI Survey Instrument Home Page »
Last Modified Date: April 5, 2010
