Questionnaire Text

2022 ACS 2011 ACS 1990 1% 1970 Form 1 Metro
2021 ACS 2006 ACS 1980 1% 1960 1%
2016 ACS 2000 1% 1970 Form 2 Metro 1950 1%
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2022 ACS

No questionnaire text is available for this sample.


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2021 ACS

No questionnaire text is available for this sample.


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2016 ACS

No questionnaire text is available for this sample.


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2011 ACS
Questionnaire form view entire document:  text  image
48. What was this person's total income during the PAST 12 MONTHS? Add entries in questions 47a to 47h; subtract any losses. If net income was a loss, enter the amount and mark (X) the "Loss" box next to the dollar amount.
[ ] None OR $_______________________.00 (TOTAL AMOUNT for past 12 MONTHS)
[ ] Loss
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48.Add the total entries (subtracting losses) for 47a through 47h for the PAST 12 MONTHS and enter that number in the space provided. Mark the "Loss" box if there is a loss. Print the total amount in dollars.

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2006 ACS
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48. What was this person's total income during the PAST 12 MONTHS? Add entries in questions 47a to 47h; subtract any losses. If net income was a loss, enter the amount and mark (X) the "Loss" box next to the dollar amount.
[ ] None OR $_______________________.00 (TOTAL AMOUNT for past 12 MONTHS)
[ ] Loss
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42.Add the total entries (subtracting losses) for 41a through 41h for the past 12 months and enter that number in the space provided.

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2000 1%
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32. What was this person's total income in 1999? Add entries in questions 31 a-31 h; subtract any losses. If net income was a loss, enter the amount and mark [X] the ?Loss? box next to the dollar amount.

[] None OR Annual amount - Dollars
$[ ][ ][ ],[ ][ ][ ].00
[] Loss


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1990 1%
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33. What was this person's total income in 1989?

Add entries in questions 32a through 32h; subtract any losses. If total amount was a loss, write "Loss" above amount.

[] None OR $_________________ .00
Annual amount - Dollars

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1980 1%
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33. What was this person's total income in 1979?

Add entries in questions 32a through g; subtract any losses.
If total amount was a loss, write "Loss" above amount.
$____________________.00 OR [] None
(Annual amount - Dollars)
"If no income was received in 1979, fill the None circle. If total income was a loss, write "Loss" above the amount."

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1970 Form 2 Metro
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[All]
40. Earnings in 1969 - Fill parts a, b, and c for everyone who worked any time in 1969 even if he had no income. (If exact amount is not known, give best estimate.)

a. How much did this person earn in 1969 in wages, salary, commissions, bonuses, or tips from all jobs? (Before deductions for taxes, bonds, dues, or other items.)
$ ____________.00
(Dollars only)

OR
[] None
b. How much did he earn in 1969 from his own nonfarm business, professional practice, or partnership? (Net after business expenses. If business lost money, write "Loss" above amount.)
$ ____________.00
(Dollars only)

OR
[] None
c. How much did he earn in 1969 from his own farm? (Net after operating expenses. Include earnings as a tenant farmer or sharecropper. If farm lost money, write "Loss" above amount.)
$ ____________.00
(Dollars only)

OR
[] None
"Enter the amount or fill the None circle in a, b, and c. Part 40a includes "sick leave" pay. Part 40a excludes military bonuses, reimbursement for business expenses, and pay "in kind." The owner of an unincorporated nonfarm business should include his net earnings in part 40b. If the business or farm is incorporated, his earnings should be included in part 40a."
[All]
41. Income other than earnings in 1969 - Fill in parts a, b, and c. (If exact amount is not known, give best estimate.) "Enter the amount or fill the None circle in a, b, and c."

a. How much did this person receive in 1969 from Social Security or Railroad Retirement?
$ ____________.00
(Dollars only)

OR
[] None
"Social Security or Railroad Retirement - include U.S. Government payments to retired persons, to dependents of deceased insured workers, or to disabled workers. Include "Medicare" premiums; exclude receipts."
b. How much did he receive in 1969 from public assistance or welfare payments?
Include aid for dependent children, old age assistance, general assistance, aid to the blind or totally disabled. Exclude separate payments for hospital or other medical care.
$ ____________.00
(Dollars only)

OR
[] None
"Public assistance or public welfare payments - include amounts received from Federal, State, or local public programs. Exclude private welfare payments."
c. How much did he receive in 1969 from all other sources?
Include interest, dividends, veterans' payments, pensions, and other regular payments.
(See instruction sheet.)
$ ____________.00
(Dollars only)

OR
[] None
"Interest, dividends - include amounts received or credited to your account.

Veterans' payments - include money paid for service-connected disabilities, to survivors of deceased veterans, for education and on-the-job training subsistence allowances, and for 'refunds' on 'GI' insurance premiums.

Retirement pensions - include amounts paid by former private employers and by unions, and amounts paid by Federal, State, county, or other governmental agencies.

Other regular payments - include such periodic income as net rental income, unemployment insurance benefits, workmen's compensation, private welfare payments, alimony or child support, Armed Forces allotments, and regular contributions from persons who are not members of your household.

Exclude receipts from the sale or personal property, capital gains, lump-sum insurance or inheritance payments, or pay 'in kind.'"

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1970 Form 1 Metro
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[All]
40. Earnings in 1969 - Fill parts a, b, and c for everyone who worked any time in 1969 even if he had no income. (If exact amount is not known, give best estimate.)

a. How much did this person earn in 1969 in wages, salary, commissions, bonuses, or tips from all jobs? (Before deductions for taxes, bonds, dues, or other items.)
$ ____________.00
(Dollars only)

OR
[] None
b. How much did he earn in 1969 from his own nonfarm business, professional practice, or partnership? (Net after business expenses. If business lost money, write "Loss" above amount.)
$ ____________.00
(Dollars only)

OR
[] None
c. How much did he earn in 1969 from his own farm? (Net after operating expenses. Include earnings as a tenant farmer or sharecropper. If farm lost money, write "Loss" above amount.)
$ ____________.00
(Dollars only)

OR
[] None
"Enter the amount or fill the None circle in a, b, and c. Part 40a includes "sick leave" pay. Part 40a excludes military bonuses, reimbursement for business expenses, and pay "in kind." The owner of an unincorporated nonfarm business should include his net earnings in part 40b. If the business or farm is incorporated, his earnings should be included in part 40a."
[All]
41. Income other than earnings in 1969 - Fill in parts a, b, and c. (If exact amount is not known, give best estimate.) "Enter the amount or fill the None circle in a, b, and c."

a. How much did this person receive in 1969 from Social Security or Railroad Retirement?
$ ____________.00
(Dollars only)

OR
[] None
"Social Security or Railroad Retirement - include U.S. Government payments to retired persons, to dependents of deceased insured workers, or to disabled workers. Include "Medicare" premiums; exclude receipts."
b. How much did he receive in 1969 from public assistance or welfare payments?
Include aid for dependent children, old age assistance, general assistance, aid to the blind or totally disabled. Exclude separate payments for hospital or other medical care.
$ ____________.00
(Dollars only)

OR
[] None
"Public assistance or public welfare payments - include amounts received from Federal, State, or local public programs. Exclude private welfare payments."
c. How much did he receive in 1969 from all other sources?
Include interest, dividends, veterans' payments, pensions, and other regular payments.
(See instruction sheet.)
$ ____________.00
(Dollars only)

OR
[] None
"Interest, dividends - include amounts received or credited to your account.

Veterans' payments - include money paid for service-connected disabilities, to survivors of deceased veterans, for education and on-the-job training subsistence allowances, and for 'refunds' on 'GI' insurance premiums.

Retirement pensions - include amounts paid by former private employers and by unions, and amounts paid by Federal, State, county, or other governmental agencies.

Other regular payments - include such periodic income as net rental income, unemployment insurance benefits, workmen's compensation, private welfare payments, alimony or child support, Armed Forces allotments, and regular contributions from persons who are not members of your household.

Exclude receipts from the sale or personal property, capital gains, lump-sum insurance or inheritance payments, or pay 'in kind.'"

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1960 1%
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P32. How much did this person earn in 1959 in wages, salary, commissions, or tips from all jobs? Before deductions for taxes, bonds, dues, or other items. (Enter amount or check "None." If exact figure not known, give best estimate.)

$_________________.00
(Dollars only)
OR
[] None
P33. How much did he earn in 1959 in profits or fees from working in his own business, professional practice, partnership, or farm? Net income after business expenses. (Enter amount or check "None." If exact figure not known, give lest estimate. If business or farm lost money, write "Loss" after amount.)

$_________________.00
(Dollars only)
OR
[] None
P34. Last year (1959), did this person receive any income from:
Social security
Pensions
Veteran's payments
Rent (minus expenses)
Interest or dividends
Unemployment insurance
Welfare payments
Any other source not already entered
[] Yes
[] No

What is the amount he received from these sources in 1959?
(If exact figure not known, give best estimate.)
$_________________.00
(Dollars only)

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1950 1%
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31. Income received by this person in 1949:
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Item 31a. Wages or salary

229. Item 31a. Entry for each sample person 14 years old or over.-There must be an entry of an amount or a check in the "None" box for each person 14 years of age or over who is on a sample line. The amount must be entered to the nearest whole dollar, not in dollars and cents. Enter " 10,000 + " if amount received was more than $10,000. Accept the respondent's best estimate if he does not know the exact amount.

230. Time period covered by item 31a.-January 1, 1949, through December 31, 1949.

231. General definition of wages or salary.-The total amount of money earned by a person for all work done as an employee. This may have been earned on more than one job during the year. X age and salary income includes "take-home" pay plus all deductions and contributions such as deductions for withholding tax, Social Security, etc. It also includes receipts from the following sources-tips, piece-rate payments, nonmilitary cash bonuses, a share of the profits if received by an employee in addition to wages or salary, armed forces pay. National Guard pay, and cash pay received by a farm laborer or manager.

232. "Take-home" pay is not total wages or salary.-The respondent may often report the "take-home" pay, that is, wages or salary minus deductions for withholding tax, retirement pay, union dues, war bonds, etc. If "take-home" pay is reported, the deductions should be added to it and the total counted as wage or salary income. If the respondent knows only the amount of "take-home" pay, it may be necessary to itemize the deductions in order to get an estimate of the total before deductions.

233. Some specific types of wages and salaries:

a. Piece-rate payments.-Money received for work done at a specified amount per piece In many jobs in manufacturing, piece-rate payments are very important.
b. Commissions.-Money received by a person for transacting business for another person. In some occupations such as salesmen, milk truck drivers, laundrymen, etc., commissions may constitute a large proportion of the wage or salary.
c. Tips.-Payments received as supplements to wages for services rendered to the tipper. In some occupations such as waitresses, car hops, barbers, and taxicab drivers, tips may constitute an important part of wages or salary.
d. Bonuses other than military bonuses.-Payments made by employers to employees as supplements to wages and salaries, for example bonuses for services on the basis of a percentage of the profits and "Christmas gifts" of employers to employees.

Military bonuses are "other income," not wages and salary, and should be entered in item 31c.
e. Gifts.-Gifts from employers are to be counted as wages or salary. Occasional gifts from friends or relatives are not to be included in any of the income items. Periodic gifts or contributions for support from a person outside the household are "other income," and should be entered in item 31c.
f. Salaries of corporation officials.- The salary received by an official of a corporation is wage or salary income, just as are the wages of a laborer who works for the same corporation. The official's salary is not "Income from own business" even though he may own stock in the corporation.
g. Armed forces pay.-Money received as payment for service in the armed forces. This includes base pay plus rental and subsistence allowances, longevity pay, flight pay, etc. Bond purchases or voluntary dependency contributions should not be deducted in computing pay; however, standard dependency allotments ($22 or $27 per month) should be deducted.
h. National Guard training pay.- Pay received for training periods in the National Guard.

234. Receipts not counted as wages or salary:

a. So-called "salaries" which some owners of businesses pay themselves. Such "salaries" are to be included as "Income from own business" in item 31b.

b. Reimbursement for travel and other expenses. Such receipts are merely repayment for expenses incurred in connection with the job; they are not income.

c. Pay "in kind" (food, lodging, etc. given to an employee) even though received as payment for work performed and considered work for purposes of items 15 and 16. Pay "in kind" is not counted as income; items 31 and 32 refer only to money income.