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Diary of Consumer Payment Choice Memory Aid & Instructions Please read before you begin! ****Place sticker here that contains the following information:**** OCTOBER X—the night before Day 1 Log on to the Diary website to record information about cash, checking account balances, and prepaid card balances. OCTOBER X, OCTOBER X, AND OCTOBER X—Diary Days 1, 2, & 3 1. Use this diary to record all payments (purchases, bills, and other payments) and cash activity. 2. Log on to the Diary website every night, even if you do not make any payments on a given day. USERNAME and PASSWORD for website WEBSITE URL ADDRESS This booklet contains… Instructions for the night before your Diary begins Instructions for Diary Days 1, 2, & 3 Memory Aid for recording payments and other activity Page 2 4 10 Your responses will remain anonymous and confidential and will be used for research purposes only. The night before Day 1 Complete the Survey of Consumer Payment Choice If you have not already done so, use the link we sent you and complete the Survey before logging on to your Diary website. Count your paper cash Do not count coins. Count cash held by you, but not by other members of your household. Enter zero (0) in Total Dollar Amount if you do not have any cash. Bills Pocket, purse, or wallet Elsewhere (Home, car, office, etc.) Number of bills Dollar ($) amount Number of bills Dollar ($) amount $1 bills _____ $_____ _____ $_____ $2 bills _____ $_____ _____ $_____ $5 bills _____ $_____ _____ $_____ $10 bills _____ $_____ _____ $_____ $20 bills _____ $_____ _____ $_____ $50 bills _____ $_____ _____ $_____ $100 bills _____ $_____ _____ $_____ Total dollar ($) amount 2 — Diary of Consumer Payment Choice $_____ $_____ The night before Day 1 Record your current account balances Report the exact balance of the account as of the end of the night before Day 1—that is, before you begin your Diary. Go online to check balances. If you cannot go online, check your current balance the way you usually do. Record your balance as of the night before Day 1. Include accounts owned by you or jointly with someone else. Do not record balances for accounts owned solely by other members of your household. Balance as of Account Date Checking Account #1 Account you use most often to make payments. Checking Account #2 If you have more than 1 account, account you use next most often. Time am ____pm $____.__ am ____pm $____.__ am ____pm $____.__ Balance General-Purpose Prepaid Card #1 General-purpose prepaid cards are accepted anywhere you can use a credit or debit card. They have an AmEx, Discover, MasterCard, or Visa logo. Record information about income Types of income: employment, retirement, self-employment, Social Security, interest and dividends, rental income, government assistance, alimony, child support, etc. Record information about income received by you, but not by other members of your household. Date Dollar amount received __/__/2015 $_____.__ When did you last receive income? __/__/2015 $_____.__ When do you next expect to receive income? __/__/2015 $_____.__ Did you receive income the day before Diary Day 1? If yes, provide date and amount. Log on to the Diary website Diary of Consumer Payment Choice — 3 Diary Days 1, 2, & 3 Log on at the end of every Diary day Log on to the Diary website, even if you did not make any payments during the day. Record all payments you pay yourself, not payments by other members of your household. Record all payments, no matter how large or small Remember to include any bills scheduled to be paid electronically on all 3 of your Diary days. Refer to your bank or credit card records to gather information about payments. Record all deposits and withdrawals When recording withdrawals, do not include paper cash and coins received back as change from a cash purchase. If you receive cash back from a refund or exchange, record it in the “Receiving or getting cash” box. Count your cash at the end of every day Record the amount of cash in your pocket, wallet, or purse at the end of every Diary day. On Day 3, record how much cash you have stored elsewhere, for example, in your home, office, or car. 4 — Diary of Consumer Payment Choice Bill Payments A bill payment is a payment for goods or services that you received in the past or that you will receive in the future. Record all bills you paid. Do not record bills paid by other members of your household. When is a bill paid? Automatically or electronically: paid on the day the payment is specified to be made. By mail: paid on the day you mail the payment. In person: paid on the day you hand over the payment. By phone: paid on the day you call to make the payment. Types of bills Household or utility payments Rent Mortgage Home equity loan Home Equity Line of Credit (HELOC) (do not include any payment made as part of your mortgage payment) Yard maintenance (Landscaping, tree service, or snow removal, etc.) Housing maintenance (Maid, cleaning, laundry service, plumber, handyman, etc.) Electricity Water/sewer Natural gas, propane, heating fuel, other energy Homeowner’s association or condo fees Trash collection Phone, cable, or internet payments Telephone (landline and mobile) Cable Internet Credit card or loan payments Credit card bill Car, truck, motorcycle, boat, or other vehicle loan payments Student loan Other types of loans Insurance payments Health insurance Vehicle insurance Homeowner’s or renter’s insurance Life insurance Umbrella insurance Miscellaneous Tuition, daycare, babysitting Medical or dental payments not covered by insurance Parking (buying a weekly, monthly, or annual pass) Public transportation (buying a weekly or monthly pass for bus, subway, ferry, etc.) Memberships or subscriptions (Gym, Netflix, social or professional club dues, magazines, etc.) Religious contributions Alimony/child support Tax payments (not including payroll deductions from income) Federal taxes State taxes Local taxes Property taxes Car/vehicle taxes Diary of Consumer Payment Choice — 5 Payment Codes Payment method P0: Multiple payment methods P7: Online banking bill payment (When you go online, we will ask about each method separately.) (You initiate a payment at your bank’s online banking website.) P1: Cash P2: Check P3: Credit card P4: Debit card P5: Prepaid/Gift/EBT card P6: Bank account number payment P8: Money order P9: Traveler’s check P10: PayPal P11: Account-to-account transfer P12: Mobile phone payment P13: Other payment method (You give your bank routing number and account number to a third party to authorize a deduction from your account.) (Examples: Remittances; EZPass or other electronic toll; bitcoin or other virtual currency) Device you used (if any) D1: Computer D4: Landline phone (Laptop or desktop computer) (Voice call on a landline phone) D2: Tablet D5: Mail (Examples: iPad or Kindle) (Examples: USPS, FedEx, UPS) D3: Mobile phone D6: No device (Includes text message payments, apps, mobile web browsing, voice call on mobile phone) Type of business, organization, or person you paid T1: Financial services provider T6: A person (Examples: banks, credit card (Examples: friends, family, co-workers, companies, insurance companies, other people) mortgage companies, mutual funds, T7: Retail store or online retailer brokerages) (Any kind of retailer, including: T2: Education provider Gas stations (Examples: schools, colleges, childcare) Convenience stores T3: Medical care provider Fast food stores (Examples: hospital, doctor, dentist, Restaurants and bars physical therapy) Grocery stores T4: Government Pharmacies (Examples: federal/state/local taxes, Amazon.com fees, fines, licenses, utilities) Other retail stores or websites) T5: Nonprofit/charity T8: Other service business (Examples: religious groups, United (Examples: utilities, repair services, Way, American Cancer Society) communications, entertainment, hairdresser, dry cleaning) 6 — Diary of Consumer Payment Choice Income Codes How income is received I1: Direct deposit to Checking I5: Paper check Account #1 I6: Payroll card I2: Direct Deposit to checking I7: General-purpose reloadable account #2 I3: Direct deposit to another checking or savings account I4: Cash prepaid card #1 I8: Another prepaid card I9: Other Deposit Codes Source of deposit SD1: Cash SD2: Check SD3: Transfer from an account I own SD4: Direct deposit SD5: Transfer from an account I do not own For cash deposits, location of cash deposit L1: ATM L2: Bank teller L3: Other Account deposited into A1: Checking account #1 A2: Checking account #2 A3: General-purpose prepaid card #1 (“reloading”) A4: Other account Cash Withdrawal Codes Location of cash withdrawal C1: ATM C2: Cash back at a retail store C3: Bank teller C4: Family or friend C5: Check cashing store C6: Employer C7: Cash refund from returning goods C8: Payday lender C9: Other location Source of cash withdrawal SW1: Checking account SW2: Savings or other bank account SW3: Salary/wages/tips SW4: Cashing a check SW5: Credit card cash advance SW6: Prepaid card cash withdrawal SW7: Another person SW8: Other source Diary of Consumer Payment Choice — 7 Examples: Daily Payments 1. 2. 3. 4. 5. Fast food purchase Using mobile phone to pay a person Paying a bill online Automatic bill payment Two or more payment methods Time Amount Spent Payment Method Did you pay in person? Business, organization, or person you paid Device Type Name 1: Fast food purchase At 7:30 a.m., Ethan picks up coffee on the way to work. He pays cash. 7:30 $ 2.49 P1 Y /N D6 T7 Dunkin’ Donuts am 2: Using mobile phone to pay a person While with his roommate in their apartment, Jackson uses his phone to send his roommate his share of the rent. (He does not need to record his roommate’s name.) 9 am $450.00 P12 Y /N D3 T6 Roommate 3: Paying a bill online Mike goes online to pay his credit card bill. At 12:15 pm, he uses his computer and authorizes a payment using his bank account number. 12:15 $ 50.34 P6 D1 T1 Chase Visa Y/ N pm 4: Automatic bill payment Emma checks her credit card and sees that her electric bill paid automatically. (She doesn’t specify a time, which is OK for automatic bills.) $ 112.45 P3 Y/ N D6 T8 DTE Energy 5: Two or more payment methods At 6pm, Isabella ate at her favorite restaurant and paid for the $40.95 dinner with her debit card. She paid the $8 tip with cash. (When she goes online, Isabella will be able to describe the two payment methods.) 6 pm $ 48.95 P0 Y /N 8 — Diary of Consumer Payment Choice D6 T7 Olive Garden Examples: Income, Deposits, Withdrawals, Cash 1. 2. 3. 4. Cash back at retail store Cash withdrawal from general purpose prepaid card using ATM Direct deposit of salary or wages to primary checking account Transfer from your savings account to secondary checking account 1: Cash back at retail store At 7am, Linda shopped at her neighborhood grocery store. She paid $60.92 for her groceries with a debit card and got $40 cash back. (She records both the grocery purchase and “receiving or getting cash.”) Time Amount Spent Payment Method Did you pay in person? 7 am $ 60.92 P4 Y /N Business, organization, or person you paid Device Type D6 T7 Name Kroger Time Cash Amount Cash Location Cash Source Did you pay a fee? 7 am $ 40.00 C2 SW 1 Y/ N 2: Cash withdrawal At 10 am, Ryan stopped at an out-of-network ATM and withdrew $20.00 cash using his general-purpose prepaid card. 10 $ 20.00 C1 SW 6 Y /N am 3: Direct deposit or salary It’s payday, and Jennifer’s salary was automatically deposited into her primary checking account (Checking Account #1). Amount of income How income was received $888.75 I1 4: Transfer from savings to checking Jose transfers $100 from his savings account to his secondary checking account (Checking Account #2). Amount of deposit $100.00 Source of deposit SD3 If cash deposit, location L Account deposited into A2 Diary of Consumer Payment Choice — 9 Day 1: Daily Payments Please go online to complete the survey, even if you did not make any payments on Day 1. Payments for (date): _____/______/________ What payment methods did you carry or have available to make payments on Diary Day 1? P1 P2 P8 Amount Spent P9 P3 P10 P4 P5 P11 P6 P12 P7 P13 I did not leave P8 the house on Diary Day 1. □ Did you Payment pay in Method person? Device Business, organization, or person you paid Time am _____pm $________.___ P Y/N D T am _____pm $________.___ P Y/N D T am _____pm $________.___ P Y/N D T am _____pm $________.___ P Y/N D T am _____pm $________.___ P Y/N D T am _____pm $________.___ P Y/N D T am _____pm $________.___ P Y/N D T am _____pm $________.___ P Y/N D T am _____pm $________.___ P Y/N D T am _____pm $________.___ P Y/N D T am _____pm $________.___ P Y/N D T am _____pm $________.___ P Y/N D T am _____pm $________.___ P Y/N D T am _____pm $________.___ P Y/N D T 10 — Diary of Consumer Payment Choice Type Name Day 1: Income, Deposits, Withdrawals, Cash Please go online to complete the survey, even if you did not have any activity on Day 1. Activity for (date): _____/______/________ Did you receive income on Day 1? If yes… Amount of income How income was received $_______.__ I $_______.__ I Deposits, Day 1 Amount of deposit Source of deposit If cash deposit, location Account deposited into $_______.__ SD L A $_______.__ SD L A $_______.__ SD L A Cash withdrawals, Day 1 Time Cash amount Location of cash withdrawal Source of cash withdrawal Did you pay a fee? am ______pm $_______.__ C SW Y/N am ______pm $_______.__ C SW Y/N am _____pm $_______.__ C SW Y/N Cash amount, end of Day 1 Total amount of cash in your pocket, wallet, or purse: $_______.00 Diary of Consumer Payment Choice — 11 Day 2: Daily Payments Please go online to complete the survey, even if you did not make any payments on Day 2. Payments for (date): _____/______/________ What payment methods did you carry or have available to make payments on Diary Day 2? P1 P2 P8 Amount Spent P9 P3 P10 P4 P5 P11 P6 P12 P7 P13 I did not leave P8 the house on Diary Day 2. □ Did you Payment pay in Method person? Device Business, organization, or person you paid Time am _____pm $________.___ P Y/N D T am _____pm $________.___ P Y/N D T am _____pm $________.___ P Y/N D T am _____pm $________.___ P Y/N D T am _____pm $________.___ P Y/N D T am _____pm $________.___ P Y/N D T am _____pm $________.___ P Y/N D T am _____pm $________.___ P Y/N D T am _____pm $________.___ P Y/N D T am _____pm $________.___ P Y/N D T am _____pm $________.___ P Y/N D T am _____pm $________.___ P Y/N D T am _____pm $________.___ P Y/N D T am _____pm $________.___ P Y/N D T 12 — Diary of Consumer Payment Choice Type Name Day 2: Income, Deposits, Withdrawals, Cash Please go online to complete the survey, even if you did not have any activity on Day 2. Activity for (date): _____/______/________ Did you receive income on Day 2? If yes… Amount of income How income was received $_______.__ I $_______.__ I Deposits, Day 2 Amount of deposit Source of deposit If cash deposit, location Account deposited into $_______.__ SD L A $_______.__ SD L A $_______.__ SD L A Cash withdrawals, Day 2 Time Cash amount Location of cash withdrawal Source of cash withdrawal Did you pay a fee? am ______pm $_______.__ C SW Y/N am ______pm $_______.__ C SW Y/N am _____pm $_______.__ C SW Y/N Cash amount, end of Day 2 Total amount of cash in your pocket, wallet, or purse: $_______.00 Diary of Consumer Payment Choice — 13 Day 3: Daily Payments Please go online to complete the survey, even if you did not make any payments on Day 3. Payments for (date): _____/______/________ What payment methods did you carry or have available to make payments on Diary Day 3? P1 P2 P8 Amount Spent P9 P3 P10 P4 P5 P11 P6 P12 P7 P13 I did not leave P8 the house on Diary Day 3. □ Did you Payment pay in Method person? Device Business, organization, or person you paid Time am _____pm $________.___ P Y/N D T am _____pm $________.___ P Y/N D T am _____pm $________.___ P Y/N D T am _____pm $________.___ P Y/N D T am _____pm $________.___ P Y/N D T am _____pm $________.___ P Y/N D T am _____pm $________.___ P Y/N D T am _____pm $________.___ P Y/N D T am _____pm $________.___ P Y/N D T am _____pm $________.___ P Y/N D T am _____pm $________.___ P Y/N D T am _____pm $________.___ P Y/N D T am _____pm $________.___ P Y/N D T am _____pm $________.___ P Y/N D T 14 — Diary of Consumer Payment Choice Type Name Day 3: Income, Deposits, Withdrawals, Cash Please go online to complete the survey, even if you did not have any activity on Day 3. Activity for (date): _____/______/________ Did you receive income on Day 3? If yes… Amount of income How income was received $_______.__ I $_______.__ I Deposits, Day 3 Amount of deposit Source of deposit If cash deposit, location Account deposited into $_______.__ SD L A $_______.__ SD L A $_______.__ SD L A Cash withdrawals, Day 3 Time Cash amount Location of cash withdrawal Source of cash withdrawal Did you pay a fee? am ______pm $_______.__ C SW Y/N am ______pm $_______.__ C SW Y/N am _____pm $_______.__ C SW Y/N Cash amount, end of Day 3 Total amount of cash in your pocket, wallet, or purse: $_______.00 Diary of Consumer Payment Choice — 15 Thank you for completing the Diary of Consumer Payment Choice. Purpose: Improve understanding and operation of the U.S. payment system by tracking the spending habits and cash activity of consumers Your diary responses will remain anonymous and confidential and will be used for research purposes only. 16 — Diary of Consumer Payment Choice
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