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Version: September 29, 2017

Diary 2016 questionnaire



There are comments on some of the section headings telling us where these responses would go in
the accounting financial statements, for example: “Balance sheet/Assets”.
In this document, there are some areas which are shaded for various reasons
o RED STRIKETHRU – Text was deleted or moved to another location
o YELLOW – New text or new programming instructions
o GREEN – Place holder for discussion or new items which are not yet approved,
questions or concepts to be revised, areas for discussion.
o In addition, programing instructions are usually in red text and I’ll start them with a
comment marker like this
 ## Hello this is an instruction or comment

1) Pre-Day 0
## Reminders: HAVE THE VENDOR SEND EMAIL REMINDERS TO TAKE THE SCPC EACH DAY FOR 3
DAYS LEADING UP TO THE DIARY DAY
## Send reminder email to the respondent each diary day (0, 1, 2, and 3). The email should remind
the respondent to remember to participate in the diary and to log on each night.
## Variables to pull in from the SCPC:










pa001_a, pa001_b, baadopter
o These are number of checking accounts, number of savings accounts, and flag for
bank account adoption
pa008 questions, dcadopter
o pa008_a1, _a2, _a3, pa008_b1, _b2, _b3
o These are the responses to the number of debit cards and number of ATM cards.
DCADOPTER is the created variable that controls the flow of later parts of the
survey.
ccadopter
o This created variable controls the flow of the survey for those respondents with
credit cards
Pcadopter, GPRADOPTER
o These variables have to do with prepaid cards and general purpose prepaid card
adoption.
moadopter
o This created variable controls the flow of the survey for those respondents who are
money order adopters.

©2010–2016 Federal Reserve Bank of Boston. Proprietary and Confidential. Do not release or disclose to unauthorized parties without the
prior written consent of the Federal Reserve Bank of Boston.

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Version: September 29, 2017






obbpadopter
o This created variable controls the flow of the survey for those respondents who are
online banking bill payment adopters.
DE013
o If de013 = 1 then respondent owns primary home, if de013 = 2 then they do not
own home.
pa001_d1, pa048
o If pa001_d1 = YES then the respondent has a Paypal account
o pa048 asks how the payment account is funded. We are interested in response
option 4, “money stored with payment service”

2) Day 0 Intro/Welcome screen
IF diarist logs on and SCPC IS INCOMPLETE, THEN SHOW WARNING:
It is important that you take the Survey of Consumer Payment Choice (SCPC) before participating in
this Diary.
Please click here to take the SCPC.
After you take the SCPC, you will be able to continue participating this Diary.
## This “Day 0” section contains items that we need to ask the night before the respondent begins the
diary. Items that are in this module are “time sensitive” meaning that they have to be asked before the
diarist starts recording their payments and transactions.
## Intro screen
Thank you for agreeing to participate in the 2016 Diary of Consumer Payment Choice on
[ADD SPACE HERE]
[DISPLAY DIARY DAY 1 HERE, example “Wednesday, October 3”] to [DISPLAY DIARY DAY 3 HERE,
example “Wednesday, October 3”].
[ADD SPACE HERE]
Today,
[ADD SPACE HERE]
[DISPLAY DIARY DAY 0 HERE, example “Wednesday, October 3”],
[ADD SPACE HERE]
you will be answering a 10-minute survey that helps us prepare for your answers during the next three
days. Please answer these questions at the end of the day today.
Tomorrow,
[ADD SPACE HERE]
[DISPLAY DIARY DAY 1 HERE, example “Wednesday, October 3”],
[ADD SPACE HERE]
©2010–2016 Federal Reserve Bank of Boston. Proprietary and Confidential. Do not release or disclose to unauthorized parties without the
prior written consent of the Federal Reserve Bank of Boston.

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Version: September 29, 2017
we will ask you about purchases, payments, and cash activity. Please record all of payment behavior,
including days with zero payments or no cash activity.
Your diary responses will be used for research purposes only.

3) Account ownership – import from SCPC
## This section will be replaced by the Accounts Module in the SCPC. If the respondent has already
taken the SCPC, then we don’t need to ask any of the questions about account ownership or
adoption.
We will import their answers from the SCPC and maybe give them a screen which says “Is everything
correct?”
## Here we want to build new variables that are a combination of the SCPC variables if they exist, or
the new DCPC variables if they are not missing. We’ll use these variables to control the flow of
certain questions later in the online diary questionnaire. First we must initialize the variables.
dcpc_pa001_a = SCPC variable pa001_a
dcpc_dcadopter = SCPC variable dcadopter
dcpc_ccadopter = SCPC variable ccadopter
dcpc_gpradopter = SCPC variable gpradopter
dcpc_paypaladopter = 0
IF scpc variables pa001_d1 = YES and pa048_d1 = YES (“money
stored…”) then dcpc_paypaladopter = 1
IF diarist has already taken SCPC:
(qday0_scpcintro)
Previously, you took another survey called the Survey of Consumer Payment Choice. In that survey,
you told us you:
## display as a table, where each row has one of these lines of text
Have [FILL: pa001_a. if pa001_a = missing then display “0”] checking account(s)
IF DCADOPTER = 1 THEN: Have at least one debit card
ELSE IF DCADOPTER = (0, missing) THEN: Do not have a debit card
IF CCADOPTER = 1 THEN: Have at least one credit card
ELSE IF CCADOPTER = (0, missing) THEN: Do not have a credit card
IF dcpc_paypaladopter = 1 THEN: Have money stored in a PayPal account
ELSE IF dcpc_paypaladopter = (0, missing) THEN: Do not have money stored
©2010–2016 Federal Reserve Bank of Boston. Proprietary and Confidential. Do not release or disclose to unauthorized parties without the
prior written consent of the Federal Reserve Bank of Boston.

3

Version: September 29, 2017
in a PayPal account

Is this all correct?
1. Yes
2. No

IF (qday0_scpcintro = NO or if SCPC has not been completed) then
## One screen for all of the following (temp_pa001_a, temp_dcadopter, temp_ccadopter,
temp_gpradopter)
Please tell us the correct information about your accounts and cards.
(temp_pa001_a)


Number of checking accounts you own: [numeric text box]

(temp_dcadopter)


Do you have any debit cards?
1. Yes
0. No

(temp_ccadopter)


Do you have any credit cards?
1. Yes
0. No

(temp_paypaladopter)


Do you have any money stored in a PayPal account?
1. Yes
0. No

## Next, we’ll use the variables initialized above and the responses from the question above and set
the variable to the correct value if necessary.
IF (temp_pa001_a not missing and temp_pa001_a not equal to
dcpc_pa001_a) then dcpc_pa001_a = temp_pa001_a

©2010–2016 Federal Reserve Bank of Boston. Proprietary and Confidential. Do not release or disclose to unauthorized parties without the
prior written consent of the Federal Reserve Bank of Boston.

4

Version: September 29, 2017
IF (temp_dcadopter not missing and temp_dcadopter not equal to
dcpc_dcadopter) then dcpc_dcadopter = temp_dcadopter
IF (temp_ccadopter not missing and temp_ccadopter not equal to
dcpc_ccadopter) then dcpc_ccadopter = temp_ccadopter
IF (temp_paypaladopter not missing and temp_paypaladopter not equal
to dcpc_paypaladopter) then dcpc_paypaladopter =
temp_paypaladopter
## new screen – ask to everybody
(do_you_have_gpr)
When you took the Survey of Consumer Payment Choice, we asked if you have a general purpose
reloadable prepaid card. Sometimes people get rid of their prepaid cards, and sometimes they get new
ones, so we need to ask you again.
Do you have any general purpose reloadable prepaid cards?


These prepaid cards have a logo from Visa, MasterCard, Discover, or American Express and can
be used to make payments anywhere credit cards or debit cards are accepted.
1. Yes
2. No

## assign value to dcpc_gpradopter
IF do_you_have_gpr = YES then dcpc_gpradopter = YES
ELSE dcpc_gpradopter = NO
## New screen for qmostusedpayacnt_1
If at least one of (dcpc_pa001_a = 1, dcpc_ccadopter = 1,
dcpc_gpradopter = 1, dcpc_paypaladopter = 1) THEN
(q_mostusedpayacnt_1)
Which of these types of assets or accounts do you use most often to fund your payments, including
bills?
1. Cash (paper notes, bills, or coins)
2. [IF dcpc_pa001_a > 0]Checking account (checks, debit cards, bank account number
payments, online banking bill payments)
3. [IF dcpc_ccadopter = 1]Credit card
4. [IF dcpc_gpradopter = 1]General purpose prepaid card
©2010–2016 Federal Reserve Bank of Boston. Proprietary and Confidential. Do not release or disclose to unauthorized parties without the
prior written consent of the Federal Reserve Bank of Boston.

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Version: September 29, 2017
5.
6.
7.
8.
9.

[IF dcpc_paypaladopter = 1]PayPal
Money order
Travelers check
Mobile phone payments
Other (specify)
a. [open ended text box]

## New screen for qmostusedpayacnt_2

IF q_mostusedpayacnt_1 not equal to 8 “NONE” THEN
Remove the choice for q_mostusedpayacnt_1.
(q_mostusedpayacnt_2)
Which of these types of assets or accounts do you use second most often to fund your
payments, including bills?
1. Cash (paper notes, bills, or coins)
2. [IF dcpc_pa001_a > 0]Checking account (checks, debit cards, bank account
number payments, online banking bill payments)
3. [IF dcpc_ccadopter = 1]Credit card
4. [IF dcpc_gpradopter = 1]General purpose prepaid card
5. [IF dcpc_paypaladopter = 1]PayPal
6. Money order
7. Travelers check
8. Mobile phone payments
9. Other (specify)
a. [open ended text box]
ENDIF
ENDIF ##if q_mostusedpayacnt_1 not equal to 8
IF ccadopter = 1 OR dcpc_ccadopter = 1 THEN
(ccq_001)
Think about all your credit cards.
In a typical month, how many different credit cards do you use to make payments?
1. 1
2. 2
©2010–2016 Federal Reserve Bank of Boston. Proprietary and Confidential. Do not release or disclose to unauthorized parties without the
prior written consent of the Federal Reserve Bank of Boston.

6

Version: September 29, 2017
3.
4.
5.
6.

3
4
5
More than 5

## New screen
Please tell us about each credit card you have.


We will use the nickname to refer back to this card during your diary period. The
nickname can be something like “blue card” or “kitten picture”.

IF ccq_001 = 6 then show instruction:
You told us that you have more than five credit cards that you use in a typical month. We are
only going to ask you about the five you use most often.
## Number of rows equals number selected above.
Type of credit card?
Does this card
give rewards?

(IF
ccq_001 =
1)
Card you use
most often to
make
payments

(IF
ccq_001 =
2)
Card you use
2nd most

(ccq_002_a)
[dropdown
list]
1. Visa
2. MasterCard
3. Discover
4. Company or
store
branded
credit cards
5. American
Express
charge card
6. American
Express
credit card
7. Diners Club
or other
charge cards
8. Other
(ccq_002_b)

Does this card
have a security
chip?

Give this car
nickname.

(ccq_003_a)
1. Yes
2. No

Did this card
have an unpaid
balance after
you paid last
month’s bill?
(ccq_004_a)
1. Yes
2. No

(ccq_005_a)
1. Yes
2. No

(ccq_006
[open en
text box

(ccq_003_b)

(ccq_004_b)

(ccq_005_b)

(ccq_006

©2010–2016 Federal Reserve Bank of Boston. Proprietary and Confidential. Do not release or disclose to unauthorized parties without the
prior written consent of the Federal Reserve Bank of Boston.

7

Version: September 29, 2017
often
(IF
(ccq_002_c)
ccq_001 =
3)
Card you use
3rd most
often
(IF
(ccq_002_d)
ccq_001 =
4)
Card you use
4th most often
(IF
(ccq_002_e)
ccq_001 =
5 or 6)
Card you use
5th most often
ENDIF

(ccq_003_c)

(ccq_004_c)

(ccq_005_c)

(ccq_006

(ccq_003_d)

(ccq_004_d)

(ccq_005_d)

(ccq_006

(ccq_003_e)

(ccq_004_e)

(ccq_005_e)

(ccq_006

## IF ccadopter = 1 OR dcpc_ccadopter = 1 THEN

IF dcadopter = 1 OR dcpc_dcadopter = 1 THEN
(dcq_001)
Think about all your debit cards.
In a typical month, how many different debit cards do you use to make payments?
1.
2.
3.
4.
5.
6.

1
2
3
4
5
More than 5

## New screen
Please tell us about each debit card you have.
[MORE INSTRUCTIONS HERE]
 We will use the nickname to refer back to this card during your diary period. The
nickname can be something like “blue card” or “kitten picture”.
IF dcq_001 = 6 then show instruction:
You told us that you have more than five debit cards that you use in a typical month. We are
only going to ask you about the five you use most often.
## Number of rows equals number selected above.
©2010–2016 Federal Reserve Bank of Boston. Proprietary and Confidential. Do not release or disclose to unauthorized parties without the
prior written consent of the Federal Reserve Bank of Boston.

8

Version: September 29, 2017

(IF
dcq_001 =
1)
Card you use
most often to
make
payments
(IF
dcq_001 =
2)
Card you use
2nd most
often
(IF
dcq_001 =
3)
Card you use
3rd most
often
(IF
dcq_001 =
4)
Card you use
4th most often
(IF
dcq_001 =
5 or 6)
Card you use
5th most often

ENDIF

IF
dcpc_pa001_a
>= 2 THEN
To which account
does this card
belong?
(dcq_005_a)
1. Primary account
2. Another
account

Give this card a
nickname.

(dcq_003_b)

(dcq_005_b)

(dcq_004_b)

(dcq_002_c)

(dcq_003_c)

(dcq_005_c)

(dcq_004_c)

(dcq_002_d)

(dcq_003_d)

(dcq_005_d)

(dcq_004_d)

(dcq_002_e)

(dcq_003_e)

(dcq_005_e)

(dcq_004_e)

Logo on debit card?

Does this card
give rewards?

(dcq_002_a)
[dropdown
list]
1. Visa
2. MasterCard
3. No logo

(dcq_003_a)
1. Yes
2. No

(dcq_002_b)

(dcq_004_a)
[open ended
text box]

## IF ccadopter = 1 OR dcpc_ccadopter = 1 THEN

4) Balances – Beginning of diary cash and account balances
a) Balance – Count your cash
(q1)
It is important that we know how much cash you started this diary period with.
©2010–2016 Federal Reserve Bank of Boston. Proprietary and Confidential. Do not release or disclose to unauthorized parties without the
prior written consent of the Federal Reserve Bank of Boston.

9

Version: September 29, 2017




Do not count foreign currency.
Do not count coins.

At the end of the day on [DISPLAY DIARY DAY 0 HERE, example “Wednesday, October 3”] do you have
any paper cash in your wallet, purse and/or pocket?
1. Yes
2. No
If q1 = NO then:
(q1a)
Please tell us why you don’t have any paper cash.
1. I just ran out and I need to get more.
2. I usually do not carry cash.
3. I gave my cash to someone else, such as a family member/friend/housemate.
4. My cash was stolen or lost.
5. Other (specify)
5other. ______________
If q1 = YES then show the following screen:

Cash in wallet, purse and/or pocket
Please tell us the number of bills of each denomination in your wallet, purse and/or pocket at the end of the

day on [DISPLAY DIARY DAY 0 HERE, example “Wednesday, October 3”].
Your total dollar amount will be automatically calculated.
● Do not consider coins.
● Do not include foreign currencies.
NUMBER OF:
____ x $1 bills = $[calculated on the fly]

____ x $20 bills = $[calculated on the fly]

____ x $2 bills = $[calculated on the fly]

____ x $50 bills = $[calculated on the fly]

____ x $5 bills = $[calculated on the fly]

____ x $100 bills = $[calculated on the fly]

____ x $10 bills = $[calculated on the fly]
Total dollar amount $[GRAND TOTAL DOLLAR AMOUNT, calculated on the fly]

## Variable names for the items above:
denom1_num (the number of bills), denom1_amnt (the dollar amount)
denom2_num, denom2_amnt
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prior written consent of the Federal Reserve Bank of Boston.

10

Version: September 29, 2017
denom5_num, denom5_amnt
denom10_num, denom10_amnt
denom20_num, denom20_amnt
denom50_num, denom50_amnt
denom100_num, denom100_amnt
amntcashend_day0
(q1b)
You told us you have $[GRAND TOTAL DOLLAR AMOUNT] in cash in your wallet, purse and/or pocket.
Is this amount correct?
1. Yes
2. No
****If q1b = NO, please take the diarist back to the “Count your paper cash” screen so they can
correct their numbers***

## The name of the variable for GRAND TOTAL DOLLAR AMOUNT should be “amntcashend_day0”. If the
respondent does not have any cash at the start of Day 0, then amntcashend_day0 = 0. If q1 = NO then
amntcashend_day0 should be set to 0, not missing
(scpc_pa015_b)
Do you have any cash stored elsewhere in your home, car, office, etc.?
 Do not include cash owned by other members of your household.
1. Yes
2. No
IF scpc_pa015_b = YES then

Cash stored elsewhere
Please tell us the number of bills of each denomination stored elsewhere in your home, car, office, etc., on

[DISPLAY DIARY DATE HERE, example “Wednesday, October 3”].
Your total dollar amount will be automatically calculated.
● Do not consider coins.
● Do not include foreign currencies.
NUMBER OF:
____ x $1 bills = $[calculated on the fly]

____ x $20 bills = $[calculated on the fly]

____ x $2 bills = $[calculated on the fly]

____ x $50 bills = $[calculated on the fly]

©2010–2016 Federal Reserve Bank of Boston. Proprietary and Confidential. Do not release or disclose to unauthorized parties without the
prior written consent of the Federal Reserve Bank of Boston.

11

Version: September 29, 2017

____ x $5 bills = $[calculated on the fly]

____ x $100 bills = $[calculated on the fly]

____ x $10 bills = $[calculated on the fly]
Total dollar amount $[GRAND TOTAL DOLLAR AMOUNT, calculated on the fly]

## Variable names for the items above:
storedcash1_num, storedcash1_amnt
storedcash2_num, storedcash2_amnt
storedcash5_num, storedcash5_amnt
storedcash10_num, storedcash10_amnt
storedcash20_num, storedcash20_amnt
storedcash50_num, storedcash50_amnt
storedcash100_num, storedcash100_amnt
storedcash_total_amnt
## ERROR Check
If every cell in “Count your paper cash stored elsewhere” is left
blank, then show the following screen:
(storedcash_estimate_amnt)
It is important for us to know how much cash you have stored elsewhere in your home, car, office, etc.
Please give us an estimate of how much cash you have stored elsewhere in your home, car, office, etc.
$_____________
(q1_storedcashcorrect)
You told us you have $[GRAND TOTAL DOLLAR AMOUNT OR storedcash_estimate_amnt] in cash stored
elsewhere in your home, car, office, etc. Is this amount correct?
1. Yes
2. No
## New screen
IF storedcash_total_amnt > 0 OR storedcash_estimate_amnt > 0 THEN
## randomize to display either dcpc_pa015_c or dcpc_pa015_d
(dcpc_pa015_c)
You said you have $[FILL: response for storedcash_total_amnt or
storedcash_estimate_amnt] in cash stored elsewhere.
How much of that are you holding for cash payments (either for planned spending or emergencies)?


About $________.00 ## Do not allow answer which is greater than pa015_b

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prior written consent of the Federal Reserve Bank of Boston.

12

Version: September 29, 2017

(dcpc_pa015_d)
You said you have $[FILL: response for storedcash_total_amnt or
storedcash_estimate_amnt] in cash stored elsewhere.
How much of that have you set aside for long-term savings?


About $________.00 ## Do not allow answer which is greater than pa015_b

ENDIF

b) Balance – Checking account
### New Screen – Intro to checking account balances section
This section uses the newly created DCPC variable “dcpc_pa001_a” in order to determine the text to
display. The differences are based on the number of checking accounts the respondent owns.
IF dcpc_pa001_a = 1 THEN:
(pa071_a_a)
Checking account balance
Please use one of the following methods to look up your checking account balance:
 Your bank’s online banking website
 Your bank’s mobile app
 Your bank’s telephone banking system
 Your check book balance (if you keep a running daily balance that is up to date)
If you are not able to tell us your checking account balance right now, we’ll ask again tomorrow.
If you prefer, please visit or call your bank to ask for your exact balance as of midnight tonight,
[DAY 0 DATE] and enter the information tomorrow.
Are you able to tell us your checking account balance now?
1. Yes
2. No
IF dcpc_pa001_a >= 2 THEN:
(pa071_a_b)
Primary checking account balance
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prior written consent of the Federal Reserve Bank of Boston.

13

Version: September 29, 2017
Your primary checking account is the one you use most often to make payments, not necessarily
the account with the most money in it.
Please use one of the following methods to look up your primary checking account balance:
 Your bank’s online banking website
 Your bank’s mobile app
 Your bank’s telephone banking system
 Your check book balance (if you keep a running daily balance that is up to date)
If you are not able to tell us your checking account balance right now, we’ll ask again tomorrow.
If you prefer, please visit or call your bank(s) to ask for your exact balance as of midnight
tonight, [DAY 0 DATE] and enter the information tomorrow.
Are you able to tell us your primary checking account balance now?
1. Yes
2. No

## We will only ask about checking account balances on Day 0 and at the end of Day 3!
## New screen
IF pa071_a = YES:
IF dcpc_pa001_a = 1 THEN
Please tell us the balance of your checking account as of [DISPLAY DIARY DATE HERE, example
“Wednesday, October 3”].



Round to the nearest dollar
Please report the total balance of the checking account, even if jointly owned

(pa072_a)
Balance of checking account $_______________ .00
(pa072_a_date)
Please tell us the time that you checked the balance of your checking account on [DAY 0 DATE].
[clock widget]
ELSE IF dcpc_pa001_a >= 2 THEN
Please tell us the balance of your primary checking account as of [DISPLAY DIARY DATE HERE,
example “Wednesday, October 3”].


Round to the nearest dollar

©2010–2016 Federal Reserve Bank of Boston. Proprietary and Confidential. Do not release or disclose to unauthorized parties without the
prior written consent of the Federal Reserve Bank of Boston.

14

Version: September 29, 2017



Please report the total balance of the checking account, even if jointly owned
Your primary account is the account you use most often to make payments, not
necessarily the account with the most money in it.

(pa072_a)
Balance of primary account $_______________.00
(pa072_a_date)
Please tell us the time that you checked the balance of your primary checking account on [DAY 0
DATE].
[clock widget]

c) Balance – General Purpose Prepaid cards
IF dcpc_gpradopter = YES (“1”) THEN
(pa074)
Please tell us the balance of your primary general purpose reloadable (GPR) prepaid card as of
[DISPLAY DIARY DATE HERE, example “Wednesday, October 3”].



Your primary GPR prepaid card is the one you use most often to make payments with a
GPR card, not necessarily the GPR card with the most money in it.
Round to the nearest dollar.

What is the balance of your primary GPR prepaid card?
$_____________.00
(pa074_time)
Please tell us the time you checked this balance.
[clock widget]
(pa074_date)
Please tell us the date you checked this balance.
[calendar widget]

d) Balance – PayPal account
IF dcpc_paypaladopter = 1 THEN
(paypal_balday0)
©2010–2016 Federal Reserve Bank of Boston. Proprietary and Confidential. Do not release or disclose to unauthorized parties without the
prior written consent of the Federal Reserve Bank of Boston.

15

Version: September 29, 2017
Please tell us the balance of your primary PayPal account as of [DISPLAY DIARY DATE HERE,
example “Wednesday, October 3”].



If you have more than one PayPal account, your primary account is the one that you use
most often to make payments, not necessarily the account with the most money in it.
Round to the nearest dollar.

What is the balance of your primary PayPal account?
$_____________.00
(pa074_time)
Please tell us the time you checked this balance.
[clock widget]
(pa074_date)
Please tell us the date you checked this balance.
[calendar widget]

5) Income and employment status
(q14)
Now we would like to ask you a few questions about your employment and income.
What is your labor force status?


Please choose all that apply.

1.
2.
3.
4.
5.
6.
7.

Currently working
On sick or other leave
Unemployed - on layoff
Unemployed - looking
Retired
Disabled
Other (specify)
a. [open ended text box]

## new screen -- q15
If q14 = “Currently working” is selected then
(q15)
©2010–2016 Federal Reserve Bank of Boston. Proprietary and Confidential. Do not release or disclose to unauthorized parties without the
prior written consent of the Federal Reserve Bank of Boston.

16

Version: September 29, 2017
Are you employed by government, by a private company, a nonprofit organization, or are you
self-employed?
1. Government
2. Private-for-profit company
3. Non-profit organization including tax exempt and charitable organizations
4. Self-employed
End skip (q14 = working now)
## New screen
(q140)
Do you receive any of the following types of income?
 Please tell us only about income you receive, not income of a spouse, partner, or other household
member.
Yes

No

(q140_a)
Employment income (wages, salary, bonuses)
(q140_c)
Self-employment income
(q140_d)
Social Security
(q140_b)
Employer-paid retirement
(q140_j)
IRA, Roth IRA, 401(k), or other retirement fund
(q140_e)
Interest and dividends
(q140_f)
Rental income
(q140_g)
Government assistance (disability, unemployment, SNAP,
TANF, WIC)
(q140_h)
Alimony
(q140_i)
Child support

## New screen
IF any of q140_a – q140_j = YES then
## only display rows where q140 = YES
(q141)
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prior written consent of the Federal Reserve Bank of Boston.

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Please tell us how often you receive income.

(IF q140_a = YES)
(q141_a)
Employment income (wages, salary,
bonuses)
(IF q140_c = YES)
(q141_c)
Self-employment income
(IF q140_d = YES)
(q141_d)
Social Security
(IF q140_b = YES)
(q141_b)
Employer-paid retirement
(IF q140_j = YES)
(q141_j)
IRA, Roth IRA, 401(k), or other retirement
fund
(IF q140_e = YES)
(q141_e)
Interest and dividends
(IF q140_f = YES)
(q141_f)
Rental income
(IF q140_g = YES)
(q141_g)
Government assistance (disability,
unemployment, SNAP, TANF, WIC)
(IF q140_h = YES)
(q141_h)
Alimony
(IF q140_i = YES)
(q141_i)
Child support

How often you receive income?
## Show this dropdown in each row that is
displayed in the table.
Drop-down:
--Select one-1. Weekly
2. Every two weeks
3. Twice per month
4. Monthly
5. Quarterly
6. Yearly
7. Other, on a one-time basis
8. Other, on a regular basis
9. Other, on an irregular basis
## Variable ID’s for this column:
q141_a_freq
q141_c_freq
q141_d_freq
q141_b_freq
q141_j_freq
q141_e_freq
q141_f_freq
q141_g_freq
q141_h_freq
q141_i_freq

## BEGIN new Day 0 income questions

## New screen
IF any of q140_a – q140_j = YES then
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prior written consent of the Federal Reserve Bank of Boston.

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## only display rows where q140 = YES
(q142)
Did you receive any income from the following sources on [DISPLAY DIARY DATE HERE, example
“Wednesday, October 3”]?
Yes

No

(IF q140_a = YES)
(q142_a)
Employment income (wages, salary, bonuses)
(IF q140_c = YES)
(q142_c)
Self-employment income
(IF q140_d = YES)
(q142_d)
Social Security
(IF q140_b = YES)
(q142_b)
Employer-paid retirement
(IF q140_j = YES)
(q142_j)
IRA, Roth IRA, 401(k), or other retirement fund
(IF q140_e = YES)
(q142_e)
Interest and dividends
(IF q140_f = YES)
(q142_f)
Rental income
(IF q140_g = YES)
(q142_g)
Government assistance (disability, unemployment, SNAP, TANF, WIC)
(IF q140_h = YES)
(q142_h)
Alimony
(IF q140_i = YES)
(q142_i)
Child support

## New screen
IF any of q142_a – q142_j = YES then
## only display rows where q142 = YES

(q144)
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prior written consent of the Federal Reserve Bank of Boston.

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How much net income (also called after-tax income) did you receive and how did you receive the
income on [DISPLAY DIARY DATE HERE, example “Wednesday, October 3”]?
In other words, tell us the amount deposited into one of your accounts, or the amount of cash or a
check you received.



Report NET amount of income received, after all taxes and other deductions.
Include multiple payments from the same source.

Source
(IF q142_a = YES)
(q144_a)
Employment (wages, salary, bonuses)
(IF q142_c = YES)
(q144_c)
Self-employment income
(IF q142_d = YES)
(q144_d)
Social Security
(IF q142_b = YES)
(q144_b)
Employer-paid retirement
(IF q142_j = YES)
(q144_j)
IRA, Roth IRA, 401(k), or other retirement
fund
(IF q142_e = YES)
(q144_e)
Interest and dividends
(IF q142_f = YES)
(q144_f)
Rental income
(IF q142_g = YES)
(q144_g)
Government assistance (disability,
unemployment, SNAP, TANF, WIC)
(IF q142_h = YES)
(q144_h)
Alimony
(IF q142_i = YES)
(q144_i)
Child support

Amount
(q144_a)
$_________
(q144_c)
$_________
(q144_d)
$_________
(q144_b)
$_________
(q144_j)
$_________
(q144_e)
$_________
(q144_f)
$_________
(q144_g)
$_________
(q144_h)
$_________
(q144_i)
$_________

How did you receive your income?
## Show the drop down list for each row
that is displayed.
[Drop down list]
--Select one—
1. Direct deposit to primary
checking account only
2. Direct deposit to some other
checking or savings account
3. Direct deposit to more than one
account
4. Paper check
5. Cash
6. Payroll card
7. General purpose reloadable
prepaid card
8. Other
## Variable names for “How did you
receive your income?”
q143_a
q143_c
q143_d
q143_b
q143_j
q143_e
q143_f
q143_g
q143_h
q143_i

## new screen
IF Any row has q143 = 3 THEN DISPLAY SCREEN
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prior written consent of the Federal Reserve Bank of Boston.

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(q147)
How much was deposited to your primary checking account?


If none, enter 0.

## error check – do not let the respondent enter a number greater than the response for
q144. IF ERROR, show text “Enter a number between 0 and [answer for q144]”
Source
(IF q143_a = 3)
(q144_a)
Employment (wages, salary, bonuses)
(IF q143_c = 3)
(q144_c)
Self-employment income
(IF q143_d = 3)
(q144_d)
Social Security
(IF q143_b = 3)
(q144_b)
Employer-paid retirement
(IF q143_j = 3)
(q144_j)
IRA, Roth IRA, 401(k), or other retirement fund
(IF q143_e = 3)
(q144_e)
Interest and dividends
(IF q143_f = 3)
(q144_f)
Rental income
(IF q143_g = 3)
(q144_g)
Government assistance (disability, unemployment, SNAP, TANF, WIC)
(IF q143_h = 3)
(q144_h)
Alimony
(IF q143_i = 3)
(q144_i)
Child support

Amount
(q147_a)
$_________
(q147_c)
$_________
(q147_d)
$_________
(q147_b)
$_________
(q147_j)
$_________
(q147_e)
$_________
(q147_f)
$_________
(q147_g)
$_________
(q147_h)
$_________
(q147_i)
$_________

End IF (Any row has q143 = 3)
## new screen
(q18)
Prior to today, please tell us the date of the [FILL: if all of q142 = NO then “last”, if any of q142 = YES
then “previous”] time you received some form of income.
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prior written consent of the Federal Reserve Bank of Boston.

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

Click the arrows to scroll through additional months.
****Calendar goes here, do not allow them to select a day AFTER the Diary Day’s
date****

## END new Day 0 income questions

6) Special module – Preferences, characteristics and expectations.
## New screen – bill payments section
(q115_b)
Bill payment preferences
Please tell us the payment method you most prefer to use for making bill payments.
1. Cash
2. Check
3. Credit card
4. Debit card
5. Prepaid/Gift/EBT card
6. Bank account number payment
7. Online banking bill payment
8. Money order
9. Traveler’s check
10. PayPal
11. Account-to-account transfer
12. Mobile phone payment
13. Other payment method
## New screen -- Q116_b and Q117_b on the same page****
(q116_b)
Bill payment preferences
Please tell us the most important characteristic of [FILL: insert response to q115_b, in bold]
when making a bill payment.
## use these fills for for q117_b, q118_b, q116_a, q117_a, q118_a, q116_c.
“cash”
“a check”
“a credit card”
“a debit card”
“a prepaid/gift/EBT card”
“a bank account number payment”
“an online banking bill payment”
“a money order”
“a traveler’s check”
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“PayPal”
“an account-to-account transfer”
“a mobile phone payment”
“another payment method”
## Randomize this list of response options and keep the same randomization for q116_a and
q116_c and q118_a and q118_b
1. Security
2. Accepted at lots of places
3. Cost
4. Convenience
5. Budget control
6. [IF q115_b = “credit card” or “debit card” then display]Rewards
7. Speed
8. Payment records
9. Getting and setting-up
10. Other (specify)
o [open ended text box]
IF q116_b = 7 (“Speed”)
(q114_b1)
Which aspect of speed is most important when choosing to use [FILL: insert response to
q115_b, in bold] to make a bill payment?
***Randomize response options****
1. Speed at time of payment
2. Speed of payment deduction from your bank account or prepaid card
3. Speed of recipient receiving payment
4. Speed of notification of new balance of your account
ELSE IF q116_b = 1 (“Security”)
(q113_b1)
Which aspect of security is most important when choosing to use [FILL: insert response
to q115_b, in bold] to make a bill payment?
***Randomize response options****
1. Security of your personal information (name, address, Social Security number,
birthdate, etc.)
2. Security against permanent financial loss
3. Security of information about the transaction (what was paid for, amount, where you
shopped)
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prior written consent of the Federal Reserve Bank of Boston.

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END IF
(q117_b)
In cases where you can’t use [insert response to q115_b, in bold] to make a bill payment, what
is your preferred fallback payment method?
****delete response to q115_b from the list below****
1. Cash
2. Check
3. Credit card
4. Debit card
5. Prepaid/Gift/EBT card
6. Bank account number payment
7. Online banking bill payment
8. Money order
9. Traveler’s check
10. PayPal
11. Account-to-account transfer
12. Mobile phone payment
13. Other payment method
## New screen
(q118_b)
Bill payment preferences
Please tell us the most important characteristic of [insert response to q117_b, in bold] when
making a bill payment.
## use these fills for for q117_b, q118_b, q116_a, q117_a, q118_a, q116_c.
“cash”
“a check”
“a credit card”
“a debit card”
“a prepaid/gift/EBT card”
“a bank account number payment”
“an online banking bill payment”
“a money order”
“a traveler’s check”
“a mobile phone payment”
“another payment method”
## Use same randomization as q116_b
1. Security
2. Accepted at lots of places
3. Cost
4. Convenience
5. Budget control
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prior written consent of the Federal Reserve Bank of Boston.

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Version: September 29, 2017
6.
7.
8.
9.
10.

[IF q117_b = “credit card” or “debit card” then display]Rewards
Speed
Payment records
Getting and setting-up
Other (specify)
o [open ended text box]

IF q118_b = 7 (“Speed”)
(q114_b2)
Which aspect of speed is most important when choosing to use [insert response to
q117_b, in bold] to make a bill payment?
***Randomize response options****
1. Speed at time of payment
2. Speed of payment deduction from your bank account or prepaid card
3. Speed of recipient receiving payment
4. Speed of notification of new balance of your account
ELSE IF q118_b = 1 (“Security”)
(q113_b2)
Which aspect of security is most important when choosing to use [insert response to
q117_b, in bold] to make a bill payment?
***Randomize response options****
1. Security of your personal information (name, address, Social Security number,
birthdate, etc.)
2. Security against permanent financial loss
3. Security of information about the transaction (what was paid for, amount, where you
shopped)
END IF
## New screen – in person payments section
(q115_a)
Purchases and other non-bill payments preferences
Please tell us the payment method you most prefer to use for making purchases and other
nonbill payments.
1. Cash
2. Check
3. Credit card
4. Debit card
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prior written consent of the Federal Reserve Bank of Boston.

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Version: September 29, 2017
5.
6.
7.
8.
9.
10.
11.
12.
13.

Prepaid/Gift/EBT card
Bank account number payment
Online banking bill payment
Money order
Traveler’s check
PayPal
Account-to-account transfer
Mobile phone payment
Other payment method

## New screen -- Q116_a and Q117_a on the same page****
(q116_a)
Purchases and other non-bill payments preferences
Please tell us the most important characteristic of [insert response to q115_a, in bold] when
making purchases and other nonbill payments.
## Use same randomization as q116_b
1. Security
2. Accepted at lots of places
3. Cost
4. Convenience
5. Budget control
6. [IF q115_a = “credit card” or “debit card” then display]Rewards
7. Speed
8. Payment records
9. Getting and setting-up
10. Other (specify)
o [open ended text box]
IF q116_a = 7 (“Speed”)
(q114_a1)
Which aspect of speed is most important when choosing to use [insert response to
q115_a, in bold] when making purchases and other nonbill payments?
***Randomize response options****
1. Speed at time of payment
2. Speed of payment deduction from your bank account or prepaid card
3. Speed of recipient receiving payment
4. Speed of notification of new balance of your account
ELSE IF q116_a = 1 (“Security”)
(q113_a1)
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prior written consent of the Federal Reserve Bank of Boston.

26

Version: September 29, 2017
Which aspect of security is most important when choosing to use [insert response to
q115_a, in bold] when making purchases and other nonbill payments?
***Randomize response options****
1. Security of your personal information (name, address, Social Security number,
birthdate, etc.)
2. Security against permanent financial loss
3. Security of information about the transaction (what was paid for, amount, where you
shopped)
END IF

(q117_a)
In cases where you can’t use [insert response to q115_a, in bold] when making purchases and
other nonbill payments, what is your preferred fallback payment method?
****delete response to q115_a from the list below****
1. Cash
2. Check
3. Credit card
4. Debit card
5. Prepaid/Gift/EBT card
6. Bank account number payment
7. Online banking bill payment
8. Money order
9. Traveler’s check
10. PayPal
11. Account-to-account transfer
12. Mobile phone payment
13. Other payment method
## New screen
(q118_a)
Purchases and other non-bill payments preferences
Please tell us the most important characteristic of [insert response to q117_a, in bold] when
making purchases and other nonbill payments.
## Use same randomization as q116_b
1. Security
2. Accepted at lots of places
3. Cost
4. Convenience
5. Budget control
6. [IF q117_a = “credit card” or “debit card” then display]Rewards
7. Speed
8. Payment records
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prior written consent of the Federal Reserve Bank of Boston.

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Version: September 29, 2017
9. Getting and setting-up
10. Other (specify)
o [open ended text box]
IF q118_a = 7 (“Speed”)
(q114_a2)
Which aspect of speed is most important when choosing to use [insert response to
q117_a, in bold] when making purchases and other nonbill payments?
***Randomize response options****
1. Speed at time of payment
2. Speed of payment deduction from your bank account or prepaid card
3. Speed of recipient receiving payment
4. Speed of notification of new balance of your account
ELSE IF q118_a = 1 (“Security”)
(q113_a2)
Which aspect of security is most important when choosing to use [insert response to
q117_a, in bold] when making purchases and other nonbill payments?
***Randomize response options****
1. Security of your personal information (name, address, Social Security number,
birthdate, etc.)
2. Security against permanent financial loss
3. Security of information about the transaction (what was paid for, amount, where you
shopped)
END IF
## New screen
(q160)
In-person purchases preferences
Please tell us the payment method you most prefer to use for making in-person purchases,
depending on dollar value.

(q160_a)
Less than $10
(q160_b)
Between $10 and less than $25
(q160_c)

Payment method
[Drop down list for each row of table]
--Select one--1. Cash
2. Check

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Between $25 and less than $50
(q160_d)
Between $50 and less than $100
(q160_e)
$100 or more

3.
4.
5.
6.
7.
8.
9.
10.
11.
12.
13.

Credit card
Debit card
Prepaid/Gift/EBT card
Bank account number payment
Online banking bill payment
Money order
Traveler’s check
PayPal
Account-to-account transfer
Mobile phone payment
Other payment method

## Variable names:
q160_pm_a
q160_pm_b
q160_pm_c
q160_pm_d
q160_pm_e
IF any of q160_pm_a—q160_pm_e = “Mobile phone payment” (option 10) OR
q115_a = “Mobile phone payment” or q115_b = “Mobile phone payment” or
q115_c = “Mobile phone payment” THEN
(q161)
What payment method is your mobile app funded with?
1. Credit card
2. Debit card
3. Prepaid card
4. Bank account number
5. Apple Pay
6. PayPal
7. Other (specify)
a. [open ended text box]
ENDIF
## New screen – online payments section
(q115_c)
Online purchases preferences
Please tell us the payment method you most prefer to use for making online purchases (on the
Internet) to buy goods and services (not to pay bills). Examples include Amazon, Walmart.com,
etc.
1. Cash
2. Check
3. Credit card
4. Debit card
5. Prepaid/Gift/EBT card
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prior written consent of the Federal Reserve Bank of Boston.

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6.
7.
8.
9.
10.
11.
12.
13.

Bank account number payment
Online banking bill payment
Money order
Traveler’s check
PayPal
Account-to-account transfer
Mobile phone payment
Other payment method

## New screen
(q116_c)
Online purchases preferences
Please tell us the most important characteristic of [insert response to q115_c, in bold] when
making online purchases (on the Internet) to buy goods and services (not to pay bills). Examples
include Amazon, Walmart.com, etc.
## Use same randomization as q116_b
1. Security
2. Accepted at lots of places
3. Cost
4. Convenience
5. Budget control
6. [IF q115_c = “credit card” or “debit card” then display]Rewards
7. Speed
8. Payment records
9. Getting and setting-up
10. Other (specify)
o [open ended text box]
IF q116_c = 7 (“Speed”)
(q114_c1)
Which aspect of speed is most important when choosing to use [insert response to
q115_c, in bold] to make online purchases?
***Randomize response options****
1. Speed at time of payment
2. Speed of payment deduction from your bank account or prepaid card
3. Speed of recipient receiving payment
4. Speed of notification of new balance of your account
ELSE IF q116_c = 1 (“Security”)
(q113_c1)
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prior written consent of the Federal Reserve Bank of Boston.

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Which aspect of security is most important when choosing to use [insert response to
q115_c, in bold] to make online purchases?
***Randomize response options****
1. Security of your personal information (name, address, Social Security number,
birthdate, etc.)
2. Security against permanent financial loss
3. Security of information about the transaction (what was paid for, amount, where you
shopped)
END IF

7) End of Day 0 thank you text
Thank you for answering our questions. Please log on tomorrow to enter your purchases or cash
activity, even if you have no activity tomorrow.
To get ready to enter your payment information tomorrow, [Day 1], please read the diary
instructions and watch the video (if you haven’t already).

8) Daily intro text/welcome back
IF diaryday = 1 THEN
Welcome to Day 1 of the 2016 Diary of Consumer Payment Choice. Thank you for
agreeing to tell us about your payments and cash activity.
ELSE IF diaryday > 1 THEN
Welcome back! Thank you for telling us about your payments and cash activity.
END IF
ALL diary days:
We understand that not everybody makes payments or has cash activity each day. We
are interested in all types of payment behavior, including days with zero payments or
cash activity. Please enter your information for today’s diary day.
Remember to include each transaction that you make. Only include a transaction once.
Do not enter transaction information twice.
Do not include transactions made in foreign countries or foreign currencies.
Day 1 only:
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prior written consent of the Federal Reserve Bank of Boston.

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IF pa071_a = NO #pa071_a is from Day 0
(pa071_b)
Yesterday, you told us that you were not able to tell us your [FILL: IF dcpc_pa001_a > 1
then “primary”] checking account balance.
Please use one of the following methods to look up your [FILL: IF dcpc_pa001_a > 1 then
“primary”]checking account balance:
 Your bank’s online banking website
 Your bank’s mobile app
 Your bank’s telephone banking system
 Your check book balance

Are you able to tell us your balance for [DAY 0 DATE] today?
1. Yes
2. No
IF pa071_b = YES then
IF dcpc_pa001_a = 1 THEN
Please tell us the balance of your checking account for [DAY 0 DATE]. Please let us
know the time and date that you checked your balance.



Round to the nearest dollar
Please report the total balance of the checking account, even if jointly
owned

(pa072_a)
Balance of checking account $_______________ .00
(pa072_a_time)
Please tell us the time of this balance which you are reporting to us.
[clock widget]
(pa072_a_date)
Please tell us the date of this balance which you are reporting to us.
[calendar widget]

ELSE IF dcpc_pa001_a >= 2 THEN
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prior written consent of the Federal Reserve Bank of Boston.

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Version: September 29, 2017
Please tell us the balance of your primary checking account for [DAY 0 DATE].
Please let us know the time and date that you checked your balance.




Round to the nearest dollar
Please report the total balance of the checking account, even if jointly
owned
Your primary account is the account you use most often to make payments,
not necessarily the account with the most money in it.

(pa072_a)
Balance of primary account $_______________.00
(pa072_a_time)
Please tell us the time of this balance which you are reporting to us.
[clock widget]
(pa072_a_date)
Please tell us the date of this balance which you are reporting to us.
[calendar widget]
ENDIF ## dcpc_pa001_a
ELSE IF pa071_b = NO then
Are you able to tell us your checking account balance for [DAY 1 DATE]?
1. Yes
2. No
IF YES THEN
Please tell us the balance of your checking account for [DAY 1 DATE]. Please let us
know the time and date that you checked your balance.



Round to the nearest dollar
Please report the total balance of the checking account, even if jointly
owned

(pa072_a)
Balance of checking account $_______________ .00
(pa072_a_time)
Please tell us the time of this balance which you are reporting to us.
[clock widget]
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prior written consent of the Federal Reserve Bank of Boston.

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Version: September 29, 2017

(pa072_a_date)
Please tell us the date of this balance which you are reporting to us.
[calendar widget]
IF NO THEN
It is important for us to get an accurate measure of your checking account
balance. We will ask again on the third evening of your diary. Thank you.
ENDIF
ENDIF #pa071_b

9) Purchases module
(q199)
Your [FILL:IF Diary Day = 1 THEN “first”/ IF Diary Day = 2 THEN “second”/ IF Diary Day = 3 THEN “third”]
diary day is [DISPLAY DIARY DATE HERE, example “Wednesday, October 3”]. Are you recording and
reporting your payments and transactions for your assigned date, or are you reporting for a different
date?
 For example, you were assigned October 3-5 but instead when you reported your payments for
Day 3 you reported for October 6.
1. Yes, I am reporting for my assigned diary date, [DAY 1 DATE].
2. No, I am reporting for another date.
IF q199 = NO then
Please explain why you participated on another day.
[open ended text box]

Tell us the date you are reporting for
[smaller calendar widget]
ENDIF
(q98)
Did you make any payments on [DISPLAY DIARY DATE HERE, example: Wednesday, October 3]?
1. Yes
2. No
If q98 = NO then:
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Version: September 29, 2017
***ask Q98a for each day the respondent says they have no
purchases***
(q98a)
It’s OK if you didn’t make any payments today.
Please tell us the reason that best describes why you didn’t make any payments on [DISPLAY
DIARY DATE HERE, example “Wednesday, October 3”].
1.
2.
3.
4.

I didn’t need to make any payments today.
I was too busy to make payments today.
I’m trying to spend less.
Other (specify)
4other. _____________

ENDIF
If q98 = YES then:
(q2)
Daily payments – Please enter the information for [DISPLAY DIARY DATE HERE, example
“Wednesday, October 3”].







Report the exact amount of the payment. Include dollars and cents in the form xxx.xx.
Do not include payments made ONLY for business purposes.
Include all other payments made today, no matter how small the amount of the
payment.
Complete the entire row for the first payment you want to enter for today, then click
Next.
Answer some additional questions about your payment, then answer “Yes” if you made
any additional payments, and a new row will appear on this screen.
When you have finished entering all payments for today, please answer “No” when we
ask if you made any additional payments.
****make these instructions bulletpointed and italicized****
**** This table and pay001_N are going to appear on the same screen. The question
pay001_N is where the respondent will describe the merchant type.****

Time

Amount
Spent

Payment method

[use time
entry
widget]

$_____

Drop down list:
P0 – Multiple payment
methods
P1 – Cash
P2 – Check

Did you
pay in
person?
Yes
No

Device

Drop down list:
D1 – Computer
(laptop or desktop)
D2 – Tablet (e.g.
iPad, Kindle)

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prior written consent of the Federal Reserve Bank of Boston.

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Version: September 29, 2017
P3 – Credit card
P4 – Debit card
P5 – Prepaid/Gift/EBT card
P6 – Bank account number
payment
P7 – Online banking bill
payment
P8 – Money order
P9 – Traveler’s check
P10 – PayPal
P11 – Account-to-account
transfer
P12 – Mobile phone payment
P13 – Other payment method
P14 – Direct deduction from
income

D3 – Mobile phone
D4 – Landline phone
D5 – Mail or delivery
service
D6 – Some other
device not listed
D7 – No device

## Create a variable amntcashpurch = Sum(Amount spent where payment method = 1).
In other words, the total amount of cash spent on that day. If there are no cash
payments on that day, then amntcashpurch = 0.
## Create a variable numcashpurch = Number of cash payments on that day. If there are
no cash payments on that day, then numcashpurch = 0.
## if we use three boxes to enter the time, name the variables:
 paytime_h_N, where N is the number of the payment (1 = first payment of the
day, 2 = second, etc.)
 paytime_m_N
 paytime_ampm_N
## Amount spent variable should be called:
 payamnt_N, where N is the number of the payment (1 = first payment of the
day, 2 = second, etc.)
## Payment method variable names:
 paymethod_N, where N is the number of the payment (1 = first payment of the
day, 2 = second, etc.)
## Payment location variable names:
 paylocation_N, where N is the number of the payment (1 = first payment of the
day, 2 = second, etc.)
## Payment device variable names:
 paydevice_N, where N is the number of the payment (1 = first payment of the
day, 2 = second, etc.)
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prior written consent of the Federal Reserve Bank of Boston.

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Version: September 29, 2017
## Payment merchant variable names: -- see next section below.
 pay001_N, where N is the number of the payment (1 = first payment of the day,
2 = second, etc.)
 All the variable names listed below in the “Merchant categorization and
consumption module” will have the suffix “_N” where N is the number of the
payment (1 = first payment of the day, 2 = second, etc.)
(pay003_N)
## Error Check
The details of this payment are listed below. If anything looks off, please let us know.
***show payment details***
Is everything correct?
1. Yes
2. No

****If the response to pay003 is NO, then display a new screen with
the payments entry correction page. If YES, display a new
payments entry page for the next payment
PROGRAMMER: If the above instruction is not clear, please ask Kevin
for more information
****

a) Merchant categorization and consumption module
## PROGRAMMER – This item PAY001_N goes directly below the payments table above. It’s on
the same screen as Daily purchases of goods and services.
(pay001_N)
What type of merchant, service provider, or person did you pay?
## Selectable list:
Financial services provider
Examples: banks, credit card companies, insurance companies, mortgage companies, mutual funds, brokerages

Education provider
Examples: schools, colleges, childcare
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Version: September 29, 2017
Medical care provider
Examples: hospital, doctor, dentist, physical therapy

Government
Examples: federal/state/local taxes, fees, fines, licenses, utilities

Nonprofit/charity
Examples: churches, temples, mosques, United Way, Community Chest, American Cancer Society, Red Cross

A person (not a business, government, or organization as far as I know)
Examples: friends, family, co-workers, other people.

Retail store or online retailer; restaurants and gas stations
Includes retail stores; grocery stores/supermarkets; gas stations; restaurants and fast food stores; Amazon.com

Business that sells primarily services
Examples: utilities, repair services, communications, entertainment, personal services

Other
## There were 9470 payments in the 2015 DCPC.
## Financial services = 401 payments, 4.23%
## Education = 65 payments, 0.69%
## Medical care = 173, 1.83%
## Government = 169, 1.78%
## Nonprofit/charity = 217, 2.29%
## Person = 436, 4.60%
## Retail store, etc. = 6253, 66.03%
## Services = 748, 7.90%
## Other = 1008, 10.64%

## new screen – this first follow up question pay002_N is
asked for almost all payments (exception = pay001_N = “Retail
store or online retailer, restaurants and gas stations”)
IF pay001_N does not equal “Retail store or online retailer; restaurants and gas
stations” THEN:
(pay002_N)
Please describe this payment:
1. Not a bill payment
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Version: September 29, 2017
2.
3.
4.
5.

Regularly recurring bill payment
One time bill payment
Recurring bill payment with irregular frequency
Other (specify)
o [open ended text box]

IF pay002_N = 2 OR pay002_N = 4 THEN
(pay002_autom_N)
An automatic bill payment is a payment set up to occur on pre-scheduled basis. Once
set up, they do not require any additional effort on the consumer’s part.
Was this bill payment automatic?
1. Yes
2. No
END IF (pay002_N = 2 OR pay002_N = 4)
IF pay002_N = “regularly recurring bill payment” THEN
(pay002b_N)
How often is this bill due?
1. Weekly
2. Bi-weekly
3. Twice a month
4. Monthly
5. Every other month
6. Quarterly
7. Every six months
8. Yearly
9. Other (specify)
a. [open ended text box]
IF pay002_N = “recurring bill payment with irregular
frequency” THEN
(pay002c_N)
About how many times per year do you pay this bill?
__________ times per year
ENDIF

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prior written consent of the Federal Reserve Bank of Boston.

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Version: September 29, 2017
IF pay002_N = “Regularly recurring bill payment” OR “One time bill payment” OR
“Recurring bill payment with irregular frequency” THEN
(pay002d_N)
Was this bill payment for goods or services that were received previously or for goods
and services that you will receive in the future?



An example of a good or services which was received previously is medical care
(you receive medical care and then pay after).
An example of a good or services which will be received in the future is a
magazine subscription (you pay now and receive the newspaper after payment).

1. Previously received goods or services
2. Goods or services to be received in the future
END IF (pay002_N = “Regularly recurring bill payment” OR “One time bill
payment” OR “Recurring bill payment with irregular frequency”)
IF pay002_N = “Regularly recurring bill payment” OR “Recurring bill payment with
irregular frequency” THEN
(pay002e_N)
Do you pay the same amount each time you pay this bill, or does the payment
amount change from bill to bill?
1. Same amount each bill
2. Amount changes from bill to bill
END IF (pay002_N = “Regularly recurring bill payment” OR “Recurring bill
payment with irregular frequency”)

If pay001_N = “Financial services provider” (option 1)
## new screen – pay010_N
(pay010_N)
Please tell us the purpose of your payment to a financial services provider. Was it
primarily to:
1. Pay a credit card bill
2. Make a loan payment (Examples: mortgage, student loan, auto, home equity,
installment, “zero interest,” “no-money-down”)
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Version: September 29, 2017
3. Pay for insurance (Examples: health, auto, homeowner’s, renter’s, life, umbrella)
4. Pay a fee (Examples: checking account, foreign ATM, overdraft, late payment, loan
origination)
5. Transfer money to another account that you own
6. Make an investment (bought stocks, bonds, mutual funds)
7. Other (specify)
o [open ended text box]
IF

pay010_N = 2 “Make loan payment” THEN
## new screen – same screen pay011 and pay012
(pay011_N)
What kind of loan payment did you make?
1.
2.
3.
4.
5.
6.
7.
8.

Repay a mortgage
Repay a student loan
Repay an auto loan
Repay a home equity loan or home equity line of credit
Repay an instalment loan
Repay a “zero interest” or “no money down” loan
Repay a payday loan
Repay an online marketplace or peer-to-peer lender (Examples: Lending Club,
Prosper)
9. Repay another type of loan

(pay012_N)
How much of the amount due did you pay?
1.
2.
3.
4.

Less than the minimum amount
Minimum amount
More than the minimum amount, less than the full amount
Full amount

IF pay012_N = (1, 2, 3) THEN
## New screen
(pay013_N)
How much was the full amount due?
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prior written consent of the Federal Reserve Bank of Boston.

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Version: September 29, 2017
$____________

## New screen
(pay014_N)
Did you have enough money in your checking or savings account to pay the full
amount due?
1. Yes
2. No

## New screen
(pay015_N)
Why did you choose not to pay the full amount due?
[open ended response box]

END IF (pay012_N = (1, 2, 3))
END IF (pay010_N = 2)

### Important routing note
Here is where the “trail” of questions ends for “Financial services provider”. Instead of going
back to the payments screen, by way of the screen “Did you make any other purchases today
[Diary date]?” the survey should continue on and ask the Payment Instrument Follow-up
Questions, which begin down below with question q103f. Then after those questions have been
answered, the respondent should see the screen “Did you make any other purchases today
[Diary date]?” This should be the case for all the merchant categories from the payment entry
screen. We always want to see the Payment instrument follow-ups before we get to the next
payment.
If pay001_N = “Education provider” (option 2)
## new screen – pay020_N
(pay020_N)
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prior written consent of the Federal Reserve Bank of Boston.

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Version: September 29, 2017
Please tell us the purpose of your payment to an education provider. Was it primarily
for:
1. Tuition or fees
2. Parking
3. Repay student loan
4. Donation
5. Childcare
6. Other (specify)
o [open ended text box]
END IF (pay001_N = “Education provider”)

If pay001_N = “Medical care provider” (option 3)
## new screen
(pay030_N)
Please tell us the purpose of your payment to a medical care provider. Was it primarily
for a:
1.
2.
3.
4.
5.
6.
7.

Doctor, dentist, other health care professional
Hospital, residential care, other medical institution
Pharmacy
Insurance company
Parking
Charitable donation
Other (specify)
o [open ended text box]

IF pay002d_N = 1 (the bill was paid for services previously
received) then:
(pay032_N)
When did you receive these medical goods or services?
1. Within the last month
2. Between 3 months and 1 month ago
3. Between 1 year and 3 months ago
4. Longer than 1 year ago

End if
©2010–2016 Federal Reserve Bank of Boston. Proprietary and Confidential. Do not release or disclose to unauthorized parties without the
prior written consent of the Federal Reserve Bank of Boston.

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Version: September 29, 2017

If pay001_N = “Government” (option 4)
## new screen - pay040_N
(pay040_N)
Please tell us the purpose of your payment to a government. Was it primarily for:
1. Purchases of goods and services (Examples: local utilities and other services (like
trash collection), public transportation, entrance to National Parks, municipal
parking.)
2. Repay student or other government loan
3. Taxes or fines (Examples: Federal, state, local taxes, including property and
excise taxes.)
4. Donations
5. Other (specify)
IF pay040_N = “purchase of goods and services” THEN
(pay041_N)
Please tell us what you paid for.
1. Electricity/ water/sewer
2. Tuition
3. Daycare
4. Parking
5. Tolls
6. Trash collection
7. Public transportation
8. Health insurance: out-of-pocket, including Medicare supplemental insurance
9. Childcare
10. Used goods
11. Other (specify)
o [open ended text box]
END IF (pay040_N = “purchase of goods and services”)
END IF (pay001_N = “Government” (option 4))
If pay001_N = “Nonprofit/charity” (option 5)
## new screen – pay050_N
(pay050_N)
Please tell us the purpose of your payment to a nonprofit or charity. Did you:
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Version: September 29, 2017
1. Make a donation.
2. Purchase goods and services.
3. Other (specify)
o [open ended text box]
If pay001_N = “A person” (option 6)
## same screen – pay080_N, pay082_N
(pay080_N)
Please tell us about the person you paid.
What type of person did you pay?
1. People who provide goods and services
2. Friends or family
3. Co-worker, classmate, or fellow military
4. Other people (specify; no names please)
o [open ended text box]
(pay082_N)
Please tell us the purpose of your payment.
1. To give a gift or allowance
2. To lend money
3. To repay a money I borrowed (a loan)
4. To purchase goods or pay for services
5. To split a check or share expenses
6. To pay alimony or child support
7. Other (specify)
o [open ended text box]
If pay080_N = “People who provide goods and services”
(pay081_N)
To the best of your knowledge, does the person operate as a business?
1. Yes
2. No
3. I don’t know

If pay001_N = “Other (specify)” (option 9)
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Version: September 29, 2017

(pay090_N)
Please choose from this list to describe the type of merchant, service provider, or
person you paid.
****pick up Merchant type entry format from 2012 Diary with refinements:
Retailer type

Food and beverage sellers

Retail stores & online
retailers

1.
2.
3.
4.
5.
6.
8.
9.
10.
11.
12.
13.
14.

Grocery stores/supermarkets
Fast food, food service, food trucks, snack bars
Sit-down restaurants
Bars
Liquor stores
Vending machines
Convenience stores
Pharmacies
Department and discount stores and websites,
wholesale clubs and websites
Online shopping (Amazon.com, etc.)
Clothing and accessories stores
Other stores (book, florist, hobby, music, office
supply, pet, sporting goods)
Furniture & home goods stores, appliance &
electronics stores, hardware & garden stores

Transportation

15.
16.
17.
18.

Gas stations
Parking lots and garages
Tolls
Transportation (includes public transportation)

Entertainment

19.
20.
21.
22.
23.
24.

Entertainment, recreation, arts, museums
Sporting events
Movie theaters
Online and print news, online games
Hotels, motels, RV parks, camps
Casinos/gambling/lottery

Housing

23. Rent, real estate agents and brokers
24. Building contractors (electrical/plumbing/ HVAC, tile,
painting, etc.)
25. Building services

Utilities

26.
27.
28.
29.

Personal Services

30. Child care, elder care, youth and family services, emergency
and other relief services
31. Personal care, dry cleaning, photo processing, funeral

Electric, natural gas, water and sewage
Phone/internet/cable TV (wired/wireless/satellite)
Heating oil dealers, propane dealers
Trash collection

©2010–2016 Federal Reserve Bank of Boston. Proprietary and Confidential. Do not release or disclose to unauthorized parties without the
prior written consent of the Federal Reserve Bank of Boston.

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Version: September 29, 2017
services
Pets
Auto and Vehicle Services

Professional and
Miscellaneous
Services

32.
33.
34.
35.
36.

Veterinarians
Pet grooming and sitting
Auto maintenance and repair services
Auto rental and leasing services
Auto vehicle and parts dealers

37. Employment services, travel agents, security services, office
administrative services
38. Legal, accounting, architectural, and other professional
services
39. Mail, delivery, storage
40. Rental centers
41. Repair/maintenance of electronics and personal and
household goods

(pay903)
If you are not able to make a selection above, please type the name of the business you paid.
You do not need to choose an option listed in the text box. If the business of your choice is
not showing up, just keep typing.
****Lookup widget here****
If pay001_N = “Retail store or online retailer; restaurants
and gas stations” (option 7)
## new screen – pay600_N
(pay600_N)
Please tell us more about the store, online retailer, restaurant, or gas station.
Did you pay a…
1.
2.
3.
4.
5.
6.
7.
8.
9.

Grocery store/supermarket (Examples: Kroger, Safeway, Publix, Whole Foods)
Fast food restaurant, food service, food truck, snack bar
Coffee shop
Sit-down restaurant
Bar
Gas station
Convenience store
Pharmacy (Examples: Walgreens, CVS, Rite Aid)
Large retailer (Examples: Walmart, Target, Costco, Sam’s Club, Best Buy)

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prior written consent of the Federal Reserve Bank of Boston.

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Version: September 29, 2017
10.
11.
12.
13.
14.

Home improvement (Examples: Home Depot, Lowe’s)
Online retailer (Examples: Amazon.com, Overstock.com, Ebay.com)
Liquor store
Pet store/pet grooming
Other store or online retailer

If pay600_N = “Other store or online retailer”
(pay602_N)
Please tell us the type of store or online retailer you paid.
1.
2.
3.
4.
5.
6.
7.
8.
9.
10.
11.
12.
13.
14.

Auto rental and leasing stores
Auto vehicle and parts dealers and websites
Clothing and accessories stores and websites
Department and discount stores and websites, wholesale clubs and websites
Furniture & home goods stores, appliance & electronics stores, hardware & garden
stores and websites
Mail, delivery, storage
Rental centers
Movie theaters
Online shopping (Amazon.com, etc.)
Online and print news, online games
Other stores (book, florist, hobby, music, office supply, pet, sporting goods) and
websites
Personal care, dry cleaning, pet grooming and sitting, photo processing salons and
stores
Stores that repair electronics and personal and household goods
Other store or website/I don’t know

## New screen for pay603

IF pay602 = 14 (Other store or website/I don’t know) THEN
(pay603_N)
Please type the name of the store or online retailer you paid. You may type the full
name or choose from the drop-down list that will appear when you start typing.
You do not need to choose an option listed in the text box. If the store or online retailer
of your choice is not showing up, just keep typing.
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prior written consent of the Federal Reserve Bank of Boston.

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Version: September 29, 2017
****Provide lookup widget here****
END IF ## pay602 = 14 (Other store or website/I don’t know)
END IF ## pay600_N = “14 - Other store or online retailer”
Merchant category followups
If pay600_N = “Gas station” (option 6) then
(pay604_N)
Did the gas station have a convenience or fast food store?
1. Yes
2. No
If pay604_N = YES
(pay605_N)
Please tell us about your payment. Did you pay for:
1.
2.
3.
4.

Gas only
Convenience store item(s) or fast food only
Gas and convenience store item(s) or fast food in 1 payment
Gas and convenience store item(s)or fast food in 2 or more payments

If pay600_N = “Convenience store” (option 7)
(pay606_N)
Did convenience store sell gas?
1. Yes
2. No

If pay606_N = YES
(pay607_N)
Please tell us about your payment. Did you pay for:
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prior written consent of the Federal Reserve Bank of Boston.

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Version: September 29, 2017
1.
2.
3.
4.

Gas only
Convenience store item(s) or fast food only
Gas and convenience store item(s) or fast food in 1 payment
Gas and convenience store item(s)or fast food in 2 or more payments

IF pay605_N = 4 or pay607_N = 4 THEN
****If R reports 2 or more payments, ask R to enter each
payment separately. Deliver partially complete payment entry
screen, as for bills, i.e.
Gas station or convenience store payments – Please enter the information for [DISPLAY
DIARY DATE HERE, example “Wednesday, October 3”].
 Complete the entire row for each payment at the gas station.
## INSTRUCTIONS TO PROGRAMMER: Show 2 rows of our payments table. The “Payment type”
column should have the gas station purchase types displayed. Standard Payment Instrument
followups apply for each transaction.
Payment
type
Gas station
purchase

Time

Amount
Spent

Payment Method
Drop down list:
P0 – Multiple
payment methods
P1 – Cash
P2 – Check
P3 – Credit card
P4 – Debit card
P5 – Prepaid/Gift/EBT
card
P6 – Bank account
number payment
P7 – Online banking
bill payment
P8 – Money order
P9 – Traveler’s check
P10 – PayPal
P11 – Account-toaccount transfer
P12 – Mobile phone
payment
P13 – Other payment
method

Did you pay Device
in person?
Yes
Drop down
No
list:
D1 –
Computer
(laptop or
desktop)
D2 – Tablet
(e.g. iPad,
Kindle)
D3 –
Mobile
phone
D4 –
Landline
phone
D5 – Mail
or delivery
service
D6 – Some
other
device not
listed
D7 – No

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prior written consent of the Federal Reserve Bank of Boston.

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Version: September 29, 2017
device
Convenience
store/fast
food
purchase

Yes
No

## VARIABLE NAMES





Time
o gaspaytime_N, where N = 1 or 2, the row of the table
Amount
o gaspayamnt_N, where N = 1 or 2, the row of the table
Payment method
o gaspaymethod_N, where N = 1 or 2, the row of the table
Payment device
o gaspaydevice_N, where N = 1 or 2, the row of the table

If pay602_N = (2, 3, 4, 5, 11) OR pay600_N = (6, 9, 10, 11) and
paymethod != “credit card” THEN
(pay606a_N)
Did you pay a store charge or credit card bill during this payment at a retail store or
website?
1. Yes
2. No

If pay606a_N = YES then
(pay607a_N)
Did you pay the full amount of the bill, or less than the full amount?
1. Full amount
2. Less than the full amount
## New screen – q_ccbill_fu1_N
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prior written consent of the Federal Reserve Bank of Boston.

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Version: September 29, 2017
IF pay607a_N = 2 then
(q_ccbill_fu1_N)
How much was the full amount of the credit or charge card bill?


$_____________

END IF (pay607a_N = 2)
END IF (pay606a_N = YES)
If payment_N >= 200 THEN
(pay608_N)
Was your payment primarily for:
1.
2.
3.
4.
5.
6.
7.
8.

Cars, trucks, motorcycles, other motor vehicles and parts
Furniture and furnishings
Household appliances
Computers, cameras, TVs, other electronics
Sports equipment, sports and recreational vehicles, and boats
Jewelry and watches
Therapeutic appliances and equipment
None of the above

If pay608_N = (1,2,3,4,5,6,7) and payment method not
equal to “credit card”
## same screen – pay611_N and pay612_N
(pay612_N)
Did you borrow money to make this purchase?
1. Yes
2. No
IF SCPC variable DE013 = YES
## in other words, does the respondent own their primary home. This question
is from the SCPC.
(pay611_N)
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Did you use funds from a home equity line of credit (HELOC) to make this
purchase?
1. Yes
2. No
END IF (de013 = YES)
END IF (pay608_N = (1,2,3,4,5,6,7) and payment method not
equal to “credit card”)
END IF (paymentamnt_N >= 200)
END IF (pay602_N = (2, 3, 4, 5, 11) OR pay600_N = (6, 9, 10,
11) AND paymethod != “credit card”)
If pay001_N = “Business that sells primarily services” (option 8)
(pay700_N)
Please tell us the type of business you paid.
Housing

Utilities

Auto
Travel and Transportation

Entertainment

Personal services

1. Rent, real estate agents and brokers
2. Mortgage
3. Building contractors (electrical/plumbing/ HVAC, tile,
painting, etc.)
4. Building services
5. Phone/internet/cable TV (wired/wireless/satellite)
6. Electric, natural gas, water and sewage
7. Heating oil dealers, propane dealers
8. Trash collection
9. Auto maintenance and repair service
10. Auto rental and leasing service
11. Parking lots and garages
12. Tolls
13. Transportation (includes public transportation)
14. Hotels, motels, RV parks, camps
15. Entertainment, recreation, gym memberships, arts,
museums, sports events
16. Movie theaters
17. Elder care, youth and family services, emergency and other
relief services
18. Personal care, dry cleaning, photo processing
19. Funeral services
20. Employment services, travel agents, security services, office
administrative services

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prior written consent of the Federal Reserve Bank of Boston.

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21. Legal, accounting, architectural, and other professional
services
22. Veterinarians
23. Pet grooming and sitting
24. Repair/maintenance services for electronics and personal
and household goods
25. Vending machines
26. Other/I don’t know (specify)

Pets
Other

## New screen – pay701_N
IF pay002_N not equal to (“Regularly recurring bill payment” OR “One
time bill payment” OR “Recurring bill payment with irregular
frequency”) THEN
(pay701_N)
Was this payment made for services that you received prior to today?
1. Yes
2. No
If pay701_N = YES
(pay702_N)
When did you order or receive the services?
1. Within the last month
2. Between 3 months and 1 month ago
3. Between 1 year and 3 months ago
4. Longer than 1 year ago
ENDIF

b) Payment instrument follow-ups
IF paydevice = 6 (some other device) THEN:
(q201e)
You told us that you used some other device to make this payment. Please tell us more about
the device.
[open ended text box]
ENDIF
IF paylocation = 2 (NO-not in person) AND paydevice = 7 (no device)
THEN:
(q201f)
You told us that this payment was not in person and that you used no device.
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Please tell us more about how you made this payment. In particular, how was the payment paid
to the merchant?
[open ended text box]
ENDIF
IF payment method paymethod_N not equal to (“cash”) then:
IF payment is [not a bill (pay002_N = 1) or pay001_N = “Retail
store or online retailer; restaurants and gas stations” (option
7)] and paylocation_N = “IN PERSON”
## both q103f and q103g on the same screen
(q103f)
Did you have enough cash (coins and paper bills) to make this payment in cash?
1. Yes
2. No
3. I’m not sure, but I think so
4. I’m not sure, but I do not think so
(q103g)
Would the merchant have accepted cash for this payment?
1. Yes
2. No
3. I’m not sure, but I think so
4. I’m not sure, but I do not think so
ENDIF
ENDIF
IF payment is a non-bill payment (pay002_N = 1) or pay001_N = “Retail
store or online retailer; restaurants and gas stations” (option 7)
If paymethod_N EQUALS pa115_a THEN
(q201a)
You told us that [FILL: response from q116_a] is the most important characteristic when
choosing [FILL: response from q115_a] to make a payment.
Is that still the case for this payment too?
1. Yes
2. No
IF q201a = NO THEN
(q201b)
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What is the most important characteristic for this payment?
1. Security
2. Accepted at lots of places
3. Cost
4. Convenience
5. Budget control
6. [IF q115_a = “credit card” or “debit card” then display]Rewards
7. Speed
8. Payment records
9. Getting and setting-up
10. Other (specify)
o [open ended text box]
ENDIF
ENDIF

If paymethod_N does not equal pa115_a THEN
(q103b)
Why did you use [FILL: paymethod_N] for this transaction?
1.
2.
3.
4.
5.
6.
7.
8.
9.

[FILL: response from q115_a] was not accepted
I didn’t have [FILL: response from q115_a] with me
Speed of payment was important for this transaction
Security of the transaction was important
I received a discount for using [FILL: paymethod_N]
I would have paid a surcharge if I used [FILL: response from q115_a]
For this size transaction, I prefer to use [FILL: paymethod_N]
For this type of merchant I prefer to use [FILL: paymethod_N]
Other (specify)
 [open ended text box]

ENDIF
ELSE IF payment is a bill (we are in the BILL section OR pay002_N =
(2, 3, 4))
If paymethod_N does not equal pa115_b THEN
(q103h)
Why did you use [FILL: paymethod_N] for this transaction?”
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1.
2.
3.
4.
5.
6.
7.
8.
9.
10.

[FILL: response from q115_b] was not accepted
I didn’t have [FILL: response from q115_b] with me
I did not have enough money available to use [FILL: response from q115_b]
The payment would have been late if I used [FILL: response from q115_b]
[FILL: paymethod_N] is more secure than [FILL: response from q115_b]
I received a discount for using [FILL: paymethod_N]
I would have paid a surcharge if I used [FILL: response from q115_b]
For this size transaction, I prefer to use [FILL: paymethod_N]
For this type of bill I prefer to use [FILL: paymethod_N]
Other (specify)
 [open ended text box]

ENDIF
ENDIF
If Payment Method = P0 (Multiple payment methods) then:
(q103a)
Please tell us which payment methods you used to make this payment.
 Check all that apply















P1 – Cash
P2 – Check
P3 – Credit card
P4 – Debit card
P5 – Prepaid/Gift/EBT card
P6 – Bank account number payment
P7 – Online banking bill payment
P8 – Money order
P9 – Traveler’s check
P10 – PayPal
P11 – Account-to-account transfer
P12 – Mobile phone payment
P13 – Other payment method
P14 – Direct deduction from income

## New screen – each q125 question on the same screen, and q126 on same screen too
(q126)
Why did you use multiple payment methods to make this payment?
[open ended text box]
If one of the payment methods = “Cash”
(q125_a)
How much cash did you spend when making this payment?
$___________
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If one of the payment methods = “Check”
(q125_b)
How much did you spend using a check when making this payment?
$___________
If one of the payment methods = “Credit card”
(q125_c)
How much did you spend using your credit card when making this payment?
$___________
If one of the payment methods = “Debit card”
(q125_d)
How much did you spend using your debit card when making this payment?
$___________
If one of the payment methods = “Prepaid/gift/EBT card”
(q125_e)
How much did you spend using your prepaid/gift/EBT card when making this payment?
$___________
If one of the payment methods = “Bank account number payment”
(q125_f)
How much did you spend using your bank account number when making this payment?
$___________
If one of the payment methods = “Online banking bill payment”
(q125_g)
How much did you spend using online banking bill payment when making this payment?
$___________
If one of the payment methods = “Money order”
(q125_h)
How much did you spend using a money order when making this payment?
$___________
If one of the payment methods = “Travelers check”
(q125_i)
How much did you spend using a traveler’s check when making this payment?
$___________
If one of the payment methods = “PayPal”
(q125_j)
How much did you spend using PayPal when making this payment?
$___________
If one of the payment methods = “Account-to-account transfer”
(q125_k)
How much did you spend using an account-to-account transfer when making this payment?
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$___________
If one of the payment methods = “Mobile phone payment”
(q125_l)
How much did you spend using a mobile phone payment when making this payment?
$___________
If one of the payment methods = “Other payment method”
(q125_m)
How much did you spend using an other payment method when making this payment?
$___________
If one of the payment methods = “Direct deduction from income”
(q125_n)
How much did you spend using a direct deduction from income when making this payment?
$___________

If Payment Method = P1 (Cash) then:
(q101aaa) ## I moved this question to be outside the skip pattern below so it will appear for any
payment which uses cash.
Did you receive a discount from the merchant or person you paid specifically for using cash?
1. Yes
2. No
If pay001_N not equal to “A person” (option 6) THEN
(q101j)
Did this merchant accept any of the following types of card payment options?
 Credit card
 Debit card
 Prepaid card
1. Yes
2. No
3. I don’t know
IF q101j = YES:
(q101k)
Did this merchant require a minimum dollar value for using a payment card?
1. Yes
2. No
3. I don’t know
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ENDIF
If Payment Method = P2 CHECK then:
IF dcpc_pa001_a >= 2 THEN
(q103d)
Was this payment made from your primary checking account or another checking account?
 Your primary account is the account you use most often to make payments, not
necessarily the account with the most money in it.
1. Primary checking account
2. Another checking account

If Payment Method = P4 (Debit) then:
## new screen
(q201d)
Which of your debit cards did you use to make this payment?
1. [nickname from dcq_004_a] ([Logo on card from dcq_002_a])
2. (IF dcq_001 = 2) [nickname from dcq_004_b] ([Logo on card from
dcq_002_b])
3. (IF dcq_001 = 3) [nickname from dcq_004_c] ([Logo on card from
dcq_002_c])
4. (IF dcq_001 = 4) [nickname from dcq_004_d] ([Logo on card from
dcq_002_d])
5. (IF dcq_001 = 5 or 6) [nickname from dcq_004_e] ([Logo on card from
dcq_002_e])
6. Another debit card not listed ## always display this row
## new screen q101c and q101d same screen
(q101c)
How did you authorize your debit card payment?
1. PIN
2. Signature
3. CVC/CVV code (the 3–digit numeric code on the back of a Visa, MasterCard, and Discover, or 4
digits on the front of an American Express)
4. None of these
5. Some combination of two of these
6. Other, please specify
a. [open ended text box]
(q101d)
Did you receive a discount from the merchant specifically for using this debit card?
1. Yes
2. No
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## new screen
(q101m)
Did this merchant require a minimum dollar value for using a debit card?
1. Yes
2. No
3. I don’t know
## new screen
IF paylocation = 1 (YES-in person) AND paydevice = 7 (no device) THEN:
(q201g)
How was this debit card purchase authorized?
1. Swiping the card
2. Inserting the card’s chip
3. Tapping, waving, or other contactless method
4. Handing the card to an employee such as a waiter or waitress
5. Some other method of authorization
ENDIF

If Payment Method = P3 (Credit) then:
## New question
(q201c)
Which of your credit cards did you use to make this payment?
1. [nickname from ccq_006_a] – [type of card from ccq_002_a]
2. (IF ccq_001 = 2) [nickname from ccq_006_b] – [type of card
ccq_002_b]
3. (IF ccq_001 = 3) [nickname from ccq_006_c] – [type of card
ccq_002_c]
4. (IF ccq_001 = 4) [nickname from ccq_006_d] – [type of card
ccq_002_d]
5. (IF ccq_001 = 5 or 6) [nickname from ccq_006_e] – [type of
ccq_002_e]
6. Another credit card not listed ## always display this row

from
from
from
card from

## same screen q101f and q101g and q101n
(q101f)
Did you receive a discount from the merchant specifically for using this credit card?
1. Yes
2. No
(q101g)
Did you pay an extra charge, surcharge, or convenience fee to the merchant specifically for using this
credit card?
1. Yes
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Version: September 29, 2017
2. No
(q101n)
Did this merchant require a minimum dollar value for using a credit card?
1. Yes
2. No
3. I don’t know
IF paylocation = 1 (YES-in person) AND paydevice = 7 (no device) THEN:
(q201h)
How was this credit card purchase authorized?
1. Swiping the card
2. Inserting the card’s chip
3. Tapping, waving, or other contactless method
4. Handing the card to an employee such as a waiter or waitress
5. Some other method of authorization
ENDIF

If Payment Method = P5 (Prepaid/gift/EBT) then:
## Same screen q101hhh and q103u and gprprepaid_1or2
(q101hhh)
Did the prepaid card have a logo from the following?
1. Visa
2. MasterCard
3. Discover
4. American Express
5. No logo
6. Other logo
(q103u)
Did this merchant require a minimum dollar value for using a prepaid card?
1. Yes
2. No
3. I don’t know
IF paylocation = 1 (YES-in person) AND paydevice = 7 (no device) THEN:
(q201i)
How was this prepaid card purchase authorized?
1. Swiping the card
2. Inserting the card’s chip
3. Tapping, waving, or other contactless method
4. Handing the card to an employee such as a waiter or waitress
5. Some other method of authorization
ENDIF

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IF dcpc_pa001_a = 0 and dcpc_gpradopter = 1 and (q_mostusedpayacnt_1 =
General purpose prepaid card or q_mostusedpayacnt_2 = General purpose
prepaid card)
(gprprepaid_1or2)
Did you use your primary general purpose reloadable prepaid card to make this payment?
 Your primary general purpose prepaid card is the one you use most often to make payments.
1. Yes
2. No
If Payment Method = “Bank account number payment” then:
## same screen q103n and q103ddd
(q103n)
When did you authorize this payment to pay? In other words, when will the funds come out of your
account?
1. Today, [DISPLAY DIARY DATE]
2. At a later date
IF dcpc_pa001_a >= 2 THEN
(q103ddd)
Was this payment made from your primary checking account or another checking
account?
 Your primary account is the account you use most often to make payments, not
necessarily the account with the most money in it.
1. Primary checking account
2. Another checking account
END IF (dcpc_pa001_a >= 2)
## New screen
IF q103n = 2 THEN
(q103n2)
What is the date that you authorized this payment to pay?
[insert calendar here] ## do not allow them to select a date before today.
END IF (q103n = 2)
END IF (payment method = “Bank account number payment”)
If Payment Method = “Online banking bill payment” then:
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## same screen q103n and q103ddd
(q103n)
When did you authorize this payment to pay? In other words, when will the funds come out of your
account?
1. Today, [DISPLAY DIARY DATE]
2. At a later date
IF dcpc_pa001_a >= 2 THEN
(q103ddd)
Was this payment made from your primary checking account or another checking account?
 Your primary account is the account you use most often to make payments, not
necessarily the account with the most money in it.
1. Primary checking account
2. Another checking account
END IF (dcpc_pa001_a >= 2)
IF q103n = 2 THEN
(q103n2)
What is the date that you authorized this payment to pay?
[insert calendar here] ## do not allow them to select a date before today.
END IF (q103n = 2)
END IF (payment method = “online banking bill pay”)
If Payment Method = “Money order” then:
## same screen q103r and q103s
(q103r)
Where did you buy the money order you used for this payment?
1. Bank
2. Post office
3. Western Union or someplace similar
4. Other (specify)
a. [open ended text box]
(q103s)
How long ago did you buy the money order you used for this payment?
1. I bought it today
2. Between today and less than 7 days ago
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3. Between 7 and less than 14 days ago
4. Between 14 and less than 30 days ago
5. 30 or more days ago
If Payment Method = “PayPal” then:
(q101_paypal)
How is your PayPal account funded?
1. Credit card
2. Debit card
3. Bank account number
4. Money stored with PayPal
If Payment Method = “Mobile phone payment” then:
## questions q101_mobile_a and q101_mobile_b on the same screen
(q101_mobile_a)
What kind of mobile payment was this payment?
1. App payment
2. Text message payment
3. Payment made in browser
4. Other (specify)
a. [open ended text box]
(q101_mobile_b)
How was this mobile payment funded?
1. Credit card
2. Debit card
3. Prepaid card
4. Linked bank account
5. Money stored at a payment service such as PayPal
6. Other (specify)
a. [open ended text box]

If Payment Method = “Other” then:
(q101i)
Please tell us what type of payment method you used.
1. EZPass or other electronic toll device
2. Apple Pay
3. Bitcoin or other virtual currency
4. Remittance
5. Other (specify)
a. [open ended text box]
IF q101i = 1, 2, 4 then
(q101i_followup)
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What payment method is your [FILL: response from q101i] account funded with?
1. Credit card
2. Debit card
3. Prepaid card
4. Bank account number
5. Other (specify)
a. [open ended text box]
If location = L1 “in person” and Device = D3 “mobile phone” then:
(q150)
How did you use your phone to pay?
1. Tapped to pay
2. Scanned a QR code or showed screen to cashier or ticket-taker
3. Paid in advance or remotely (examples: Uber, Fandango)
4. Used a web browser
If Payment Method any of (“credit card”, “debit card”, “prepaid card”,
“bank account number payment”, “mobile phone payment”) AND Device = D3
“mobile phone” then:
(q152)
Did you use an app to make this purchase using your mobile phone?
1. Yes
2. No

c) “Categorize the purchase” sub-module
## q151_a and q151_b on the same screen
(IF Amount Spent >= 50)
(q151_a)
Was this an unexpected expense?
1. Yes
2. No
(q151_b)
Could you have postponed this payment to a later date without suffering any
consequences such as a late fee or a penalty?
1. Yes
2. No

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END IF (amount spent >= 50)
## Here is where we loop back to the payment screen (q2). At this point, the respondent has
described one full payment. If they have more payments, then they will loop back to the q2
screen. If they don’t have any more payments, then they will go on to the next question.
(PD100)
Did you make any other payments today [DISPLAY DIARY DATE HERE, example: Wednesday,
October 3]?
1. Yes
2. No

d) Reminders and recall aids – median 9 seconds
(q98b)
Some types of payments are easily forgotten. Did you make any of the following types of payments on
[DISPLAY DIARY DATE HERE, example “Wednesday, October 3”] that you did not tell us about
previously?
 Check all that apply, or click the Next button if none










Paying tolls by E-ZPass, cash, or other payment method
PayPal or similar online payment service
App downloads
Public transportation
Paid with my phone (examples: Uber, Venmo, parking, etc.)
Gambling losses
Lottery ticket
Vending machine
Giving or paying back money to a person

IF q98b has at least one box checked, then take the respondent back to
the payments entry screen (q2).
## same screen for both q5_1 and q5_2
(Q5_1)
Did you start [DISPLAY DIARY DATE HERE, example “Wednesday, October 3”] carrying any coins in your
pocket, wallet, or purse?
1. Yes
2. No
(Q5_2)
Did you use coins to pay for all or part of a cash payment you made on [DISPLAY DIARY DATE HERE,
example “Wednesday, October 3”]?
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1. Yes
2. No
If Q5_2 = Yes and number of cash payments > 0
## same screen for q5_3 and q5_3_dollar
(Q5_3)
You told us you made [FILL: number of cash payments from purchases and bills] cash
payments on [DISPLAY DIARY DATE HERE, example “Wednesday, October 3”].
For how many cash payments did you use coins to pay for some or all of the payment?
___________payments
(q5_3_dollar)
What was the total dollar amount of the coins you used for payments today?
$___________
End skip (Q5_2 = Yes)

10) End of day balances on Cash, Checking account, and prepaid cards
## Ask for end of day cash balances in the Daily Module. Ask for checking account balances
at the end of the diary in the Day 3 Only Module. Ask for general purpose prepaid card
balances at the end of the diary in the Day 3 Only Module.

a) Cash
## Now we’re going to ask cash balance on Day 0 and at the end of Days 1, 2, and 3.
(Q5pre)
End of Day [1, 2, 3], [DISPLAY DIARY DATE DAY 3 HERE, example “Wednesday, October 3”], cash
amount:
Did you end the day with any paper cash in your wallet, purse and/or pocket?
 Do not consider foreign currency.
1. Yes
2. No
If Q5pre = NO
(Q5no)
Did you spend or deposit all your cash today?
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1. Yes
2. No
3. I did not have or use any cash today.
***if Q5pre = NO then total cash at end of Day [1, 2, 3] should be set to 0, not missing***
ENDIF
If Q5pre = YES then:
Q5. ***Make ending cash amount pages look like “cash on Day 0” page.***

Cash in wallet, purse and/or pocket
End of the day cash amount – Please tell us the number of bills of each denomination in your wallet,
purse and/or pocket at the end of the day, on [DISPLAY DIARY DATE HERE, example “Wednesday,
October 3”].
Your total dollar amount will be automatically calculated.
● Do not consider coins.
● Do not count foreign currency.
NUMBER OF:
____ x $1 bills = $[calculated on the fly]

____ x $20 bills = $[calculated on the fly]

____ x $2 bills = $[calculated on the fly]

____ x $50 bills = $[calculated on the fly]

____ x $5 bills = $[calculated on the fly]

____ x $100 bills = $[calculated on the fly]

____ x $10 bills = $[calculated on the fly]
Total dollar amount $[GRAND TOTAL DOLLAR AMOUNT, calculated on the fly]

## The name of the variable for GRAND TOTAL DOLLAR AMOUNT should be “amntcashend_day3”. If
q5pre = NO, in other words the respondent does not have any cash at the end of Day 3, then
amntcashend_day3 = 0.
## Variable names for the items above:
denom1_end_num, denom1_end_amnt
denom2_end_num, denom2_end_amnt
denom5_end_num, denom5_end_amnt
denom10_end_num, denom10_end_amnt
denom20_end_num, denom20_end_amnt
denom50_end_num, denom50_end_amnt
denom100_end_num, denom100_end_amnt
amntcashend_day1, _day2, _day3
(q5_correct)
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You told us you have $[GRAND TOTAL DOLLAR AMOUNT] in your wallet, purse and/or pocket. Is this
amount correct?
1. Yes
2. No
****If q5_correctscreen = NO, please take the diarist back to the “Count your paper cash” screen***

11) Cash and account management module
a) Cash Deposits to all accounts
(q4)
Did you deposit any cash into your bank account at an ATM, with the bank teller, or some
other way on [DISPLAY DIARY DATE HERE, example “Wednesday, October 3”]?
 Do not include checks that you deposited.
 Do not include foreign currency.
1. Yes
2. No
If q4 = YES then
Q4. Depositing cash – Please tell us about each time you deposited cash on [DISPLAY
DIARY DATE HERE, example “Wednesday, October 3”].




Complete one entire row for each time you got or received cash today.
Do not include checks deposited. Only report cash you deposited.
Tell us about your cash deposits at ATMs or bank tellers.
Time
Amount
Deposit method
$_________
Drop down list:
ATM
Bank teller
Other (specify)

## Create a variable called amntcashdeposits = sum(amount of all cash desposits on that
day). If there are no cash deposits on that day, then amntcashdeposits = 0.
## Create a variable called numcashdeposits = Number of cash desposits on that day. If
there are no cash deposits on that day, then numcashdeposits = 0.

## Cash deposit variables =
 cashdep_hour_N, where N is the number of the cash deposit for the day (1 =
first withdrawal, etc.)
 cashdep_minute_N
 cashdep_ampm_N
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


cashdep_amnt_N
cashdep_method_N

****If the respondent chooses “Other” in the “Deposit method” dropdown, a follow-up
screen should say
For the cash deposit of $X at T:TTpm (am), please describe the other deposit method.

****

b) Checking Deposits to all accounts
IF dcpc_pa001_a = 1
(q080_a)
Was any money deposited into your checking account on [DISPLAY DIARY DATE HERE, example
“Wednesday, October 3”]? Include all of the following:
 Direct deposits of income, tax or other refunds, etc. (electronically and/or automatically)
 Check deposits
 Transfers into your checking account from your account or from someone else’s account
1. Yes
2. No
IF dcpc_pa001_a >= 2
Was any money deposited into your primary checking account on [DISPLAY DIARY DATE HERE,
example “Wednesday, October 3”]? Include all of the following:
 Direct deposits of income, tax or other refunds, etc. (electronically and/or automatically)
 Check deposits
 Transfers into your checking account from your account or from someone else’s account
 Your primary account is the account you use most often to make payments, not
necessarily the account with the most money in it.
Yes

No

(q080_a)
Primary account
IF q080_a = YES
if dcpc_pa001_a = 1
Please tell us about each deposit to your checking account on [DISPLAY DIARY DATE HERE,
example “Wednesday, October 3”]?
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

Use one row for each deposit that you made today.
Amount

Deposit 1
Deposit 2
…
Deposit 5

What kind of funds were deposited?
Check (personal or business)
Money order
Traveler’s check
Cashier’s check
Certified check
Transfer from another account
Direct deposit of income
Venmo cash out
Other

## Variable names
 chkdep_amnt_N, where N is the row number
 chkdep_funds_N
IF chkdep_funds_N = “transfer from another account” THEN
(pa081_a)
What kind of account did the funds come from which were deposited into your checking account?
1. Another checking account that I own
2. Another savings account that I own
3. Investment account
4. General purpose reloadable prepaid card
5. Another account belonging to somebody else
6. Other
IF q080_a = YES
if dcpc_pa001_a >= 2 then
Please tell us about each deposit to your primary checking account on [DISPLAY DIARY
DATE HERE, example “Wednesday, October 3”]?


Use one row for each deposit that you made today.



Your primary account is the account you use most often to make payments, not
necessarily the account with the most money in it.
Amount

Deposit 1
Deposit 2
…
Deposit 5

$_________.00

What kind of funds were
deposited?
Check (personal or business)
Money order
Traveler’s check
Cashier’s check
Certified check

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Transfer from another account
Direct deposit of income
Venmo cash out
Other
## Variable names
 chkdep_amnt_N
 chkdep_funds_N
IF chkdep_funds_N = “transfer from another account” THEN
(pa081_a)
What kind of account did the funds come from which were deposited into your checking account?
1. Another checking account that I own
2. Another savings account that I own
3. Investment account
4. General purpose reloadable prepaid card
5. An account belonging to somebody else
6. Other

c) Prepaid Deposits to primary GPR card account
IF (dcpc_gpradopter = YES (“1”) or if GPRADOPTER = YES) THEN
(q102b)
Did you reload to any general purpose prepaid cards using any other payment instrument (e.g. cash,
debit card, credit card, bank account transfer, direct payment from income) on [DISPLAY DIARY DATE
HERE, example “Wednesday, October 3”]?
1. Yes
2. No
(IF q102b = YES)
(q102c)
Please list all general purpose prepaid card loadings on [DISPLAY DIARY DATE HERE, example
“Wednesday, October 3”].

Time

Complete one entire row for each time you reloaded a prepaid card today.
Amount Payment method used
loaded
$______ P1 – Cash
P2 – Check
P3 – Credit card

Location

Did you pay a fee?

L1 – Retail location
L2 – Online
L3 – Mobile phone

Yes
No

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P4 – Debit card
P5 – Other prepaid card
P6 – Bank account number payment
P7 – Online banking bill payment
P8 – Money order
P9 – Traveler’s check
P10 – PayPal
P11 – Account-to-account transfer
P12 – Mobile phone payment
P13 – Other payment method
P14 – Direct deposit from salary,
wages, or benefit

L4 – ATM
L5 – Card machine
L6 – Bank teller
L7 – Check casher
L8 – Other location

## Variable names
 Time
o prepaidload_h_N, where N is the number of times they loaded (1 = first time today)
o prepaidload_m_N
o prepaidload_ampm_N
 prepaidload_amnt_N
 prepaidload_method_N
 prepaidload_location_N
 prepaidload_fee_N
****If the respondent chooses “P13 – Other method”, a follow-up screen should say:
For the prepaid card loading of $X at T:TTpm (am), what other method do you mean?
[Open ended text response box]

****If the respondent chooses “L8 – Other location”, a follow-up screen should say:
For the prepaid card loading of $X at T:TTpm (am), what other location do you mean?
[Open ended text response box]

****NEW VARIABLE: if Payment Method Used = Cash then amntprepaidload = sum(all rows of Amount
Loaded on that day).
****NEW VARIABLE: if Payment Method Used = Cash then numprepaidload = Number of times prepaid
cards were reloaded on that day.
IF (SCPC variable PCADOPTER = 1) THEN
(q102d)
Did you add money ($ value) to a prepaid card on [DISPLAY DIARY DATE HERE, example “Wednesday,
October 3”]? Do not include money you reported already using any other payment instrument (e.g.
cash, debit card, credit card, bank account transfer, direct payment from income).


Examples of prepaid cards include Starbucks card, Target gift card, public transit cards, etc.

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1. Yes
2. No
(IF q102b = YES)
(q102e)
Please list all prepaid card loadings.


Complete one entire row for each time you loaded a prepaid card today.

Time

Amount Payment method used
Location
Did you pay a fee?
loaded
$______ P1 – Cash
L1 – Retail location
Yes
P2 – Check
L2 – Online
No
P3 – Credit card
L3 – Mobile phone
P4 – Debit card
L4 – ATM
P5 – Other prepaid card
L5 – Card machine
P6 – Bank account number payment
or kiosk
P7 – Online banking bill payment
L6 – Bank teller
P8 – Money order
L7 – Check casher
P9 – Traveler’s check
L8 – Other location
P10 – PayPal
P11 – Account-to-account transfer
P12 – Mobile phone payment
P13 – Other payment method
P14 – Direct deposit from salary,
wages, or benefit
## Variable names – These can be the same names as the GPR variables and we’ll know if they belong to
GPR cards or other prepaid cards by looking at the answers to q102b and q102d.
 Time
o prepaidload_h_N, where N is the number of times they loaded (1 = first time today)
o prepaidload_m_N
o prepaidload_ampm_N
 prepaidload_amnt_N
 prepaidload_method_N
 prepaidload_location_N
 prepaidload_fee_N
****If the respondent chooses “P11 – Other method”, a follow-up screen should say:
For the prepaid card loading of $X at T:TTpm (am), what other method do you mean?
[Open ended text response box]

For the prepaid card loading of $X at T:TTpm (am), what other location do you mean?
[Open ended text response box]
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****NEW VARIABLE: if Payment Method Used = Cash then amntprepaidload2 = sum(all rows of Amount
Loaded on that day).
****NEW VARIABLE: if Payment Method Used = Cash then numprepaidload2 = Number of times
prepaid cards were reloaded on that day.

d) Cash Withdrawals to all accounts
(q99)
Did you get or receive any cash on [DISPLAY DIARY DATE HERE, example “Wednesday, October 3”]?
 Do not include foreign currency.
1. Yes
2. No
If q99 = YES then

(q3)
Receiving or getting cash
Please enter the information for your cash activity on [DISPLAY DIARY DATE HERE, example
“Wednesday, October 3”].
 Complete one entire row for each time you got or received cash today.
Time Amount Location (where you got the cash)
Source of funds

Drop down list:
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

Were you
charged a
fee?
Drop
down list:
Yes
No

Drop down list:
S1 – Checking account
S2 – Savings or other bank
account
S3 – Salary/wages/tips
S4 – Cashing a check
S5 – Credit card cash advance
S6 – Prepaid card cash
withdrawal
S7 – Another person
S8 – Other source
## Create a variable called amntcashwith = sum(amount of all cash withdrawals on that day). If there are
no cash withdrawals on that day, then amntcashwith = 0.
## Create a variable called numcashwith = Number of cash withdrawals on that day. If there are no cash
withdrawals on that day, then numcashwith = 0.
## Cash withdrawal variables =
 Time:

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o






cashget_hour_N, where N is the number of the cash withdrawal for the day (1 = first
withdrawal, etc.)
o cashget_minute_N
o cashget_ampm_N
cashget_amnt_N
cashget_location_N
cashget_source_N
cashget_fee_N

****If the respondent chooses “C9 – Other location”, a follow-up screen should say:
For the cash withdrawal of $X at T:TTpm (am), what other location do you mean?
[Open ended text response box]

****If the respondent chooses “S8 – Other source”, a follow-up screen should say:
For the cash withdrawal of $X at T:TTpm (am), what other source do you mean?
[Open ended text response box]

****

e) Checking Withdrawals from all accounts
IF dcpc_pa001_a = 1 then
(q210_a)
Did you make any transfers from your checking account into another account on [DISPLAY
DIARY DATE HERE, example “Wednesday, October 3”]?
1. Yes
2. No
ELSE IF dcpc_pa001_a >= 2 then
(q210_a)
Did you make any transfers from your primary checking account into another account on
[DISPLAY DIARY DATE HERE, example “Wednesday, October 3”]?
 Your primary account is the account you use most often to make payments, not necessarily
the account with the most money in it.
1. Yes
2. No
ENDIF
IF (q210_a = YES) THEN
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IF dcpc_pa001_a = 1 THEN
Please tell us about each transfer from your checking account to another account on [DISPLAY
DIARY DATE HERE, example “Wednesday, October 3”]?


Use one row for each transfer that you made today.

Transfer 1
Transfer 2
…
Transfer 5




Amount
$______
$______
$______
$______

What account did you transfer into?
[Drop down list for each row in table]
--Select one—
1. Another checking or savings account that I
own
2. Another checking or savings account belonging
to someone else
3. Investment account that I own
4. Investment account belonging to someone
else
5. General purpose reloadable prepaid card that I
own
6. General purpose reloadable prepaid card
belonging to someone else
7. Other

##Variable names
chktransfer_amnt_N
chktransfer_account_N

IF dcpc_pa001_a >= 2 THEN
Please tell us about each transfer from your primary checking account to other accounts on
[DISPLAY DIARY DATE HERE, example “Wednesday, October 3”]?



Your primary account is the account you use most often to make payments, not necessarily the
account with the most money in it.
Use one row for each transfer that you made today.
Amount
Transfer 1
Transfer 2
…
Transfer 5

What account did you transfer into?
[Drop down list for each row in
table]
--Select one—
1. Another checking or savings
account that I own
2. Another checking or savings
account belonging to
someone else
3. Investment account that I

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4.
5.
6.

7.

own
Investment account
belonging to someone else
General purpose reloadable
prepaid card that I own
General purpose reloadable
prepaid card belonging to
someone else
Other

##Variable names
 chktransfer_amnt_N
 chktransfer_account_N
## Follow-up from the above “transfer from account” tables:
For each of these transfers to another account, please tell us the following:

Transfer [FILL: X,
where X is the row
number from
above] for $[FILL
with dollar amount]

Was the
account that
the money
came from at
the same
financial
institution as
the account
the money
was
transferred
to?
[Drop down
list]
Yes
No

How much was the fee for this
transfer? Enter 0 if none.

$__________
(variable name:
chktransfer_fee_N)

When is the person to whom
you transferred the money
supposed to receive it?

1.
2.
3.
4.
5.
6.
7.
8.
9.

Today
Tomorrow
2 days
3 days
4 days
5 days
6 days
One week
More than a week

(variable name:
chktransfer_whenrec_N)

f) Other withdrawals
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## New screen
(q211)
Did you purchase any of the following on [DISPLAY DIARY DATE HERE, example “Wednesday, October
3”]?
Yes No
(q211_a)
Money order
(q211_b)
Travelers checks
(q211_c)
Certified check
IF any of q211_a, b, or c = YES then
(paymethod_intro)
Please tell us the amount of the check(s) or money orders you purchased and the payment method you
used to buy them. For traveler’s checks, please report the total amount of all traveler’s checks
purchased.
Amount
Payment method
(IF q211_a = YES)
(q211_amnt_a) Drop down list:
Money order
$________
P0 – Multiple payment methods
(IF q211_b = YES)
(q211_amnt_b) P1 – Cash
Travelers checks
$________
P2 – Check
(IF q211_c = YES)
(q211_amnt_c) P3 – Credit card
Certified check
$________
P4 – Debit card
P5 – Prepaid/Gift/EBT card
P6 – Bank account number payment
P7 – Online banking bill payment
P8 – Money order
P9 – Traveler’s check
P10 – PayPal
P11 – Account-to-account transfer
P12 – Mobile phone payment
P13 – Other payment method
## New variables
q211_paymeth_a
q211_paymeth_b
q211_paymeth_c
## create new variables for cash identity
papermethod_amnt = 0
IF payment method q211_paymeth_a = “Cash” then papermethod_amnt = papermethod_amnt + q211_paymeth_a
IF payment method q211_paymeth_b = “Cash” then papermethod_amnt = papermethod_amnt + q211_paymeth_b
IF payment method q211_paymeth_c = “Cash” then papermethod_amnt = papermethod_amnt + q211_paymeth_c

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12) Error checking
So far, we have created the following variables:











amntcashend_day0
amntcashpurch
numcashpurch
amntcashdeposits
numcashdeposits
amntcashwith
numcashwith
amntprepaidload
numprepaidload
amntcashend_dayX, where X = [1, 2, 3]

Next, we will create a few intermediate variables.




amntcashout = sum(amntcashpurch, amntcashdeposits, amntprepaidload)
amntcashin = amntcashwith
numcashtrans = sum(numcashpurch, numcashdeposits, numcashwith, numprepaidload)

Now we can create the flag which indicates a good cash identity for Day 1:



If abs(amntcashend_day1 – amntcashend_day0 + amntcashout – amntcashin) <=
numcashtrans then goodcashid = 1.
Else goodcashid = 0.

Likewise, for days 2 and 3, the good cash identity flag is as follows:



If abs(amntcashend_dayX – amntcashend_day[X-1] + amntcashout – amntcashin) <=
numcashtrans then goodcashid = 1.
Else goodcashid = 0.

Create a new variable called reported_cashend, which will equal
 reported_cashend = amntcashend_day[X-1] – amntcashout + amntcashin
 In other words, the amount of cash at the end of yesterday, minus all cash outflows, plus all
cash inflows.

## New screen -- Only show screen if goodcashid = 0, in other words, they have a bad cash identity.
If reported_cashend - amntcashend_day[1,2,3] not equal to 0 THEN
IF goodcashid = 0 THEN
(q107)
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Are there any other cash activities on [DISPLAY DIARY DATE HERE, example “Wednesday, October 3”]
that were not reported previously in today’s online diary?
To help you remember, you
****for each of these next text lines, only show if value is > 0****
## display as table
Number of cash transactions
Amount of cash you started with
Dollar amount of cash payments
Dollar amount of cash withdrawals
Dollar amount of cash deposits
Dollar amount loaded onto prepaid or gift cards

totcashtrans
$[amntcashend_day[0,1,2]]
$[amntcashpurch]
$[amntcashwith]
$[amntcashdeposits]
$[amntprepaidload]

Based on what you told us about your payments and cash activity today, we calculated that you
should have $[reported_cashend]. But you told us you ended the day with
$[amntcashend_day[1,2,3]].
There is a difference of [reported_cashend - amntcashend_day[1,2,3]] dollars
Please help us to understand why your reported cash activity does not match the total shown.
Perhaps you forgot to report some cash payments, withdrawals or deposits. If you are able,
please explain in the activities and amounts in the box below.
[provide open ended response text box for the diarist to explain]
## Ask for those with goodcashid = 0.
By chance, did you do any of the following on [DISPLAY DIARY DATE HERE, example
“Wednesday, October 3”]?
Yes

No

(q5_4)
Convert coins to paper cash
(q5_5)
Convert paper cash to coins (examples: using a change machine, getting four
quarters for a dollar, buying a roll of coins)
(q119)
Exchange paper U.S. dollars for a foreign currency
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(q121)
Exchange foreign currency for paper U.S. dollars
(q7_1)
Returned goods for a cash refund
(q7_2)
Exchanged goods and paid the difference in cash
(q105a)
I removed some cash from my pocket, wallet or purse and added it to cash
stored elsewhere on my property.
(q105b)
I took cash stored elsewhere on my property and added it to my pocket,
wallet or purse.
(q105c)
I had some cash lost or stolen.
(q105d)
I found or unexpectedly received some cash.

a) Coin-to-cash and cash-to-coin section
If Q5_4 = YES then
Coins to Cash
Please list all the times you converted coins into cash or some other form of value on [DISPLAY DIARY
DATE HERE, example “Wednesday, October 3”].
 Complete one entire row for each time you converted coins into cash or some other form of
value today.

Time

Dollar
amount of
coins

Dollar
amount
received in
paper bills

Were you reimbursed
with something other
than paper bills?
1. No
2. Prepaid/gift card
3. Deposit into bank
account
4. Points or value to
use on a website
5. Store credit
6. Other (specify)

Location

1. Coin
machine/kiosk
2. Bank teller
3. Store
4. Family or
friend
5. Other (specify)

Did you pay
a fee?

Y/N

****NEW variable: amntcoin2cash = sum(dollar amount received in paper bills) ****
****NEW variable: numcoin2cash = Number of times changing coins into cash ****
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If Q5_5 = YES then
Cash to Coins
Please list all the times you converted paper cash into coins on [DISPLAY DIARY DATE HERE,
example “Wednesday, October 3”].



Time

Complete one entire row for each time you converted paper cash into coins today.
Examples include using a change machine, getting four quarters for a dollar, or buying a roll of
coins. Do not consider receiving change from a purchase.
Dollar
amount of
paper bills

Main type of coin
received
1.
2.
3.
4.
5.

Location

Dollar coins
Quarters
Dimes
Nickels
Pennies

1. Change
machine/kiosk
2. Bank teller
3. Store clerk
4. Family or friend
5. Post office
6. Other (specify)

Did you pay a
fee?
Y/N

****NEW VARIABLE: amntcash2coin = sum(dollar amount of paper cash changed to coins) ****
****NEW VARIABLE: numcash2coin = Number of times changing cash into coins ****

b) Foreign-to-USD and USD-to-foreign section

If q119 = YES then
(q120)
U.S. Cash to Foreign Currency
How much U.S. cash did you convert into a foreign currency on [DISPLAY DIARY DATE HERE,
example “Wednesday, October 3”]?
$__________
ENDIF
****NEW VARIABLE: amntusd2for = sum(dollar amount of USD changed to foreign currency) ****
If q121 = YES then
(q122)
Foreign Currency to U.S. Cash

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How much U.S. cash did you receive after converting from foreign currency on [DISPLAY DIARY
DATE HERE, example “Wednesday, October 3”]?
$__________
ENDIF
****NEW VARIABLE: amntfor2usd = sum(dollar amount of foreign currency changed to USD) ****

c) Returned goods section
(IF q7_1 or q7_2 = YES)
(Q7_a)
Please tell us if you returned or exchanged goods on [DISPLAY DIARY DATE HERE, example
“Wednesday, October 3”].
1. I returned goods for a refund or store credit
2. I exchanged goods for other items
If Q7_a = 1
(Q9)
(q9_amnt)
How much money was refunded?
$______
How did the merchant pay you?
(q9_merchant)
Drop down list:
Cash
Refund to debit card
Refund to credit card
Merchant wrote you check
Store credit
Gift card
Other

****If q9_merchant = Cash then amntrefund = sum(q9_amnt)
End skip (Q7_a = 1)
If Q7_a = 2 then
(Q10)
Was the exchange for a good or service of less value, equal value or more value?
1. Less value
2. Equal value
3. More value
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If Q10 = 1 then:
(Q110)
Please tell us how were you paid the difference between the higher valued
exchanged good and the lower valued new item?
(Q110a)
What was the amount you were given? $_____
(Q110b)
How were you given the difference?
[drop down list:
Cash
Refund to debit card
Refund to credit card
Merchant wrote you a check
Store credit
Gift card
Other]
****NEW VARIABLE: if Q110b = Cash then amntexchange = Q110a ****
ENDIF
If Q10 = 3 then:
(Q111)
Did you report to us the amount paid to make up the difference in value
between the returned good and the new good?
1. Yes
2. No
If Q111 = NO then
(Q111b)
How much did you pay to make up the difference in value between the
returned good and the new good?
$______________
(Q111c)
What payment method did you use to pay the difference?
****dropdown list of payment instruments****
Payment method codes:
P1 – Cash
P2 – Check
P3 – Credit card
P4 – Debit card
P5 – Prepaid/Gift/EBT card
P6 – Bank account number payment
P7 – Online banking bill payment
P8 – Money order
P9 – Traveler’s check
P10 – PayPal
P11 – Account-to-account transfer
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prior written consent of the Federal Reserve Bank of Boston.

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P12 – Mobile phone payment
P13 – Other payment method
End if
****NEW VARIABLE: if Q111c = Cash then amntpaydiff = Q111b ****
Endif
End skip (Q7_a = 2)

d) Cash lost, stolen, or moved section
****These are follow up questions to Q105. All q106 questions which are displayed should be on one
screen if possible****
(IF q105a = YES)
(q106a)
How much cash did you remove from your pocket, wallet or purse and add to cash stored
elsewhere on your property on [DISPLAY DIARY DATE HERE, example “Wednesday, October
3”]?
$_______
(IF q105b = YES)
(q106b)
How much cash did you take that was stored elsewhere on your property and add to your
pocket, wallet, or purse on [DISPLAY DIARY DATE HERE, example “Wednesday, October 3”]?
$________
(IF q105c = YES)
(q106c)
How much cash did you have lost or stolen on [DISPLAY DIARY DATE HERE, example
“Wednesday, October 3”]?
$____________
(IF q105d = YES)
(q106d)
How much cash did you find or unexpectedly receive on [DISPLAY DIARY DATE HERE, example
“Wednesday, October 3”]?
$_______________

13) Income
## New screen
IF any of q140_a – q140_j = YES then
## only display rows where q140 = YES
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(q142)
Did you receive any income from the following sources on [DISPLAY DIARY DATE HERE, example
“Wednesday, October 3”]?
Yes

No

(IF q140_a = YES)
(q142_a)
Employment income (wages, salary, bonuses)
(IF q140_c = YES)
(q142_c)
Self-employment income
(IF q140_d = YES)
(q142_d)
Social Security
(IF q140_b = YES)
(q142_b)
Employer-paid retirement
(IF q140_j = YES)
(q142_j)
IRA, Roth IRA, 401(k), or other retirement fund
(IF q140_e = YES)
(q142_e)
Interest and dividends
(IF q140_f = YES)
(q142_f)
Rental income
(IF q140_g = YES)
(q142_g)
Government assistance (disability, unemployment, SNAP, TANF, WIC)
(IF q140_h = YES)
(q142_h)
Alimony
(IF q140_i = YES)
(q142_i)
Child support

## New screen
IF any of q142_a – q142_j = YES then
## only display rows where q142 = YES

(q144)
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How much net income (also called after-tax income) did you receive and how did you receive the
income on [DISPLAY DIARY DATE HERE, example “Wednesday, October 3”]?
In other words, tell us the amount deposited into one of your accounts, or the amount of cash or a
check you received.



Report NET amount of income received, after all taxes and other deductions.
Include multiple payments from the same source.

Source
(IF q142_a = YES)
(q144_a)
Employment (wages, salary, bonuses)
(IF q142_c = YES)
(q144_c)
Self-employment income
(IF q142_d = YES)
(q144_d)
Social Security
(IF q142_b = YES)
(q144_b)
Employer-paid retirement
(IF q142_j = YES)
(q144_j)
IRA, Roth IRA, 401(k), or other retirement
fund
(IF q142_e = YES)
(q144_e)
Interest and dividends
(IF q142_f = YES)
(q144_f)
Rental income
(IF q142_g = YES)
(q144_g)
Government assistance (disability,
unemployment, SNAP, TANF, WIC)
(IF q142_h = YES)
(q144_h)
Alimony
(IF q142_i = YES)
(q144_i)
Child support

Amount
(q144_a)
$_________
(q144_c)
$_________
(q144_d)
$_________
(q144_b)
$_________
(q144_j)
$_________
(q144_e)
$_________
(q144_f)
$_________
(q144_g)
$_________
(q144_h)
$_________
(q144_i)
$_________

How did you receive your income?
## Show the drop down list for each row
that is displayed.
[Drop down list]
--Select one—
1. Direct deposit to primary
checking account
2. Direct deposit to some other
checking or savings account
3. Direct deposit to more than one
account
4. Paper check
5. Cash
6. Payroll card
7. General purpose reloadable
prepaid card
8. Other
## Variable names for “How did you
receive your income?”
q143_a
q143_c
q143_d
q143_b
q143_j
q143_e
q143_f
q143_g
q143_h
q143_i

## new screen
IF Any row has q143 = 3 THEN DISPLAY SCREEN
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prior written consent of the Federal Reserve Bank of Boston.

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(q147)
How much was deposited to your primary checking account?


If none, enter 0.

## error check – do not let the respondent enter a number greater than the response for
q144. IF ERROR, show text “Enter a number between 0 and [answer for q144]”
Source
(IF q143_a = 3)
(q144_a)
Employment (wages, salary, bonuses)
(IF q143_c = 3)
(q144_c)
Self-employment income
(IF q143_d = 3)
(q144_d)
Social Security
(IF q143_b = 3)
(q144_b)
Employer-paid retirement
(IF q143_j = 3)
(q144_j)
IRA, Roth IRA, 401(k), or other retirement fund
(IF q143_e = 3)
(q144_e)
Interest and dividends
(IF q143_f = 3)
(q144_f)
Rental income
(IF q143_g = 3)
(q144_g)
Government assistance (disability, unemployment, SNAP, TANF, WIC)
(IF q143_h = 3)
(q144_h)
Alimony
(IF q143_i = 3)
(q144_i)
Child support

Amount
(q147_a)
$_________
(q147_c)
$_________
(q147_d)
$_________
(q147_b)
$_________
(q147_j)
$_________
(q147_e)
$_________
(q147_f)
$_________
(q147_g)
$_________
(q147_h)
$_________
(q147_i)
$_________

End IF (Any row has q143 = 3)
[If diary day = 3]
(q19)
Please tell us the date when you next expect to receive an income payment.


Click the arrows to scroll through additional months.

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prior written consent of the Federal Reserve Bank of Boston.

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

If you don’t expect to receive any income, please tell us in the comments.
****Calendar goes here****

14) Daily “MHQ” questions
a) What payment instruments did you carry today
****Ask question q97 only there was at least one purchase or bill with “in person” for the location code,
or any cash withdrawals or cash deposits on the day.****
(q97)
Please tell us what PAYMENT METHODS you carried or were available to you to make payments on
[DISPLAY DIARY DATE HERE, example “Wednesday, October 3”].
















Check all that apply
P1 – Cash
P2 – Check
P3 – Credit card
P4 – Debit card
P5 – Prepaid/Gift/EBT card
P6 – Bank account number payment
P7 – Online banking bill payment
P8 – Money order
P9 – Traveler’s check
P10 – PayPal
P11 – Account-to-account transfer
P12 – Mobile phone payment
P13 – Other payment method
I did not have any payment methods accessible.

b) Did you travel today? – median 8 seconds
(q13)
Did you travel in the U.S. for business, vacation, or any other reason on [DISPLAY DIARY
DATE HERE, example “Wednesday, October 3”]?
 Consider any travel where you slept away from home last night or you will sleep
away from home tonight.
1. Yes
2. No

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prior written consent of the Federal Reserve Bank of Boston.

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15) Day 1 only module
a) Marketplace lending section
## NEW DAY 1 ONLY SECTION: MARKETPLACE LENDING:
(ML001_intro)
There are many different types of online loans. The next few questions are about a special type of
online loan, called a “marketplace” or “peer-to-peer” loan.
Marketplace lenders connect borrowers with investors, by arranging for consumers and businesses to
borrow online and for individual investors and firms to invest in loans.
When answering the questions, please keep the following in mind:


Do not include any of the following types of loans that it is possible to apply for online…
o …credit cards.
o …any loans obtained from a bank, savings bank, or credit union. Examples: Bank of
America, USAA, Navy Federal Credit Union.
o …any loans obtained from a payday lender.
o …any loans where borrowers can start the application process online and then have to
speak with a person by phone or in person.

(ML001)
Before reading this information, had you heard of marketplace lending, sometimes called “peer-topeer” lending?
1. Yes
2. No

## new screen ML023 and ML024 on same screen
(ML023)
Have you heard of any of these marketplace lenders?
Yes

No

(ML023_a)
Lending Club
(ML023_b)
Prosper
(ML023_c)
SoFi
(ML023_d)
Avant

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(ML024)
Have you heard of any other marketplace lenders not listed above?
1.
Yes, please specify________________
2.
No
IF ML023_a = YES OR ML023_b = YES OR ML023_c = YES OR ML023_d = YES OR
ML024 = YES THEN:
## New screen
(ML020)
Do you have a loan from a marketplace lender?
1.
2.

Yes
No

## New screen
IF ML020 = NO
(ML025)
Have you ever had a loan from a marketplace lender?
1. Yes
2. No
END (IF ML020 = NO)
IF ML020 = YES OR ML025 = YES
## New screen ML008 and ML009 on same screen
Please think about the marketplace loan you obtained most recently.
(ML008)
Please tell us the name of the marketplace lender.
1. Lending Club
2. Prosper
3. SoFi
4. Avant
5. Other (specify)
(ML009)
Please tell us the most important reason you applied to this lender.
### Randomize list, pin “Other” to bottom
1. Better terms (lower interest rates, lower monthly payment, etc.)
2. Easy to apply or convenience (simple application process, fast approval times, etc.)
3. Was turned down by a traditional lender
4. Other (specify)
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## New screen
(ML007)
Please tell us the main reason you took out the loan.
### Pin “Pay off credit card debt” to top, pin “Other” to bottom, randomize middle
1. Pay off credit card debt
2. Mortgage/Home improvement
3. Auto loan
4. Education loan
5. Business loan
6. Personal loan for wedding, vacation, moving, and other expenses
7. Pay off other debt
## New screen ML022 and ML033 on same screen
(ML022)
When did you apply for the loan?
1. In 2016
2. In 2015
3. Before 2015
(ML033)
What is the term of this loan?
1. 36 months
2. 60 months
3. Other (specify)

## New screen ML026 and ML030 on same screen
(ML026)
Which category represents the total amount you borrowed?
1. Less than $5,000
2. $5,000-$9,999
3. $10,000-$14,999
4. $15,000-19,999
5. $20,000-$29,999
6. $30,000 or more
(ML030)
What category represents the interest rate you paid?
1.
2.
3.
4.
5.

0 – 4.99%
5% – 7.99%
8% – 10.49%
10.5% – 11.99%
12% – 13.99%

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6. 14% – 16.99%
7. 17% or more
IF ML026 = 6 ($30,000 or more)
## New screen
(ML029)
We’d like to know more about the amount. Please tell us how much you borrowed.
$__________________.00
End IF (ML026 = 6 ($30,000 or more))
IF ML030 = 6 (17% or more)
## New screen
(ML032)
We’d like to know more about the interest rate. Please tell us the interest rate on
this loan.
_______.__%
End IF (ML030 = 6 (17%or more))
## New screen
(ML012)
Since taking out the loan, have you found the costs of the loan to be about what you
expected or not what you expected?
 Please choose one answer in each row for all costs.
1
Much more
than I
expected

2
More than I
expected

3
About what
I expected

4
Less than I
expected

5
Much less
than I
expected

(ML012_a)
Interest rate
(ML012_b)
Service fees
(ML012_c)
Account
maintenance
fees
(ML012_d)
Prepayment
penalties

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END IF (ML020 = YES OR ML025 = YES)
IF ML020 = YES
## New screen
(ML014)
As of now, are you more than 30 days late on a payment for this loan?
1. Yes
2. No
IF ML014 = NO
## New screen
(ML013)
Have you ever been more than 30 days late on a payment for this loan?
1. Yes
2. No
End IF (ML014 = NO)

End IF (ML020 = YES)
IF ML025 = YES
## New screen ML027 and ML028 on same screen
(ML027)
Were you ever more than 30 days late on a payment for this loan?
1. Yes
2. No
(ML028)
Did you pay the loan off in full?
1. Yes
2. No
END IF (ML025 = YES)

## New screen
IF ML020 = NO AND ML025 = NO
(ML021)
Have you ever applied for a loan from a marketplace lender?
1.
Yes
2.
No
END IF (ML020 = NO and ML025 = NO)
IF ML021 = YES
## New screen ML008 and ML009 on same screen
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prior written consent of the Federal Reserve Bank of Boston.

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Please think about the loan you applied for most recently.
(ML008)
Please tell us the name of the marketplace lender.
1. Lending Club
2. Prosper
3. SoFi
4. Avant
5. Other (specify)
(ML009)
Please tell us the most important reason you applied to this lender.
### Randomize list, pin “Other” to bottom
1. Better terms (lower interest rates, lower monthly payment, etc.)
2. Easy to apply or convenience (simple application process, fast approval times, etc.)
3. Was turned down by a traditional lender
4. Other (specify)
## New screen
(ML010)
Was your loan application approved?
1. Yes
2. No
IF ML010 = YES
## New screen
(ML019)
Why did you decide not to take out the loan?
### Randomize list, pin “Other” to bottom
1. Did not need it
2. Did not like the terms of the loan
3. Found a loan elsewhere with better terms
4. Other (specify)
END IF (ML010 = YES)

END IF (ML021 = YES)

END IF (ML023_a = YES OR ML023_b = YES OR ML023_c = YES OR ML023_d =
YES OR ML024 = YES)
## END MARKETPLACE LENDING QUESTION MODULE
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prior written consent of the Federal Reserve Bank of Boston.

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b) Unexpected/Emergency expense
(scf005)
Assume that you were facing an [FILL: randomize between “unexpected need” and “emergency
expense”] of $2,000 that could not be avoided.
You would need to make this $2,000 payment within one month.


Examples: Your car breaks down and you need it to get to work. Pipes burst in your house, and
plumbing must be immediately repaired.

How much of this $2,000 could you pay for within one month (the next 30 days)?
$ _______________.00

### New screen – scf006
(scf006)
You said you could get $[FILL: response from scf005] in [FILL: use same randomization but the FILLs
are: “case of an unexpected need” and “an emergency expense”].
How much would you get from each of the following sources?
Note: The total amount will be calculated automatically and displayed at the bottom.
Source of funds

Within one month (the next 30 days)

Cash

$________.00

Checking account

$________.00

Savings account

$________.00

Checking account overdraft

$________.00

Credit card

$________.00

Home equity line of credit

$________.00

Payday loan

$________.00

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Pawn shop

$________.00

Family and friends

$________.00

Total amount you could pay

$[running total updated in real time].00

## error check—dollar amount in “Total amount…” row should equal the response to scf005 above.

c) End of Day 1 text
Thank you for completing the first day of your diary.
Please log in tomorrow evening to complete the second day.

16) Day 2 module
a) End of Day 2 text
Thank you for completing the second day of your diary.
Please log in tomorrow evening to complete the final day.

17) Day 3 only module
## These questions are only asked at the end of Day 3

a) Bills
## New screen
## new text for this screen
Thank you for recording the following bill payments.
## Display a list of the payments where the variable “pay002_N” is equal to any of the following:
“regularly recurring bill payment”, “one time bill payment”, “Recurring bill payment with irregular
frequency”
Show the following in a table, one row per payment:
Date
Amount
Payment category
Payment method
payamnt_N
(Day 1/2/3)
This is the response to pay001_N. (not paymethod_N
the numeric value of the variable, but
the text of the response option)
## If no bills from previous days then display “No recorded bill payments found.”
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prior written consent of the Federal Reserve Bank of Boston.

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The next few screens include reminders for other types of bills you may have paid from [DISPLAY
DIARY DATE HERE, example “Wednesday, October 3”] to [DISPLAY DIARY DATE HERE, example
“Wednesday, October 3”].







You don’t have to tell us again about the bills you’ve already reported above.
Include all bills paid by you, even if from a joint account.
Do not include bills paid by others (such as members of your household), even if from a joint
account.
Include all bills that will be paid automatically during your Diary days.
Include all bills you mail or deliver during your Diary days.
Include all bills that you go online to schedule or pay during your Diary days.

## New screen – for each of these screens, we want to have a title, so that the respondent will be able
to easily know what the theme of the screen is.
Household or utility payments
During the past three days, from [DISPLAY DIARY DATE HERE, example “Wednesday, October 3”] to
[DISPLAY DIARY DATE HERE, example “Wednesday, October 3”], did you make any of the
following types of household or utility payments?
Yes

No

(q65_01)
Rent
(q65_02)
Mortgage
(q65_03)
Home equity loan (do not include any payment made as part of
your mortgage payment)
(q65_04)
Home Equity Line of Credit (HELOC) (do not include any payment
made as part of your mortgage payment)
(q65_05)
Yard maintenance (Landscaping, tree service, or snow removal, etc.)
(q65_06)
Housing maintenance (Maid, cleaning, laundry service, plumber,
handyman, etc.)
(q65_07)
Electricity
(q65_08)
Water/sewer
(q65_09)
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prior written consent of the Federal Reserve Bank of Boston.

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Natural gas, propane, heating fuel, other energy
(q65_10)
Homeowner’s association or condo fees
(q65_11)
Trash collection

## New screen
IF any of q65_01, 02, 03, 04, 05, 06, 07, 08, 09, 10, 11 = YES THEN
display screen
How many of each kind of household or utility payment did you pay?
Number of
payments
IF q65_01 = YES THEN
(q70_01)
Rent
IF q65_02 = YES THEN
(q70_02)
Mortgage
IF q65_03 = YES THEN
(q70_03)
Home equity loan (do not include any payment made as part of
your mortgage payment)
IF q65_04 = YES THEN
(q70_04)
Home Equity Line of Credit (HELOC) (do not include any payment
made as part of your mortgage payment)
IF q65_05 = YES THEN
(q70_05)
Yard maintenance (Landscaping, tree service, or snow removal, etc.)
IF q65_06 = YES THEN
(q70_06)
Housing maintenance (Maid, cleaning, laundry service, plumber,
handyman, etc.)
IF q65_07 = YES THEN
(q70_07)
Electricity
IF q65_08 = YES THEN
(q70_08)
Water/sewer
IF q65_09 = YES THEN
(q70_09)
Natural gas, propane, heating fuel, other energy
IF q65_10 = YES THEN
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prior written consent of the Federal Reserve Bank of Boston.

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(q70_10)
Homeowner’s association or condo fees
IF q65_11 = YES THEN
(q70_11)
Trash collection
END IF (any of q65_01, 02, 03, 04, 05, 06, 07, 08, 09, 10, 11 = YES)
Phone, cable, or internet payments
During the past three days, from [DISPLAY DIARY DATE HERE, example “Wednesday, October 3”] to
[DISPLAY DIARY DATE HERE, example “Wednesday, October 3”], did you make any of the
following types of phone, cable or internet payments?
Yes

No

(q65_12)
Mobile phone
(q65_13)
Telephone (landline), cable and internet bundle
(q65_14)
Cable and internet bundle
(q65_15)
Cable and telephone (landline) bundle
(q65_16)
Internet and telephone (landline) bundle
(q65_17)
Cable
(q65_18)
Internet
(q65_19)
Telephone (landline)

## New screen
IF any of q65_12, 13, 14, 15, 16, 17, 18, 19 = YES THEN display
screen
How many of each kind of phone, cable or internet payment did you pay?
Number of
payments
IF q65_12 = YES THEN
(q70_12)
Mobile phone
IF q65_13 = YES THEN
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prior written consent of the Federal Reserve Bank of Boston.

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(q70_13)
Telephone (landline), cable and internet bundle
IF q65_14 = YES THEN
(q70_14)
Cable and internet bundle
IF q65_15 = YES THEN
(q70_15)
Cable and telephone (landline) bundle
IF q65_16 = YES THEN
(q70_16)
Internet and telephone (landline) bundle
IF q65_17 = YES THEN
(q70_17)
Cable
IF q65_18 = YES THEN
(q70_18)
Internet
IF q65_19 = YES THEN
(q70_19)
Telephone (landline)
END IF (any of q65_12, 13, 14, 15, 16, 17, 18, 19 = YES)
Credit card or loan payments
During the past three days, from [DISPLAY DIARY DATE HERE, example “Wednesday, October 3”]to
[DISPLAY DIARY DATE HERE, example “Wednesday, October 3”], did you make any of the
following types of credit card or loan payments?
Yes

No

(q65_20)
Credit card bill
(q65_21)
Car, truck, motorcycle, boat, or other vehicle loan payments
(q65_22)
Student loan
(q65_23)
Other types of loans

## New screen
IF any of q65_20, 21, 22, 23 = YES THEN display screen
How many of each kind of credit card or loan payment did you pay?
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prior written consent of the Federal Reserve Bank of Boston.

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Number of
payments
IF q65_20 = YES THEN
(q70_20)
Credit card bill
IF q65_21 = YES THEN
(q70_21)
Car, truck, motorcycle, boat, or other vehicle loan payments
IF q65_22 = YES THEN
(q70_22)
Student loan
IF q65_23 = YES THEN
(q70_23)
Other types of loans
END IF (any of q65_20, 21, 22, 23 = YES)

Insurance payments
During the past three days, from [DISPLAY DIARY DATE HERE, example “Wednesday, October 3”]to
[DISPLAY DIARY DATE HERE, example “Wednesday, October 3”], did you make any of the
following types of insurance payments?


Only consider insurance payments made by you, not by your employer.
Yes

No

(q65_24)
Health insurance: out-of-pocket, including Medicare supplemental insurance
(q65_25)
Vehicle insurance
(q65_26)
Homeowner’s or renter’s insurance
(q65_27)
Life insurance
(q65_28)
Umbrella insurance
(q65_29)
Other types of insurance

## New screen
IF any of q65_24, 25, 26, 27, 28, 29 = YES THEN display screen
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prior written consent of the Federal Reserve Bank of Boston.

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Version: September 29, 2017
How many of each kind of insurance payment did you pay?
Number of
payments
IF q65_24 = YES THEN
(q70_24)
Health insurance: out-of-pocket, including Medicare supplemental insurance
IF q65_25 = YES THEN
(q70_25)
Vehicle insurance
IF q65_26 = YES THEN
(q70_26)
Homeowner’s or renter’s insurance
IF q65_27 = YES THEN
(q70_27)
Life insurance
IF q65_28 = YES THEN
(q70_28)
Umbrella insurance
IF q65_29 = YES THEN
(q70_29)
Other types of insurance
END IF (any of q65_24, 25, 26, 27, 28, 29 = YES)

Other types of bill payments
During the past three days, from [DISPLAY DIARY DATE HERE, example “Wednesday, October 3”]to
[DISPLAY DIARY DATE HERE, example “Wednesday, October 3”], did you make any of the
following types of bill payments?


Only consider payments made by you, not by your employer.
Yes

No

(q65_30)
Tuition, daycare, babysitting
(q65_31)
Medical or dental payments not covered by insurance (Do not include copayments made at the time of the visit)
(q65_32)
Parking (buying a weekly, monthly, or annual pass)
(q65_33)
Public transportation (buying a weekly or monthly pass for bus, subway, ferry,
etc.)
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prior written consent of the Federal Reserve Bank of Boston.

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Version: September 29, 2017
(q65_34)
Memberships or subscriptions (Gym, Netflix, social or professional club dues,
magazines, etc.)
(q65_35)
Religious contributions, monetary only (tithes, offerings, etc.)
(q65_35a) ## cnt = 42
Other charitable contributions, monetary only (United Way, Salvation Army,
Red Cross, American Cancer Society, etc.)
(q65_36)
Alimony/child support

## New screen
IF any of q65_30, 31, 32, 33, 34, 35, 35a, 36 = YES THEN display
screen
How many of each kind of bill payment did you pay?
Number of
payments
IF q65_30 = YES THEN
(q70_30)
Tuition, daycare, babysitting
IF q65_31 = YES THEN
(q70_31)
Medical or dental payments not covered by insurance (Do not include copayments made at the time of the visit)
IF q65_32 = YES THEN
(q70_32)
Parking (buying a weekly, monthly, or annual pass)
IF q65_33 = YES THEN
(q70_33)
Public transportation (buying a weekly or monthly pass for bus, subway, ferry,
etc.)
IF q65_34 = YES THEN
(q70_34)
Memberships or subscriptions (Gym, Netflix, social or professional club dues,
magazines, etc.)
IF q65_35 = YES THEN
(q70_35)
Religious contributions, monetary only (tithes, offerings, etc.)
IF q65_35a = YES THEN
(q70_35a) ## billtype = 42
Other charitable contributions, monetary only (United Way, Salvation Army,
Red Cross, American Cancer Society, etc.)
IF q65_36 = YES THEN
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prior written consent of the Federal Reserve Bank of Boston.

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Version: September 29, 2017
(q70_36)
Alimony/child support
END IF (any of q65_30, 31, 32, 33, 34, 35, 35a, 36 = YES)

Tax payments
During the past three days, from [DISPLAY DIARY DATE HERE, example “Wednesday, October 3”]to
[DISPLAY DIARY DATE HERE, example “Wednesday, October 3”], did you make any of the
following types of tax payments?


Exclude tax payments deducted directly from your income by your employer.
Yes

No

(q65_37)
Federal taxes
(q65_38)
State taxes
(q65_39)
Local taxes
(q65_40)
Property taxes
(q65_41)
Car/vehicle taxes

## New screen
IF any of q65_37, 38, 39, 40, 41 = YES THEN display screen
How many of each kind of tax payment did you pay?
Number of
payments
IF q65_37 = YES THEN
(q70_37)
Federal taxes
IF q65_38 = YES THEN
(q70_38)
State taxes
IF q65_39= YES THEN
(q70_39)
Local taxes
IF q65_40 = YES THEN
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prior written consent of the Federal Reserve Bank of Boston.

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Version: September 29, 2017
(q70_40)
Property taxes
IF q65_41 = YES THEN
(q70_41)
Car/vehicle taxes
END IF (any of q65_37, 38, 39, 40, 41 = YES)

If (any of Q65 = Yes) then

Bill payments
Please enter the information for your bill payments here.
 Complete the entire row
 For automatic bill payments, select the Diary day that the money will be deducted from
your account.


For bills not paid automatically:
 Cash, check, money order or other checks: select the day you mailed or handed
over the payment.
 Payment cards (credit, debit, prepaid), bank account number payments, and
online banking bill payment: select the day you scheduled the bill payment,
regardless of whether the money will be deducted from your account that day
or at a later date.

## INSTRUCTIONS TO PROGRAMMER: Show one row of our payments table. The
“Payment type” column should have the name of the type of bill they
paid. Next the respondent will answer the Bill Follow-up Questions and
the Payment Instrument Follow-up Questions. We will loop through this
sequence the number of times that there are YES answers in Q65, each
time displaying a new bill type in the “Payment type” column.
Payment
type

Diary day
bill was
paid or
scheduled

[FILL
based
1. Day 1
on YES
[insert
answers
date]
in Q65.
2. Day 2
One row
[insert

Amount

Payment
method

Location

Device

$____

Drop down
list:
P0 – Multiple
payment
methods
P1 – Cash

Drop down
list:
L1 –
Payment in
person
L2 –

Drop down list:
D1 – Computer
(laptop or
desktop)
D2 – Tablet
(e.g. iPad,

Automatically paid
or not?

1. Automatic
2. Not automatic

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prior written consent of the Federal Reserve Bank of Boston.

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Version: September 29, 2017
per YES
date]
answer]. 3. Day 3
[insert
date]

P2 – Check
P3 – Credit
card
P4 – Debit
card
P5 –
Prepaid/Gift/E
BT card
P6 – Bank
account
number
payment
P7 – Online
banking bill
payment
P8 – Money
order
P9 – Traveler’s
check
P10 – PayPal
P11 – Account
to account
transfer
P12 – Mobile
phone
payment
P13 – Other
payment
method
P14 – Direct
deduction
from income

Payment
not in
person

Kindle)
D3 – Mobile
phone
D4 – Landline
phone
D5 – Mail or
delivery
service
D6 – Some
other device
not listed
D7 – No device

## Variable names







bill_dday_N, where N is the number of bill. i.e. N = 1 for the first bill, N = 2 for the second
bill, etc.
bill_amnt_N
bill_pi_N
bill_loc_N
bill_device_N
bill_automatic_N

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prior written consent of the Federal Reserve Bank of Boston.

109

Version: September 29, 2017
## BILL FOLLOW-UP questions – New Section
If bill type = Mortgage (q65_02 = YES) then
(q66_02)
To whom was your mortgage payment made?
1. Bank or other financial institution
2. Government
3. Person, family or friend
IF bill type = electricity (q65_07 = YES) then
(q66_07)
To whom did you pay your electricity bill?
1. The local power company
2. My local or state government
3. Other (specify)
a. [open ended text box]
IF bill type = water/sewer (q65_08 = YES) then
(q66_08)
To whom did you pay your water/sewer bill?
1. The local water company
2. My local or state government
3. Other (specify)
a. [open ended text box]
IF bill type = natural gas (q65_09 = YES) then
(q66_09)
To whom did you pay your bill for natural gas, propane, heating fuel, or other type of energy?
1. The local gas/heating fuel company
2. My local or state government
3. Other (specify)
a. [open ended text box]
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prior written consent of the Federal Reserve Bank of Boston.

110

Version: September 29, 2017
IF bill type = trash collection (q65_11 = YES) then
(q66_11)
To whom did you pay your trash collection bill?
1. The trash collection company
2. My local or state government
3. Other (specify)
a. [open ended text box]
If bill type = “credit card bill” (q65_20 = YES) then
(q66_20)
How much of the amount of the credit card bill did you pay?
1.
2.
3.
4.

Less than the minimum amount
Minimum amount
More than the minimum amount, less than the full amount
Full amount

## New screen – next three questions on the same screen q_ccbill_fu1a.
IF q66_20 = (1, 2, 3) is selected then:
(q_ccbill_fu1a)
How much was the full amount of the credit card bill?


$_____________

END IF (q66_20 = (1, 2, 3))

If bill type = car loan (q65_21 = YES)then
(q66_21)
To whom was your car loan payment made?
1. Bank or other financial institution
2. Government
3. Person, family or friend
If bill type = student loan (q65_22 = YES) then
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prior written consent of the Federal Reserve Bank of Boston.

111

Version: September 29, 2017
(q66_22)
To whom was your student loan payment made?
1. Bank or other financial institution
2. Government
3. Person, family or friend
If bill type = other loans (q65_23 = YES) then
(q66_23)
To whom was your loan payment made?
1. Bank or other financial institution
2. Government
3. Person, family or friend
IF bill type = religious contributions (q65_35) then
(q66_35)
Did you receive any goods or services in exchange for this religious contribution?
1. Yes
2. No
ENDIF

## bill type = 35

IF (payment method bill_pi_N = “Bank account number payment” or
“Online banking bill payment” or “credit card” or “debit card” or
“prepaid card”) and bill_automatic_N = “Not automatic” THEN
(q67_ha)
You scheduled this payment on [FILL: bill_dday_N, the diary date they told us in the table above].
Some bills are paid on the same day they are scheduled; others are paid in the future. Please tell us
the date you selected for the bill to be paid.
[calendar widget]

## Follow-up Q’s for all bills (except religious or charity)

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prior written consent of the Federal Reserve Bank of Boston.

112

Version: September 29, 2017
IF bill type is not any of the following: “religious contributions
(q65_35)” ,“Other charitable contributions (q65_35a)” then ##Bas’s
code reads “IF cnt != 35 and cnt != 42 THEN”
(q67_c)
Was this payment for [FILL: name of bill type and number] a recurring payment or a one-time
bill?
1. Regularly recurring bill payment
2. One-time bill payment
3. Recurring bill payment with irregular frequency

If q67_c = “regularly recurring bill payment” THEN
## q67_d and q67_f on same screen
(q67_d)
How often is this bill due?
1. Weekly
2. Bi-weekly
3. Twice a month
4. Monthly
5. Every other month
6. Quarterly
7. Every six months
8. Yearly
9. Other (specify)
a. [open ended text box]
(q67_f)
Do you pay the same amount each time you pay this bill, or does the payment amount
change from bill to bill?
1. Same amount each bill
2. Amount changes from bill to bill
ENDIF
IF q67_c = “recurring bill payment with irregular frequency” THEN
(q67_g)
About how many times per year do you pay this bill?
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Version: September 29, 2017
__________ times per year
ENDIF
IF Amount Spent >= 50 THEN
(q151_a_bill)
Was this an unexpected expense?
1. Yes
2. No
(q151_b_bill)
Could you have postponed this payment to a later date without suffering any consequences
such as a late fee or a penalty?
1. Yes
2. No
END IF (amount spent >= 50)
(q67_a)
What day is this [FILL: name of bill type] payment due?
[CALENDAR Widget]

(q67_e)
For [FILL: name of bill type], did you pay a late fee?
1. Yes
2. No
ENDIF ##bill is not equal to “religious”

### NEW UPDATE: Ask this same preferences question here. This will be
a follow-up for each bill type. The respondent should see the question
as the last follow-up question for that bill type, then they should go
back to the bill payments entry screen.
If bill_pi_N does not equal pa115_b THEN
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prior written consent of the Federal Reserve Bank of Boston.

114

Version: September 29, 2017
(q103h1)
Why did you use [FILL: paymethod_N] for this transaction?”
1.
2.
3.
4.
5.
6.
7.
8.
9.
10.

[FILL: response from q115_b] was not accepted
I didn’t have [FILL: response from q115_b] with me
I did not have enough money available to use [FILL: response from q115_b]
The payment would have been late if I used [FILL: response from q115_b]
[FILL: paymethod_N] is more secure than [FILL: response from q115_b]
I received a discount for using [FILL: paymethod_N]
I would have paid a surcharge if I used [FILL: response from q115_b]
For this size transaction, I prefer to use [FILL: paymethod_N]
For this type of bill I prefer to use [FILL: paymethod_N]
Other (specify)
 [open ended text box]

## Last question in Bills section, after they’ve looped through the
Bills section to report each bill.
(q109_otherbills)
Please tell us about any other bills that you may have paid during your diary period, but didn’t tell us
about above.


If you don’t have any other bills to tell us about, click Next.

[open ended response box]

b) Credit card questions
## We want to keep a running tally of credit card payments and dollar amount. The three variables
should be




num_ccpayments = total number of credit card payments made in the payments section of
the diary.
amnt_ccpayments = total dollar amount of credit card payments made in the payments
section of the diary.
num_ccrewardspays = total number of credit card payments where q101p = YES (in other
words, the total number of cc payments using a rewards card.)

## same screen for pay609_N and q103e
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prior written consent of the Federal Reserve Bank of Boston.

115

Version: September 29, 2017
IF num_ccpayments > 0 and amnt_ccpayments > 0 THEN
(pay609aa_N)
During the three days of this diary you made [FILL: num_ccpayments] credit card payments totaling
$[FILL:amnt_ccpayments].
How do you plan to pay off these purchases?
1. Pay in full when the bill arrives.
2. Pay over time in several bill payments.
END IF
IF num_ccrewardspays > 0 THEN
(q103e)
You made [FILL: num_ccrewardspays] credit card payments using cards which gives rewards.
What kind of rewards did these credit card payments give?
 Check all that apply
1.
2.
3.
4.

Airline miles
Cash back
Points to be used for shopping
Other (specify)
(q103e_other) __________________

c) Types of borrowing “During these three days reminders”

## same screen - pay615, pay616, pay613
(pay615)
During the three days of this diary, from [DISPLAY DIARY DATE HERE, example “Wednesday,
October 3”] to [DISPLAY DIARY DATE HERE, example “Wednesday, October 3”], did you take out
a payday loan?
1. Yes
2. No
(pay616)
During the three days of this diary, from [DISPLAY DIARY DATE HERE, example “Wednesday,
October 3”] to [DISPLAY DIARY DATE HERE, example “Wednesday, October 3”], did you buy goods
or services by taking out a new loan?
1. Yes
2. No
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prior written consent of the Federal Reserve Bank of Boston.

116

Version: September 29, 2017

(pay613)
During the three days of this diary, from [DISPLAY DIARY DATE HERE, example “Wednesday,
October 3”] to [DISPLAY DIARY DATE HERE, example “Wednesday, October 3”], did you use any of
the following to make a purchase?
 Store credit
 Lay-away
 No money down
1. Yes
2. No
IF pay615 = YES then
## new screen
(pay615_a)
How much money did you get for the payday loans you got during your diary period, [DISPLAY
DIARY DATE HERE, example “Wednesday, October 3”] to [DISPLAY DIARY DATE HERE, example
“Wednesday, October 3”]?
$________
(pay615_b)
How did you receive the money from the payday loans that you got during your diary period?
 Check all that apply
1.
2.
3.
4.

Cash
Check
Direct deposit into an account
Other (specify)
a. [open ended response box]

ENDIF

IF pay616 = YES then
## same screen both pay616_a and pay616_b
(pay616_a)
What did you purchase with the proceeds of the new loan?
 Examples include: car, jewelry, boat, etc.
[open ended text box]
(pay616_c)
How much was the loan for?
$__________
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prior written consent of the Federal Reserve Bank of Boston.

117

Version: September 29, 2017
(pay616_b)
Please tell us the dollar amount of the purchase for which you took out a new loan.
$__________
ENDIF
## same screen pay617, pay614, gpr001
IF SCPC variable DE013 = YES
(pay617)
During the three days of this diary, from [DISPLAY DIARY DATE HERE, example “Wednesday,
October 3”]to [DISPLAY DIARY DATE HERE, example “Wednesday, October 3”], did you pay for
anything using a Home Equity Line of Credit?
1. Yes
2. No
END IF (de013 = YES)
(pay614)
During the three days of this diary, from [DISPLAY DIARY DATE HERE, example “Wednesday,
October 3”] to [DISPLAY DIARY DATE HERE, example “Wednesday, October 3”], did you receive any
payments from any of the following?
 Flex spending account, or FSA
 Health care savings plan
1. Yes
2. No
(gpr001)
During the three days of this diary, from [DISPLAY DIARY DATE HERE, example “Wednesday,
October 3”] to [DISPLAY DIARY DATE HERE, example “Wednesday, October 3”], did you withdraw
any money from your general purpose reloadable prepaid card in some other way besides making a
payment or a cash withdrawal?
1. Yes
2. No
## new screens for follow-ups
IF pay617 = YES then
## same screen both pay617_a and pay617_b
(pay617_a)
What did you purchase using a Home Equity Line of Credit?
 Examples include: car, jewelry, boat, etc.
[open ended text box]
(pay617_b)
Please tell us the dollar amount you spent using a Home Equity Line of Credit.
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prior written consent of the Federal Reserve Bank of Boston.

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Version: September 29, 2017
$__________
ENDIF
## new screens for follow-ups
IF pay614 = YES then
## same screen both pay614_a and pay614_b
(pay614_a)
How much did you receive from a Flex Spending Account or Health Care Savings Plan?
$____________
(pay614_b)
How did you receive the funds from the Flex Spending Account or Health Care Savings Plan?
1. Direct deposit to an account
2. Cash
3. Check
4. Other (specify)
a. [open ended text box]
ENDIF
## new screens for follow-ups
IF gpr001 = YES then
## same screen both gpr001_a and gpr001_b
(gpr001_a)
How much did you receive by withdrawing funds from a general purpose reloadable (GPR)
prepaid card in some other way besides making a payment or a cash withdrawal?
$____________
(gpr001_b)
Please describe how you withdrew funds from a GPR prepaid card in some other way besides
making a payment or a cash withdrawal?
[open ended text box]
ENDIF

## New Screen – pay620
(pay620)
During the three days of this diary, from [DISPLAY DIARY DATE HERE, example “Wednesday,
October 3”] to [DISPLAY DIARY DATE HERE, example “Wednesday, October 3”], did you buy
any of the following that you have not already reported:
Yes No
(pay620_a)
Cars, trucks, motorcycles, other motor vehicles (new or used)
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prior written consent of the Federal Reserve Bank of Boston.

119

Version: September 29, 2017
(pay620_b)
Furniture and furnishings
(pay620_c)
Household appliances
(pay620_d)
Computers, cameras, TVs, other electronics
(pay620_e)
Sports equipment, sports and recreational vehicles, and boats
(pay620_f)
Jewelry and watches
(pay620_g)
Therapeutic appliances and equipment
(pay620_h)
Real estate (house, condo, land, etc.)
IF pay620_a = YES THEN
(pay621)
During the three days of this diary, from [DISPLAY DIARY DATE HERE, example
“Wednesday, October 3”] to [DISPLAY DIARY DATE HERE, example “Wednesday,
October 3”], did you do any of the following?
Yes
(pay621_a)
Make a deposit on the purchase of a car, truck, motorcycle, or other motor vehicle
(new or used)
(pay621_b)
Make a down payment on the purchase of a car, truck, motorcycle, or other motor
vehicle (new or used)
(pay621_c)
Apply for an auto loan
(pay621_d)
Close on an auto loan
(pay621_e)
Pay the balance of the purchase price of a car, truck, motorcycle, or other motor
vehicle (new or used)
ENDIF

## If the diarist says YES to any row in this table pay620, show them a payment entry screen with
one row for each YES row in this table. The screen would not need merchant types. The columns
would be as follows. No payment instrument follow up questions or any other follow-ups for
these kinds of payments.
Date of

Amount spent

Payment

Did you pay

Device

©2010–2016 Federal Reserve Bank of Boston. Proprietary and Confidential. Do not release or disclose to unauthorized parties without the
prior written consent of the Federal Reserve Bank of Boston.

120

No

Version: September 29, 2017
payment

IF YES to
pay620_x:
Row text
from table
pay620

Drop down:
[Day 1, DATE]
[Day 2, DATE]
[Day 3, DATE]

$_________

method

in person?

Drop down list:
Multiple
payment
methods
Cash
Check
Credit card
Debit card
Prepaid/Gift/EBT
card
Bank account
number
payment
Online banking
bill payment
Money order
Traveler’s check
PayPal
Account-toaccount transfer
Mobile phone
payment
Other payment
method
Direct deposit
from income

Drop down
list:
Yes
No

Drop down
list:
D1 –
Computer
(laptop or
desktop)
D2 – Tablet
(e.g. iPad,
Kindle)
D3 – Mobile
phone
D4 –
Landline
phone
D5 – Mail or
delivery
service
D6 – Some
other device
not listed
D7 – No
device

## New Screen
(pay618)
During the three days of this diary, from [DISPLAY DIARY DATE HERE, example “Wednesday,
October 3”] to [DISPLAY DIARY DATE HERE, example “Wednesday, October 3”], did you
transfer any money to people who live or have accounts in another country, sometimes called
remittances?
1. Yes
2. No
If pay618 = YES

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prior written consent of the Federal Reserve Bank of Boston.

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Version: September 29, 2017
Please tell us more about your transfer to people who live or have accounts in another country
(remittances).
## display three rows of table
Amount of transfer (in US
dollars)
$______

How transfer was made
Drop-down list
--Select one-Western Union
Bank or credit union
PayPal
MoneyGram
Bitcoin
Other (specify)

Amount of fee you paid to make
the transfer (in US dollars)
$__________

## new variables for table
remit_amnt_N, where N is 1, 2, 3
remit_howmade_N
remit_fee_N

d) Balance – Cash stored and Checking account
## We ask at the end of Day 3 only.
(scpc_pa015_b_day3)
About how much cash do you have stored elsewhere in your home, car, office, etc on [DISPLAY
DIARY DATE HERE, example “Wednesday, October 3”].



Please round to the nearest dollar.
Do not include cash owned by other members of your household.
o

About $____.00

## New screen
IF scpc_pa015_b_day3 > 0 THEN
## randomize to display either dcpc_pa015_c3 or dcpc_pa015_d3
(dcpc_pa015_c3)
You said you have $[FILL: response for scpc_pa015_b_day3] in cash stored elsewhere.
About how much of that are you holding for cash payments (either for planned spending or
emergencies)?
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prior written consent of the Federal Reserve Bank of Boston.

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Version: September 29, 2017


About $________.00 ## Do not allow answer which is greater than scpc_pa015_b_day3

(dcpc_pa015_d3)
You said you have $[FILL: response for scpc_pa015_b_day3] in cash stored elsewhere.
About how much of that have you set aside for long-term savings?


About $________.00 ## Do not allow answer which is greater than scpc_pa015_b_day3

ENDIF

IF pa071_b = NO
(pa071_c)
On the first evening of the diary, you mentioned that you were not able to tell us your
checking account balance.
It is important for us to get an accurate measure of your balance.
Please use one of the following methods to look up your checking account balance:
 Your bank’s online banking website
 Your bank’s mobile app
 Your bank’s telephone banking system
 Your check book balance
Are you able to tell us your checking account balance on the first day of your diary?
1. Yes
2. No
IF pa071_c = YES then
IF dcpc_pa001_a = 1 THEN
Please tell us the balance of your checking account as of the first day of your diary,
[DISPLAY DIARY DAY 1 HERE, example “Wednesday, October 3”].



Round to the nearest dollar
Please report the total balance of the checking account, even if jointly
owned

©2010–2016 Federal Reserve Bank of Boston. Proprietary and Confidential. Do not release or disclose to unauthorized parties without the
prior written consent of the Federal Reserve Bank of Boston.

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Version: September 29, 2017

(pa072_a)
Balance of checking account $_______________
(pa072_a_time)
Please tell us the time of this balance which you are reporting to us.
[clock widget]
(pa072_a_date)
Please tell us the date of this balance which you are reporting to us.
[calendar widget]

ELSE IF dcpc_pa001_a >= 2 THEN
Please tell us the balance of your primary checking account as of the first day of
your diary, [DISPLAY DIARY DAY 1 HERE, example “Wednesday, October 3”].




Round to the nearest dollar
Please report the total balance of the checking account, even if jointly
owned
Your primary account is the account you use most often to make payments,
not necessarily the account with the most money in it.

(pa072_a)
Balance of primary account $_______________.00
(pa072_a_time)
Please tell us the time of this balance which you are reporting to us.
[clock widget]
(pa072_a_date)
Please tell us the date of this balance which you are reporting to us.
[calendar widget]

ENDIF (dcpc_pa001_a)

IF dcpc_pa001_a = 1 THEN
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prior written consent of the Federal Reserve Bank of Boston.

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Version: September 29, 2017
Please tell us the balance of your checking account as of the last day of your diary, [DISPLAY
DIARY DATE HERE, example “Wednesday, October 3”].
It is important for us to get an accurate measure of your balance.
Please use one of the following methods to look up your checking account balance:
 Your bank’s online banking website
 Your bank’s mobile app
 Your bank’s telephone banking system
 Your check book balance


Please report the total balance of the checking account, even if jointly owned

(pa073_a)
Balance of checking account $_______________
(pa073_a_time)
Please tell us the time that you checked the balance of your checking account.
[clock widget]
(pa073_a_date)
Please tell us the date that you checked the balance of your checking account.
[calendar widget]

ELSE IF dcpc_pa001_a >= 2 THEN
Please tell us the balance of your primary checking account as of the last day of your diary,
[DISPLAY DIARY DATE HERE, example “Wednesday, October 3”].
It is important for us to get an accurate measure of your balance.
Please use one of the following methods to look up your checking account balance:
 Your bank’s online banking website
 Your bank’s mobile app
 Your bank’s telephone banking system
 Your check book balance



Please report the total balance of the checking account, even if jointly owned
Your primary account is the account you use most often to make payments, not
necessarily the account with the most money in it.

(pa073_a)
Balance of primary account $_______________.00
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prior written consent of the Federal Reserve Bank of Boston.

125

Version: September 29, 2017

(pa073_a_time)
Please tell us the time that you checked the balance of your checking account.
[clock widget]
(pa073_a_date)
Please tell us the date that you checked the balance of your checking account.
[calendar widget]

## balance of general purpose prepaid card
IF or dcpc_gpradopter = 1 and dcpc_pa001_a = 0 and
(q_mostusedpayacnt_1 = “General purpose prepaid card” or
q_mostusedpayacnt_2 = “General purpose prepaid card”) THEN
(pa074_c)
You told us you own a general purpose prepaid card that has money stored or loaded on to it.
You can use a general purpose prepaid card anywhere cards are accepted.
Please tell us the balance of your primary general purpose prepaid card as of the third day of
your diary, [DISPLAY DIARY DATE HERE, example “Wednesday, October 3”].



If you have more than one general purpose prepaid card, your primary card is the
one that you use most often to make payments.
Round to the nearest dollar.

$_____________.00
(pa074_c_time)
Please tell us the time that you checked the balance of your primary general purpose prepaid
card.
[clock widget]
(pa074_c_date)
Please tell us the date that you checked the balance of your primary general purpose prepaid
card.
[calendar widget]
ENDIF
## Day 3 balance of PayPal account
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prior written consent of the Federal Reserve Bank of Boston.

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Version: September 29, 2017
IF dcpc_paypaladopter = 1 and dcpc_pa001_a = 0 and
(q_mostusedpayacnt_1 = “PayPal” or q_mostusedpayacnt_2 = “PayPal”)
THEN
(paypal_balday0)
You told us you have money stored in an account at PayPal.
Please tell us the balance of your primary PayPal account as of the third day of your diary,
[DISPLAY DIARY DATE HERE, example “Wednesday, October 3”].



If you have more than one PayPal account, your primary account is the one that you
use most often to make payments.
Round to the nearest dollar.

$_____________.00
(paypal_balday0_time)
Please tell us the time that you checked the balance of your primary PayPal account.
[clock widget]
(paypal_balday0_date)
Please tell us the date that you checked the balance of your primary PayPal account.
[calendar widget]
ENDIF

e) Rating the diary (our questions and RAND cs_001, cs_003)
(q24)
Were the instructions / definitions and examples for filling out the paper diary and the online diary clear
and helpful to you?
1. Yes
2. No
(q25)
Please tell us how you kept track of your daily payments and cash activity. Did you…
 Check all that apply
1. …carry the large paper diary?
2. …carry the smaller checkbook sized diary?
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prior written consent of the Federal Reserve Bank of Boston.

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Version: September 29, 2017
3.
4.
5.
6.

…keep receipts?
…consult your financial records (bank statements, credit card statements, etc.)?
…use your memory?
…use some other method?

IF q25 = 6
(q26)
Please tell us how you kept track of your payments and cash activity.
[open ended response box]
ENDIF
IF q25 = 3 or 4 or 5 or 6 and not (1 or 2)
(q27)
Please tell us why you did not carry the large paper diary or the checkbook sized diary.
[open ended response box]
ENDIF
(q29)
Thank you for completing your three day diary. Would you be willing to participate in a [randomize:
five OR seven] day diary at some point in the future?
1. Yes
2. No
(q28)
Do you have any comments about the large paper diary, the checkbook sized diary, or the nightly online
diary?
[open ended response box]

f) Video??
****Finally, the video should have a few questions***
***Keep track the following things each time the video is watched:
1. Who watched it.
2. When they watched it. (time and date)
3. How much of it they watched (the length of time)
4. Ask them to rate the video (1-5 stars)
(cs_004)
Did you watch the instructional video for this diary?
1. Yes
2. No
## cs_005 and cs_006 on the same screen
IF cs_004 = YES THEN
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prior written consent of the Federal Reserve Bank of Boston.

128

Version: September 29, 2017
(cs_005)
Was the video helpful to your diary experience?
1. Yes
2. No
(cs_006)
Do you have any comments on the instructional video?
[open ended response box]
END IF

****Wrap-up questions at the end of each survey****
(cs_001)
Could you tell us how interesting or uninteresting you found the questions in this interview?
1. Very interesting
2. Interesting
3. Neither interesting nor uninteresting
4. Uninteresting
5. Very uninteresting.
(cs_003)
Do you have any other comments on the interview?
Please type these in the box below.

g) End of Day 3 text
Thank you for completing the final day of your diary.

©2010–2016 Federal Reserve Bank of Boston. Proprietary and Confidential. Do not release or disclose to unauthorized parties without the
prior written consent of the Federal Reserve Bank of Boston.

129