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Diary of Consumer Payment Choice Memory Aid & Instructions Please read before you begin! ****Place sticker here that contains the following information:**** OCTOBER X—the night before Day 1 Log on to the Diary website to record information about cash, checking account balances, and prepaid card balances. OCTOBER X, OCTOBER X, AND OCTOBER X—Diary Days 1, 2, & 3 1. Use this diary to record all payments (purchases, bills, and other payments) and cash activity. 2. Log on to the Diary website every night, even if you do not make any payments on a given day. USERNAME and PASSWORD for website WEBSITE URL ADDRESS This booklet contains… Instructions for the night before your Diary begins Instructions for Diary Days 1, 2, & 3 Memory Aid for recording payments and other activity Page 2 4 10 Your responses will remain anonymous and confidential and will be used for research purposes only. The night before Day 1 Complete the Survey of Consumer Payment Choice If you have not already done so, use the link we sent you and complete the Survey before logging on to your Diary website. Count your paper cash Do not count coins. Count cash held by you, but not by other members of your household. Enter zero (0) in Total Dollar Amount if you do not have any cash. Bills Pocket, purse, or wallet Elsewhere (Home, car, office, etc.) Number of bills Dollar ($) amount Number of bills Dollar ($) amount $1 bills _____ $_____ _____ $_____ $2 bills _____ $_____ _____ $_____ $5 bills _____ $_____ _____ $_____ $10 bills _____ $_____ _____ $_____ $20 bills _____ $_____ _____ $_____ $50 bills _____ $_____ _____ $_____ $100 bills _____ $_____ _____ $_____ Total dollar ($) amount 2 — Diary of Consumer Payment Choice $_____ $_____ The night before Day 1 Record your current account balances Report the exact balance of the account as of the end of the night before Day 1—that is, before you begin your Diary. Go online to check balances. If you cannot go online, check your current balance the way you usually do. Include accounts owned by you or jointly with someone else. Account or card used most often to make payments Primary Checking Account Balance as of Date Time am ____pm $____.__ am ____pm $____.__ am ____pm $____.__ Primary General-Purpose Prepaid Card General-purpose prepaid cards are accepted anywhere you can use a credit or debit card. They have an AmEx, Discover, MasterCard, or Visa logo. Primary PayPal Account Balance Record information about income Types of income: employment, retirement, self-employment, Social Security, interest and dividends, rental income, government assistance, alimony, child support, etc. Record information about income received by you, but not by other members of your household. Date Dollar amount received __/__/2016 $_____.__ When did you last receive income? __/__/2016 $_____.__ When do you next expect to receive income? __/__/2016 $_____.__ Did you receive income the day before Diary Day 1? If yes, provide date and amount. Log on to the Diary website Diary of Consumer Payment Choice — 3 Diary Days 1, 2, & 3 Log on at the end of every Diary day • Log on to the Diary website, even if you did not make any payments during the day. • Record all payments you pay yourself, not payments by other members of your household. Record all payments, no matter how small • Remember to include small payments for items like coffee, snacks, • tolls, cigarettes, convenience store purchases, fast food. Record dollars and cents, for example, $2.33. Record all payments, including bills • • Remember to include any bills scheduled to be paid electronically on all 3 of your Diary days. Refer to your bank or credit card records to gather information about bills and other payments. Record all deposits and withdrawals • • When recording withdrawals, do not include paper cash and coins received back as change from a cash purchase. If you receive cash back from a refund or exchange, record it in the “Receiving or getting cash” box. Count your cash at the end of every day • • Record the amount of cash in your pocket, wallet, or purse at the end of every Diary day. On Day 3, record how much cash you have stored elsewhere, for example, in your home, office, or car. 4 — Diary of Consumer Payment Choice Bill Payments • • A bill payment is a payment for goods or services that you received in the past or that you will receive in the future. Record all bills you paid. Do not record bills paid by other members of your household. When is a bill paid? • • • • Automatically or electronically: paid on the day the payment is specified to be made. By mail: paid on the day you mail the payment. In person: paid on the day you hand over the payment. By phone: paid on the day you call to make the payment. Types of bills Household or utility payments • Rent • Mortgage • Home equity loan • Home Equity Line of Credit (HELOC) (do not include any payment made as part of your mortgage payment) • Yard maintenance (Landscaping, tree service, or snow removal, etc.) • Housing maintenance (Maid, cleaning, laundry service, plumber, handyman, etc.) • Electricity • Water/sewer • Natural gas, propane, heating fuel, other energy • Homeowner’s association or condo fees • Trash collection Phone, cable, or internet payments • Telephone (landline and mobile) • Cable • Internet Credit card or loan payments • Credit card bill • Car, truck, motorcycle, boat, or other vehicle loan payments • Student loan • Other types of loans Insurance payments • Health insurance • Vehicle insurance • Homeowner’s or renter’s insurance • Life insurance • Umbrella insurance Miscellaneous • Tuition, daycare, babysitting • Medical or dental payments not covered by insurance • Parking (buying a weekly, monthly, or annual pass) • Public transportation (buying a weekly or monthly pass for bus, subway, ferry, etc.) • Memberships or subscriptions (Gym, Netflix, social or professional club dues, magazines, etc.) • Religious contributions • Alimony/child support Tax payments (not including payroll deductions from income) • Federal taxes • State taxes • Local taxes • Property taxes • Car/vehicle taxes Diary of Consumer Payment Choice — 5 Payment Codes Payment method P0: Multiple payment methods P7: Online banking bill payment P1: Cash (You initiate a payment at your bank’s P2: Check online banking website.) P3: Credit card P8: Money order P4: Debit card (bank or store brand) P9: Traveler’s check P5: Prepaid/Gift/EBT card P10: PayPal P6: Bank account number payment P11: Account-to-account transfer (You give your bank routing number and P12: Mobile phone payment account number to a third party to P13: Other payment method (Examples: authorize a deduction from your Remittances; EZPass or other electronic account.) toll; bitcoin or other virtual currency) D1: Computer D2: Tablet D3: Mobile phone D4: Landline phone Device you used (if any) D5: Mail or delivery service D6: Other D7: No device Type of business, organization, or person you paid Financial services provider Retail store or online retailer T1 Mortgage companies, credit card T8 Grocery stores, convenience stores companies, banks, insurance companies, without gas stations, pharmacies stock brokers, IRA funds, mutual funds, T9 Gas stations credit unions, sending remittances T10 Sit-down restaurants and bars Education provider T11 Fast food restaurants, coffee shops, T2 Schools, colleges, childcare centers cafeterias, food trucks Medical care provider T12 General merchandise stores, T3 Hospital, doctor, dentist, nursing department stores, online shopping, homes, etc. other kinds of stores and websites Government Other service business T4 Taxes, fees, fines, licenses, utilities T13 Rent, real estate companies T5 Public transportation, tolls T14 Telephone, internet, cable, Nonprofit/charity streaming, movie theaters T6: Religious groups, United Way, T15 Utilities not paid to government American Cancer Society, etc. T16 Building contractors A person T17 Hotels, motels, RV parks, campsites T7 Friends, family, co-workers, a person T18 Taxis, airplanes, delivery you pay for goods or services T19 Hair dressers, repairs, parking lots, laundry, dry cleaning, pet care T20 Lawyers, accountants, architects, veterinarians, photographers, other professionals T21 Arts, entertainment, recreation (sports, concerts, gyms, casinos, etc.) 6 — Diary of Consumer Payment Choice Income Codes How income is received I1: Direct deposit to Primary I4: Paper check Checking Account I5: Cash I2: Direct deposit to some other I6: Payroll card checking or savings account I7: Primary General-purpose I3: Direct deposit to more than one account reloadable prepaid card I8: Other prepaid card I9: Other Deposit Codes Source of deposit SD1: Cash SD2: Check SD3: Transfer from an account I own L1: ATM L2: Bank teller SD4: Direct deposit SD5: Transfer from an account I do not own Location of cash deposit L3: Other Account deposited into A1: Primary checking account A2: Other checking or savings account A3: Primary general-purpose prepaid card (“reloading”) A4: Other prepaid card A5: Primary PayPal account A6: Other Cash Withdrawal Codes Location of cash withdrawal C1: ATM C2: Cash back at a retail store C3: Bank teller C4: Family or friend C5: Check cashing store C6: Employer C7: Cash refund from returning goods C8: Payday lender C9: Other location Source of cash withdrawal SW1: Primary checking account SW2: Other checking or savings account SW3: Salary/wages/tips SW4: Cashing a check SW5: Credit card cash advance SW6: Primary GPR prepaid card cash withdrawal SW7: Other prepaid card cash withdrawal SW8: Another person SW9: Other source Diary of Consumer Payment Choice — 7 Examples: Daily Payments 1. 2. 3. 4. 5. Fast food purchase Using mobile phone to pay a person Paying a bill online Automatic bill payment Two or more payment methods Time Amount Spent Payment Method Did you pay in person? Business, organization, or person you paid Device Type Name 1: Fast food purchase At 7:30 a.m., Ethan picks up coffee on the way to work. He pays cash. 7:30 $ 2.49 P1 Y /N D7 T11 Dunkin’ Donuts am 2: Using mobile phone to pay a person While with his roommate in their apartment, Jackson uses his phone to send his roommate his share of the rent. (He does not need to record his roommate’s name.) 9 am $450.00 P12 Y /N D3 T7 Roommate 3: Paying a bill online Mike goes online to pay his credit card bill. At 12:15 pm, he uses his computer and authorizes a payment using his bank account number. 12:15 $ 50.34 P6 D1 T1 Chase Visa Y/ N pm 4: Automatic bill payment Emma checks her credit card and sees that her electric bill paid automatically. (She doesn’t specify a time, which is OK for automatic bills.) $ 112.45 P3 Y/ N D7 T15 DTE Energy 5: Two or more payment methods At 6pm, Isabella ate at her favorite restaurant and paid for the $40.95 dinner with her debit card. She paid the $8 tip with cash. (When she goes online, Isabella will be able to describe the two payment methods.) 6 pm $ 48.95 P0 Y /N 8 — Diary of Consumer Payment Choice D7 T10 Olive Garden Examples: Income, Deposits, Withdrawals, Cash 1. 2. 3. 4. Cash back at retail store Cash withdrawal from general purpose prepaid card using ATM Direct deposit of salary or wages to primary checking account Transfer from your savings account to secondary checking account 1: Cash back at retail store At 7am, Linda shopped at her neighborhood grocery store. She paid $60.92 for her groceries with a debit card and got $40 cash back. (She records both the grocery purchase and “receiving or getting cash.”) Business, organization, or person you paid Time Amount Spent Payment Method Did you pay in person? Device Type 7 am $ 60.92 P4 Y /N D7 T8 Name Kroger Time Cash Amount Cash Location Cash Source Did you pay a fee? 7 am $ 40.00 C2 SW 1 Y/ N 2: Cash withdrawal At 10 am, Ryan stopped at an ATM and withdrew $20.00 cash using his generalpurpose prepaid card. 10 $ 20.00 C1 SW 6 Y /N am 3: Direct deposit or salary It’s payday, and Jennifer’s salary was automatically deposited into her primary checking account. Amount of income How income was received $888.75 I1 4: Transfer from savings to checking Jose transfers $100 from his savings account to his primary checking account. Amount of deposit $100.00 Source of deposit SD3 If cash deposit, location L Account deposited into A1 Diary of Consumer Payment Choice — 9 Day 1: Daily Payments Please go online to complete the survey, even if you did not make any payments on Day 1. Payments for (date): _____/______/________ What payment methods did you carry or have available to make payments on Diary Day 1? P1 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 Amount Spent Did you Payment pay in Method person? Device Business, organization, or person you paid Time am _____pm Type $________.___ P Y/N D T am _____pm $________.___ P Y/N D T am _____pm $________.___ P Y/N D T am _____pm $________.___ P Y/N D T am _____pm $________.___ P Y/N D T am _____pm $________.___ P Y/N D T am _____pm $________.___ P Y/N D T am _____pm $________.___ P Y/N D T am _____pm $________.___ P Y/N D T Name Reminders • • • • Record all payments, no matter how small or large Record all payments, including bills Record all deposits and withdrawals Count your cash at the end of every day 10 — Diary of Consumer Payment Choice Day 1: Income, Deposits, Withdrawals, Cash Please go online to complete the survey, even if you did not have any activity on Day 1. Activity for (date): _____/______/________ Did you receive income on Day 1? If yes… Amount of income How income was received $_______.__ I $_______.__ I Deposits, Day 1 Amount of deposit Source of deposit If cash deposit, location Account deposited into $_______.__ SD L A $_______.__ SD L A $_______.__ SD L A Cash withdrawals, Day 1 Time Cash amount Location of cash withdrawal Source of cash withdrawal Did you pay a fee? am ______pm $_______.__ C SW Y/N am ______pm $_______.__ C SW Y/N am _____pm $_______.__ C SW Y/N Cash amount, end of Day 1 (pocket, purse, or wallet) How many bills of each type? Bills $1 bills $2 bills $5 bills $10 bills Pocket, purse, or wallet Number $ amount _____ _____ _____ _____ $_____ $_____ $_____ $_____ Bills $20 bills $50 bills $100 bills Total $ Pocket, purse, or wallet Number $ amount _____ _____ _____ $_____ $_____ $_____ $_____ Diary of Consumer Payment Choice — 11 Day 2: Daily Payments Please go online to complete the survey, even if you did not make any payments on Day 2. Payments for (date): _____/______/________ What payment methods did you carry or have available to make payments on Diary Day 1? 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 Amount Spent Did you Payment pay in Method person? Device Business, organization, or person you paid Time am _____pm Type $________.___ P Y/N D T am _____pm $________.___ P Y/N D T am _____pm $________.___ P Y/N D T am _____pm $________.___ P Y/N D T am _____pm $________.___ P Y/N D T am _____pm $________.___ P Y/N D T am _____pm $________.___ P Y/N D T am _____pm $________.___ P Y/N D T am _____pm $________.___ P Y/N D T Name Reminders • • • • Record all payments, no matter how small or large Record all payments, including bills Record all deposits and withdrawals Count your cash at the end of every day 12 — Diary of Consumer Payment Choice Day 2: Income, Deposits, Withdrawals, Cash Please go online to complete the survey, even if you did not have any activity on Day 2. Activity for (date): _____/______/________ Did you receive income on Day 2? If yes… Amount of income How income was received $_______.__ I $_______.__ I Deposits, Day 2 Amount of deposit Source of deposit If cash deposit, location Account deposited into $_______.__ SD L A $_______.__ SD L A $_______.__ SD L A Cash withdrawals, Day 2 Time Cash amount Location of cash withdrawal Source of cash withdrawal Did you pay a fee? am ______pm $_______.__ C SW Y/N am ______pm $_______.__ C SW Y/N am _____pm $_______.__ C SW Y/N Cash amount, end of Day 2 (pocket, purse, or wallet) How many bills of each type? Bills $1 bills $2 bills $5 bills $10 bills Pocket, purse, or wallet Number $ amount _____ _____ _____ _____ $_____ $_____ $_____ $_____ Bills $20 bills $50 bills $100 bills Total $ Pocket, purse, or wallet Number $ amount _____ _____ _____ $_____ $_____ $_____ $_____ Diary of Consumer Payment Choice — 13 Day 3: Daily Payments Please go online to complete the survey, even if you did not make any payments on Day 3. Payments for (date): _____/______/________ What payment methods did you carry or have available to make payments on Diary Day 1? 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 Amount Spent Did you Payment pay in Method person? Device Business, organization, or person you paid Time am _____pm Type $________.___ P Y/N D T am _____pm $________.___ P Y/N D T am _____pm $________.___ P Y/N D T am _____pm $________.___ P Y/N D T am _____pm $________.___ P Y/N D T am _____pm $________.___ P Y/N D T am _____pm $________.___ P Y/N D T am _____pm $________.___ P Y/N D T am _____pm $________.___ P Y/N D T Name Reminders • • • • Record all payments, no matter how small or large Record all payments, including bills Record all deposits and withdrawals Count your cash at the end of every day 14 — Diary of Consumer Payment Choice Day 3: Income, Deposits, Withdrawals, Cash Please go online to complete the survey, even if you did not have any activity on Day 3. Activity for (date): _____/______/________ Did you receive income on Day 3? If yes… Amount of income How income was received $_______.__ I $_______.__ I Deposits, Day 3 Amount of deposit Source of deposit If cash deposit, location Account deposited into $_______.__ SD L A $_______.__ SD L A $_______.__ SD L A Cash withdrawals, Day 3 Time Cash amount Location of cash withdrawal Source of cash withdrawal Did you pay a fee? am ______pm $_______.__ C SW Y/N am ______pm $_______.__ C SW Y/N am _____pm $_______.__ C SW Y/N Cash amount, end of Day 3 (pocket, purse, or wallet) How many bills of each type? Bills $1 bills $2 bills $5 bills $10 bills Pocket, purse, or wallet Number $ amount _____ _____ _____ _____ $_____ $_____ $_____ $_____ Bills $20 bills $50 bills $100 bills Total $ Pocket, purse, or wallet Number $ amount _____ _____ _____ $_____ $_____ $_____ $_____ Diary of Consumer Payment Choice — 15 Thank you for completing the Diary of Consumer Payment Choice. Purpose: Improve understanding and operation of the U.S. payment system by tracking the spending habits and cash activity of consumers Your diary responses will remain anonymous and confidential and will be used for research purposes only. 16 — Diary of Consumer Payment Choice