Monitoring Outcomes for Former Welfare Recipients: A Review of 11 Survey Instruments. Appendix I: Survey Instruments Included in Review


Arizona Department of Economic Security, “1999 ADES Welfare Exit Study,”  (April 1999).

15 pages.  Drafted by Research and Reporting Office of Maricopa County.  Drawn from previously tested and developed modules as much as possible.  Pilot tested (60 complete interviews) in March 1999.

Cuyahoga County and Los Angeles County, MDRC, “TANF Leavers” CATI instrument (summer 1999).

Computer-assisted telephone interview, estimated 35-40 minutes.  Focuses most heavily on employment, household composition and income, and also touches on such issues as respondent participation in training/education programs, educational attainment, material hardship, reasons for leaving welfare, health care coverage, and child care.  English and Spanish versions.

District of Columbia:  The Urban Institute, “D.C.  TANF Leavers Questionnaire,” (draft as of 7/99).

Computer-assisted telephone interview; 80 items across 6 topics:  work behavior; personal family characteristics; sources of support; hardship; health insurance; and leaving TANF.  Note that the Urban Institute also designed the National Survey of America's Families (NSAF).

Florida:  Survey Research Library, Florida State University, “Welfare Survey,” Revised 4/28/99.

Computer-assisted telephone interview.  Some questions, particularly health questions, same as in the Florida Behavioral Risk Factor Questionnaire, allowing comparisons to entire population of Florida.

Georgia:  Unnamed survey instrument.

Computer-assisted telephone interview.  Includes strong focus on child well-being including child care arrangements and involvement with absent father as well as measures of parenting and home environment.  Also gathers data on employment and income of former recipients, family economic status, and experience with and understanding of welfare reform.  A number of survey items drawn from the PSID or the PSID Child Development Supplement.

Illinois:  University of Illinois - UIS and UIUC for Illinois Department of Human Services, “TANF Closed-Cases Telephone Interview Instrument Version #8, December 1998 Closures (6/15/99).

Survey instrument based on earlier state survey, with modifications based on discussions with ASPE staff and representatives from other 13 projects funded by ASPE.  Interviewer tells respondent the interview should take 20 to 30 minutes.

Missouri:  Macro International, Inc., Survey of Welfare Leavers in Missouri, CATI/CAPI Questionnaire and Coding Specifications:  March 12, 1999.

Computer assisted.  If respondent asks, the interviewer is instructed to say the survey usually takes about 45 minutes to complete.  The questionnaire was developed by Midwest Research Institute (MRI).  It includes 151 items, covering 10 topic areas:  work effort, earnings and other income, welfare recipiency status, use of food stamps, emergency assistance, and WIC; training; education; health insurance coverage; child care; housing and residential mobility; and household composition.  Questions were drawn primarily from NSAF and two MDRC surveys (Minnesota FIP and Vermont Welfare Restructuring Program 42-Month follow-up Survey).  For more information, see MRI's The Study of Families Formerly Receiving AFDC.  Interim Report:  1999 Survey (May 3, 1999).  Those interested in receiving a copy of the 79-page survey may contact MRI at 816-753-7600, ext. 1169.

San Mateo:  Batelle Memorial Institute Centers for Public Health Research and Evaluation, Prepared for the SPHERE INSTITUTE, “The Bay Area Family Well-Being Survey:  A Study for Welfare Leavers and Housing Assistance Recipients in San Mateo, Santa Clara and Santa Cruz Counties.”

29 pages, 109 items.  Interviewer tells recipient it is a 40-minute interview.

South Carolina Department of Social Services, Division of Quality Assurance, “Review of Closed Family Independence Cases.” Version used for Cases closed October through December, 1997.

Questionnaire designed by Donold Klos.  Surveys have been administered to five quarterly cohorts of leavers; surveys for cohorts 2-5 are nearly identical.  New version of survey (prepared with ASPE grant) will be mostly the same as this survey.  12 pages, 45 items.  Average interview takes 15 minutes.  For more information, see South Carolina DSS, “Survey of Former Family Independence Program Clients:  Cases closed during October through December, 1997, (2/22/99).”

Washington State, “Survey of TANF Exiting Clients, April-May 1999.”

Survey was based in large part on the state's prior TANF exit surveys.  16 pages, 30 items.  Contact for survey portion of the project is Jean Du at 360-413-3063 or

Wisconsin Department of Workforce Development, “Review of W-2 Cases with no Cash Assistance for at least 2 months” (Version 6/2/99).

Draws heavily on South Carolina survey.  Separate survey administered to those that returned to W-2 by time of survey.