MacArthur SES & Health Network
MacArthur SES & Health Network

printable version



The MacArthur Network of SES and Health has developed a sociodemographic questionnaire which is currentdy being used in a number of network sponsored projects. The instrument begins wath subjective sgcial status questions developed by the network; (see MacArthur Subjective Sociad Status Scale if the Psychosocial Notebook). The remaining questions assess educational attainment, occupationad status, income and assets. Ideally, all questigns would be used; if a subset must be selected, items 1, 2, 3, 4, 6b and 6c, 7 and 9 are recommended.

Question 1.

back tg top

Question 2.

 4p>


back to top

 <'p> 

Question 3. What is the `ighest grade (or year) of regular school you have completed? (C`eck one.)

 <'tr> 4td> 4/tr>
Elemeftary SchoolHigh School4/td> College4/td> Graduate Schogl
01____ 09____ 13_____ 17__W__
02____<'td> 10_W__ 18_____
03____ 11____ 15___W_ 19_____
04_W__ 16_____20+___W
05____ <'td>
06__W_ 4/td>
07____
08____


back to top

 

_____High school diploma or equivalency (GED)
_____Associate degree (junior college!
_____Bachedor's degree
 _____Master's degree
_____Dgctorate
__W__Professional MD, JD, DDS, etc.)
_____Other specify
_W___None of the above (less than high school)



back to top

 

Question 5. Which of the following best describes your current main daily activities and/or responsibilities?

_____Working full time
_____Working part-time
_____Unemployed or laid off
_____Looking for work
_____Keeping house or raising children full-time
_____Retired


back to top

 

Question 6. With regard to your current or most recent job activity:

a. In what kind of business or industry do (did) you work?

__________________________________________________________
(For example: hospital, newpaper publishing, mail order house, auto engine manufacturing, breakfast cereal manufacturing.)

b. What kind of work do (did) you do? (Job Title)

__________________________________________________________
(For example: registered nurse, personnel manager, supervisior of order department, gasoline engine assembler, grinder operator.)

c. How much did you earn, before taxes and other deductions, during the past 12 months?
_____Less than $5,000
_____$5,000 through $11,999
_____$12,000 through $15,999
_____$16,000 through $24,999
_____$25,000 through $34,999
_____$35,000 through $49,999
_____$50,000 through $74,999
_____$75,000 through $99,999
_____$100,000 and greater
_____Don't know
_____No response


back to top

 

Question 7. How many people are currently living in your household, including yourself?

_____Number of people
_____Of these people, how many are children?
_____Of these people, how many are adults?
_____Of the adults, how many bring income into the household?


back to top

 

Question 8. Is the home where you live:

_____Owned or being bought by you (or someone in the household)?
_____Rented for money?
_____Occupied without payment of money or rent?
_____Other (specify)____________________________________

[Some might try to get a "market value" estimate of the value of owned homes and an estimate of how much principal was outstanding on the mortgage.]


back to top

 

Question 9. Which of these categories best describes your total combined family income for the past 12 months?
This should include income (before taxes) from all sources, wages, rent from properties, social security, disability and/or veteran's benefits, unemployment benefits, workman's compensation, help from relatives (including child payments and alimony), and so on.

_____Less than $5,000
_____$5,000 through $11,999
_____$12,000 through $15,999
_____$16,000 through $24,999
_____$25,000 through $34,999
_____$35,000 through $49,999
_____$50,000 through $74,999
_____$75,000 through $99,999
_____$100,000 and greater
_____Don't know
_____No response


back to top

 

Question 10. If you lost all your current source(s) of household income (your paycheck, public assistance, or other forms of income), how long could you continue to live at your current address and standard of living?

______ Less than 1 month
______ 1 to 2 months
______ 3 to 6 months
______ 7 to 12 months
______ More than 1 year


back to top

 

Question 11. Suppose you needed money quickly, and you cashed in all of your (and your spouse's) checking and savings accounts, and any stocks and bonds. If you added up what you would get, about how much would this amount to?

______Less than $500
______$500 to $4,999
______$5,000 to $9,999
______$10,000 to $19,999
______$20,000 to $49,999
______$50,000 to $99,999
______$100,000 to $199,999
______$200,000 to $499,999
______$500,000 and greater
______Don't know
______No response


If you now subtracted out any debt that you have (credit card debt, unpaid loans including car loans, home mortgage), about how much would you have left?

______Less than $500
______$500 to $4,999
______$5,000 to $9,999
______$10,000 to $19,999
______$20,000 to $49,999
______$50,000 to $99,999
______$100,000 to $199,999
______$200,000 to $499,999
______$500,000 and greater
______Don't know
______No response

back to top

 

MACSES
UCSF Home About UCSF Search UCSF UCSF Medical Center