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Employment Module

Last updated: 1/17/2023

QuestionAnswersSourceSource LinkDates Used
1Currently, is your family supporting other people who you did not provide support before COVID-19?• Yes
• No
Developed by RAPID TeamNA12/01/2020-12/03/2020 01/05/2021-01/07/2021 02/03/2021-02/06/2021 03/02/2021-03/05/2021 03/31/2021-04/02/2021 04/28/2021-05/01/2021 05/25/2021-05/28/2021 07/21/2021-07/23/2021 08/16/2021-08/20/2021 09/15/2021-09/17/2021 11/10/2021-11/16/2021 12/08/2021-12/14/2021
2Are you supporting people outside your immediate family (partner and children) because of the COVID-19 pandemic? Select all that apply• Your/your partners' parents
• Your/your partners' siblings
• Other relatives
• Your/your partners' friends
• Neighbors
• Other non-relative people
• Not supporting anyone outside immediate family
Developed by RAPID TeamNA12/01/2020-12/03/2020 01/05/2021-01/07/2021 02/03/2021-02/06/2021 03/02/2021-03/05/2021 03/31/2021-04/02/2021 04/28/2021-05/01/2021 05/25/2021-05/28/2021 07/21/2021-07/23/2021 08/16/2021-08/20/2021 09/15/2021-09/17/2021 11/10/2021-11/16/2021 12/08/2021-12/14/2021
3To the best of your knowledge, what is your current total household income before taxes and deductions, from all sources*?


*Sources of income can include wages, salary, commissions, bonuses, or tips from all jobs, self-employment income, Social Security, Supplemental Security Income (SSI), any public assistance or welfare payments, retirement income, disability income, or any other sources of income received regularly, such as Veterans' (VA) payments, unemployment compensation, child support, or alimony.


You may respond with your household income weekly, monthly, or yearly, whatever is easiest for you. Please do not include any dollar signs or commas in your response. You only need to fill out one of these.
• Weekly
• Monthly
• Yearly
NA
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