Section 1: Access to Paid Leave
The Leave Module will include all wage and salary workers except those who are self-employed. The Leave Module begins with an introduction explaining the content of the next set of questions and then proceeds to a screen asking about access to paid leave at one’s job. Access to paid leave questions were designed to provide information on who had access to paid leave at their jobs, reasons for which workers were able to take paid leave from their jobs, and the types of paid leave plans workers had at their jobs.
	PAID 
		 
	Universe:
	All
	Leave Module respondents 
	 
	Do you receive paid leave on your
	[current/main] job? [Fill: By main job, we mean the one at which you
	usually work the most hours.] 
	 
		Yes
					[Go to RSNPD_A] 
		No
		 			 
	    Don’t Know/ Refused	[Go to
	UNPD_INTRO]		
	
	
		
	
	
	RSNPD_A
	 
	 Universe:
	Respondents who receive paid leave 
	 
	I’m going to read you a list of
	reasons why you might have to miss work.  For each reason, please
	tell me if you are able to take paid leave in your [fill:
	current/main] job. 
	 
	Own illness or medical care 
					 Yes				 No				 
	Don’t know/Refusal		[Go to
	RSNPD_B]
	
	
	
		
	
	
	RSNPD_B
	 
	 Universe:
	Respondents who receive paid leave 
	Illness or medical care of another
	family member 
		 Yes				 No				 
		Don’t know/Refusal		[Go to
	RSNPD_C]
	
	
		
	
	
	RSNPD_C
	 
	 Universe:
	Respondents who receive paid leave 
	Childcare, other than for illness 
		 Yes				 No				 
		Don’t know/Refusal		[Go to
	RSNPD_D]
	
	
		
	
	
	RSNPD_D
	 
	 Universe:
	Respondents who receive paid leave 
	Eldercare	 
	 Yes				 No				 
		Don’t know/Refusal		[Go to
	RSNPD_E]
	
	
	
		
	
	RSNPD_E
	 
	 Universe:
	Respondents who receive paid leave 
	Vacation 
		 Yes				 No				 
		Don’t know/Refusal		[Go to
	RSNPD_F]
	
	
		
	
	
	RSNPD_F
	 
	 Universe:
	Respondents who receive paid leave 
	Errands or personal reasons 
		 Yes				 No				 
		Don’t know/Refusal		[Go to
	RSNPD_G]
	
	
		
	
	
	RSNPD_G
	 
	 Universe:
	Respondents who receive paid leave 
	Birth or adoption of a child 
		 Yes				 No				 
		Don’t know/Refusal		 
	 
	[Skip to PDTYPE_A]
	
	
		
	
	
	
	PDTYPE_A 
	Universe: Respondents who receive
	paid leave 
			Now
	I’d like to ask you about the types
	of paid leave plans offered by your employer.  Some employers offer
	leave plans that require workers to use paid leave for specific
	purposes. For example, sick leave might be available but it cannot
	be used for vacation time. I’m going to read a list of
	different types of paid leave plans. 
	Please tell me if you have a separate leave plan available to you
	for... (read
	each item)” 
	[Interviewer: If
	the respondent mentions that he/she has a consolidated leave plan or
	PTO, mark that column for vacation, sick leave, and personal days] 
					 
					Yes 
					No 
					PTO 
					DK 
					Vacation 
					 
					 
					 
					 
					Sick leave 
					 
					 
					 
					 
					 
					(females only)
					Separate plan for
					maternity leave 
					 
					 
					 
					 
					(males only)
					  Separate plan for
					paternity leave 
					 
					 
					 
					 
					Personal days 
					 
					 
					 
					 
					 
				(sick
	leave skip to PDTYPE_SL, others skip to PTO)
			
	
				 
			
					
				 
			
					
					
					
					
				 
			
					
					
					
					
				 
			
					
					
					
					
				 
			
					
					
					
					
				 
		
					
					
					
					
	
PDTYPE_SL
	
Universe: Respondents who report their company has a paid sick leave plan
	
Can you use paid sick leave for family members who are ill or need care?
Yes
No
Don’t know/Refusal [Go to PTO]
	
	PTO Universe:
	Respondents who receive paid leave 
	Some employers also offer a paid leave
	plan, called a consolidated leave plan or PTO. In this type of plan
	you get a fixed number of hours, which you can then use for whatever
	reason you would like to take leave — whether you’re
	sick, going on a vacation, or need some personal time. Does your
	employer offer this type of plan? 
	 
						Yes							 No		
						       		 
			Don’t
	Know/Refusal	    [Skip to UNPD_INTRO] 
	 
	
	
	
	
		
	
			
	
				
		
					
			
						
				
	
Section 2: Access to Unpaid Leave
Questions about access to unpaid leave were designed to provide information on workers’ understanding of their access to and use of unpaid leave and reasons for which workers were allowed to take unpaid leave.
Universe:
	 All Leave Module respondents 
	Now I’m going to ask you about
	unpaid
	leave.   
	 
	 
	Enter 1 to
	Continue  	
	[Go to UNPAID] 
	
	UNPD_INTRO
	
	
	
	
	
	
Universe:
	 All Leave Module respondents 
	[In addition to your paid leave/In your
	main job/In your current job] are you allowed to take time off from
	work without pay? 
	 
	1. Yes				[Go to RSNUN_A] No			
		
		 
	    Don’t know/Refused	[If PAID ≠
	1, go to JF_INTRO], 
	[Else go to LEAVE_INTRO]   
	
	UNPAID
	
	
	
	
		
	
	
Universe:
	 All respondents who can take unpaid leave 
	I’m going to read a list of
	reasons why you might have to miss work.  Assuming that you have
	received your employer’s approval, for each reason, please
	tell me whether or not you are able to take time off from work
	without pay. 
	Own illness or medical care 
	 Yes				 No				 
		   Don’t know/Refusal	[Go to
	RSNUN_B] 
	 
	
	RSNUN_A
	
	
	
	
	
		
	
	
	
	
 Universe:
	 All respondents who can take unpaid leave 
	Illness or medical care of another
	family member 
	 Yes				 No				 
		   Don’t know/Refusal	[Go to
	RSNUN_C] 
	 
	
	RSNUN_B
	
	
	
	
		
	
	
	
	
Universe:
	 All respondents who can take unpaid leave 
	Childcare, other than for illness 
	 
	 Yes				 No				 
		   Don’t know/Refusal	[Go to
	RSNUN_D] 
	 
	
	RSNUN_C
	
	
	
	
		
	
	
	
	
Universe:
	 All respondents who can take unpaid leave 
	Eldercare 
	 Yes				 No				 
		   Don’t know/Refusal	[Go to
	RSNUN_E] 
	 
	
	RSNUN_D
	
	
	
	
		
	
	
	
	
Universe:
	 All respondents who can take unpaid leave 
	Vacation 
	 Yes				 No				 
		   Don’t know/Refusal	[Go to
	RSNUN_F] 
	 
	
	RSNUN_E
	
	
	
	
		
	
	
	
	
Universe:
	 All respondents who can take unpaid leave 
	Errands or personal reasons 
	 Yes				 No				 
		   Don’t know/Refusal	[Go to
	RSNUN_G] 
	 
	
	RSNUN_F
	
	
	
	
		
	
	
	
	
Universe:
	 All respondents who can take unpaid leave 
	Birth or adoption of a child 
	 Yes				[Go
		to UNEVER]	 No				 
		   Don’t know/Refusal	[If
	(RSNUN_A = 1) OR (RSNUN_B = 1) OR (RSNUN_C = 1) 
	 
						OR (RSNUN_D = 1) OR (RSNUN_E = 1)
	OR (RSNUN_F = 1), 
	 
						Go to UNEVER] 
						[Else go to LEAVE_Intro] 
	
	RSNUN_G
	
	
	
	
	
		
	
	
	
	UNEVER 
	 Universe:
	 Respondents who indicated they could take unpaid leave for at least
	one of the reasons listed above 
	 
	In your [fill: main/current] job, have
	you ever taken unpaid leave for [fill: this/these] reason(s)? 
	 Yes
		 		 No 
	     		Don’t know/Refusal	 
	 
		      [Go to LEAVE_Intro] 
	
	
	
	
	
		
	
	
	
	
	
Section 3: Leave taken in last week
The next set of questions collects information about the amount, type, and reasons for which
workers took paid or unpaid leave in the week prior to the interview day.
	LEAVE_Intro1 Universe:
	 Respondents who have access to paid or unpaid leave 
	Now I want to ask you about your work
	time in the past week.   
	 
	 
	* Enter 1 to continue.             [Go
	to LEAVE] 
	
	
	
	
	
	
	
	
	LEAVE Universe:
	 Respondents who have access to paid or unpaid leave 
	Did you take any paid or unpaid leave
	from your [fill: main] job over the past seven days, that is from
	last [fill: current day] through yesterday? Yes
				   	     [Go to LVHRS] No			
		    
		 
	Don’t know/Refusal        [Go to
	JF_Intro] 
	 
	 
	 
	
	
	
	
		
	
	
	
	
	
	
	
LVHRS
	
Universe: Respondents who took paid or unpaid leave
	
In the past seven days, how many hours of paid or unpaid leave did you take in total?
	
	
<1-168, Don’t Know, Refusal> [If PAID = 1 go to PDWK]
[Else go to LVMAIN]
	
	
	
	
	
	
	
	
	
PDWK
	
Universe: Respondents who used leave in the previous week, and who have access to paid leave
	
Did you use paid leave for any of the time that you took off from work in the past seven days?
	
	
* If necessary, probe to determine which “yes”—1 or 2—is applicable.
	
	
Yes, paid for all
Yes, paid for some
No, not paid
Don’t know/Refusal
	
	
[Skip to LVMAIN]
	
	
	
	
	
	
	
	
	
	
	LVMAIN 
	 Universe:
	 Respondents who used leave in the previous week Question
	text:  
	 
	Thinking about your longest period of
	leave in the last seven days, what was the main reason you had to
	take off from work? 
	 
	* Read highlighted options. 
	 Own
		illness or medical care					 Illness
		or medical care of another family member	 Childcare,
		other than for illness Eldercare Vacation Errands
		or personal reasons Birth
		or adoption of a child Other,
		specify 
	Don’t Know/Refusal 
	 
	[Go TO JF_Intro] 
	 
	 
	
	
	
	
	
	
		
	
	
	
	
	
	
	
	
Section 4: Job flexibility and work schedules
	JF_INTRO 
	Universe: All Leave Module
	respondents 
	 
			 
			The
	next set of questions ask about how much flexibility you have in
	arranging your 
	 
			work schedule.		 
	 
	* Enter 1 to continue.             [Go
	to JF_1] 
	
	
	
	JF_1 
	Universe: All Leave Module
	respondents 
	 
			 
			Do you have flexible work hours that
	allow you to vary or make changes in the times 
			you begin and end work? 
	 
			1. Yes (skip to JF_1A) 
			2. No (skip to JF_4) 
				Don’t know, Refusal (skip to
	JF_5)
	
	JF_1A 
	Universe: Respondents who can vary or
	make changes to the times they begin and end work 
			 
			Can
	you change the times you begin and end work on a frequent basis, 
	 
			occasionally, or only rarely? 
	 
		Frequent basis 
		Occasionally 
		Rarely 
	 
			(Skip to JF_2)
	
		
	
	
	
	JF_2 
	Universe: Respondents who can vary or
	make changes to the times they begin and end work 
	 
			Is
	your flexible work schedule part of a program or policy offered by
	your employer? 
	 
			1. Yes   
	 
			2. No    
	 
				Don’t know, Refusal 
	 
				(skip to JF_3)
	
	
	JF_3 
	Universe: Respondents who can vary or
	make changes to the times they begin and end work 
	 
	 
			Are
	the times that you can begin and end work completely flexible, or
	are there certain hours of the day, such as 10 a.m. to 2 p.m., that
	you have to work each day? 
	 
		Completely flexible 
		 
		Must cover certain hours 
		 
		Other – specify 
		 
	Don’t know, Refusal 
	 
	 
	(skip to JF_5)
	
	
		
	
	
	JF_4 
	Universe: Respondents who are not
	able to vary or make changes to the times they begin and end work 
	 
			Do
	you have any input into the hours you begin and end work or does
	your employer decide? 
	 
		Worker has some input 
		Employer decides 
		Other 
		 
	Don’t know, Refusal 
	 
	(skip to JF_5)
	
	
		
	
	
	JF_5 
	Universe: All Leave Module
	respondents 
	 
			How
	far in advance do you usually know what days and hours you will need
	to work? 
	 
		1 week or less 
		Between 1 and 2
		weeks 
		Between 3 and 4
		weeks 
		4 weeks or more 
		Don’t know,
	Refusal 
	 
	 
	(Skip to JF_6)
	
	
		
	
	
	JF_6 
	Universe: All Leave Module
	respondents 
	 
			On
	your [main/current] job, do you USUALLY work a daytime schedule or
	some other 
			schedule? 
			*Read if necessary:  Daytime is
	anytime between 6 a.m. and 6 p.m. 
	 
			1. Daytime (skip to JF_9) 
			2. Some other schedule (skip to JF_7) 
				Don’t know, Refusal (skip to
	JF_9)
	
	
	JF_7 
	Universe: Respondents who said they
	do not usually work a daytime schedule 
	 
			Which
	of the following best describes the hours you usually work at your
	[main/current] job?  (Response options are read aloud.) 
	 
		An evening shift – any time
		between 2 p.m. and midnight 
		A night shift – any time between
		9 p.m. and 8 a.m. 
		A rotating shift – one that
		changes periodically from days to evenings or night 
		A split shift– one consisting of
		two distinct periods each day 
		An irregular shift 
		Some other shift (if person says
		flexitime, etc., probe to determine if shift actually falls in a
		day, evening, night, rotating shift, or split-shift category) 
			 
			Don’t know, refusal 
	 
	(Skip to JF_8)
	
	
		
	
	
	JF_8 
	Universe: Respondents who said they
	do not usually work a daytime schedule 
	(Read list and choose one) 
	 
			What
	is the main reason why you work this type of shift? 
	 
		Better arrangements for family or
		childcare 
		Better pay 
		Allows time for school 
		Could not get any other shift 
		Nature of the job 
		Personal preference 
		Some other reason – specify 
	 
				Don’t know, Refusal 
		 
				(Skip to JF_9)
	
	
		
	
	
	JF_9 
	Universe: All Leave Module
	respondents 
	 
			How
	many days of the week do you usually work? 
	 
		Days = _____ 
		It varies 
		 
				Don’t know, Refusal 
	 
				(Skip to JF_10)
	
	
		
	
	
	JF_9A 
	Universe: All Leave Module
	respondents 
	 
			Do
	you work an alternative work schedule where you can work fewer days
	during a pay period by working more hours per day? 
	 
			1. Yes 
			2. No 
	 
				Don’t know, Refusal (skip to
	JF_10) 
	
	
	
	
	
	JF_10 
	Universe: All Leave Module
	respondents 
	 
			Which
	days of the week do you usually work? 
		Sunday 
		Monday 
		Tuesday 
		Wednesday 
		Thursday 
		Friday 
		 
		Saturday 
		Monday through Friday 
		Varies 
	 
				Don’t know, Refusal 
	 
				(Skip to JF_11)
	
		
	
	
	
	JF_11 
	Universe:  All Leave Module
	respondents 
	 
			As
	part of your job, can you work at home? 
	 
			1. Yes (skip to JF_12) 
			2. No (skip to NOLV_Intro) 
				Don’t know, Refusal (skip to
	NOLV_Intro) 
	
	
	
	JF_12 
	Universe: Respondents who can work
	from home 
	 
			Do
	you ever work at home? 
	 
	 
			1. Yes (skip to JF_13) 
			2. No (skip to NOLV_Intro) 
				Don’t know, Refusal (skip to
	NOLV_Intro) 
	
	
	
	
	JF_13 
	Universe: Respondents who indicate
	they do work at home 
	 
			Are
	you paid for the hours that you work at home, or do you just take
	work home from the job? 
	 
	 
		Paid 
		 
		Take work home 
		Both 
				Don’t know, Refusal 
	 
				(Skip to JF_14)
	
	
		
	
	
	JF_14 
	Universe: Respondents who indicate
	they do work at home 
	 
			What
	is the main reason why you work at home? 
	 
		Finish or catch up on work 
		Coordinate work schedule with personal
		or family needs 
		Reduce commuting time or expense 
		Personal preference 
		Other – specify 
	 
				Don’t know, Refusal 
			 
				(Skip to JF_15) 
	 
	 
	 
	 
	 
	
	
	
		
	
	
	
	
	
	
	
	
	JF_15 
	Universe: Respondents who can work
	from home 
	 
			Are
	there days when you work only at
	home? 
	 
	 
			1. Yes (skip to JF_16) 
			2. No (skip to NOLV_Intro) 
				Don’t know, Refusal (skip to
	NOLV_Intro) 
	
	
	
	
	JF_16 
	Universe: Respondents who work
	exclusively from home 
	 
			How
	often do you work only at home? 
	 
		Everyday 
		At least once a week 
		Once every 2 weeks 
		Once a month 
		Less than once a month 
	 
				Don’t know, Refusal (skip to
	NOLV_Intro) 
	
	
		
	
	
	
	
Section 5: Non-use of Leave
The next set of questions collects information about times when workers needed to take leave from work but could not, the reason(s) for which they needed to take leave but did not, and the reason(s) why they did not take leave.
	NOLV_Intro
	
	 Universe:
	All Leave Module respondents Question
	text:  
	 
	The next few questions are about times
	when you may have needed to take off from work but could not.    
	 
	 
	* Enter 1 to continue.		[Go to NOLV] 
	 
	 
	 
	 
	 
	 
	 
	 
	 
	 
	
	
	
	
	
	
	
	
	
	
	
	
	
	
	
	
	
	
	
	
	
	
	
	
	
	
	
	
	
	
	
	NOLV
	
	 Universe:
	All Leave Module respondents 
	 Question
	text:  
	 
	During the past month, that is from last
	[fill = ONE MONTH AGO] through yesterday, were there situations in
	which you needed to take off from work but did not? Yes				[Go
		to NEEDLV] No Don’t
	Know/Refusal		[Go to HEALTH] 
	 
	 
	 
	 
	 
	 
	 
	 
	 
	 
	
	
	
	
	
		
	
	
	
	
	
	
	
	
	
	
	
	
	
	
	
	
	
	
	
	
	
	
	
	
	
	
	
 
	NEEDLV Universe:
	Respondents who needed to take off from work in the previous month,
	but did not 
	Why did you need to take off work?  
	 
	*Mark all that apply. 	*Read
	highlighted options. 
	 Own
		illness or medical care	 Illness
		or medical care of another family member Childcare,
		other than for illness Eldercare Vacation Errands
		or personal reasons Birth
		or adoption of a child Other,
		specify Don’t
	Know/Refusal		[If (PAID = 2 and UNPAID = 2), go to HEALTH] 
	           				[Else go to RSNNO] 
	 
	 
	 
	 
	 
	 
	 
	 
	 
	 
	
	
	
	
	
		
	
	
	
	
	
	
	
	
	
	
	
	
	
	
	
	
	
	
	
	
	
	
	
	
	
	
	
	
 
	RSNNO
	
	 Universe:
	Respondents who had paid or unpaid leave available to them and who
	needed to take time off from work in the previous month but did not 
	 
	Why did you decide not to take leave?  
	 
	*Mark all that apply. 	*Read
	highlighted options. 
	 Too
		much work	 Wanted
		to save leave Leave
		was denied Did
		not have enough leave Fear
		of job loss or other negative employment-related consequence Could
		not afford the loss in income Other,
		specify Don’t
	Know/Refusal			[Go to HEALTH] 
	 
	 
	 
	 
	 
	 
	 
	 
	 
	 
	
	
	
	
	
	
		
	
	
	
	
	
	
	
	
	
	
	
	
	
	
	
	
	
	
	
	
	
	
	
	
	
	
	
	
	
	
Section 6: General Health
The last section collects information about workers’ general health.
 
	HEALTH
	
	 Universe:
	All Leave Module respondents 
	 
	Finally, I have a question about your
	health.  Would you say your health in general is excellent, very
	good, good, fair, or poor?  
	 Excellent	 Very
		good Good Fair Poor Don’t
	Know/Refusal		        
	 
	 
	 
	 
	 
	 
	 
	 
	 
	 
	 
	
	
	
	
		
	
	
	
	
	
	
	
	
	
	
	
	
	
	
	
	
	
	
	
	
	
	
	
	
	
	
	
	
	
	
	
| File Type | application/vnd.openxmlformats-officedocument.wordprocessingml.document | 
| Author | Kincaid, Nora - BLS | 
| File Modified | 0000-00-00 | 
| File Created | 2021-01-27 |