Response Cards and Calendars

Response Cards

The English Response Cards and Calendars are below. We also have versions in Spanish and Haitian Creole.

Response Card A
Monthly Household Income or Yearly Household Income
a. $0 to $916 per month or $0 to $10,999 per year
b. $917 to $1,083 per month or $11,000 to $12,999 per year
c. $1,084 to $1,249 per month or $13,000 to $14,999 per year
d. $1,250 to $1,416 per month or $15,000 to $16,999 per year
e. $1,417 to $1,666 per month or $17,000 to $19,999 per year
f. $1,667 to $2,083 per month or $20,000 to $24,999 per year
g. $2,084 to $2,499 per month or $25,000 to $29,999 per year
h. $2,500 to $3,333 per month or $30,000 to $39,999 per year
i. $3,334 to $4,166 per month or $40,000 to $49,999 per year
j. $4,167 to $6,249 per month or $50,000 to $74,999 per year
k. $6,250 or more per month or $75,000 or more per year

Extremely

Quite a bit

Somewhat

A little bit

Not at all

None of the time

A little of the time

About half of the time

Most of the time

All of the time

Never

Rarely

About half of the time

Most of the time

Always

Not at all

Several days

More than half the days

Nearly every day

Daily

Weekly

Monthly

Less than monthly

Never

Strongly disagree

Somewhat disagree

Neutral

Somewhat agree

Strongly agree

Alcohol Response Card
Response Cards and Calendars English A1
Response Cards and Calendars English B1
Response Cards and Calendars English C1