Post Court Quantitative Survey

Question Title

* 1. Did your court appearance concern child support?

Yes

Question Title

* 2. Are you currently ordered to pay child support?

Yes

If yes, when was your child support order entered? If you are unsure, an approximate date is fine.

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* 3. Choose the response below that correctly describes your court proceeding when the amount of child support was set.

I was present in court

I was absent from court and an order was entered

I had an attorney appear on my behalf

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* 4. Was the number of overnights visits you have with your child taken into consideration when your child support order was set?

Yes

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* 5. Did you provide documents to the court when the child support order was set?

Yes

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* 6. Did you provide a financial affidavit to the court when the child support order was set?

Yes

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* 7. If a financial affidavit was used, who did you receive assistance in preparing the financial affidavit?

Legal assistance agency

Website or online tutorial

HFS representative

Attorney

Personal family or friend

Other

I did not receive assistance

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* 8. Do you provide support in your household for biological or adopted children other than those on this current child support order?

Yes

If yes, how many children and what is your relationship to each child?

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* 9. Do you provide support for other children in your household that are not either biological or adopted?

Yes

If yes, how many children and what is your relationship to each child?

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* 10. Do you provide support for children not in your household other than those on this current child support order?

Yes

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* 11. If you provide support for children not in your household other than those on this current child support order, is the child support paid:

By court order

Not by court order

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* 12. Do you receive support for children in your household other than those on this current child support order?

Yes

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* 13. If you receive support for children in your household other than those on this current child support order, is the support you receive paid:

By court order

Not by court order

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* 14. Was the issue of the payment for health insurance for the minor child discussed as part of today’s support order?

Yes

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* 15. Did someone explain how your child support was calculated?

Yes

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* 16. Do you understand how your child support was calculated?

Yes, someone explained this to me

Yes, I used one of the available online tools to learn

No, someone explained this to me, but I still have questions.

No, no one explained this to me.

If no, what part of the calculation did you not understand or was confusing?

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* 17. What is your age?

Under 18

18-24

25-34

35-44

45-54

55+

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* 18. What is your gender?

Male

Female

Other

Prefer not to say

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* 19. What is your race/ethnicity?

White or Caucasian

Hispanic or Latino

Black or African American

Native American or American Indian

Asian/Pacific Islander

Other

Question Title

* 20. What is the highest level of school you have completed?

Some high school

High school degree or equivalent

Some College/Trade School

Bachelor’s degree

Post Graduate degree

Other (please specify)

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* 21. What is your current employment status?

Employed full time

Employed part-time

Unemployed

Student

Self employed

Retired

Unable to work

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* 22. What is your location? (provide a zip code where you reside)

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* 23. What is your annual household income?

Under $10,000

Between $10,000 and $50,000

Between $50,000 and $100,000

Between $100,000 and $150,000

Over $150,000

Post Court Quantitative Survey

IL Division of Child Support Services

Question Title

* 1. Did your court appearance concern child support?

Question Title

* 2. Are you currently ordered to pay child support?

Question Title

* 3. Choose the response below that correctly describes your court proceeding when the amount of child support was set.

Question Title

* 4. Was the number of overnights visits you have with your child taken into consideration when your child support order was set?

Question Title

* 5. Did you provide documents to the court when the child support order was set?

Question Title

* 6. Did you provide a financial affidavit to the court when the child support order was set?

Question Title

* 7. If a financial affidavit was used, who did you receive assistance in preparing the financial affidavit?

Question Title

* 8. Do you provide support in your household for biological or adopted children other than those on this current child support order?

Question Title

* 9. Do you provide support for other children in your household that are not either biological or adopted?

Question Title

* 10. Do you provide support for children not in your household other than those on this current child support order?

Question Title

* 11. If you provide support for children not in your household other than those on this current child support order, is the child support paid:

Question Title

* 12. Do you receive support for children in your household other than those on this current child support order?

Question Title

* 13. If you receive support for children in your household other than those on this current child support order, is the support you receive paid:

Question Title

* 14. Was the issue of the payment for health insurance for the minor child discussed as part of today’s support order?

Question Title

* 15. Did someone explain how your child support was calculated?

Question Title

* 16. Do you understand how your child support was calculated?

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* 17. What is your age?

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* 18. What is your gender?

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* 19. What is your race/ethnicity?

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* 20. What is the highest level of school you have completed?

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* 21. What is your current employment status?

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* 22. What is your location? (provide a zip code where you reside)

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* 23. What is your annual household income?