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a. CalWORKS <br />b. Section 8 or HUD housing support or military housing <br />c. Food stamps <br />d. Medi -Cal (Cal Optima) <br />e. Medicare <br />f Woman, Infants and Children <br />g. Child Care Subsidy <br />h. Alternative Child Care Payment <br />i. Unemployment insurance <br />j. Disability insurance <br />YES <br />NO <br />7. DON'T KNOW <br />9. REFUSED <br />[REPEAT Q12A THROUGH Q12D FOR EACH `YES' RESPONSE <br />TO Q12a THROUGH QI2j] <br />Q12A What is the value of the [INSERT TYPE OF ASSISTANCE] you are or were <br />receiving each month? <br />1. AMOUNT > <br />7. DON'T KNOW <br />9. REFUSED <br />Q12B For how many months have you received [INSERT TYPE OF ASSISTANCE]? <br />2. NUMBER OF MONTHS > <br />7. DON'T KNOW <br />9. REFUSED Q12C Are you still receiving [INSERT TYPE OF <br />ASSISTANCE]? <br />I. YES [SKIP TO Q13] <br />2. NO [CONTINUE] <br />7. DON'T KNOW <br />9. REFUSED <br />19F -325 <br />