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a. CalWORKs or Welfare to Work <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. WIC Program (Woman, Infants and Children) <br />g. Child Care Assistance <br />h. Unemployment insurance <br />L Disability insurance <br />YES <br />NO <br />7. DON'T KNOW <br />9. REFUSED <br />[REPEAT Q9A THROUGH Q91) FOR EACH `YES' RESPONSE <br />TO Q9a THROUGH Q9j] <br />Q9A 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 />Q9B For how many months have you received [INSERT TYPE OF ASSISTANCE]? <br />3. NUMBER OF MONTHS > <br />7. DON'T KNOW <br />9. REFUSED <br />Q9C Are you still receiving [INSERT TYPE OF ASSISTANCE]? <br />1. YES [SKIP TO Q1.0] <br />2. NO [CONTINUE] <br />7. DON'T KNOW <br />9. REFUSED <br />19F -345 <br />