Section 17, Part A deals with expenditures for subscriptions, mail order clubs, season tickets,
reference books, recreational club memberships and shopping club memberships.
Now I am going to ask you about expenses for subscriptions,
memberships, books, and entertainment. Please remember to include any payments
you made online or had automatically deducted.
Since the first of reference month have you purchased any
of the following items for your CU or for someone outside your CU?
* Read each item on list.
Have you had any membership costs or other expenses related to
any of the following?
Do not include contributions to or membership in religious, professional, business,
or other tax deductible organizations.
* Read each item on list.
6. Golf courses, country clubs, and other social organizations
7. Health clubs, fitness centers, swimming pools, weight loss centers,
or other sports and recreational organizations
8. Civic, service, or fraternal organizations
9. Credit card membership fees
10. Shopping club memberships such as COSTCO and Sam's Club
11. Global positioning services, or GPS, such as Onstar
12. Direct or online dating services
99. None/No more entries
What is the name of the newspaper, magazines or periodicals?
* Enter name such as "Daily News", "Reebok", "Columbia Record Club", "Book of the
Month Club." [enter text] _____________________
What is the name of the book club?
* Enter name such as "Daily News", "Reebok", "Columbia Record Club", "Book of the
Month Club." [enter text] _____________________
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What is the name of the theater, concert, opera, other musical series,
or amusement parks?
* Enter name such as "Daily News", "Reebok", "Columbia Record Club", "Book of the
Month Club." [enter text] _____________________
What is the name of the sporting event?
* Enter name such as "Daily News", "Reebok", "Columbia Record Club", "Book of the
Month Club." [enter text] _____________________
What is the name of the encyclopedias or other sets of reference books?
* Enter name such as "Daily News", "Reebok", "Columbia Record Club", "Book of the
Month Club." [enter text] _____________________
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What is the name of the golf courses, country clubs, and other recreational organizations?
* Enter name such as "Jaycees", "Kent Swim and Country Club", "Amoco Motor
Club", "or "Sam's Club". [enter text] _____________________
What is the name of the health clubs, fitness centers, swimming pools,
weight loss centers, or other sports and recreational organizations?
* Enter name such as "Jaycees", "Kent Swim and Country Club", "Amoco Motor
Club", "or "Sam's Club". [enter text] _____________________
What is the name of the civic, service, or fraternal organizations?
* Enter name such as "Jaycees", "Kent Swim and Country Club", "Amoco Motor
Club", "or "Sam's Club". [enter text] _____________________
What is the name of the credit card?
* Enter name such as "Jaycees", "Kent Swim and Country Club", "Amoco Motor
Club", "or "Sam's Club". [enter text] _____________________
What is the name of the discount club?
* Enter name such as "Jaycees", "Kent Swim and Country Club", "Amoco Motor
Club", "or "Sam's Club". [enter text] _____________________
What is the name of the GPS services?
* Enter name such as "Jaycees", "Kent Swim and Country Club", "Amoco Motor
Club", "or "Sam's Club". [enter text] _____________________
What is the name of the dating services?
* Enter name such as "Jaycees", "Kent Swim and Country Club", "Amoco Motor
Club", "or "Sam's Club". [enter text] _____________________
Was this purchase for your CU or someone outside your CU?
What was the total cost since the first of the reference month?
(Include shipping and handling fees.) [enter value] _____________
How much of the total amount was paid this month?
[enter value] ________
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Did you "purchase/pay for" any other "items from the above list"?
End of Section 17A
Go to Section 17 Part B - Books and Entertainment »
Go to CE CAPI Survey Instrument Home Page »
Last Modified Date: November 21, 2006