Please look at this card. There has been a lot of talk about health and income. We would like to get some idea of your household’s income. This card shows various possible sources of income. Can you please tell me which of these you (and your husband/wife/partner) receive?

1 Earnings from employment or self-employment (incl. overtime, tips, bonuses) [SrcInc1]
2 State retirement pension [SrcInc2]
3 Pension from former employer [SrcInc3]
4 Personal pensions [SrcInc4]
5 Pension Credit [SrcInc5]
6 Child Benefit [SrcInc6]
7 Universal Credit [SrcInc7]
8 Job-Seekers Allowance [SrcInc8]
9 Income Support [SrcInc9]
10 Working Tax Credit, Child Tax Credit or any other Tax Credit [SrcInc10]
11 Housing Benefit [SrcInc11]
12 Employment and Support Allowance [SrcInc12]
13 Personal Independence Payments [SrcInc13
14 Disability Living Allowance [SrcInc14]
15 Attendance Allowance [SrcInc15]
16 Carer’s Allowance [SrcInc16]
17 Other state benefits [SrcInc17]
18 Student grants and bursaries (but not loans) [SrcInc18]
19 Interest from savings and investments (e.g. stocks & shares) [SrcInc19]
20 Rent from property (after expenses) [SrcInc20]
21 Other kinds of regular income (e.g. maintenance or grants) [SrcInc21]
22 No source of income