Q9-C [] | Section: Fertility |
{resp_gender}
COMMENT: Has the biochild roster been copied out yet?
If Answer = 1 Then Go To Q9-2A
Q9-2A [] | Section: Fertility |
Now we have some questions about any children that you have had. First we will verify our records about your biological children who were born before [fertrefdate~X].
Q9-2B [] | Section: Fertility |
Now we have some questions about any children that you have had. First we will verify our records about your biological children who were born before [fertrefdate~X].
In the past, some of these questions were part of the Child Survey. This year we blended them into your own interview so they will take less of your time. For each child under age 4, mothers will receive an additional $10. For each child between the ages of 4 and 14, mothers will receive an additional $10 at the time of the Child survey later this year.
Q9-5B [T03242.00] | Section: Fertility |
{totbio}>0
COMMENT: Check if there are any children on the info sheet
If Answer = 0 Then Go To Q9-14BC
Q9-18E-LOOP-BEGIN [] | Section: Fertility |
REPEAT
COMMENT: Start loop to verify final bio Roster.
0
Q9-19 [] | Section: Fertility |
I'd like to read the information about your children from our records.
(FOR EACH CHILD, READ:) Our records show that (CHILD) is a (SEX) and was born on (BIRTHDATE). Is that correct?
(INTERVIEWER: IF ALL INFO CORRECT, SELECT FIRST LINE AND SELECT <SUBMIT AND CONTINUE>. IF ANY INCORRECT INFO, SELECT FIRST CHILD RECORD REQUIRING CORRECTION AND PRESS <SUBMIT AND CONTINUE> TO PROCEED IN CORRECTING INFO FOR THAT CHILD.)
(INTERVIEWER: PLEASE USE CAUTION IN VERIFYING ANY DECEASED CHILDREN WHO APPEAR ON THE ROSTER. DISCUSSING DECEASED CHILDREN IS EXTREMELY DIFFICULT FOR MANY RESPONDENTS. IF THIS IS THE CASE WITH THE CURRENT RESPONDENT, PLEASE DO NOT VERIFY DECEASED CHILDREN.)
If Answer >= -2 AND Answer <= -1 Then Go To Q9-19JE-LOOP-END
If Answer = 1 Then Go To Q9-19JE-LOOP-END
Q9-19C [T03243.00] | Section: Fertility |
(INTERVIEWER: SELECT <YES> FOR EACH PIECE OF INFORMATION THAT IS INCORRECT FOR [biochild name requiring change ()([roster line # bio child requiring change()([Q9-loop4 counter])])]. IF NECESSARY PROBE:)
Is [biochild name requiring change ()([roster line # bio child requiring change()([Q9-loop4 counter])])]'s name incorrect?
Is [biochild name requiring change ()([roster line # bio child requiring change()([Q9-loop4 counter])])]'s sex incorrect? (GENDER=[gender of bio child requiring change()([roster line # bio child requiring change()([Q9-loop4 counter])])])
Is [biochild name requiring change ()([roster line # bio child requiring change()([Q9-loop4 counter])])]'s birthdate incorrect? (BIRTHDATE=[bdate of bio child requiring change()([roster line # bio child requiring change()([Q9-loop4 counter])])~X])
| - NAME INCOMPLETE OR INCORRECT |
| - SEX INCORRECT |
| - BIRTHDATE INCOMPLETE OR INCORRECT |
| - OTHER ITEM NEEDS CORRECTED (SPECIFY) |
| - CHILD SHOULD BE DELETED FROM ROSTER |
Q9-19D [] | Section: Fertility |
[Q9-19C([Q9-loop4 counter])~1] == 1
COMMENT: Check if answered name was incorrect.
If Answer = 1 Then Go To Q9-19F
Q9-19F [] | Section: Fertility |
What is the correct name and spelling for [biochild name requiring change ()([roster line # bio child requiring change()([Q9-loop4 counter])])]?
(INTERVIEWER: RECORD CORRECT NAME AND/OR SPELLING. PLEASE RECORD FULL NAME OR FIRST AND LAST NAME. ENTERING A SINGLE/FIRST NAME ONLY MAY CAUSE DATA PROBLEMS LATER IN THE INTERVIEW.)
Q9-19G [] | Section: Fertility |
[Q9-19C([Q9-loop4 counter])~3] == 1
COMMENT: Check if answered birthdate was incorrect.
If Answer = 1 Then Go To Q9-19H
Q9-19H [] | Section: Fertility |
What is the correct birthdate for [biochild name requiring change ()([roster line # bio child requiring change()([Q9-loop4 counter])])]?
(INTERVIEWER: RECORD CORRECTED BIRTHDATE.
YOU MUST ENTER A VALID YEAR IN THIS QUESTION. REPORT ANY UNUSUAL ANSWERS IN A COMMENT.)
Q9-19I [] | Section: Fertility |
[Q9-19C([Q9-loop4 counter])~2] == 1
COMMENT: Check if answered sex was incorrect.
If Answer = 1 Then Go To Q9-19J
Q9-19J [] | Section: Fertility |
(INTERVIEWER: IF NOT OBVIOUS, ASK:) What is the correct sex of
[biochild name requiring change ()([roster line # bio child requiring change()([Q9-loop4 counter])])]?
SELECT CORRECTED GENDER.
Q9-19JC [] | Section: Fertility |
[Q9-19C([Q9-loop4 counter])~5] == 1
COMMENT: Does a child need to be deleted from incoming roster?
If Answer = 1 Then Go To Q9-13A
Q9-13A [] | Section: Fertility |
{^biochildchg_statcode({^q9-19({Q9-LOOP4})^})^}==97
COMMENT: Is this child a new child? If so, skip out.
If Answer = 0 Then Go To Q9-13B
Q9-13B [] | Section: Fertility |
{^biochildchg_statcode({^q9-19({Q9-LOOP4})^})^}==99
COMMENT: Is this child a deleted child?
If Answer = 1 Then Go To Q9-13C
Q9-13C [] | Section: Fertility |
INTERVIEWER: [biochild name requiring change ()([roster line # bio child requiring change()([Q9-loop4 counter])])] IS DELETED. IS THIS CORRECT?
Q9-13D [] | Section: Fertility |
INTERVIEWER: DOES [biochild name requiring change ()([roster line # bio child requiring change()([Q9-loop4 counter])])] NEED TO BE DELETED?
Q9-19JE-LOOP-END [] | Section: Fertility |
UNTIL([roster line # bio child requiring change()([Q9-loop4 counter])]==1 || [roster line # bio child requiring change()([Q9-loop4 counter])] < 0)
COMMENT: End loop to verify final bio roster
Q9-14AC [T03251.00] | Section: Fertility |
INTERVIEWER: DOES R HAVE ANY CHILDREN WHO WERE BORN BEFORE [lintdate~X] WHO ARE NOT LISTED ON THE BIOLOGICAL CHILD ROSTER, THAT SHOULD BE LISTED THERE?
Q9-14BC [T03252.00] | Section: Fertility |
Our records show that you had not (had/given birth to) any children of your own as of [lintdate~X]. Is that correct?
Q9-15B-LOOP-BEGIN [] | Section: Fertility |
REPEAT
COMMENT: Loop begin to add missing biochildren
0
Q9-16 [] | Section: Fertility |
What is the name of the [first/next] child that you have (had/given birth to) as of [lintdate~X] who we do not have listed?
(INTERVIEWER: ENTER FIRST NAME, MIDDLE INITIAL, LAST NAME. PLEASE RECORD FULL NAME OR FIRST AND LAST NAME. ENTERING A SINGLE/FIRST NAME ONLY MAY CAUSE DATA PROBLEMS LATER IN THE INTERVIEW.)
Q9-16A [T03253.00] | Section: Fertility |
Is [name of bio child missing from dli roster([Q9-loop3 counter])] a boy or a girl?
Q9-16B [T03257.00] | Section: Fertility |
When was [name of bio child missing from dli roster([Q9-loop3 counter])] born?
(INTERVIEWER: IN CASE OF INVALID DATE, VERIFY CHILD'S BIRTH DATE WITH R. EXPLAIN TO RESPONDENT THAT RIGHT NOW, WE ARE ONLY COLLECTING INFORMATION ABOUT CHILDREN BORN PRIOR TO [lintdate~X]. WE WILL ASK ABOUT CHILDREN BORN SINCE [lintdate~X] IN A FEW MOMENTS.)
Q9-16L [T03261.00] | Section: Fertility |
Did you have another child that was born prior to [lintdate~X] who we do not have listed?
Q9-16P-LOOP-END [] | Section: Fertility |
UNTIL([Q9-16L([Q9-loop3 counter])]==0)
COMMENT: Loop end for entering missing bio children
Q9-16T-COUNT [] | Section: Fertility |
RECCOUNT ([biological child roster])
COMMENT: Copy bio child information out of BIOCHILD Roster.
If Answer = 0 Then Go To Q9-20_0
Q9-20 [] | Section: Fertility |
INTERVIEWER: BELOW IS YOUR CORRECTED BIOLOGICAL CHILD ROSTER AS OF [lintdate~X]. REVIEW THE ROSTER TO BE SURE THAT IT IS CORRECT. IF THE ROSTER IS NOT CORRECT, RETURN TO THE PREVIOUS QUESTIONS BY USING BACK/LEFT ARROW AT TOP OF SCREEN AND CORRECT AS NEEDED. SELECT <SUBMIT AND CONTINUE> TO PROCEED IF ROSTER IS CORRECT.
Q9-20_0 [] | Section: Fertility |
INTERVIEWER: NO BIOLOGICAL CHILDREN HAVE BEEN REPORTED UP TO [LINTDATE~X]. IF THIS IS NOT CORRECT, RETURN TO THE PREVIOUS QUESTIONS BY USING BACK/LEFT ARROW AT TOP OF SCREEN AND CORRECT AS NEEDED. OTHERWISE, SELECT "SUBMIT AND CONTINUE" TO PROCEED.
Q9NB-6 [T03265.00] | Section: Fertility |
{totnbio} > 0
COMMENT: Is there a nonbio child to check
If Answer = 1 Then Go To Q9NB-18D
Q9NB-18D [T03266.00] | Section: Fertility |
{totnbio}>0
COMMENT: Does R have at least one non-biological child?
If Answer = 1 Then Go To Q9NB-18F
Q9NB-18F [] | Section: Fertility |
I'd like to read the information about your adopted or step (child/ children) from our [fertrefdate~X] interview. As of [fertrefdate~X]......
(SELECT <SUBMIT AND CONTINUE> TO PROCEED...)
Q9NB-18G-LOOP-BEGIN [] | Section: Fertility |
REPEAT
COMMENT: Start loop to verify final non-bio Roster.
Q9NB-19 [] | Section: Fertility |
(FOR EACH CHILD, READ:)....Our records show that (NON-BIOLOGICAL CHILD) is a (SEX) and was born on (BIRTHDATE). Is that correct?
(INTERVIEWER: IF ALL INFO CORRECT, SELECT FIRST LINE AND SELECT <SUBMIT AND CONTINUE>. IF ANY INCORRECT INFO, SELECT FIRST CHILD RECORD REQUIRING CORRECTION AND PRESS <SUBMIT AND CONTINUE> TO PROCEED IN CORRECTING INFO FOR THAT CHILD.)
(INTERVIEWER: PLEASE USE CAUTION IN VERIFYING ANY DECEASED CHILDREN WHO APPEAR ON THE ROSTER. DISCUSSING DECEASED CHILDREN IS EXTREMELY DIFFICULT FOR MANY RESPONDENTS. IF THIS IS THE CASE WITH THE CURRENT RESPONDENT, PLEASE DO NOT VERIFY DECEASED CHILDREN.)
If Answer >= -2 AND Answer <= -1 Then Go To Q9NB-19K-LOOP-END
If Answer = 1 Then Go To Q9NB-19K-LOOP-END
Q9NB-19C [T03267.00] | Section: Fertility |
(INTERVIEWER: SELECT <YES> FOR EACH PIECE OF INFORMATION THAT IS INCORRECT FOR [name of nbio child requiring change([Line # of non biological child requiring correction to roster([Q9-loop9 counter])])]. IF NECESSARY PROBE:)
Is [name of nbio child requiring change([Line # of non biological child requiring correction to roster([Q9-loop9 counter])])]'s name incorrect?
Is [name of nbio child requiring change([Line # of non biological child requiring correction to roster([Q9-loop9 counter])])]'s sex incorrect? (GENDER=[gender of nbio child requiring change([Line # of non biological child requiring correction to roster([Q9-loop9 counter])])])
Is [name of nbio child requiring change([Line # of non biological child requiring correction to roster([Q9-loop9 counter])])]'s birthdate incorrect?
(BIRTHDATE=[bdate of nbio child requiring change([Line # of non biological child requiring correction to roster([Q9-loop9 counter])])~X])
| - NAME INCOMPLETE OR INCORRECT |
| - SEX INCORRECT |
| - BIRTHDATE INCOMPLETE OR INCORRECT |
| - OTHER ITEM NEEDS CORRECTED (SPECIFY) |
| - CHILD SHOULD BE DELETED FROM ROSTER |
Q9NB-19D [] | Section: Fertility |
[Q9NB-19C([Q9-loop9 counter])~1] == 1
COMMENT: Did R answer name was incorrect
If Answer = 1 Then Go To Q9NB-19F
Q9NB-19F [] | Section: Fertility |
What is the correct name and spelling for [name of nbio child requiring change([Line # of non biological child requiring correction to roster([Q9-loop9 counter])])]?
(INTERVIEWER: RECORD CORRECT NAME AND/OR SPELLING.)
Q9NB-19G [] | Section: Fertility |
[Q9NB-19C([Q9-loop9 counter])~3] == 1
COMMENT: Did R answer birthdate was incorrect
If Answer = 1 Then Go To Q9NB-19H
Q9NB-19H [] | Section: Fertility |
What is the correct birthdate for [name of nbio child requiring change([Line # of non biological child requiring correction to roster([Q9-loop9 counter])])]?
(INTERVIEWER: RECORD CORRECTED BIRTHDATE.
YOU MUST ENTER A VALID DATE IN THIS QUESTION. REPORT ANY UNUSUAL ANSWERS IN A COMMENT.)
Q9NB-19I [] | Section: Fertility |
[Q9NB-19C([Q9-loop9 counter])~2] == 1
COMMENT: Did R answer SEX was incorrect
If Answer = 1 Then Go To Q9NB-19J
Q9NB-19J [T03278.00] | Section: Fertility |
(INTERVIEWER: IF NOT OBVIOUS, ASK:) What is the correct sex of
[name of nbio child requiring change([Line # of non biological child requiring correction to roster([Q9-loop9 counter])])]?
RECORD CORRECTED GENDER.
Q9NB-11A [T03286.00] | Section: Fertility |
[Q9NB-19C([Q9-loop9 counter])~5] == 1
COMMENT: Does a child need to be deleted from incoming roster?
If Answer = 1 Then Go To Q9NB-12A
Q9NB-12A [] | Section: Fertility |
{^nbiochildchg_statcode({^q9nb-19({Q9-LOOP9})^})^}==97
COMMENT: Is this child a new child? If so, skip out.
If Answer = 0 Then Go To Q9NB-12B
Q9NB-12B [] | Section: Fertility |
{^nbiochildchg_statcode({^q9nb-19({Q9-LOOP9})^})^}==99
COMMENT: Is this child a deleted child? If so, skip.
If Answer = 1 Then Go To Q9NB-12C
Q9NB-12C [T03306.00] | Section: Fertility |
INTERVIEWER: [name of nbio child requiring change([Line # of non biological child requiring correction to roster([Q9-loop9 counter])])] IS DELETED. IS THIS CORRECT?
Q9NB-12D [] | Section: Fertility |
INTERVIEWER: DOES [name of nbio child requiring change([Line # of non biological child requiring correction to roster([Q9-loop9 counter])])] NEED TO BE DELETED?
Q9NB-19K-LOOP-END [] | Section: Fertility |
UNTIL([Line # of non biological child requiring correction to roster([Q9-loop9 counter])]==1)
COMMENT: End loop to verify final nonbio roster
Q9NB-14AC [T03317.00] | Section: Fertility |
INTERVIEWER: DOES R HAVE ANY NON-BIOLOGICAL CHILDREN WHO ARE NOT LISTED ON THE NON-BIOLOGICAL CHILD ROSTER, THAT SHOULD BE LISTED THERE?
Q9NB-14BC [T03318.00] | Section: Fertility |
Our records show that you do not have any non-biological children listed for this household as of [lintdate~X]. Is that correct?
Q9NB-15B-LOOP-BEGIN [] | Section: Fertility |
REPEAT
COMMENT: Loop begin to add missing nonbio children to roster
Q9NB92-16 [] | Section: Fertility |
What is the name of the [first/next] adopted or step child that you had as of [fertrefdate~X] that we do not have listed?
(INTERVIEWER: ENTER FIRST NAME, MIDDLE INITIAL AND LAST NAME.)
Q9NB92-16_A [T03319.00] | Section: Fertility |
Is [missing non-biological child name([Q9-loop7 counter])] your adopted or step child?
Q9NB92-16A [T03323.00] | Section: Fertility |
Is [missing non-biological child name([Q9-loop7 counter])] a boy or a girl?
Q9NB92-16B [T03327.00] | Section: Fertility |
When was [missing non-biological child name([Q9-loop7 counter])] born?
(INTERVIEWER: IN CASE OF INVALID DATE, VERIFY CHILD'S BIRTH DATE WITH R. EXPLAIN TO RESPONDENT THAT RIGHT NOW, WE ARE ONLY COLLECTING INFORMATION ABOUT CHILDREN BORN PRIOR TO [fertrefdate~X]. WE WILL ASK ABOUT CHILDREN BORN SINCE [fertrefdate~X] IN A FEW MOMENTS.
YOU MUST ENTER A VALID YEAR IN THIS QUESTION. REPORT ANY UNUSUAL ANSWERS IN A COMMENT.)
Q9NB92-16L [T03335.00] | Section: Fertility |
Did you have another adopted or step child as of [fertrefdate~X] that we do not have listed?
Q9NB92-16M-LOOP-END [] | Section: Fertility |
UNTIL([Q9NB92-16L([Q9-loop7 counter])]==0)
COMMENT: end of loop for adding nbio children.
Q9NB-16T-COUNT [] | Section: Fertility |
RECCOUNT ([non-bio child roster])
COMMENT: Copy non-bio child information out of NBIOCHILD3 Roster.
If Answer = 0 Then Go To Q9NB-20C_0
Q9NB-20C [] | Section: Fertility |
INTERVIEWER: BELOW IS YOUR CORRECTED NON-BIOLOGICAL CHILD ROSTER AS OF [fertrefdate~X]. REVIEW THE ROSTER TO BE SURE THAT IT IS CORRECT. IF THE ROSTER IS NOT CORRECT, RETURN TO THE PREVIOUS QUESTIONS BY USING THE BACK/LEFT ARROW AT TOP OF SCREEN AND CORRECT AS NEEDED. SELECT <SUBMIT AND CONTINUE> TO PROCEED IF ROSTER IS CORRECT.
Q9NB-20C_0 [] | Section: Fertility |
INTERVIEWER: NO NON-BIOLOGICAL CHILDREN HAVE BEEN REPORTED UP TO [LINTDATE~X]. IF THIS IS NOT CORRECT, RETURN TO THE PREVIOUS QUESTIONS BY USING BACK/LEFT ARROW AT TOP OF SCREEN AND CORRECT AS NEEDED. OTHERWISE, SELECT "SUBMIT AND CONTINUE" TO PROCEED.
Q9NB-22B [T03339.00] | Section: Fertility |
Do you have any adopted or step children (that we have not talked about already)?
Q9NB-22BC-LOOP-BEGIN [] | Section: Fertility |
REPEAT
COMMENT: Begin Loop for adding new nbio children.
Q9NB-22BZ [] | Section: Fertility |
What is the name of the [first/ next] adopted or step child that you have (who we do not have listed already)?
(INTERVIEWER: ENTER FIRST NAME, MIDDLE INITIAL AND LAST NAME.)
Q9NB-22BZ_1 [T03340.00] | Section: Fertility |
Is [new non-biological child name([Q9-loop8 counter])] your adopted or step child?
Q9NB-22CZ [] | Section: Fertility |
Is [new non-biological child name([Q9-loop8 counter])] a boy or a girl?
Q9NB-22DZ [T03346.00] | Section: Fertility |
When was [new non-biological child name([Q9-loop8 counter])] born?
(INTERVIEWER: YOU MUST ENTER A VALID YEAR IN THIS QUESTION. REPORT ANY UNUSUAL ANSWERS IN A COMMENT.)
Q9NB-22KZ [T03358.00] | Section: Fertility |
Did you have another adopted or step child (that we have not already talked about)?
Q9NB-22LZ-LOOP-END [] | Section: Fertility |
UNTIL([Q9NB-22Kz([Q9-loop8 counter])]==0)
COMMENT: End of the loop
Q9NB-23 [] | Section: Fertility |
INTERVIEWER: BELOW IS YOUR NON-BIOLOGICAL CHILD ROSTER AS OF [curdate~X]. REVIEW THE ROSTER TO BE SURE THAT IT IS CORRECT. IF THE ROSTER IS NOT CORRECT, RETURN TO THE PREVIOUS QUESTIONS BY USING BACK/LEFT ARROW AT TOP OF SCREEN AND CORRECT AS NEEDED. PRESS "SUBMIT AND CONTINUE" TO PROCEED IF ROSTER IS CORRECT.
Q9-22B [T03364.00] | Section: Fertility |
Now I would like to ask you about any biological children you have had, if any, since [lintdate~X].
Have you had any biological children since [lintdate~X]?
Q9-22BA [T03365.00] | Section: Fertility |
How many children have you had since [lintdate~X], not counting any babies who were stillborn? (IF NECESSARY READ: ....or dead at birth)?
Q9-23-LOOP-BEGIN [] | Section: Fertility |
REPEAT
COMMENT: Begin Loop for adding new bio children.
Q9-28 [] | Section: Fertility |
What did you name the [first/ next] baby?
(INTERVIEWER: ENTER FIRST NAME, MIDDLE INITIAL AND LAST NAME. PLEASE RECORD FULL NAME OR FIRST AND LAST NAME. ENTERING A SINGLE/FIRST NAME ONLY MAY CAUSE DATA PROBLEMS LATER IN THE INTERVIEW.)
Q9-28A [T03366.00] | Section: Fertility |
Was the baby a boy or a girl?
Q9-28B [] | Section: Fertility |
When was your child born?
(INTERVIEWER: YOU MUST ENTER A VALID YEAR IN THIS QUESTION. REPORT ANY UNUSUAL ANSWERS IN A COMMENT.)
Q9-28T-LOOP-END [] | Section: Fertility |
UNTIL([Q9-loop11 counter]==[# bio children since dli] || [# bio children since dli]<0)
COMMENT: loop end about new bio children
Q9-29GD [T03372.00] | Section: Fertility |
{TOTBIO4} > 1
COMMENT: More than one bio child?
If Answer = 1 Then Go To Q9-29HB-LOOP-BEGIN
Q9-29HB-LOOP-BEGIN [] | Section: Fertility |
REPEAT
COMMENT: Start loop to check for twins/triplets/etc.
Q9-29I [] | Section: Fertility |
(INTERVIEWER: CHECK FOR CHILDREN WITH THE SAME BIRTHDATE. FOR EACH PAIR OR GROUP OF NON-DELETED CHILDREN WITH THE SAME BIRTHDATE, ASK:)
Is it correct that (READ NAMES OF CHILDREN WITH SAME BIRTHDATES) are (twins/triplets/etc.)? (ENTER R'S RESPONSE ON NEXT SCREEN. IF NO CHILDREN HAVE SAME BIRTHDATE, ENTER NO ON NEXT SCREEN.)
Q9-29J [T03373.00] | Section: Fertility |
INTERVIEWER: ARE THERE ANY TWINS/TRIPLETS/ETC. LISTED ON THE ROSTER OF BIOLOGICAL CHILDREN ON PREVIOUS SCREEN? ENTER R'S RESPONSE BELOW.
| 0 NO (MORE) TWINS/TRIPLETS/ETC. ON CHILD ROSTER ...(Go To Q9-29QAA-LOOP-END) |
| 1 ONE SET OF TWINS ON CHILD ROSTER ...(Go To Q9-29L) |
| 2 ONE SET OF TRIPLETS ON CHILD ROSTER ...(Go To Q9-29O) |
| 3 INCORRECT TWINS/TRIPLETS/ETC. ON CHILD ROSTER |
Q9-29K [] | Section: Fertility |
INTERVIEWER: VERIFY THE BIRTHDATE INFORMATION FOR THE CHILDREN INCORRECTLY LISTED AS TWINS/TRIPLETS/ETC. USE BACK/LEFT ARROW AT TOP OF SCREEN AS NECESSARY TO CORRECT CHILD INFORMATION. IF RESPONDENT CONFIRMS BIRTHDATES LISTED, EXPLAIN IN AN INTERVIEWER COMMENT BY SELECTING "COMMENT" BUTTON NEXT TO QNAME.
Q9-29L [] | Section: Fertility |
(INTERVIEWER: TO VERIFY, IDENTIFY (FIRST/NEXT) SET OF TWINS ON ROSTER, AND IF SAME SEX, ASK:)
Are (CHILD NAME 1) and (CHILD NAME 2) identical twins or are they fraternal twins? (IF NOT SAME SEX, SELECT FRATERNAL IN QUESTION BELOW .)
Q9-29M [T03376.00] | Section: Fertility |
(Are (CHILD NAME 1) and (CHILD NAME 2) identical twins or are they fraternal twins?)
(INTERVIEWER: IF TWINS NOT THE SAME SEX, THEY ARE FRATERNAL.)
Q9-29N [T03379.00] | Section: Fertility |
Are they (REPEAT NAMES OF CHILDREN IF NECESSARY) often mistaken for each other, or are they different enough to tell apart?
| 1 Often mistaken for one another |
| 2 Different enough to tell apart |
Q9-29O [] | Section: Fertility |
(INTERVIEWER: TO VERIFY, IDENTIFY (FIRST/NEXT) SET OF TRIPLETS ON ROSTER, AND IF SAME SEX, ASK:)
Are (CHILD NAME 1), (CHILD NAME 2) and (CHILD NAME 3) identical triplets or are they fraternal triplets? (IF NOT SAME SEX, SELECT FRATERNAL IN QUESTION BELOW.)
Q9-29P [T03382.00] | Section: Fertility |
(Are (CHILD NAME 1), (CHILD NAME 2) and (CHILD NAME 3) identical triplets or are they fraternal triplets?)
(INTERVIEWER: IF TRIPLETS NOT THE SAME SEX, THEY ARE FRATERNAL.)
Q9-29Q [T03385.00] | Section: Fertility |
Are they (REPEAT CHILDREN'S NAMES IF NECESSARY) often mistaken for each other, or are they different enough to tell apart?
| 1 Often mistaken for one another |
| 2 Different enough to tell apart |
Q9-29QAA-LOOP-END [] | Section: Fertility |
UNTIL([Q9-29J([Q9-loop15 counter])]==0 || [Q9-loop15 counter]==3)
COMMENT: END LOOP WHEN ALL SETS OF MULTIPLE BIRTHS ACCOUNTED FOR, OR HAVE PASSED THROUGH MAXIMUM OF 3 TIMES
Q9-29RB [T03387.00] | Section: Fertility |
{Totbio4} > 0
COMMENT: Is there at least one child on BIOCHILD roster?
If Answer = 1 Then Go To Q9-30-LOOP-BEGIN
Q9-30-LOOP-BEGIN [] | Section: Fertility |
REPEAT
COMMENT: Begin loop to ask about new kids situations
0
Q9-30C [T03410.00] | Section: Fertility |
{^BIOCHILD_STATCODE({Q9-LOOP14})^}
COMMENT: Check the status of the child. if deceased or deleted, or adopted out skip to the next child. If the child is added, skip to appropriate question
If Answer = 5 Then Go To Q9-44
If Answer = 8 Then Go To Q9-44
If Answer = 99 Then Go To Q9-60-LOOP-END
Q9-30D [T03421.00] | Section: Fertility |
Where does [name of biochild([Q9-loop14 counter])] usually live?
| 1 IN THIS HOUSEHOLD |
| 2 WITH (HIS/HER) (FATHER/MOTHER) |
| 3 WITH OTHER (SPECIFY) RELATIVES |
| 4 WITH FOSTER CARE |
| 5 WITH ADOPTIVE PARENTS |
| 6 LONG TERM CARE INSTITUTION |
| 7 AWAY AT SCHOOL |
| 8 DECEASED ...(Go To Q9-30E) |
| 9 PART-TIME WITH YOU, PART-TIME WITH OTHER PARENT |
| 10 PART-TIME WITH YOU, PART-TIME WITH OTHER PERSON |
| 11 OTHER (SPECIFY) |
| 12 OWN INDEPENDENT RESIDENCE |
Q9-30DB [T03432.00] | Section: Fertility |
{^biochild_hhiflag({Q9-LOOP14})^}
COMMENT: Enter code for hhiflag.
If Answer >= 2 AND Answer <= 4 Then Go To Q9-44
If Answer = 5 Then Go To Q9-44
If Answer >= 6 AND Answer <= 7 Then Go To Q9-44
If Answer = 8 Then Go To Q9-30E
If Answer = 11 Then Go To Q9-44
Q9-30E [T03443.00] | Section: Fertility |
When did [name of biochild([Q9-loop14 counter])] die?
Q9-44 [T03447.00] | Section: Fertility |
{^biochild_hhiflag({Q9-LOOP14})^}
COMMENT: Does first biological child live in household or with another person
part time?
If Answer = 1 Then Go To Q9-45
If Answer = 5 Then Go To Q9-60-LOOP-END
If Answer = 8 Then Go To Q9-60-LOOP-END
If Answer = 9 Then Go To Q9-47
If Answer = 10 Then Go To Q9-45
Q9-45 [T03458.00] | Section: Fertility |
Does [name of biochild([Q9-loop14 counter])]'s natural [father/mother] live in this household?
Q9-46 [T03479.00] | Section: Fertility |
Is [name of biochild([Q9-loop14 counter])]'s [father/mother] living?
| 1 Yes ...(Go To Q9-47) |
| 0 No |
If Answer >= -2 AND Answer <= -1 Then Go To Q9-47
Q9-47 [T03490.00] | Section: Fertility |
When did [name of biochild([Q9-loop14 counter])]'s natural [father/mother] leave the household?
| 1 SELECT TO ENTER DATE |
| 2 NATURAL (MOTHER/FATHER) NEVER LIVED IN THIS HOUSEHOLD ...(Go To Q9-50) |
If Answer >= -2 AND Answer <= -1 Then Go To Q9-50
Q9-47A [T03501.00] | Section: Fertility |
INTERVIEWER: ENTER MONTH AND YEAR [name of biochild([Q9-loop14 counter])]'S NATURAL [father/mother] LEFT THE HOUSEHOLD.
Q9-48 [T03511.00] | Section: Fertility |
What month and year did [name of biochild([Q9-loop14 counter])]'s natural [father/mother] die?
Q9-50 [T03519.00] | Section: Fertility |
About how far from you does [name of biochild([Q9-loop14 counter])]'s [father/mother] live? Is it...
| 1 WITHIN 1 MILE |
| 2 1-10 MILES |
| 3 11-100 MILES |
| 4 101-200 MILES |
| 5 MORE THAN 200 MILES |
Q9-51 [T03530.00] | Section: Fertility |
In the past 12 months, about how often has [name of biochild([Q9-loop14 counter])] seen [his/her([Q9-loop14 counter])] [father/mother]?
(IF SEPARATION IS MORE RECENT THAN PAST 12 MONTHS, ASK:) Since [name of biochild([Q9-loop14 counter])] has been separated from [his/her([Q9-loop14 counter])] [father/mother], about how often has [name of biochild([Q9-loop14 counter])] seen [his/her([Q9-loop14 counter])] [father/mother]?
| 1 Almost every day |
| 2 2-5 times a week |
| 3 About once a week |
| 4 1-3 times a month |
| 5 7-11 times in past 12 months |
| 6 2-6 times in past 12 months |
| 7 Once in past 12 months |
| 0 Never ...(Go To Q9-60-LOOP-END) |
Q9-52 [T03541.00] | Section: Fertility |
How long do these visits usually last?
(INTERVIEWER: ENTER NUMBER OF DAYS. IF LESS THAN 1 DAY, ENTER 0.)
Q9-53 [T03552.00] | Section: Fertility |
About how far from you does [name of biochild([Q9-loop14 counter])] live? Is it....
| 1 WITHIN 1 MILE |
| 2 1-10 MILES |
| 3 11-100 MILES |
| 4 101-200 MILES |
| 5 MORE THAN 200 MILES |
Q9-54 [T03561.00] | Section: Fertility |
In the past 12 months, about how often have you seen [name of biochild([Q9-loop14 counter])]?
(IF SEPARATION IS MORE RECENT THAN PAST 12 MONTHS, ASK:) Since [name of biochild([Q9-loop14 counter])] has not been living with you, about how often have you seen [name of biochild([Q9-loop14 counter])]?
| 1 Almost every day |
| 2 2-5 times a week |
| 3 About once a week |
| 4 1-3 times a month |
| 5 7-11 times in past 12 months |
| 6 2-6 times in past 12 months |
| 7 Once in past 12 months |
| 0 Never ...(Go To Q9-56) |
Q9-55 [T03570.00] | Section: Fertility |
How long do these visits usually last?
(INTERVIEWER: ENTER NUMBER OF DAYS. IF LESS THAN 1 DAY, ENTER 0.)
Q9-56 [T03579.00] | Section: Fertility |
When did [name of biochild([Q9-loop14 counter])] last live with you?
| 1 SELECT TO ENTER DATE ...(Go To Q9-57) |
| 0 NEVER LIVED WITH R |
Q9-57 [T03588.00] | Section: Fertility |
(When did [name of biochild([Q9-loop14 counter])] last live with you?)
(ENTER DATE)
Q9-58 [T03596.00] | Section: Fertility |
(Were/Was) there any period(s) of more than three consecutive months when [name of biochild([Q9-loop14 counter])] did not live with you before that time?
| 1 Yes |
| 0 No |
| 2 CHILD IS LESS THAN THREE MONTHS OLD |
Q9-60-LOOP-END [] | Section: Fertility |
UNTIL([Q9-loop14 counter]==[total bio children reported])
COMMENT: end loop.
Q9-60D [] | Section: Fertility |
{hh1-1} == 5
COMMENT: Is R in jail?
If Answer = 0 Then Go To Q9-61
Q9-61 [T03604.00] | Section: Fertility |
{totbio4} > 0
COMMENT: Is there at least one child listed?
If Answer = 1 Then Go To Q9-61A
Q9-61A [T03605.00] | Section: Fertility |
Altogether, how many more children do you expect to have?
(INTERVIEWER: INCLUDE ANY CURRENT PREGNANCY OF RESPONDENT [or] [Spouse/partner's name]. IF RESPONDENT SAYS NONE, ENTER "0".)
If Answer = 0 Then Go To Q9-62_CHK1
Q9-61B [T03606.00] | Section: Fertility |
In how many months or years do you expect to have your next child?
(INTERVIEWER: ENTER MONTHS OR YEARS BELOW. SELECT <SUBMIT AND CONTINUE> TO ENTER LENGTH OF TIME.)
Q9-61CA [T03607.00] | Section: Fertility |
(In how many months do you expect to have your next child?)
(ENTER NUMBER OF MONTHS BELOW.)
Q9-61CB [T03608.00] | Section: Fertility |
(In how many years do you expect to have your next child?)
(ENTER NUMBER OF YEARS BELOW.)
Q9-61D [T03609.00] | Section: Fertility |
Altogether, how many children do you expect to have?
(INTERVIEWER: INCLUDE ANY CURRENT PREGNANCY OF RESPONDENT [or] [Spouse/partner's name]. IF RESPONDENT SAYS NONE, ENTER "0".)
If Answer = 0 Then Go To Q9-62_CHK1
Q9-61E [T03610.00] | Section: Fertility |
In how many months or years do you expect to have your first child?
(INTERVIEWER: ENTER MONTHS OR YEARS BELOW. SELECT <SUBMIT AND CONTINUE> TO ENTER LENGTH OF TIME.)
Q9-61FA [T03611.00] | Section: Fertility |
In how many months do you expect to have your first child?
(ENTER NUMBER OF MONTHS BELOW.)
Q9-61FB [T03612.00] | Section: Fertility |
In how many years do you expect to have your first child?
(ENTER NUMBER OF YEARS BELOW.)
Q9-62_CHK1 [] | Section: Fertility |
VAREXIST ([BIOLOGICAL CHILD BORN SINCE LAST NICHD INT (W/EXPANDED FERTILITY HISTORY)(1)])
COMMENT: is there a nichd code in the first row of the roster?
If Answer = 0 Then Go To Q9-62B
Q9-62A [T03613.00] | Section: Fertility |
{count97}>0
COMMENT: Are there any nichd codes =97?
If Answer = 1 Then Go To Q9-63
Q9-62B [T03614.00] | Section: Fertility |
[Q9-22B]==1
COMMENT: Were any children born since last interview?
If Answer = 1 Then Go To Q9-63
Q9-62C [T03615.00] | Section: Fertility |
((([number of months r plans to have next child] >= 0) && ([number of months r plans to have next child] <= 9) && ([time unit for time next child planned]>=1)) || (([number of months r plans to have next child]>=0) && ([number of months r plans to have next child]<=9) && ([number of months r plans to have next child]==1)))
COMMENT: Is R currently expecting?
If Answer = 1 Then Go To Q9-63
Q9-63 [T03617.00] | Section: Fertility |
When [you/your wife/spouse/partner] became pregnant [with [youngest child's name]], were you trying to have a baby or trying not to have a baby?
(INTERVIEWER: CODE RESPONDENT'S INTENTION IF THERE WAS DISAGREEMENT BETWEEN RESPONDENT AND
(SPOUSE/PARTNER).)
| 1 Trying to have a baby |
| 2 Trying not to have a baby |
| 3 Neither |
Q9-64FB [T03618.00] | Section: Fertility |
{paflag}==1 && {pa_samesex}==1
COMMENT: Is a same sex partner reported?
If Answer = 1 Then Go To Q9-67A
Q9-64GB_4 [T03619.00] | Section: Fertility |
{sterilized_prior}
COMMENT: R report being surgically sterilized in prior rounds?
If Answer = 1 Then Go To Q9-67A
Q9-64GC [T03620.00] | Section: Fertility |
Have you had any operation to prevent pregnancy? That is have you [had (a vasectomy/your tubes tied or had a tubal ligation)] or has [your wife/husband/spouse/partner] [had (a vasectomy/her tubes tied or had a tubal ligation)]?
| 1 Tubes tied only |
| 2 Vasectomy only |
| 3 Both tubes tied and vasectomy |
| 4 (IF VOLUNTEERED:) Hysterectomy only |
| 5 (IF VOLUNTEERED: Both hysterectomy and vasectomy |
| 6 No surgical procedure ...(Go To Q9-64H) |
Q9-64H [T03621.00] | Section: Fertility |
During the last month, have you or [your wife/husband/spouse/partner] used any form of birth control? By birth control we mean any method at all you or [your wife/husband/spouse/partner] used to [keep (your spouse/partner) from getting pregnant], including such methods as abstinence, withdrawal, rhythm, natural family planning methods, the pill or any other methods.
| 1 YES ...(Go To Q9-65) |
| 0 NO |
| 2 R OR PARTNER/SPOUSE IS CURRENTLY PREGNANT |
Q9-65 [T03622.00] | Section: Fertility |
What methods have you or [your wife/husband/spouse/partner] used in the last month? If more than one method was used in the last month, please tell me all the methods.
(INTERVIEWER: READ CATEGORIES ONLY AS NECESSARY.)
(SELECT ALL THAT APPLY)
| 1 Pill |
| 2 Condom, rubber |
| 3 Foam |
| 4 Jelly or cream alone |
| 5 Suppository or insert |
| 6 Diaphram with or without jelly or cream |
| 7 Douching after intercourse |
| 8 IUD, coil, loop |
| 11 Natural family planning, safe period by temperature or cervical mucous test |
| 12 Rhythm or safe period by calendar |
| 13 Withdrawal/pulling out |
| 14 Contraceptive sponge |
| 15 Abstinence |
| 17 Norplant |
| 18 Cervical Cap |
| 16 Other Method (SPECIFY) |
| 20 Hysterectomy |
| 21 Depo pravara |
Q9-65B [T03623.00] | Section: Fertility |
INSELECTION([Q9-65],9)
COMMENT: Was birth control method used "operation-sterilization"?
If Answer = 0 Then Go To Q9-65D
Q9-65D [T03624.00] | Section: Fertility |
INSELECTION([Q9-65],10)
COMMENT: Was birth control method used "operation-sterilization"?
If Answer = 0 Then Go To Q9-66
Q9-66 [T03625.00] | Section: Fertility |
In the past month, how often have you or [your wife/husband/spouse/partner] used birth control? Would you say it was always, sometimes, or almost never?
| 1 Always |
| 2 Sometimes |
| 3 Almost never |
Q9-67A [T03626.00] | Section: Fertility |
{resp_gender}==1
COMMENT: Is respondent male?
If Answer = 1 Then Go To Q9-68A
Q9-68A [T03627.00] | Section: Fertility |
INTERVIEWER: WAS ANYONE ELSE PRESENT, EXCLUDING YOUNG CHILDREN (AGE 3 AND UNDER), WHEN YOU ASKED THE QUESTIONS IN THIS SECTION (SECTION 9)?
| 1 YES |
| 0 NO |
| 2 TELEPHONE INTERVIEW |
Q9-68B [] | Section: Fertility |
For the rest of this section we are going to be asking about information since [fertrefdate~X]. So unless otherwise instructed, please think of [fertrefdate~X] when answering the questions in the rest of the section.
(INTERVIEWER: FOR THIS SERIES, PLEASE USE FERTILITY INTERVIEW DATE GIVEN IN QUESTION, INSTEAD OF THE ACTUAL LAST INTERVIEW DATE.)
Q9-165BC [] | Section: Fertility |
{hh1-1} == 5
COMMENT: Is R in jail?
If Answer = 0 Then Go To Q9-165D
Q9-165D [T03628.00] | Section: Fertility |
Have you had an abortion since [abort_refdate~X]?
(INTERVIEWER: IF THIS IS AN IN-PERSON INTERVIEW, AND OTHERS ARE PRESENT, PLEASE TURN THE MACHINE AROUND FOR THE RESPONDENT TO READ THE QUESTION AND RESPOND.)
Q9-165E [T03629.00] | Section: Fertility |
How many abortions have had you had since [abort_refdate~X]?
If Answer >= -1 AND Answer <= 0 Then Go To Q9-68C
Q9-165F-LOOP-BEGIN [] | Section: Fertility |
REPEAT
COMMENT: start loop to collect abortion dates
Q9-165F_2 [T03630.00] | Section: Fertility |
Please enter the date of the [first/next] abortion you have had since [abort_refdate~X].
Q9-165F-LOOP-END [] | Section: Fertility |
UNTIL ([Abortion Loop 1]==[number of abortions] || [number of abortions] == -2)
COMMENT: End loop when all abortions accounted for
Q9-68C [] | Section: Fertility |
{hh1-1} == 5
COMMENT: Is R in jail?
If Answer = 0 Then Go To Q9-69A
Q9-69A [T03632.00] | Section: Fertility |
{count97}>0
COMMENT: Are there any nichd codes= 97
If Answer = 1 Then Go To Q9-70A
Q9-69B [T03633.00] | Section: Fertility |
{totnew} > 0
COMMENT: Were any children born since last interview?
If Answer = 1 Then Go To Q9-70A
Q9-70A [T03634.00] | Section: Fertility |
Other than the (child/children) you have had since [fertrefdate~X], have you had any other pregnancies since [fertrefdate~X]?
(INTERVIEWER: BY OTHER PREGNANCIES, WE MEAN:
- ANY CURRENT PREGNANCY
- ANY PREGNANCIES WHICH DID NOT END IN A LIVE BIRTH. THESE SHOULD NOT BE PREGNANCIES WHICH RESULTED IN THE BIRTH OF ANY BIOLOGICAL CHILDREN LISTED.)
Q9-70B [T03635.00] | Section: Fertility |
Other than the (child/children) you have had since [fertrefdate~X], how many other pregnancies have you had since [fertrefdate~X]?
(INTERVIEWER: IF R IS CURRENTLY PREGNANT, PLEASE COUNT THAT PREGNANCY.)
If Answer = 1 Then Go To Q9-70DA
Q9-70C [] | Section: Fertility |
When did the first of these pregnancies end?
| 1 SELECT TO ENTER DATE |
| 2 STILL PREGNANT ...(Go To Q9-72) |
Q9-70D [] | Section: Fertility |
(When did the first of these pregnancies end?)
ENTER MONTH AND YEAR
Q9-70DA [T03636.00] | Section: Fertility |
When did this pregnancy end?
| 1 SELECT TO ENTER DATE |
| 2 STILL PREGNANT ...(Go To Q9-72) |
Q9-70DB [T03637.00] | Section: Fertility |
(When did this pregnancy end?)
ENTER MONTH AND YEAR
Q9-70E [T03638.00] | Section: Fertility |
How many months pregnant were you when that pregnancy ended?
(ENTER NUMBER OF MONTHS. IF LESS THAN ONE MONTH, CODE "0".)
Q9-71A [T03639.00] | Section: Fertility |
Have you had any pregnancies since [fertrefdate~X]?
(INTERVIEWER: BY OTHER PREGNANCIES, WE MEAN:
- ANY CURRENT PREGNANCY
- ANY PREGNANCIES WHICH DID NOT END IN A LIVE BIRTH. THESE SHOULD NOT BE PREGNANCIES WHICH RESULTED IN THE BIRTH OF A CHILD.)
Q9-71B [T03640.00] | Section: Fertility |
How many pregnancies have you had since [fertrefdate~X]?
(INTERVIEWER: IF R IS CURRENTLY PREGNANT, PLEASE COUNT THAT PREGNANCY.)
If Answer = 1 Then Go To Q9-71DA
Q9-71C [T03641.00] | Section: Fertility |
When did the first of these pregnancies end?
| 1 SELECT TO ENTER DATE |
| 2 STILL PREGNANT ...(Go To Q9-72) |
Q9-71D [T03642.00] | Section: Fertility |
(When did the first of these pregnancies end?)
ENTER MONTH AND YEAR
Q9-71DA [T03643.00] | Section: Fertility |
When did this pregnancy end?
| 1 SELECT TO ENTER DATE |
| 2 STILL PREGNANT ...(Go To Q9-72) |
Q9-71DB [T03644.00] | Section: Fertility |
(When did this pregnancy end?)
ENTER MONTH AND YEAR
Q9-71E [T03645.00] | Section: Fertility |
How many months pregnant were you when that pregnancy ended?
(ENTER NUMBER OF MONTHS. IF LESS THAN ONE MONTH, CODE "0".)
Q9-72 [T03646.00] | Section: Fertility |
{totbio4} > 0
COMMENT: Has R ever had any children?
If Answer = 1 Then Go To Q9-73
Q9-73 [T03647.00] | Section: Fertility |
{count97} >= 1 || {totnew} >= 1
COMMENT: Has R had any live births since 2004 or prior interview?
If Answer = 1 Then Go To Q9-73Z-LOOP-BEGIN
Q9-73Z-LOOP-BEGIN [] | Section: Fertility |
REPEAT
COMMENT: Copy name of child resulting from first pregnancy since date of 2004 or prior interview.
Q9-73ZE_1 [T03648.00] | Section: Fertility |
{^biochild_statcode({Q9-LOOP16})^}==97
COMMENT: Is this a new biochild since date of last interview?
If Answer = 1 Then Go To Q9-73ZE_2
Q9-73ZE_2 [] | Section: Fertility |
INTERVIEWER: THE FOLLOWING QUESTIONS REFER TO THE PREGNANCY THAT RESULTED IN THE BIRTH OF [name of biochild([Q9-loop16 counter])], WHO WAS BORN ON [biological child birth date([Q9-loop16 counter])~X].
Q9-74A1 [T03653.00] | Section: Fertility |
{q9-loop16} == 1
COMMENT: Is this the first time through the loop?
If Answer = 0 Then Go To Q9-74A2
Q9-74A2 [T03658.00] | Section: Fertility |
{^multbirth({lastloop})^} >= 1
COMMENT: WAS THIS A MULTIPLE BIRTH - REPORTED IN LAST LOOP?
If Answer = 0 Then Go To Q9-74B
Q9-74B [T03662.00] | Section: Fertility |
INTERVIEWER: DID THIS PREGNANCY RESULT IN THE BIRTH OF TWINS? USE BACK/LEFT ARROW AT TOP OF SCREEN IF NECESSARY TO CHECK THE ROSTER.
Q9-76E [T03667.00] | Section: Fertility |
{q9-loop16} == 1
COMMENT: IS THIS THE FIRST TIME THROUGH THE LOOP?
If Answer = 0 Then Go To Q9-76F
Q9-76F [T03672.00] | Section: Fertility |
{^multbirth({lastloop})^} >= 1
COMMENT: WAS THIS REPORTED AS A MULTIPLE BIRTH IN LAST LOOP?
If Answer = 1 Then Go To Q9-118A000001
Q9-77 [T03676.00] | Section: Fertility |
When did you become pregnant with [name of child born since dli]? What month and year?
Q9-78 [T03681.00] | Section: Fertility |
Just before you became pregnant with [name of child born since dli], did you use any methods such as abstinence, withdrawal, rhythm, natural family planning methods, the pill or any other methods, to keep from getting pregnant?
(INTERVIEWER: PLEASE SEE HELP SCREEN LISTING MANY POSSIBLE BIRTH CONTROL METHODS. READ METHODS TO RESPONDENT ONLY AS NECESSARY.)
| 1 Yes |
| 0 No ...(Go To Q9-80) |
Q9-79 [T03686.00] | Section: Fertility |
Had you stopped all methods before you became pregnant?
| 1 Yes ...(Go To Q9-80) |
| 0 No |
Q9-80 [T03688.00] | Section: Fertility |
Was the reason you (were not/stopped) using any methods because you yourself wanted to become pregnant?
| 1 Yes ...(Go To Q9-82) |
| 0 No |
Q9-81 [T03693.00] | Section: Fertility |
Just before you became pregnant that time, did you want to become pregnant when you did?
(IF NO, PROBE:) Did you want (a/another) baby but not at that time, or did you want (none/no more) at all?
| 1 Yes |
| 2 Didn't matter |
| 3 No--not at that time |
| 4 No--(none/no more) at all |
Q9-82 [T03698.00] | Section: Fertility |
And what about [your wife/husband/spouse/partner] when you became pregnant that time -- did (he/she) want you to have (a/another) baby?
(IF NO, PROBE:) Did (he/she) want you to have (a/another) baby but not at that time, or did (he/she) want you to have (none/no more) at all?
| 1 Yes |
| 2 Didn't matter |
| 3 No--not at that time |
| 4 No--(none/no more) at all |
Q9-83 [T03703.00] | Section: Fertility |
During your pregnancy with [name of child born since dli], did you make any visits to a doctor or nurse for prenatal care, that is, to be examined or talk about your pregnancy?
| 1 Yes ...(Go To Q9-84) |
| 0 No |
Q9-84 [T03708.00] | Section: Fertility |
When did you first visit a doctor or nurse for prenatal care -- during which month of your pregnancy?
(ENTER MONTH NUMBER)
Q9-85 [T03713.00] | Section: Fertility |
Did you drink any alcoholic beverages, including beer, wine, or liquor, during the 12 months before [name of child born since dli] was born?
| 1 Yes ...(Go To Q9-86) |
| 0 No |
Q9-86 [T03718.00] | Section: Fertility |
How often did you usually drink alcoholic beverages during (your/that) pregnancy? Did you drink ... (READ CATEGORIES)...?
| 7 Every day |
| 6 Nearly every day |
| 5 3 or 4 days a week |
| 4 1 or 2 days a week |
| 3 3 or 4 days a month |
| 2 About once a month |
| 1 Less than once a month |
| 0 Never |
Q9-87 [T03723.00] | Section: Fertility |
Did you smoke tobacco cigarettes at all during the 12 months before [name of child born since dli] was born?
| 1 Yes ...(Go To Q9-88) |
| 0 No |
Q9-88 [T03728.00] | Section: Fertility |
On the average, how many cigarettes did you smoke during (your/that) pregnancy? Did you smoke 2 or more packs a day? Did you smoke 1 pack or more but less than 2 packs a day, or less than 1 pack a day?
| 3 2 or more packs a day |
| 2 1 or more but less than 2 |
| 1 Less than 1 pack a day |
| 0 (IF VOLUNTEERED:) DID NOT SMOKE DURING THAT PERIOD |
Q9-89 [T03731.00] | Section: Fertility |
Did you use marijuana or hashish at all during the 12 months before [name of child born since dli] was born?
| 1 Yes ...(Go To Q9-90) |
| 0 No |
Q9-90 [] | Section: Fertility |
On the average, how many times did you usually use marijuana or hashish during (your/that) pregnancy? Did you use it ...
(READ CATEGORIES)...?
| 7 Every day |
| 6 Nearly every day |
| 5 3 or 4 days a week |
| 4 1 or 2 days a week |
| 3 3 or 4 days a month |
| 2 About once a month |
| 1 Less than once a month |
| 0 Never |
Q9-91 [T03736.00] | Section: Fertility |
Did you use any form of cocaine at all during the 12 months before [name of child born since dli] was born?
| 1 Yes ...(Go To Q9-92) |
| 0 No |
Q9-92 [] | Section: Fertility |
On the average, how many times did you usually use any form of cocaine during (your/that) pregnancy? Did you use it ...
(READ CATEGORIES)...?
| 7 Every day |
| 6 Nearly every day |
| 5 3 or 4 days a week |
| 4 1 or 2 days a week |
| 3 3 or 4 days a month |
| 2 About once a month |
| 1 Less than once a month |
| 0 Never |
Q9-93 [T03741.00] | Section: Fertility |
During (your/that) pregnancy, did you take a vitamin/mineral supplement?
Q9-94 [T03746.00] | Section: Fertility |
During (your/that) pregnancy, did you cut down on the calories in the food you ate?
Q9-95 [T03751.00] | Section: Fertility |
During (your/that) pregnancy, did you cut down on the amount of salt you used?
Q9-96 [T03756.00] | Section: Fertility |
During (your/that) pregnancy, did you use diuretics (fluid or water pills) to help eliminate water?
Q9-97 [T03761.00] | Section: Fertility |
During (your/that) pregnancy, did you reduce or stop your smoking?
| 1 YES |
| 0 NO |
| 4 NOT APPLICABLE |
Q9-98 [T03766.00] | Section: Fertility |
During (your/that) pregnancy, did you reduce or stop your alcohol intake?
| 1 YES |
| 0 NO |
| 4 NOT APPLICABLE |
Q9-99A [T03771.00] | Section: Fertility |
[Q9-93([Q9-loop16 counter])]==1
COMMENT: Did R take a vitamin/mineral supplement during first pregnancy?
If Answer = 1 Then Go To Q9-99B
Q9-99B [T03776.00] | Section: Fertility |
Did you take a vitamin/mineral supplement based on a doctor's or nurse's suggestion?
Q9-100A [T03781.00] | Section: Fertility |
[Q9-94([Q9-loop16 counter])]==1
COMMENT: Did R cut down on the amount of calories his/her food during first pregnancy?
If Answer = 1 Then Go To Q9-100B
Q9-100B [T03786.00] | Section: Fertility |
Did you cut down on the calories in the food you ate based on a doctor's or nurse's suggestion?
Q9-101A [T03789.00] | Section: Fertility |
[Q9-95([Q9-loop16 counter])]==1
COMMENT: Did R cut down on the amount of salt he/she used during first pregnancy?
If Answer = 1 Then Go To Q9-101B
Q9-101B [T03794.00] | Section: Fertility |
Did you cut down on the amount of salt you used based on a doctor's or nurse's suggestion?
Q9-102A [T03799.00] | Section: Fertility |
[Q9-96([Q9-loop16 counter])]==1
COMMENT: Did R use diuretics (fluid or water pills) to help eliminate water during first pregnancy?
If Answer = 1 Then Go To Q9-102B
Q9-102B [] | Section: Fertility |
Did you use diuretics (fluid or water pills) to help eliminate water based on a doctor's or nurse's suggestion?
Q9-103A [T03804.00] | Section: Fertility |
[Q9-97([Q9-loop16 counter])]==1
COMMENT: Did R reduce or stop his/her smoking during first pregnancy?
If Answer = 1 Then Go To Q9-103B
Q9-103B [T03809.00] | Section: Fertility |
Did you reduce or stop your smoking based on a doctor's or nurse's suggestion?
Q9-104A [T03813.00] | Section: Fertility |
[Q9-98([Q9-loop16 counter])]==1
COMMENT: Did R reduce or stop his/her alcohol intake during first pregnancy?
If Answer = 1 Then Go To Q9-104B
Q9-104B [T03818.00] | Section: Fertility |
Did you reduce or stop your alcohol intake based on a doctor's or nurse's suggestion?
Q9-105 [T03823.00] | Section: Fertility |
Based on either your last menstrual period date or your doctor's or clinic's information, was [name of child born since dli] born within one week of the expected (due) date?
Q9-106A [T03828.00] | Section: Fertility |
Was the baby born early or late?
Q9-106B [T03833.00] | Section: Fertility |
How many weeks early was the baby?
(IF "1 1/2 WEEKS" ROUND UP TO "2".)
Q9-106C [T03837.00] | Section: Fertility |
How many weeks late was the baby?
(IF "1 1/2 WEEKS" ROUND UP TO "2".)
Q9-107 [T03840.00] | Section: Fertility |
Was a cesarean section done? (IF NECESSARY, PROBE:) Was the baby delivered by an incision in your abdomen?
Q9-108 [T03845.00] | Section: Fertility |
Was this your first cesarean section, or did you have one before?
| 1 First cesarean |
| 0 Had cesarean(s) before |
Q9-109 [T03850.00] | Section: Fertility |
What was your weight just before you delivered?
Q9-110 [T03855.00] | Section: Fertility |
What was your weight just before you became pregnant with [name of child born since dli]?
Q9-111 [T03860.00] | Section: Fertility |
{Q9-109} >= 0 && {Q9-110} >= 0
COMMENT: Are both the weight at delivery and the pre-pregnancy weight real numbers (not DK or REFUSALS)?
If Answer = 0 Then Go To Q9-118A000001
Q9-112 [T03865.00] | Section: Fertility |
{Q9-109} - {Q9-110}
COMMENT: Subtract weight at time of delivery from weight before pregnancy.
If Answer = 0 Then Go To Q9-116
Q9-113 [T03870.00] | Section: Fertility |
{Q9-109} < {Q9-110}
COMMENT: Did R lose weight during pregnancy (weight at delivery is less than weight before pregnancy)?
If Answer = 0 Then Go To Q9-115
If Answer = 1 Then Go To Q9-114B
Q9-114B [] | Section: Fertility |
Does that mean that you lost [amount respondent gained/loss during pregnancy since dli] pounds during your pregnancy?
(INTERVIEWER: IF NECESSARY, VERIFY WEIGHTS IN Q9-109 ([r's weight before delivery]) AND Q9-110 ([r's weight before pregnancy]). BACK UP USING BACK/LEFT ARROW AT TOP OF SCREEN TO CORRECT IF R INDICATES AMOUNT IS INCORRECT.)
Q9-115 [T03875.00] | Section: Fertility |
Does that mean that you gained [amount respondent gained/loss during pregnancy since dli] pounds during your pregnancy?
(INTERVIEWER: IF NECESSARY, VERIFY WEIGHTS IN Q9-109 ([r's weight before delivery]) AND Q9-110 ([r's weight before pregnancy]). BACK UP USING BACK/LEFT ARROW AT TOP OF SCREEN TO CORRECT IF R INDICATES AMOUNT IS INCORRECT.)
Q9-116 [] | Section: Fertility |
Does that mean that you did not gain or lose any weight during your pregnancy?
(INTERVIEWER: IF NECESSARY, VERIFY WEIGHTS IN Q9-109 ([r's weight before delivery]) AND Q9-110 ([r's weight before pregnancy]). BACK UP USING BACK/LEFT ARROW AT TOP OF SCREEN TO CORRECT IF R INDICATES AMOUNT IS INCORRECT.)
Q9-117 [] | Section: Fertility |
Did you gain or lose weight during your pregnancy with [name of child born since dli]?
| 1 GAINED WEIGHT ...(Go To Q9-117A) |
| 2 LOST WEIGHT ...(Go To Q9-117A) |
| 3 DID NOT GAIN OR LOSE ANY WEIGHT |
Q9-117A [] | Section: Fertility |
How much weight did you (gain/lose)?
(ENTER NUMBER OF POUNDS)
Q9-118A000001 [T03880.00] | Section: Fertility |
How much did [name of child born since dli] weigh at birth?
(INTERVIEWER: ENTER POUNDS AND OUNCES BELOW.)
Q9-118A000002 [T03885.00] | Section: Fertility |
Q9-118B [T03890.00] | Section: Fertility |
([weight of baby in pounds([Q9-loop16 counter])] == -1 || [weight of baby in pounds([Q9-loop16 counter])]== -2 || [weight of baby in ounces([Q9-loop16 counter])] == -1 || [weight of baby in ounces([Q9-loop16 counter])]==-2)
COMMENT: If birth weight missing, go to estimate
If Answer = 1 Then Go To Q9-118C
Q9-118C [T03895.00] | Section: Fertility |
Did [name of child born since dli] weigh more than 5 1/2 pounds or less?
Q9-119 [T03898.00] | Section: Fertility |
What was [name of child born since dli]'s length at birth?
(ENTER INCHES)
Q9-119A [T03903.00] | Section: Fertility |
INTERVIEWER: DID R INDICATE THAT THE LENGTH OF THE BABY WAS AN ESTIMATE?
Q9-HLTH-HGT-SELECT [T03908.00] | Section: Fertility |
I'd also like to find out [name of child born since dli]'s current height. How tall is [he/she] now?
INTERVIEWER: SELECT HOW YOU WISH TO ENTER HEIGHT -
IN FEET AND INCHES - OR - TOTAL INCHES
.
| 1 FEET AND INCHES ENTRY |
| 2 TOTAL INCHES ENTRY (ESP INFANTS) |
Q9-HLTH-HGT-MTHDCK [T03913.00] | Section: Fertility |
{preg_hgtmethod}
If Answer = 1 Then Go To Q9-HLTH-HGT-FEET
If Answer = 2 Then Go To Q9-HLTH-HGT-TOTALINCHES
Q9-HLTH-HGT-FEET [T03918.00] | Section: Fertility |
INTERVIEWER: RECORD FEET AND INCHES BELOW.
Q9-HLTH-HGT-INCHES [T03923.00] | Section: Fertility |
Q9-HLTH-HGT-TOTALINCHES [T03928.00] | Section: Fertility |
INTERVIEWER: RECORD HEIGHT IN TOTAL INCHES.
Q9-HLTH-HGTCOMP [T03938.00] | Section: Fertility |
([height input] < [calculated min height]) || ([height input] > [calculated max height])
COMMENT: Is total child height in inches outside of calculated min - max range?
If Answer = 1 Then Go To Q9-HLTH-HGT-MTHDCK2
Q9-HLTH-HGT-MTHDCK2 [] | Section: Fertility |
{PREG_HGTMETHOD}
COMMENT: How was height reported?
If Answer = 1 Then Go To Q9-HLTH-HGTCONF1
If Answer = 2 Then Go To Q9-HLTH-HGTCONF2
Q9-HLTH-HGTCONF1 [] | Section: Fertility |
INTERVIEWER:
CAUTION...
THE HEIGHT ENTERED FOR [name of child born since dli] IS OUTSIDE THE USUAL RANGE OF HEIGHT FOR A CHILD THIS AGE. PLEASE CHECK -- ARE THESE VALUES CORRECT?
[PREG_FEET_TXT] FEET AND [PREG_INCH_TXT] INCHES
BACK UP TO CORRECT ANY ERROR, OR SELECT "YES" TO CONFIRM THE VALUES AND CONTINUE.
Q9-HLTH-HGTCONF2 [] | Section: Fertility |
INTERVIEWER:
CAUTION...
THE HEIGHT ENTERED FOR [name of child born since dli] IS OUTSIDE THE USUAL RANGE OF HEIGHT FOR A CHILD THIS AGE. PLEASE CHECK -- IS THIS VALUE CORRECT?
[PREG_TOTINCH_TXT] TOTAL INCHES
BACK UP TO CORRECT ANY ERROR, OR SELECT "YES" TO CONFIRM THE VALUE AND CONTINUE.
Q9-HLTH-HGT-REPT [T03943.00] | Section: Fertility |
INTERVIEWER: HOW WAS HEIGHT REPORTED?
| 1 TAPE MEASUREMENT |
| 2 MOTHER RECALL |
| 3 CHILD RECALL |
Q9-HLTH-WGT-SELECT [T03948.00] | Section: Fertility |
I'd also like to find out [name of child born since dli]'s current weight. How much does [he/she] weigh now?
INTERVIEWER: SELECT HOW YOU WISH TO ENTER WEIGHT
POUNDS - OR - POUNDS AND OUNCES (FOR CHILDREN UNDER 20 LBS.)
| 1 ENTER POUNDS ONLY |
| 2 ENTER POUNDS AND OUNCES (ESP INFANTS) |
Q9-HLTH-WGT-MTHDCK [T03953.00] | Section: Fertility |
{PREG_WGTMETHOD}
COMMENT: How was the weight reported?
If Answer = 1 Then Go To Q9-HLTH-WGT-LBSONLY
If Answer = 2 Then Go To Q9-HLTH-WGT-LBS
Q9-HLTH-WGT-LBSONLY [T03958.00] | Section: Fertility |
INTERVIEWER: RECORD WEIGHT IN POUNDS. IF MEASUREMENT TAKEN, BE SURE CHILD IS NOT WEARING SHOES OR HEAVY OUTER GARMENTS.
.
Q9-HLTH-WGT-LBS [] | Section: Fertility |
INTERVIEWER: (FOR CHILDREN UNDER 20 LBS.) RECORD POUNDS AND OUNCES. IF MEASUREMENT TAKEN, BE SURE CHILD IS NOT WEARING SHOES OR HEAVY OUTER GARMENTS.
.
Q9-HLTH-WGT-OZS [] | Section: Fertility |
Q9-HLTH-WGTCOMP [T03968.00] | Section: Fertility |
([weight input] < [calculated min weight]) || ([weight input] > [calculated max weight])
COMMENT: Internal Function - Is total child weight in pounds outside of calculated min - max range?
If Answer = 1 Then Go To Q9-HLTH-WGT-MTHDCK2
Q9-HLTH-WGT-MTHDCK2 [] | Section: Fertility |
{PREG_WGTMETHOD}
COMMENT: How was the weight reported?
If Answer = 1 Then Go To Q9-HLTH-WGTCONF1
If Answer = 2 Then Go To Q9-HLTH-WGTCONF2
Q9-HLTH-WGTCONF1 [] | Section: Fertility |
INTERVIEWER:
CAUTION...
THE WEIGHT ENTERED FOR [name of child born since dli] IS OUTSIDE THE USUAL RANGE OF WEIGHT FOR A CHILD THIS AGE. PLEASE CHECK -- IS THE VALUE SHOWN CORRECT?
[PREG_POUNDS_TXT] POUNDS
BACK UP TO CORRECT ANY ERROR, OR SELECT "YES" TO CONFIRM THE VALUE AND CONTINUE.
Q9-HLTH-WGTCONF2 [] | Section: Fertility |
INTERVIEWER:
CAUTION...
THE WEIGHT ENTERED FOR [name of child born since dli] IS OUTSIDE THE USUAL RANGE OF WEIGHT FOR A CHILD THIS AGE. PLEASE CHECK -- ARE THE VALUES SHOWN CORRECT?
[PREG_POUNDS_TXT] POUNDS AND [PREG_OZ_TXT] OUNCES
BACK UP TO CORRECT ANY ERROR, OR SELECT "YES" TO CONFIRM THE VALUE(S) AND CONTINUE.
Q9-HLTH-WGT-REPT [T03973.00] | Section: Fertility |
INTERVIEWER: HOW WAS WEIGHT REPORTED?
| 1 SCALE MEASUREMENT |
| 2 MOTHER RECALL |
| 3 CHILD RECALL |
Q9-120 [T03983.00] | Section: Fertility |
How long did your baby stay in the hospital?
| 1 SELECT TO ENTER NUMBER OF DAYS |
| 0 BABY/RESPONDENT DID NOT STAY IN HOSPITAL ...(Go To Q9-123) |
Q9-120A [T03988.00] | Section: Fertility |
(How long did your baby stay in the hospital?)
(ENTER NUMBER OF DAYS)
Q9-121 [T03993.00] | Section: Fertility |
Did you leave the hospital at the same time as your baby or did you leave earlier or later?
Q9-122A [T03998.00] | Section: Fertility |
How many days earlier?
Q9-122B [] | Section: Fertility |
How many days later?
Q9-123 [T04000.00] | Section: Fertility |
In [name of child born since dli]'s first year, did you take [him/her] to a clinic, hospital, or doctor because [he/she] was sick or injured?
(IF BABY "ADOPTED OUT"/"DECEASED" AND R IS RELUCTANT, SAY:) We appreciate how difficult this is, but [name of child born since dli]'s experiences are important in helping us understand the health of other children like [him/her].
Q9-124 [] | Section: Fertility |
When you took [name of child born since dli] to a clinic, hospital, or doctor the first time because [he/she] was sick or injured, what was the nature of [his/her] illness or injury?
(INTERVIEWER: RECORD VERBATIM. SELECT <SUBMIT AND CONTINUE> TO PROCEED FOR CODING OF ILLNESS OR INJURY DESCRIBED HERE.)
Q9-124A [T04005.00] | Section: Fertility |
(INTERVIEWER: CODE FOR MAIN ILLNESS OR INJURY. SELECT <SUBMIT AND CONTINUE> TO CODE SYMPTOMS MENTIONED FOR THIS ILLNESS OR INJURY.IF MORE THAN ONE ILLNESS OR INJURY MENTIONED, PROBE: What was the main illness or injury?)
| 1 fever |
| 2 cold |
| 3 sore throat |
| 4 pneumonia |
| 5 ear infection |
| 6 vomiting, diarrhea, or dehydration |
| 7 rash |
| 15 broken bone |
| 16 burn |
| 8 other accident or poisoning |
| 9 convulsions |
| 10 jaundice |
| 11 feeding problems (food allergy, formula tolerance, etc.) |
| 12 meningitis |
| 13 asthma or bronchitis |
| 14 other (SPECIFY) |
| 0 None |
Q9-125 [T04010.00] | Section: Fertility |
Please tell me which symptoms or conditions occurred with (the/a) [main illness - child's first visit to clinic].
(INTERVIEWER: SELECT ALL THAT APPLY AND SELECT "COMMENT" BUTTON BESIDE QNAME TO RECORD VERBATIM IN COMMENT. DO NOT RESELECT MAIN ILLNESS OR INJURY RECORDED IN Q9-124. PROBE AND READ CATEGORIES AS NECESSARY.)
| 1 fever |
| 2 cold |
| 3 sore throat |
| 4 pneumonia |
| 5 ear infection |
| 6 vomiting, diarrhea, or dehydration |
| 7 rash |
| 15 broken bone |
| 16 burn |
| 8 other accident or poisoning |
| 9 convulsions |
| 10 jaundice |
| 11 feeding problems (food allergy, formula tolerance, etc.) |
| 12 meningitis |
| 13 asthma or bronchitis |
| 14 other (SPECIFY) |
| 0 None |
Q9-126 [T04015.00] | Section: Fertility |
How many months old was [name of child born since dli] when you took [him/her] to a clinic, hospital or doctor the first time for (this) [main illness - child's first visit to clinic]?
(INTERVIEWER: 1 DAY TO 4 WKS = 1 MONTH. MORE THAN 4 WEEKS -- DIVIDE BY 4 AND ROUND UP. EX: 35 WEEKS = 9 MONTHS.)
Q9-127 [T04020.00] | Section: Fertility |
In [name of child born since dli]'s first year, altogether how many visits were made to a clinic, hospital, or doctor because [he/she] had (that) [main illness - child's first visit to clinic]?
If Answer = 1 Then Go To Q9-129
Q9-128 [T04025.00] | Section: Fertility |
In [name of child born since dli]'s first year, how many months old was [he/she] the last time you took [him/her] to a clinic or doctor for (that) [main illness - child's first visit to clinic]?
Q9-129 [T04030.00] | Section: Fertility |
In [name of child born since dli]'s first year, when you took [him/her] to a clinic, hospital, or doctor because [he/she] had (that) [main illness - child's first visit to clinic], where did you take [him/her]?
| 1 Private doctor's office |
| 2 Clinic |
| 4 Health maintenance organization (HMO) |
| 5 Hospital |
| 6 Community health center |
| 8 Other (SPECIFY) |
| 12 (IF VOLUNTEERED: Military doctor or army hospital or clinic) |
Q9-130B [T04035.00] | Section: Fertility |
INSELECTION([Q9-129([Q9-loop16 counter])],5)
COMMENT: Was child from first pregnancy admitted to hospital for first illness in first year of life?
If Answer = 1 Then Go To Q9-131
Q9-131 [T04040.00] | Section: Fertility |
When [name of child born since dli] was admitted to the hospital, was surgery necessary?
Q9-132 [T04042.00] | Section: Fertility |
Did you have to take time off from work?
Q9-133 [T04044.00] | Section: Fertility |
In [name of child born since dli]'s first year, did you take [him/her] to a clinic, hospital, or doctor because [he/she] was sick or injured with a different illness or injury than the one we have just talked about?
Q9-134 [] | Section: Fertility |
What was the nature of this other illness or injury?
(INTERVIEWER: RECORD VERBATIM. SELECT <SUBMIT AND CONTINUE> TO PROCEED FOR CODING OF ILLNESS OR INJURY DESCRIBED HERE.)
Q9-134A [T04049.00] | Section: Fertility |
(INTERVIEWER: CODE FOR MAIN ILLNESS OR INJURY. SELECT <SUBMIT AND CONTINUE> TO CODE SYMPTOMS MENTIONED FOR THIS ILLNESSES OR INJURIES.)
(IF MORE THAN ONE ILLNESS OR INJURY MENTIONED, PROBE:) What was the main illness or injury?
| 1 fever |
| 2 cold |
| 3 sore throat |
| 4 pneumonia |
| 5 ear infection |
| 6 vomiting, diarrhea, or dehydration |
| 7 rash |
| 15 broken bone |
| 16 burn |
| 8 other accident or poisoning |
| 9 convulsions |
| 10 jaundice |
| 11 feeding problems (food allergy, formula tolerance, etc.) |
| 12 meningitis |
| 13 asthma or bronchitis |
| 14 other (SPECIFY) |
| 0 None |
Q9-135 [T04052.00] | Section: Fertility |
Please tell me which symptoms or conditions occurred with (the/a) [fever/cold/sore throat/pneumonia/ear infection/vomiting diarrhea or dehydration/rash/broken bone/burn/other accident or poisening/convulsions/janudice/feeding problems(food allergy - formula intollerance - etc.)/meningitis/asthma or bronchitis/other].
(INTERVIEWER: SELECT ALL THAT APPLY AND SELECT "COMMENT" BUTTON BESIDE QNAME TO RECORD VERBATIM IN COMMENT. DO NOT RESELECT MAIN ILLNESS OR INJURY RECORDED IN Q9-134. PROBE AND READ CATEGORIES AS NECESSARY.)
| 1 fever |
| 2 cold |
| 3 sore throat |
| 4 pneumonia |
| 5 ear infection |
| 6 vomiting, diarrhea, or dehydration |
| 7 rash |
| 15 broken bone |
| 16 burn |
| 8 other accident or poisoning |
| 9 convulsions |
| 10 jaundice |
| 11 feeding problems (food allergy, formula tolerance, etc.) |
| 12 meningitis |
| 13 asthma or bronchitis |
| 14 other (SPECIFY) |
| 0 None |
Q9-136 [T04055.00] | Section: Fertility |
How many months old was [name of child born since dli] when you took [him/her] to a clinic, hospital or doctor the first time for (this) [fever/cold/sore throat/pneumonia/ear infection/vomiting diarrhea or dehydration/rash/broken bone/burn/other accident or poisening/convulsions/janudice/feeding problems(food allergy - formula intollerance - etc.)/meningitis/asthma or bronchitis/other]?
(INTERVIEWER: 1 DAY TO 4 WKS = 1 MONTH. MORE THAN 4 WEEKS -- DIVIDE BY 4 AND ROUND UP. EX: 35 WEEKS = 9 MONTHS.)
Q9-137 [T04058.00] | Section: Fertility |
In [name of child born since dli]'s first year, altogether how many visits were made to a clinic, hospital, or doctor because [he/she] had (that) [fever/cold/sore throat/pneumonia/ear infection/vomiting diarrhea or dehydration/rash/broken bone/burn/other accident or poisening/convulsions/janudice/feeding problems(food allergy - formula intollerance - etc.)/meningitis/asthma or bronchitis/other]?
If Answer = 1 Then Go To Q9-139
Q9-138 [T04061.00] | Section: Fertility |
In [name of child born since dli]'s first year, how many months old was [he/she] the last time you took [him/her] to a clinic or doctor for (that) [fever/cold/sore throat/pneumonia/ear infection/vomiting diarrhea or dehydration/rash/broken bone/burn/other accident or poisening/convulsions/janudice/feeding problems(food allergy - formula intollerance - etc.)/meningitis/asthma or bronchitis/other]?
Q9-139 [T04063.00] | Section: Fertility |
In [name of child born since dli]'s first year, when you took [him/her] to a clinic, hospital, or doctor because [he/she] had (that) [fever/cold/sore throat/pneumonia/ear infection/vomiting diarrhea or dehydration/rash/broken bone/burn/other accident or poisening/convulsions/janudice/feeding problems(food allergy - formula intollerance - etc.)/meningitis/asthma or bronchitis/other], where did you take [him/her]?
| 1 Private doctor's office |
| 2 Clinic |
| 4 Health maintenance organization (HMO) |
| 5 Hospital |
| 6 Community health center |
| 8 Other (SPECIFY) |
| 12 (IF VOLUNTEERED: Military doctor or army hospital or clinic) |
Q9-140B [T04066.00] | Section: Fertility |
INSELECTION([Q9-139([Q9-loop16 counter])],5)
COMMENT: Was child from first pregnancy admitted to hospital for second illness in first year of life?
If Answer = 1 Then Go To Q9-141
Q9-141 [] | Section: Fertility |
When [name of child born since dli] was admitted to the hospital, was surgery necessary?
Q9-142 [] | Section: Fertility |
Did you have to take time off from work?
Q9-143 [T04069.00] | Section: Fertility |
Now please think about well baby care.
In [name of child born since dli]'s first year, did you take [him/her] to a clinic or doctor for well baby care when [he/she] was not sick?
(INTERVIEWER: IF RESPONDENT SAYS "YES", BUT DOES NOT KNOW MONTHS, ENCOURAGE R TO ESTIMATE MONTHS OF AGE IF AT ALL POSSIBLE.
IF RESPONDENT CAN NOT ESTIMATE, CHOOSE "TOOK CHILD FOR WELL BABY CARE, DO NOT KNOW ANY MONTHS" IN LIST BELOW.)
| 1 YES ...(Go To Q9-144A) |
| 0 NO |
| 2 DID TAKE CHILD FOR WELL BABY CARE, DO NOT KNOW ANY MONTHS ...(Go To Q9-145B) |
Q9-144A [T04074.00] | Section: Fertility |
How many months old was [name of child born since dli] when you took [him/her] to a clinic or doctor for well baby care the first time?.....
How old was [he/she] the next time?
(INTERVIEWER: CONTINUE TO ASK UNTIL THE LAST TIME IS CODED.)
(SELECT ALL THAT APPLY)
| 1 1 month old |
| 2 2 months old |
| 3 3 months old |
| 4 4 months old |
| 5 5 months old |
| 6 6 months old |
| 7 7 months old |
| 8 8 months old |
| 9 9 months old |
| 10 10 months old |
| 11 11 months old |
| 12 12 months old |
Q9-145B [T04079.00] | Section: Fertility |
Where did you usually take [name of child born since dli] for well baby care? Was it a .... (READ CATEGORIES AS NECESSARY)?
| 1 Private doctor's office ...(Go To Q9-145B_D) |
| 2 Clinic ...(Go To Q9-145B_A) |
| 4 Health maintenance organization (HMO) |
| 5 Hospital ...(Go To Q9-145B_B) |
| 6 Community health center |
| 8 Other (SPECIFY) |
| 12 (IF VOLUNTEERED: Military doctor or army hospital or clinic) |
Q9-145B_A [T04081.00] | Section: Fertility |
What type of clinic was that? Was it a private clinic, a public clinic, a hospital or walk-in clinic, or some other type of clinic?
| 1 Private clinic |
| 2 Public Clinic |
| 3 Hospital clinic, walk-in clinic |
| 4 Other type of clinic (specify) |
Q9-145B_B [] | Section: Fertility |
Was [name of child born since dli] admitted to the hospital?
Q9-145B_C [] | Section: Fertility |
Did you take [name of child born since dli] to a hospital clinic or a hospital emergency room?
| 1 Hospital clinic |
| 2 Emergency room |
Q9-145B_D [T04082.00] | Section: Fertility |
Was the private doctor's office you took [name of child born since dli] to paid for by a Health Maintenance Organization (HMO)?
Q9-146A-LOOP-BEGIN [] | Section: Fertility |
FOR ([months old]=1;[months old]<=12;[months old]=[months old]+1;[Q9-147A-LOOP-END])
COMMENT: start loop to ask where baby was taken for well care
Q9-146AA [] | Section: Fertility |
INSELECTION([Q9-144A([Q9-loop16 counter])], [months old])
COMMENT: start loop to ask where baby was taken for well care
If Answer = 1 Then Go To Q9-146B
Q9-146B [T04083.00] | Section: Fertility |
When you took [name of child born since dli] for well baby care when [he/she] was [text equilvalent of number of months r took new baby since dli for well baby care], where did you take [him/her]?
Was it a .... (READ CATEGORIES AS NECESSARY)?
| 1 Private doctor's office ...(Go To Q9-146B_D) |
| 2 Public clinic ...(Go To Q9-146B_A) |
| 3 Private clinic |
| 4 Health maintenance organization (HMO) |
| 5 Hospital clinic, walk-in clinic ...(Go To Q9-146B_B) |
| 6 Community health center |
| 7 Emergency room out-patient |
| 8 Other (SPECIFY) |
Q9-146B_A [T04121.00] | Section: Fertility |
What type of clinic was that? Was it a private clinic, a public clinic, a hospital or walk-in clinic, or some other type of clinic?
| 1 Private clinic |
| 2 Public Clinic |
| 3 Hospital clinic, walk-in clinic |
| 4 Other type of clinic (specify) |
Q9-146B_B [] | Section: Fertility |
Was [name of child born since dli] admitted to the hospital?
Q9-146B_C [] | Section: Fertility |
Did you take [name of child born since dli] to a hospital clinic or a hospital emergency room?
| 1 Hospital clinic |
| 2 Emergency room |
Q9-146B_D [T04125.00] | Section: Fertility |
Was the private doctor's office you took [name of child born since dli] to for well baby care when [he/she] was [text equilvalent of number of months r took new baby since dli for well baby care], paid for by a Health Maintenance Organization (HMO)?
Q9-147A-LOOP-END [] | Section: Fertility |
ENDFOR
COMMENT: Repeat loop for number of choices
Q9-HLTH-INTRO [] | Section: Fertility |
(READ TO RESPONDENT:)
Now I'd like to ask you some questions about [name of biochild([Q9-loop16 counter])]'s general state of health.
Q9-HLTH-2C [T04159.00] | Section: Fertility |
Does [name of biochild([Q9-loop16 counter])] have any physical, emotional, or mental condition that limits or prevents [his/her([Q9-loop16 counter])] ability to...
...do usual childhood activities such as play, or participate in games (or sports)?
Q9-HLTH-3A [T04164.00] | Section: Fertility |
Does [he/she([Q9-loop16 counter])] have any physical, emotional, or mental condition that requires...
...frequent attention or treatment from a doctor or other health professional?
Q9-HLTH-3B [T04169.00] | Section: Fertility |
Does [name of biochild([Q9-loop16 counter])] have any physical, emotional, or mental condition that requires...
...regular use of any medicine or drug (other than vitamins)?
Q9-HLTH-3C [T04174.00] | Section: Fertility |
Does [he/she([Q9-loop16 counter])] have any physical, emotional, or mental condition that requires...
... use of any special equipment, such as a brace, crutches, a wheelchair, special shoes, a helmet, a special bed, a breathing mask, an air filter, or a catheter and so on?
Q9-HLTH-5-LOOP-BEGIN [] | Section: Fertility |
REPEAT
COMMENT: Begin loop about limiting conditions
Q9-HLTH-5A_VERBATIM [] | Section: Fertility |
What is [name of biochild([Q9-loop16 counter])]'s (next) health condition or limitation?
INTERVIEWER: PROBE AS NECESSARY: (What is it called?)
Q9-HLTH-5A [T04179.00] | Section: Fertility |
CODE ONLY ONE
| 1 Learning disability |
| 2 Minimal brain dysfunction, minimal cerebral dysfunction, attention deficit disorder |
| 3 Hyperkinesis, hyperactivity |
| 4 Asthma |
| 5 Respiratory disorder or sinus infection |
| 6 Speech impairment |
| 7 Serious hearing difficulty or deafness |
| 8 Serious difficulty in seeing or blindness |
| 9 Serious emotional disturbance |
| 10 Allergic condition(s) |
| 11 Orthopedic handicap |
| 12 Mental retardation |
| 13 Heart trouble |
| 14 Chronic nervous disorder |
| 16 Chronic ear problems or infections |
| 17 Blood disorder or immune deficiency (e.g. sickle cell anemia) |
| 18 Epilepsy/Seizures |
| 95 Health condition not listed (SPECIFY) |
Q9-HLTH-5C-AGECK [T04181.00] | Section: Fertility |
{^biochild_age({q9-loop16})^} < 1
COMMENT: Don't ask how long had condition if less than 1 yr old
If Answer = 1 Then Go To Q9-HLTH-5-CNT
Q9-HLTH-5C [] | Section: Fertility |
IN REFERENCE TO VERBATIM:
[health condition([Q9-loop16 counter]:[special needs loop counter])]
How old was [name of biochild([Q9-loop16 counter])] when [he/she([Q9-loop16 counter])] first developed this condition?
INTERVIEWER: ENTER AGE IN YEARS (SINCE BIRTH=0)
Q9-HLTH-5-CNT [T04183.00] | Section: Fertility |
{Q9-HLTH-LOOP5COUNTER}
COMMENT: IF loop=1 goto HLTH-5-1STQ2C, else skip to HLTH-5F
If Answer = 1 Then Go To Q9-HLTH-5-1STQ2C
Q9-HLTH-5-1STQ2C [T04185.00] | Section: Fertility |
{^q9-lim-play({q9-loop16})^} == 1
COMMENT: jump to NEXT appropriate effect of limit to ask about
If Answer = 1 Then Go To Q9-HLTH-5G
Q9-HLTH-5-1STQ3A [T04187.00] | Section: Fertility |
{^q9-lim-dr-oftn({q9-loop16})^} ==1
COMMENT: jump to NEXT appropriate effect of limit to ask about
If Answer = 1 Then Go To Q9-HLTH-5H
Q9-HLTH-5-1STQ3B [T04189.00] | Section: Fertility |
{^q9-lim-meds({q9-loop16})^} == 1
COMMENT: jump to NEXT appropriate effect of limit to ask about
If Answer = 1 Then Go To Q9-HLTH-5I
Q9-HLTH-5-1STQ3C [] | Section: Fertility |
{^q9-lim-eqmt({q9-loop16})^} == 1
COMMENT: jump to NEXT effect of limit to ask about
If Answer = 1 Then Go To Q9-HLTH-5J
Q9-HLTH-5F [] | Section: Fertility |
IN REFERENCE TO VERBATIM:
[health condition([Q9-loop16 counter]:[special needs loop counter])]
Does this condition limit or prevent [his/her([Q9-loop16 counter])] ability to...
...do usual childhood activities such as play, or participate in games or sports?
Q9-HLTH-5G [] | Section: Fertility |
IN REFERENCE TO VERBATIM:
[health condition([Q9-loop16 counter]:[special needs loop counter])]
Does this condition require...
...frequent attention or treatment from a doctor or other health professional?
Q9-HLTH-5H [T04190.00] | Section: Fertility |
IN REFERENCE TO VERBATIM:
[health condition([Q9-loop16 counter]:[special needs loop counter])]
Does this condition require...
...regular use of any medicine or drug (other than vitamins)?
Q9-HLTH-5I [T04191.00] | Section: Fertility |
IN REFERENCE TO VERBATIM:
[health condition([Q9-loop16 counter]:[special needs loop counter])]
Does this condition require...
... use of any special equipment, such as a brace, crutches, a wheelchair, special shoes, a helmet, a special bed, a breathing mask, an inhaler, an air filter, or a catheter and so on?
Q9-HLTH-5J [T04193.00] | Section: Fertility |
Does [name of biochild([Q9-loop16 counter])] have any other health conditions (that we haven't talked about)?
Q9-HLTH-5-LOOP-END [] | Section: Fertility |
UNTIL({^moreconds([Q9-loop16 counter]:[special needs loop counter])^}==0)
COMMENT: loop until there are no more conditions to ask about
Q9-158D-LOOP-END [] | Section: Fertility |
UNTIL([Q9-loop16 counter]==[total bio children reported])
COMMENT: End loop collecting information on live-birth pregnancies since dli?
Q9-159B [T04234.00] | Section: Fertility |
{Foodq1}>0 || {Foodq2}>0 || {totnew} > 0
COMMENT: Does any child have foodq=1 or foodq=2
If Answer = 1 Then Go To Q9-160-LOOP-BEGIN
Q9-159C [T04235.00] | Section: Fertility |
[Q9-22B]==1
COMMENT: Were any children born since last interview?
If Answer = 1 Then Go To Q9-160-LOOP-BEGIN
Q9-160-LOOP-BEGIN [] | Section: Fertility |
REPEAT
COMMENT: Start loop
0
Q9-161 [T04236.00] | Section: Fertility |
{^biochild_statcode({Q9-LOOP18})^} == 99
COMMENT: Has this child been deleted?
If Answer = 1 Then Go To Q9-165BB-LOOP-END
Q9-161A [T04247.00] | Section: Fertility |
VAREXIST ([BIOLOGICAL CHILD BORN SINCE LAST NICHD INT (W/EXPANDED FERTILITY HISTORY)([Q9-loop18 counter])])
COMMENT: IS THERE A CODE FOR NICHD FOR THIS CHILD?
If Answer = 0 Then Go To Q9-164
Q9-162 [T04258.00] | Section: Fertility |
([BIOLOGICAL CHILD STATUS CODE([Q9-loop18 counter])] == 97) || ([BIOLOGICAL CHILD BORN SINCE LAST NICHD INT (W/EXPANDED FERTILITY HISTORY)([Q9-loop18 counter])] == 97) || ([preprinted feeding q (if any) for bio child([Q9-loop18 counter])] == 1)
COMMENT: Is this a new child since last NICHD year or is first feeding question
pre-printed?
If Answer = 0 Then Go To Q9-163
Q9-163 [T04269.00] | Section: Fertility |
{^biochild_foodq({Q9-LOOP18})^} == 2
COMMENT: Is second feeding questions pre-printed?
If Answer = 1 Then Go To Q9-165
Q9-164 [T04280.00] | Section: Fertility |
When [name of biochild([Q9-loop18 counter])] was an infant, did you breast feed [him/her([Q9-loop18 counter])] at all?
(IF BABY "ADOPTED OUT"/"DECEASED" AND R IS RELUCTANT, SAY:) We appreciate how difficult this is, but [name of biochild([Q9-loop18 counter])]'s experiences are important in helping us understand the health of other children like [him/her([Q9-loop18 counter])].
Q9-165 [T04286.00] | Section: Fertility |
How many weeks old was [name of biochild([Q9-loop18 counter])] when you quit breast feeding [him/her([Q9-loop18 counter])] altogether?
(INTERVIEWER: DETERMINE WHETHER R IS ANSWERING IN WEEKS OR MONTHS OLD, AND SELECT THE APPROPRIATE ANSWER BELOW.)
| 1 SELECT TO ENTER NUMBER OF WEEKS OLD ...(Go To Q9-165A) |
| 2 SELECT TO ENTER NUMBER OF MONTHS OLD ...(Go To Q9-165B) |
| 0 STILL BREASTFEEDING |
Q9-165A [T04293.00] | Section: Fertility |
(How many weeks old was [name of biochild([Q9-loop18 counter])] when you quit breast feeding [him/her([Q9-loop18 counter])] altogether?)
(INTERVIEWER: R HAS ANSWERED IN NUMBER OF WEEKS.)
Q9-165B [T04298.00] | Section: Fertility |
(How many months old was [name of biochild([Q9-loop18 counter])] when you quit breast feeding [him/her([Q9-loop18 counter])] altogether?)
(INTERVIEWER: R HAS ANSWERED IN NUMBER OF MONTHS. PLEASE ENTER ONLY FULL OR HALF MONTHS.)
Q9-165BB-LOOP-END [] | Section: Fertility |
UNTIL([Q9-loop18 counter]==[total bio children reported])
COMMENT: END loop
Q9-SKID-15C [] | Section: Fertility |
([number of surprise children] > 0) && ([RESPONDENT GENDER]==2)
COMMENT: IS THIS A FEMALE AND ANY SURPRISE KIDS ON THE ROSTER?
If Answer = 1 Then Go To MS1_TOTBIO4
MS1_TOTBIO4 [T04304.00] | Section: Fertility |
{Totbio4} > 0
COMMENT: Total number of biological children reported?
If Answer = 0 Then Go To MS-CHILDPAY-5G_1
MS1-LOOP-BEGIN [] | Section: Fertility |
REPEAT
COMMENT: START loop
0
MS-CKNAME_MS1 [T04338.00] | Section: Fertility |
ISVAREMPTY({^CFNAME([mother supplement-part 1])^})
COMMENT: Check if first name is empty on spawned infosheet. If so, prompt for name entry.
If Answer = 1 Then Go To MS-ENTERNAME_MS1
MS-ENTERNAME_MS1 [] | Section: Fertility |
INTERVIEWER: ENTER CHILD'S FIRST NAME:
MS-CKFULLNAME_MS1 [T04349.00] | Section: Fertility |
ISVAREMPTY({^CNAME([mother supplement-part 1])^})
COMMENT: Check if first name is empty on spawned infosheet. If so, prompt for name entry.
If Answer = 1 Then Go To MS-ENTERFULLNAME_MS1
MS-ENTERFULLNAME_MS1 [] | Section: Fertility |
INTERVIEWER: ENTER CHILD'S FULL NAME:
MS-CALC-DOBPLUS8_MS1 [T04570.00] | Section: Fertility |
BKGN-AGECHK_MS1 [T04603.00] | Section: Fertility |
({^MSAGE([mother supplement-part 1])^} < 3)
COMMENT: NO BACKGROUND ITEMS ASKED FOR CHILDREN UNDER 3
If Answer = 1 Then Go To HLTH-CHK1_MS1
BKGN-TITLE_MS1 [] | Section: Fertility |
BEGIN CHILD BACKGROUND SECTION
[name of biochild([mother supplement-part 1])]
Q9-194 [T04647.00] | Section: Fertility |
{^biochild_statcode({ms1-loop1})^}
COMMENT: Is first biological child deleted, deceased or adopted out?
If Answer = 5 Then Go To HLTH-CHK1_MS1
If Answer = 8 Then Go To HLTH-CHK1_MS1
If Answer = 99 Then Go To HLTH-CHK1_MS1
Q9-194_A [T04658.00] | Section: Fertility |
{^biochild_hhiflag({ms1-loop1})^}
COMMENT: Is first biological child deleted, deceased or adopted out?
If Answer = 5 Then Go To HLTH-CHK1_MS1
If Answer = 8 Then Go To HLTH-CHK1_MS1
If Answer = 99 Then Go To HLTH-CHK1_MS1
BKGN-1_MS1 [T04668.00] | Section: Fertility |
Please think about the [2005-2006([mother supplement-part 1])] regular school year. [is/was([mother supplement-part 1])] [name of biochild([mother supplement-part 1])] attending or enrolled in
[regular school (or preschool)([mother supplement-part 1])]?
(If [name of biochild([mother supplement-part 1])] is between the spring and fall school sessions, please tell us about the LAST school year.)
BKGN-2_MS1 [T04679.00] | Section: Fertility |
Has [s/he([mother supplement-part 1])] ever attended regular school, nursery school, or preschool?
BKGN-3_MS1 [T04688.00] | Section: Fertility |
What grade [(is/did) child (currently/last) attend(ing)([mother supplement-part 1])]?
(IF R SAYS 'PRE-FIRST GRADE', CODE KINDERGARTEN.)
| 90 Nursery/preschool |
0 Kindergarten |
| 1 1st grade |
2 2nd grade |
| 3 3rd grade |
4 4th grade |
| 5 5th grade |
6 6th grade |
| 7 7th grade |
8 8th grade |
| 9 9th grade |
10 10th grade |
| 11 11th grade |
12 12th grade |
| 13 1st year in college |
14 2nd year in college |
| 15 3rd year in college |
16 4th year in college |
| 17 5th year in college |
18 6th year in college |
| 19 7th year in college |
20 8th year in college or more |
| 95 Ungraded ...(Go To BKGN-4_MS1) |
If Answer = -2 Then Go To BKGN-4_MS1
BKGN-4_MS1 [T04698.00] | Section: Fertility |
If [name of biochild([mother supplement-part 1])] were in a graded class, what grade would [s/he([mother supplement-part 1])] be enrolled in?
(IF R SAYS 'PRE-FIRST GRADE', CODE KINDERGARTEN.)
| 90 Nursery/preschool |
| 0 Kindergarten |
| 1 1st grade |
| 2 2nd grade |
| 3 3rd grade |
| 4 4th grade |
| 5 5th grade |
| 6 6th grade |
| 7 7th grade |
| 8 8th grade |
| 9 9th grade |
| 10 10th grade |
| 11 11th grade |
| 12 12th grade |
| 95 Other (SPECIFY) |
BKGN-4A-CHK1_MS1 [T04705.00] | Section: Fertility |
{^msgrade({ms1-loop1})^} == 90 || {^msgrade({ms1-loop1})^} == 95
COMMENT: Is child in preschool or other?
If Answer = 1 Then Go To BKGN-AGECK-YA1_MS1
SCHLFIND-4A [T04715.00] | Section: Fertility |
{ms1-loop1}==1
COMMENT: Is this the first time through the loop?
If Answer = 1 Then Go To SCHLFIND-6
SCHLFIND-5 [T04725.00] | Section: Fertility |
Is [name of biochild([mother supplement-part 1])]'s school in this list?
(INTERVIEWER: IF THE SCHOOL IS IN THIS LIST, SELECT SCHOOL. IF SCHOOL IS NOT LISTED OR NO SCHOOLS LISTED, SELECT "NEW SCHOOL" AND SELECT <SUBMIT AND CONTINUE> TO PROCEED.)
If Answer = 1 Then Go To SCHLFIND-6
SCHLFIND-6 [T04734.00] | Section: Fertility |
What type of school (does [name of biochild([mother supplement-part 1])] currently attend/did [name of biochild([mother supplement-part 1])] last attend)?
| 1 Elementary School |
| 2 Middle School/Intermediate School/Junior High School |
| 3 High School |
| 4 Two Year College, Community College, or Junior College |
| 5 Four Year College or University |
SCHLFIND-7 [T04743.00] | Section: Fertility |
([SCHLFIND-6([mother supplement-part 1])]==1 || [SCHLFIND-6([mother supplement-part 1])]==2 || [SCHLFIND-6([mother supplement-part 1])]==3)
COMMENT: Is school elementary, middle or high school?
If Answer = 1 Then Go To SCHLFIND-9
SCHLFIND-9 [T04752.00] | Section: Fertility |
Is this school in the United States?
SCHLFIND-9B [T04761.00] | Section: Fertility |
[SCHLFIND-9([mother supplement-part 1])]
COMMENT: is the child's school in the u.s.?
If Answer = 1 Then Go To SCHLFIND-11
SCHLFIND-10 [T04770.00] | Section: Fertility |
In which country?
| 102 AFGHANISTAN |
104 ALBANIA |
106 ALGERIA |
| 108 ANTIGUA |
110 ARGENTINA |
112 ARMENIA |
| 114 AUSTRALIA |
115 AUSTRIA |
116 AZERBAIJAN |
| 130 BAHAMAS |
132 BANGLADESH (EAST PAKISTAN) |
134 BARBADOS |
| 136 BELGIUM |
137 BYLORUSSIA (BELORUSSE) |
140 BENIN |
| 142 BERMUDA |
144 BOLIVIA |
146 BOSNIA-HERCEGOVINA |
| 148 BRAZIL |
150 BULGARIA |
152 MYANMAR (FORMERLY BURMA) |
| 170 KAMPUCHEA (FORMERLY CAMBODIA) |
172 CANADA |
174 QUEBEC (CANADA) |
| 176 CEYLON (SRI LANKA) |
178 CHILE |
180 CHINA |
| 182 COLOMBIA |
184 COSTA RICA |
186 CROATIA |
| 188 CUBA |
190 CURACAO |
192 CYPRUS |
| 194 CZECH REPUBLIC (FORMERLY PART OF CZECHOSLOVAKIA) |
210 DENMARK |
212 DOMINICAN REPUBLIC |
| 230 ECUADOR |
232 EGYPT |
234 EL SALVADOR |
| 236 ENGLAND |
238 ESTONIA |
240 ETHIOPIA |
| 250 FINLAND |
252 FRANCE |
254 FRENCH GUIANA |
| 270 GAMBIA |
272 GERMANY |
274 GEORGIA |
| 276 GHANA |
278 GREECE |
280 GUADELOUPE |
| 282 GUATEMALA |
284 GUINEA |
286 GUINEA-BISSEAU |
| 288 GUYANA |
300 HAITI |
302 HONDURAS |
| 304 HONG KONG |
306 HUNGARY |
320 ICELAND |
| 322 INDIA |
324 INDONESIA |
326 IRAN |
| 328 IRAQ |
330 IRELAND (EIRE) |
332 ISRAEL |
| 334 ITALY |
336 IVORY COAST |
350 JAMAICA |
| 352 JAPAN |
354 JORDAN |
370 KHAZAKHSTAN |
| 372 KOREA |
374 KURDIZIA |
390 LAOS |
| 392 LATVIA |
394 LEBANON |
396 LIBERIA |
| 398 LIBYA |
400 LIECHTENSTEIN |
402 LITHUANIA |
| 404 LUXEMBOURG |
420 MACEDONIA |
422 MALAYSIA |
| 424 MALTA |
426 MARTINIQUE |
428 MEXICO |
| 430 MOLDAVIA |
432 MONACO |
434 MOROCCO |
| 450 NETHERLANDS |
452 NEW GUINEA (PAPUA) |
454 NEW ZEALAND |
| 456 NICARAGUA |
458 NIGERIA |
460 NORTHERN IRELAND (ULSTER) |
| 462 NORWAY |
480 PAKISTAN |
482 PANAMA |
| 484 PARAGUAY |
486 PHILIPPINES |
488 PERU |
| 490 POLAND |
492 PORTUGUAL |
510 RHODESIA |
| 512 ROMANIA |
514 RUSSIA |
530 SAUDI ARABIA |
| 532 SCANDINAVIA |
534 SCOTLAND |
536 SENEGAL |
| 538 SIERRA LEONE |
540 SINGAPORE |
542 SLOVAK REPUBLIC (FORMERLY PART OF CZECHOSLOVAKIA) |
| 544 SLOVINIA |
546 SOUTH AFRICA |
548 SPAIN |
| 550 SURINAM |
552 SWEDEN |
554 SWITZERLAND |
| 556 SYRIA |
570 TAIWAN |
572 TAJIKHISTAN |
| 574 THAILAND |
576 TOGO |
578 TRINIDAD AND TOBAGO |
| 580 TUNISIA |
582 TURKEY |
584 TURKOMENISTAN |
| 600 UGANDA |
602 UKRAINE |
604 UNITED STATES |
| 606 UZBEKHISTAN |
620 VENEZUELA |
622 VIETNAM |
| 624 VIRGIN ISLANDS (NOT U.S.) |
640 WALES |
650 YUGOSLAVIA |
| 660 OTHER COUNTRY - ASIA |
662 OTHER COUNTRY - AFRICA (SUB-SAHARAN) |
664 OTHER COUNTRY - CARIBBEAN |
| 666 OTHER COUNTRY - EUROPE |
668 OTHER COUNTRY - MIDDLE EAST |
670 OTHER COUNTRY - PACIFIC ISLANDS |
| 672 OTHER (SPECIFY) |
SCHLFIND-11 [T04775.00] | Section: Fertility |
ENTER THE STATE:
| 1 ALABAMA |
2 ALASKA |
4 ARIZONA |
| 5 ARKANSAS |
6 CALIFORNIA |
8 COLORADO |
| 9 CONNECTICUT |
10 DELAWARE |
11 DISTRICT OF COLUMBIA |
| 12 FLORIDA |
13 GEORGIA |
15 HAWAII |
| 16 IDAHO |
17 ILLINOIS |
18 INDIANA |
| 19 IOWA |
20 KANSAS |
21 KENTUCKY |
| 22 LOUISIANA |
23 MAINE |
24 MARYLAND |
| 25 MASSACHUSETTS |
26 MICHIGAN |
27 MINNESOTA |
| 28 MISSISSIPPI |
29 MISSOURI |
30 MONTANA |
| 31 NEBRASKA |
32 NEVADA |
33 NEW HAMPSHIRE |
| 34 NEW JERSEY |
35 NEW MEXICO |
36 NEW YORK |
| 37 NORTH CAROLINA |
38 NORTH DAKOTA |
39 OHIO |
| 40 OKLAHOMA |
41 OREGON |
42 PENNSYLVANIA |
| 44 RHODE ISLAND |
45 SOUTH CAROLINA |
46 SOUTH DAKOTA |
| 47 TENNESSEE |
48 TEXAS |
49 UTAH |
| 50 VERMONT |
51 VIRGINIA |
53 WASHINGTON |
| 54 WEST VIRGINIA |
55 WISCONSIN |
56 WYOMING |
| 60 AMERICAN SAMOA |
61 CANAL ZONE |
62 CANTON AND ENDERBURY ISLANDS |
| 66 GUAM |
67 JOHNSTON ATOLL |
71 MIDWAY ISLANDS |
| 72 PUERTO RICO |
73 RYUKYU ISLANDS, SOUTHERN |
74 SWAN ISLANDS |
| 75 TRUST TERRITORIES OF PACIFIC |
76 U.S. MISCELLANEOUS CARIBBEAN |
77 U.S. MISCELLANEOUS PACIFIC ISLANDS |
| 78 VIRGIN ISLANDS |
79 WAKE ISLAND |
0 OTHER (SPECIFY) |
If Answer >= -2 AND Answer <= -1 Then Go To SCHLFIND-180_00001
SCHLFIND-13 [T04784.00] | Section: Fertility |
PLEASE SELECT THE CITY:
INTERVIEWER: IF CITY IS NOT ON LIST, SELECT "OTHER CITY" FROM THE LIST.
If Answer >= -2 AND Answer <= 0 Then Go To SCHLFIND-180_00001
SCHLFIND-15 [T04793.00] | Section: Fertility |
PLEASE SELECT THE SCHOOL:
INTERVIEWER: IF SCHOOL IS NOT ON LIST, SELECT "OTHER CITY" FROM THE LIST. PLEASE BE PATIENT, THIS MAY TAKE A MOMENT TO LOAD.
If Answer >= -2 AND Answer <= 0 Then Go To SCHLFIND-180_00001
SCHLFIND-180_00001 [] | Section: Fertility |
Verification Screen:
SCHLFIND-180_00002 [] | Section: Fertility |
SCHLFIND-180_00003 [] | Section: Fertility |
SCHLFIND-180_00004 [] | Section: Fertility |
SCHLFIND-180_00005 [] | Section: Fertility |
BKGN-AGECK-YA1_MS1 [T04802.00] | Section: Fertility |
({^biochild_bdate([mother supplement-part 1])~Y^} <= 1991)
COMMENT: Check child's age
If Answer = 1 Then Go To HLTH-CHK1_MS1
BKGN-5-DATECHK_MS1 [T04813.00] | Section: Fertility |
({^MSSUMMERTERM([mother supplement-part 1])^})
COMMENT: Is interview date near or after the end of the school year?
If Answer = 1 Then Go To BKGN-5A_MS1
BKGN-5A_MS1 [T04824.00] | Section: Fertility |
Is/Was [name of biochild([mother supplement-part 1])] (currently) attending or enrolled in summer school?
BKGN-5B_MS1 [T04834.00] | Section: Fertility |
Has [s/he([mother supplement-part 1])] ever attended summer school?
BKGN-6-DATECHK_MS1 [T04845.00] | Section: Fertility |
({^MSFALLTERM([mother supplement-part 1])^})
COMMENT: Is interview date after or near the beginning of the new school year?
If Answer = 1 Then Go To BKGN-6A_MS1
BKGN-6A_MS1 [T04856.00] | Section: Fertility |
Now please think about the [2006-2007([mother supplement-part 1])] regular school year.
Has [name of biochild([Mother Supplement loop counter])] been attending regular school or preschool for at least four weeks (of the [2006-2007([mother supplement-part 1])] school year)?
BKGN-6B_MS1 [T04864.00] | Section: Fertility |
What grade is {^biochild_name([mother supplement-part 1])^} currently attending?
(IF R SAYS 'PRE-FIRST GRADE', CODE KINDERGARTEN.)
| 90 Nursery/preschool |
0 Kindergarten |
| 1 1st grade |
2 2nd grade |
| 3 3rd grade |
4 4th grade |
| 5 5th grade |
6 6th grade |
| 7 7th grade |
8 8th grade |
| 9 9th grade |
10 10th grade |
| 11 11th grade |
12 12th grade |
| 13 1st year in college |
14 2nd year in college |
| 15 3rd year in college |
16 4th year in college |
| 17 5th year in college |
18 6th year in college |
| 19 7th year in college |
20 8th year in college or more |
| 95 Ungraded |
BKGN-6C_MS1 [T04871.00] | Section: Fertility |
If [name of biochild([mother supplement-part 1])] were in a graded class, what grade would [s/he([mother supplement-part 1])] be enrolled in?
(IF R SAYS 'PRE-FIRST GRADE', CODE KINDERGARTEN.)
| 90 Nursery/preschool |
| 0 Kindergarten |
| 1 1st grade |
| 2 2nd grade |
| 3 3rd grade |
| 4 4th grade |
| 5 5th grade |
| 6 6th grade |
| 7 7th grade |
| 8 8th grade |
| 9 9th grade |
| 10 10th grade |
| 11 11th grade |
| 12 12th grade |
| 95 Other (SPECIFY) |
BKGN-AGECK-PRESCHL_MS1 [T04883.00] | Section: Fertility |
({^MSAGE([mother supplement-part 1])^} < 8)
If Answer = 1 Then Go To BKGN-GRDCHK-PRESCHL_MS1
BKGN-GRDCHK-PRESCHL_MS1 [T04894.00] | Section: Fertility |
({^MSGRADE([mother supplement-part 1])^})
COMMENT: Is CHILD currently attending nursery or preschool (i.e., Child's GRADE coded 90)?
If Answer = 90 Then Go To BKGN-8_MS1
BKGN-7_MS1 [T04905.00] | Section: Fertility |
Has [name of biochild([mother supplement-part 1])] ever been enrolled in a preschool program (not including kindergarten)?
BKGN-8_MS1 [T04915.00] | Section: Fertility |
Has [name of biochild([mother supplement-part 1])] ever been enrolled in day care?
BKGN-11_MS1 [T04937.00] | Section: Fertility |
({^HEADSTRT([mother supplement-part 1])^} == 1)
COMMENT: Does complete information on Head Start participation already exist for child ?
If Answer = 1 Then Go To BKGN-17_MS1
BKGN-12_MS1 [T04948.00] | Section: Fertility |
Has [name of biochild([mother supplement-part 1])] ever been enrolled in the Head Start Program?
BKGN-13_MS1 [T04959.00] | Section: Fertility |
How old was [name of biochild([mother supplement-part 1])] when [s/he([mother supplement-part 1])] first attended Head Start?
(INTERVIEWER: ENTER AGE IN YEARS. CODE 00 = LESS THAN 1 YEAR OLD.)
BKGN-14_MS1 [T04969.00] | Section: Fertility |
In total, how long (has [name of biochild([mother supplement-part 1])] attended/did [name of biochild([mother supplement-part 1])] attend) Head Start?
| 1 Less than 3 months |
| 2 3 - 11 months |
| 3 1 year - 23 months |
| 4 2 years or more |
| 5 Still enrolled |
BKGN-15_MS1 [T04979.00] | Section: Fertility |
How satisfied are you with what Head Start has done for [name of biochild([mother supplement-part 1])]?
| 1 Very satisfied |
| 2 Somewhat satisfied |
| 3 Somewhat dissatisfied |
| 4 Very dissatisfied |
BKGN-16_MS1 [T04989.00] | Section: Fertility |
How satisfied are you with what [name of biochild([mother supplement-part 1])]'s Head Start program has done for you?
| 1 Very satisfied |
| 2 Somewhat satisfied |
| 3 Somewhat dissatisfied |
| 4 Very dissatisfied |
BKGN-17_MS1 [T04999.00] | Section: Fertility |
{^MSAGE({ms1-loop1})^} < 5
COMMENT: If child age is less than 5 YRS , jump to BKGN-END
If Answer = 1 Then Go To HLTH-CHK1_MS1
BKGN-18_MS1 [T05010.00] | Section: Fertility |
({^MSINSCHL([mother supplement-part 1])^} == 1)
If Answer = 1 Then Go To BKGN-20_MS1
BKGN-19_MS1 [T05020.00] | Section: Fertility |
If [name of biochild([mother supplement-part 1])] does not attend school at all, what is the reason?
| 1 Unable to attend due to physical, emotional, or mental condition |
| 2 Expelled or suspended |
| 3 School closed because of strike, physical damage, etc. |
| 4 Child's father, stepfather, father-figure won't let child attend |
| 7 Home schooled |
| 5 Other reasons (SPECIFY) |
BKGN-20_MS1 [T05028.00] | Section: Fertility |
Which of the following describes the school [name of biochild([mother supplement-part 1])] attends:
| 1 Public school ...(Go To BKGN-23_MS1) |
| 2 Charter school |
| 3 Catholic school |
| 4 Other religious or church-sponsored school |
| 5 Non-religious private school ...(Go To BKGN-23_MS1) |
| 6 Indian reservation school |
| 7 Military academy |
| 8 Home-schooled ...(Go To BKGN-23_MS1) |
| 9 Other (SPECIFY) |
BKGN-21_MS1 [T05038.00] | Section: Fertility |
Is the school [s/he([mother supplement-part 1])] attends public or private?
| 1 Public |
| 2 Private |
| 3 Other (SPECIFY) |
| 4 Does not attend school at all |
BKGN-23_MS1 [T05045.00] | Section: Fertility |
({^MSEVERSCHL([mother supplement-part 1])^} == 0) && ({^MSINSCHL([mother supplement-part 1])^} == 0)
If Answer = 1 Then Go To BKGN-32_MS1
BKGN-24_MS1 [T05055.00] | Section: Fertility |
How many different schools has your child ever attended? Please include the school [s/he([mother supplement-part 1])] is currently attending.
If Answer >= -2 AND Answer <= -1 Then Go To BKGN-FIRSTLANG_MS1
BKGN-25_MS1 [T05065.00] | Section: Fertility |
How many of these were elementary schools?
BKGN-FIRSTLANG_MS1 [T05075.00] | Section: Fertility |
What language did [name of biochild([mother supplement-part 1])] speak when [s/he([mother supplement-part 1])] first started regular school?
| 1 ENGLISH (OR MOSTLY ENGLISH) |
| 2 SPANISH (OR MOSTLY SPANISH) |
| 3 ENGLISH AND SPANISH EQUALLY |
| 4 ENGLISH AND ANOTHER LANGUAGE EQUALLY (SPECIFY) |
| 5 CHILD DOES NOT SPEAK |
| 6 ANOTHER LANGUAGE (SPECIFY) |
BKGN-CURRLANG_MS1 [T05085.00] | Section: Fertility |
What language does [name of biochild([mother supplement-part 1])] speak most now?
COMMENT:
| 1 ENGLISH (OR MOSTLY ENGLISH) |
| 2 SPANISH (OR MOSTLY SPANISH) |
| 3 ENGLISH AND SPANISH EQUALLY |
| 4 ENGLISH AND ANOTHER LANGUAGE EQUALLY (SPECIFY) |
| 5 CHILD DOES NOT SPEAK |
| 6 ANOTHER LANGUAGE (SPECIFY) |
BKGN-26_MS1 [T05095.00] | Section: Fertility |
In a typical school week, how much time does [name of biochild([mother supplement-part 1])] usually spend after school working on math problems or math homework?
ENTER HOURS PER WEEK. ROUND TO NEAREST 1/2 HR.
BKGN-27_MS1 [T05105.00] | Section: Fertility |
In a typical school week, how much time does [name of biochild([mother supplement-part 1])] usually spend after school writing up reports, papers, book-reports, or stories?
ENTER HOURS PER WEEK. ROUND TO NEAREST 1/2 HR.
BKGN-28_MS1 [T05115.00] | Section: Fertility |
({^MSEVERSCHL([mother supplement-part 1])^} == 0) && ({^MSINSCHL([mother supplement-part 1])^} == 0)
If Answer = 1 Then Go To BKGN-32_MS1
BKGN-29A-MATRIX_MS1 [T05125.00] | Section: Fertility |
{^msschlyr({ms1-loop1})^}, did/has {^biochild_name({ms1-loop1})^} participate(d) in....
| - ...a remedial math program? |
| - ...a remedial reading, remedial English, or remedial language arts program? |
| - ...a gifted and talented program, or a special class for advanced work? |
| - ...special education or a program for handicapped children? |
| - ...a program that teaches English as a second language (ESL)?
|
| 1 YES |
| 0 NO |
| -2 (DON'T KNOW) |
| -1 (REFUSE) |
BKGN-30_MS1 [T05135.00] | Section: Fertility |
({^MSINSCHL([mother supplement-part 1])^} == 1)
If Answer = 1 Then Go To BKGN-31A_MS1
BKGN-31A_MS1 [T05145.00] | Section: Fertility |
Do you or your (spouse/partner) participate in a parent-teacher organization at [name of biochild([mother supplement-part 1])]'s school?
BKGN-31B_MS1 [T05155.00] | Section: Fertility |
Do you or your (spouse/partner) volunteer in the classroom at [his/her([mother supplement-part 1])] school?
BKGN-31C_MS1 [T05165.00] | Section: Fertility |
Do you or your (spouse/partner) do volunteer work such as supervising lunch, or chaperoning a field trip at [name of biochild([mother supplement-part 1])]'s school?
BKGN-31D_MS1 [T05175.00] | Section: Fertility |
Do you or your (spouse/partner) attend parent-teacher conferences at [his/her([mother supplement-part 1])] school?
BKGN-32_MS1 [T05185.00] | Section: Fertility |
How many of [name of biochild([mother supplement-part 1])]'s close friends do you know by sight and by first and last name?
Do you know . . .
| 1 All of them |
| 2 Most of them |
| 3 About half |
| 4 Only a few |
| 5 None of them |
| 6 CHILD HAS NO CLOSE FRIENDS |
BKGN-33_MS1 [T05195.00] | Section: Fertility |
About how often do you know who [name of biochild([mother supplement-part 1])] is with when [s/he([mother supplement-part 1])] is not at home?
Would you say you know who [s/he([mother supplement-part 1])] is with...
| 1 All of the time |
| 2 Most of the time |
| 3 Some of the time, or |
| 4 Rarely? |
BKGN-34_MS1 [T05205.00] | Section: Fertility |
In the past year, how often has [name of biochild([mother supplement-part 1])] attended religious services (including Sunday School or other religious classes)?
| 1 About once a week |
| 2 At least once a month |
| 3 A few times a year |
| 4 Never |
BKGN-35_MS1 [T05215.00] | Section: Fertility |
Aside from attending religious services, how important is it to you to provide religious training for [him/her([mother supplement-part 1])]?
| 1 Very important |
| 2 Fairly important |
| 3 Not at all important |
HLTH-CHK1_MS1 [T05247.00] | Section: Fertility |
{^biochild_statcode({ms1-loop1})^}
COMMENT: Is first biological child deleted, deceased or adopted out?
If Answer = 5 Then Go To HLTH-MS1-LOOP-END
If Answer = 8 Then Go To HLTH-MS1-LOOP-END
If Answer = 99 Then Go To HLTH-MS1-LOOP-END
HLTH-CHK1_A_MS1 [T05258.00] | Section: Fertility |
{^biochild_hhiflag({ms1-loop1})^}
COMMENT: Is first biological child deleted, deceased or adopted out?
If Answer = 5 Then Go To HLTH-MS1-LOOP-END
If Answer = 8 Then Go To HLTH-MS1-LOOP-END
If Answer = 99 Then Go To HLTH-MS1-LOOP-END
HLTH-CHK2_MS1 [T05268.00] | Section: Fertility |
([Usual residence of biological child([mother supplement-part 1])]==1) || ([Usual residence of biological child([mother supplement-part 1])]==9) || ([Usual residence of biological child([mother supplement-part 1])]==10)
COMMENT: Is child in the household at least part time?
If Answer = 1 Then Go To HLTH-TITLE_MS1
HLTH-TITLE_MS1 [] | Section: Fertility |
BEGIN CHILD HEALTH SECTION
[name of biochild([mother supplement-part 1])]
HLTH-INTRO_MS1 [] | Section: Fertility |
(READ TO MOTHER/GUARDIAN)
Now I'd like to ask you some questions about [name of biochild([mother supplement-part 1])]'s general health.
HLTH-AGECHK-YA2_MS1 [T05301.00] | Section: Fertility |
{^biochild_bdate({ms1-loop1})~Y^} <= 1991
COMMENT: Does child turn 15 years or older during survey year?
If Answer = 1 Then Go To HLTH-8_MS1
HLTH-HW-MODECHK [T05323.00] | Section: Fertility |
{^MSINTMODE({ms1-loop1})^}==1
COMMENT: Internal Function - If telephone interview or mother permission refusal, go directly to height & weight questions. Otherwise continue.
If Answer = 1 Then Go To HLTH-21A
HLTH-21A [] | Section: Fertility |
INTERVIEWER: DOES CHILD HAVE ANY SERIOUS HEALTH LIMITATIONS THAT WOULD AFFECT
MEASUREMENT OR TESTING?
HLTH-21B [] | Section: Fertility |
INTERVIEWER: IF CHILD HAS A SERIOUS PHYSICAL OR MENTAL CONDITION THAT MAY INFLUENCE MEASUREMENT, TACTFULLY TELL MOTHER THAT SOME MEASUREMENTS MAY BE INAPPROPRIATE FOR THE CHILD BUT YOU WILL ADMINISTER THE ONES YOU CAN.
RECORD CONDITION BELOW.
HLTH-HW-INTRO-IP [] | Section: Fertility |
INTERVIEWER: (IF CHILD IS NOT ALREADY PRESENT) READ TO MOTHER:
Could you please bring [name of biochild([mother supplement-part 1])] into the room and help make [him/her([mother supplement-part 1])] feel comfortable?
HLTH-HW-MSBORNB4_R19_CHK1 [] | Section: Fertility |
VAREXIST ([MSBORNB4_R19([mother supplement-part 1])])
COMMENT: Internal Function - If Child age eligible for assessment, read Intro B. Otherwise, read Intro A.
If Answer = 1 Then Go To HLTH-HW-INTRO-AGECK
HLTH-HW-INTRO-AGECK [] | Section: Fertility |
{^MSBORNB4_R19({ms1-loop1})^}==1
COMMENT: Internal Function - If Child age eligible for assessment, read Intro B. Otherwise, read Intro A.
If Answer = 1 Then Go To HLTH-HW-INTRO-IPB
HLTH-HW-INTRO-IPA [] | Section: Fertility |
What did your mother tell you about my visit?
(WAIT FOR CHILD'S RESPONSE, THEN CONTINUE:)
(That's right or I see.) Your mother has been helping us by answering some questions. Now it's your turn. First we'll see how big you are.
HLTH-HW-INTRO-IPB [] | Section: Fertility |
What did your mother tell you about my visit?
(WAIT FOR CHILD'S RESPONSE, THEN CONTINUE:)
(That's right or I see.) Your mother has been helping us by answering questions for many years now. This makes her a very important person to us. Now we're going to take some measurements from you.
HLTH-HGT-SELECT [T05334.00] | Section: Fertility |
(TO MOTHER:) I'd like to find out [name of biochild([mother supplement-part 1])]'s height. How tall is [s/he([mother supplement-part 1])]?
[Would you prefer to measure yourself or shall I do it?/([mother supplement-part 1])]
INTERVIEWER: SELECT HOW YOU WISH TO ENTER HEIGHT -
IN FEET AND INCHES - OR - TOTAL INCHES
.
| 1 FEET AND INCHES ENTRY |
| 2 TOTAL INCHES ENTRY (ESP INFANTS) |
HLTH-HGT-MTHDCK [T05345.00] | Section: Fertility |
{^HGTMETHOD({ms1-loop1})^}
COMMENT: Skip based on reporting method used
If Answer = 1 Then Go To HLTH-HGT-FEET
If Answer = 2 Then Go To HLTH-HGT-TOTALINCHES
HLTH-HGT-FEET [T05356.00] | Section: Fertility |
(TO MOTHER: I'd like to find out how tall [name of biochild([mother supplement-part 1])] is. [Would you prefer to measure yourself or shall I do it?/([mother supplement-part 1])])
INTERVIEWER: RECORD FEET AND INCHES BELOW.
HLTH-HGT-INCHES [T05367.00] | Section: Fertility |
HLTH-HGT-TOTALINCHES [T05378.00] | Section: Fertility |
(TO MOTHER: I'd like to find out how tall [name of biochild([mother supplement-part 1])] is. [Would you prefer to measure yourself or shall I do it?/([mother supplement-part 1])])
INTERVIEWER: RECORD HEIGHT IN TOTAL INCHES.
HLTH-HGTCOMP [T05396.00] | Section: Fertility |
([height input([mother supplement-part 1])] < [calculated min height([mother supplement-part 1])]) || ([height input([mother supplement-part 1])] > [calculated max height([mother supplement-part 1])])
COMMENT: Internal Function - Is total child height in inches outside of calculated min - max range?
If Answer = 1 Then Go To HLTH-HGT-MTHDCK2
HLTH-HGT-MTHDCK2 [T05407.00] | Section: Fertility |
{^HGTMETHOD({ms1-loop1})^}
COMMENT: Skip based on reporting method used
If Answer = 1 Then Go To HLTH-HGTCONF1
If Answer = 2 Then Go To HLTH-HGTCONF2
HLTH-HGTCONF1 [T05415.00] | Section: Fertility |
INTERVIEWER:
CAUTION...
THE HEIGHT ENTERED FOR [Surpirse child's name([mother supplement-part 1])] IS OUTSIDE THE USUAL RANGE OF HEIGHT FOR A CHILD THIS AGE. PLEASE CHECK -- ARE THESE VALUES CORRECT?
[number of feet([mother supplement-part 1])] FEET AND [number of inches([mother supplement-part 1])] INCHES
BACK UP TO CORRECT ANY ERROR, OR SELECT "YES" TO CONFIRM THE VALUES AND CONTINUE.
HLTH-HGTCONF2 [T05423.00] | Section: Fertility |
INTERVIEWER:
CAUTION...
THE HEIGHT ENTERED FOR [Surpirse child's name([mother supplement-part 1])] IS OUTSIDE THE USUAL RANGE OF HEIGHT FOR A CHILD THIS AGE. PLEASE CHECK -- IS THIS VALUE CORRECT?
[total # inches([mother supplement-part 1])] TOTAL INCHES
BACK UP TO CORRECT ANY ERROR, OR SELECT "YES" TO CONFIRM THE VALUE AND CONTINUE.
HLTH-HGT-REPT [T05424.00] | Section: Fertility |
INTERVIEWER: HOW WAS HEIGHT REPORTED?
| 1 TAPE MEASUREMENT |
| 2 MOTHER RECALL |
| 3 CHILD RECALL |
HLTH-WGT-SELECT [T05435.00] | Section: Fertility |
(TO MOTHER:) Now I'd like to find out [name of biochild([mother supplement-part 1])]'s weight. How much does [s/he([mother supplement-part 1])] weigh?
[Would you prefer to weigh yourself or shall I do it?/([mother supplement-part 1])]
INTERVIEWER: SELECT HOW YOU WISH TO ENTER WEIGHT
POUNDS - OR - POUNDS AND OUNCES (FOR CHILDREN UNDER 20 LBS.)
| 1 ENTER POUNDS ONLY |
| 2 ENTER POUNDS AND OUNCES (ESP INFANTS) |
HLTH-WGT-MTHDCK [T05446.00] | Section: Fertility |
{^WGTMETHOD({ms1-loop1})^}
COMMENT: Skip based on reporting method
If Answer = 1 Then Go To HLTH-WGT-LBSONLY
If Answer = 2 Then Go To HLTH-WGT-LBS
HLTH-WGT-LBSONLY [T05457.00] | Section: Fertility |
(TO MOTHER: I'd like to find out [name of biochild([mother supplement-part 1])]'s weight. [Would you prefer to weigh yourself or shall I do it?/([mother supplement-part 1])])
INTERVIEWER: RECORD WEIGHT IN POUNDS. IF MEASUREMENT TAKEN, BE SURE CHILD IS NOT WEARING SHOES OR HEAVY OUTER GARMENTS.
HLTH-WGT-LBS [] | Section: Fertility |
(TO MOTHER: I'd like to find out [name of biochild([mother supplement-part 1])]'s weight. [Would you prefer to weigh yourself or shall I do it?/([mother supplement-part 1])])
INTERVIEWER: (FOR CHILDREN UNDER 20 LBS.) RECORD POUNDS AND OUNCES. IF MEASUREMENT TAKEN, BE SURE CHILD IS NOT WEARING SHOES OR HEAVY OUTER GARMENTS.
HLTH-WGT-OZS [] | Section: Fertility |
HLTH-WGTCOMP [T05479.00] | Section: Fertility |
([weight input([mother supplement-part 1])] < [calculated minweight([mother supplement-part 1])]) || ([weight input([mother supplement-part 1])] > [calculated max weight([mother supplement-part 1])])
COMMENT: Internal Function - Is total child height in inches outside of calculated min - max range?
If Answer = 1 Then Go To HLTH-WGT-MTHDCK2
HLTH-WGT-MTHDCK2 [T05490.00] | Section: Fertility |
{^WGTMETHOD({ms1-loop1})^}
COMMENT: Skip based on reporting method
If Answer = 1 Then Go To HLTH-WGTCONF1
If Answer = 2 Then Go To HLTH-WGTCONF2
HLTH-WGTCONF1 [T05497.00] | Section: Fertility |
INTERVIEWER:
CAUTION...
THE WEIGHT ENTERED FOR [Surpirse child's name([mother supplement-part 1])] IS OUTSIDE THE USUAL RANGE OF WEIGHT FOR A CHILD THIS AGE. PLEASE CHECK -- IS THE VALUE SHOWN CORRECT?
[# of pounds([mother supplement-part 1])] POUNDS
BACK UP TO CORRECT ANY ERROR, OR SELECT "YES" TO CONFIRM THE VALUE AND CONTINUE.
HLTH-WGTCONF2 [] | Section: Fertility |
INTERVIEWER:
CAUTION...
THE WEIGHT ENTERED FOR [Surpirse child's name([mother supplement-part 1])] IS OUTSIDE THE USUAL RANGE OF WEIGHT FOR A CHILD THIS AGE. PLEASE CHECK -- ARE THE VALUES SHOWN CORRECT?
[# of pounds([mother supplement-part 1])] POUNDS AND [OZ_TXT([mother supplement-part 1])] OUNCES
BACK UP TO CORRECT ANY ERROR, OR SELECT "YES" TO CONFIRM THE VALUE(S) AND CONTINUE.
HLTH-WGT-REPT [T05504.00] | Section: Fertility |
INTERVIEWER: HOW WAS WEIGHT REPORTED?
| 1 SCALE MEASUREMENT |
| 2 MOTHER RECALL |
| 3 CHILD RECALL |
HLTH-AGECHK0_MS1 [T05526.00] | Section: Fertility |
{^MSAGE({ms1-loop1})^} < 3 || {^biochild_statcode({ms1-loop1})^} == 97
COMMENT: NO BACKGROUND ITEMS ASKED FOR CHILDREN UNDER 3
If Answer = 1 Then Go To Q9-AGE15-5
HLTH-1A_MS1 [T05537.00] | Section: Fertility |
{^RESN-NOSCHL({ms1-loop1})^} == 1
COMMENT: If reason for not attending school is health related, skip directly to HEALTH-5 LOOP begin
If Answer = 1 Then Go To HLTH-5-LOOP-BEGIN_MS1
HLTH-1B_MS1 [T05548.00] | Section: Fertility |
({^msage([mother supplement-part 1])^} >= 4) || ({^msinschl([mother supplement-part 1])^} == 1) || ({^mseverschl([mother supplement-part 1])^} == 1)
COMMENT: If age GE 4 or ever in school then continue, else skip to 2C
If Answer = 1 Then Go To HLTH-2A_MS1
HLTH-2A_MS1 [T05559.00] | Section: Fertility |
Does [name of biochild([mother supplement-part 1])] have any physical, emotional, or mental condition that limits or prevents [his/her([mother supplement-part 1])] ability to...
...attend school regularly?
HLTH-2B_MS1 [T05569.00] | Section: Fertility |
Does [s/he([mother supplement-part 1])] have any physical, emotional or mental condition that limits or prevents [his/her([mother supplement-part 1])] ability to...
...do regular school work?
HLTH-2C_MS1 [T05579.00] | Section: Fertility |
Does [name of biochild([mother supplement-part 1])] have any physical, emotional, or mental condition that limits or prevents [his/her([mother supplement-part 1])] ability to...
...do usual childhood activities such as play, or participate in games or sports?
HLTH-3A_MS1 [T05590.00] | Section: Fertility |
Does [s/he([mother supplement-part 1])] have any physical, emotional, or mental condition that requires...
...frequent attention or treatment from a doctor or other health professional?
HLTH-3B_MS1 [T05601.00] | Section: Fertility |
Does [name of biochild([mother supplement-part 1])] have any physical, emotional, or mental condition that requires...
...regular use of any medicine or drug (other than vitamins)?
HLTH-3C_MS1 [T05612.00] | Section: Fertility |
Does [s/he([mother supplement-part 1])] have any physical, emotional, or mental condition that requires...
... use of any special equipment, such as a brace, crutches, a wheelchair, special shoes, a helmet, a special bed, a breathing mask, an air filter, or a catheter and so on?
HLTH-5-LOOP-BEGIN_MS1 [] | Section: Fertility |
REPEAT
COMMENT: Start loop
HLTH-5A_VERBATIM_MS1 [] | Section: Fertility |
What is [name of biochild([mother supplement-part 1])]'s (next) health condition or limitation?
INTERVIEWER: PROBE AS NECESSARY: (What is it called?)
HLTH-5A_MS1 [T05623.00] | Section: Fertility |
CODE ONLY ONE
| 1 Learning disability |
| 2 Minimal brain dysfunction, minimal cerebral dysfunction, attention deficit disorder |
| 3 Hyperkinesis, hyperactivity |
| 4 Asthma |
| 5 Respiratory disorder or sinus infection |
| 6 Speech impairment |
| 7 Serious hearing difficulty or deafness |
| 8 Serious difficulty in seeing or blindness |
| 9 Serious emotional disturbance |
| 10 Allergic condition(s) |
| 11 Orthopedic handicap |
| 12 Mental retardation |
| 13 Heart trouble |
| 14 Chronic nervous disorder |
| 16 Chronic ear problems or infections |
| 17 Blood disorder or immune deficiency (e.g. sickle cell anemia) |
| 18 Epilepsy/Seizures |
| 95 Health condition not listed (SPECIFY) |
HLTH-5C-AGECK_MS1 [T05644.00] | Section: Fertility |
{^msagemo({ms1-loop1})^}<=11
COMMENT: Don't ask how long had condition if less than 1 yr old
If Answer = 1 Then Go To HLTH-5-CNT_MS1
HLTH-5C_MS1 [T05665.00] | Section: Fertility |
IN REFERENCE TO VERBATIM:
[health condition([mother supplement-part 1]:[conditions requiring special equipment loop])]
How old was [name of biochild([mother supplement-part 1])] when [s/he([mother supplement-part 1])] first developed this condition?
INTERVIEWER: ENTER AGE IN YEARS (SINCE BIRTH=0)
HLTH-5-CNT_MS1 [T05686.00] | Section: Fertility |
{HLTH-LOOP5COUNTER}
COMMENT: IF loop=1 goto HLTH-5-1STQ2A, else skip to HLTH-5-SCHLCHK
If Answer = 1 Then Go To HLTH-5-1STQ2A_MS1
HLTH-5-1STQ2A_MS1 [T05707.00] | Section: Fertility |
([limits to attending school?([mother supplement-part 1])] == 1) || ([reason child not attending school([mother supplement-part 1])] == 1)
COMMENT: jump to NEXT appropriate effect of limit to ask about
If Answer = 1 Then Go To HLTH-5E_MS1
HLTH-5-1STQ2B_MS1 [T05714.00] | Section: Fertility |
{^lim-schlwk({ms1-loop1})^} == 1
COMMENT: jump to NEXT appropriate effect of limit to ask about
If Answer = 1 Then Go To HLTH-5F_MS1
HLTH-5-1STQ2C_MS1 [T05721.00] | Section: Fertility |
{^lim-play({ms1-loop1})^} == 1
COMMENT: jump to NEXT appropriate effect of limit to ask about
If Answer = 1 Then Go To HLTH-5G_MS1
HLTH-5-1STQ3A_MS1 [T05728.00] | Section: Fertility |
{^lim-dr-oftn({ms1-loop1})^} ==1
COMMENT: jump to NEXT appropriate effect of limit to ask about
If Answer = 1 Then Go To HLTH-5H_MS1
HLTH-5-1STQ3B_MS1 [T05734.00] | Section: Fertility |
{^lim-meds({ms1-loop1})^} == 1
COMMENT: jump to NEXT appropriate effect of limit to ask about
If Answer = 1 Then Go To HLTH-5I_MS1
HLTH-5-1STQ3C_MS1 [T05739.00] | Section: Fertility |
{^lim-eqmt({ms1-loop1})^} == 1
COMMENT: jump to NEXT effect of limit to ask about
If Answer = 1 Then Go To HLTH-5J_MS1
HLTH-5-SCHLCK_MS1 [T05741.00] | Section: Fertility |
({^msage([mother supplement-part 1])^} >=4) || ({^msinschl([mother supplement-part 1])^} == 1) || ({^mseverschl([mother supplement-part 1])^} == 1)
COMMENT: Skip based on if age is GE to 4 and child is in school or ever attended school
If Answer = 1 Then Go To HLTH-5D_MS1
HLTH-5D_MS1 [T05755.00] | Section: Fertility |
IN REFERENCE TO VERBATIM:
[health condition([mother supplement-part 1]:[conditions requiring special equipment loop])]
Does this condition limit or prevent [his/her([mother supplement-part 1])] ability to...
...attend school regularly?
HLTH-5E_MS1 [T05769.00] | Section: Fertility |
IN REFERENCE TO VERBATIM:
[health condition([mother supplement-part 1]:[conditions requiring special equipment loop])]
Does this condition limit or prevent [his/her([mother supplement-part 1])] ability to...
...do regular schoolwork?
HLTH-5F_MS1 [T05788.00] | Section: Fertility |
IN REFERENCE TO VERBATIM:
[health condition([mother supplement-part 1]:[conditions requiring special equipment loop])]
Does this condition limit or prevent [his/her([mother supplement-part 1])] ability to...
...do usual childhood activities such as play, or participate in games or sports?
HLTH-5G_MS1 [T05807.00] | Section: Fertility |
IN REFERENCE TO VERBATIM:
[health condition([mother supplement-part 1]:[conditions requiring special equipment loop])]
Does this condition require...
...frequent attention or treatment from a doctor or other health professional?
HLTH-5H_MS1 [T05828.00] | Section: Fertility |
IN REFERENCE TO VERBATIM:
[health condition([mother supplement-part 1]:[conditions requiring special equipment loop])]
Does this condition require...
...regular use of any medicine or drug (other than vitamins)?
HLTH-5I_MS1 [T05849.00] | Section: Fertility |
IN REFERENCE TO VERBATIM:
[health condition([mother supplement-part 1]:[conditions requiring special equipment loop])]
Does this condition require...
... use of any special equipment, such as a brace, crutches, a wheelchair, special shoes, a helmet, a special bed, a breathing mask, an inhaler, an air filter, or a catheter and so on?
HLTH-5J_MS1 [T05870.00] | Section: Fertility |
Does [name of biochild([mother supplement-part 1])] have any other health conditions (that we haven't talked about)?
HLTH-5-LOOP-END_MS1 [] | Section: Fertility |
UNTIL({^anymoreconds([mother supplement-part 1]:[conditions requiring special equipment loop])^}==0)
COMMENT: loop until there are no more conditions to ask about
Q9-AGE15-3 [T05912.00] | Section: Fertility |
{^biochild_bdate({ms1-loop1})~Y^} <= 1991
COMMENT: Is this child under age 15?
If Answer = 1 Then Go To HLTH-AGECHK1_MS1
Q9-AGE15-3A [T05923.00] | Section: Fertility |
{^biochild_asthma({ms1-loop1})^}
COMMENT: Is this child under age 15?
If Answer = 1 Then Go To Q9-59-ASTHMA-C2
Q9-AGE15-5 [T05934.00] | Section: Fertility |
{biounder15} > 0
COMMENT: Is this child under age 15?
If Answer = 1 Then Go To Q9-AGE15-6
Q9-AGE15-6 [] | Section: Fertility |
{Q9-LOOP14}==1
COMMENT: Is this the first time through the loop?
If Answer = 0 Then Go To Q9-59-ASTHMA-M3_13
Q9-59-ASTHMA-M1 [T05940.00] | Section: Fertility |
Has a doctor, nurse or other health professional ever told you that [name of biochild([mother supplement-part 1])] has asthma?
Q9-59-ASTHMA-M3_13 [T05951.00] | Section: Fertility |
{^biochild_asthma({q9-loop14})^} == 1 && {^biochild_age({q9-loop14})^} <= 15
COMMENT: Thirteenth bio child have asthma?
If Answer = 0 Then Go To HLTH-AGECHK1_MS1
Q9-59-ASTHMA-C1_A [T05957.00] | Section: Fertility |
How old was [name of biochild([mother supplement-part 1])] when you were first told by (a doctor, nurse, or other health professional) that [s/he([mother supplement-part 1])] had asthma?
(INTERVIEWER: PLEASE ENTER YEARS OR MONTHS - NOT BOTH)
Q9-59-ASTHMA-C1_B [T05964.00] | Section: Fertility |
Q9-59-ASTHMA-C2 [T05971.00] | Section: Fertility |
Does [name of biochild([mother supplement-part 1])] still have asthma?
Q9-59-ASTHMA-C3 [T05978.00] | Section: Fertility |
Has [name of biochild([mother supplement-part 1])]'s (biological) father ever been diagnosed with asthma, or told that he has asthma?
Q9-59-ASTHMA-C3A [T05985.00] | Section: Fertility |
[Q9-59-ASTHMA-C2([mother supplement-part 1])]==1
COMMENT: Check if child still has asthma
If Answer = 1 Then Go To Q9-59-ASTHMA-C4
Q9-59-ASTHMA-C4 [T05992.00] | Section: Fertility |
During the past 12 months, has [name of biochild([mother supplement-part 1])] had an episode of asthma or an asthma attack?
Q9-59-ASTHMA-C5 [T05999.00] | Section: Fertility |
During the past 12 months, how many times did [name of biochild([mother supplement-part 1])] have an unscheduled visit to an emergency room, doctor's office, or urgent care center because of asthma? (Please do not count any visits for routine medical care.)
Q9-59-ASTHMA-C6 [T06006.00] | Section: Fertility |
During the past 12 months, how many days of school did [name of biochild([mother supplement-part 1])] miss due to [his/her([mother supplement-part 1])] asthma?
(INTERVIEWER: IF CHILD NOT IN PRESCHOOL OR REGULAR SCHOOL, CODE "995").
Q9-59-ASTHMA-C7A [T06013.00] | Section: Fertility |
{^biochild_age({ms1-loop1})^} >= 2
COMMENT: Is child at least 2 yars old?
If Answer = 0 Then Go To Q9-59-ASTHMA-C8
Q9-59-ASTHMA-C7B [T06020.00] | Section: Fertility |
During the past 12 months, how much did [name of biochild([mother supplement-part 1])] limit [his/her([mother supplement-part 1])] usual activities due to asthma? Would you say...
| 1 Not at all |
| 2 A little |
| 3 A fair amount |
| 4 A moderate amount |
| 5 A lot |
Q9-59-ASTHMA-C8 [T06027.00] | Section: Fertility |
In the past 30 days how often did [name of biochild([mother supplement-part 1])] have any asthma symptoms either during the day or at night? Would you say...
Q9-59-ASTHMA-C8A [T06034.00] | Section: Fertility |
In the past 30 days, how often did [name of biochild([mother supplement-part 1])]'s asthma symptoms make it difficult for [him/her([mother supplement-part 1])] to stay asleep at night?
(INTERVIEWER: PLEASE NOTE REFERENCE PERIOD CHANGE.)
| 0 Not at any time in the past 30 days |
| 1 Less than once a week |
| 2 Once or twice a week |
| 3 More than 2 times a week, but not every day |
| 4 Every day, once per day |
| 5 Every day, more than once per day |
Q9-59-ASTHMA-C9 [T06041.00] | Section: Fertility |
A quick relief medication is used during an asthma attack to stop it. In the past 30 days how often has [name of biochild([mother supplement-part 1])] used any quick relief medicines when [s/he([mother supplement-part 1])] has had an asthma attack? (For example, Airomir, Asmol, Albuterol, Atrovent, Bricanyl, Predmix, Redipred, Respolin, Maxair, Ventolin)
| 0 Not at any time in the past 30 days |
| 1 Less than once a week |
| 2 Once or twice a week |
| 3 More than 2 times a week, but not every day |
| 4 Every day, once per day |
| 5 Every day, more than once per day |
Q9-59-ASTHMA-C10 [T06048.00] | Section: Fertility |
Asthma controller medications are used daily to prevent asthma attacks. Does [name of biochild([mother supplement-part 1])] use a daily asthma controller medication to prevent attacks? (For example Accolate, Advair, Azmacort, Flovent, Fordile, Intal, Oxis, Seretide, Serevent, Singulair, Tilade, Vanceril)
| 1 YES |
| 0 NO |
| 2 USES SOMETIMES/OCCASIONALLY/WHEN I REMEMBER |
HLTH-AGECHK1_MS1 [T06055.00] | Section: Fertility |
{^MSAGE({ms1-loop1})^} < 3 || {^biochild_statcode({ms1-loop1})^} == 97
COMMENT: NO BACKGROUND ITEMS ASKED FOR CHILDREN UNDER 3
If Answer = 1 Then Go To Q9-195
HLTH-AGECHK2_MS1 [T06066.00] | Section: Fertility |
{^biochild_bdate({ms1-loop1})~Y^} <= 1991
COMMENT: NO BACKGROUND ITEMS ASKED FOR CHILDREN OVER 15
If Answer = 1 Then Go To HLTH-8_MS1
HLTH-6_MS1 [T06077.00] | Section: Fertility |
{^hlth-sub3({ms1-loop1})^}, has {^biochild_name({ms1-loop1})^} had any accidents or injuries that required medical attention?
HLTH-6-LOOP-BEGIN_MS1 [] | Section: Fertility |
REPEAT
COMMENT: Begin loop about accidents requiring medical attention
HLTH-6B_MS1 [T06088.00] | Section: Fertility |
Thinking of the [most recent accident or injury/accident or injury that occurred before the one you just described([mother supplement-part 1]:[illnesses/injuries that required medical attention])], in what month and year did it occur?
HLTH-6C_VERBATIM_MS1 [] | Section: Fertility |
What was the cause of that accident or injury?
HLTH-6C_MS1 [T06100.00] | Section: Fertility |
CODE ONLY ONE
| 1 Motor vehicle accident as occupant |
2 Motor vehicle accident as pedestrian |
| 3 Cycling |
4 Fall unrelated to athletics or sports activity |
| 5 Fall/contact related to athletics/sports activity |
6 Fire or smoke |
| 7 Hot liquid |
8 Toy or item intended for child use |
| 9 Equipment or device not intended for a child |
10 Poisoning |
| 11 Smashed body part: car/door/window bruise/contusion |
12 Adult injured child accidentally (pull/lift injury) |
| 13 Intentional violent injury |
14 "Rough housing", impact injury: wrestling, etc. |
| 16 Fighting: broke bone/nose, hit in face, shot, stabbed, etc. |
17 Struck by object from other person (intent unknown) |
| 18 Insect sting or bite |
19 Stepped on sharp object, i.e. glass/nails/metal |
| 20 Ran into stationary object (not in home environment) |
22 Ran into stationary object (home environment) |
| 21 Animal bite |
23 Cut by sharp object, i.e. knife/glass/tool |
| 24 Burn, i.e. from heater/cigarette/oven/stove |
25 Jump/fall accident, i.e. off furniture/other object |
| 26 "Temper" injuries, i.e. fell, kicked furniture, etc. |
15 Other (SPECIFY) |
HLTH-6D_MS1 [T06112.00] | Section: Fertility |
What specific injury or conditions resulted from the accident just mentioned?
(SELECT ALL THAT APPLY)
| 1 Broken or dislocated bones |
| 2 Sprain, strain, or pulled muscle |
| 3 Wound: cuts, scrapes, puncture |
| 4 Head injury, concussion |
| 5 Bruise, contusion, or internal bleeding |
| 6 Burn, scald |
| 7 Illness or effect from poisons, medicines (drugs), etc |
| 15 Other (SPECIFY) |
HLTH-6E_MS1 [T06124.00] | Section: Fertility |
Where did the accident or injury happen?
| 1 At home (any, not necessarily the child's) |
| 2 School (including grounds and athletic areas) |
| 3 Day care location (preschool/nursery) |
| 4 Street or highway |
| 5 Public building or space (other than streets or schools) |
| 6 Place of recreation and sports, except school |
| 7 Farm or agricultural area, except farm house |
| 8 Other (SPECIFY) |
HLTH-6G_MS1 [T06136.00] | Section: Fertility |
Has [name of biochild([mother supplement-part 1])] had any other accidents or injuries requiring medical attention [since was born/during the past 12 months([mother supplement-part 1])]?
HLTH-6-LOOP-END_MS1 [] | Section: Fertility |
UNTIL({^anymorehurts([mother supplement-part 1]:[illnesses/injuries that required medical attention])^}==0)
COMMENT: loop until there are no more accidents or injuries
HLTH-7_MS1 [T06160.00] | Section: Fertility |
Now we're going to talk about any time [name of biochild([mother supplement-part 1])] may have been hospitalized since [ was born/we last interviewed you on mother last int([mother supplement-part 1])]. (This may include an injury that you have already mentioned here.)
Has [name of biochild([mother supplement-part 1])] had any accidents or injuries that required hospitalization since [ was born/we last interviewed you on mother last int([mother supplement-part 1])]?
HLTH-7-LOOP-BEGIN_MS1 [] | Section: Fertility |
REPEAT
COMMENT: Start hospitalization loop
HLTH-7B_MS1 [T06171.00] | Section: Fertility |
Thinking of the [most recent accident or injury that/accident or injury that occurred before the one you just described that also([mother supplement-part 1]:[illnesses/injuries that required hospitalization])] required hospitalization, in what month and year did it occur?
HLTH-7C_VERBATIM_MS1 [] | Section: Fertility |
What was the cause of this accident or injury?
HLTH-7C_MS1 [T06176.00] | Section: Fertility |
CODE ONLY ONE
| 1 Motor vehicle accident as occupant |
2 Motor vehicle accident as pedestrian |
| 3 Cycling |
4 Fall unrelated to athletics or sports activity |
| 5 Fall/contact related to athletics/sports activity |
6 Fire or smoke |
| 7 Hot liquid |
8 Toy or item intended for child use |
| 9 Equipment or device not intended for a child |
10 Poisoning |
| 11 Smashed body part: car/door/window bruise/contusion |
12 Adult injured child accidentally (pull/lift injury) |
| 13 Intentional violent injury |
14 "Rough housing", impact injury: wrestling, etc. |
| 16 Fighting: broke bone/nose, hit in face, shot, stabbed, etc. |
17 Struck by object from other person (intent unknown) |
| 18 Insect sting or bite |
19 Stepped on sharp object, i.e. glass/nails/metal |
| 20 Ran into stationary object (not in home environment) |
22 Ran into stationary object (home environment) |
| 21 Animal bite |
23 Cut by sharp object, i.e. knife/glass/tool |
| 24 Burn, i.e. from heater/cigarette/oven/stove |
25 Jump/fall accident, i.e. off furniture/other object |
| 26 "Temper" injuries, i.e. fell, kicked furniture, etc. |
15 Other (SPECIFY) |
HLTH-7D_MS1 [T06181.00] | Section: Fertility |
What specific injury or conditions resulted from the accident just mentioned?
(SELECT ALL THAT APPLY)
| 1 Broken or dislocated bones |
| 2 Sprain, strain, or pulled muscle |
| 3 Wound: cuts, scrapes, puncture |
| 4 Head injury, concussion |
| 5 Bruise, contusion, or internal bleeding |
| 6 Burn, scald |
| 7 Illness or effect from poisons, medicines (drugs), etc |
| 15 Other (SPECIFY) |
HLTH-7E_MS1 [T06186.00] | Section: Fertility |
Where did the accident or injury happen?
| 1 At home (any, not necessarily the child's) |
| 2 School (including grounds and athletic areas) |
| 3 Day care location (preschool/nursery) |
| 4 Street or highway |
| 5 Public building or space (other than streets or schools) |
| 6 Place of recreation and sports, except school |
| 7 Farm or agricultural area, except farm house |
| 8 Other (SPECIFY) |
HLTH-7G_MS1 [T06191.00] | Section: Fertility |
Has [name of biochild([mother supplement-part 1])] had any other accidents or injuries requiring hospitalization since [ was born/we last interviewed you on mother last int([mother supplement-part 1])]?
HLTH-7-LOOP-END_MS1 [] | Section: Fertility |
UNTIL({^anymorehosp([mother supplement-part 1]:[illnesses/injuries that required hospitalization])^}==0)
COMMENT: Repeat loop until there are no more
HLTH-8_MS1 [T06201.00] | Section: Fertility |
{^hlth-sub({ms1-loop1})^} had any illnesses that required medical attention or treatment?
HLTH-8A_MS1 [T06212.00] | Section: Fertility |
How many such illnesses has [name of biochild([mother supplement-part 1])] had [since was born/during the past 12 months([mother supplement-part 1])]?
HLTH-9_MS1 [T06221.00] | Section: Fertility |
When did [name of biochild([mother supplement-part 1])] last see a doctor for a routine health checkup?
| 1 Less than 1 month ago |
| 2 1 - 3 months ago |
| 3 4 - 6 months ago |
| 4 7 - 11 months ago |
| 5 1 year - 23 months ago |
| 6 2 or more years ago |
| 7 Never |
HLTH-AGECHK3_MS1 [T06232.00] | Section: Fertility |
{^biochild_bdate({ms1-loop1})~Y^} <= 1991
COMMENT: NO BACKGROUND ITEMS ASKED FOR CHILDREN over 15
If Answer = 1 Then Go To HLTH-14_MS1
HLTH-11-AGECK_MS1 [T06265.00] | Section: Fertility |
{^CHILDSEX({ms1-loop1})^} == 2 && {^MSAGE({ms1-loop1})^} >= 8 && {^CHILDPER({ms1-loop1})^}==0
COMMENT: If female, 8 yrs or older, and menarche not recorded then ask about menses, else skip
If Answer = 1 Then Go To HLTH-11A_MS1
HLTH-11A_MS1 [T06276.00] | Section: Fertility |
Has [name of biochild([mother supplement-part 1])] ever had a menstrual period?
HLTH-11B_MS1 [T06286.00] | Section: Fertility |
How old was [name of biochild([mother supplement-part 1])] when she had her first menstrual period?
(INTERVIEWER: ENTER AGE IN YEARS.)
HLTH-11C_MS1 [T06292.00] | Section: Fertility |
In what month and year did she have her first period?
HLTH-12-AGECHK_MS1 [T06298.00] | Section: Fertility |
({^MSAGE([mother supplement-part 1])^}>=2)
COMMENT: Is child age 2 yrs or older?
If Answer = 1 Then Go To HLTH-12A_MS1
HLTH-12A_MS1 [T06309.00] | Section: Fertility |
Which hand does [name of biochild([mother supplement-part 1])] use for writing?
IF R VOLUNTEERS "AMBIDEXTROUS","EITHER", OR "BOTH", ENTER EITHER/BOTH AND RECORD EXPLANATION IN COMMENT SCREEN.
IF R SAYS CHILD DOESN'T WRITE YET, ASK WHICH HAND HE/SHE USES MOST OFTEN.
| 1 Left |
| 2 Right |
| 3 Either/both |
HLTH-12B_MS1 [T06320.00] | Section: Fertility |
Please think about the hand [name of biochild([mother supplement-part 1])] uses for activities such as throwing a ball. When [s/he([mother supplement-part 1])] throws a ball, does [s/he([mother supplement-part 1])] use [his/her([mother supplement-part 1])]...
| 1 right hand nearly all of the time? |
| 2 right hand more than half of the time? |
| 3 right and left hands about equally? |
| 4 left hand more than half of the time? |
| 5 left hand nearly all of the time? |
HLTH-12C_MS1 [T06331.00] | Section: Fertility |
When [s/he([mother supplement-part 1])] brushes [his/her([mother supplement-part 1])] teeth, does [s/he([mother supplement-part 1])] use [his/her([mother supplement-part 1])]...
| 1 right hand nearly all of the time? |
| 2 right hand more than half of the time? |
| 3 right and left hands about equally? |
| 4 left hand more than half of the time? |
| 5 left hand nearly all of the time? |
HLTH-13_MS1 [T06342.00] | Section: Fertility |
When did [name of biochild([mother supplement-part 1])] last see a dentist for a checkup or to have some dental work done?
| 1 Less than 1 month ago |
| 2 1 - 3 months ago |
| 3 4 - 6 months ago |
| 4 7 - 11 months ago |
| 5 1 year - 23 months ago |
| 6 2 or more years ago |
| 7 Never |
HLTH-14_MS1 [T06353.00] | Section: Fertility |
Is [name of biochild([mother supplement-part 1])]'s health care now covered by health insurance provided either by an employer or by an individual plan that pays part or all of a hospital, doctor's, or surgeon's bill?
(THIS DOES NOT INCLUDE PUBLIC ASSISTANCE HEALTH CARE PROGRAMS.)
HLTH-15_MS1 [T06364.00] | Section: Fertility |
There is a national program called Medicaid that pays for health care for persons in need.
Is [name of biochild([mother supplement-part 1])]'s health care now covered by Medicaid?
(PROBE IF NECESSARY:) In [RESPONDENT STATE], this would include programs such as [Child Health Insurance Program Name].
Q9-195 [T06375.00] | Section: Fertility |
{^biochild_bdate({ms1-loop1})~Y^} <= 1991 && ({^biochild_statcode({ms1-loop1})^} != 8 && {^biochild_hhiflag({ms1-loop1})^} != 8)
COMMENT: Will child turn at least 15 sometime during 2006 and child is not deceased?
If Answer = 1 Then Go To Q9-199
Q9-199 [T06386.00] | Section: Fertility |
{^biochild_age({ms1-loop1})^} < 18
COMMENT: Is this child less than 18 years old?
If Answer = 0 Then Go To HLTH-MS1-LOOP-END
Q9-199A [T06394.00] | Section: Fertility |
{^BIOCHILD_NAME({ms1-loop1})^} IS A YOUNG ADULT. IF UNDER 18 YEARS OLD (SEE BELOW), ASK R FOR HER CONSENT TO HAVE {^BIOCHILD_NAME({ms1-loop1})^} PARTICIPATE IN YOUNG ADULT SURVEY. RECORD R'S RESPONSE.
({^BIOCHILD_NAME({ms1-loop1})^} is {^BIOCHILD_AGE({ms1-loop1})^}, born on {^BIOCHILD_BDATE({ms1-loop1})~X^}).
(PLEASE REMEMBER TO GET {^BIOCHILD_NAME({ms1-loop1})^}'S ADDRESS IF NOT IN RESPONDENT'S HOUSEHOLD.)
| 1 GAVE CONSENT |
| 2 REFUSED CONSENT |
| 3 NO CONSENT NECESSARY |
HLTH-MS1-LOOP-END [] | Section: Fertility |
UNTIL ([mother supplement-part 1]==[total bio children reported])
COMMENT: END LOOP WHEN INFO SHEETS GENERATED FOR ALL NEW KIDS
HOME-MS1-LOOP-BEGIN [] | Section: Fertility |
REPEAT
COMMENT: START loop
0
HOME-AGECHK-YA3_MS1 [T06413.00] | Section: Fertility |
{^biochild_bdate({ms1-loop3})~Y^} <= 1991
COMMENT: Does this child turn 15 years or older during surve year?
If Answer = 1 Then Go To MS1-LOOP-END_MS1
HOME-CHK1_MS1 [T06435.00] | Section: Fertility |
{^biochild_statcode({ms1-loop3})^}
COMMENT: Is first biological child deleted, deceased or adopted out?
If Answer = 5 Then Go To MS1-LOOP-END_MS1
If Answer = 8 Then Go To MS1-LOOP-END_MS1
If Answer = 99 Then Go To MS1-LOOP-END_MS1
HOME-CHK1_A_MS1 [T06445.00] | Section: Fertility |
{^biochild_hhiflag({ms1-loop3})^}
COMMENT: Is first biological child deleted, deceased or adopted out?
If Answer = 5 Then Go To MS1-LOOP-END_MS1
If Answer = 8 Then Go To MS1-LOOP-END_MS1
If Answer = 99 Then Go To MS1-LOOP-END_MS1
HOME-AGECK1_MS1 [T06455.00] | Section: Fertility |
([child age in months([mother supplement-part 3])]>=0)
COMMENT: IF child meets AGE and YOB/BORNSR19 constraints, then continue. Otherwise skip to HOME-END
If Answer = 1 Then Go To HOME-TITLE_MS1
HOME-TITLE_MS1 [] | Section: Fertility |
BEGIN HOME SECTION
[name of biochild([mother supplement-part 3])]
HOME-INTRO_MS1 [] | Section: Fertility |
INTERVIEWER: THE FOLLOWING SECTION IS A CHILD ASSESSMENT. IT IS VITAL THAT YOU COMPLETE ALL QUESTIONS IN THIS SECTION.
READ TO MOTHER
We are interested in your family's lifestyle and rules.
HOME-AGECK2_MS1 [T06488.00] | Section: Fertility |
([child age in months([mother supplement-part 3])])
COMMENT: Jump to appropriate HOME section based on months of age.
If Answer >= 0 AND Answer <= 35 Then Go To HOME-A01_MS1
If Answer >= 36 AND Answer <= 71 Then Go To HOME-B01_MS1
If Answer >= 72 AND Answer <= 119 Then Go To HOME-C01_MS1
If Answer >= 120 AND Answer <= 179 Then Go To HOME-D01_MS1
HOME-A01_MS1 [T06499.00] | Section: Fertility |
About how often does [name of biochild([mother supplement-part 3])] have a chance to get out of the house?
| 5 Every day |
| 4 4 or more times a week |
| 3 A few times a week |
| 2 About once a week |
| 1 A few times a month or less |
HOME-A02_MS1 [T06505.00] | Section: Fertility |
About how many children's books does [name of biochild([mother supplement-part 3])] have?
| 4 10 or more books |
| 3 3 to 9 books |
| 2 1 or 2 books |
| 1 None |
HOME-A03_MS1 [T06511.00] | Section: Fertility |
How often do you get a chance to read stories to [name of biochild([mother supplement-part 3])]?
| 1 Never |
| 2 Several times a year |
| 3 Several times a month |
| 4 Once a week |
| 5 About 3 times a week |
| 6 Everyday |
HOME-A04_MS1 [T06517.00] | Section: Fertility |
About how often do you take [name of biochild([mother supplement-part 3])] to the grocery store?
| 1 Twice a week or more |
| 2 Once a week |
| 3 Once a month |
| 4 Hardly ever |
HOME-A05_MS1 [T06523.00] | Section: Fertility |
About how many, if any, cuddly, soft or role-playing toys (like a doll) does [name of biochild([mother supplement-part 3])] have? (May be shared with sister or brother.)
ENTER NUMBER OF SOFT TOYS.
HOME-A06_MS1 [T06529.00] | Section: Fertility |
About how many, if any, push or pull toys does [name of biochild([mother supplement-part 3])] have? (May be shared with sister or brother.)
ENTER NUMBER OF PUSH/PULL TOYS.
HOME-A07_MS1 [T06535.00] | Section: Fertility |
Some parents spend time teaching their children new skills while other parents believe children learn best on their own. Which of the following most closely describes your attitude?
| 1 Parents should always spend time teaching their children |
| 2 Parents should usually spend time teaching their children |
| 3 Parents should usually allow their children to learn on their own |
| 4 Parents should always allow their children to learn on their own |
HOME-A08_MS1 [T06541.00] | Section: Fertility |
Think for a moment about a typical weekday for your family. How much time--either in your home or elsewhere--does [name of biochild([mother supplement-part 3])] spend watching television on a typical weekday?
INTERVIEWER: ENTER HOURS PER WEEKDAY (ROUND TO NEAREST 1/2 HR. "NO" OR "NONE"= 0)
(IF REPLY IS "Do not have a TV" THEN PROMPT: Does [name of biochild([mother supplement-part 3])] spend any time watching TV outside of your home (for example with a babysitter) on a typical weekday?)
HOME-A09_MS1 [T06547.00] | Section: Fertility |
Now, think about a typical weekend day (Saturday or Sunday) for your family. How much time--either in your home or elsewhere--does [name of biochild([mother supplement-part 3])] spend watching television on a typical weekend day?
INTERVIEWER: ENTER HOURS PER WEEKEND DAY (ROUND TO NEAREST 1/2 HR. "NO" OR "NONE"= 0)
(IF REPLY IS "Do not have a TV" THEN PROMPT: Does [name of biochild([mother supplement-part 3])] spend any time watching TV outside of your home (for example with a babysitter) on a typical weekend day?)
HOME-A10A_MS1 [T06553.00] | Section: Fertility |
About how many hours is the TV on in your home each day?
INTERVIEWER: ENTER HOURS PER DAY, ROUND TO NEAREST 1/2 HR.
NOTE: LESS THAN 1 HOUR PER DAY = 0. IF R DOES NOT HAVE A TV, ENTER ZERO AND CHANGE CHECK ITEM BELOW.
HOME-A10B_MS1 [T06559.00] | Section: Fertility |
MARK AS APPROPRIATE
| 1 R HAS A TV |
| 0 R DOES NOT HAVE A TV |
HOME-A-DADCHK1_MS1 [T06565.00] | Section: Fertility |
([Child's bio father in hh?([mother supplement-part 3])] == 1)
COMMENT: IF FATHER PRESENT IN MOTHER HOUSEHOLD SKIP TO HOME-A-TXTSUB1
If Answer = 1 Then Go To HOME-A14_MS1
HOME-A11_MS1 [T06571.00] | Section: Fertility |
Does [name of biochild([mother supplement-part 3])] ever see
[his/her([mother supplement-part 3])] father, or someone [s/he([mother supplement-part 3])] considers a father-figure?
HOME-A12_MS1 [T06575.00] | Section: Fertility |
Is this person [his/her([mother supplement-part 3])] biological father, stepfather, or a father-figure?
| 1 BIOLOGICAL FATHER |
| 2 STEPFATHER |
| 3 FATHER-FIGURE |
HOME-A13_MS1 [T06579.00] | Section: Fertility |
What is his relationship to you? (Is he your spouse, your partner, your friend, a relative, or someone else?)
| 1 SPOUSE |
| 2 EX-SPOUSE |
| 3 PARTNER |
| 4 EX-PARTNER |
| 5 BOYFRIEND |
| 6 EX-BOYFRIEND |
| 7 FIANCE |
| 8 FRIEND |
| 9 FATHER |
| 10 GRANDFATHER |
| 11 BROTHER |
| 12 UNCLE |
| 13 SOMEONE ELSE (SPECIFY) |
HOME-A14_MS1 [T06583.00] | Section: Fertility |
Does [name of biochild([mother supplement-part 3])] see [his/her([mother supplement-part 3])] [father/stepfather/father-figure([mother supplement-part 3])] on a daily basis?
HOME-A15_MS1 [T06589.00] | Section: Fertility |
How often does [name of biochild([mother supplement-part 3])] eat a meal with both you and [his/her([mother supplement-part 3])] [father/stepfather/father-figure([mother supplement-part 3])]?
| 1 More than once a day |
| 2 Once a day |
| 3 Several times a week |
| 4 About once a week |
| 5 About once a month |
| 6 Never |
HOME-A16_MS1 [T06595.00] | Section: Fertility |
Children seem to demand attention when their parents are busy around the house. How often do you talk to [name of biochild([mother supplement-part 3])] while you are working?
| 1 Always (talk to your child when working) |
| 2 Often (talk to your child when working) |
| 3 Sometimes (talk to your child when working) |
| 4 Rarely (talk to your child when working) |
| 5 Never (talk to your child when working) |
HOME-A17A_MS1 [T06601.00] | Section: Fertility |
How close does [name of biochild([mother supplement-part 3])] feel toward you? Does [s/he([mother supplement-part 3])] feel...
| 1 Extremely close |
| 2 Quite close |
| 3 Fairly close |
| 4 Not at all close |
HOME-A-DADCHK2_MS1 [T06607.00] | Section: Fertility |
([father/step-father/father-figure([mother supplement-part 3])])
COMMENT: WHODAD=0 (NO FATHER-FIGURE), SKIP TO HOME-A18;
WHODAD>=1 SKIP TO HOME-A17B.
If Answer = 0 Then Go To HOME-A18_MS1
If Answer >= 1 AND Answer <= 3 Then Go To HOME-A17B_MS1
HOME-A17B_MS1 [T06613.00] | Section: Fertility |
How close does [s/he([mother supplement-part 3])] feel toward [his/her([mother supplement-part 3])] (biological) father?
| 1 Extremely close |
| 2 Quite close |
| 3 Fairly close |
| 4 Not at all close |
| 5 Does not have this parent |
HOME-A-DADCHK3_MS1 [T06619.00] | Section: Fertility |
([father/step-father/father-figure([mother supplement-part 3])])
COMMENT: IF father is in HH, don't ask about closeness to stepfather
(WHODAD=1 skip to HOME-A18).
If Answer = 1 Then Go To HOME-A18_MS1
HOME-A17D_MS1 [T06625.00] | Section: Fertility |
How close does [s/he([mother supplement-part 3])] feel toward [his/her([mother supplement-part 3])] [father/stepfather/father-figure([mother supplement-part 3])]?
| 1 Extremely close |
| 2 Quite close |
| 3 Fairly close |
| 4 Not at all close |
HOME-A18_MS1 [T06626.00] | Section: Fertility |
Sometimes kids mind pretty well and sometimes they don't.
About how many times, if any, have you had to spank [name of biochild([mother supplement-part 3])] in the past week?
HOME-B01_MS1 [T06632.00] | Section: Fertility |
About how often do you read stories to [name of biochild([mother supplement-part 3])]?
| 1 Never |
| 2 Several times a year |
| 3 Several times a month |
| 4 Once a week |
| 5 At least 3 times a week |
| 6 Everyday |
HOME-B02_MS1 [T06643.00] | Section: Fertility |
About how many children's books does [name of biochild([mother supplement-part 3])] have?
| 4 10 or more books |
| 3 3 to 9 books |
| 2 1 or 2 books |
| 1 None |
HOME-B03_MS1 [T06654.00] | Section: Fertility |
About how many magazines does your family get regularly?
| 1 None |
| 2 One |
| 3 Two |
| 4 Three |
| 5 Four or more |
HOME-B04_MS1 [T06665.00] | Section: Fertility |
Does [name of biochild([mother supplement-part 3])] have the use of a CD player, tape deck, or tape recorder, or record player at home and at least 5 children's records or tapes? (May be shared with sister or brother.)
HOME-B05A_MS1 [T06676.00] | Section: Fertility |
Please tell me which of the following you (or someone else) have helped [name of biochild([mother supplement-part 3])] learn at home.
Do you or have you helped with...numbers?
HOME-B05B_MS1 [T06687.00] | Section: Fertility |
Do you (or someone else) help with...the alphabet?
HOME-B05C_MS1 [T06698.00] | Section: Fertility |
Do you (or someone else) help with...colors?
HOME-B05D_MS1 [T06709.00] | Section: Fertility |
Do you (or someone else) help with...shapes and sizes?
HOME-B06_MS1 [T06720.00] | Section: Fertility |
How much choice is [name of biochild([mother supplement-part 3])] allowed in deciding what foods [s/he([mother supplement-part 3])] eats at breakfast and lunch?
| 1 A great deal of choice |
| 2 Some choice |
| 3 Little choice |
| 4 No choice |
HOME-B07A_MS1 [T06731.00] | Section: Fertility |
About how many hours is the TV on in your home each day?
INTERVIEWER: ENTER HOURS PER DAY, ROUND TO NEAREST 1/2 HR.
NOTE: LESS THAN 1 HOUR PER DAY = 0. IF R DOES NOT HAVE A TV, ENTER ZERO AND CHANGE CHECK ITEM BELOW.
HOME-B07B_MS1 [T06742.00] | Section: Fertility |
| 1 R HAS A TV |
| 0 R DOES NOT HAVE A TV |
HOME-B08A_MS1 [] | Section: Fertility |
Most children get angry at their parents from time to time. If [name of biochild([mother supplement-part 3])] got so angry that [s/he([mother supplement-part 3])] hit you, what would you do?
INTERVIEWER: ENTER VERBATIM AND SELECT ALL THAT APPLY
HOME-B08B_MS1 [T06753.00] | Section: Fertility |
| 1 Hit him/her back |
| 2 Send him/her to his/her room |
| 3 Spank him/her |
| 4 Talk to him/her |
| 5 Ignore it |
| 6 Give him/her household chore |
| 7 Take away his/her allowance |
| 8 Hold child's hands until he/she was calm |
| 10 Put child in a short 'time out' |
| 9 Other (SPECIFY) |
HOME-B09_MS1 [T06764.00] | Section: Fertility |
How often does a family member get a chance to take [name of biochild([mother supplement-part 3])] on any kind of outing (like shopping, to the park, a picnic, drive-in, and so on)?
| 1 A few times a year or less |
| 2 About once a month |
| 3 About two or three times a month |
| 4 Several times a week |
| 5 About once a day |
HOME-B10_MS1 [T06775.00] | Section: Fertility |
How often has a family member taken or arranged to take [name of biochild([mother supplement-part 3])] to any type of museum (children's, scientific, art, historical, etc.) within the past year?
| 1 Never |
| 2 Once or twice |
| 3 Several times |
| 4 About once a month |
| 5 About once a week or more often |
HOME-B11_MS1 [T06786.00] | Section: Fertility |
Think for a moment about a typical weekday for your family. How much time--either in your home or elsewhere--does [name of biochild([mother supplement-part 3])] spend watching television on a typical weekday?
INTERVIEWER: ENTER HOURS PER WEEKDAY (ROUND TO NEAREST 1/2 HR. "NO" OR "NONE"= 0)
(IF REPLY IS "Do not have a TV" THEN PROMPT: Does [name of biochild([mother supplement-part 3])] spend any time watching TV outside of your home (for example with a babysitter) on a typical weekday?)
HOME-B12_MS1 [T06797.00] | Section: Fertility |
Now, think about a typical weekend day (Saturday or Sunday) for your family. How much time--either in your home or elsewhere--does [name of biochild([mother supplement-part 3])] spend watching television on a typical weekend day?
INTERVIEWER: ENTER HOURS PER WEEKEND DAY (ROUND TO NEAREST 1/2 HR. "NO" OR "NONE"= 0)
(IF REPLY IS "Do not have a TV" THEN PROMPT: Does [name of biochild([mother supplement-part 3])] spend any time watching TV outside of your home (for example with a babysitter) on a typical weekend day?)
HOME-B-DADCHK1_MS1 [T06808.00] | Section: Fertility |
([Child's bio father in hh?([mother supplement-part 3])] == 1)
COMMENT: IF FATHER PRESENT IN MOTHER HOUSEHOLD SKIP TO HOME-B-TXTSUB1
If Answer = 1 Then Go To HOME-B16_MS1
HOME-B13_MS1 [T06819.00] | Section: Fertility |
Does [name of biochild([mother supplement-part 3])] ever see [his/her([mother supplement-part 3])] father, or someone [s/he([mother supplement-part 3])] considers a father-figure?
HOME-B14_MS1 [T06828.00] | Section: Fertility |
Is this man [name of biochild([mother supplement-part 3])]'s biological father, stepfather, or a father-figure?
| 1 BIOLOGICAL FATHER |
| 2 STEPFATHER |
| 3 FATHER-FIGURE |
HOME-B15_MS1 [T06836.00] | Section: Fertility |
What is his relationship to you? (Is he your spouse, your partner, your friend, a relative, or someone else?)
| 1 SPOUSE |
| 2 EX-SPOUSE |
| 3 PARTNER |
| 4 EX-PARTNER |
| 5 BOYFRIEND |
| 6 EX-BOYFRIEND |
| 7 FIANCE |
| 8 FRIEND |
| 9 FATHER |
| 10 GRANDFATHER |
| 11 BROTHER |
| 12 UNCLE |
| 13 SOMEONE ELSE (SPECIFY) |
HOME-B16_MS1 [T06844.00] | Section: Fertility |
Does [name of biochild([mother supplement-part 3])] see [his/her([mother supplement-part 3])] [father/stepfather/father-figure([mother supplement-part 3])] on a daily basis?
HOME-B17_MS1 [T06854.00] | Section: Fertility |
How often does [name of biochild([mother supplement-part 3])] eat a meal with you and [his/her([mother supplement-part 3])] [father/stepfather/father-figure([mother supplement-part 3])]?
| 1 More than once a day |
| 2 Once a day |
| 3 Several times a week |
| 4 About once a week |
| 5 About once a month |
| 6 Never |
HOME-B18A_MS1 [T06864.00] | Section: Fertility |
How close does [name of biochild([mother supplement-part 3])] feel toward you? Does [s/he([mother supplement-part 3])] feel...
| 1 Extremely close |
| 2 Quite close |
| 3 Fairly close |
| 4 Not at all close |
HOME-B-DADCHK2_MS1 [T06875.00] | Section: Fertility |
([father/step-father/father-figure([mother supplement-part 3])])
COMMENT: WHODAD=0 (NO FATHER-FIGURE), SKIP TO HOME-B19;
WHODAD>=1 SKIP TO HOME-B18B.
If Answer = 0 Then Go To HOME-B19_MS1
If Answer >= 1 AND Answer <= 3 Then Go To HOME-B18B_MS1
HOME-B18B_MS1 [T06886.00] | Section: Fertility |
How close does [name of biochild([mother supplement-part 3])] feel toward [his/her([mother supplement-part 3])] (biological) father?
| 1 Extremely close |
| 2 Quite close |
| 3 Fairly close |
| 4 Not at all close |
| 5 Does not have this parent |
HOME-B-DADCHK3_MS1 [T06896.00] | Section: Fertility |
([father/step-father/father-figure([mother supplement-part 3])])
COMMENT: IF father is in HH, don't ask about closeness to stepfather (WHODAD=1 skip to HOME-B19).
If Answer = 1 Then Go To HOME-B19_MS1
HOME-B18D_MS1 [T06906.00] | Section: Fertility |
How close does [name of biochild([mother supplement-part 3])] feel toward [his/her([mother supplement-part 3])] [father/stepfather/father-figure([mother supplement-part 3])]?
| 1 Extremely close |
| 2 Quite close |
| 3 Fairly close |
| 4 Not at all close |
HOME-B19_MS1 [T06911.00] | Section: Fertility |
Sometimes kids mind pretty well and sometimes they don't. About how many times, if any, have you had to spank [name of biochild([mother supplement-part 3])] in the past week?
HOME-C01_MS1 [T06922.00] | Section: Fertility |
About how many books does [name of biochild([mother supplement-part 3])] have?
| 1 None |
| 2 1 or 2 books |
| 3 3 to 9 books |
| 4 10 or more books |
HOME-C02_MS1 [T06932.00] | Section: Fertility |
About how often do you read aloud to [name of biochild([mother supplement-part 3])]?
| 1 Never |
| 2 Several times a year |
| 3 Several times a month |
| 4 Once a week |
| 5 At least 3 times a week |
| 6 Everyday |
HOME-C03-MATRIX_MS1 [T06942.00] | Section: Fertility |
How often is [name of biochild([mother supplement-part 3])] expected to ....
| - Make his/her own bed? |
| - Clean his/her own room? |
| - Clean up after spills? |
| - Bathe him/her self? |
| - Pick up after himself/herself? |
| 1 Almost never |
| 2 Less than 1/2 of the time |
| 3 1/2 of the time |
| 4 More than 1/2 of the time |
| 5 Almost always |
HOME-C04_MS1 [T06952.00] | Section: Fertility |
Is there a musical instrument (for example, piano, drum, guitar, etc.) that [name of biochild([mother supplement-part 3])] can use here at home?
HOME-C05_MS1 [T06962.00] | Section: Fertility |
Does your family get a daily newspaper?
| 1 Yes |
| 0 No |
| 2 (IF VOLUNTEERED:) READ NEWSPAPER ONLINE |
| 3 (IF VOLUNTEERED:) SUNDAY PAPER ONLY |
HOME-C06_MS1 [T06972.00] | Section: Fertility |
About how often does [name of biochild([mother supplement-part 3])] read for enjoyment?
| 1 Every day |
| 2 Several times a week |
| 3 Several times a month |
| 4 Several times a year |
| 5 Never |
HOME-C07_MS1 [T06982.00] | Section: Fertility |
Does your family encourage [name of biochild([mother supplement-part 3])] to start and keep doing hobbies?
HOME-C08_MS1 [T06992.00] | Section: Fertility |
Does [name of biochild([mother supplement-part 3])] get special lessons or belong to any organization that encourages activities such as sports, music, art, dance, drama, etc.?
HOME-C09_MS1 [T07002.00] | Section: Fertility |
How often has a family member taken, or arranged to take [name of biochild([mother supplement-part 3])] to any type of museum (children's, scientific, art, historical, etc.) within the past year?
| 1 Never |
| 2 Once or twice |
| 3 Several times |
| 4 About once a month |
| 5 About once a week or more often |
HOME-C10_MS1 [T07012.00] | Section: Fertility |
How often has a family member taken, or arranged to take [name of biochild([mother supplement-part 3])] to any type of musical or theatrical performance within the past year?
| 1 Never |
| 2 Once or twice |
| 3 Several times |
| 4 About once a month |
| 5 About once a week or more often |
HOME-C11_MS1 [T07022.00] | Section: Fertility |
About how often does your whole family get together with relatives or friends?
| 1 Once a year or less |
| 2 A few times a year |
| 3 About once a month |
| 4 Two or three times a month |
| 5 About once a week or more |
HOME-C12_MS1 [T07032.00] | Section: Fertility |
Think for a moment about a typical weekday for your family. How much time--either in your home or elsewhere--would you say [name of biochild([mother supplement-part 3])] spends watching television on a typical weekday?
INTERVIEWER: ENTER HOURS PER WEEKDAY (ROUND TO NEAREST 1/2 HR. "NO" OR "NONE"= 0)
(IF REPLY IS "Do not have a TV" THEN PROMPT: Does [name of biochild([mother supplement-part 3])] spend any time watching TV outside of your home (for example with a babysitter) on a typical weekday?)
HOME-C13_MS1 [T07042.00] | Section: Fertility |
Now, think for a moment about a typical weekend day (Saturday or Sunday) for your family. How much time--either in your home or elsewhere-- would you say [name of biochild([mother supplement-part 3])] spends watching television on a typical weekend day?
INTERVIEWER: ENTER HOURS PER WEEKEND DAY (ROUND TO NEAREST 1/2 HR. "NO" OR "NONE"= 0)
(IF REPLY IS "Do not have a TV" THEN PROMPT: Does [name of biochild([mother supplement-part 3])] spend any time watching TV outside of your home (for example with a babysitter) on a typical weekend day?)
HOME-C-DADCHK1_MS1 [T07052.00] | Section: Fertility |
([Child's bio father in hh?([mother supplement-part 3])] == 1)
COMMENT: IF FATHER PRESENT IN MOTHER HOUSEHOLD SKIP TO HOME-C-TXTSUB1
If Answer = 1 Then Go To HOME-C17_MS1
HOME-C14_MS1 [T07062.00] | Section: Fertility |
Does [name of biochild([mother supplement-part 3])] ever see [his/her([mother supplement-part 3])] father, or someone [s/he([mother supplement-part 3])] considers a father-figure?
HOME-C15_MS1 [T07072.00] | Section: Fertility |
Is this man [his/her([mother supplement-part 3])] biological father, step father, or a father-figure?
| 1 BIOLOGICAL FATHER |
| 2 STEPFATHER |
| 3 FATHER-FIGURE |
HOME-C16_MS1 [T07081.00] | Section: Fertility |
What is his relationship to you? (Is he your spouse, your partner, your friend, a relative, or someone else?)
| 1 SPOUSE |
| 2 EX-SPOUSE |
| 3 PARTNER |
| 4 EX-PARTNER |
| 5 BOYFRIEND |
| 6 EX-BOYFRIEND |
| 7 FIANCE |
| 8 FRIEND |
| 9 FATHER |
| 10 GRANDFATHER |
| 11 BROTHER |
| 12 UNCLE |
| 13 SOMEONE ELSE (SPECIFY) |
HOME-C17_MS1 [T07090.00] | Section: Fertility |
About how often does [name of biochild([mother supplement-part 3])] spend time with [his/her([mother supplement-part 3])] [father/stepfather/father-figure([mother supplement-part 3])]?
| 1 Once a day or more often |
| 2 At least 4 times a week |
| 3 About once a week |
| 4 About once a month |
| 5 A few times a year or less |
| 6 Never |
| 7 No father, stepfather, or father-figure |
HOME-C18_MS1 [T07100.00] | Section: Fertility |
About how often does [name of biochild([mother supplement-part 3])] spend time with [his/her([mother supplement-part 3])] [father/stepfather/father-figure([mother supplement-part 3])] in outdoor activities?
| 1 Once a day or more often |
| 2 At least 4 times a week |
| 3 About once a week |
| 4 About once a month |
| 5 A few times a year or less |
| 6 Never |
| 7 No father, stepfather, or father-figure |
HOME-C19_MS1 [T07110.00] | Section: Fertility |
How often does [name of biochild([mother supplement-part 3])] eat a meal with both you and [his/her([mother supplement-part 3])] [father/stepfather/father-figure([mother supplement-part 3])]?
| 1 More than once a day |
| 2 Once a day |
| 3 Several times a week |
| 4 About once a week |
| 5 About once a month |
| 6 Never |
| 7 No father, stepfather, father-figure |
HOME-C20_MS1 [T07120.00] | Section: Fertility |
When your family watches TV together, do you [or child's (father/stepfather/father figure)([mother supplement-part 3])] discuss TV programs with [him/her([mother supplement-part 3])]?
| 1 Yes |
| 0 No |
| 2 Do not have a TV |
HOME-C21A_MS1 [T07130.00] | Section: Fertility |
How close does [name of biochild([mother supplement-part 3])] feel toward...you? Does [s/he([mother supplement-part 3])] feel...
| 1 Extremely close |
| 2 Quite close |
| 3 Fairly close |
| 4 Not at all close |
HOME-C-DADCHK2_MS1 [T07140.00] | Section: Fertility |
([father/step-father/father-figure([mother supplement-part 3])])
COMMENT: WHODAD=0 (NO FATHER-FIGURE), SKIP TO HOME-C22A;
WHODAD>=1 SKIP TO HOME-C21B.
If Answer = 0 Then Go To HOME-C22A_MS1
If Answer >= 1 AND Answer <= 3 Then Go To HOME-C21B_MS1
HOME-C21B_MS1 [T07150.00] | Section: Fertility |
How close does [name of biochild([mother supplement-part 3])] feel toward [his/her([mother supplement-part 3])] (biological) father?
| 1 Extremely close |
| 2 Quite close |
| 3 Fairly close |
| 4 Not at all close |
| 5 Does not have this parent |
HOME-C-DADCHK3_MS1 [T07160.00] | Section: Fertility |
([father/step-father/father-figure([mother supplement-part 3])])
COMMENT: IF father is in HH, don't ask about closeness to stepfather/father-figure
(WHODAD=1 skip to HOME-C22A).
If Answer = 1 Then Go To HOME-C22A_MS1
HOME-C21D_MS1 [T07170.00] | Section: Fertility |
How close does [name of biochild([mother supplement-part 3])] feel toward [his/her([mother supplement-part 3])] [father/stepfather/father-figure([mother supplement-part 3])]?
| 1 Extremely close |
| 2 Quite close |
| 3 Fairly close |
| 4 Not at all close |
HOME-C22A_MS1 [] | Section: Fertility |
Sometimes children get so angry at their parents that they say things like "I hate you" or swear in a temper tantrum.
What action(s) you would take if this happened?
INTERVIEWER: ENTER VERBATIM AND SELECT ALL THAT APPLY.
HOME-C22B_MS1 [T07177.00] | Section: Fertility |
| 1 Grounding |
| 2 Spanking |
| 3 Talk with child |
| 4 Give him/her a household chore |
| 5 Ignore it |
| 6 Send to room for more than 1 hour |
| 7 Take away his/her allowance |
| 8 Take away TV, phone, or other privileges |
| 10 Put child in a short "time out" |
| 9 Other (SPECIFY) |
HOME-C23-MATRIX1_MS1 [T07187.00] | Section: Fertility |
If [name of biochild([mother supplement-part 3])] brought home a report card with grades lower than expected, how likely would you be to ....
| - contact his or her teacher or principal? |
| - lecture him/her? |
| - keep a closer eye on his/her activities? |
| - punish him/her? |
| - talk with him/her? |
| 5 Very Likely |
| 4 Somewhat Likely |
| 3 Not Sure How Likely |
| 2 Somewhat Unlikely |
| 1 Not At All Likely |
| -2 (DON'T KNOW) |
| -1 (REFUSED) |
HOME-C23-MATRIX2_MS1 [T07197.00] | Section: Fertility |
If [name of biochild([mother supplement-part 3])] brought home a report card with grades lower than expected, how likely would you be to ....
| - wait and see if he/she improves on his/her own? |
| - tell him/her to spend more time on schoolwork? |
| - spend more time helping him/her with schoolwork? |
| - limit or reduce his/her non-school activities (such as play, sports, clubs, etc.)? |
| 5 Very Likely |
| 4 Somewhat Likely |
| 3 Not Sure How Likely |
| 2 Somewhat Unlikely |
| 1 Not At All Likely |
| -2 (DON'T KNOW) |
| -1 (REFUSED) |
HOME-C23J_MS1 [T07207.00] | Section: Fertility |
(If [name of biochild([mother supplement-part 3])] brought home a report card with grades lower than expected),
...would you do anything else?
HOME-C23JV_MS1 [] | Section: Fertility |
(If [name of biochild([mother supplement-part 3])] brought home a report card with grades lower than expected...would you do anything else?)
What would that be?
HOME-C24A_MS1 [T07217.00] | Section: Fertility |
INTERVIEWER: ENTER NUMBER OF TIMES IN PAST WEEK FOR EACH QUESTION
Sometimes kids mind pretty well and sometimes they don't. Sometimes they do things that make you feel good.
How many times in the past week have you...had to spank your child?
HOME-C24B_MS1 [T07227.00] | Section: Fertility |
How many times in the past week have you...grounded [him/her([mother supplement-part 3])]?
HOME-C24C_MS1 [T07237.00] | Section: Fertility |
How many times in the past week have you...taken away TV or other privileges?
HOME-C24D_MS1 [T07247.00] | Section: Fertility |
How many times (in the past week) have you...praised [name of biochild([mother supplement-part 3])] for doing something worthwhile?
HOME-C24E_MS1 [T07257.00] | Section: Fertility |
How many times (in the past week) have you...taken away [his/her([mother supplement-part 3])] allowance?
HOME-C24F_MS1 [T07267.00] | Section: Fertility |
How many times (in the past week) have you...shown [him/her([mother supplement-part 3])] physical affection (kiss, hug, stroke hair, etc.)?
HOME-C24G_MS1 [T07277.00] | Section: Fertility |
How many times (in the past week) have you...sent [name of biochild([mother supplement-part 3])] to [his/her([mother supplement-part 3])] room?
HOME-C24H_MS1 [T07287.00] | Section: Fertility |
How many times (in the past week) have you...told another adult (spouse, friend, co-worker, visitor, relative) something positive about [name of biochild([mother supplement-part 3])]?
HOME-D01_MS1 [T07297.00] | Section: Fertility |
About how many books does [name of biochild([mother supplement-part 3])] have?
| 1 None |
| 2 1 to 9 |
| 3 10 to 19 |
| 4 20 or more |
HOME-D02-MATRIX_MS1 [T07306.00] | Section: Fertility |
How often is [name of biochild([mother supplement-part 3])] expected to ....
| - Make his/her own bed? |
| - Clean his/her own room? |
| - Pick up after himself/herself? |
| - Help keep shared living areas clean and straight? |
| - Do routine chores such as mow the lawn, help with dinner, wash dishes, etc.? |
| - Help manage his/her own time (get up on time, be ready for school, etc.)? |
| 1 Almost never |
| 2 Less than 1/2 of the time |
| 3 1/2 of the time |
| 4 More than 1/2 of the time |
| 5 Almost always |
HOME-D03_MS1 [T07315.00] | Section: Fertility |
Is there a musical instrument (for example, piano, drum, guitar, etc.) that your child can use here at home?
HOME-D04_MS1 [T07324.00] | Section: Fertility |
Does your family get a daily newspaper?
HOME-D05_MS1 [T07333.00] | Section: Fertility |
About how often does [name of biochild([mother supplement-part 3])] read for enjoyment?
| 1 Every day |
| 2 Several times a week |
| 3 Several times a month |
| 4 Several times a year |
| 5 Never |
HOME-D06_MS1 [T07342.00] | Section: Fertility |
Does your family encourage [name of biochild([mother supplement-part 3])] to start and keep doing hobbies?
HOME-D07_MS1 [T07351.00] | Section: Fertility |
Does [name of biochild([mother supplement-part 3])] get special lessons or belong to any organization that encourages activities such as sports, music, art, dance, drama, etc.?
HOME-D08_MS1 [T07360.00] | Section: Fertility |
How often has any family member taken or arranged to take [name of biochild([mother supplement-part 3])] to any type of museum (children's, scientific, art, historical, etc.) within the past year?
| 1 Never |
| 2 Once or twice |
| 3 Several times |
| 4 About once a month |
| 5 About once a week or more often |
HOME-D09_MS1 [T07369.00] | Section: Fertility |
How often has a family member taken or arranged to take [him/her([mother supplement-part 3])] to any type of musical or theatrical performance within the past year?
| 1 Never |
| 2 Once or twice |
| 3 Several times |
| 4 About once a month |
| 5 About once a week or more often |
HOME-D10_MS1 [T07378.00] | Section: Fertility |
About how often does your whole family get together with relatives or friends?
| 1 Once a year or less |
| 2 A few times a year |
| 3 About once a month |
| 4 Two or three times a month |
| 5 About once a week or more |
HOME-D11_MS1 [T07387.00] | Section: Fertility |
Think for a moment about a typical weekday for your family. How much time--either in your home or elsewhere--does [name of biochild([mother supplement-part 3])] spend watching television on a typical weekday?
INTERVIEWER: ENTER HOURS PER WEEKDAY (ROUND TO NEAREST 1/2 HR. "NO" OR "NONE"= 0)
(IF REPLY IS "Do not have a TV" THEN PROMPT: Does [name of biochild([mother supplement-part 3])] spend any time watching TV outside of your home (for example with a babysitter) on a typical weekday?)
HOME-D12_MS1 [T07396.00] | Section: Fertility |
Now, think about a typical weekend day (Saturday or Sunday) for your family. How much time--either in your home or elsewhere--does [name of biochild([mother supplement-part 3])] spend watching television on a typical weekend day?
INTERVIEWER: ENTER HOURS PER WEEKEND DAY (ROUND TO NEAREST 1/2 HR. "NO" OR "NONE"= 0)
(IF REPLY IS "Do not have a TV" THEN PROMPT: Does [name of biochild([mother supplement-part 3])] spend any time watching TV outside of your home (for example with a babysitter) on a typical weekend day?)
HOME-D-DADCHK1_MS1 [T07405.00] | Section: Fertility |
{^FATHINHH({ms1-loop3})^} == 1
COMMENT: IF FATHER PRESENT IN MOTHER HOUSEHOLD SKIP TO HOME-D-TXTSUB1
If Answer = 1 Then Go To HOME-D16_MS1
HOME-D13_MS1 [T07414.00] | Section: Fertility |
Does [name of biochild([mother supplement-part 3])] ever see [his/her([mother supplement-part 3])] father, stepfather, or father-figure?
HOME-D14_MS1 [T07423.00] | Section: Fertility |
Is this man [his/her([mother supplement-part 3])] biological father, stepfather, or a father-figure?
| 1 BIOLOGICAL FATHER |
| 2 STEPFATHER |
| 3 FATHER-FIGURE |
HOME-D15_MS1 [T07432.00] | Section: Fertility |
What is his relationship to you? (Is he your spouse, your partner, your friend, a relative, or someone else?)
| 1 SPOUSE |
| 2 EX-SPOUSE |
| 3 PARTNER |
| 4 EX-PARTNER |
| 5 BOYFRIEND |
| 6 EX-BOYFRIEND |
| 7 FIANCE |
| 8 FRIEND |
| 9 FATHER |
| 10 GRANDFATHER |
| 11 BROTHER |
| 12 UNCLE |
| 13 SOMEONE ELSE (SPECIFY) |
HOME-D16_MS1 [T07441.00] | Section: Fertility |
About how often does [name of biochild([mother supplement-part 3])] spend time with [his/her([mother supplement-part 3])] [father/stepfather/father-figure([mother supplement-part 3])]?
| 1 Once a day or more often |
| 2 At least 4 times a week |
| 3 About once a week |
| 4 About once a month |
| 5 A few times a year or less |
| 6 Never |
| 7 No father, stepfather, or father-figure |
HOME-D17_MS1 [T07450.00] | Section: Fertility |
About how often does [s/he([mother supplement-part 3])] spend time with [his/her([mother supplement-part 3])] [father/stepfather/father-figure([mother supplement-part 3])] in outdoor activities?
| 1 Once a day or more often |
| 2 At least 4 times a week |
| 3 About once a week |
| 4 About once a month |
| 5 A few times a year or less |
| 6 Never |
| 7 No father, stepfather, or father-figure |
HOME-D18_MS1 [T07459.00] | Section: Fertility |
How often does [name of biochild([mother supplement-part 3])] eat a meal with both mother and father?
| 1 More than once a day |
| 2 Once a day |
| 3 Several times a week |
| 4 About once a week |
| 5 About once a month |
| 6 Never |
| 7 No father, stepfather, father-figure |
HOME-D19_MS1 [T07468.00] | Section: Fertility |
When your family watches TV together, do you [or child's (father/stepfather/father figure)([mother supplement-part 3])] discuss TV programs with [him/her([mother supplement-part 3])]?
| 1 Yes |
| 0 No |
| 2 Do not have a TV |
HOME-D20A_MS1 [T07477.00] | Section: Fertility |
How close does [name of biochild([mother supplement-part 3])] feel toward you?
| 1 Extremely close |
| 2 Quite close |
| 3 Fairly close |
| 4 Not at all close |
HOME-D-DADCHK2_MS1 [T07486.00] | Section: Fertility |
([father/step-father/father-figure([mother supplement-part 3])])
COMMENT: WHODAD=0 (NO FATHER-FIGURE), SKIP TO HOME-D21A;
WHODAD>=1 SKIP TO HOME-D20B.
If Answer = 0 Then Go To HOME-D21A_MS1
If Answer >= 1 AND Answer <= 3 Then Go To HOME-D20B_MS1
HOME-D20B_MS1 [T07495.00] | Section: Fertility |
How close does [name of biochild([mother supplement-part 3])] feel toward [his/her([mother supplement-part 3])] (biological) father?
| 1 Extremely close |
| 2 Quite close |
| 3 Fairly close |
| 4 Not at all close |
| 5 Does not have this parent |
HOME-D-DADCHK3_MS1 [T07504.00] | Section: Fertility |
([father/step-father/father-figure([mother supplement-part 3])])
COMMENT: IF father is in HH, don't ask about closeness to stepfather (WHODAD=1 skip to HOME-D21A).
If Answer = 1 Then Go To HOME-D21A_MS1
HOME-D20D_MS1 [T07513.00] | Section: Fertility |
How close does [name of biochild([mother supplement-part 3])] feel toward [his/her([mother supplement-part 3])] [father/stepfather/father-figure([mother supplement-part 3])]?
| 1 Extremely close |
| 2 Quite close |
| 3 Fairly close |
| 4 Not at all close |
| 5 Does not have this parent |
HOME-D21A_MS1 [] | Section: Fertility |
Sometimes children get so angry at their parents that they say things like "I hate you" or swear in a temper tantrum.
What action(s) would you take if this happened?
INTERVIEWER: ENTER VERBATIM AND SELECT ALL THAT APPLY.
HOME-D21B_MS1 [T07521.00] | Section: Fertility |
| 1 Grounding |
| 2 Spanking |
| 3 Talk with child |
| 4 Give him/her a household chore |
| 5 Ignore it |
| 6 Send to room for more than 1 hour |
| 7 Take away his/her allowance |
| 8 Take away TV, phone, or other privileges |
| 10 Put child in a short "time out" |
| 9 Other (SPECIFY) |
HOME-D22-MATRIX1_MS1 [T07530.00] | Section: Fertility |
If [name of biochild([mother supplement-part 3])] brought home a report card with grades lower than expected, how likely would you be to...
| - ...contact his/her teacher or principal? |
| - ...lecture him/her? |
| - ...keep a closer eye on his/her activities? |
| - ...punish him/her? |
| - ...talk with him/her? |
| 5 Very Likely |
| 4 Somewhat Likely |
| 3 Not Sure How Likely |
| 2 Somewhat Unlikely |
| 1 Not At All Likely |
| -2 (DON'T KNOW) |
| -1 (REFUSED) |
HOME-D22-MATRIX2_MS1 [T07539.00] | Section: Fertility |
If [name of biochild([mother supplement-part 3])] brought home a report card with grades lower than expected, how likely would you be to...
| - ...wait and see if he/she improves on his/her own? |
| - ...tell him/her to spend more time on schoolwork? |
| - ...spend more time helping him/her with schoolwork? |
| - ...limit or reduce his/her non-school activities (such as play, sports, clubs, etc.)? |
| 5 Very Likely |
| 4 Somewhat Likely |
| 3 Not Sure How Likely |
| 2 Somewhat Unlikely |
| 1 Not At All Likely |
| -2 (DON'T KNOW) |
| -1 (REFUSED) |
HOME-D22J_MS1 [T07548.00] | Section: Fertility |
(If [name of biochild([mother supplement-part 3])] brought home a report card with grades lower than expected),
...would you do anything else?
HOME-D22JV_MS1 [] | Section: Fertility |
(If [name of biochild([mother supplement-part 3])] brought home a report card with grades lower than expected...would you do anything else?)
What would that be?
HOME-D23A_MS1 [T07557.00] | Section: Fertility |
INTERVIEWER: ENTER NUMBER OF TIMES IN PAST WEEK FOR EACH QUESTION
Sometimes kids mind pretty well and sometimes they don't. Sometimes they do things that make you feel good.
How many times in the past week have you...had to spank your child?
HOME-D23B_MS1 [T07566.00] | Section: Fertility |
How many times in the past week have you...grounded [him/her([mother supplement-part 3])]?
HOME-D23C_MS1 [T07575.00] | Section: Fertility |
How many times in the past week have you...taken away TV or other privileges?
HOME-D23D_MS1 [T07584.00] | Section: Fertility |
How many times (in the past week) have you...praised [name of biochild([mother supplement-part 3])] for doing something worthwhile?
HOME-D23E_MS1 [T07593.00] | Section: Fertility |
How many times (in the past week) have you...taken away [his/her([mother supplement-part 3])] allowance?
HOME-D23F_MS1 [T07602.00] | Section: Fertility |
How many times (in the past week) have you...shown [him/her([mother supplement-part 3])] physical affection (kiss, hug, stroke hair, etc.)?
HOME-D23G_MS1 [T07611.00] | Section: Fertility |
How many times (in the past week) have you...sent [name of biochild([mother supplement-part 3])] to [his/her([mother supplement-part 3])] room?
HOME-D23H_MS1 [T07620.00] | Section: Fertility |
How many times (in the past week) have you...told another adult (spouse, friend, co-worker, visitor, relative) something positive about [name of biochild([mother supplement-part 3])]?
ACT-AGECK1_MS1 [T07651.00] | Section: Fertility |
([child age in months([mother supplement-part 3])] < 84)
COMMENT: If child age is 83 months or younger and meets YOB/BORNSR19 constraints, then continue OTHERWISE goto end of section
If Answer = 1 Then Go To ACT-TITLE_MS1
ACT-TITLE_MS1 [] | Section: Fertility |
BEGIN TEMPERAMENT SECTION
[name of biochild([mother supplement-part 3])]
ACT-INTRO_MS1 [] | Section: Fertility |
INTERVIEWER: THE FOLLOWING SECTION IS A CHILD ASSESSMENT.
IT IS VITAL THAT YOU COMPLETE ALL QUESTIONS IN THIS SECTION.
READ TO MOTHER:
We are interested in how your child normally acts during an average day. Please think about
[name of biochild([mother supplement-part 3])] during the last two weeks.
If [s/he([mother supplement-part 3])] was not feeling well, think back to the last two-week time period when [s/he([mother supplement-part 3])] was [his/her([mother supplement-part 3])] normal self.
ACT-AGECK2_MS1 [T07662.00] | Section: Fertility |
([child age in months([mother supplement-part 3])])
COMMENT: Jump to appropriate section based on months of age.
If Answer >= 0 AND Answer <= 11 Then Go To ACT-A01_MS1
If Answer >= 12 AND Answer <= 23 Then Go To ACT-B01_MS1
If Answer >= 24 AND Answer <= 83 Then Go To ACT-C01_MS1
ACT-A01_MS1 [T07673.00] | Section: Fertility |
(The following questions ask about how often [name of biochild([mother supplement-part 3])] acted in a certain way.)
During feeding, how often does [name of biochild([mother supplement-part 3])] squirm and kick?
Would that be...
| 1 Almost never |
| 2 Less than 1/2 of the time |
| 3 1/2 of the time |
| 4 More than 1/2 of the time |
| 5 Almost always |
ACT-A02_MS1 [T07678.00] | Section: Fertility |
During feeding, how often does [name of biochild([mother supplement-part 3])] wave [his/her([mother supplement-part 3])] arms?
(Would that be...)
| 1 Almost never |
| 2 Less than 1/2 of the time |
| 3 1/2 of the time |
| 4 More than 1/2 of the time |
| 5 Almost always |
ACT-A03_MS1 [T07683.00] | Section: Fertility |
During sleep, how often does [s/he([mother supplement-part 3])] usually move around in the crib?
(Would that be...)
| 1 Almost never |
| 2 Less than 1/2 of the time |
| 3 1/2 of the time |
| 4 More than 1/2 of the time |
| 5 Almost always |
ACT-A04_MS1 [T07688.00] | Section: Fertility |
Some children get sleepy about the same time each evening, give or take 15 minutes. How often does [name of biochild([mother supplement-part 3])] do this?
(Would that be...)
| 1 Almost never |
| 2 Less than 1/2 of the time |
| 3 1/2 of the time |
| 4 More than 1/2 of the time |
| 5 Almost always |
ACT-A05_MS1 [T07693.00] | Section: Fertility |
Some children get hungry at about the same time each day, give or take 15 minutes. How often does [name of biochild([mother supplement-part 3])] do this?
(Would that be...)
| 1 Almost never |
| 2 Less than 1/2 of the time |
| 3 1/2 of the time |
| 4 More than 1/2 of the time |
| 5 Almost always |
ACT-A06_MS1 [T07698.00] | Section: Fertility |
When [s/he([mother supplement-part 3])] wakes up in the morning, how often is [s/he([mother supplement-part 3])] in the same mood?
(Would that be...)
| 1 Almost never |
| 2 Less than 1/2 of the time |
| 3 1/2 of the time |
| 4 More than 1/2 of the time |
| 5 Almost always |
ACT-A07_MS1 [T07703.00] | Section: Fertility |
When [name of biochild([mother supplement-part 3])] sees a stranger, how often does [s/he([mother supplement-part 3])] turn away or cry as if afraid?
(Would that be...)
| 1 Almost never |
| 2 Less than 1/2 of the time |
| 3 1/2 of the time |
| 4 More than 1/2 of the time |
| 5 Almost always |
ACT-A08_MS1 [T07708.00] | Section: Fertility |
When [s/he([mother supplement-part 3])] sees an unfamiliar dog or cat, how often does [s/he([mother supplement-part 3])] turn away or cry as if afraid?
(Would that be...)
| 1 Almost never |
| 2 Less than 1/2 of the time |
| 3 1/2 of the time |
| 4 More than 1/2 of the time |
| 5 Almost always |
ACT-A09_MS1 [T07713.00] | Section: Fertility |
When you leave the room and leave [him/her([mother supplement-part 3])] alone, how often does [s/he([mother supplement-part 3])] become upset?
(Would that be...)
| 1 Almost never |
| 2 Less than 1/2 of the time |
| 3 1/2 of the time |
| 4 More than 1/2 of the time |
| 5 Almost always |
ACT-A10_MS1 [T07718.00] | Section: Fertility |
When you take [name of biochild([mother supplement-part 3])] to the doctor, dentist or nurse, how often does [s/he([mother supplement-part 3])] turn away or cry as if afraid?
(Would that be...)
| 1 Almost never |
| 2 Less than 1/2 of the time |
| 3 1/2 of the time |
| 4 More than 1/2 of the time |
| 5 Almost always |
ACT-A11_MS1 [T07723.00] | Section: Fertility |
When you play with [name of biochild([mother supplement-part 3])], how often does [s/he([mother supplement-part 3])] smile or laugh?
(Would that be...)
| 1 Almost never |
| 2 Less than 1/2 of the time |
| 3 1/2 of the time |
| 4 More than 1/2 of the time |
| 5 Almost always |
ACT-A12_MS1 [T07728.00] | Section: Fertility |
When [s/he([mother supplement-part 3])] plays alone, how often does [s/he([mother supplement-part 3])] smile or laugh?
(Would that be...)
| 1 Almost never |
| 2 Less than 1/2 of the time |
| 3 1/2 of the time |
| 4 More than 1/2 of the time |
| 5 Almost always |
ACT-A13_MS1 [T07733.00] | Section: Fertility |
When [s/he([mother supplement-part 3])] is in the bath, how often does [s/he([mother supplement-part 3])] smile or laugh?
(Would that be...)
| 1 Almost never |
| 2 Less than 1/2 of the time |
| 3 1/2 of the time |
| 4 More than 1/2 of the time |
| 5 Almost always |
ACT-A14_MS1 [T07738.00] | Section: Fertility |
When [name of biochild([mother supplement-part 3])] hears an unexpected loud sound (for example, a car back-firing or a vacuum cleaner), how often does [s/he([mother supplement-part 3])] cry or become upset?
(Would that be...)
| 1 Almost never |
| 2 Less than 1/2 of the time |
| 3 1/2 of the time |
| 4 More than 1/2 of the time |
| 5 Almost always |
ACT-A15_MS1 [T07743.00] | Section: Fertility |
How often do you have trouble soothing or calming [him/her([mother supplement-part 3])] when [s/he([mother supplement-part 3])] is crying or upset?
(Would that be...)
| 1 Almost never |
| 2 Less than 1/2 of the time |
| 3 1/2 of the time |
| 4 More than 1/2 of the time |
| 5 Almost always |
ACT-A16_MS1 [T07748.00] | Section: Fertility |
The answer choices change a little here....
During the average day, how often does [name of biochild([mother supplement-part 3])] get fussy and irritable?
Would you say...
| 1 Almost never |
| 2 Once or twice a day |
| 3 A couple of times a.m. & p.m. |
| 4 Several times a day |
| 5 Almost every hour |
ACT-A17_MS1 [T07753.00] | Section: Fertility |
In general, compared with most babies, how often does [name of biochild([mother supplement-part 3])] cry and fuss?
Would that be...
| 1 Almost never |
| 2 Less than average |
| 3 About average |
| 4 More than average |
| 5 Almost always |
ACT-B01_MS1 [T07758.00] | Section: Fertility |
(The following questions ask about how often [name of biochild([mother supplement-part 3])] acted in a certain way.)
When [name of biochild([mother supplement-part 3])] sees a stranger, how often does [s/he([mother supplement-part 3])] turn away or cry as if afraid?
Would that be...
| 1 Almost never |
| 2 Less than 1/2 of the time |
| 3 1/2 of the time |
| 4 More than 1/2 of the time |
| 5 Almost always |
ACT-B02_MS1 [T07762.00] | Section: Fertility |
When [name of biochild([mother supplement-part 3])] sees an unfamiliar dog or cat, how often does [s/he([mother supplement-part 3])] turn away or cry as if afraid?
(Would that be...)
| 1 Almost never |
| 2 Less than 1/2 of the time |
| 3 1/2 of the time |
| 4 More than 1/2 of the time |
| 5 Almost always |
ACT-B03_MS1 [T07766.00] | Section: Fertility |
When you leave the room and leave [him/her([mother supplement-part 3])] alone, how often does [s/he([mother supplement-part 3])] become upset?
(Would that be...)
| 1 Almost never |
| 2 Less than 1/2 of the time |
| 3 1/2 of the time |
| 4 More than 1/2 of the time |
| 5 Almost always |
ACT-B04_MS1 [T07770.00] | Section: Fertility |
When you take [name of biochild([mother supplement-part 3])] to the doctor, dentist or nurse, how often does [s/he([mother supplement-part 3])] turn away or cry as if afraid?
(Would that be...)
| 1 Almost never |
| 2 Less than 1/2 of the time |
| 3 1/2 of the time |
| 4 More than 1/2 of the time |
| 5 Almost always |
ACT-B05_MS1 [T07774.00] | Section: Fertility |
When you play with [name of biochild([mother supplement-part 3])], how often does [s/he([mother supplement-part 3])] smile or laugh?
(Would that be...)
| 1 Almost never |
| 2 Less than 1/2 of the time |
| 3 1/2 of the time |
| 4 More than 1/2 of the time |
| 5 Almost always |
ACT-B06_MS1 [T07778.00] | Section: Fertility |
When [s/he([mother supplement-part 3])] plays alone, how often does [s/he([mother supplement-part 3])] smile or laugh?
(Would that be...)
| 1 Almost never |
| 2 Less than 1/2 of the time |
| 3 1/2 of the time |
| 4 More than 1/2 of the time |
| 5 Almost always |
ACT-B07_MS1 [T07782.00] | Section: Fertility |
When [s/he([mother supplement-part 3])] is in the bath, how often does [s/he([mother supplement-part 3])] smile or laugh?
(Would that be...)
| 1 Almost never |
| 2 Less than 1/2 of the time |
| 3 1/2 of the time |
| 4 More than 1/2 of the time |
| 5 Almost always |
ACT-B08_MS1 [T07786.00] | Section: Fertility |
When [name of biochild([mother supplement-part 3])] hears an unexpected loud sound (for example, a car back-firing or a vacuum cleaner), how often does [s/he([mother supplement-part 3])] cry or become upset?
(Would that be...)
| 1 Almost never |
| 2 Less than 1/2 of the time |
| 3 1/2 of the time |
| 4 More than 1/2 of the time |
| 5 Almost always |
ACT-B09_MS1 [T07790.00] | Section: Fertility |
How often do you have trouble soothing or calming [him/her([mother supplement-part 3])] when [s/he([mother supplement-part 3])] is crying or upset?
(Would that be...)
| 1 Almost never |
| 2 Less than 1/2 of the time |
| 3 1/2 of the time |
| 4 More than 1/2 of the time |
| 5 Almost always |
ACT-B10_MS1 [T07794.00] | Section: Fertility |
The answer choices change a little here....
During the average day, how often does [name of biochild([mother supplement-part 3])] get fussy and irritable?
Would you say...
| 1 Almost never |
| 2 Once or twice a day |
| 3 A couple of times a.m. & p.m. |
| 4 Several times a day |
| 5 Almost every hour |
ACT-B11_MS1 [T07798.00] | Section: Fertility |
In general, compared with most toddlers, how often does [name of biochild([mother supplement-part 3])] cry and fuss?
Would that be...
| 1 Almost never |
| 2 Less than average |
| 3 About average |
| 4 More than average |
| 5 Almost always |
ACT-C01_MS1 [T07802.00] | Section: Fertility |
(The following questions ask about how often [name of biochild([mother supplement-part 3])] acted in a certain way.)
When it is mealtime, how often does [name of biochild([mother supplement-part 3])] eat what you want [him/her([mother supplement-part 3])] to eat?
Would that be...
| 1 Almost never |
| 2 Less than 1/2 of the time |
| 3 1/2 of the time |
| 4 More than 1/2 of the time |
| 5 Almost always |
ACT-C02_MS1 [T07813.00] | Section: Fertility |
When [name of biochild([mother supplement-part 3])] doesn't eat what you want [him/her([mother supplement-part 3])] to eat and you tell [him/her([mother supplement-part 3])] to do so, how often does [s/he([mother supplement-part 3])] obey and eat?
(Would that be...)
| 1 Almost never |
| 2 Less than 1/2 of the time |
| 3 1/2 of the time |
| 4 More than 1/2 of the time |
| 5 Almost always |
ACT-C03_MS1 [T07824.00] | Section: Fertility |
When it is [name of biochild([mother supplement-part 3])]'s bedtime, how often does [s/he([mother supplement-part 3])] protest or resist going to bed?
(Would that be...)
| 1 Almost never |
| 2 Less than 1/2 of the time |
| 3 1/2 of the time |
| 4 More than 1/2 of the time |
| 5 Almost always |
ACT-C04_MS1 [T07835.00] | Section: Fertility |
When [s/he([mother supplement-part 3])] does protest and you tell [him/her([mother supplement-part 3])] again to go to bed, how often does [s/he([mother supplement-part 3])] do so?
(Would that be...)
| 1 Almost never |
| 2 Less than 1/2 of the time |
| 3 1/2 of the time |
| 4 More than 1/2 of the time |
| 5 Almost always |
ACT-C05_MS1 [T07846.00] | Section: Fertility |
When you tell [name of biochild([mother supplement-part 3])] to turn off the TV, how often does [s/he([mother supplement-part 3])] do so without protest?
(Would that be...)
| 1 Almost never |
| 2 Less than 1/2 of the time |
| 3 1/2 of the time |
| 4 More than 1/2 of the time |
| 5 Almost always |
ACT-C06_MS1 [T07857.00] | Section: Fertility |
When [s/he([mother supplement-part 3])] does protest and you tell [him/her([mother supplement-part 3])] again to turn off the TV, how often does [s/he([mother supplement-part 3])] do so?
(Would that be...)
| 1 Almost never |
| 2 Less than 1/2 of the time |
| 3 1/2 of the time |
| 4 More than 1/2 of the time |
| 5 Almost always |
ACT-C07_MS1 [T07868.00] | Section: Fertility |
When [name of biochild([mother supplement-part 3])] meets a new child about the same age, how often is [s/he([mother supplement-part 3])] shy at first?
(Would that be...)
| 1 Almost never |
| 2 Less than 1/2 of the time |
| 3 1/2 of the time |
| 4 More than 1/2 of the time |
| 5 Almost always |
ACT-C08_MS1 [T07879.00] | Section: Fertility |
When [s/he([mother supplement-part 3])] meets an adult [s/he([mother supplement-part 3])] does not know, how often is [s/he([mother supplement-part 3])] shy at first?
(Would that be...)
| 1 Almost never |
| 2 Less than 1/2 of the time |
| 3 1/2 of the time |
| 4 More than 1/2 of the time |
| 5 Almost always |
ACT-C09_MS1 [T07890.00] | Section: Fertility |
How often does [name of biochild([mother supplement-part 3])] cry when [s/he([mother supplement-part 3])] hurts [him/her([mother supplement-part 3])]self a little bit?
(Would that be...)
| 1 Almost never |
| 2 Less than 1/2 of the time |
| 3 1/2 of the time |
| 4 More than 1/2 of the time |
| 5 Almost always |
ACT-C10_MS1 [T07901.00] | Section: Fertility |
How often does [s/he([mother supplement-part 3])] laugh and smile easily (for example, when no one is touching [him/her([mother supplement-part 3])])?
(Would that be...)
| 1 Almost never |
| 2 Less than 1/2 of the time |
| 3 1/2 of the time |
| 4 More than 1/2 of the time |
| 5 Almost always |
ACT-C11_MS1 [T07912.00] | Section: Fertility |
When [name of biochild([mother supplement-part 3])] is with other children [his/her([mother supplement-part 3])] own age, how often does [s/he([mother supplement-part 3])] fight, take toys, hit, and so on?
(Would that be...)
| 1 Almost never |
| 2 Less than 1/2 of the time |
| 3 1/2 of the time |
| 4 More than 1/2 of the time |
| 5 Almost always |
ACT-C12_MS1 [T07923.00] | Section: Fertility |
When [s/he([mother supplement-part 3])] is with other children [his/her([mother supplement-part 3])] own age, how often does [s/he([mother supplement-part 3])] willingly share toys?
(Would that be...)
| 1 Almost never |
| 2 Less than 1/2 of the time |
| 3 1/2 of the time |
| 4 More than 1/2 of the time |
| 5 Almost always |
ACT-C13_MS1 [T07934.00] | Section: Fertility |
How often do you have trouble soothing or calming [name of biochild([mother supplement-part 3])] when [s/he([mother supplement-part 3])] is upset?
(Would that be...)
| 1 Almost never |
| 2 Less than 1/2 of the time |
| 3 1/2 of the time |
| 4 More than 1/2 of the time |
| 5 Almost always |
ACT-C14_MS1 [T07945.00] | Section: Fertility |
When [name of biochild([mother supplement-part 3])] is playing, how often does [s/he([mother supplement-part 3])] stay close to you and make sure that [s/he([mother supplement-part 3])] can still see you?
(Would that be...)
| 1 Almost never |
| 2 Less than 1/2 of the time |
| 3 1/2 of the time |
| 4 More than 1/2 of the time |
| 5 Almost always |
ACT-C15_MS1 [T07956.00] | Section: Fertility |
How often does [s/he([mother supplement-part 3])] try to copy what you do or how you act? (You may not always allow [him/her([mother supplement-part 3])] to do this.)
(Would that be...)
| 1 Almost never |
| 2 Less than 1/2 of the time |
| 3 1/2 of the time |
| 4 More than 1/2 of the time |
| 5 Almost always |
ACT-C16_MS1 [T07967.00] | Section: Fertility |
When you leave the room and leave [name of biochild([mother supplement-part 3])] alone, how often does [s/he([mother supplement-part 3])] get upset?
(Would that be...)
| 1 Almost never |
| 2 Less than 1/2 of the time |
| 3 1/2 of the time |
| 4 More than 1/2 of the time |
| 5 Almost always |
ACT-C17_MS1 [T07978.00] | Section: Fertility |
How often is [name of biochild([mother supplement-part 3])] demanding and impatient even when you are busy?
(Would that be...)
| 1 Almost never |
| 2 Less than 1/2 of the time |
| 3 1/2 of the time |
| 4 More than 1/2 of the time |
| 5 Almost always |
ACT-C18_MS1 [T07989.00] | Section: Fertility |
When you get upset about something, how often does [s/he([mother supplement-part 3])] get worried, or try to help, or make you feel better?
(Would that be...)
| 1 Almost never |
| 2 Less than 1/2 of the time |
| 3 1/2 of the time |
| 4 More than 1/2 of the time |
| 5 Almost always |
ACT-C19_MS1 [T08000.00] | Section: Fertility |
How often does [name of biochild([mother supplement-part 3])] want you to help with the things [s/he([mother supplement-part 3])] is doing?
(Would that be...)
| 1 Almost never |
| 2 Less than 1/2 of the time |
| 3 1/2 of the time |
| 4 More than 1/2 of the time |
| 5 Almost always |
ACT-C20_MS1 [T08011.00] | Section: Fertility |
During the past year, how often has [name of biochild([mother supplement-part 3])] slept through the night?
(Would that be...)
| 1 Almost never |
| 2 Less than 1/2 of the time |
| 3 1/2 of the time |
| 4 More than 1/2 of the time |
| 5 Almost always |
MSD-AGECK1_MS1 [T08044.00] | Section: Fertility |
{^MSAGEMO({MS1-LOOP3})^} < 48
COMMENT: Child age less than 48 months
If Answer = 1 Then Go To MSD-TITLE_MS1
MSD-TITLE_MS1 [] | Section: Fertility |
BEGIN MOTOR AND SOCIAL DEVELOPMENT SECTION
[name of biochild([mother supplement-part 3])]
MSD-INTRO_MS1 [] | Section: Fertility |
INTERVIEWER: THE FOLLOWING SECTION IS A CHILD ASSESSMENT.
IT IS VITAL THAT YOU COMPLETE ALL QUESTIONS IN THIS SECTION.
READ TO MOTHER
This section asks you questions about things children do at different ages.
MSD-AGECK2_MS1 [T08055.00] | Section: Fertility |
([child age in months([mother supplement-part 3])])
COMMENT: AGE SKIP INFO FROM PREVIOUS ROUNDS PRESERVED - NOT ALL BRANCHES APPLY If child age is 0 to 3 mos jump to MSD A If child age is 4 to 6 mos jump to MSD B If child age is 7 to 9 mos jump to MSD C If child age is 10 to 12 mos jump to MSD D If child age is 13 to 15 mos jump to MSD E If child age is 16 to 18 mos jump to MSD F If child age is 19 to 21 mos jump to MSD G If child age is 22 to 47 mos jump to MSD H
If Answer >= 0 AND Answer <= 3 Then Go To MSD-A01_MS1
If Answer >= 4 AND Answer <= 6 Then Go To MSD-B01_MS1
If Answer >= 7 AND Answer <= 9 Then Go To MSD-C-MATRIX1_MS1
If Answer >= 10 AND Answer <= 12 Then Go To MSD-D-MATRIX1_MS1
If Answer >= 13 AND Answer <= 15 Then Go To MSD-E-MATRIX1_MS1
If Answer >= 16 AND Answer <= 18 Then Go To MSD-F-MATRIX1_MS1
If Answer >= 19 AND Answer <= 21 Then Go To MSD-G-MATRIX1_MS1
If Answer >= 22 AND Answer <= 47 Then Go To MSD-H-MATRIX1_MS1
MSD-A01_MS1 [T08063.00] | Section: Fertility |
When lying on [his/her([mother supplement-part 3])] stomach, has [name of biochild([mother supplement-part 3])] ever turned [his/her([mother supplement-part 3])] head from side to side?
MSD-A02_MS1 [T08064.00] | Section: Fertility |
Have [name of biochild([mother supplement-part 3])]'s eyes ever followed a moving object?
MSD-A03_MS1 [T08065.00] | Section: Fertility |
When lying on [his/her([mother supplement-part 3])] stomach on a flat surface, has [name of biochild([mother supplement-part 3])] ever lifted [his/her([mother supplement-part 3])] head off the surface for a moment?
MSD-A04_MS1 [T08066.00] | Section: Fertility |
Have [name of biochild([mother supplement-part 3])]'s eyes ever followed a moving object all the way from one side to the other?
MSD-A05_MS1 [T08067.00] | Section: Fertility |
Has [name of biochild([mother supplement-part 3])] ever smiled at someone when that person talked to or smiled at (but did not touch) [him/her([mother supplement-part 3])]?
MSD-A06_MS1 [T08068.00] | Section: Fertility |
When lying on [his/her([mother supplement-part 1])] stomach, has [name of biochild([mother supplement-part 3])] ever raised [his/her([mother supplement-part 3])] head AND chest from the surface while resting [his/her([mother supplement-part 3])] weight on [his/her([mother supplement-part 3])] lower arms or hands?
MSD-A07_MS1 [T08069.00] | Section: Fertility |
Has [name of biochild([mother supplement-part 3])] ever turned [his/her([mother supplement-part 3])] head around to look at something?
MSD-A08_MS1 [T08070.00] | Section: Fertility |
While lying on [his/her([mother supplement-part 3])] back and being pulled up to a sitting position, did [name of biochild([mother supplement-part 3])] ever hold [his/her([mother supplement-part 3])] head stiffly so that it DID NOT hang back as [s/he([mother supplement-part 3])] was pulled up?
MSD-A09_MS1 [T08071.00] | Section: Fertility |
Has [s/he([mother supplement-part 3])] ever laughed out loud without being tickled or touched?
MSD-A10_MS1 [T08072.00] | Section: Fertility |
Has [name of biochild([mother supplement-part 3])] ever held in one hand a moderate size object such as a block or a rattle?
MSD-A11_MS1 [T08073.00] | Section: Fertility |
Has [name of biochild([mother supplement-part 3])] ever rolled over on [his/her([mother supplement-part 3])] own ON PURPOSE?
MSD-A12_MS1 [T08074.00] | Section: Fertility |
Has [s/he([mother supplement-part 3])] ever seemed to enjoy looking in the mirror at [him/her([mother supplement-part 3])]self?
MSD-A13_MS1 [T08075.00] | Section: Fertility |
Has [name of biochild([mother supplement-part 3])] ever been pulled from a sitting to a standing position and supported [his/her([mother supplement-part 3])] own weight with legs stretched out?
MSD-A14_MS1 [T08076.00] | Section: Fertility |
Has [name of biochild([mother supplement-part 3])] ever looked around with [his/her([mother supplement-part 3])] eyes for a toy which was lost or not nearby?
MSD-A15_MS1 [T08077.00] | Section: Fertility |
Has [s/he([mother supplement-part 3])] ever sat alone with no help except for leaning forward on [his/her([mother supplement-part 3])] hands or with just a little help from someone else?
MSD-B01_MS1 [] | Section: Fertility |
While lying on [his/her([mother supplement-part 3])] back and being pulled up to a sitting position, has [name of biochild([mother supplement-part 3])] ever held [his/her([mother supplement-part 3])] head stiffly so that it DID NOT hang back as [s/he([mother supplement-part 3])] was pulled up?
MSD-B02_MS1 [] | Section: Fertility |
Has [name of biochild([mother supplement-part 3])] ever laughed out loud without being tickled or touched?
MSD-B03_MS1 [] | Section: Fertility |
Has [s/he([mother supplement-part 3])] ever held in one hand a moderate size object such as a block or a rattle?
MSD-B04_MS1 [] | Section: Fertility |
Has [name of biochild([mother supplement-part 3])] ever rolled over on [his/her([mother supplement-part 3])] own ON PURPOSE?
MSD-B05_MS1 [] | Section: Fertility |
Has [name of biochild([mother supplement-part 3])] ever seemed to enjoy looking in the mirror at [him/her([mother supplement-part 3])]self?
MSD-B06_MS1 [] | Section: Fertility |
Has [s/he([mother supplement-part 3])] ever been pulled from a sitting to a standing position and supported [his/her([mother supplement-part 3])] own weight with legs stretched out?
MSD-B07_MS1 [] | Section: Fertility |
Has [name of biochild([mother supplement-part 3])] ever looked around with [his/her([mother supplement-part 3])] eyes for a toy which was lost or not nearby?
MSD-B08_MS1 [] | Section: Fertility |
Has [name of biochild([mother supplement-part 3])] ever sat alone with no help except for leaning forward on [his/her([mother supplement-part 3])] hands or with just a little help from someone else?
MSD-B09_MS1 [] | Section: Fertility |
Has [s/he([mother supplement-part 3])] ever sat for 10 minutes without any support at all?
MSD-B10_MS1 [] | Section: Fertility |
Has [name of biochild([mother supplement-part 3])] ever pulled [him/her([mother supplement-part 3])]self to a standing position without help from another person?
MSD-B11_MS1 [] | Section: Fertility |
Has [name of biochild([mother supplement-part 3])] ever crawled when left lying on [his/her([mother supplement-part 3])] stomach?
MSD-B12_MS1 [] | Section: Fertility |
Has [s/he([mother supplement-part 3])] ever said any recognizable words such as "mama" or "dada"?
MSD-B13_MS1 [] | Section: Fertility |
Has [name of biochild([mother supplement-part 3])] ever picked up small objects such as raisins or cookie crumbs, using only [his/her([mother supplement-part 3])] thumb and first finger?
MSD-B14_MS1 [] | Section: Fertility |
Has [name of biochild([mother supplement-part 3])] ever walked at least 2 steps with one hand held or holding on to something?
MSD-B15_MS1 [] | Section: Fertility |
Has [s/he([mother supplement-part 3])] ever waved good-bye without help from another person?
MSD-C-MATRIX1_MS1 [T08078.00] | Section: Fertility |
Has [name of biochild([mother supplement-part 3])] ever ...
| - ...seemed to enjoy looking in the mirror at him/herself? |
| - ...been pulled from a sitting to a standing position and supported his/her own weight with legs stretched out? |
| - ...looked around with his/her eyes for a toy which was lost or not nearby? |
| - ...sat alone with no help except for leaning forward on his/her hands or with just a little help from someone else? |
| - ...sat for 10 minutes without any support at all? |
| 1 YES |
| 0 NO |
| -2 (DON'T KNOW) |
| -1 (REFUSE) |
MSD-C-MATRIX2_MS1 [T08081.00] | Section: Fertility |
Has [name of biochild([mother supplement-part 3])] ever ....
| - ...pulled hi/herself to a standing position without help from another person? |
| - ...crawled when left lying on his/her stomach? |
| - ...said any recognizable words such as "mama" or "dada"? |
| - ...picked up small objects such as raisins or cookie crumbs, using only his/her thumb and first finger? |
| - ...walked at least 2 steps with one hand held or holding on to something? |
| 1 YES |
| 0 NO |
| -2 (DON'T KNOW) |
| -1 (REFUSE) |
MSD-C-MATRIX3_MS1 [T08084.00] | Section: Fertility |
Has [name of biochild([mother supplement-part 3])] ever ....
| - ...waved good-bye without help from another person? |
| - ...shown by his/her behavior that he/she knows the names of common objects when somebody else names them out loud? |
| - ...shown that he/she wanted something by pointing, pulling, or making pleasant sounds rather than crying or whining? |
| - ...stood alone on his/her feet for 10 seconds or more without holding on to anything or another person? |
| - ...walked at least 2 steps without holding on to anything or another person? |
| 1 YES |
| 0 NO |
| -2 (DON'T KNOW) |
| -1 (REFUSE) |
MSD-D-MATRIX1_MS1 [T08087.00] | Section: Fertility |
Has [name of biochild([mother supplement-part 3])] ever ...
| - ...crawled when left lying on his/her stomach? |
| - ...said any recognizable words such as "mama" or "dada"? |
| - ...picked up small objects such as raisins or cookie crumbs, using only his/her thumb and first finger? |
| - ...walked at least 2 steps with one hand held or holding on to something? |
| - ...waved good-bye without help from another person? |
| 1 YES |
| 0 NO |
| -2 (DON'T KNOW) |
| -1 (REFUSE) |
MSD-D-MATRIX2_MS1 [T08092.00] | Section: Fertility |
Has [name of biochild([mother supplement-part 3])] ever ....
| - ...shown by his/her behavior that he/she knows the names of common objects when somebody else names them out loud? |
| - ...shown that he/she wanted something by pointing, pulling, or making pleasant sounds rather than crying or whining? |
| - ...stood alone on his/her feet for 10 seconds or more without holding on to anything or another person? |
| - ...walked at least 2 steps without holding on to anything or another person? |
| - ...crawled up at least 2 stairs or steps? |
| 1 YES |
| 0 NO |
| -2 (DON'T KNOW) |
| -1 (REFUSE) |
MSD-D-MATRIX3_MS1 [T08097.00] | Section: Fertility |
Has [name of biochild([mother supplement-part 3])] ever ....
| - ...said 2 recognizable words besides "mama" and "dada"? |
| - ...run? |
| - ...said the name of a familiar object, such as a ball? |
| - ...made a line with a crayon or pencil? |
| - ...walked up at least 2 stairs with one hand held or holding the railing? |
| 1 YES |
| 0 NO |
| -2 (DON'T KNOW) |
| -1 (REFUSE) |
MSD-E-MATRIX1_MS1 [T08102.00] | Section: Fertility |
Has [name of biochild([mother supplement-part 3])] ever ...
| - ...waved good-bye without help from another person? |
| - ...shown by his/her behavior that he/she knows the names of common objects when somebody else names them out loud? |
| - ...shown that he/she wanted something by pointing, pulling, or making pleasant sounds rather than crying or whining? |
| - ...stood alone on his/her feet for 10 seconds or more without holding on to anything or another person? |
| - ...walked at least 2 steps without holding on to anything or another person? |
| 1 YES |
| 0 NO |
| -2 (DON'T KNOW) |
| -1 (REFUSE) |
MSD-E-MATRIX2_MS1 [T08105.00] | Section: Fertility |
Has [name of biochild([mother supplement-part 3])] ever ....
| - ...crawled up at least 2 stairs or steps? |
| - ...said 2 recognizable words besides "mama" and "dada"? |
| - ...run? |
| - ...said the name of a familiar object, such as a ball? |
| - ...made a line with a crayon or pencil? |
| 1 YES |
| 0 NO |
| -2 (DON'T KNOW) |
| -1 (REFUSE) |
MSD-E-MATRIX3_MS1 [T08108.00] | Section: Fertility |
Has [name of biochild([mother supplement-part 3])] ever ....
| - ...walked up at least 2 stairs with one hand held or holding the railing? |
| - ...fed him/herself with a spoon or fork without spilling much? |
| - ...let someone know, without crying, that wearing wet (soiled) pants or diapers bothered him/her? |
| - ...spoken a partial sentence of 3 words or more? |
| - ...walked up stairs by him/herself without holding on to a rail? |
| 1 YES |
| 0 NO |
| -2 (DON'T KNOW) |
| -1 (REFUSE) |
MSD-F-MATRIX1_MS1 [T08111.00] | Section: Fertility |
Has [name of biochild([mother supplement-part 3])] ever ...
| - ...walked at least 2 steps without holding on to anything or another person? |
| - ...crawled up at least 2 stairs or steps? |
| - ...said 2 recognizable words besides "mama" and "dada"? |
| - ...run? |
| - ...said the name of a familiar object, such as a ball? |
| 1 YES |
| 0 NO |
| -2 (DON'T KNOW) |
| -1 (REFUSE) |
MSD-F-MATRIX2_MS1 [T08115.00] | Section: Fertility |
Has [name of biochild([mother supplement-part 3])] ever ....
| - ...made a line with a crayon or pencil? |
| - ...walked up at least 2 stairs with one hand held or holding the railing? |
| - ...fed him/herself with a spoon or fork without spilling much? |
| - ...let someone know, without crying, that wearing wet (soiled) pants or diapers bothered him/her? |
| - ...spoken a partial sentence of 3 words or more? |
| 1 YES |
| 0 NO |
| -2 (DON'T KNOW) |
| -1 (REFUSE) |
MSD-F-MATRIX3_MS1 [T08119.00] | Section: Fertility |
Has [name of biochild([mother supplement-part 3])] ever ....
| - ...walked up stairs by him/herself without holding on to a rail? |
| - ...washed and dried his/her hands without any help except for turning the water on and off? |
| - ...counted 3 objects correctly? |
| - ...gone to the toilet alone? |
| - ...walked up stairs by him/herself with no help, stepping on each step with only one foot? |
| 1 YES |
| 0 NO |
| -2 (DON'T KNOW) |
| -1 (REFUSE) |
MSD-G-MATRIX1_MS1 [T08123.00] | Section: Fertility |
Has [name of biochild([mother supplement-part 3])] ever ...
| - ...run? |
| - ...said the name of a familiar object, such as a ball? |
| - ...made a line with a crayon or pencil? |
| - ...walked up at least 2 stairs with one hand held or holding the railing? |
| - ...fed him/herself with a spoon or fork without spilling much? |
| 1 YES |
| 0 NO |
| -2 (DON'T KNOW) |
| -1 (REFUSE) |
MSD-G-MATRIX2_MS1 [T08127.00] | Section: Fertility |
Has [name of biochild([mother supplement-part 3])] ever ....
| - ...let someone know, without crying, that wearing wet (soiled) pants or diapers bothered him/her? |
| - ...spoken a partial sentence of 3 words or more? |
| - ...walked up stairs by him/herself without holding on to a rail? |
| - ...washed and dried his/her hands without any help except for turning the water on and off? |
| - ...counted 3 objects correctly? |
| 1 YES |
| 0 NO |
| -2 (DON'T KNOW) |
| -1 (REFUSE) |
MSD-G-MATRIX3_MS1 [T08131.00] | Section: Fertility |
Has [name of biochild([mother supplement-part 3])] ever ....
| - ...ever gone to the toilet alone? |
| - ...walked up stairs by him/herself with no help, stepping on each step with only one foot? |
| 1 YES |
| 0 NO |
| -2 (DON'T KNOW) |
| -1 (REFUSE) |
MSD-G13_MS1 [T08135.00] | Section: Fertility |
Does [name of biochild([mother supplement-part 3])] know [his/her([mother supplement-part 3])] own age AND sex?
MSD-G-MATRIX4_MS1 [T08139.00] | Section: Fertility |
Has [name of biochild([mother supplement-part 3])] ever ....
| - ...said the names of at least 4 colors? |
| - ...pedaled a tricycle at least 10 feet? |
| 1 YES |
| 0 NO |
| -2 (DON'T KNOW) |
| -1 (REFUSE) |
MSD-H-MATRIX1_MS1 [T08143.00] | Section: Fertility |
Has [name of biochild([mother supplement-part 3])] ever ...
| - ...let someone know, without crying, that wearing wet (soiled) pants or diapers bothered him/her? |
| - ...spoken a partial sentence of 3 words or more? |
| - ...walked up stairs by him/herself without holding on to a rail? |
| - ...washed and dried his/her hands without any help except for turning the water on and off? |
| - ...counted 3 objects correctly? |
| 1 YES |
| 0 NO |
| -2 (DON'T KNOW) |
| -1 (REFUSE) |
MSD-H-MATRIX2_MS1 [T08151.00] | Section: Fertility |
Has [name of biochild([mother supplement-part 3])] ever ....
| - ...ever gone to the toilet alone? |
| - ...walked up stairs by him/herself with no help, stepping on each step with only one foot? |
| 1 YES |
| 0 NO |
| -2 (DON'T KNOW) |
| -1 (REFUSE) |
MSD-H08_MS1 [T08159.00] | Section: Fertility |
Does [name of biochild([mother supplement-part 3])] know [his/her([mother supplement-part 3])] own age AND sex?
MSD-H-MATRIX3_MS1 [T08167.00] | Section: Fertility |
Has [name of biochild([mother supplement-part 3])] ever ....
| - ...said the names of at least 4 colors? |
| - ...pedaled a tricycle at least 10 feet? |
| - ...done a somersault without help from anybody? |
| 1 YES |
| 0 NO |
| -2 (DON'T KNOW) |
| -1 (REFUSE) |
MSD-H12_MS1 [T08175.00] | Section: Fertility |
Has [s/he([mother supplement-part 3])] ever dressed [him/her([mother supplement-part 3])]self without any help except for [tying shoes/tying shoes and buttoning the backs of dresses([mother supplement-part 3])]?
MSD-H-MATRIX4_MS1 [T08183.00] | Section: Fertility |
(Has [name of biochild([mother supplement-part 3])] ever ....)
| - ...said his/her first and last name together without someone's help? (Nickname may be used for first name.) |
| - ...counted out loud up to 10? |
| - ...drawn a picture of a man or woman with at least 2 parts of the body besides a head? |
| 1 YES |
| 0 NO |
| -2 (DON'T KNOW) |
| -1 (REFUSE) |
BKGN-CASI-AGECK1_MS1 [T08213.00] | Section: Fertility |
{^msage({ms1-loop3})^} >= 5
COMMENT: If child age is 5 years or OLDER then continue;
Otherwise, skip to BKGN-CASI-END
If Answer = 1 Then Go To BKGN-37_MS1
BKGN-37_MS1 [T08234.00] | Section: Fertility |
{^BKGN-SUB1({ms1-loop3})^} {^biochild_name({ms1-loop3})^} repeated a grade for any reason?
BKGN-37-LOOP-BEGIN_MS1 [] | Section: Fertility |
REPEAT
COMMENT: Start grade repeating loop
BKGN-37A_MS1 [T08244.00] | Section: Fertility |
What was the [most recent/next most recent([mother supplement-part 3]:[repeated grades loop])] grade that [name of biochild([mother supplement-part 3])] repeated?
| 0 PRE-KINDERGARTEN/KINDERGARTEN/PRE-1ST GRADE |
| 1 1ST GRADE |
| 2 2ND GRADE |
| 3 3RD GRADE |
| 4 4TH GRADE |
| 5 5TH GRADE |
| 6 6TH GRADE |
| 7 7TH GRADE |
| 8 8TH GRADE |
| 9 9TH GRADE |
| 10 10TH GRADE |
| 11 11TH GRADE |
| 12 12TH GRADE |
BKGN-37B_MS1 [T08252.00] | Section: Fertility |
What was the main reason [s/he([mother supplement-part 3])] repeated that grade?
| 1 Academic failure or lack of ability |
| 2 Immature; acts too young |
| 3 Frequently absent (excused absence) |
| 4 Truancy (unexcused absence) |
| 5 Health reasons |
| 6 Moved into a more difficult school |
| 7 Other reason (SPECIFY) |
BKGN-37C_MS1 [T08260.00] | Section: Fertility |
Has [name of biochild([mother supplement-part 3])] repeated any other grades?
BKGN-37-LOOP-END_MS1 [] | Section: Fertility |
UNTIL({^ANYMOREREPT([mother supplement-part 3]:[repeated grades loop])^}==0)
COMMENT: End loop when there are no more grades repeated
BKGN-38_MS1 [T08276.00] | Section: Fertility |
Has [name of biochild([mother supplement-part 3])] ever had any behavior problems at school resulting in your receiving a note or being asked to come in and talk to the teacher or principal?
BKGN-39_MS1 [T08286.00] | Section: Fertility |
What grade was [name of biochild([mother supplement-part 3])] in the first time you received a note, or were asked to come in and talk to the teacher or principal?
| 90 NURSERY/PRESCHOOL |
| 0 KINDERGARTEN |
| 1 1ST GRADE |
| 2 2ND GRADE |
| 3 3RD GRADE |
| 4 4TH GRADE |
| 5 5TH GRADE |
| 6 6TH GRADE |
| 7 7TH GRADE |
| 8 8TH GRADE |
| 9 9TH GRADE |
| 10 10TH GRADE |
| 11 11TH GRADE |
| 12 12TH GRADE |
BKGN-40_MS1 [T08295.00] | Section: Fertility |
Has [name of biochild([mother supplement-part 3])] ever been suspended or expelled from school?
BKGN-40A_MS1 [T08305.00] | Section: Fertility |
(Has your child ever been suspended or expelled from school?)
In what grade did this first happen?
| 90 NURSERY/PRESCHOOL |
| 0 KINDERGARTEN |
| 1 1ST GRADE |
| 2 2ND GRADE |
| 3 3RD GRADE |
| 4 4TH GRADE |
| 5 5TH GRADE |
| 6 6TH GRADE |
| 7 7TH GRADE |
| 8 8TH GRADE |
| 9 9TH GRADE |
| 10 10TH GRADE |
| 11 11TH GRADE |
| 12 12TH GRADE |
BKGN-41_MS1 [T08313.00] | Section: Fertility |
{^MSINSCHL({ms1-loop3})^} == 1
COMMENT: If child in school continue, else skip school items
If Answer = 1 Then Go To BKGN-42_MS1
BKGN-42_MS1 [T08323.00] | Section: Fertility |
Is your child one of the best students in class, above the middle, in the middle, below the middle, or near the bottom of the class?
| 1 One of the best students in class |
| 2 Above the middle |
| 3 In the middle |
| 4 Below the middle |
| 5 Near the bottom of the class |
BKGN-43-M1_MS1 [T08333.00] | Section: Fertility |
Please think about how well [name of biochild([mother supplement-part 3])]'s school does its job.
What grade would you give the school for how much the teachers care about the students?
| - ...how the teachers care about the students? |
| - ...how effective the principal is as the leader of the school? |
| - ...the skill of the teachers? |
| - ...how safe the school is for the students to attend? |
| - ...letting parents know how their children are doing? |
| - ...letting parents participate in decisions about how the school is run? |
| - ...helping students learn the difference between right and wrong? |
| - ...maintaining order and discipline? |
| 5 A |
| 4 B |
| 3 C |
| 2 D |
| 1 FAIL |
| -2 (DON'T KNOW) |
| -1 (REFUSED) |
BKGN-44_MS1 [T08343.00] | Section: Fertility |
Looking ahead, how far do you think [name of biochild([mother supplement-part 3])] will go in school? Will [s/he([mother supplement-part 3])]...
| 1 leave high school before graduation |
| 2 graduate from high school |
| 3 get some college or other training |
| 4 graduate from college |
| 5 take further training after college |
| 6 or something else? (SPECIFY) |
BKGN-45_MS1 [T08351.00] | Section: Fertility |
In general, how much trouble has [name of biochild([mother supplement-part 3])] been to bring up?
| 1 None |
| 2 Just a little |
| 3 Quite a bit |
| 4 A lot |
BKGN-46-M1_MS1 [T10367.00] | Section: Fertility |
Think now about how things are going in general in [name of biochild([mother supplement-part 3])]'s life. Please rate each of the parts of [his/her([mother supplement-part 3])] life listed below as either excellent, good, only fair, or poor.
How would you rate...
| - ...his/her health? |
| - ...his/her friendships? |
| - ...his/her relationship with you? |
| - ...his/her feelings about him/herself? |
| - ...his/her prospects for the future? |
| - ...his/her relationship with brothers, sisters or other children he/she lives with? |
| 4 EXCELLENT |
| 3 GOOD |
| 2 FAIR |
| 1 POOR |
| 98 (DON'T KNOW) |
| 97 (REFUSED) |
BPI-AGECK1_MS1 [T08381.00] | Section: Fertility |
{^msage({ms1-loop3})^} >= 4
COMMENT: If child age is 4 years or OLDER and meets YOB/BORNSR19 constraints, then continue OTHERWISE skip to BPI-END.
If Answer = 1 Then Go To BPI-M1_MS1
BPI-M1_MS1 [T08392.00] | Section: Fertility |
The following statements are about behavior problems many children have. For each item, think about
[name of biochild([mother supplement-part 3])]'s behavior over the last three months. Then indicate whether the statement is often true, sometimes true, or not true.
[name of biochild([mother supplement-part 3])]...
| - ...has sudden changes in mood or feeling. |
| - ...feels or complains that no one loves him/her. |
| - ...is rather high strung, tense and nervous. |
| - ...cheats or tells lies. |
| - ...is too fearful or anxious. |
| - ...argues too much. |
| 1 Often True |
| 2 Sometimes True |
| 3 Not True |
| -2 (Don't Know) |
| -1 (Refuse) |
BPI-M2_MS1 [T08402.00] | Section: Fertility |
(REPEAT IF NECESSARY: The following statements are about behavior problems many children have. For each item, think about [name of biochild([mother supplement-part 3])]'s behavior over the last three months. Then indicate whether the statement is often true, sometimes true, or not true.)
[name of biochild([mother supplement-part 3])]...
| - ...has difficulty concentrating, cannot pay attention for long. |
| - ...is easily confused, seems to be in a fog. |
| - ...bullies or is cruel or mean to others. |
| - ...is disobedient at home. |
| - ...does not seem to feel sorry after he/she misbehaves. |
| - ...has trouble getting along with other children. |
| 1 Often True |
| 2 Sometimes True |
| 3 Not True |
| -2 (Don't Know) |
| -1 (Refuse) |
BPI-M3_MS1 [T08412.00] | Section: Fertility |
(REPEAT IF NECESSARY: The following statements are about behavior problems many children have. For each item, think about [name of biochild([mother supplement-part 3])]'s behavior over the last three months. Then indicate whether the statement is often true, sometimes true, or not true.)
[name of biochild([mother supplement-part 3])]...
| - ...is impulsive, or acts without thinking. |
| - ...feels worthless or inferior. |
| - ...is not liked by other children. |
| - ...has a lot of difficulty getting his/her mind off certain thoughts (has obsessions). |
| - ...is restless or overly active, cannot sit still. |
| - ...is stubborn, sullen, or irritable. |
| 1 Often True |
| 2 Sometimes True |
| 3 Not True |
| -2 (Don't Know) |
| -1 (Refuse) |
BPI-M4_MS1 [T08422.00] | Section: Fertility |
(REPEAT IF NECESSARY: The following statements are about behavior problems many children have. For each item, think about [name of biochild([mother supplement-part 3])]'s behavior over the last three months. Then indicate whether the statement is often true, sometimes true, or not true.)
[name of biochild([mother supplement-part 3])]...
| - ...has a very strong temper and loses it easily. |
| - ...is unhappy, sad, or depressed. |
| - ...is withdrawn, does not get involved with others. |
| - ...breaks things on purpose or deliberately destroys his/her own or another's things. |
| - ...clings to adults. |
| - ...cries too much. |
| 1 Often True |
| 2 Sometimes True |
| 3 Not True |
| -2 (Don't Know) |
| -1 (Refuse) |
BPI-M5_MS1 [T08432.00] | Section: Fertility |
(REPEAT IF NECESSARY: The following statements are about behavior problems many children have. For each item, think about [name of biochild([mother supplement-part 3])]'s behavior over the last three months. Then indicate whether the statement is often true, sometimes true, or not true.)
[name of biochild([mother supplement-part 3])]...
| - ...demands a lot of attention. |
| - ...is too dependent on others. |
| - ...feels others are out to get him/her. |
| - ...hangs around with kids who get into trouble. |
| - ...is secretive, keeps things to himself/herself. |
| - ...worries too much. |
| 1 Often True |
| 2 Sometimes True |
| 3 Not True |
| -2 (Don't Know) |
| -1 (Refuse) |
BPI-SCHLCK_MS1 [T08442.00] | Section: Fertility |
({^MSINSCHL([mother supplement-part 3])^} == 1) || ({^MSEVERSCHL([mother supplement-part 3])^} == 1)
COMMENT: If child has ever attended school then ask the next questions
If Answer = 1 Then Go To BPI-31_MS1
BPI-31_MS1 [T08452.00] | Section: Fertility |
Please answer even if school is not in session:
[name of biochild([mother supplement-part 3])]...is disobedient at school.
| 1 Often True |
| 2 Sometimes True |
| 3 Not True |
| 4 Never Attended School |
BPI-32_MS1 [T08462.00] | Section: Fertility |
(Please answer even if school is not in session:)
[name of biochild([mother supplement-part 3])]...has trouble getting along with teachers.
| 1 Often True |
| 2 Sometimes True |
| 3 Not True |
| 4 Never Attended School |
BPI-END_MS1 [] | Section: Fertility |
End of series. Click on the "Submit and Continue" button to proceed....
COMMENT: ------------END OF BEHAVIOR PROBLEM INDEX ASSESSMENT-------------
HLTH-16_MS1 [T08483.00] | Section: Fertility |
{^msage({ms1-loop3})^} < 4
COMMENT: If child's age less than 4 years skip to HLTH-19, OTHERWISE continue
If Answer = 1 Then Go To HLTH-19_MS1
HLTH-17_MS1 [T08494.00] | Section: Fertility |
During the past 12 months has [name of biochild([mother supplement-part 3])] seen a psychiatrist, psychologist, or counselor about any behavioral, emotional, or mental problem?
HLTH-17A_MS1 [] | Section: Fertility |
What was the problem?
HLTH-17B_MS1 [T08504.00] | Section: Fertility |
You said that the problem was "[behavioral problem description([mother supplement-part 3])]".
| 1 LEARNING PROBLEMS OR DISABILITY, DYSLEXIA, READING OR SPEECH PROBLEMS |
| 11 ATTENTION DEFICIT HYPERACTIVITY DISORDER (ADHD, ADD) |
| 2 BEHAVIOR PROBLEMS IN SCHOOL/PRESCHOOL |
| 3 FAMILY PROBLEMS: LOSS OF PARENT OR SIB, DIVORCE |
| 4 UNMANAGEABLE, TEMPER TANTRUMS, DISRUPTIVE, HYPERACTIVE |
| 5 STRESS, CRIES A LOT |
| 6 LYING |
| 7 EMOTIONAL TRAUMA: MOLESTATION, ABUSE |
| 8 AUTISM |
| 9 SHYNESS |
| 10 NIGHTMARES |
| 15 OTHER (SPECIFY) |
HLTH-18_MS1 [T08510.00] | Section: Fertility |
Was the cost of the visit to the psychiatrist, psychologist, or counselor covered, at least in part, by any form of insurance or benefit program?
HLTH-19_MS1 [T08516.00] | Section: Fertility |
{^HLTH-SUB2({ms1-loop3})^}, have you felt, or has anyone suggested, that {^biochild_name({ms1-loop3})^} needed help for any behavioral, emotional, or mental problem?
HLTH-20_MS1 [T08527.00] | Section: Fertility |
Does [name of biochild([mother supplement-part 3])] regularly take any medicines or prescription drugs to help control [name of biochild([mother supplement-part 3])]'s activity level or behavior?
CASI-OTHERPRES_MS1 [T08549.00] | Section: Fertility |
INTERVIEWER: WAS ANYONE ELSE PRESENT, EXCLUDING THE RESPONDENT AND YOUNG CHILDREN (AGE 3 AND YOUNGER), WHEN YOU ASKED THE QUESTIONS ABOUT [name of biochild([mother supplement-part 3])]'S HEALTH AND BEHAVIOR?
| 1 YES |
| 0 NO |
| 2 TELEPHONE INTERVIEW |
MS1-LOOP-END_MS1 [] | Section: Fertility |
UNTIL([totbio4]==[mother supplement-part 3])
COMMENT: Repeat until the loop count equals the number of bio children
MS-CHILDPAY-5G_1 [] | Section: Fertility |
([count of children > 4 & not YA & in the house at least part time?] > 0) || ([count of children 4 or under & in the house at least part time?] > 0)
COMMENT: Will R recieve any payment for child supplements?
If Answer = 0 Then Go To Q10-2B
MS-CHILDPAY-INFO1 [] | Section: Fertility |
[childpay_text2][childpay-total][childpay_text2a]
[childpay_text5]