| CS-STARTSCREEN [] | Section: CS-Preliminaries |
NATIONAL LONGITUDINAL SURVEY OF YOUTH
R24-2010 CHILD SUPPLEMENT
ENGLISH
RUNNING IN [CS_CASEMODE] MODE
VERSION: [CSVERSION]
LAST UPDATED: [CSVERSIONDATE]
| CS-CONFIRM-CASE [] | Section: CS-Preliminaries |
INTERVIEWER: THIS INSTRUMENT IS DATE SENSITIVE -- PLEASE DO NOT PROCEED BEYOND THIS POINT UNLESS YOU ARE READY TO CONDUCT THE INTERVIEW.
YOU HAVE OPENED THE CASE SHOWN BELOW. IF THIS IS THE DESIRED CASE, AND YOU ARE READY TO COMPLETE THE INSTRUMENT, CLICK ON THE APPROPRIATE BUTTON TO PROCEED.
NOTE - IF YOU SEE ANY MESSAGE ABOUT MISSING SYMBOLS IN THE FIELDS BELOW, DO NOT CONTINUE. RATHER, CONTACT TECH SUPPORT AND YOUR FM AND EXPLAIN THE SITUATION.
CASE ID: [CASEID (CHARACTER)]
NAME: [Child Full Name]
DATE OF BIRTH: [CHILDBDAY~X]
UPDATES TO DATE OF BIRTH MAY BE MADE LATER IN THE INSTRUMENT IF NECESSARY.
| CS-CONF-SYSDATE [C40059.00] | Section: CS-Preliminaries |
INTERVIEWER: THE COMPUTER SYSTEM DATE IS SET TO:
DATE: [CSDATENOW~X]
TIME: [SYSTEM TIME STAMP]
ARE THE DATE AND TIME SHOWN CORRECT?
| CS-SYSDATE-RESET [] | Section: CS-Preliminaries |
INTERVIEWER: YOU INDICATED THE COMPUTER DATE INFORMATION IS INCORRECT. PLEASE EXIT THE INSTRUMENT, AND RESET THE SYSTEM DATE AND TIME. THEN RESTART THE CASE.
WHEN YOU REOPEN THE CASE, BE SURE TO BACKUP TO THE BEGINNING SCREEN - CS-STARTSCREEN.
NO VALID SCREENS FOLLOW THIS ONE.
| CS-PRELIM-TITLE [] | Section: CS-Preliminaries |
**** PRELIMINARIES ****
| CS-CKNAME [C40060.00] | Section: CS-Preliminaries |
ISVAREMPTY([Child First Name]) ||
IN( "MISSING", [Child First Name])
COMMENT: Internal Function
If Answer = 1 Then Go To CS-ENTERNAME
| CS-ENTERNAME [] | Section: CS-Preliminaries |
INTERVIEWER:
CHILD NAME WAS PREVIOUSLY RECORDED AS [Child First Name].
ENTER CHILD'S FIRST NAME.
NOTE - YOU MUST ENTER A NAME (OR REENTER "FIRST NAME REFUSED" IF NECESSARY ).
IF THIS SCREEN OR ANY PRIOR SCREEN STATES ANYTHING ABOUT "MISSING SYMBOL", YOU WILL NEED TO CONTACT TSS AND YOUR FM TO HAVE THE CASE RESET.
| CS-CKFULLNAME [C40061.00] | Section: CS-Preliminaries |
ISVAREMPTY([Child Full Name]) ||
IN( "MISSING", [Child Full Name])
COMMENT: Internal Function
If Answer = 1 Then Go To CS-ENTERFULLNAME
| CS-ENTERFULLNAME [] | Section: CS-Preliminaries |
INTERVIEWER:
CHILD'S FULL NAME WAS PREVIOUSLY RECORDED AS [Child Full Name].
ENTER CHILD'S FULL NAME.
NOTE - YOU MUST ENTER A NAME (OR REENTER "FULL NAME REFUSED" IF NECESSARY ).
IF THIS SCREEN STATES ANYTHING ABOUT "MISSING SYMBOL", YOU WILL NEED TO CONTACT TSS AND YOUR FM TO HAVE THE CASE RESET.
| CS-FULLDOBCK1 [C40066.00] | Section: CS-Preliminaries |
ISCOMPLETE( [CHILD DATE OF BIRTH] )
COMMENT: Internal Function - Verify that there are no missing elements (don't know or refusal) in Child DOB.
If Answer = 1 Then Go To CS-OVERAGE-CK-PRELIM
| CS-OVERAGE-CK-PRELIM [C40071.00] | Section: CS-Preliminaries |
([CHILD AGE IN MONTHS] >= 180) ||
([FLAG-COMPLETE DATE VALUE FOR DOB]==1 && ([CS_CHILDDOB~Y] < [CSDOBFLOOR~Y]))
COMMENT: Internal Function - additional age check
If Answer = 1 Then Go To CS-SECTIONLIST-OVERAGE
| CS-SECTIONLIST-OVERAGE [] | Section: CS-Preliminaries |
INTERVIEWER: BASED ON [Child First Name]'s ESTIMATED AGE TODAY, [HE/SHE] IS NOT ELIGIBLE FOR THE CHILD SUPPLEMENT.
HOWEVER - THE INSTRUMENT WILL PROCEED AS NORMAL UNTIL YOU CAN VERIFY (AND POSSIBLY UPDATE) CASE INFORMATION.
| CS-SECTION-LIST [] | Section: CS-Preliminaries |
INTERVIEWER: BASED ON [Child First Name]'s ESTIMATED AGE TODAY, [HE/SHE] IS ELIGIBLE FOR THE FOLLOWING SECTIONS AND ASSESSMENTS:
HEIGHT & WEIGHT MEASUREMENT, [CHILD SUPPLEMENT SECTIONS TO BE ADMINISTERED].
YOU WILL THEN COMPLETE HOME OBSERVATIONS, AND INTERVIEWER REMARKS.
THE LIST ASSUMES AN IN-PERSON INTERVIEW, AND MAY CHANGE BASED ON LATER INPUT.
| CS-INT-MODE [C40074.00] | Section: CS-Preliminaries |
INTERVIEWER: SELECT INTERVIEW MODE.
| CS-PHONECHK [C40075.00] | Section: CS-Preliminaries |
{CSINTMODE}
COMMENT: If phone interview and child is assessment age, probe about intent to administer assessments.
If Answer = 2 Then Go To CS-INTRO-AGE8CK
| CS-INTRO-AGE8CK [C40076.00] | Section: CS-Preliminaries |
{CSAGE} >= 8
COMMENT: Internal Function
If Answer = 1 Then Go To CS-TEL-INTNOTE-GE8
| CS-TEL-INTNOTE-GE8 [C40077.00] | Section: CS-Preliminaries |
INTERVIEWER: [Child First Name] MAY BE ELIGIBLE FOR ASSESSMENT, BUT THIS CASE HAS BEEN CODED AS A TELEPHONE INTERVIEW. DO YOU PLAN TO ADMINISTER ANY ASSESSMENTS TO [Child Full Name] AT ALL?
| CS-TEL-INTNOTE-LT8 [C40078.00] | Section: CS-Preliminaries |
INTERVIEWER: [Child First Name] MAY BE ELIGIBLE FOR ASSESSMENT, BUT THE CASE HAS BEEN CODED AS A TELEPHONE INTERVIEW.
NOTE: [Child First Name] IS [CHILD AGE (YEARS)] YRS, [MONTHS REMAINDER OF AGE] MOS OLD AT THIS TIME. THERE ARE NO SECTIONS ADMINISTERED DIRECTLY TO CHILDREN UNDER 8 YEARS OF AGE BY TELEPHONE.
DO YOU PLAN TO ADMINISTER ANY ASSESSMENTS TO [Child Full Name] AT ALL?
| CS-SECTION-LIST-TEL [] | Section: CS-Preliminaries |
INTERVIEWER: BASED ON [Child First Name]'s ESTIMATED AGE TODAY, THE FOLLOWING SECTIONS CAN BE DONE OVER THE TELEPHONE:
[CHILD SUPPLEMENT SECTIONS TO BE ADMINISTERED].
YOU WILL THEN COMPLETE HOME OBSERVATIONS, AND INTERVIEWER REMARKS.
THIS LIST IS FOR YOUR INFORMATION, AND MAY CHANGE BASED ON LATER INPUT.
| CS-TEL-INTNOTE-2 [] | Section: CS-Preliminaries |
RESTART NOTE FOR TELEPHONE INTERVIEWS!
INTERVIEWER: IF YOU PLAN TO ASSESS THE CHILD, EXIT THE INTERVIEW AT THE NEXT SCREENS AND RESTART THE INTERVIEW IN PERSON.
CLICK ON Submit and Continue TO PROCEED
| CS-RESTART-A [] | Section: CS-Preliminaries |
EXIT POINT
INTERVIEWER: IF YOU PLAN TO ASSESS THE CHILD, EXIT THE INTERVIEW FROM THE NEXT SCREEN.
YOU MUST RESTART THE IN PERSON INTERVIEW FROM THE BEGINNING OF THE QUESTIONNAIRE (CS-STARTSCREEN).
IF YOU HAVE RESTARTED THE INTERVIEW: CLICK ON THE DROP DOWN MENU "Go To Question" AND SELECT CS-STARTSCREEN TO RETURN TO THE BEGINNING OF THE INSTRUMENT. YOU MAY THEN PROCEED WITH THE CASE.
OTHERWISE, CLICK THE DISKETTE ICON TO SAVE AND EXIT THE CASE NOW.
| CS-RESTART-B [] | Section: CS-Preliminaries |
INTERVIEWER:
- IF YOU HAVE JUST REOPENED THIS CASE:
RESTART THE INTERVIEW IN PERSON FROM THE BEGINNING OF THE SURVEY (CS-STARTSCREEN).
CLICK ON THE DROP DOWN MENU "Go To Question " AND SELECT CS-STARTSCREEN TO RETURN TO THE BEGINNING OF THE INSTRUMENT.
- IF YOU HAVE NOT YET RESTARTED THE INTERVIEW:
YOU HAVE INDICATED THAT THIS IS A TELEPHONE INTERVIEW, BUT YOU PLAN TO ADMINISTER IN-PERSON THE CHILD ASSESSMENTS. IF THIS IS NOT A TELEPHONE INTERVIEW, OR YOU DO NOT PLAN TO ADMINISTER THE CHILD ASSESSMENTS IN PERSON PLEASE BACK UP AND CORRECT.
CLICK ON HELP, OR THE DISKETTE ICON TO SAVE AND EXIT THE CASE NOW.
NO ACCESSIBLE SCREENS FOLLOW.
| CS-INTRO-LE8PH-CHK [C40079.00] | Section: CS-Preliminaries |
{CSAGE}<=7 &&
{CSINTMODE}==2
If Answer = 1 Then Go To CS-INTRO-A-LE8PHONE
| CS-INTRO-A-LE8PHONE [] | Section: CS-Preliminaries |
(TO MOTHER) The purpose of the NLS Child study is to better understand how children learn and develop.
The U.S. Department of Labor and the National Institute of Child Health and Human Development sponsor this study of the children of the NLS respondents. For each child interview, you will receive [RESPONDENT FEE] in appreciation for the time spent answering the questionnaire.
We would like to ask you some brief questions about [Child First Name].
| CS-INTRO-A [] | Section: CS-Preliminaries |
(TO MOTHER) The purpose of the NLS Child study is to better understand how children learn and develop.
The U.S. Department of Labor and the National Institute of Child Health and Human Development sponsor this study of the children of the NLS respondents. For each child who participates, you will receive [RESPONDENT FEE] in appreciation for the time spent answering the questionnaire. [CSAS INTRODUCTION]
Some parts of the questionnaire are asked of the mother and other parts are completed with the child.
| CS-INTRO-B [] | Section: CS-Preliminaries |
We would first like to ask you some questions about [Child First Name] and then interview [him/her].
[CHILD SUPPLEMENT INTRODUCTION]
| CS-CKFULLDOB1 [C40080.00] | Section: CS-Preliminaries |
{CSDOBCOMPLETE}
COMMENT: Internal Function - Verify that there are no missing elements (don't know or refusal) in Child DOB.
If Answer = 1 Then Go To CS-AGE-VRFY1
| CS-AGE-VRFY1 [C40081.00] | Section: CS-Preliminaries |
(VERIFY CHILD'S AGE WITH MOTHER:) [Child First Name] is [CHILD AGE (YEARS)] years and [MONTHS REMAINDER OF AGE] months old. Is that correct?
| CS-ENTR-DOB [C40082.00] | Section: CS-Preliminaries |
INTERVIEWER: ENTER CORRECT BIRTH DATE FOR [Child First Name].
| CS-FULLDOBCK2A [C40083.00] | Section: CS-Preliminaries |
ISCOMPLETE( [CHILD DATE OF BIRTH] )
COMMENT: Internal Function - Verify that there are no missing elements (don't know or refusal) in Child DOB.
If Answer = 1 Then Go To CS-DOB-VRFY2A
| CS-DOB-VRFY2A [] | Section: CS-Preliminaries |
INTERVIEWER: VERIFY CHILD'S D.O.B. ENTRY -
YOU ENTERED [cs_childdob~x].
IF CHILD'S DATE OF BIRTH IS INCORRECT, PRESS THE BACK/LEFT ARROW ICON TO RETURN TO THE PREVIOUS QUESTION AND ENTER THE CORRECT BIRTH DATE. OTHERWISE, CLICK " Submit and Continue" TO PROCEED....
| CS-DOB-VRFY2B [] | Section: CS-Preliminaries |
INTERVIEWER:
THE DATE YOU ENTERED IS AN [cs_childdob~x].
CONFIRM: REFUSAL AND DON'T KNOW ENTRIES WILL SHOW IN THE DATE FIELDS BELOW....
IF THIS IS THE TRUE RESPONSE, THEN CLICK "Submit and Continue" TO PROCEED.
OTHERWISE, ENTER THE CORRECT BIRTH DATE THEN CLICK "Submit and Continue" TO PROCEED.
| CS-FULLDOBCK2B [] | Section: CS-Preliminaries |
ISCOMPLETE ([CHILD DATE OF BIRTH])
COMMENT: Internal Function - Check birthdate to see if it has don't know or refusal one last time. If so, get age numerically.
If Answer = 1 Then Go To CS-AGE-VRFY2
| CS-AGE-VRFY2 [] | Section: CS-Preliminaries |
(VERIFY CHILD'S AGE WITH MOTHER:)
[Child First Name] is [CHILD AGE (YEARS)] year(s) and [MONTHS REMAINDER OF AGE] month(s) old. Is that correct?
INTERVIEWER: IF CHILD'S AGE IS INCORRECT, PRESS THE BACK/LEFT ARROW ICON TO BACK UP AND ENTER THE CORRECT BIRTH DATE.
OTHERWISE, CLICK "Submit and Continue" TO PROCEED....
| CS-FILLYRS [] | Section: CS-Preliminaries |
How old was [Child First Name] on [his/her] last birthday?
INTERVIEWER: ENTER AGE IN YEARS. CODE 00 IF LESS THAN 1 YEAR OLD.
MONTHS APPEAR ON NEXT SCREEN....
If Answer >= -2 AND Answer <= -1 Then Go To CS-FILLEXIT
| CS-FILLMOS [] | Section: CS-Preliminaries |
(How many months has it been since [Child First Name] was born/since [Child First Name]'s birthday?)
INTERVIEWER: ENTER MONTHS PORTION OF AGE (IN YEARS AND MONTHS)
If Answer = -2 Then Go To CS-QUEX-AGECAT
If Answer = -1 Then Go To CS-FILLEXIT
| CS-FILLEXIT [] | Section: CS-Preliminaries |
INTERVIEWER: NO ACCURATE AGE OR BIRTH DATE COULD BE DETERMINED FOR [Child First Name] . THE CASE WILL BE TERMINATED AS A REFUSAL.
USE THE SURVEY SCREEN BACK ARROW ICON TO RETURN TO EITHER THE BIRTH DATE OR AGE ENTRY QUESTIONS IF A BIRTH DATE OR AGE HAS BEEN INCORRECTLY ENTERED.
| CS-OVERAGE-CK [C40088.00] | Section: CS-Preliminaries |
([CHILD AGE IN MONTHS] >= 180) ||
([FLAG-COMPLETE DATE VALUE FOR DOB]==1 && ([CS_CHILDDOB~Y] < [CSDOBFLOOR~Y]))
COMMENT: Internal Function - additional age check
If Answer = 1 Then Go To CS-OVERAGE-NOTE
| CS-OVERAGE-NOTE [] | Section: CS-Preliminaries |
STOP!
INTERVIEWER: THIS CHILD, [Child First Name], IS 15 YEARS OR OLDER AS OF 12/31/2010 AND SHOULD BE INTERVIEWED AS A YOUNG ADULT.
PLEASE VERIFY DOB AND AGE OF THIS CHILD WITH MOTHER. IF CHILD IS STILL FOUND TO BE 15 OR OLDER BY 12/31/2010, CLOSE THE CASE.
YOU MUST NOTIFY YOUR FM FOR REASSIGNMENT OF THIS CASE.
CLICK "Submit and Continue" TO CONTINUE CLOSING THE CASE.
| CS-QUEX-AGECAT [C40104.00] | Section: CS-Preliminaries |
(100*[INTERVIEW MODE])+(10*[Age at Child Supplement])+(1*[FLAG-CHILD 8 YRS OR OLDER])
COMMENT: Internal Function - Combine interview mode and age information into single conditional test.
If Answer = 100 Then Go To CS-CSIRJUMP
If Answer = 110 Then Go To CS-QUEXSTAT-1
If Answer = 111 Then Go To CS-QUEXSTAT-1
If Answer = 200 Then Go To CS-CSIRJUMP
If Answer = 210 Then Go To CS-CSIRJUMP
If Answer = 211 Then Go To CS-QUEXSTAT-2
| CS-QUEXSTAT-1 [C40106.00] | Section: CS-Preliminaries |
INTERVIEWER: WILL MOTHER ALLOW ALL OR PART OF THE CHILD SUPPLEMENT TO BE COMPLETED?
NOTE: AT THIS TIME, [Child First Name] IS ELIGIBLE FOR THE FOLLOWING:
HEIGHT & WEIGHT MEASUREMENT, [CHILD SUPPLEMENT SECTIONS TO BE ADMINISTERED].
| CS-QUEXSTAT-2 [C40107.00] | Section: CS-Preliminaries |
INTERVIEWER: WILL MOTHER ALLOW ALL OR PART OF THE CHILD SUPPLEMENT TO BE COMPLETED?
THE FOLLOWING SECTIONS CAN BE DONE OVER THE TELEPHONE:
[CHILD SUPPLEMENT SECTIONS TO BE ADMINISTERED]
NO ASSESSMENTS WILL BE ADMINISTERED.
| CS-QUEXSTAT-4 [C40108.00] | Section: CS-Preliminaries |
INTERVIEWER:
SO FAR, MOTHER HAS REFUSED THE CHILD SUPPLEMENT INTERVIEW.
TRY TO OBTAIN AT LEAST HEIGHT AND WEIGHT FOR [Child First Name].
INDICATE MOTHER WILLINGNESS TO PROVIDE HEIGHT AND WEIGHT MEASUREMENTS.
| | 3 MOTHER WILL ALLOW HEIGHT AND WEIGHT ...(Go To CS-CSIRJUMP) |
| | 4 HEIGHT AND WEIGHT REFUSED |
| CS-PERMISSION-A [C40109.00] | Section: CS-Preliminaries |
INTERVIEWER: (IF YOU HAVE NOT ALREADY DONE SO) PLEASE ASK MOTHER TO SIGN THE PARENTAL PERMISSION FORM TO ALLOW [Child Full Name] TO PARTICIPATE IN THE CHILD SURVEY.
RECORD MOTHER'S RESPONSE BELOW.
| | 1 MOTHER SIGNED PERMISSION FORM ...(Go To CS-ENROLL-AGECK) |
| | 2 MOTHER REFUSED PERMISSION |
| CS-PERMISSION-A-TEL [C40110.00] | Section: CS-Preliminaries |
INTERVIEWER: (IF YOU HAVE NOT ALREADY DONE SO) PLEASE RECORD MOTHER'S PERMISSION FOR [Child Full Name] TO PARTICIPATE IN THE CHILD SURVEY ON PARENTAL PERMISSION FORM.
INDICATE MOTHER'S RESPONSE BELOW.
| | 1 MOTHER SIGNED PERMISSION FORM OR PROVIDED VERBAL PERMISSION OVER TELEPHONE ...(Go To CS-ENROLL) |
| | 2 MOTHER REFUSED PERMISSION |
| CS-PERMISSION-B [] | Section: CS-Preliminaries |
INTERVIEWER: PLEASE EXPLAIN TO MOTHER THAT WITHOUT PARENTAL PERMISSION THIS CHILD CANNOT PARTICIPATE IN THE CHILD SURVEY.
NOTE: IF MOTHER WILL PROVIDE HEIGHT AND WEIGHT INFORMATION, BACK UP TO CS-QUEXSTAT-1 AND SELECT "CHILD SUPPLEMENT REFUSED". THEN SELECT "MOTHER WILL ALLOW HEIGHT AND WEIGHT" AT CS-QUEXSTAT-4.
IF MOTHER STILL REFUSES PERMISSION, RECORD HER RESPONSE BELOW. THE INSTRUMENT WILL PROCEED TO INTERVIEWER REMARKS SECTION.
| | 1 MOTHER SIGNED PERMISSION FORM OR PROVIDED VERBAL PERMISSION OVER TELEPHONE ...(Go To CS-ENROLL-AGECK) |
| | 2 MOTHER REFUSED PERMISSION |
| CS-ENROLL-AGECK [C40112.00] | Section: CS-Preliminaries |
{CS_ASSESS_AGE} == 1 &&
{CSPERMSTAT}==1 &&
({CSUPSQXCONSNT} ==1|| {CSUPSQXCONSNT} ==2)
COMMENT: Internal Function - If in-person and eligible for assessments, get school grade info to be passed to assessments. Otherwise skip.
If Answer = 1 Then Go To CS-ENROLL
| CS-ENROLL [C40113.00] | Section: CS-Preliminaries |
Is [Child First Name] currently attending or enrolled in regular school or preschool?
(If [Child First Name] is between the spring and fall school sessions, please tell us about the LAST school year.)
| CS-ATTEND [C40114.00] | Section: CS-Preliminaries |
Has [he/she] ever attended regular school, nursery school, or preschool?
| CS-GRADE [C40115.00] | Section: CS-Preliminaries |
What grade [is currently attending/did last attend]?
INTERVIEWER: 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 CS-GRADE-EQ) |
If Answer = -2 Then Go To CS-GRADE-EQ
| CS-GRADE-EQ [C40116.00] | Section: CS-Preliminaries |
If [Child First Name] were in a graded class, what grade would [he/she] 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) |
| CS-CSIRJUMP [C40118.00] | Section: CS-Preliminaries |
{CSUPSQXCONSNT}==4 ||
{CSPERMSTAT}==2 ||
{CS_DOB_REFUSED}==1 ||
{CS-OVER-AGE}==1 ||
{CS-UNDER-AGE}==1
If Answer = 1 Then Go To CSIR-TITLE
| HLTH-HW-TITLE [] | Section: HEALTH - HEIGHT & WEIGHT |
**** BEGIN SECTION: CHILD HEALTH - HEIGHT & WEIGHT ****
| HLTH-HW-MODECHK [C40120.00] | Section: HEALTH - HEIGHT & WEIGHT |
[INTERVIEW MODE]==1 && [PERMISSION TO INTERVIEW CHILD OBTAINED?]==1 && ([HOW
CHILD SUPPLEMENT WILL BE ADMINISTERED] == 1 || [HOW CHILD SUPPLEMENT WILL BE
ADMINISTERED] == 2)
If Answer = 1 Then Go To HLTH-21A
| HLTH-21A [C40121.00] | Section: HEALTH - HEIGHT & WEIGHT |
INTERVIEWER: DOES CHILD HAVE ANY SERIOUS HEALTH LIMITATIONS THAT WOULD AFFECT MEASUREMENT OR TESTING?
| HLTH-21B [C40122.00] | Section: HEALTH - HEIGHT & WEIGHT |
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: HEALTH - HEIGHT & WEIGHT |
INTERVIEWER: (IF CHILD IS NOT ALREADY PRESENT) READ TO MOTHER:
Could you please bring [Child First Name] into the room and help make [him/her] feel comfortable?
| HLTH-HW-INTRO-AGECK-A [C40123.00] | Section: HEALTH - HEIGHT & WEIGHT |
{PPVTAGEMO} < 60 ||
({CSAGE} < 8 && {CSUPSQXCONSNT}==2)
If Answer = 1 Then Go To HLTH-HW-INTRO-IPA
| HLTH-HW-INTRO-IPA [] | Section: HEALTH - HEIGHT & WEIGHT |
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.
| HLTH-HW-INTRO-AGECK-B [C40124.00] | Section: HEALTH - HEIGHT & WEIGHT |
{CSAGE} < 8
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-IPB [] | Section: HEALTH - HEIGHT & WEIGHT |
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 have some questions for you. Some are about language, some are about arithmetic or math. Some questions have right or wrong answers, others don't. I want you to concentrate on the questions and give me your best answer for each one.
| HLTH-HW-INTRO-IPC [] | Section: HEALTH - HEIGHT & WEIGHT |
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 have some questions for you. Some are about language, some are about arithmetic or math, and some are about school. Some questions have right or wrong answers, others don't. I want you to concentrate on the questions and give me your best answer for each one.
| HLTH-HGT-SELECT [C40125.00] | Section: HEALTH - HEIGHT & WEIGHT |
(TO MOTHER:) I'd like to find out how tall [Child First Name] is. [Would you prefer to measure yourself or shall I do it?/]
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 [C40126.00] | Section: HEALTH - HEIGHT & WEIGHT |
{HGTMETHOD}
COMMENT: Internal Function
If Answer = 2 Then Go To HLTH-HGT-TOTALINCHES
| HLTH-HGT-FEET [C40127.00] | Section: HEALTH - HEIGHT & WEIGHT |
(TO MOTHER: I'd like to find out how tall [Child First Name] is. [Would you prefer to measure yourself or shall I do it?/])
INTERVIEWER: RECORD FEET AND INCHES BELOW.
| HLTH-HGT-INCHES [C40128.00] | Section: HEALTH - HEIGHT & WEIGHT |
| HLTH-HGT-TOTALINCHES [C40129.00] | Section: HEALTH - HEIGHT & WEIGHT |
(TO MOTHER: I'd like to find out how tall [Child First Name] is. [Would you prefer to measure yourself or shall I do it?/])
INTERVIEWER: RECORD HEIGHT IN TOTAL INCHES.
| HLTH-HGTCOMP [C40131.00] | Section: HEALTH - HEIGHT & WEIGHT |
([HEIGHT INPUT] < [CALCULATED MIN HEIGHT VALUE]) ||
([HEIGHT INPUT] > [CALCULATED MAX HEIGHT VALUE])
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 [C40132.00] | Section: HEALTH - HEIGHT & WEIGHT |
{HGTMETHOD}
COMMENT: Internal Function
If Answer = 2 Then Go To HLTH-HGTCONF2
| HLTH-HGTCONF1 [C40133.00] | Section: HEALTH - HEIGHT & WEIGHT |
INTERVIEWER:
CAUTION...
THE HEIGHT ENTERED FOR [Child First Name] IS OUTSIDE THE USUAL RANGE OF HEIGHT FOR A CHILD THIS AGE. PLEASE CHECK -- ARE THESE VALUES CORRECT?
[NUMBER OF FEET] FEET AND [NUMBER OF INCHES] INCHES
BACK UP TO CORRECT ANY ERROR, OR SELECT "YES" TO CONFIRM THE VALUES AND CONTINUE.
.
| | 1 YES - VALUES ARE ENTERED CORRECTLY ...(Go To HLTH-HGT-REPT) |
| | 0 NOT CORRECT |
| HLTH-HGTCONF2 [] | Section: HEALTH - HEIGHT & WEIGHT |
INTERVIEWER:
CAUTION...
THE HEIGHT ENTERED FOR [Child First Name] IS OUTSIDE THE USUAL RANGE OF HEIGHT FOR A CHILD THIS AGE. PLEASE CHECK -- IS THIS VALUE CORRECT?
[TOTAL NUMBER OF INCHES] TOTAL INCHES
BACK UP TO CORRECT ANY ERROR, OR SELECT "YES" TO CONFIRM THE VALUE AND CONTINUE.
| HLTH-HGT-REPT [C40134.00] | Section: HEALTH - HEIGHT & WEIGHT |
INTERVIEWER: HOW WAS HEIGHT REPORTED?
| | 1 TAPE MEASUREMENT |
| | 2 MOTHER RECALL |
| | 3 CHILD RECALL |
| | 4 MOTHER REFUSED/DOESN'T KNOW |
| | 5 CHILD REFUSED/DOESN'T KNOW |
| HLTH-WGT-SELECT [C40135.00] | Section: HEALTH - HEIGHT & WEIGHT |
(TO MOTHER:) I'd like to find out [Child First Name]'s weight. [Would you prefer to weigh yourself or shall I do it?/]
INTERVIEWER: CLICK SUBMIT AND CONTINUE, UNLESS CHILD IS LESS THAN 20 LBS.
| | 1 ENTER POUNDS (FOR CHILDREN 20 LBS OR MORE) |
| | 2 ENTER POUNDS AND OUNCES (FOR CHILDREN UNDER 20 LBS ONLY) |
| HLTH-WGT-MTHDCK [C40136.00] | Section: HEALTH - HEIGHT & WEIGHT |
{WGTMETHOD}
COMMENT: Internal Function
If Answer = 2 Then Go To HLTH-WGT-LBS
| HLTH-WGT-LBSONLY [C40137.00] | Section: HEALTH - HEIGHT & WEIGHT |
(TO MOTHER: I'd like to find out [Child First Name]'s weight. [Would you prefer to weigh yourself or shall I do it?/])
INTERVIEWER: RECORD WEIGHT IN POUNDS. BE SURE CHILD IS NOT WEARING SHOES OR HEAVY OUTER GARMENTS.
| HLTH-WGT-LBS [C40138.00] | Section: HEALTH - HEIGHT & WEIGHT |
(TO MOTHER: I'd like to find out [Child First Name]'s weight. [Would you prefer to weigh yourself or shall I do it?/])
INTERVIEWER: RECORD POUNDS AND OUNCES. BE SURE CHILD IS NOT WEARING SHOES OR HEAVY OUTER GARMENTS.
NOTE: THIS SCREEN IS FOR CHILDREN WEIGHING LESS THAN 20 LBS. IF CHILD WEIGHS 20 LBS OR MORE, BACKUP TO "HLTH-WGT-SELECT" AND SELECT "ENTER POUNDS".
.
.
| HLTH-WGT-OZS [C40139.00] | Section: HEALTH - HEIGHT & WEIGHT |
| HLTH-WGTCOMP [C40141.00] | Section: HEALTH - HEIGHT & WEIGHT |
([WEIGHT INPUT VALUE] < [CALCULATED MIN WEIGHT VALUE]) ||
([WEIGHT INPUT VALUE] > [CALCULATED MAX WEIGHT VALUE])
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 [C40142.00] | Section: HEALTH - HEIGHT & WEIGHT |
{WGTMETHOD}
COMMENT: Internal Function
If Answer = 2 Then Go To HLTH-WGTCONF2
| HLTH-WGTCONF1 [C40143.00] | Section: HEALTH - HEIGHT & WEIGHT |
INTERVIEWER:
CAUTION...
THE WEIGHT ENTERED FOR [Child First Name] IS OUTSIDE THE USUAL RANGE OF WEIGHT FOR A CHILD THIS AGE. PLEASE CHECK -- IS THE VALUE SHOWN CORRECT?
[NUMBER OF POUNDS] POUNDS
BACK UP TO CORRECT ANY ERROR, OR SELECT "YES" TO CONFIRM THE VALUE AND CONTINUE.
| HLTH-WGTCONF2 [C40144.00] | Section: HEALTH - HEIGHT & WEIGHT |
INTERVIEWER:
CAUTION...
THE WEIGHT ENTERED FOR [Child First Name] IS OUTSIDE THE USUAL RANGE OF WEIGHT FOR A CHILD THIS AGE. PLEASE CHECK -- ARE THE VALUES SHOWN CORRECT?
[NUMBER OF POUNDS] POUNDS AND [NUMBER OF OUNCES] OUNCES
BACK UP TO CORRECT ANY ERROR, OR SELECT "YES" TO CONFIRM THE VALUE(S) AND CONTINUE.
| HLTH-WGT-REPT [C40145.00] | Section: HEALTH - HEIGHT & WEIGHT |
INTERVIEWER: HOW WAS WEIGHT REPORTED?
| | 1 SCALE MEASUREMENT |
| | 2 MOTHER RECALL |
| | 3 CHILD RECALL |
| | 4 MOTHER REFUSED/DOESN'T KNOW |
| | 5 CHILD REFUSED/DOESN'T KNOW |
| CST-1 [C40147.00] | Section: CS ASSESSMENTS STARTUP |
INTERVIEWER: (ON A SCALE FROM 1 TO 5): HOW SHY OR ANXIOUS WAS CHILD WHEN YOU FIRST MET [HIM/HER]?
| | 1 (1) NOT AT ALL SHY OR ANXIOUS/SOCIABLE & FRIENDLY |
| | 2 (2) * |
| | 3 (3) (MIDPOINT) |
| | 4 (4) * |
| | 5 (5) EXTREMELY SHY/QUIET/WITHDRAWN |
| | 6 (6) UNABLE TO OBSERVE CHILD (SPECIFY) |
| CST-AGECHK1 [C40148.00] | Section: CS ASSESSMENTS STARTUP |
{CS_ASSESS_AGE}
COMMENT: Internal Function - Check if Child was born SINCE Mother's R19-2000 date of interview (or Jan 1, 2000 if no R19 interview).
If Answer = 0 Then Go To CST-NOTE-UNDERAGE
| CST-NOTE-UNDERAGE [] | Section: CS ASSESSMENTS STARTUP |
INTERVIEWER: [Child First Name] WILL NOT BE ASSESSED BECAUSE [HE/SHE] IS NOT AGE-ELIGIBLE THIS ROUND.
CLICK Submit and Continue TO PROCEED.
| CST-TELCHK [C40149.00] | Section: CS ASSESSMENTS STARTUP |
{CSINTMODE}
COMMENT: Internal Function - IF TELEPHONE INTERVIEW, SKIP OVER ASSESSMENTS
If Answer = 2 Then Go To CST-NOTE-PHONEINT
| CST-NOTE-PHONEINT [] | Section: CS ASSESSMENTS STARTUP |
INTERVIEWER: [Child First Name] WILL NOT BE ASSESSED BECAUSE THIS IS A TELEPHONE INTERVIEW.
CLICK Submit and Continue TO PROCEED.
| CST-PERMCHK [C40150.00] | Section: CS ASSESSMENTS STARTUP |
{CSPERMSTAT}
COMMENT: Internal Function - If mother has refused interview permission, skip assessments.
If Answer = 2 Then Go To CST-NOTE-NOPERM
| CST-NOTE-NOPERM [] | Section: CS ASSESSMENTS STARTUP |
INTERVIEWER: MOTHER HAS REFUSED PERMISSION FOR CHILD TO PARTICIPATE IN THE SURVEY. [Child First Name] WILL NOT BE ASSESSED.
IF THIS IS NOT CORRECT, PLEASE BACKUP AND CORRECT THE ANSWER TO ITEM CS-PERMISSION-A ABOUT THE STATUS OF THE PARENTAL PERMISSION FORM.
CLICK Submit and Continue TO PROCEED.
| CST-QUEXCHK [C40151.00] | Section: CS ASSESSMENTS STARTUP |
{CSUPSQXCONSNT}
COMMENT: Internal Function - If mother has declined administration of assessments, skip over them. If not, proceed.
If Answer = 2 Then Go To CST-NOTE-LIMQUEX
| CST-NOTE-LIMQUEX [] | Section: CS ASSESSMENTS STARTUP |
INTERVIEWER: MOTHER DOES NOT WANT [Child First Name] TO BE ASSESSED. THE ASSESSMENTS WILL BE SKIPPED.
IF THIS IS NOT CORRECT, PLEASE BACKUP AND CORRECT THE ANSWER TO ITEM CS-QUEXSTAT-1 REGARDING QUESTIONNAIRE COMPLETION.
CLICK Submit and Continue TO PROCEED.
| CST-QUEXCHK2 [C40152.00] | Section: CS ASSESSMENTS STARTUP |
{CSUPSQXCONSNT}
COMMENT: Internal Function - If mother has declined administration of assessments, skip over them. If not, proceed.
If Answer = 3 Then Go To CST-NOTE-LIMQUEX2
| CST-NOTE-LIMQUEX2 [] | Section: CS ASSESSMENTS STARTUP |
INTERVIEWER: MOTHER AGREED TO PROVIDE HEIGHT AND WEIGHT, BUT DOES NOT WANT [Child First Name] TO BE INTERVIEWED. THE REST OF THE INTERVIEW INCLUDING ASSESSMENTS WILL BE SKIPPED.
IF THIS IS NOT CORRECT, PLEASE BACKUP AND CORRECT THE ANSWER TO ITEM CS-QUEXSTAT-1 REGARDING QUESTIONNAIRE COMPLETION.
CLICK Submit and Continue TO PROCEED.
| CST-NOASSESS-EVAL [C40155.00] | Section: CS ASSESSMENTS STARTUP |
{DONTASSESS}
COMMENT: Internal Function - If flag set to skip assessments for other reasons, skip them.
If Answer = 1 Then Go To CST-NOTE-FLAGCASE
| CST-NOTE-FLAGCASE [] | Section: CS ASSESSMENTS STARTUP |
INTERVIEWER: [Child First Name] WILL NOT BE ASSESSED BECAUSE OF PREVIOUSLY EXISTING CONDITIONS. IF THIS IS OBVIOUSLY WRONG, PLEASE CONTACT YOUR SUPERVISOR.
CLICK Submit and Continue TO PROCEED.
| CST-TITLE [] | Section: CS ASSESSMENTS STARTUP |
**** PREPARE FOR ASSESSMENT ****
| SPPC_AGECHK [C40156.00] | Section: SPPC |
{CSAGEMO}
COMMENT: Internal Function - Check age eligibility for this assessment
If Answer >= 144 AND Answer <= 179 Then Go To LIKE_INSTRUCTIONS_IS_STARTED
| LIKE_INSTRUCTIONS_IS_STARTED [C40157.00] | Section: SPPC |
{LIKE_STARTED}
If Answer = 1 Then Go To SPPC_EXISTNOTE
| LIKE_INSTRUCTIONS_WELCOME [] | Section: SPPC |
PREPARE FOR ASSESSMENT: WHAT I AM LIKE
INTERVIEWER: DO NOT READ ALOUD. CLICK SUBMIT AND CONTINUE TO PROCEED WITH THE ASSESSMENT WHEN YOU ARE READY.
| LIKE_INSTRUCTIONS_GENERAL [] | Section: SPPC |
INSTRUCTIONS FOR WHAT I AM LIKE
IF NEEDED, READ TO MOTHER/GUARDIAN.
This section is meant to give us an idea of how [Child First Name] views [himself/herself].
READ TO [Child First Name]
All kids think and feel differently about things. We are interested in what you think you are like and how you think and feel. This is not a test. There are no right or wrong answers. Remember all kids are different.
HAND SHOWCARD SET B. (SEE the Introduction to the CAPI Questionnaires and CAPI Assessments (2004-present))
This Section is called What I Am Like
Here's an example of how the questions work. I'll read the question aloud and you follow along and think about it before you answer. This question is about two kinds of kids and we want to know which kids are more like you.
| LIKE_INSTRUCTIONS_LIKE [] | Section: SPPC |
INSTRUCTIONS FOR WHAT I AM LIKE
READ BOTH PARTS OF PRACTICE SENTENCE.
EMPHASIZE THE UNDERLINED WORDS.
| LIK_01 [C40199.00] | Section: SPPC |
SOME KIDS ARE VERY GOOD AT SCHOOL WORK (X)/OTHERS WORRY WHETHER THEY CAN DO THE SCHOOL WORK ASSIGNED (Y)
| | 1 REALLY TRUE FOR ME (Y) |
| | 2 SORT OF TRUE FOR ME (Y) |
| | 3 SORT OF TRUE FOR ME (X) |
| | 4 REALLY TRUE FOR ME (X) |
| LIK_02 [C40200.00] | Section: SPPC |
SOME KIDS UNHAPPY (X)/SOME PLEASED WITH THEMSELVES (Y)
| | 1 REALLY TRUE FOR ME (X) |
| | 2 SORT OF TRUE FOR ME (X) |
| | 3 SORT OF TRUE FOR ME (Y) |
| | 4 REALLY TRUE FOR ME (Y) |
| Default Next: | LIK_03 | Type: | Internal Function | | |
| Lead-In: | LIK_01 [Default] | Mask: | 9 | | |
| LIK_03 [C40201.00] | Section: SPPC |
SOME KIDS FEEL JUST AS SMART (X)/OTHERS WONDER IF THEY ARE AS SMART(Y)
| | 1 REALLY TRUE FOR ME (Y) |
| | 2 SORT OF TRUE FOR ME (Y) |
| | 3 SORT OF TRUE FOR ME (X) |
| | 4 REALLY TRUE FOR ME (X) |
| Default Next: | LIK_04 | Type: | Internal Function | | |
| Lead-In: | LIK_02 [Default] | Mask: | 9 | | |
| LIK_04 [C40202.00] | Section: SPPC |
SOME KIDS DON'T LIKE THEIR LIFE (X)/OTHERS DO (Y)
| | 1 REALLY TRUE FOR ME (X) |
| | 2 SORT OF TRUE FOR ME (X) |
| | 3 SORT OF TRUE FOR ME (Y) |
| | 4 REALLY TRUE FOR ME (Y) |
| Default Next: | LIK_05 | Type: | Internal Function | | |
| Lead-In: | LIK_03 [Default] | Mask: | 9 | | |
| LIK_05 [C40203.00] | Section: SPPC |
SOME FINISH SCHOOLWORK SLOWLY (X)/OTHERS FINISH QUICKLY (Y)
| | 1 REALLY TRUE FOR ME (X) |
| | 2 SORT OF TRUE FOR ME (X) |
| | 3 SORT OF TRUE FOR ME (Y) |
| | 4 REALLY TRUE FOR ME (Y) |
| Default Next: | LIK_06 | Type: | Internal Function | | |
| Lead-In: | LIK_04 [Default] | Mask: | 9 | | |
| LIK_06 [C40204.00] | Section: SPPC |
SOME HAPPY WITH SELF AS PERSON (X)/OTHERS ARE NOT HAPPY WITH SELF (Y)
| | 1 REALLY TRUE FOR ME (Y) |
| | 2 SORT OF TRUE FOR ME (Y) |
| | 3 SORT OF TRUE FOR ME (X) |
| | 4 REALLY TRUE FOR ME (X) |
| Default Next: | LIK_07 | Type: | Internal Function | | |
| Lead-In: | LIK_05 [Default] | Mask: | 9 | | |
| LIK_07 [C40205.00] | Section: SPPC |
SOME KIDS FORGET THINGS (X)/OTHERS REMEMBER EASILY (Y)
| | 1 REALLY TRUE FOR ME (X) |
| | 2 SORT OF TRUE FOR ME (X) |
| | 3 SORT OF TRUE FOR ME (Y) |
| | 4 REALLY TRUE FOR ME (Y) |
| Default Next: | LIK_08 | Type: | Internal Function | | |
| Lead-In: | LIK_06 [Default] | Mask: | 9 | | |
| LIK_08 [C40206.00] | Section: SPPC |
SOME LIKE PERSON THEY ARE (X)/OTHERS WISH TO BE SOMEONE ELSE (Y)
| | 1 REALLY TRUE FOR ME (Y) |
| | 2 SORT OF TRUE FOR ME (Y) |
| | 3 SORT OF TRUE FOR ME (X) |
| | 4 REALLY TRUE FOR ME (X) |
| Default Next: | LIK_09 | Type: | Internal Function | | |
| Lead-In: | LIK_07 [Default] | Mask: | 9 | | |
| LIK_09 [C40207.00] | Section: SPPC |
SOME DO WELL AT CLASSWORK (X)/OTHERS DO NOT DO SO WELL (Y)
| | 1 REALLY TRUE FOR ME (Y) |
| | 2 SORT OF TRUE FOR ME (Y) |
| | 3 SORT OF TRUE FOR ME (X) |
| | 4 REALLY TRUE FOR ME (X) |
| Default Next: | LIK_10 | Type: | Internal Function | | |
| Lead-In: | LIK_08 [Default] | Mask: | 9 | | |
| LIK_10 [C40208.00] | Section: SPPC |
SOME HAPPY THE WAY THEY ARE (X)/OTHERS WISH TO BE DIFFERENT (Y)
| | 1 REALLY TRUE FOR ME (Y) |
| | 2 SORT OF TRUE FOR ME (Y) |
| | 3 SORT OF TRUE FOR ME (X) |
| | 4 REALLY TRUE FOR ME (X) |
| Default Next: | LIK_11 | Type: | Internal Function | | |
| Lead-In: | LIK_09 [Default] | Mask: | 9 | | |
| LIK_11 [C40209.00] | Section: SPPC |
SOME HAVE TROUBLE FIGURING OUT ANSWERS (X)/OTHERS ALWAYS CAN FIGURE OUT ANSWERS (Y)
| | 1 REALLY TRUE FOR ME (X) |
| | 2 SORT OF TRUE FOR ME (X) |
| | 3 SORT OF TRUE FOR ME (Y) |
| | 4 REALLY TRUE FOR ME (Y) |
| Default Next: | LIK_12 | Type: | Internal Function | | |
| Lead-In: | LIK_10 [Default] | Mask: | 9 | | |
| LIK_12 [C40210.00] | Section: SPPC |
SOME ARE NOT HAPPY WITH THE WAY THEY DO THINGS (X)/OTHERS THINK THE WAY THEY DO THINGS IS FINE (Y)
| | 1 REALLY TRUE FOR ME (X) |
| | 2 SORT OF TRUE FOR ME (X) |
| | 3 SORT OF TRUE FOR ME (Y) |
| | 4 REALLY TRUE FOR ME (Y) |
| SPPC-ANYPRESENT [C40182.00] | Section: SPPC |
INTERVIEWER: WAS ANYONE BESIDES YOURSELF AND THE CHILD PRESENT IN THE ROOM DURING THE ADMINISTRATION OF WHAT I AM LIKE?
| Default Next: | SPPC-ENERGYLEV |
| Lead-In: | LIK_01 [99:99], LIK_02 [99:99], LIK_03 [99:99], LIK_04 [99:99], LIK_05 [99:99], LIK_06 [99:99], LIK_07 [99:99], LIK_08 [99:99], LIK_09 [99:99], LIK_10 [99:99], LIK_11 [99:99], LIK_12 [99:99], LIK_12 [Default] |
| SPPC-MOMPRESENT [C40183.00] | Section: SPPC |
INTERVIEWER: DURING ADMINISTRATION OF WHAT I AM LIKE...
...WAS MOTHER PRESENT?
| SPPC-MOMEFFECT [C40184.00] | Section: SPPC |
WHAT WAS THE EFFECT OF MOTHER'S PRESENCE ON [Child First Name]'s PERFORMANCE?
| | 1 SEEMED TO BE HARMFUL |
| | 2 NONE OBSERVABLE |
| | 3 SEEMED TO IMPROVE |
| SPPC-DADPRESENT [C40185.00] | Section: SPPC |
INTERVIEWER: DURING ADMINISTRATION OF WHAT I AM LIKE...
...WAS FATHER PRESENT?
| SPPC-DADEFFECT [C40186.00] | Section: SPPC |
WHAT WAS THE EFFECT OF FATHER'S PRESENCE ON [Child First Name]'s PERFORMANCE?
| | 1 SEEMED TO BE HARMFUL |
| | 2 NONE OBSERVABLE |
| | 3 SEEMED TO IMPROVE |
| SPPC-ADULTPRES [C40187.00] | Section: SPPC |
INTERVIEWER: DURING ADMINISTRATION OF WHAT I AM LIKE...
...WERE ANY OTHER ADULTS PRESENT?
| SPPC-NUMADULTS [C40188.00] | Section: SPPC |
HOW MANY OTHER ADULTS WERE PRESENT?
| SPPC-ADULTEFF [C40189.00] | Section: SPPC |
WHAT WAS THE EFFECT OF THE OTHER ADULT(S) ON [Child First Name]'s PERFORMANCE?
| | 1 SEEMED TO BE HARMFUL |
| | 2 NONE OBSERVABLE |
| | 3 SEEMED TO IMPROVE |
| SPPC-KIDSPRESENT [C40190.00] | Section: SPPC |
INTERVIEWER: DURING ADMINISTRATION OF WHAT I AM LIKE...
...WERE ANY OTHER CHILDREN PRESENT?
| SPPC-NUMKIDS [C40191.00] | Section: SPPC |
HOW MANY OTHER CHILDREN WERE PRESENT?
| SPPC-KIDSEFF [C40192.00] | Section: SPPC |
WHAT WAS THE EFFECT OF THE OTHER CHILD(REN) ON [Child First Name]'s PERFORMANCE?
| | 1 SEEMED TO BE HARMFUL |
| | 2 NONE OBSERVABLE |
| | 3 SEEMED TO IMPROVE |
| SPPC-ENERGYLEV [C40193.00] | Section: SPPC |
CODE CHILD'S ENERGY LEVEL DURING THIS SECTION.
| | 1 LOW (TIRED) |
| | 2 MEDIUM |
| | 3 HIGH |
| SPPC-TERMCHK [C40194.00] | Section: SPPC |
INTERVIEWER: DID YOU TERMINATE THE WHAT I AM LIKE ASSESSMENT FOR ANY REASON?
| SPPC-RESNTERM [C40195.00] | Section: SPPC |
INTERVIEWER: WHAT WERE THE REASONS FOR PREMATURE TERMINATION OF THIS ASSESSMENT?
SELECT ALL THAT APPLY.
| | 1 PARENT/GUARDIAN TERMINATED OR REFUSED |
| | 2 CHILD WOULD NOT RESPOND |
| | 3 MAJOR INTERRUPTION CAUSED TERMINATION |
| | 4 CHILD COULD NOT UNDERSTAND TASK |
| | 5 CHILD HAD LANGUAGE PROBLEM |
| | 6 CHILD EMOTIONAL CONDITION |
| | 7 CHILD PHYSICAL CONDITION |
| | 8 CHILD TOO TIRED |
| | 9 OTHER (SPECIFY) |
| SPPC-ANYPROBLEMS [C40197.00] | Section: SPPC |
INTERVIEWER: YOU HAVE COMPLETED WHAT I AM LIKE. WERE THERE ANY PROBLEMS THAT OCCURRED DURING THIS ASSESSMENT?
| SPPC-PROBLEM [C40198.00] | Section: SPPC |
RECORD PROBLEMS ENCOUNTERED:
| SPPC_EXISTNOTE [] | Section: SPPC |
INTERVIEWER:
THIS ASSESSMENT HAS BEEN COMPLETED (OR TERMINATED).
YOU MAY NOT RESTART WHAT I AM LIKE.
| DIGIT_AGECHK [C40211.00] | Section: DIGIT SPAN |
{CSAGEMO}
COMMENT: Internal Function - Check age eligibility for this assessment
If Answer >= 84 AND Answer <= 143 Then Go To DS_GLOBAL_START_SCREEN
| DS_GLOBAL_START_SCREEN [] | Section: DIGIT SPAN |
PREPARE FOR ASSESSMENT: MEMORY FOR DIGIT SPAN
INTERVIEWER: DO NOT READ ALOUD. CLICK SUBMIT AND CONTINUE TO PROCEED WITH THE ASSESSMENT WHEN YOU ARE READY.
REPRODUCED BY PERMISSION FROM THE WECHSLER INTELLIGENCE SCALE FOR CHILDREN-REVISED. COPYRIGHT 1974 BY THE PSYCHOLOGICAL CORPORATION. ALL RIGHTS RESERVED.
See the Introduction to the CAPI Questionnaires and CAPI Assessments (2004-present)
| DIF_IS_STARTED [C40212.00] | Section: DIGIT SPAN |
{DS_STARTED}
If Answer = 1 Then Go To DIGIT_EXISTNOTE
| DIF_INTRO [] | Section: DIGIT SPAN |
INSTRUCTIONS FOR DIGITS FORWARD
INTERVIEWER: IF NEEDED, READ TO MOTHER/FATHER/GUARDIAN
This section gives us an idea of [Child First Name]'s memory for number order. Each sequence of numbers has more digits than the last. It is rare for anyone to remember all the sequences.
INSTRUCTIONS FOR DIGITS FORWARD
ADMINISTER QUESTIONS:
1. READ EACH DIGIT SPAN ONLY ONCE AT AN EVEN RATE OF 1 DIGIT PER SECOND.
2. READ PART A OF QUESTION; PAUSE FOR RESPONSE THEN SCORE.
3. READ PART B OF QUESTION; PAUSE FOR RESPONSE THEN SCORE.
4. IF [Child First Name] DOES NOT RESPOND, DO NOT ENCOURAGE FURTHER.
SCORE QUESTIONS:
1. TO BE SCORED CORRECT, NO DIGITS MAY BE OMITTED OR BE IN REVERSE ORDER.
| DIG_01A [C40213.00] | Section: DIGIT SPAN |
READ TO [Child First Name]
I'm going to say some numbers. Listen carefully, and when I'm through, say them right after me.
SAY: 'Ready' BEFORE EACH QUESTION.
Question #1.A
| DIG_02A [C40216.00] | Section: DIGIT SPAN |
READ TO [Child First Name] IF NECESSARY
I'm going to say some numbers. Listen carefully, and when I'm through, say them right after me.
SAY: 'Ready' BEFORE EACH QUESTION.
Question #2.A
| DIG_03A [C40219.00] | Section: DIGIT SPAN |
READ TO [Child First Name] IF NECESSARY
I'm going to say some numbers. Listen carefully, and when I'm through, say them right after me.
SAY: 'Ready' BEFORE EACH QUESTION.
Question #3.A
| DIG_04A [C40222.00] | Section: DIGIT SPAN |
READ TO [Child First Name] IF NECESSARY
I'm going to say some numbers. Listen carefully, and when I'm through, say them right after me.
SAY: 'Ready' BEFORE EACH QUESTION.
Question #4.A
| DIG_05A [C40225.00] | Section: DIGIT SPAN |
READ TO [Child First Name] IF NECESSARY
I'm going to say some numbers. Listen carefully, and when I'm through, say them right after me.
SAY: 'Ready' BEFORE EACH QUESTION.
Question #5.A
| DIG_06A [C40228.00] | Section: DIGIT SPAN |
READ TO [Child First Name] IF NECESSARY
I'm going to say some numbers. Listen carefully, and when I'm through, say them right after me.
SAY: 'Ready' BEFORE EACH QUESTION.
Question #6.A
| DIG_07A [C40231.00] | Section: DIGIT SPAN |
READ TO [Child First Name] IF NECESSARY
I'm going to say some numbers. Listen carefully, and when I'm through, say them right after me.
SAY: 'Ready' BEFORE EACH QUESTION.
Question #7.A
| DIG_08A [C40236.00] | Section: DIGIT SPAN |
READ TO [Child First Name] IF NECESSARY:
I'm going to say some numbers. Listen carefully, and when I'm through, say them backwards
SAY: 'Ready' BEFORE EACH QUESTION.
Question #8.A
| DIG_09A [C40239.00] | Section: DIGIT SPAN |
READ TO [Child First Name] IF NECESSARY:
I'm going to say some numbers. Listen carefully, and when I'm through, say them backwards
SAY: 'Ready' BEFORE EACH QUESTION.
Question #9.A
| DIG_10A [C40242.00] | Section: DIGIT SPAN |
READ TO [Child First Name] IF NECESSARY:
I'm going to say some numbers. Listen carefully, and when I'm through, say them backwards
SAY: 'Ready' BEFORE EACH QUESTION.
Question #10.A
| DIG_11A [C40245.00] | Section: DIGIT SPAN |
READ TO [Child First Name] IF NECESSARY:
I'm going to say some numbers. Listen carefully, and when I'm through, say them backwards
SAY: 'Ready' BEFORE EACH QUESTION.
Question #11.A
| DIG_12A [C40248.00] | Section: DIGIT SPAN |
READ TO [Child First Name] IF NECESSARY:
I'm going to say some numbers. Listen carefully, and when I'm through, say them backwards
SAY: 'Ready' BEFORE EACH QUESTION.
Question #12.A
| DIG_13A [C40251.00] | Section: DIGIT SPAN |
READ TO [Child First Name] IF NECESSARY:
I'm going to say some numbers. Listen carefully, and when I'm through, say them backwards
SAY: 'Ready' BEFORE EACH QUESTION.
Question #13.A
| DIG_14A [C40254.00] | Section: DIGIT SPAN |
READ TO [Child First Name] IF NECESSARY:
I'm going to say some numbers. Listen carefully, and when I'm through, say them backwards
SAY: 'Ready' BEFORE EACH QUESTION.
Question #14.A
| DIB_TERMINATION [C40235.00] | Section: DIGIT SPAN |
{DIGITTERM}
If Answer = 1 Then Go To DIGIT-ANYPRESENT
| Default Next: | DIB_INTRO |
| Lead-In: | DIG_01A [99:99], DIG_01B [99:99], DIG_02A [99:99], DIG_02B [99:99], DIG_03A [99:99], DIG_03B [99:99], DIG_04A [99:99], DIG_04B [99:99], DIG_05A [99:99], DIG_05B [99:99], DIG_06A [99:99], DIG_06B [99:99], DIG_07A [99:99], DIG_07B [99:99], DSF_CHECK_1 [Default], DSF_CHECK_2 [Default], DSF_CHECK_3 [Default], DSF_CHECK_4 [Default], DSF_CHECK_5 [Default], DSF_CHECK_6 [Default], DIG_07B [Default] |
| DIB_INTRO [] | Section: DIGIT SPAN |
INSTRUCTIONS FOR DIGITS BACKWARD
READ TO [Child First Name].
A. READ: Now I am going to say some more numbers, but this time when I stop, I want you to say them backwards.
B. PAUSE FOR THE CHILD TO RESPOND. DID [Child First Name] RESPOND CORRECTLY?
YES SAY: That's right. Let's go on with the rest of the numbers.
CLICK ON THE SUBMIT AND CONTINUE BUTTON TO PROCEED TO 1ST ITEM.
NO SAY: Now try these numbers.
Remember, you are to say them backwards.
C. WHETHER [Child First Name] IS CORRECT OR WRONG ON THE SECOND EXAMPLE, THE TEST WILL PROCEED.
| DIG_01B [C40214.00] | Section: DIGIT SPAN |
READ TO [Child First Name] IF NECESSARY
I'm going to say some numbers. Listen carefully, and when I'm through, say them right after me.
SAY: 'Ready' BEFORE EACH QUESTION.
Question #1.B
| DIG_02B [C40217.00] | Section: DIGIT SPAN |
READ TO [Child First Name] IF NECESSARY
I'm going to say some numbers. Listen carefully, and when I'm through, say them right after me.
SAY: 'Ready' BEFORE EACH QUESTION.
Question #2.B
| DIG_03B [C40220.00] | Section: DIGIT SPAN |
READ TO [Child First Name] IF NECESSARY
I'm going to say some numbers. Listen carefully, and when I'm through, say them right after me.
SAY: 'Ready' BEFORE EACH QUESTION.
Question #3.B
| DIG_04B [C40223.00] | Section: DIGIT SPAN |
READ TO [Child First Name] IF NECESSARY
I'm going to say some numbers. Listen carefully, and when I'm through, say them right after me.
SAY: 'Ready' BEFORE EACH QUESTION.
Question #4.B
| DIG_05B [C40226.00] | Section: DIGIT SPAN |
READ TO [Child First Name] IF NECESSARY
I'm going to say some numbers. Listen carefully, and when I'm through, say them right after me.
SAY: 'Ready' BEFORE EACH QUESTION.
Question #5.B
| DIG_06B [C40229.00] | Section: DIGIT SPAN |
READ TO [Child First Name] IF NECESSARY
I'm going to say some numbers. Listen carefully, and when I'm through, say them right after me.
SAY: 'Ready' BEFORE EACH QUESTION.
Question #6.B
| DIG_07B [C40232.00] | Section: DIGIT SPAN |
READ TO [Child First Name] IF NECESSARY
I'm going to say some numbers. Listen carefully, and when I'm through, say them right after me.
SAY: 'Ready' BEFORE EACH QUESTION.
Question #7.B
| DIG_08B [C40237.00] | Section: DIGIT SPAN |
READ TO [Child First Name] IF NECESSARY:
I'm going to say some numbers. Listen carefully, and when I'm through, say them backwards
SAY: 'Ready' BEFORE EACH QUESTION.
Question #8.B
| DIG_09B [C40240.00] | Section: DIGIT SPAN |
READ TO [Child First Name] IF NECESSARY:
I'm going to say some numbers. Listen carefully, and when I'm through, say them backwards
SAY: 'Ready' BEFORE EACH QUESTION.
Question #9.B
| DIG_10B [C40243.00] | Section: DIGIT SPAN |
READ TO [Child First Name] IF NECESSARY:
I'm going to say some numbers. Listen carefully, and when I'm through, say them backwards
SAY: 'Ready' BEFORE EACH QUESTION.
Question #10.B
| DIG_11B [C40246.00] | Section: DIGIT SPAN |
READ TO [Child First Name] IF NECESSARY:
I'm going to say some numbers. Listen carefully, and when I'm through, say them backwards
SAY: 'Ready' BEFORE EACH QUESTION.
Question #11.B
| DIG_12B [C40249.00] | Section: DIGIT SPAN |
READ TO [Child First Name] IF NECESSARY:
I'm going to say some numbers. Listen carefully, and when I'm through, say them backwards
SAY: 'Ready' BEFORE EACH QUESTION.
Question #12.B
| DIG_13B [C40252.00] | Section: DIGIT SPAN |
READ TO [Child First Name] IF NECESSARY:
I'm going to say some numbers. Listen carefully, and when I'm through, say them backwards
SAY: 'Ready' BEFORE EACH QUESTION.
Question #13.B
| DIG_14B [C40255.00] | Section: DIGIT SPAN |
READ TO [Child First Name] IF NECESSARY:
I'm going to say some numbers. Listen carefully, and when I'm through, say them backwards
SAY: 'Ready' BEFORE EACH QUESTION.
Question #14.B
| DIGIT-ANYPRESENT [C40257.00] | Section: DIGIT SPAN |
INTERVIEWER: WAS ANYONE BESIDES YOURSELF AND THE CHILD PRESENT IN THE ROOM DURING THE ADMINISTRATION OF DIGIT SPAN?
| Default Next: | DIGIT-ENERGYLEV |
| Lead-In: | DIB_TERMINATION [1:1], DIG_08A [99:99], DIG_08B [99:99], DIG_09A [99:99], DIG_09B [99:99], DIG_10A [99:99], DIG_10B [99:99], DIG_11A [99:99], DIG_11B [99:99], DIG_12A [99:99], DIG_12B [99:99], DIG_13A [99:99], DIG_13B [99:99], DIG_14A [99:99], DIG_14B [99:99], DSB_CHECK_8 [Default], DSB_CHECK_9 [Default], DSB_CHECK_10 [Default], DSB_CHECK_11 [Default], DSB_CHECK_12 [Default], DSB_CHECK_13 [Default], DIG_14B [Default] |
| DIGIT-MOMPRESENT [C40258.00] | Section: DIGIT SPAN |
INTERVIEWER: DURING ADMINISTRATION OF DIGIT SPAN...
...WAS MOTHER PRESENT?
| DIGIT-MOMEFFECT [C40259.00] | Section: DIGIT SPAN |
WHAT WAS THE EFFECT OF MOTHER'S PRESENCE ON [Child First Name]'s PERFORMANCE?
| | 1 SEEMED TO BE HARMFUL |
| | 2 NONE OBSERVABLE |
| | 3 SEEMED TO IMPROVE |
| DIGIT-DADPRESENT [C40260.00] | Section: DIGIT SPAN |
INTERVIEWER: DURING ADMINISTRATION OF DIGIT SPAN...
...WAS FATHER PRESENT?
| DIGIT-DADEFFECT [C40261.00] | Section: DIGIT SPAN |
WHAT WAS THE EFFECT OF FATHER'S PRESENCE ON [Child First Name]'s PERFORMANCE?
| | 1 SEEMED TO BE HARMFUL |
| | 2 NONE OBSERVABLE |
| | 3 SEEMED TO IMPROVE |
| DIGIT-ADULTPRES [C40262.00] | Section: DIGIT SPAN |
INTERVIEWER: DURING ADMINISTRATION OF DIGIT SPAN...
...WERE ANY OTHER ADULTS PRESENT?
| DIGIT-NUMADULTS [C40263.00] | Section: DIGIT SPAN |
HOW MANY OTHER ADULTS WERE PRESENT?
| DIGIT-ADULTEFF [C40264.00] | Section: DIGIT SPAN |
WHAT WAS THE EFFECT OF THE OTHER ADULT(S) ON [Child First Name]'s PERFORMANCE?
| | 1 SEEMED TO BE HARMFUL |
| | 2 NONE OBSERVABLE |
| | 3 SEEMED TO IMPROVE |
| DIGIT-KIDSPRESENT [C40265.00] | Section: DIGIT SPAN |
INTERVIEWER: DURING ADMINISTRATION OF DIGIT SPAN...
...WERE ANY OTHER CHILDREN PRESENT?
| DIGIT-NUMKIDS [C40266.00] | Section: DIGIT SPAN |
HOW MANY OTHER CHILDREN WERE PRESENT?
| DIGIT-KIDSEFF [C40267.00] | Section: DIGIT SPAN |
WHAT WAS THE EFFECT OF THE OTHER CHILD(REN) ON [Child First Name]'s PERFORMANCE?
| | 1 SEEMED TO BE HARMFUL |
| | 2 NONE OBSERVABLE |
| | 3 SEEMED TO IMPROVE |
| DIGIT-ENERGYLEV [C40268.00] | Section: DIGIT SPAN |
CODE CHILD'S ENERGY LEVEL DURING THIS SECTION.
| | 1 LOW (TIRED) |
| | 2 MEDIUM |
| | 3 HIGH |
| DIGIT-TERMCHK [C40269.00] | Section: DIGIT SPAN |
INTERVIEWER: DID YOU TERMINATE THE DIGIT SPAN ASSESSMENT FOR ANY REASON?
COMMENT: Internal Function - Check if assessment was terminated prematurely.
| DIGIT-RESNTERM [C40270.00] | Section: DIGIT SPAN |
INTERVIEWER: WHAT WERE THE REASONS FOR PREMATURE TERMINATION OF THIS ASSESSMENT?
SELECT ALL THAT APPLY.
| | 1 PARENT/GUARDIAN TERMINATED OR REFUSED |
| | 2 CHILD WOULD NOT RESPOND |
| | 3 MAJOR INTERRUPTION CAUSED TERMINATION |
| | 4 CHILD COULD NOT UNDERSTAND TASK |
| | 5 CHILD HAD LANGUAGE PROBLEM |
| | 6 CHILD EMOTIONAL CONDITION |
| | 7 CHILD PHYSICAL CONDITION |
| | 8 CHILD TOO TIRED |
| | 9 OTHER (SPECIFY) |
| DIGIT-ANYPROBLEMS [C40272.00] | Section: DIGIT SPAN |
INTERVIEWER: YOU HAVE COMPLETED DIGIT SPAN. WERE THERE ANY PROBLEMS THAT OCCURRED DURING THIS ASSESSMENT?
| DIGIT-PROBLEM [C40273.00] | Section: DIGIT SPAN |
RECORD PROBLEMS ENCOUNTERED:
| DIGIT_EXISTNOTE [] | Section: DIGIT SPAN |
INTERVIEWER:
THIS ASSESSMENT HAS BEEN COMPLETED (OR TERMINATED).
YOU MAY NOT RESTART DIGIT SPAN.
| MATH_AGECHK [C40275.00] | Section: PIAT MATH |
{PPVTAGEMO}
COMMENT: Internal Function - Check PPVT age eligibility for this assessment
If Answer >= 60 AND Answer <= 179 Then Go To MATH_INSTRUCTIONS_IS_STARTED
| MATH_INSTRUCTIONS_IS_STARTED [C40276.00] | Section: PIAT MATH |
{MATH_STARTED}
If Answer = 1 Then Go To MATH_EXISTNOTE
| MATH_INSTRUCTIONS_NO_GRADE [C40277.00] | Section: PIAT MATH |
(([CHILD GRADE] < 0) || ([CHILD GRADE] == 95) || ([CHILD GRADE] == 99)) &&
(DIFFAGE ([ASSESSMENT DATE], [CHILD DATE OF BIRTH], "YR")>=10) &&
(DIFFAGE ([ASSESSMENT DATE], [CHILD DATE OF BIRTH], "YR")<=14)
If Answer = 1 Then Go To MATH_INSTRUCTIONS_WELCOME_2
| MATH_INSTRUCTIONS_ELEMENTARY [C40278.00] | Section: PIAT MATH |
([CHILD GRADE] < 1) || ([CHILD GRADE] == 95) || ([CHILD GRADE] == 90) || ([CHILD GRADE] == 99)
If Answer = 1 Then Go To MATH_INSTRUCTIONS_WELCOME_1
| MATH_INSTRUCTIONS_WELCOME_1 [] | Section: PIAT MATH |
PREPARE FOR ASSESSMENT: PIAT MATH TEST
INTERVIEWER: IF NEEDED, READ TO MOTHER/GUARDIAN.
This section measures [Child First Name]'s mathematical skills. The questions begin at a very basic skill level and go to a very high skill level. No one is expected to answer all the questions.
PRACTICE EXERCISES.
PRACTICE EXERCISES FOR CHILDREN NOT YET IN 1ST GRADE.
(1) TURN TO "INTRODUCTION TO THE MATHEMATICS SUBTEST" (IN PIAT VOLUME I).
READ: Let's start with some math problems. First, we'll do some just for practice to show you what they are like. (TURN TO EXERCISE A)
(2) FOLLOW TEXT IN EASEL FOR PRACTICE EXERCISES (A- E.)
| MATH_INSTRUCTIONS_WELCOME_2 [] | Section: PIAT MATH |
PREPARE FOR ASSESSMENT: PIAT MATH TEST
INTERVIEWER: IF NEEDED, READ TO MOTHER/GUARDIAN.
This section measures [Child First Name]'s mathematical skills. The questions begin at a very basic skill level and go to a very high skill level. No one is expected to answer all the questions.
PRACTICE EXERCISES.
NO PRACTICE FOR CHILDREN IN 1ST GRADE OR HIGHER.
(1) TURN TO "INTRODUCTION TO THE MATHEMATICS SUBTEST" (IN PIAT VOLUME I).
READ: We are going to start with some mathematics problems. Some of the first ones would be too easy for you, so let's start with this one.
| MATH_EXAMPLES_A [C40279.00] | Section: PIAT MATH |
EXAMPLE A
| MATH_EXAMPLES_B [C40280.00] | Section: PIAT MATH |
EXAMPLE B
| MATH_EXAMPLES_C [C40281.00] | Section: PIAT MATH |
EXAMPLE C
| MATH_EXAMPLES_D [C40282.00] | Section: PIAT MATH |
EXAMPLE D
| MATH_EXAMPLES_E [C40283.00] | Section: PIAT MATH |
EXAMPLE E
PIAT
MATH ASSESSMENT ITEMS IN R24 (2010)
Responses
to individual PIAT Math items are named MAT_A001-MAT_A084 (reference numbers
C42362.00 to C42445.00).
Variables
coding whether each item was answered correctly or incorrectly are named
MAT_L001-MAT_L084 (reference numbers C42446.00 to C42529.00).
A scoring sheet for the PIAT Math assessment can be found in the Introduction to the CAPI Questionnaires and CAPI Assessments (2004-present)
| MATH_PREMATURE_TERMINATION [C42282.00] | Section: PIAT MATH |
{MATHTERM}
If Answer = 1 Then Go To MATH-ANYPRESENT
| Default Next: | MATH_MAIN_EL |
| Lead-In: | MATH_001 [Default], MATH_002 [Default], MATH_003 [Default], MATH_004 [Default], MATH_005 [Default], MATH_006 [Default], MATH_007 [Default], MATH_008 [Default], MATH_009 [Default], MATH_010 [Default], MATH_011 [Default], MATH_012 [Default], MATH_013 [Default], MATH_014 [Default], MATH_015 [Default], MATH_016 [Default], MATH_017 [Default], MATH_018 [Default], MATH_019 [Default], MATH_020 [Default], MATH_021 [Default], MATH_022 [Default], MATH_023 [Default], MATH_024 [Default], MATH_025 [Default], MATH_026 [Default], MATH_027 [Default], MATH_028 [Default], MATH_029 [Default], MATH_030 [Default], MATH_031 [Default], MATH_032 [Default], MATH_033 [Default], MATH_034 [Default], MATH_035 [Default], MATH_036 [Default], MATH_037 [Default], MATH_038 [Default], MATH_039 [Default], MATH_040 [Default], MATH_041 [Default], MATH_042 [Default], MATH_043 [Default], MATH_044 [Default], MATH_045 [Default], MATH_046 [Default], MATH_047 [Default], MATH_048 [Default], MATH_049 [Default], MATH_050 [Default], MATH_051 [Default], MATH_052 [Default], MATH_053 [Default], MATH_054 [Default], MATH_055 [Default], MATH_056 [Default], MATH_057 [Default], MATH_058 [Default], MATH_059 [Default], MATH_060 [Default], MATH_061 [Default], MATH_062 [Default], MATH_063 [Default], MATH_064 [Default], MATH_065 [Default], MATH_066 [Default], MATH_067 [Default], MATH_068 [Default], MATH_069 [Default], MATH_070 [Default], MATH_071 [Default], MATH_072 [Default], MATH_073 [Default], MATH_074 [Default], MATH_075 [Default], MATH_076 [Default], MATH_077 [Default], MATH_078 [Default], MATH_079 [Default], MATH_080 [Default], MATH_081 [Default], MATH_082 [Default], MATH_083 [Default], MATH_084 [Default] |
| MATH_MAIN_EL [] | Section: PIAT MATH |
UNTIL
(
(([PIAT MATH BASAL] != 0) && ([PIAT MATH CEILING] != 0)) ||
([FIVE QUESTIONS IN A ROW REFUSED] == 1) ||
([PIAT MATH TERMINATED] == 1) ||
([PIAT MATH ASSESSMENT ITEM RESPONDENT IS ANSWERING] > [84])
)
| MATH_HB_SL [] | Section: PIAT MATH |
FOR( [PIAT MATH LOOP COUNT INDICATOR]=[PIAT MATH BASAL]; [PIAT MATH LOOP COUNT INDICATOR]<=([PIAT MATH CEILING]-[5]+1); [PIAT MATH LOOP COUNT INDICATOR]=[PIAT MATH LOOP COUNT INDICATOR]+1; [MATH_HB_EL])
| MATH-ANYPRESENT [C42336.00] | Section: PIAT MATH |
INTERVIEWER: WAS ANYONE BESIDES YOURSELF AND THE CHILD PRESENT IN THE ROOM DURING THE ADMINISTRATION OF THE PIAT MATH?
| MATH-MOMPRESENT [C42337.00] | Section: PIAT MATH |
INTERVIEWER: DURING ADMINISTRATION OF THE PIAT MATH...
...WAS MOTHER PRESENT?
| MATH-MOMEFFECT [C42338.00] | Section: PIAT MATH |
WHAT WAS THE EFFECT OF MOTHER'S PRESENCE ON [Child First Name]'s PERFORMANCE?
| | 1 SEEMED TO BE HARMFUL |
| | 2 NONE OBSERVABLE |
| | 3 SEEMED TO IMPROVE |
| MATH-DADPRESENT [C42339.00] | Section: PIAT MATH |
INTERVIEWER: DURING ADMINISTRATION OF THE PIAT MATH...
...WAS FATHER PRESENT?
| MATH-DADEFFECT [C42340.00] | Section: PIAT MATH |
WHAT WAS THE EFFECT OF FATHER'S PRESENCE ON [Child First Name]'s PERFORMANCE?
| | 1 SEEMED TO BE HARMFUL |
| | 2 NONE OBSERVABLE |
| | 3 SEEMED TO IMPROVE |
| MATH-ADULTPRES [C42341.00] | Section: PIAT MATH |
INTERVIEWER: DURING ADMINISTRATION OF THE PIAT MATH...
...WERE ANY OTHER ADULTS PRESENT?
| MATH-NUMADULTS [C42342.00] | Section: PIAT MATH |
HOW MANY OTHER ADULTS WERE PRESENT?
| MATH-ADULTEFF [C42343.00] | Section: PIAT MATH |
WHAT WAS THE EFFECT OF THE OTHER ADULT(S) ON [Child First Name]'s PERFORMANCE?
| | 1 SEEMED TO BE HARMFUL |
| | 2 NONE OBSERVABLE |
| | 3 SEEMED TO IMPROVE |
| MATH-KIDSPRESENT [C42344.00] | Section: PIAT MATH |
INTERVIEWER: DURING ADMINISTRATION OF THE PIAT MATH...
...WERE ANY OTHER CHILDREN PRESENT?
| MATH-NUMKIDS [C42345.00] | Section: PIAT MATH |
HOW MANY OTHER CHILDREN WERE PRESENT?
| MATH-KIDSEFF [C42346.00] | Section: PIAT MATH |
WHAT WAS THE EFFECT OF THE OTHER CHILD(REN) ON [Child First Name]'s PERFORMANCE?
| | 1 SEEMED TO BE HARMFUL |
| | 2 NONE OBSERVABLE |
| | 3 SEEMED TO IMPROVE |
| MATH-ENERGYLEV [C42347.00] | Section: PIAT MATH |
CODE CHILD'S ENERGY LEVEL DURING THIS SECTION.
| | 1 LOW (TIRED) |
| | 2 MEDIUM |
| | 3 HIGH |
| MATH-TERMCHK [C42348.00] | Section: PIAT MATH |
INTERVIEWER: DID YOU TERMINATE THE PIAT MATH ASSESSMENT FOR ANY REASON?
COMMENT: Internal Function - Check if assessment was terminated prematurely.
| MATH-RESNTERM [C42349.00] | Section: PIAT MATH |
INTERVIEWER: WHAT WERE THE REASONS FOR PREMATURE TERMINATION OF THIS ASSESSMENT?
SELECT ALL THAT APPLY.
| | 1 PARENT/GUARDIAN TERMINATED OR REFUSED |
| | 2 CHILD WOULD NOT RESPOND |
| | 3 MAJOR INTERRUPTION CAUSED TERMINATION |
| | 4 CHILD COULD NOT UNDERSTAND TASK |
| | 5 CHILD HAD LANGUAGE PROBLEM |
| | 6 CHILD EMOTIONAL CONDITION |
| | 7 CHILD PHYSICAL CONDITION |
| | 8 CHILD TOO TIRED |
| | 9 OTHER (SPECIFY) |
| MATH-ANYPROBLEMS [C42352.00] | Section: PIAT MATH |
INTERVIEWER: YOU HAVE COMPLETED THE PIAT MATH. WERE THERE ANY PROBLEMS THAT OCCURRED DURING THIS ASSESSMENT?
| MATH-PROBLEM [C42353.00] | Section: PIAT MATH |
RECORD PROBLEMS ENCOUNTERED:
| MATH_SCORE_PREMATURE_TERMINATION [C42354.00] | Section: PIAT MATH |
{MATHTERM}==1 || {MATH_REFUSE_IN_A_ROW}==1
If Answer = 1 Then Go To MATH_STAMP_TEST_MODE
| MATH_STAMP_TEST_MODE [] | Section: PIAT MATH |
{CS_CASEMODE} == "TEST"
If Answer = 1 Then Go To MATH_STAMP_SHOW_SCORES
| MATH_STAMP_SHOW_SCORES [] | Section: PIAT MATH |
BASAL = [PIAT MATH BASAL]
CEILING = [PIAT MATH CEILING]
SCORE = [PIAT MATH RAW SCORE]
LAST POSITION = [last position in PIAT Math]
FIRST QUESTION = [STARTING POINT IN PIAT MATH]
DOB = [CS_CHILDDOB~X]
START POSITION = [STARTING POINT IN PIAT MATH]
TOTAL TIME = [MATH_STAMP_TOTAL_TIME] milliseconds
| MATH_EXISTNOTE [] | Section: PIAT MATH |
INTERVIEWER:
THIS ASSESSMENT HAS BEEN COMPLETED (OR TERMINATED).
YOU MAY NOT RESTART PIAT MATH.
| PRR_AGECHK [C42530.00] | Section: PIAT READING RECOGNITION |
{PPVTAGEMO}
COMMENT: Internal Function - Check PPVT age eligibility for this assessment
If Answer >= 60 AND Answer <= 179 Then Go To RR_INSTRUCTIONS_IS_STARTED
| RR_INSTRUCTIONS_IS_STARTED [C42531.00] | Section: PIAT READING RECOGNITION |
{RR_STARTED}
If Answer = 1 Then Go To PRR_EXISTNOTE
| RR_INSTRUCTIONS_ELEMENTARY [C42532.00] | Section: PIAT READING RECOGNITION |
([CHILD GRADE] < 1) || ([CHILD GRADE] == 95) || ([CHILD GRADE] == 99) || ([CHILD GRADE] == 90)
If Answer = 1 Then Go To RR_INSTRUCTIONS_WELCOME_1
| RR_INSTRUCTIONS_WELCOME_1 [] | Section: PIAT READING RECOGNITION |
PREPARE FOR ASSESSMENT: PIAT READING RECOGNITION TEST
INTERVIEWER: IF NEEDED, READ TO MOTHER/GUARDIAN.
This section measures [Child First Name]'s ability to recognize letters and words. The questions begin at a basic level and proceed to a higher level of skill. No one is expected to answer all the questions.
PRACTICE EXERCISES.
PRACTICE EXERCISES FOR CHILDREN NOT YET IN 1ST GRADE.
(1) TURN TO "INTRODUCTION TO READING RECOGNITION SUBTEST" (IN PIAT VOLUME I).
READ: Now I am going to give you some problems in reading. First, let's look at some more practice ones to show you what these are like. (TURN TO EXERCISE A)
(2) FOLLOW TEXT IN EASEL FOR PRACTICE EXERCISES (A- E.)
| RR_INSTRUCTIONS_WELCOME_2 [] | Section: PIAT READING RECOGNITION |
PREPARE FOR ASSESSMENT: PIAT READING RECOGNITION TEST
INTERVIEWER: IF NEEDED, READ TO MOTHER/GUARDIAN.
This section measures [Child First Name]'s ability to recognize letters and words. The questions begin at a basic level and proceed to a higher level of skill. No one is expected to answer all the questions.
PRACTICE EXERCISES.
NO PRACTICE FOR CHILDREN IN 1ST GRADE OR HIGHER.
(1) TURN TO "INTRODUCTION TO READING RECOGNITION SUBTEST" (IN PIAT VOLUME I).
READ: Now we are going to do some reading. Again, let's skip over some of the very easy ones and start here.
| RR_EXAMPLES_A [C42533.00] | Section: PIAT READING RECOGNITION |
| RR_EXAMPLES_B [C42534.00] | Section: PIAT READING RECOGNITION |
| RR_EXAMPLES_C [C42535.00] | Section: PIAT READING RECOGNITION |
| RR_EXAMPLES_D [C42536.00] | Section: PIAT READING RECOGNITION |
| RR_EXAMPLES_E [C42537.00] | Section: PIAT READING RECOGNITION |
ASSESSMENT
ITEMS FOR PIAT READING RECOGNITION IN R24 (2010)
Responses
to individual items are named PRR_A001 – PRR_A084 (reference numbers C44781.00
to C44864.00).
Variables
coding whether each item was answered correctly or incorrectly are named PRR_L001
– PRR_L084 (reference numbers C44865.00 to C44948.00).
A scoring sheet for the PIAT Reading Recognition assessment can be
found in the Introduction to the CAPI Questionnaires and CAPI Assessments (2004-present)
| RR_PREMATURE_TERMINATION [C44700.00] | Section: PIAT READING RECOGNITION |
{PRRTERM}
If Answer = 1 Then Go To PRR-ANYPRESENT
| Default Next: | RR_MAIN_EL |
| Lead-In: | RR_001 [Default], RR_002 [Default], RR_003 [Default], RR_004 [Default], RR_005 [Default], RR_006 [Default], RR_007 [Default], RR_008 [Default], RR_009 [Default], RR_010 [Default], RR_011 [Default], RR_012 [Default], RR_013 [Default], RR_014 [Default], RR_015 [Default], RR_016 [Default], RR_017 [Default], RR_018 [Default], RR_019 [Default], RR_020 [Default], RR_021 [Default], RR_022 [Default], RR_023 [Default], RR_024 [Default], RR_025 [Default], RR_026 [Default], RR_027 [Default], RR_028 [Default], RR_029 [Default], RR_030 [Default], RR_031 [Default], RR_032 [Default], RR_033 [Default], RR_034 [Default], RR_035 [Default], RR_036 [Default], RR_037 [Default], RR_038 [Default], RR_039 [Default], RR_040 [Default], RR_041 [Default], RR_042 [Default], RR_043 [Default], RR_044 [Default], RR_045 [Default], RR_046 [Default], RR_047 [Default], RR_048 [Default], RR_049 [Default], RR_050 [Default], RR_051 [Default], RR_052 [Default], RR_053 [Default], RR_054 [Default], RR_055 [Default], RR_056 [Default], RR_057 [Default], RR_058 [Default], RR_059 [Default], RR_060 [Default], RR_061 [Default], RR_062 [Default], RR_063 [Default], RR_064 [Default], RR_065 [Default], RR_066 [Default], RR_067 [Default], RR_068 [Default], RR_069 [Default], RR_070 [Default], RR_071 [Default], RR_072 [Default], RR_073 [Default], RR_074 [Default], RR_075 [Default], RR_076 [Default], RR_077 [Default], RR_078 [Default], RR_079 [Default], RR_080 [Default], RR_081 [Default], RR_082 [Default], RR_083 [Default], RR_084 [Default] |
| RR_MAIN_EL [] | Section: PIAT READING RECOGNITION |
UNTIL
(
(([PIAT READING RECOGNITION BASAL] != 0) && ([PIAT READING RECOGNITION CEILING] != 0)) ||
([FIVE QUESTIONS IN A ROW REFUSED]==1) ||
([PIAT READING RECOGNITION TERMINATED] == 1) ||
([PIAT READING RECOGNITION ASSESSMENT ITEM RESPONDENT IS ANSWERING] > [84])
)
| RR_HB_SL [] | Section: PIAT READING RECOGNITION |
FOR( [LOOP COUNT INDICATOR]=[PIAT READING RECOGNITION BASAL]; [LOOP COUNT INDICATOR]<=([PIAT READING RECOGNITION CEILING]-[5]+1); [LOOP COUNT INDICATOR]=[LOOP COUNT INDICATOR]+1; [RR_HB_EL])
| PRR-ANYPRESENT [C44755.00] | Section: PIAT READING RECOGNITION |
INTERVIEWER: WAS ANYONE BESIDES YOURSELF AND THE CHILD PRESENT IN THE ROOM DURING THE ADMINISTRATION OF THE PIAT READING RECOGNITION?
| PRR-MOMPRESENT [C44756.00] | Section: PIAT READING RECOGNITION |
INTERVIEWER: DURING ADMINISTRATION OF THE PIAT READING RECOGNITION...
...WAS MOTHER PRESENT?
| PRR-MOMEFFECT [C44757.00] | Section: PIAT READING RECOGNITION |
WHAT WAS THE EFFECT OF MOTHER'S PRESENCE ON [Child First Name]'s PERFORMANCE?
| | 1 SEEMED TO BE HARMFUL |
| | 2 NONE OBSERVABLE |
| | 3 SEEMED TO IMPROVE |
| PRR-DADPRESENT [C44758.00] | Section: PIAT READING RECOGNITION |
INTERVIEWER: DURING ADMINISTRATION OF THE PIAT READING RECOGNITION...
...WAS FATHER PRESENT?
| PRR-DADEFFECT [C44759.00] | Section: PIAT READING RECOGNITION |
WHAT WAS THE EFFECT OF FATHER'S PRESENCE ON [Child First Name]'s PERFORMANCE?
| | 1 SEEMED TO BE HARMFUL |
| | 2 NONE OBSERVABLE |
| | 3 SEEMED TO IMPROVE |
| PRR-ADULTPRES [C44760.00] | Section: PIAT READING RECOGNITION |
INTERVIEWER: DURING ADMINISTRATION OF THE PIAT READING RECOGNITION...
...WERE ANY OTHER ADULTS PRESENT?
| PRR-NUMADULTS [C44761.00] | Section: PIAT READING RECOGNITION |
HOW MANY OTHER ADULTS WERE PRESENT?
| PRR-ADULTEFF [C44762.00] | Section: PIAT READING RECOGNITION |
WHAT WAS THE EFFECT OF THE OTHER ADULT(S) ON [Child First Name]'s PERFORMANCE?
| | 1 SEEMED TO BE HARMFUL |
| | 2 NONE OBSERVABLE |
| | 3 SEEMED TO IMPROVE |
| PRR-KIDSPRESENT [C44763.00] | Section: PIAT READING RECOGNITION |
INTERVIEWER: DURING ADMINISTRATION OF THE PIAT READING RECOGNITION...
...WERE ANY OTHER CHILDREN PRESENT?
| PRR-NUMKIDS [C44764.00] | Section: PIAT READING RECOGNITION |
HOW MANY OTHER CHILDREN WERE PRESENT?
| PRR-KIDSEFF [C44765.00] | Section: PIAT READING RECOGNITION |
WHAT WAS THE EFFECT OF THE OTHER CHILD(REN) ON [Child First Name]'s PERFORMANCE?
| | 1 SEEMED TO BE HARMFUL |
| | 2 NONE OBSERVABLE |
| | 3 SEEMED TO IMPROVE |
| PRR-ENERGYLEV [C44766.00] | Section: PIAT READING RECOGNITION |
CODE CHILD'S ENERGY LEVEL DURING THIS SECTION.
| | 1 LOW (TIRED) |
| | 2 MEDIUM |
| | 3 HIGH |
| PRR-TERMCHK [C44767.00] | Section: PIAT READING RECOGNITION |
INTERVIEWER: DID YOU TERMINATE THE PIAT READING RECOGNITION ASSESSMENT FOR ANY REASON?
COMMENT: Internal Function - Check if assessment was terminated prematurely.
| PRR-RESNTERM [C44768.00] | Section: PIAT READING RECOGNITION |
INTERVIEWER: WHAT WERE THE REASONS FOR PREMATURE TERMINATION OF THIS ASSESSMENT?
SELECT ALL THAT APPLY.
| | 1 PARENT/GUARDIAN TERMINATED OR REFUSED |
| | 2 CHILD WOULD NOT RESPOND |
| | 3 MAJOR INTERRUPTION CAUSED TERMINATION |
| | 4 CHILD COULD NOT UNDERSTAND TASK |
| | 5 CHILD HAD LANGUAGE PROBLEM |
| | 6 CHILD EMOTIONAL CONDITION |
| | 7 CHILD PHYSICAL CONDITION |
| | 8 CHILD TOO TIRED |
| | 9 OTHER (SPECIFY) |
| PRR-ANYPROBLEMS [C44771.00] | Section: PIAT READING RECOGNITION |
INTERVIEWER: YOU HAVE COMPLETED THE PIAT READING RECOGNITION. WERE THERE ANY PROBLEMS THAT OCCURRED DURING THIS ASSESSMENT?
| PRR-PROBLEM [C44772.00] | Section: PIAT READING RECOGNITION |
RECORD PROBLEMS ENCOUNTERED:
| RR_SCORE_PREMATURE_TERMINATION [C44773.00] | Section: PIAT READING RECOGNITION |
{PRRTERM}==1 || {RR_REFUSE_IN_A_ROW}==1
If Answer = 1 Then Go To RR_STAMP_TEST_MODE
| RR_SCORE_WRONG_SL [] | Section: PIAT READING RECOGNITION |
FOR([LOOP COUNT INDICATOR]=[PIAT READING RECOGNITION BASAL]; [LOOP COUNT INDICATOR]<=[PIAT READING RECOGNITION CEILING]; [LOOP COUNT INDICATOR]=[LOOP COUNT INDICATOR]+1; [RR_SCORE_WRONG_EL])
| RR_STAMP_TEST_MODE [] | Section: PIAT READING RECOGNITION |
{CS_CASEMODE} == "TEST"
If Answer = 1 Then Go To RR_STAMP_SHOW_SCORES
| RR_STAMP_SHOW_SCORES [] | Section: PIAT READING RECOGNITION |
BASAL = [PIAT READING RECOGNITION BASAL]
CEILING = [PIAT READING RECOGNITION CEILING]
SCORE = [PIAT READING RECOGNITION RAW SCORE]
LAST POSITION = [last position in PIAT Reading Recognition]
FIRST QUESTION = [STARTING POINT IN PIAT READING RECOGNITION]
DOB = [CS_CHILDDOB~X]
START POSITION = [STARTING POINT IN PIAT READING RECOGNITION]
TOTAL TIME = [RR_STAMP_TOTAL_TIME] milliseconds
| PRR_EXISTNOTE [] | Section: PIAT READING RECOGNITION |
INTERVIEWER:
THIS ASSESSMENT HAS BEEN COMPLETED (OR TERMINATED).
YOU MAY NOT RESTART PIAT READING RECOGNITION.
| PRC_AGECHK [C44949.00] | Section: PIAT READING COMPREHENSION |
{PPVTAGEMO}
COMMENT: Internal Function - Check age eligibility for this assessment
If Answer >= 60 AND Answer <= 179 Then Go To RC_GLOBAL_INVALID_RR_SCORE
| RC_GLOBAL_INVALID_RR_SCORE [C44950.00] | Section: PIAT READING COMPREHENSION |
{RR_SCORE} >= 0 &&
{RR_SCORE} < {RC_FIRST_QUESTION}
If Answer = 1 Then Go To RC_NOTIFY_INVALID_SCORE
| RC_NOTIFY_INVALID_SCORE [] | Section: PIAT READING COMPREHENSION |
INTERVIEWER: THE CHILD'S READING RECOGNITION SCORE WAS LESS THAN 19. READING COMPREHENSION WILL BE SKIPPED.
| RC_INSTRUCTIONS_IS_STARTED [C44951.00] | Section: PIAT READING COMPREHENSION |
{RC_STARTED}
If Answer = 1 Then Go To PRC_EXISTNOTE
| RC_INSTRUCTIONS_ELEMENTARY [C44952.00] | Section: PIAT READING COMPREHENSION |
([CHILD GRADE] < 1) || ([CHILD GRADE] == 95) || ([CHILD GRADE] == 99)
If Answer = 1 Then Go To RC_INSTRUCTIONS_WELCOME_1
| RC_INSTRUCTIONS_WELCOME_1 [] | Section: PIAT READING COMPREHENSION |
PREPARE FOR ASSESSMENT: PIAT READING COMPREHENSION TEST
INTERVIEWER: IF NEEDED, READ TO MOTHER/GUARDIAN.
This section measures [Child First Name]'s ability to understand what [he/she] reads. The questions begin at a very basic skill level and go to a very high skill level. No one is expected to answer all the questions.
PRACTICE EXERCISES.
PRACTICE FOR CHILDREN NOT YET IN 1ST GRADE.
(1) READ THE INTRODUCTION TO THE PIAT READING COMPREHENSION SUBTEST:
Now I want to find out how well you understand and remember what you read. Let us practice again a little so you will know what I want you to do. (GO TO PRACTICE A.)
(2) FOLLOW TEXT IN EASEL FOR PRACTICE EXERCISES.
| RC_INSTRUCTIONS_WELCOME_2 [] | Section: PIAT READING COMPREHENSION |
PREPARE FOR ASSESSMENT: PIAT READING COMPREHENSION TEST
INTERVIEWER: IF NEEDED, READ TO MOTHER/GUARDIAN.
This section measures [Child First Name]'s ability to understand what [he/she] reads. The questions begin at a very basic skill level and go to a very high skill level. No one is expected to answer all the questions.
PRACTICE EXERCISES.
NO PRACTICE FOR CHILDREN IN 1ST GRADE OR HIGHER.
(1) READ THE INTRODUCTION TO THE PIAT READING COMPREHENSION SUBTEST:
Now I want to find out how well you can understand and remember what you read. But first, let me explain what you are to do. I am going to show you a page. It will have only a sentence printed on it. Read this sentence silently (PAUSE) to yourself (PAUSE) just once. When you have finished, look up at me. Then I will show you the next page which will have four pictures on it. You are to (show me/point to/tell me the number of) the picture that best describes what you have read. Be sure to remember what you have read, once, and then look up at me.
(DURING ADMINISTRATION OF THIS SUBTEST, EXAMINER SHOULD MONITOR THE SUBJECT'S EYE MOVEMENTS AND, IF NEEDED, REMIND HIM TO READ THE PASSAGE JUST ONCE.)
(TURN TO THE SUBJECT'S STARTING ITEM.)
| RC_EXAMPLES_INSTRUCTIONS [] | Section: PIAT READING COMPREHENSION |
SAY THE FOLLOWING:
Now I want to find out how well you understand and remember what you read.
INSTRUCTION TO EXERCISE A
I am going to show you a page. It will have only a sentence printed on it. Read the sentence silently (PAUSE) to yourself (PAUSE) just once. When you have finished, look up at me. Then I will show you the next page which will have four pictures on it. You are to show me (point to, tell me the number of) the picture that best describes what you have read. Be sure to remember what you have read, because you cannot look back. Let's try one.
| RC_EXAMPLES_I_A [] | Section: PIAT READING COMPREHENSION |
| RC_EXAMPLES_A [C44953.00] | Section: PIAT READING COMPREHENSION |
| RC_EXAMPLES_I_B [] | Section: PIAT READING COMPREHENSION |
| RC_EXAMPLES_B [C44954.00] | Section: PIAT READING COMPREHENSION |
| RC_EXAMPLES_I_C [] | Section: PIAT READING COMPREHENSION |
| RC_EXAMPLES_C [C44955.00] | Section: PIAT READING COMPREHENSION |
| RC_EXAMPLES_I_D [] | Section: PIAT READING COMPREHENSION |
| RC_EXAMPLES_D [C44956.00] | Section: PIAT READING COMPREHENSION |
ASSESSMENT
ITEMS FOR PIAT READING COMPREHENSION IN R24 (2010)
Answers
to individual PIAT Reading Comprehension items are named PRC_A019 – PRC_A084
(reference numbers C47306.00 to C47371.00).
Variables
coding whether each item was answered correctly or incorrectly are named
PRC_L019 – PRC_L084 (reference numbers C47372.00 to C47437.00).
A
scoring sheet for the PIAT Reading Comprehension assessment can be found in the Introduction to the CAPI Questionnaires and CAPI Assessments (2004-present)
| RC_PREMATURE_TERMINATION [C47230.00] | Section: PIAT READING COMPREHENSION |
{PRCTERM}
If Answer = 1 Then Go To RC_HB_EL
| Default Next: | RC_MAIN_EL |
| Lead-In: | RC_019 [Default], RC_020 [Default], RC_021 [Default], RC_022 [Default], RC_023 [Default], RC_024 [Default], RC_025 [Default], RC_026 [Default], RC_027 [Default], RC_028 [Default], RC_029 [Default], RC_030 [Default], RC_031 [Default], RC_032 [Default], RC_033 [Default], RC_034 [Default], RC_035 [Default], RC_036 [Default], RC_037 [Default], RC_038 [Default], RC_039 [Default], RC_040 [Default], RC_041 [Default], RC_042 [Default], RC_043 [Default], RC_044 [Default], RC_045 [Default], RC_046 [Default], RC_047 [Default], RC_048 [Default], RC_049 [Default], RC_050 [Default], RC_051 [Default], RC_052 [Default], RC_053 [Default], RC_054 [Default], RC_055 [Default], RC_056 [Default], RC_057 [Default], RC_058 [Default], RC_059 [Default], RC_060 [Default], RC_061 [Default], RC_062 [Default], RC_063 [Default], RC_064 [Default], RC_065 [Default], RC_066 [Default], RC_067 [Default], RC_068 [Default], RC_069 [Default], RC_070 [Default], RC_071 [Default], RC_072 [Default], RC_073 [Default], RC_074 [Default], RC_075 [Default], RC_076 [Default], RC_077 [Default], RC_078 [Default], RC_079 [Default], RC_080 [Default], RC_081 [Default], RC_082 [Default], RC_083 [Default], RC_084 [Default] |
| RC_MAIN_EL [] | Section: PIAT READING COMPREHENSION |
UNTIL
(
(([PIAT READING COMPREHENSION BASAL] != 0) && ([PIAT READING COMPREHENSION CEILING] != 0)) ||
([FIVE QUESTIONS IN A ROW REFUSED]==1) ||
([PIAT READING COMPREHENSION TERMINATED] == 1) ||
([PIAT READING COMPREHENSION ASSESSMENT ITEM RESPONDENT IS ANSWERING] > [84])
)
| PRC-ANYPRESENT [C47280.00] | Section: PIAT READING COMPREHENSION |
INTERVIEWER: WAS ANYONE BESIDES YOURSELF AND THE CHILD PRESENT IN THE ROOM DURING THE ADMINISTRATION OF THE PIAT READING COMPREHENSION?
| PRC-MOMPRESENT [C47281.00] | Section: PIAT READING COMPREHENSION |
INTERVIEWER: DURING ADMINISTRATION OF THE PIAT READING COMPREHENSION...
...WAS MOTHER PRESENT?
| PRC-MOMEFFECT [C47282.00] | Section: PIAT READING COMPREHENSION |
WHAT WAS THE EFFECT OF MOTHER'S PRESENCE ON [Child First Name]'s PERFORMANCE?
| | 1 SEEMED TO BE HARMFUL |
| | 2 NONE OBSERVABLE |
| | 3 SEEMED TO IMPROVE |
| PRC-DADPRESENT [C47283.00] | Section: PIAT READING COMPREHENSION |
INTERVIEWER: DURING ADMINISTRATION OF THE PIAT READING COMPREHENSION...
...WAS FATHER PRESENT?
| PRC-DADEFFECT [C47284.00] | Section: PIAT READING COMPREHENSION |
WHAT WAS THE EFFECT OF FATHER'S PRESENCE ON [Child First Name]'s PERFORMANCE?
| | 1 SEEMED TO BE HARMFUL |
| | 2 NONE OBSERVABLE |
| | 3 SEEMED TO IMPROVE |
| PRC-ADULTPRES [C47285.00] | Section: PIAT READING COMPREHENSION |
INTERVIEWER: DURING ADMINISTRATION OF THE PIAT READING COMPREHENSION...
...WERE ANY OTHER ADULTS PRESENT?
| PRC-NUMADULTS [C47286.00] | Section: PIAT READING COMPREHENSION |
HOW MANY OTHER ADULTS WERE PRESENT?
| PRC-ADULTEFF [C47287.00] | Section: PIAT READING COMPREHENSION |
WHAT WAS THE EFFECT OF THE OTHER ADULT(S) ON [Child First Name]'s PERFORMANCE?
| | 1 SEEMED TO BE HARMFUL |
| | 2 NONE OBSERVABLE |
| | 3 SEEMED TO IMPROVE |
| PRC-KIDSPRESENT [C47288.00] | Section: PIAT READING COMPREHENSION |
INTERVIEWER: DURING ADMINISTRATION OF THE PIAT READING COMPREHENSION...
...WERE ANY OTHER CHILDREN PRESENT?
| PRC-NUMKIDS [C47289.00] | Section: PIAT READING COMPREHENSION |
HOW MANY OTHER CHILDREN WERE PRESENT?
| PRC-KIDSEFF [C47290.00] | Section: PIAT READING COMPREHENSION |
WHAT WAS THE EFFECT OF THE OTHER CHILD(REN) ON [Child First Name]'s PERFORMANCE?
| | 1 SEEMED TO BE HARMFUL |
| | 2 NONE OBSERVABLE |
| | 3 SEEMED TO IMPROVE |
| PRC-ENERGYLEV [C47291.00] | Section: PIAT READING COMPREHENSION |
CODE CHILD'S ENERGY LEVEL DURING THIS SECTION.
| | 1 LOW (TIRED) |
| | 2 MEDIUM |
| | 3 HIGH |
| PRC-TERMCHK [C47292.00] | Section: PIAT READING COMPREHENSION |
INTERVIEWER: DID YOU TERMINATE THE PIAT READING COMPREHENSION ASSESSMENT FOR ANY REASON?
COMMENT: Internal Function - Check if assessment was terminated prematurely.
| PRC-RESNTERM [C47293.00] | Section: PIAT READING COMPREHENSION |
INTERVIEWER: WHAT WERE THE REASONS FOR PREMATURE TERMINATION OF THIS ASSESSMENT?
SELECT ALL THAT APPLY.
| | 1 PARENT/GUARDIAN TERMINATED OR REFUSED |
| | 2 CHILD WOULD NOT RESPOND |
| | 3 MAJOR INTERRUPTION CAUSED TERMINATION |
| | 4 CHILD COULD NOT UNDERSTAND TASK |
| | 5 CHILD HAD LANGUAGE PROBLEM |
| | 6 CHILD EMOTIONAL CONDITION |
| | 7 CHILD PHYSICAL CONDITION |
| | 8 CHILD TOO TIRED |
| | 9 OTHER (SPECIFY) |
| PRC-ANYPROBLEMS [C47296.00] | Section: PIAT READING COMPREHENSION |
INTERVIEWER: YOU HAVE COMPLETED THE PIAT READING COMPREHENSION. WERE THERE ANY PROBLEMS THAT OCCURRED DURING THIS ASSESSMENT?
| PRC-PROBLEM [C47297.00] | Section: PIAT READING COMPREHENSION |
RECORD PROBLEMS ENCOUNTERED:
| RC_SCORE_PREMATURE_TERMINATION [C47298.00] | Section: PIAT READING COMPREHENSION |
{PRCTERM}==1 || {RC_REFUSE_IN_A_ROW}==1
If Answer = 1 Then Go To RC_STAMP_TEST_MODE
| RC_SCORE_WRONG_SL [] | Section: PIAT READING COMPREHENSION |
FOR([LOOP COUNT INDICATOR]=[PIAT READING COMPREHENSION BASAL]; [LOOP COUNT INDICATOR]<=[PIAT READING COMPREHENSION CEILING]; [LOOP COUNT INDICATOR]=[LOOP COUNT INDICATOR]+1; [RC_SCORE_WRONG_EL])
| RC_STAMP_TEST_MODE [] | Section: PIAT READING COMPREHENSION |
{CS_CASEMODE} == "TEST"
If Answer = 1 Then Go To RC_STAMP_SHOW_SCORES
| RC_STAMP_SHOW_SCORES [] | Section: PIAT READING COMPREHENSION |
BASAL = [PIAT READING COMPREHENSION BASAL]
CEILING = [PIAT READING COMPREHENSION CEILING]
SCORE = [Reading Comprehension Score]
LAST POSITION = [last position in PIAT Reading Comprehension]
FIRST QUESTION = [STARTING POINT IN PIAT READING COMPREHENSION]
DOB = [CS_CHILDDOB~X]
START POSITION = [STARTING POINT IN PIAT READING COMPREHENSION]
TOTAL TIME = [RC_STAMP_TOTAL_TIME] milliseconds
| PRC_EXISTNOTE [] | Section: PIAT READING COMPREHENSION |
INTERVIEWER:
THIS ASSESSMENT HAS BEEN COMPLETED (OR TERMINATED).
YOU MAY NOT RESTART PIAT READING COMPREHENSION.
| PPVT_EXTRA_EXISTCK [C47438.00] | Section: PPVT |
VAREXIST([CHILD NEEDS PPVT ASSESSMENT?])
COMMENT: Internal Function - Check preload for flag to push 6 to 9 year olds into PPVT if they don't have a PPVT baseline.
If Answer = 1 Then Go To PPVT_EXTRA_CK
| PPVT_EXTRA_CK [C47439.00] | Section: PPVT |
ISVAREMPTY([CHILD NEEDS PPVT ASSESSMENT?])
COMMENT: Internal Function
If Answer = 1 Then Go To PPVT_AGECHK
| PPVT_EXTRA [C47440.00] | Section: PPVT |
{NEED_PPVT}==1 && {PPVTAGEMO}>=48
COMMENT: Internal Function
If Answer = 1 Then Go To PPVT_INSTRUCTIONS_IS_STARTED
| PPVT_AGECHK [C47441.00] | Section: PPVT |
{PPVTAGEMO}
COMMENT: Internal Function - Check PPVT age eligibility for this assessment
If Answer >= 48 AND Answer <= 71 Then Go To PPVT_INSTRUCTIONS_IS_STARTED
If Answer >= 120 AND Answer <= 143 Then Go To PPVT_INSTRUCTIONS_IS_STARTED
| PPVT_INSTRUCTIONS_IS_STARTED [C47442.00] | Section: PPVT |
{PPVT_STARTED}
If Answer = 1 Then Go To PPVT_EXISTNOTE
| PPVT_INSTRUCTIONS_65 [C47443.00] | Section: PPVT |
{PPVT_FIRST_PLATE_ASKED} < 65
If Answer = 1 Then Go To PPVT_INSTRUCTIONS_WELCOME_1
| PPVT_INSTRUCTIONS_WELCOME_1 [] | Section: PPVT |
PREPARE FOR ASSESSMENT: PEABODY PICTURE VOCABULARY TEST
INTERVIEWER: IF NEEDED, READ TO MOTHER/GUARDIAN.
This section is designed to measure your child's vocabulary. Children usually enjoy doing this. I tell your child a word and (he/she) looks at four pictures and tells me which picture has the same meaning as the word I said.
PRACTICE & EXAMPLES
CHILDREN UNDER AGE 8 START WITH PRACTICE A.
ADVANCE TO NEXT SCREEN AND TURN LAPTOP SO CHILD FACES TRAINING PLATE A.
READ FROM PPVT INSTRUCTION CARD WHILE CHILD VIEWS SCREEN.
| PPVT_INSTRUCTIONS_WELCOME_2 [] | Section: PPVT |
PREPARE FOR ASSESSMENT: PEABODY PICTURE VOCABULARY TEST
INTERVIEWER: IF NEEDED, READ TO MOTHER/GUARDIAN.
This section is designed to measure your child's vocabulary. Children usually enjoy doing this. I tell your child a word and (he/she) looks at four pictures and tells me which picture has the same meaning as the word I said.
PRACTICE & INSTRUCTIONS
CHILDREN AGE 8 AND OLDER START WITH PRACTICE D.
ADVANCE TO NEXT SCREEN AND TURN LAPTOP SO CHILD FACES TRAINING PLATE D.
READ FROM PPVT INSTRUCTION CARD WHILE CHILD VIEWS SCREEN.
| PPVT_EXAMPLES_65 [C47444.00] | Section: PPVT |
{PPVT_FIRST_PLATE_ASKED} < 65
If Answer = 1 Then Go To PPVT_EXAMPLES_A
| PPVT_EXAMPLES_A [C47445.00] | Section: PPVT |
| PPVT_EXAMPLES_B [C47446.00] | Section: PPVT |
| PPVT_EXAMPLES_C [C47447.00] | Section: PPVT |
| PPVT_EXAMPLES_D [C47448.00] | Section: PPVT |
| PPVT_EXAMPLES_E [C47449.00] | Section: PPVT |
ASSESSMENT
ITEMS FOR PPVT-R IN R24 (2010)
Responses
to individual PPVT items are named PPV_A001 – PPV_A175 (reference numbers
C50596.00 – 50770.00).
Variables
coding whether responses to items were correct or incorrect are named PPV_L001
– PPV_L175 (reference numbers C50771.00 to C50945.00).
A scoring sheet for the PPVT-R can be found in the Introduction to the CAPI Questionnaires and CAPI Assessments (2004-present)
| PPVT-ANYPRESENT [C50572.00] | Section: PPVT |
INTERVIEWER: WAS ANYONE BESIDES YOURSELF AND THE CHILD PRESENT IN THE ROOM DURING THE ADMINISTRATION OF THE PPVT?
| PPVT-MOMPRESENT [C50573.00] | Section: PPVT |
INTERVIEWER: DURING ADMINISTRATION OF THE PPVT...
...WAS MOTHER PRESENT?
| PPVT-MOMEFFECT [C50574.00] | Section: PPVT |
WHAT WAS THE EFFECT OF MOTHER'S PRESENCE ON [Child First Name]'s PERFORMANCE?
| | 1 SEEMED TO BE HARMFUL |
| | 2 NONE OBSERVABLE |
| | 3 SEEMED TO IMPROVE |
| PPVT-DADPRESENT [C50575.00] | Section: PPVT |
INTERVIEWER: DURING ADMINISTRATION OF THE PPVT...
...WAS FATHER PRESENT?
| PPVT-DADEFFECT [C50576.00] | Section: PPVT |
WHAT WAS THE EFFECT OF FATHER'S PRESENCE ON [Child First Name]'s PERFORMANCE?
| | 1 SEEMED TO BE HARMFUL |
| | 2 NONE OBSERVABLE |
| | 3 SEEMED TO IMPROVE |
| PPVT-ADULTPRES [C50577.00] | Section: PPVT |
INTERVIEWER: DURING ADMINISTRATION OF THE PPVT...
...WERE ANY OTHER ADULTS PRESENT?
| PPVT-NUMADULTS [C50578.00] | Section: PPVT |
HOW MANY OTHER ADULTS WERE PRESENT?
| PPVT-ADULTEFF [C50579.00] | Section: PPVT |
WHAT WAS THE EFFECT OF THE OTHER ADULT(S) ON [Child First Name]'s PERFORMANCE?
| | 1 SEEMED TO BE HARMFUL |
| | 2 NONE OBSERVABLE |
| | 3 SEEMED TO IMPROVE |
| PPVT-KIDSPRESENT [C50580.00] | Section: PPVT |
INTERVIEWER: DURING ADMINISTRATION OF THE PPVT...
...WERE ANY OTHER CHILDREN PRESENT?
| PPVT-NUMKIDS [C50581.00] | Section: PPVT |
HOW MANY OTHER CHILDREN WERE PRESENT?
| PPVT-KIDSEFF [C50582.00] | Section: PPVT |
WHAT WAS THE EFFECT OF THE OTHER CHILD(REN) ON [Child First Name]'s PERFORMANCE?
| | 1 SEEMED TO BE HARMFUL |
| | 2 NONE OBSERVABLE |
| | 3 SEEMED TO IMPROVE |
| PPVT-ENERGYLEV [C50583.00] | Section: PPVT |
CODE CHILD'S ENERGY LEVEL DURING THIS SECTION.
| | 1 LOW (TIRED) |
| | 2 MEDIUM |
| | 3 HIGH |
| PPVT-TERMCHK [C50584.00] | Section: PPVT |
INTERVIEWER: DID YOU TERMINATE THE PPVT ASSESSMENT FOR ANY REASON?
COMMENT: Internal Function - Check if assessment was terminated prematurely.
| PPVT-RESNTERM [C50585.00] | Section: PPVT |
INTERVIEWER: WHAT WERE THE REASONS FOR PREMATURE TERMINATION OF THIS ASSESSMENT?
SELECT ALL THAT APPLY.
| | 1 PARENT/GUARDIAN TERMINATED OR REFUSED |
| | 2 CHILD WOULD NOT RESPOND |
| | 3 MAJOR INTERRUPTION CAUSED TERMINATION |
| | 4 CHILD COULD NOT UNDERSTAND TASK |
| | 5 CHILD HAD LANGUAGE PROBLEM |
| | 6 CHILD EMOTIONAL CONDITION |
| | 7 CHILD PHYSICAL CONDITION |
| | 8 CHILD TOO TIRED |
| | 9 OTHER (SPECIFY) |
| PPVT-ANYPROBLEMS [C50588.00] | Section: PPVT |
INTERVIEWER: YOU HAVE COMPLETED THE PPVT. WERE THERE ANY PROBLEMS THAT OCCURRED DURING THIS ASSESSMENT?
| PPVT-PROBLEM [C50589.00] | Section: PPVT |
RECORD PROBLEMS ENCOUNTERED:
| PPVT_SCORE_PREMATURE_TERMINATION [] | Section: PPVT |
{PPVTTERM}==1 || {PPVT_REFUSE_IN_A_ROW}==1
If Answer = 1 Then Go To PPVT_STAMP_TEST_MODE
| PPVT_STAMP_TEST_MODE [] | Section: PPVT |
{CS_CASEMODE} == "TEST"
If Answer = 1 Then Go To PPVT_STAMP_SHOW_SCORES
| PPVT_STAMP_SHOW_SCORES [] | Section: PPVT |
BASAL = [PPVT BASAL]
CEILING = [PPVT CEILING]
SCORE = [PPVT RAW SCORE]
LAST POSITION = [last position in PPVT]
FIRST QUESTION = [STARTING POINT IN PPVT]
DOB = [CS_CHILDDOB~X]
START POSITION = [STARTING POINT IN PPVT]
TOTAL TIME = [PPVT_STAMP_TOTAL_TIME] milliseconds
| PPVT_EXISTNOTE [] | Section: PPVT |
INTERVIEWER:
THIS ASSESSMENT HAS BEEN COMPLETED (OR TERMINATED).
YOU MAY NOT RESTART PPVT.
| CST-CONTINUE [] | Section: EVALUATION OF TESTING CONDITIONS |
CLICK Submit and Continue TO PROCEED WITH THE CHILD CAPI SUPPLEMENT.
| CSEV-ASSESS-CK [C50948.00] | Section: EVALUATION OF TESTING CONDITIONS |
{LIKE_STARTED} == 1 ||
{DS_STARTED} == 1 ||
{MATH_STARTED} == 1 ||
{RR_STARTED} == 1 ||
{RC_STARTED}== 1 ||
{PPVT_STARTED} == 1
COMMENT: Internal Function - If any assessment was started, get evaluation of testing conditions. Otherwise, skip.
If Answer = 1 Then Go To CSEV-TITLE
| CSEV-TITLE [] | Section: EVALUATION OF TESTING CONDITIONS |
**** EVALUATION OF TESTING CONDITIONS ****
| CSEV-1M [C50949.00] | Section: EVALUATION OF TESTING CONDITIONS |
INTERVIEWER: HOW WAS [Child First Name]'s...
| | - ATTITUDE TOWARD BEING TESTED |
| | - RAPPORT WITH INTERVIEWER |
| | - PERSEVERANCE/PERSISTENCE |
| | - COOPERATION |
| | - MOTIVATION/INTEREST |
| | 1 POOR |
| | 2 BELOW AVERAGE |
| | 3 AVERAGE |
| | 4 ABOVE AVERAGE |
| | 5 EXCELLENT |
| | 6 UNABLE TO ASSESS CHILD AT ALL |
| CSEV-4M [C50950.00] | Section: EVALUATION OF TESTING CONDITIONS |
INTERVIEWER: (ON A SCALE FROM 1 TO 5): CODE EACH CATEGORY BY AMOUNT OF INTERFERENCE:
| | - NOISE LEVEL |
| | - INTERRUPTIONS |
| | - DISTRACTIONS |
| | - LIGHT |
| | - TEMPERATURE |
| | - PRESENCE OF OTHERS |
| | 1 (1) INTERFERING |
| | 2 (2) * |
| | 3 (3) (MIDPOINT) |
| | 4 (4) * |
| | 5 (5) NOT INTERFERING |
| | 6 (6) NOT APPLICABLE |
| CSEV-4G [C50951.00] | Section: EVALUATION OF TESTING CONDITIONS |
INTERVIEWER: WERE THERE ANY OTHER SOURCES OF INTERFERENCE?
| CSEV-4H1 [C50952.00] | Section: EVALUATION OF TESTING CONDITIONS |
INTERVIEWER: WHAT WAS THE SOURCE OF THE INTERFERENCE?
(IF NO OTHER SOURCES OF INTERFERENCE, BACK UP AND CORRECT CSEV-4G.)
| CSEV-4H2 [C50953.00] | Section: EVALUATION OF TESTING CONDITIONS |
INTERVIEWER: CODE SOURCE FOR AMOUNT OF INTERFERENCE CAUSED (ON A SCALE FROM 1 TO 5).
| | 1 (1) INTERFERING |
| | 2 (2) * |
| | 3 (3) (MIDPOINT) |
| | 4 (4) * |
| | 5 (5) NOT INTERFERING |
| | 6 (6) NOT APPLICABLE |
| SCHL-AGECK1 [C50955.00] | Section: SCHOOLING - CHILD REPORT |
{CSAGE} >= 8 &&
{CSPERMSTAT}==1 &&
({CSUPSQXCONSNT}==1 || {CSUPSQXCONSNT}==2)
COMMENT: Internal Function - IF CHILD LT 8, OR CONSENT NOT GIVEN, SKIP SCHOOL Q's AND START EVAL. OF TESTING CONDITIONS
If Answer = 1 Then Go To SCHL-TITLE
| SCHL-TITLE [] | Section: SCHOOLING - CHILD REPORT |
**** BEGIN SECTION: SCHOOLING ****
INTERVIEWER: PREPARE TO CONTINUE INTERVIEW WITH CHILD.
| SCHL-DATECHK [C50957.00] | Section: SCHOOLING - CHILD REPORT |
{CSINTDATE}>{CSAUTMDATE}
COMMENT: Internal Function
If Answer = 1 Then Go To SCHL-SCHLYEAR-CHK
| SCHL-SCHLYEAR-CHK [C50958.00] | Section: SCHOOLING - CHILD REPORT |
Now I would like to ask you a few questions about school.
Have you started the [2010-2011] school year?
| SCHL-INTRO [] | Section: SCHOOLING - CHILD REPORT |
{CFNAME}, for the next questions about school, please think about the {CSTERM} regular school year.
| SCHL-1 [C50959.00] | Section: SCHOOLING - CHILD REPORT |
About how much time do you spend on homework each week in school?
INTERVIEWER: RECORD # OF HOURS. IF A CHILD GIVES AN AMOUNT IN FRACTIONS OF AN HOUR, ROUND TO THE NEAREST HALF HOUR.
If Answer = -2 Then Go To SCHL-1A
| SCHL-1A [C50960.00] | Section: SCHOOLING - CHILD REPORT |
Which of these is closer to the amount of time you usually spend on homework during school each week?
| | 1 1-4 hours |
| | 2 5-9 hours |
| | 3 10-14 hours |
| | 4 15-19 hours |
| | 5 20 or more hours |
| SCHL-2 [C50961.00] | Section: SCHOOLING - CHILD REPORT |
And about how much time do you spend on homework each week outside of school?
INTERVIEWER: RECORD # OF HOURS. IF A CHILD GIVES AN AMOUNT IN FRACTIONS OF AN HOUR, ROUND TO THE NEAREST HALF HOUR.
If Answer = -2 Then Go To SCHL-2A
| SCHL-2A [C50962.00] | Section: SCHOOLING - CHILD REPORT |
Which of these is closer to the amount of time you usually spend on homework outside of school each week?
| | 1 1-4 hours |
| | 2 5-9 hours |
| | 3 10-14 hours |
| | 4 15-19 hours |
| | 5 20 or more hours |
| SCHL-3 [C50963.00] | Section: SCHOOLING - CHILD REPORT |
How many hours each week do you read for fun, including books, e-books, magazines, newspapers, or articles on-line? (Do not count any school-assigned reading.)
INTERVIEWER: RECORD # OF HOURS. IF A CHILD GIVES AN AMOUNT IN FRACTIONS OF AN HOUR, ROUND TO THE NEAREST HALF HOUR.
If Answer = -2 Then Go To SCHL-3A
| SCHL-3A [C50964.00] | Section: SCHOOLING - CHILD REPORT |
Which of these is closest to the amount of time you usually spend on reading for fun each week?
| | 1 1-4 hours |
| | 2 5-9 hours |
| | 3 10-14 hours |
| | 4 15-19 hours |
| | 5 20 or more hours |
| SCHL-BEDTIME-A [C50965.00] | Section: SCHOOLING - CHILD REPORT |
About what time do you normally go to bed during the school week?
INTERVIEWER: CHANGE HOUR AND MINUTE VALUES TO THE CORRECT TIME. BE SURE AM/PM IS MARKED CORRECTLY.
| SCHL-BEDTIME-CHK [C50966.00] | Section: SCHOOLING - CHILD REPORT |
[SCHL-BEDTIME-A~H] == -2 ||
[SCHL-BEDTIME-A~H] == -1 ||
[SCHL-BEDTIME-A~N] == -2 ||
[SCHL-BEDTIME-A~N] == -1
If Answer = 1 Then Go To SCHL-BEDTIME-B
| SCHL-BEDTIME-B [C50967.00] | Section: SCHOOLING - CHILD REPORT |
Which of these is closest to the time you usually go to bed during the school week?
INTERVIEWER: IF CHILD'S RESPONSE IS EXACTLY ON THE HOUR, THEN PROMPT -
...Is that typically a little before (HOUR), or a little after (HOUR)?
| | 1 Before 6 pm |
| | 2 Between 6 and 7 pm |
| | 3 Between 7 and 8 pm |
| | 4 Between 8 and 9 pm |
| | 5 Between 9 and 10 pm |
| | 6 Between 10 and 11 pm |
| | 7 Between 11 pm and midnight |
| | 8 After midnight |
| SCHL-AGECK2 [C50968.00] | Section: SCHOOLING - CHILD REPORT |
{CSAGE}<14
COMMENT: Internal Function - CHECK AGE FOR TEXT FILL
If Answer = 1 Then Go To SCHL-4
| SCHL-HRSOFSLEEP [C50969.00] | Section: SCHOOLING - CHILD REPORT |
On a typical weeknight, how many hours of sleep do you usually get?
INTERVIEWER: RECORD # OF HOURS. IF A CHILD GIVES AN AMOUNT IN FRACTIONS OF AN HOUR, ROUND TO THE NEAREST HALF HOUR.
| SCHL-4 [C50970.00] | Section: SCHOOLING - CHILD REPORT |
(HAND CHILD SCHOOLING SHOWCARD, AND REFER TO ANSWER LIST #1.)
[When you have language arts or English class how often does your teacher.../How often does your teacher...]
...review work from the previous day?
| | 0 Never |
| | 1 Less than once a month |
| | 2 1-2 times a month |
| | 3 1-2 times a week |
| | 4 Almost every day |
| | 5 Every day |
| SCHL-5 [C50971.00] | Section: SCHOOLING - CHILD REPORT |
([When you have language arts or English class how often does your teacher.../How often does your teacher...])
...lecture or teach to the whole class at the same time?
| | 0 Never |
| | 1 Less than once a month |
| | 2 1-2 times a month |
| | 3 1-2 times a week |
| | 4 Almost every day |
| | 5 Every day |
| SCHL-6 [C50972.00] | Section: SCHOOLING - CHILD REPORT |
([When you have language arts or English class how often does your teacher.../How often does your teacher...])
...have you use a textbook or workbook?
| | 0 Never |
| | 1 Less than once a month |
| | 2 1-2 times a month |
| | 3 1-2 times a week |
| | 4 Almost every day |
| | 5 Every day |
| SCHL-7 [C50973.00] | Section: SCHOOLING - CHILD REPORT |
([When you have language arts or English class how often does your teacher.../How often does your teacher...])
...have you explain your work or give a report in front of the class (or give a report out loud)?
| | 0 Never |
| | 1 Less than once a month |
| | 2 1-2 times a month |
| | 3 1-2 times a week |
| | 4 Almost every day |
| | 5 Every day |
| SCHL-8 [C50974.00] | Section: SCHOOLING - CHILD REPORT |
([When you have language arts or English class how often does your teacher.../How often does your teacher...])
...have you work in small groups with other students?
| | 0 Never |
| | 1 Less than once a month |
| | 2 1-2 times a month |
| | 3 1-2 times a week |
| | 4 Almost every day |
| | 5 Every day |
| SCHL-9 [C50975.00] | Section: SCHOOLING - CHILD REPORT |
([When you have language arts or English class how often does your teacher.../How often does your teacher...])
...read to you in class?
| | 0 Never |
| | 1 Less than once a month |
| | 2 1-2 times a month |
| | 3 1-2 times a week |
| | 4 Almost every day |
| | 5 Every day |
| SCHL-10 [C50976.00] | Section: SCHOOLING - CHILD REPORT |
([When you have language arts or English class how often does your teacher.../How often does your teacher...])
...have you read books in class?
| | 0 Never |
| | 1 Less than once a month |
| | 2 1-2 times a month |
| | 3 1-2 times a week |
| | 4 Almost every day |
| | 5 Every day |
| SCHL-11 [C50977.00] | Section: SCHOOLING - CHILD REPORT |
([When you have language arts or English class how often does your teacher.../How often does your teacher...])
...have you work on a writing assignment (paper, story, report, poem, etc.)?
| | 0 Never |
| | 1 Less than once a month |
| | 2 1-2 times a month |
| | 3 1-2 times a week |
| | 4 Almost every day |
| | 5 Every day |
| SCHL-12 [C50978.00] | Section: SCHOOLING - CHILD REPORT |
([When you have language arts or English class how often does your teacher.../How often does your teacher...])
...assign you work sheets or workbook pages in class?
| | 0 Never |
| | 1 Less than once a month |
| | 2 1-2 times a month |
| | 3 1-2 times a week |
| | 4 Almost every day |
| | 5 Every day |
| SCHL-13 [C50979.00] | Section: SCHOOLING - CHILD REPORT |
([When you have language arts or English class how often does your teacher.../How often does your teacher...])
...have you use a computer?
| | 0 Never |
| | 1 Less than once a month |
| | 2 1-2 times a month |
| | 3 1-2 times a week |
| | 4 Almost every day |
| | 5 Every day |
| SCHL-14 [C50980.00] | Section: SCHOOLING - CHILD REPORT |
([When you have language arts or English class how often does your teacher.../How often does your teacher...])
...give you a quiz or test?
| | 0 Never |
| | 1 Less than once a month |
| | 2 1-2 times a month |
| | 3 1-2 times a week |
| | 4 Almost every day |
| | 5 Every day |
| SCHL-15 [C50981.00] | Section: SCHOOLING - CHILD REPORT |
([When you have language arts or English class how often does your teacher.../How often does your teacher...])
...give you homework?
| | 0 Never |
| | 1 Less than once a month |
| | 2 1-2 times a month |
| | 3 1-2 times a week |
| | 4 Almost every day |
| | 5 Every day |
| | 6 Teacher/school does not give homework (too young) |
| SCHL-16 [C50982.00] | Section: SCHOOLING - CHILD REPORT |
([When you have language arts or English class how often does your teacher.../How often does your teacher...])
...grade your homework and pass it back?
| | 0 Never |
| | 1 Less than once a month |
| | 2 1-2 times a month |
| | 3 1-2 times a week |
| | 4 Almost every day |
| | 5 Every day |
| | 6 Teacher/school does not give homework (too young) |
| SCHL-17 [C50983.00] | Section: SCHOOLING - CHILD REPORT |
How often do(es) your parent(s)...check on whether you have done your homework?
| | 0 Never |
| | 1 Less than once a month |
| | 2 1-2 times a month |
| | 3 1-2 times a week |
| | 4 Almost every day |
| | 5 Every day |
| | 6 Teacher/school does not give homework (too young) |
| SCHL-18 [C50984.00] | Section: SCHOOLING - CHILD REPORT |
(How often do(es) your parent(s)...)
...help you with your homework?
| | 0 Never |
| | 1 Less than once a month |
| | 2 1-2 times a month |
| | 3 1-2 times a week |
| | 4 Almost every day |
| | 5 Every day |
| | 6 Teacher/school does not give homework (too young) |
| SCHL-19 [C50985.00] | Section: SCHOOLING - CHILD REPORT |
(How often do(es) your parent(s)...)
...require you to do work or chores around the home?
| | 0 Never |
| | 1 Less than once a month |
| | 2 1-2 times a month |
| | 3 1-2 times a week |
| | 4 Almost every day |
| | 5 Every day |
| SCHL-20 [C50986.00] | Section: SCHOOLING - CHILD REPORT |
(REFER TO SCHOOLING SHOWCARD ANSWER LIST #2.)
How often do(es) your parent(s)...give you special privileges because of good grades or progress reports?
| | 0 Never |
| | 1 Rarely |
| | 2 Sometimes |
| | 3 Often |
| SCHL-21 [C50987.00] | Section: SCHOOLING - CHILD REPORT |
How often do(es) your parent(s)...limit privileges because of poor grades or progress reports?
| | 0 Never |
| | 1 Rarely |
| | 2 Sometimes |
| | 3 Often |
| SCHL-22 [C50988.00] | Section: SCHOOLING - CHILD REPORT |
How often do(es) your parent(s)...limit the amount of time you can spend watching TV or playing video games?
| | 0 Never |
| | 1 Rarely |
| | 2 Sometimes |
| | 3 Often |
| SCHL-AGECK3 [C50989.00] | Section: SCHOOLING - CHILD REPORT |
{CSAGE}<10
COMMENT: Internal Function - IF CHILD LT 10 YEARS, GO TO SCHL-24
If Answer = 1 Then Go To SCHL-24
| SCHL-23 [C50990.00] | Section: SCHOOLING - CHILD REPORT |
(How often do(es) your parent(s) ... )
...limit the amount of time you go out with friends on school nights?
| | 0 Never |
| | 1 Rarely |
| | 2 Sometimes |
| | 3 Often |
| SCHL-24 [C50991.00] | Section: SCHOOLING - CHILD REPORT |
In the first half of the school year, how often have you discussed the following with either or both of your parents (or guardians)...
...school activities or events of particular interest to you?
| | 0 Never |
| | 1 Rarely |
| | 2 Sometimes |
| | 3 Often |
| SCHL-25 [C50992.00] | Section: SCHOOLING - CHILD REPORT |
(In the first half of the school year, how often have you discussed the following with either or both of your parents (or guardians)...)
...things you've studied in class?
| | 0 Never |
| | 1 Rarely |
| | 2 Sometimes |
| | 3 Often |
| SCHL-26 [C50993.00] | Section: SCHOOLING - CHILD REPORT |
(In the first half of the school year, how often have you discussed the following with either or both of your parents (or guardians)...)
...your grades or report card?
| | 0 Never |
| | 1 Rarely |
| | 2 Sometimes |
| | 3 Often |
| SCHL-27 [C50994.00] | Section: SCHOOLING - CHILD REPORT |
(In the first half of the school year, how often have you discussed the following with either or both of your parents (or guardians)...)
...community, national, or world events?
| | 0 Never |
| | 1 Rarely |
| | 2 Sometimes |
| | 3 Often |
| SCHL-AGECK4 [C50995.00] | Section: SCHOOLING - CHILD REPORT |
{CSAGE}<14
COMMENT: Internal Function
If Answer = 1 Then Go To SCHL-AGECK5
| SCHL-28 [C50996.00] | Section: SCHOOLING - CHILD REPORT |
(In the first half of the school year, how often have you discussed the following with either or both of your parents (or guardians)...)
...plans and preparation for district, state, or national tests (such as the ACT, SAT, or state proficiency exams)?
| | 0 Never |
| | 1 Rarely |
| | 2 Sometimes |
| | 3 Often |
| SCHL-AGECK5 [C50997.00] | Section: SCHOOLING - CHILD REPORT |
{CSAGE}<10
COMMENT: Internal Function
If Answer = 1 Then Go To SCHL-31
| SCHL-29 [C50998.00] | Section: SCHOOLING - CHILD REPORT |
(In the first half of the school year, how often have you discussed the following with either or both of your parents (or guardians)...)
...selecting courses or programs at school?
| | 0 Never |
| | 1 Rarely |
| | 2 Sometimes |
| | 3 Often |
| SCHL-30 [C50999.00] | Section: SCHOOLING - CHILD REPORT |
(In the first half of the school year, how often have you discussed the following with either or both of your parents (or guardians)...)
...going to college?
| | 0 Never |
| | 1 Rarely |
| | 2 Sometimes |
| | 3 Often |
| SCHL-31 [C51000.00] | Section: SCHOOLING - CHILD REPORT |
(In the first half of the school year, how often have you discussed the following with either or both of your parents (or guardians)...)
...things that are troubling you?
| | 0 Never |
| | 1 Rarely |
| | 2 Sometimes |
| | 3 Often |
| SCHL-32 [C51001.00] | Section: SCHOOLING - CHILD REPORT |
(REFER TO SCHOOLING SHOWCARD ANSWER LIST #3.)
In the first half of the school year, how many times did either of your parents (or guardians)...
...attend a school meeting?
| | 0 Never/almost never |
| | 1 Less than once a month |
| | 2 Once a month |
| | 3 1-2 times a month |
| | 4 Once a week or more |
| SCHL-33 [C51002.00] | Section: SCHOOLING - CHILD REPORT |
(In the first half of the school year, how many times did either of your parents (or guardians)...)
...phone or speak to your teacher or counselor?
| | 0 Never/almost never |
| | 1 Less than once a month |
| | 2 Once a month |
| | 3 1-2 times a month |
| | 4 Once a week or more |
| SCHL-34 [C51003.00] | Section: SCHOOLING - CHILD REPORT |
(In the first half of the school year, how many times did either of your parents (or guardians)...)
...attend a school event in which you participated?
| | 0 Never/almost never |
| | 1 Less than once a month |
| | 2 Once a month |
| | 3 1-2 times a month |
| | 4 Once a week or more |
| SCHL-35 [C51004.00] | Section: SCHOOLING - CHILD REPORT |
(In the first half of the school year, how many times did either of your parents (or guardians)...)
...act as a volunteer at your school?
| | 0 Never/almost never |
| | 1 Less than once a month |
| | 2 Once a month |
| | 3 1-2 times a month |
| | 4 Once a week or more |
| SCHL-AGECK6 [C51005.00] | Section: SCHOOLING - CHILD REPORT |
{CSAGE}>=10
COMMENT: Internal Function
If Answer = 1 Then Go To SCHL-36A
| SCHL-36A [C51006.00] | Section: SCHOOLING - CHILD REPORT |
(REFER TO SCHOOLING SHOWCARD ANSWER LIST #4.)
Now think about the things you do between the time school lets out and dinner time....
Between the time school lets out and dinner time...
...how often do you spend time with friends?
COMMENT: This question was formerly CSAS025A in the Child Self-Administered Supplement.
| | 4 Every day or almost every day |
| | 3 Several times a week |
| | 2 About once a week |
| | 1 Less than once a week |
| | 0 Never |
| SCHL-36B [C51007.00] | Section: SCHOOLING - CHILD REPORT |
Between the time school lets out and dinner time...
...how often do you read a book or magazine not assigned at school?
COMMENT: This question was formerly CSAS025B in the Child Self-Administered Supplement.
| | 4 Every day or almost every day |
| | 3 Several times a week |
| | 2 About once a week |
| | 1 Less than once a week |
| | 0 Never |
| SCHL-36C [C51008.00] | Section: SCHOOLING - CHILD REPORT |
Between the time school lets out and dinner time...
...how often do you do chores around the house?
COMMENT: This question was formerly CSAS025C in the Child Self-Administered Supplement.
| | 4 Every day or almost every day |
| | 3 Several times a week |
| | 2 About once a week |
| | 1 Less than once a week |
| | 0 Never |
| SCHL-36D [C51009.00] | Section: SCHOOLING - CHILD REPORT |
Between the time school lets out and dinner time...
...how often do you work for pay?
COMMENT: This question was formerly CSAS025D in the Child Self-Administered Supplement.
| | 4 Every day or almost every day |
| | 3 Several times a week |
| | 2 About once a week |
| | 1 Less than once a week |
| | 0 Never |
| SCHL-36E [C51010.00] | Section: SCHOOLING - CHILD REPORT |
Between the time school lets out and dinner time...
...how often do you do homework?
COMMENT: This question was formerly CSAS025E in the Child Self-Administered Supplement.
| | 4 Every day or almost every day |
| | 3 Several times a week |
| | 2 About once a week |
| | 1 Less than once a week |
| | 0 Never |
| SCHL-36F [C51011.00] | Section: SCHOOLING - CHILD REPORT |
Between the time school lets out and dinner time...
...how often do you go to music, art, or drama lessons; or practice music, singing, drama, drawing or painting?
COMMENT: This question was formerly CSAS025F in the Child Self-Administered Supplement.
| | 4 Every day or almost every day |
| | 3 Several times a week |
| | 2 About once a week |
| | 1 Less than once a week |
| | 0 Never |
| SCHL-36G [C51012.00] | Section: SCHOOLING - CHILD REPORT |
Between the time school lets out and dinner time...
...how often do you go to sports lessons or play sports or practice any physical activity?
COMMENT: This question was formerly CSAS025G in the Child Self-Administered Supplement.
| | 4 Every day or almost every day |
| | 3 Several times a week |
| | 2 About once a week |
| | 1 Less than once a week |
| | 0 Never |
| SCHL-36H [C51013.00] | Section: SCHOOLING - CHILD REPORT |
Between the time school lets out and dinner time...
...how often do you watch TV?
COMMENT: This question was formerly CSAS025H in the Child Self-Administered Supplement.
| | 4 Every day or almost every day |
| | 3 Several times a week |
| | 2 About once a week |
| | 1 Less than once a week |
| | 0 Never |
| SCHL-36I [C51014.00] | Section: SCHOOLING - CHILD REPORT |
Between the time school lets out and dinner time...
...how often do you do volunteer work or community service?
COMMENT: This question was formerly CSAS025I in the Child Self-Administered Supplement.
| | 4 Every day or almost every day |
| | 3 Several times a week |
| | 2 About once a week |
| | 1 Less than once a week |
| | 0 Never |
| SCHL-36J [C51015.00] | Section: SCHOOLING - CHILD REPORT |
Between the time school lets out and dinner time...
...how often do you do things with your brother(s) or sister(s)?
COMMENT: This question was formerly CSAS025J in the Child Self-Administered Supplement.
| | 4 Every day or almost every day |
| | 3 Several times a week |
| | 2 About once a week |
| | 1 Less than once a week |
| | 0 Never |
| | 5 I have no brother or sister |
| SCHL-37A [C51016.00] | Section: SCHOOLING - CHILD REPORT |
(REFER TO SCHOOLING SHOWCARD ANSWER LIST #4.)
Now please think about WHERE you go between the time school lets out and dinner time....
Between the time school lets out and dinner time...
...how often do you go home?
COMMENT: This question was formerly CSAS026A in the Child Self-Administered Supplement.
| | 4 Every day or almost every day |
| | 3 Several times a week |
| | 2 About once a week |
| | 1 Less than once a week |
| | 0 Never |
| SCHL-37-AGECK [C51017.00] | Section: SCHOOLING - CHILD REPORT |
{CSAGE}<12
COMMENT: This question was formerly CSAS026-AGECK in the Child Self-Administered Supplement.
If Answer = 1 Then Go To SCHL-37B
| SCHL-37B [C51018.00] | Section: SCHOOLING - CHILD REPORT |
Between the time school lets out and dinner time...
...how often do you go to after-school care or extended day care?
COMMENT: This question was formerly CSAS026B in the Child Self-Administered Supplement.
| | 4 Every day or almost every day |
| | 3 Several times a week |
| | 2 About once a week |
| | 1 Less than once a week |
| | 0 Never |
| SCHL-37C [C51019.00] | Section: SCHOOLING - CHILD REPORT |
Between the time school lets out and dinner time...
...how often do you go to a rec center, community center, YMCA/YWCA, or Boys or Girls Club?
COMMENT: This question was formerly CSAS026I in the Child Self-Administered Supplement.
| | 4 Every day or almost every day |
| | 3 Several times a week |
| | 2 About once a week |
| | 1 Less than once a week |
| | 0 Never |
| SCHL-37D [C51020.00] | Section: SCHOOLING - CHILD REPORT |
Between the time school lets out and dinner time...
...how often do you go to a sports facility, such as a health club, ball field, basketball court or gym?
COMMENT: This question was formerly CSAS026J in the Child Self-Administered Supplement.
| | 4 Every day or almost every day |
| | 3 Several times a week |
| | 2 About once a week |
| | 1 Less than once a week |
| | 0 Never |
| SCHL-38 [C51021.00] | Section: SCHOOLING - CHILD REPORT |
If you go home after school lets out, is an adult usually present when you get there?
COMMENT: This question was formerly CSAS027 in the Child Self-Administered Supplement.
| | 1 Yes |
| | 0 No |
| | 2 I go somewhere else after school |
| SCHL-39A [C51022.00] | Section: SCHOOLING - CHILD REPORT |
Do you belong to any sports teams, clubs, or organized sports activities (either in or out of school)?
COMMENT: This question was formerly CSAS029A in the Child Self-Administered Supplement.
| SCHL-39B [C51023.00] | Section: SCHOOLING - CHILD REPORT |
Do you belong to any clubs or organizations NOT sports-related (either in or out of school)?
COMMENT: This question was formerly CSAS029B in the Child Self-Administered Supplement.
| SCHL-39-AGECK [C51024.00] | Section: SCHOOLING - CHILD REPORT |
{CSAGE}
COMMENT: This question was formerly CSAS029-AGECK in the Child Self-Administered Supplement.
If Answer = 14 Then Go To SCHL-39C
| SCHL-39C [C51025.00] | Section: SCHOOLING - CHILD REPORT |
Have you ever done any volunteer or community work that was organized or sponsored by your school?
COMMENT: This question was formerly CSAS029C in the Child Self-Administered Supplement.
| SCHL-39D [C51026.00] | Section: SCHOOLING - CHILD REPORT |
Have you ever done any volunteer or community work through organizations not related to school, such as Little League, scouts, service clubs, church groups, or social action groups?
COMMENT: This question was formerly CSAS029D in the Child Self-Administered Supplement.
| SCHL-39-VOLCHK [C51027.00] | Section: SCHOOLING - CHILD REPORT |
([SCHL-39C]==1) ||
([SCHL-39D]==1)
COMMENT: This question was formerly CSAS029-VOLCHK in the Child Self-Administered Supplement.
If Answer = 1 Then Go To SCHL-39E
| SCHL-39E [C51028.00] | Section: SCHOOLING - CHILD REPORT |
Was any of the volunteer or community work you have done required for one of your classes or by your school?
COMMENT: This question was formerly CSAS029E in the Child Self-Administered Supplement.
| SCHL-39F [C51029.00] | Section: SCHOOLING - CHILD REPORT |
Was any of the volunteer or community work you have done required or sponsored by a religious organization or group (such as your church)?
COMMENT: This question was formerly CSAS029F in the Child Self-Administered Supplement.
| SCHL-39G [C51030.00] | Section: SCHOOLING - CHILD REPORT |
Which organizations are you or were you involved with in volunteer or community service work?
SELECT ALL THAT APPLY.
COMMENT: This question was formerly CSAS029H in the Child Self-Administered Supplement.
| | 1 Youth organization like Scouting |
| | 2 Service organization like Red Cross |
| | 3 Political club or organization |
| | 4 Church-related group |
| | 5 Community center |
| | 6 Neighborhood improvement |
| | 7 Social action group |
| | 8 Hospital or nursing home volunteer |
| | 9 Educational organization |
| | 10 Environmental/recycling |
| SCHL-40A [C51031.00] | Section: SCHOOLING - CHILD REPORT |
(REFER TO SCHOOLING SHOWCARD ANSWER LIST #4.)
Think about how you spend your time on a usual day during the summer.
During the summer, how often do you spend time with friends?
COMMENT: This question was formerly CSAS031A in the Child Self-Administered Supplement.
| | 4 Every day or almost every day |
| | 3 Several times a week |
| | 2 About once a week |
| | 1 Less than once a week |
| | 0 Never |
| SCHL-40B [C51032.00] | Section: SCHOOLING - CHILD REPORT |
During the summer...
...how often do you read books or magazines for fun?
COMMENT: This question was formerly CSAS031B in the Child Self-Administered Supplement.
| | 4 Every day or almost every day |
| | 3 Several times a week |
| | 2 About once a week |
| | 1 Less than once a week |
| | 0 Never |
| SCHL-40C [C51033.00] | Section: SCHOOLING - CHILD REPORT |
During the summer...
...how often do you do chores around the house?
COMMENT: This question was formerly CSAS031C in the Child Self-Administered Supplement.
| | 4 Every day or almost every day |
| | 3 Several times a week |
| | 2 About once a week |
| | 1 Less than once a week |
| | 0 Never |
| SCHL-40D [C51034.00] | Section: SCHOOLING - CHILD REPORT |
During the summer...
...how often do you work for pay?
COMMENT: This question was formerly CSAS031D in the Child Self-Administered Supplement.
| | 4 Every day or almost every day |
| | 3 Several times a week |
| | 2 About once a week |
| | 1 Less than once a week |
| | 0 Never |
| SCHL-40E [C51035.00] | Section: SCHOOLING - CHILD REPORT |
During the summer...
...how often do you go to school, attend a class, or do school work?
COMMENT: This question was formerly CSAS031E in the Child Self-Administered Supplement.
| | 4 Every day or almost every day |
| | 3 Several times a week |
| | 2 About once a week |
| | 1 Less than once a week |
| | 0 Never |
| SCHL-40F [C51036.00] | Section: SCHOOLING - CHILD REPORT |
During the summer...
...how often do you go to an organized activity such as sports, music lessons, or camp?
COMMENT: This question was formerly CSAS031F in the Child Self-Administered Supplement.
| | 4 Every day or almost every day |
| | 3 Several times a week |
| | 2 About once a week |
| | 1 Less than once a week |
| | 0 Never |
| SCHL-40G [C51037.00] | Section: SCHOOLING - CHILD REPORT |
During the summer...
...how often do you watch TV?
COMMENT: This question was formerly CSAS031G in the Child Self-Administered Supplement.
| | 4 Every day or almost every day |
| | 3 Several times a week |
| | 2 About once a week |
| | 1 Less than once a week |
| | 0 Never |
| SCHL-40H [C51038.00] | Section: SCHOOLING - CHILD REPORT |
During the summer...
...how often do you go shopping or to the mall?
COMMENT: This question was formerly CSAS031H in the Child Self-Administered Supplement.
| | 4 Every day or almost every day |
| | 3 Several times a week |
| | 2 About once a week |
| | 1 Less than once a week |
| | 0 Never |
| SCHL-40I [C51039.00] | Section: SCHOOLING - CHILD REPORT |
During the summer...
...how often do you do things with your brother(s) or sister(s)?
COMMENT: This question was formerly CSAS031I in the Child Self-Administered Supplement.
| | 4 Every day or almost every day |
| | 3 Several times a week |
| | 2 About once a week |
| | 1 Less than once a week |
| | 0 Never |
| | 5 I have no brother or sister |
| SCHL-40J [C51040.00] | Section: SCHOOLING - CHILD REPORT |
During the summer...
...how often do you go to the playground or rec center?
COMMENT: This question was formerly CSAS031J in the Child Self-Administered Supplement.
| | 4 Every day or almost every day |
| | 3 Several times a week |
| | 2 About once a week |
| | 1 Less than once a week |
| | 0 Never |
| SCHL-40K [C51041.00] | Section: SCHOOLING - CHILD REPORT |
During the summer...
...how often do you go to a relative's or neighbor's house?
COMMENT: This question was formerly CSAS031K in the Child Self-Administered Supplement.
| | 4 Every day or almost every day |
| | 3 Several times a week |
| | 2 About once a week |
| | 1 Less than once a week |
| | 0 Never |
| CS-WORK-AGECK [C51043.00] | Section: ASTHMA, WORK AND RELIGION |
{CSAGE} >= 10 &&
{CSPERMSTAT}==1 &&
({CSUPSQXCONSNT}==1 || {CSUPSQXCONSNT}==2)
COMMENT: Internal Function
If Answer = 1 Then Go To CS-WORKFORPAY
| CS-WORKFORPAY [C51044.00] | Section: ASTHMA, WORK AND RELIGION |
Now I'm going to ask you some questions about work.
Not counting jobs around the house, do you ever do any work for pay (including babysitting, paper route, or yard work for neighbors)?
| CS-TYPEOFWORK [C51045.00] | Section: ASTHMA, WORK AND RELIGION |
If you do any work for pay outside your own home, what do you do? (What are your duties)?
SELECT ALL THAT APPLY.
| | 1 Babysitting |
| | 2 Cleaning house; housework |
| | 3 Yard work; mow lawns |
| | 4 Fast food worker |
| | 5 Waiting tables |
| | 6 Clerk, bag person, cashier, sales person |
| | 7 Newspaper carrier or paper delivery |
| | 8 Plant care, pet care, or house care for neighbors who are away |
| | 9 Farm work, field work, agricultural |
| | 10 Construction, painting, carpentry, wiring |
| | 11 Office work, typing, filing, answer phones |
| | 12 Other (SPECIFY) |
| CS-WORKFREQ [C51046.00] | Section: ASTHMA, WORK AND RELIGION |
When you do these kinds of jobs, how often do you usually work?
| | 1 About once a month |
| | 2 A few times a month |
| | 3 About once a week |
| | 4 A few times a week |
| | 5 4 or more times a week |
| | 6 Every day |
| CS-HRSPERWK [C51047.00] | Section: ASTHMA, WORK AND RELIGION |
Please think about the last three months. How many hours have you worked in a usual week (when you were working)?
INTERVIEWER: RECORD # OF HOURS. IF A CHILD GIVES AN AMOUNT IN FRACTIONS OF AN HOUR, ROUND TO THE NEAREST HALF HOUR.
COMMENT: 1 IMPLIED DECIMAL PLACE
| CS-EARNPERWK [C51048.00] | Section: ASTHMA, WORK AND RELIGION |
On the average, how much money do you USUALLY MAKE in a week?
(ENTER AMOUNT PER WEEK, WITH DECIMAL POINT - e.g., 999.99)
.
| CS-WORK35-AGECK [C51049.00] | Section: ASTHMA, WORK AND RELIGION |
{CSAGE} >= 13
COMMENT: Internal Function
If Answer = 1 Then Go To CS-WORK35
| CS-WORK35 [C51050.00] | Section: ASTHMA, WORK AND RELIGION |
If, by some chance, you were to get enough money by age 35 to live comfortably without working, do you think you would work anyway?
| CS-ASTHMA-1A [C51051.00] | Section: ASTHMA, WORK AND RELIGION |
(REFER TO SHOWCARD ANSWER LIST #5.)
Now please think about your health during the last month. Asthma (is something that) can make you cough or wheeze even if you don't have a cold or the flu. You can have shortness of breath, a tight feeling in your chest or a lot of extra phlegm.
In the past month how often did you have a cough without having a cold or the flu?
| | 0 Not at all (in the past month) |
| | 1 Less than once a week |
| | 2 Once or twice a week |
| | 3 More than 2 times a week |
| | 4 Every day, once per day |
| | 5 Every day, more than once per day |
| CS-ASTHMA-1B [C51052.00] | Section: ASTHMA, WORK AND RELIGION |
In the past month how often did you have any wheezing without having a cold or the flu?
| | 0 Not at all (in the past month) |
| | 1 Less than once a week |
| | 2 Once or twice a week |
| | 3 More than 2 times a week |
| | 4 Every day, once per day |
| | 5 Every day, more than once per day |
| CS-ASTHMA-1C [C51053.00] | Section: ASTHMA, WORK AND RELIGION |
In the past month how often did you have any shortness of breath without having a cold or the flu?
| | 0 Not at all (in the past month) |
| | 1 Less than once a week |
| | 2 Once or twice a week |
| | 3 More than 2 times a week |
| | 4 Every day, once per day |
| | 5 Every day, more than once per day |
| CS-ASTHMA-1D [C51054.00] | Section: ASTHMA, WORK AND RELIGION |
In the past month how often did you feel any tightness in your chest without having a cold or the flu?
| | 0 Not at all (in the past month) |
| | 1 Less than once a week |
| | 2 Once or twice a week |
| | 3 More than 2 times a week |
| | 4 Every day, once per day |
| | 5 Every day, more than once per day |
| CS-ASTHMA-1E [C51055.00] | Section: ASTHMA, WORK AND RELIGION |
In the past month how often did you have any extra phlegm without a cold or flu?
| | 0 Not at all (in the past month) |
| | 1 Less than once a week |
| | 2 Once or twice a week |
| | 3 More than 2 times a week |
| | 4 Every day, once per day |
| | 5 Every day, more than once per day |
| CS-ASTHMA-RESPCHK [C51056.00] | Section: ASTHMA, WORK AND RELIGION |
[CS-ASTHMA-1A] > 0 ||
[CS-ASTHMA-1B] > 0 ||
[CS-ASTHMA-1C] > 0 ||
[CS-ASTHMA-1D] > 0 ||
[CS-ASTHMA-1E] > 0
COMMENT: Internal Function
If Answer = 1 Then Go To CS-ASTHMA-2A
| CS-ASTHMA-2A [C51057.00] | Section: ASTHMA, WORK AND RELIGION |
(REFER TO SHOWCARD ANSWER LIST #6.)
In the past month (30 days) how much did asthma (or any of the symptoms I asked about) limit you from...
...doing your schoolwork?
| | 0 Not at all |
| | 1 A little |
| | 2 Somewhat |
| | 3 A lot |
| CS-ASTHMA-2B [C51058.00] | Section: ASTHMA, WORK AND RELIGION |
(In the past month (30 days) how much did asthma (or any of the above symptoms) limit you from...)
...participating in gym or phys ed classes?
| | 0 Not at all |
| | 1 A little |
| | 2 Somewhat |
| | 3 A lot |
| CS-ASTHMA-2C [C51059.00] | Section: ASTHMA, WORK AND RELIGION |
(In the past month (30 days) how much did asthma (or any of the above symptoms) limit you from...)
...doing sports or bike riding or running?
| | 0 Not at all |
| | 1 A little |
| | 2 Somewhat |
| | 3 A lot |
| CS-RELIGION [C51060.00] | Section: ASTHMA, WORK AND RELIGION |
What is your present religion, if any?
INTERVIEWER: SELECT ALL THAT APPLY.
| | 1 BAPTIST |
| | 2 EPISCOPALIAN |
| | 3 LUTHERAN |
| | 4 METHODIST |
| | 5 PRESBYTERIAN |
| | 6 ROMAN CATHOLIC |
| | 7 JEWISH |
| | 8 MUSLIM, MOSLEM; ISLAM |
| | 9 MORMON |
| | 10 OTHER CHRISTIAN (SPECIFY) |
| | 11 OTHER PROTESTANT (SPECIFY) |
| | 12 OTHER (SPECIFY) |
| | 13 NONE |
| CSAS-FLAG-EXIST [C51062.00] | Section: Self-Administered Section (CSAS) |
VAREXIST([CHILD IS ELIGIBLE FOR CSAS])
If Answer = 1 Then Go To CSAS-FLAG-CHK
| CSAS-FLAG-CHK [C51063.00] | Section: Self-Administered Section (CSAS) |
{CSAS_ELIGIBLE}
If Answer = 1 Then Go To CSAS-PERMCHK
| CSAS-AGE-CHK [] | Section: Self-Administered Section (CSAS) |
{CS_CHILDDOB~Y}>=1996 &&
{CS_CHILDDOB~Y}<=2000
COMMENT: Internal Function
If Answer = 1 Then Go To CSAS-PERMCHK
| CSAS-PERMCHK [C51064.00] | Section: Self-Administered Section (CSAS) |
{CSPERMSTAT}==1 &&
({CSUPSQXCONSNT}==1 || {CSUPSQXCONSNT}==2)
If Answer = 1 Then Go To CSAS-STARTSCREEN
| CSAS-STARTSCREEN [] | Section: Self-Administered Section (CSAS) |
INTERVIEWER: YOU ARE BEGINNING THE CHILD SELF-ADMINISTERED SECTION (CSAS).
CLICK "Submit and Continue" TO PROCEED....
| CSAS-ADMIN-NOW [C51067.00] | Section: Self-Administered Section (CSAS) |
INTERVIEWER: WHEN DO YOU PLAN TO ADMINISTER THE CHILD SELF-ADMINISTERED SECTION (CSAS)?
| | 1 NOW ...(Go To CSAS-AGE9CK1) |
| | 2 LATER (EITHER IN-PERSON OR BY PHONE) |
| CSAS-FI-EXITINSTRUCT [] | Section: Self-Administered Section (CSAS) |
INTERVIEWER: EXIT NOW BY CLICKING ON THE "DISKETTE" ICON.
IF YOU ARE REOPENING THIS CASE, BACK UP TO QUESTION CSAS-STARTSCREEN BEFORE CONTINUING THE INTERVIEW.
NOTE: NO VALID SCREENS FOLLOW.
| CSAS-AGE9CK1 [C51071.00] | Section: Self-Administered Section (CSAS) |
{CSASAGE}
COMMENT: Internal Function
If Answer = 9 Then Go To CSAS-ADMINMODE
| CSAS-CONSENT1 [] | Section: Self-Administered Section (CSAS) |
INTERVIEWER: (HAND CHILD "CONSENT" CARD) AND READ ALOUD:
This part of the survey asks about your activities, experiences, and attitudes. If any question is not clear, the interviewer will help you. You do NOT have to answer any question you would rather not answer.
CLICK "Submit and Continue" TO PROCEED....
| CSAS-CONSENT2 [] | Section: Self-Administered Section (CSAS) |
The interviewer does not see your answers and they will not be shown to your parents. Your name is not released to people who use the information in this study. Your answers are private and are protected by law. If you have any questions about this, the interviewer will answer them.
CLICK "Submit and Continue" TO PROCEED....
| CSAS-ADMINMODE [C51072.00] | Section: Self-Administered Section (CSAS) |
INTERVIEWER: HOW IS THE CSAS BEING ADMINISTERED?
| CSAS-REFUSED [] | Section: Self-Administered Section (CSAS) |
INTERVIEWER: YOU INDICATED THAT THE CSAS SECTION IS BEING REFUSED.
IF THIS IS AN ERROR, BACKUP AND CORRECT ANSWER TO "CSAS-ADMINMODE".
OTHERWISE, THE SECTION WILL BE SKIPPED.
CLICK "Submit and Continue" TO PROCEED....
| CSAS-SKIP-OTHER [C51073.00] | Section: Self-Administered Section (CSAS) |
INTERVIEWER: YOU INDICATED THAT THE CHILD SELF-ADMINISTERED SECTION WILL BE SKIPPED FOR A REASON OTHER THAN PARENT OR CHILD REFUSAL- ENTER REASON WHY BELOW.
| CSAS-BEGNEXT-SELF [] | Section: Self-Administered Section (CSAS) |
INTERVIEWER:
- YOU INDICATED THAT CHILD IS SELF-ADMINISTERING THIS SECTION.
- INSTRUCTIONS CHILDREN SELF-ADMINISTERING ARE IN SENTENCE CASE AND BLUE. USE YOUR DISCRETION -- YOU MAY READ THE INSTRUCTIONS OR QUESTIONS OUT LOUD TO CHILD OR NOT, DEPENDING ON THE SITUATION.
- ON THE NEXT SCREEN, TURN LAPTOP TOWARD CHILD. ASSIST CHILD AS NEEDED.
CLICK "Submit and Continue" TO PROCEED....
| CSAS-BEGNEXT-INTVWR [] | Section: Self-Administered Section (CSAS) |
INTERVIEWER:
- YOU INDICATED THAT YOU ARE ADMINISTERING THE CHILD SELF-ADMINISTERED SUPPLEMENT SECTION TO THE CHILD.
- INSTRUCTIONS MEANT FOR CHILDREN WHO ARE SELF-ADMINISTERING APPEAR IN SENTENCE CASE AND BLUE. USE YOUR DISCRETION -- YOU MAY READ THESE OUT LOUD OR NOT DEPENDING ON THE QUESTION.
CLICK "Submit and Continue" TO PROCEED TO THE FIRST QUESTION....
| CSAS-CHLD-BEGIN [] | Section: Self-Administered Section (CSAS) |
Welcome!
You are about to complete the SELF-ADMINISTERED section,
intended for kids age 10 to 14 years by Dec. 31, 2010.
CLICK "Submit and Continue" TO GO TO THE NEXT SCREEN...
| CSAS-P1 [] | Section: Self-Administered Section (CSAS) |
First, a few practice items. Your interviewer can help you with these if you want.
CLICK "Submit and Continue" TO GO TO THE NEXT SCREEN...
| CSAS-P2 [] | Section: Self-Administered Section (CSAS) |
In most questions you will use the mouse to click and choose your answer.
Then you will click "Submit and Continue" to save your answer and go to the next question.
Click "Submit and Continue" now...
| CSAS-P3 [C51074.00] | Section: Self-Administered Section (CSAS) |
Are you a boy or a girl?
Click on your answer (or the circle or "radio button" next to your answer).
Then click "Submit and Continue"....
| CSAS-P5-AGE [C51075.00] | Section: Self-Administered Section (CSAS) |
Sometimes you will enter your answer into a box. Just click on the box and then type the numbers to enter your answer. Let's try a few...
How old are you?
| CSAS-P5-HGTFT [C51076.00] | Section: Self-Administered Section (CSAS) |
How tall are you?
.
| CSAS-P5-HGTIN [C51077.00] | Section: Self-Administered Section (CSAS) |
| CSAS-P5-WGT [C51078.00] | Section: Self-Administered Section (CSAS) |
How much do you weigh?
.
| CSAS-P6 [] | Section: Self-Administered Section (CSAS) |
Some questions can have more than one answer. For these questions, you can choose all the answers you want to. Let's try one....
Click "Submit and Continue"...
| CSAS-P7 [C51079.00] | Section: Self-Administered Section (CSAS) |
What do you like to do after school?
PLEASE, SELECT ALL THAT APPLY.
Click "Submit and Continue" when you are finished....
| | 1 Play outside |
| | 2 Watch TV |
| | 3 Do homework |
| | 4 Read |
| | 5 Go to a friend's house |
| | 6 Listen to music |
| | 7 Play video or computer games |
| | 8 Something else |
| CSAS-P8 [C51080.00] | Section: Self-Administered Section (CSAS) |
For most questions, "Don't Know" and "Refuse" buttons are displayed below the answer choices. Try one now, then click "Submit and Continue" to record your answer.
| CSAS-P9 [] | Section: Self-Administered Section (CSAS) |
You can click the BLUE ARROW (pointing to the left) to go back one and change your answer if you really want to.
To go forward, you have to answer the questions all over again, so don't go too far back!
If you have any trouble, ask the interviewer to help you. Ok, Let's begin!
Click "Submit and Continue" to start...
| CSAS001 [C51081.00] | Section: Self-Administered Section (CSAS) |
Within the last MONTH have you and your parent(s). . .
PLEASE, SELECT ALL THAT APPLY.
| | 1 Gone to the movies together? |
| | 2 Gone out to dinner? |
| | 3 Gone shopping or to get something for you - such as clothes, books, CDs, DVDs or games? |
| | 4 Gone on an outing together, like to a museum or sporting event? |
| | 5 Gone to church or religious services together? |
| | 6 None of the above? |
| CSAS002 [C51082.00] | Section: Self-Administered Section (CSAS) |
Within the last WEEK have you and your parent(s). . .
PLEASE, SELECT ALL THAT APPLY.
| | 1 Done things together, such as build or make things, cook, do arts and crafts or sew? |
| | 2 Worked on schoolwork together? |
| | 3 Played a game or sport? |
| | 4 None of the above? |
| CSAS003 [C51083.00] | Section: Self-Administered Section (CSAS) |
What tasks are you regularly expected to help out with in your home? Do you help with...
PLEASE, SELECT ALL THAT APPLY.
| | 1 Straightening your room? |
| | 2 Keeping the rest of the house clean? |
| | 3 Doing the dishes? |
| | 4 Cooking? |
| | 5 Taking out the trash? |
| | 6 Pet care? |
| | 7 None of the above? |
| CSAS-AGE9CK2 [C51084.00] | Section: Self-Administered Section (CSAS) |
{CSASAGE}
COMMENT: Internal Function
If Answer = 9 Then Go To CSAS-AGE9CK3
| CSAS004A [C51085.00] | Section: Self-Administered Section (CSAS) |
In your home, are there any rules about watching television?
| CSAS005A [C51086.00] | Section: Self-Administered Section (CSAS) |
How much say do you have in making the rules about watching television? (How much do you get to help decide about the rules?)
| | 1 No say at all |
| | 2 A little say |
| | 3 Some say |
| | 4 A lot of say |
| CSAS006A [C51087.00] | Section: Self-Administered Section (CSAS) |
How often do you argue with your parent(s) about watching television?
| | 1 Hardly ever |
| | 2 Sometimes |
| | 3 Often |
| CSAS004B [C51088.00] | Section: Self-Administered Section (CSAS) |
In your home, are there any rules about keeping your parent(s) informed about where you are?
| CSAS005B [C51089.00] | Section: Self-Administered Section (CSAS) |
How much say do you have in making the rules about keeping them informed about where you are?
| | 1 No say at all |
| | 2 A little say |
| | 3 Some say |
| | 4 A lot of say |
| CSAS006B [C51090.00] | Section: Self-Administered Section (CSAS) |
How often do you argue with your parent(s) about keeping them informed about where you are?
| | 1 Hardly ever |
| | 2 Sometimes |
| | 3 Often |
| CSAS004C [C51091.00] | Section: Self-Administered Section (CSAS) |
In your home, are there any rules about doing your homework?
| CSAS005C [C51092.00] | Section: Self-Administered Section (CSAS) |
How much say do you have in making the rules about doing your homework?
| | 1 No say at all |
| | 2 A little say |
| | 3 Some say |
| | 4 A lot of say |
| CSAS006C [C51093.00] | Section: Self-Administered Section (CSAS) |
How often do you argue with your parent(s) about doing your homework?
| | 1 Hardly ever |
| | 2 Sometimes |
| | 3 Often |
| CSAS004D [C51094.00] | Section: Self-Administered Section (CSAS) |
In your home, are there any rules about dating and going to parties with boys and girls?
| | 1 Yes |
| | 0 No |
| | 2 No, I'm too young - haven't talked about it ...(Go To CSAS007A) |
| CSAS005D [C51095.00] | Section: Self-Administered Section (CSAS) |
How much say do you have in making the rules about dating and going to parties with boys and girls?
| | 1 No say at all |
| | 2 A little say |
| | 3 Some say |
| | 4 A lot of say |
| | 5 I'm too young. |
| | 6 We haven't talked about it yet. |
| CSAS006D [C51096.00] | Section: Self-Administered Section (CSAS) |
How often do you argue with your parent(s) about dating and going to parties with boys and girls?
| | 1 Hardly ever |
| | 2 Sometimes |
| | 3 Often |
| | 4 I'm too young |
| | 5 We haven't talked about it yet. |
| CSAS007A [C51097.00] | Section: Self-Administered Section (CSAS) |
How often does your mother talk over important decisions with you?
| | 1 Often |
| | 2 Sometimes |
| | 3 Hardly ever |
| CSAS008A [C51098.00] | Section: Self-Administered Section (CSAS) |
How often does your mother listen to your side of an argument?
| | 1 Often |
| | 2 Sometimes |
| | 3 Hardly ever |
| CSAS009A [C51099.00] | Section: Self-Administered Section (CSAS) |
About how often does your mother know who you are with when you're not home?
| | 1 Often |
| | 2 Sometimes |
| | 3 Hardly Ever |
| CSAS017 [C51100.00] | Section: Self-Administered Section (CSAS) |
Do you live with your biological father or stepfather?
| | 1 Biological father (full or part-time) ...(Go To CSAS007B-DADCHK) |
| | 2 Stepfather (full or part time) |
| | 3 Neither |
| | 4 Live part-time with biological father and part-time with stepfather ...(Go To CSAS007B-DADCHK) |
| CSAS017A [C51101.00] | Section: Self-Administered Section (CSAS) |
Do you (or your mother) ever see, or talk to, your biological father?
| | 1 Yes |
| | 0 No |
| | 2 My father is deceased |
| CSAS007B-DADCHK [C51104.00] | Section: Self-Administered Section (CSAS) |
{CSAS_ASKDADQS}
COMMENT: Internal Function
If Answer = 1 Then Go To CSAS007B
| CSAS007B [C51105.00] | Section: Self-Administered Section (CSAS) |
How often does your father talk over important decisions with you?
| | 1 Often |
| | 2 Sometimes |
| | 3 Hardly ever |
| CSAS008B [C51106.00] | Section: Self-Administered Section (CSAS) |
How often does your father listen to your side of an argument?
| | 1 Often |
| | 2 Sometimes |
| | 3 Hardly ever |
| CSAS009B [C51107.00] | Section: Self-Administered Section (CSAS) |
About how often does your father know who you are with when you're not home?
| | 1 Often |
| | 2 Sometimes |
| | 3 Hardly ever |
| CSAS007C-DADCHK [C51108.00] | Section: Self-Administered Section (CSAS) |
{CSAS_ASKSTDADQS}
COMMENT: Internal Function
If Answer = 1 Then Go To CSAS007C
| CSAS007C [C51109.00] | Section: Self-Administered Section (CSAS) |
How often does your stepfather talk over important decisions with you?
| | 1 Often |
| | 2 Sometimes |
| | 3 Hardly ever |
| CSAS008C [C51110.00] | Section: Self-Administered Section (CSAS) |
How often does your stepfather listen to your side of an argument?
| | 1 Often |
| | 2 Sometimes |
| | 3 Hardly ever |
| CSAS009C [C51111.00] | Section: Self-Administered Section (CSAS) |
About how often does your stepfather know who you are with when you're not home?
| | 1 Often |
| | 2 Sometimes |
| | 3 Hardly ever |
| CSAS010A [C51112.00] | Section: Self-Administered Section (CSAS) |
Who usually makes the decisions about buying your clothes?
PLEASE, SELECT ALL THE PEOPLE WHO HELP DECIDE.
| | 1 You (I do) |
| | 2 Mother |
| | 3 Father |
| | 4 Stepfather |
| | 5 Stepmother |
| | 6 Grandparent(s) |
| | 7 Friends |
| | 8 Someone else not listed here |
| | 9 No one |
| CSAS010B [C51113.00] | Section: Self-Administered Section (CSAS) |
Who usually makes the decisions about how to spend your money?
PLEASE, SELECT ALL THE PEOPLE WHO HELP DECIDE.
| | 1 You (I do) |
| | 2 Mother |
| | 3 Father |
| | 4 Stepfather |
| | 5 Stepmother |
| | 6 Grandparent(s) |
| | 7 Friends |
| | 8 Someone else not listed here |
| | 9 No one |
| CSAS010C [C51114.00] | Section: Self-Administered Section (CSAS) |
Who usually makes the decisions about which friends to go out with?
PLEASE, SELECT ALL THE PEOPLE WHO HELP DECIDE.
| | 1 You (I do) |
| | 2 Mother |
| | 3 Father |
| | 4 Stepfather |
| | 5 Stepmother |
| | 6 Grandparent(s) |
| | 7 Friends |
| | 8 Someone else not listed here |
| | 9 No one |
| CSAS010D [C51115.00] | Section: Self-Administered Section (CSAS) |
Who usually makes the decisions about how late you can stay out?
PLEASE, SELECT ALL THE PEOPLE WHO HELP DECIDE.
| | 1 You (I do) |
| | 2 Mother |
| | 3 Father |
| | 4 Stepfather |
| | 5 Stepmother |
| | 6 Grandparent(s) |
| | 7 Friends |
| | 8 Someone else not listed here |
| | 9 No one |
| CSAS010E [C51116.00] | Section: Self-Administered Section (CSAS) |
Who usually makes the decisions about how much allowance you get?
PLEASE, SELECT ALL THE PEOPLE WHO HELP DECIDE.
| | 1 You (I do) |
| | 2 Mother |
| | 3 Father |
| | 4 Stepfather |
| | 5 Stepmother |
| | 6 Grandparent(s) |
| | 7 Friends |
| | 8 Someone else not listed here |
| | 9 No one |
| | 10 Do not get an allowance |
| CSAS010F [C51117.00] | Section: Self-Administered Section (CSAS) |
Who usually makes the decisions about how much TV you can watch?
PLEASE, SELECT ALL THE PEOPLE WHO HELP DECIDE.
| | 1 You (I do) |
| | 2 Mother |
| | 3 Father |
| | 4 Stepfather |
| | 5 Stepmother |
| | 6 Grandparent(s) |
| | 7 Friends |
| | 8 Someone else not listed here |
| | 9 No one |
| CSAS010G [C51118.00] | Section: Self-Administered Section (CSAS) |
Who usually makes the decisions about your religious training?
PLEASE, SELECT ALL THE PEOPLE WHO HELP DECIDE.
| | 1 You (I do) |
| | 2 Mother |
| | 3 Father |
| | 4 Stepfather |
| | 5 Stepmother |
| | 6 Grandparent(s) |
| | 7 Friends |
| | 8 Someone else not listed here |
| | 9 No one |
| CSAS011A-INTRO [] | Section: Self-Administered Section (CSAS) |
For the next few items, please think about the time you spend with your MOTHER.
(Click "Submit and Continue" )
| CSAS011A [C51119.00] | Section: Self-Administered Section (CSAS) |
Do you think your mother spends enough time with you?
| | 1 Spends enough time with me |
| | 2 Wish she spent more time with me |
| | 3 Spends too much time with me |
| CSAS012A [C51120.00] | Section: Self-Administered Section (CSAS) |
About how often does your mother miss the events or activities that are important to you?
| | 1 Misses events a lot |
| | 2 Sometimes misses events |
| | 3 Almost never misses events |
| CSAS013A [C51121.00] | Section: Self-Administered Section (CSAS) |
How close do you feel to your mother?
| | 4 Extremely close |
| | 3 Quite close |
| | 2 Fairly close |
| | 1 Not very close |
| CSAS014A [C51122.00] | Section: Self-Administered Section (CSAS) |
How well do you and your mother share ideas or talk about things that really matter?
| | 4 Extremely well |
| | 3 Quite well |
| | 2 Fairly well |
| | 1 Not very well |
| CSAS011B-DADCHK [C51123.00] | Section: Self-Administered Section (CSAS) |
{CSAS_ASKDADQS}
COMMENT: Internal Function
If Answer = 1 Then Go To CSAS011B-INTRO
| CSAS011B-INTRO [] | Section: Self-Administered Section (CSAS) |
Now think about the time you spend with your FATHER....
(Click "Submit and Continue" )
| CSAS011B [C51124.00] | Section: Self-Administered Section (CSAS) |
Do you think your father spends enough time with you?
| | 1 Spends enough time with me |
| | 2 Wish he spent more time with me |
| | 3 Spends too much time with me |
| CSAS012B [C51125.00] | Section: Self-Administered Section (CSAS) |
About how often does your father miss the events or activities that are important to you?
| | 1 Misses events a lot |
| | 2 Sometimes misses events |
| | 3 Almost never misses events |
| CSAS013B [C51126.00] | Section: Self-Administered Section (CSAS) |
How close do you feel to your father?
| | 4 Extremely close |
| | 3 Quite close |
| | 2 Fairly close |
| | 1 Not very close |
| CSAS014B [C51127.00] | Section: Self-Administered Section (CSAS) |
How well do you and your father share ideas or talk about things that really matter?
| | 4 Extremely well |
| | 3 Quite well |
| | 2 Fairly well |
| | 1 Not very well |
| CSAS011C-DADCHK [C51128.00] | Section: Self-Administered Section (CSAS) |
{CSAS_ASKSTDADQS}
COMMENT: Internal Function
If Answer = 1 Then Go To CSAS011C-INTRO
| CSAS011C-INTRO [] | Section: Self-Administered Section (CSAS) |
Now think about the time you spend with your STEPFATHER....
(Click "Submit and Continue" )
| CSAS011C [C51129.00] | Section: Self-Administered Section (CSAS) |
Do you think your stepfather spends enough time with you?
| | 1 Spends enough time with me |
| | 2 Wish he spent more time with me |
| | 3 Spends too much time with me |
| CSAS012C [C51130.00] | Section: Self-Administered Section (CSAS) |
About how often does your stepfather miss the events or activities that are important to you?
| | 1 Misses events a lot |
| | 2 Sometimes misses events |
| | 3 Almost never misses events |
| CSAS013C [C51131.00] | Section: Self-Administered Section (CSAS) |
How close do you feel to your stepfather?
| | 4 Extremely close |
| | 3 Quite close |
| | 2 Fairly close |
| | 1 Not very close |
| CSAS014C [C51132.00] | Section: Self-Administered Section (CSAS) |
How well do you and your stepfather share ideas or talk about things that really matter?
| | 4 Extremely well |
| | 3 Quite well |
| | 2 Fairly well |
| | 1 Not very well |
| CSAS015 [C51133.00] | Section: Self-Administered Section (CSAS) |
In dealing with you, how often do your mother and father (or the person you think of as your father) agree with each other?
| | 1 Always agree |
| | 2 Usually agree |
| | 3 Sometimes agree |
| | 4 Never agree |
| | 5 I only have one parent ...(Go To CSAS018D) |
| CSAS016 [C51134.00] | Section: Self-Administered Section (CSAS) |
When you answered this last question about how well your mother and father agree, were you thinking about your biological father, (the man who helped create you) or someone else?
| | 1 Biological father |
| | 2 Stepfather |
| | 3 Someone else |
| CSAS018-DADCHK [C51135.00] | Section: Self-Administered Section (CSAS) |
{CSAS_ASKDADQS}
COMMENT: Internal Function
If Answer = 1 Then Go To CSAS018A
| CSAS018A [C51136.00] | Section: Self-Administered Section (CSAS) |
The following questions deal with relations between your mother and your biological father.
How often do your biological parents get along well together?
| | 1 Never |
| | 2 Once in a while |
| | 3 Fairly often |
| | 4 Very often |
| CSAS018B [C51137.00] | Section: Self-Administered Section (CSAS) |
How often do your biological parents agree about rules about you?
| | 1 Never |
| | 2 Once in a while |
| | 3 Fairly often |
| | 4 Very often |
| CSAS018C [C51138.00] | Section: Self-Administered Section (CSAS) |
How often do your biological parents argue?
| | 1 Never |
| | 2 Once in a while |
| | 3 Fairly often |
| | 4 Very often |
| CSAS018D [C51139.00] | Section: Self-Administered Section (CSAS) |
How often do you hesitate to talk about your biological father in front of your mother?
| | 1 Never |
| | 2 Once in a while |
| | 3 Fairly often |
| | 4 Very often |
| CSAS018E-DADCHK [C51140.00] | Section: Self-Administered Section (CSAS) |
{CSAS_ASKDADQS}
COMMENT: Internal Function
If Answer = 1 Then Go To CSAS018E
| CSAS018E [C51141.00] | Section: Self-Administered Section (CSAS) |
How often do you hesitate to talk about your mother in front of your biological father?
| | 1 Never |
| | 2 Once in a while |
| | 3 Fairly often |
| | 4 Very often |
| CSAS018F [C51142.00] | Section: Self-Administered Section (CSAS) |
How often do you feel caught in the middle of your biological parents?
| | 1 Never |
| | 2 Once in a while |
| | 3 Fairly often |
| | 4 Very often |
| CSAS019A-DADCHK [C51143.00] | Section: Self-Administered Section (CSAS) |
{CSAS_ASKSTDADQS}
COMMENT: Internal Function
If Answer = 1 Then Go To CSAS019A
| CSAS019A [C51144.00] | Section: Self-Administered Section (CSAS) |
The following questions deal with relations between your mother and your stepfather.
How often do your mother and stepfather get along well together?
| | 1 Never |
| | 2 Once in a while |
| | 3 Fairly often |
| | 4 Very often |
| CSAS019B [C51145.00] | Section: Self-Administered Section (CSAS) |
How often do your mother and stepfather agree about rules about you?
| | 1 Never |
| | 2 Once in a while |
| | 3 Fairly often |
| | 4 Very often |
| CSAS019C [C51146.00] | Section: Self-Administered Section (CSAS) |
How often do your mother and stepfather argue?
| | 1 Never |
| | 2 Once in a while |
| | 3 Fairly often |
| | 4 Very often |
| CSAS019D [C51147.00] | Section: Self-Administered Section (CSAS) |
How often do you hesitate to talk about your stepfather in front of your mother?
| | 1 Never |
| | 2 Once in a while |
| | 3 Fairly often |
| | 4 Very often |
| CSAS019E [C51148.00] | Section: Self-Administered Section (CSAS) |
How often do you hesitate to talk about your mother in front of your stepfather?
| | 1 Never |
| | 2 Once in a while |
| | 3 Fairly often |
| | 4 Very often |
| CSAS019F [C51149.00] | Section: Self-Administered Section (CSAS) |
How often do you feel caught in the middle of your mother and stepfather?
| | 1 Never |
| | 2 Once in a while |
| | 3 Fairly often |
| | 4 Very often |
| CSAS-MODECHK [C51150.00] | Section: Self-Administered Section (CSAS) |
[CSAS-ADMINMODE]
If Answer = 1 Then Go To CSAS-MATRIX-PRACTICE
| CSAS-MATRIX-PRACTICE [C51151.00] | Section: Self-Administered Section (CSAS) |
The next set of questions is a little different, so let's practice one first.
Read and answer each question one at a time. Then, click on the circle that shows your answer in the same line as the question. Follow the answer choices from the top down.
It's important that you read each part of the question carefully. The first part of the question goes with each item in the list.
Try this one:
On rainy Saturday afternoons, do you...
| | - ...watch reruns of old TV shows? |
| | - ...do homework? |
| | - ...play games? |
| | - ...clean your room? |
| CSAS020M [C51152.00] | Section: Self-Administered Section (CSAS) |
How much do you tell your parent(s) about...
| | - a. where you are when you are not at home? |
| | - b. whom you are with when you are not at home? |
| | - c. how you spend your money? |
| | - d. what kind of TV shows and movies you see? |
| | - e. who your teachers are? |
| | - f. what your homework is? |
| | 0 Nothing at all |
| | 1 Just a little |
| | 2 Some |
| | 3 A lot |
| CSAS21M [C51153.00] | Section: Self-Administered Section (CSAS) |
People have many moods. Sometimes they have different feelings from day to day. How often do you feel...
| | - a. sad and blue? |
| | - b. nervous, tense or on edge? |
| | - c. happy? |
| | - d. bored? |
| | - e. lonely? |
| | - f. tired or worn out? |
| | - g. excited about something that you're looking forward to? |
| | - h. too busy to get everything done? |
| | - i. pressured by your mother or father? |
| | 1 Often |
| | 2 Sometimes |
| | 3 Hardly ever |
| CSAS023-INTRO [] | Section: Self-Administered Section (CSAS) |
Here are some things that people say about their schools. We would like to know how well you think these sentences describe your school.
If you are out of school for the summer, tell us about the past school year. If you are in summer school, please think about your regular school.
(Click "Submit and Continue" )
| CSAS023A [C51154.00] | Section: Self-Administered Section (CSAS) |
It's easy to make friends at this school.
| | 1 Very true |
| | 2 Somewhat true |
| | 3 Not too true |
| | 4 Not at all true |
| CSAS023B [C51155.00] | Section: Self-Administered Section (CSAS) |
Most of the teachers are willing to help with personal problems.
| | 1 Very true |
| | 2 Somewhat true |
| | 3 Not too true |
| | 4 Not at all true |
| CSAS023C [C51156.00] | Section: Self-Administered Section (CSAS) |
Most of my classes are boring.
| | 1 Very true |
| | 2 Somewhat true |
| | 3 Not too true |
| | 4 Not at all true |
| CSAS023D [C51157.00] | Section: Self-Administered Section (CSAS) |
I don't feel safe at this school.
| | 1 Very true |
| | 2 Somewhat true |
| | 3 Not too true |
| | 4 Not at all true |
| CSAS023E [C51158.00] | Section: Self-Administered Section (CSAS) |
Most of my teachers don't know their subjects well.
| | 1 Very true |
| | 2 Somewhat true |
| | 3 Not too true |
| | 4 Not at all true |
| CSAS023F [C51159.00] | Section: Self-Administered Section (CSAS) |
You can get away with almost anything at this school.
| | 1 Very true |
| | 2 Somewhat true |
| | 3 Not too true |
| | 4 Not at all true |
| CSAS023G [C51160.00] | Section: Self-Administered Section (CSAS) |
My schoolwork requires me to think to the best of my abilities.
| | 1 Very true |
| | 2 Somewhat true |
| | 3 Not too true |
| | 4 Not at all true |
| CSAS023H [C51161.00] | Section: Self-Administered Section (CSAS) |
At this school, a person has the freedom to learn what interests him or her.
| | 1 Very true |
| | 2 Somewhat true |
| | 3 Not too true |
| | 4 Not at all true |
| CSAS024 [C51162.00] | Section: Self-Administered Section (CSAS) |
How satisfied are you with your school?
| | 4 Very satisfied |
| | 3 Somewhat satisfied |
| | 2 Somewhat dissatisfied |
| | 1 Very dissatisfied |
| CSAS024A [C51163.00] | Section: Self-Administered Section (CSAS) |
Have you ever seen a student carry a weapon such as a gun or knife on school property?
| CSAS024B [C51164.00] | Section: Self-Administered Section (CSAS) |
In the last school year, how often have you seen any student carry a weapon such as a gun or knife on school property?
| | 1 Never |
| | 2 Once or twice |
| | 3 A few times |
| | 4 Many times |
| CSAS028 [C51165.00] | Section: Self-Administered Section (CSAS) |
How far do you think you will go in school? Do you think you will:
(Choose the level you think you'll go....)
| | 1 Leave high school before graduation |
| | 2 Graduate from high school |
| | 3 Get some college or other training |
| | 4 Graduate from college |
| | 5 Get more than 4 years of college |
| | 6 Something else |
| CSAS030A [C51166.00] | Section: Self-Administered Section (CSAS) |
How much do you agree or disagree with the following statements?
Girls and boys should be treated the same at school.
| | 1 Strongly Agree |
| | 2 Agree |
| | 3 Disagree |
| | 4 Strongly Disagree |
| CSAS030B [C51167.00] | Section: Self-Administered Section (CSAS) |
A girl should NOT let a boy know she is smarter than he is.
| | 1 Strongly Agree |
| | 2 Agree |
| | 3 Disagree |
| | 4 Strongly Disagree |
| CSAS030C [C51168.00] | Section: Self-Administered Section (CSAS) |
Competing with boys in school would make a girl unpopular with boys.
| | 1 Strongly Agree |
| | 2 Agree |
| | 3 Disagree |
| | 4 Strongly Disagree |
| CSAS030D [C51169.00] | Section: Self-Administered Section (CSAS) |
A girl should pay her own way on dates.
| | 1 Strongly Agree |
| | 2 Agree |
| | 3 Disagree |
| | 4 Strongly Disagree |
| CSAS030E [C51170.00] | Section: Self-Administered Section (CSAS) |
If there is not enough money for all the children in a family to go to college, the boys should get to go instead of the girls.
| | 1 Strongly Agree |
| | 2 Agree |
| | 3 Disagree |
| | 4 Strongly Disagree |
| CSAS030F [C51171.00] | Section: Self-Administered Section (CSAS) |
It is perfectly okay for a girl to ask a boy for a date, even if he has never asked her.
| | 1 Strongly Agree |
| | 2 Agree |
| | 3 Disagree |
| | 4 Strongly Disagree |
| CSAS-AGE9CK3 [C51172.00] | Section: Self-Administered Section (CSAS) |
{CSASAGE}
COMMENT: Internal Function
If Answer = 9 Then Go To CSAS102A1
| CSAS032 [C51173.00] | Section: Self-Administered Section (CSAS) |
Thinking about the area around your home, how safe do you feel walking and playing in your neighborhood?
| | 4 Very safe |
| | 3 Reasonably safe |
| | 2 Somewhat safe |
| | 1 Very unsafe |
| CSAS033 [C51174.00] | Section: Self-Administered Section (CSAS) |
Now think about a usual weekday.
How much time do you spend watching TV on a typical weekday?
(Click in the box and then enter number of hours.)
| CSAS033VID [C51175.00] | Section: Self-Administered Section (CSAS) |
How much time do you spend playing video games or on-line games on a typical weekday?
(Click in the box and then enter number of hours.)
| CSAS034A [C51176.00] | Section: Self-Administered Section (CSAS) |
Now, think about your weekends. How much time do you spend watching TV on a Saturday?
(Click in the box and then enter number of hours.)
| CSAS034AVID [C51177.00] | Section: Self-Administered Section (CSAS) |
How much time do you spend playing video games or on-line games on a Saturday?
(Click in the box and then enter number of hours.)
| CSAS034B [C51178.00] | Section: Self-Administered Section (CSAS) |
How much time do you spend watching TV on a Sunday?
(Click in the box and then enter number of hours.)
| CSAS034BVID [C51179.00] | Section: Self-Administered Section (CSAS) |
How much time do you spend playing video games or on-line games on a Sunday?
(Click in the box and then enter number of hours.)
| CSAS040-AGECK [C51180.00] | Section: Self-Administered Section (CSAS) |
{CSASAGE}>11
COMMENT: Internal Function
If Answer = 1 Then Go To CSAS040A
| CSAS040A [C51181.00] | Section: Self-Administered Section (CSAS) |
In the last year, about how many times (if ever) have you...
...stayed out later than your parent(s) said you should?
| | 0 Never |
| | 1 Once |
| | 2 Twice |
| | 3 More than twice |
| CSAS040B [C51182.00] | Section: Self-Administered Section (CSAS) |
In the last year, about how many times (if ever) have you...
...hurt someone badly enough to need bandages or a doctor?
| | 0 Never |
| | 1 Once |
| | 2 Twice |
| | 3 More than twice |
| CSAS040C [C51183.00] | Section: Self-Administered Section (CSAS) |
In the last year, about how many times (if ever) have you...
...lied to your parent(s) about something important?
| | 0 Never |
| | 1 Once |
| | 2 Twice |
| | 3 More than twice |
| CSAS040D [C51184.00] | Section: Self-Administered Section (CSAS) |
In the last year, about how many times (if ever) have you...
...taken something from a store without paying for it?
| | 0 Never |
| | 1 Once |
| | 2 Twice |
| | 3 More than twice |
| CSAS040E [C51185.00] | Section: Self-Administered Section (CSAS) |
In the last year, about how many times (if ever) have you...
...damaged school property on purpose?
| | 0 Never |
| | 1 Once |
| | 2 Twice |
| | 3 More than twice |
| CSAS040F [C51186.00] | Section: Self-Administered Section (CSAS) |
In the last year, about how many times (if ever) have you...
...gotten drunk?
| | 0 Never |
| | 1 Once |
| | 2 Twice |
| | 3 More than twice |
| CSAS040G [C51187.00] | Section: Self-Administered Section (CSAS) |
In the last year, about how many times (if ever) have you...
...had to bring your parent(s) to school because of something you did wrong?
| | 0 Never |
| | 1 Once |
| | 2 Twice |
| | 3 More than twice |
| CSAS040H [C51188.00] | Section: Self-Administered Section (CSAS) |
In the last year, about how many times (if ever) have you...
...skipped a day of school without permission?
| | 0 Never |
| | 1 Once |
| | 2 Twice |
| | 3 More than twice |
| CSAS040I [C51189.00] | Section: Self-Administered Section (CSAS) |
In the last year, about how many times (if ever) have you...
...stayed out at least one night without permission?
| | 0 Never |
| | 1 Once |
| | 2 Twice |
| | 3 More than twice |
| CSAS042A [C51190.00] | Section: Self-Administered Section (CSAS) |
In the past year, how often have you attended religious services?
| | 6 More than once a week |
| | 5 About once a week |
| | 4 2-3 times a month |
| | 3 About once a month |
| | 2 Several times a year or less |
| | 1 Not at all |
| CSAS042B [C51191.00] | Section: Self-Administered Section (CSAS) |
How important would you say religion is to you?
| | 1 Very important |
| | 2 Fairly important |
| | 3 Fairly unimportant |
| | 4 Not important at all |
| CSAS042C [C51192.00] | Section: Self-Administered Section (CSAS) |
[CSAS042A]
COMMENT: Internal Function
If Answer = 1 Then Go To CSAS043C
| CSAS043A [C51193.00] | Section: Self-Administered Section (CSAS) |
Do you usually attend religious services with your parent(s)?
| CSAS043B [C51194.00] | Section: Self-Administered Section (CSAS) |
Would you attend religious services even if your parent(s) didn't?
| CSAS043D [C51195.00] | Section: Self-Administered Section (CSAS) |
Do some of your friends go to the same church, synagogue, mosque, or place of worship as you do?
| CSAS043C [C51196.00] | Section: Self-Administered Section (CSAS) |
Do many of your friends go to religious services?
| CSAS044 [C51197.00] | Section: Self-Administered Section (CSAS) |
How many close friends do you have who are boys?
(Enter Number of Boys)
| CSAS044A [C51198.00] | Section: Self-Administered Section (CSAS) |
How much do you tell your parent(s) about your friends who are boys (who they are and what they are like)?
| | 0 Nothing at all |
| | 1 Just a little |
| | 2 Some |
| | 3 A lot |
| | 5 Don't have friends who are boys |
| CSAS045 [C51199.00] | Section: Self-Administered Section (CSAS) |
How many close friends do you have who are girls?
(Enter Number of Girls)
| CSAS045A [C51200.00] | Section: Self-Administered Section (CSAS) |
How much do you tell your parent(s) about your friends who are girls (who they are and what they are like)?
| | 0 Nothing at all |
| | 1 Just a little |
| | 2 Some |
| | 3 A lot |
| | 5 Don't have friends who are girls |
| CSAS046 [C51201.00] | Section: Self-Administered Section (CSAS) |
How much do you tell your mother (or father) about your friends' parents (who they are and what they are like)?
| | 0 Nothing at all |
| | 1 Just a little |
| | 2 Some |
| | 3 A lot |
| CSAS046A [C51202.00] | Section: Self-Administered Section (CSAS) |
Are most of your close friends...
| | 1 In your grade |
| | 2 In a higher grade |
| | 3 In a lower grade |
| | 4 Friends are not in school |
| | 5 Don't have any close friends ...(Go To CSAS047A) |
| CSAS047 [C51203.00] | Section: Self-Administered Section (CSAS) |
Are most of your close friends...
| | 1 Younger than you are |
| | 2 About the same age as you are |
| | 3 Older than you are |
| CSAS047A [C51204.00] | Section: Self-Administered Section (CSAS) |
How often do you wish you had more friends?
| | 3 Often |
| | 2 Sometimes |
| | 1 Hardly ever |
| CSAS048M [C51205.00] | Section: Self-Administered Section (CSAS) |
Do you ever feel pressure from your friends to...
| | - a. try cigarettes? |
| | - b. work hard in school? |
| | - c. try marijuana or other drugs? |
| | - d. drink beer, wine or liquor? |
| | - e. skip school? |
| | - f. commit a crime, or do something violent? |
| CSAS049A [C51206.00] | Section: Self-Administered Section (CSAS) |
How much you agree or disagree with each of the following statements?
I often get in a jam because I do things without thinking.
| | 1 Strongly Agree |
| | 2 Agree |
| | 3 Disagree |
| | 4 Strongly Disagree |
| CSAS049B [C51207.00] | Section: Self-Administered Section (CSAS) |
I think that planning takes the fun out of things.
| | 1 Strongly Agree |
| | 2 Agree |
| | 3 Disagree |
| | 4 Strongly Disagree |
| CSAS049C [C51208.00] | Section: Self-Administered Section (CSAS) |
I have to use a lot of self-control to keep out of trouble.
| | 1 Strongly Agree |
| | 2 Agree |
| | 3 Disagree |
| | 4 Strongly Disagree |
| CSAS049D [C51209.00] | Section: Self-Administered Section (CSAS) |
I enjoy taking risks.
| | 1 Strongly Agree |
| | 2 Agree |
| | 3 Disagree |
| | 4 Strongly Disagree |
| CSAS049E [C51210.00] | Section: Self-Administered Section (CSAS) |
I enjoy new and exciting experiences, even if they are a little frightening or unusual.
| | 1 Strongly Agree |
| | 2 Agree |
| | 3 Disagree |
| | 4 Strongly Disagree |
| CSAS049F [C51211.00] | Section: Self-Administered Section (CSAS) |
Life with no danger in it would be too dull for me.
| | 1 Strongly Agree |
| | 2 Agree |
| | 3 Disagree |
| | 4 Strongly Disagree |
| CSAS050 [C51212.00] | Section: Self-Administered Section (CSAS) |
Have you ever smoked a cigarette?
| CSAS051 [C51213.00] | Section: Self-Administered Section (CSAS) |
In your lifetime, how many different times have you smoked a cigarette?
| | 1 10 or more times |
| | 2 A few times |
| | 3 Once or twice |
| CSAS052 [C51214.00] | Section: Self-Administered Section (CSAS) |
How old were you when you first smoked a cigarette?
(Enter age)
| CSAS053 [C51215.00] | Section: Self-Administered Section (CSAS) |
When was the most recent time you smoked a cigarette?
| | 1 Within the past month (30 days) ...(Go To CSAS054) |
| | 2 1 to 3 months ago |
| | 3 4 or more months ago but less than 6 months ago |
| | 4 6 or more months ago but less than 1 year ago |
| | 5 1 or more years ago but less than 3 years ago |
| | 6 3 or more years ago |
| CSAS054 [C51216.00] | Section: Self-Administered Section (CSAS) |
During the last 30 days, how often have you smoked cigarettes on average?
| | 1 Less than once a week |
| | 2 1 or 2 days per week |
| | 3 3 or 4 days per week |
| | 4 5 or 6 days per week |
| | 5 Every day |
| CSAS055 [C51217.00] | Section: Self-Administered Section (CSAS) |
On the days that you smoked in the last 30 days, how many cigarettes per day did you smoke?
(Enter number of cigarettes.)
| CSAS056A [C51218.00] | Section: Self-Administered Section (CSAS) |
Have you ever drunk alcohol, other than just a sip or two?
(Do not include childhood sips that you might have had from an older person's drink.)
If Answer = -2 Then Go To CSAS056B
| CSAS056B [C51219.00] | Section: Self-Administered Section (CSAS) |
About how old were you the first time you had a glass of beer or wine or a drink of liquor, such as whiskey, gin, scotch, etc.?
(Enter age)
| CSAS057A [C51220.00] | Section: Self-Administered Section (CSAS) |
Have you ever drunk alcohol more than once a month?
| CSAS057B [C51221.00] | Section: Self-Administered Section (CSAS) |
About how old were you the first time you drank alcohol more than once a month?
(Enter age)
| CSAS058 [C51222.00] | Section: Self-Administered Section (CSAS) |
When was the most recent time you drank?
| | 1 Within the past month (30 days) ...(Go To CSAS059) |
| | 2 1 to 3 months ago |
| | 3 4 or more months ago but less than 6 months ago |
| | 4 6 or more months ago but less than 1 year ago |
| | 5 1 or more years ago but less than 3 years ago |
| | 6 3 or more years ago |
| CSAS059 [C51223.00] | Section: Self-Administered Section (CSAS) |
During the last 30 days, how often did you drink alcoholic beverages, including beer, wine, or liquor?
| | 1 Less than once a week |
| | 2 1 or 2 days per week |
| | 3 3 or 4 days per week |
| | 4 5 or 6 days per week |
| | 5 Every day |
| CSAS060 [C51224.00] | Section: Self-Administered Section (CSAS) |
On the days that you drank in the last 30 days, how many drinks per day did you usually have?
(Enter number of drinks.)
| CSAS061 [C51225.00] | Section: Self-Administered Section (CSAS) |
Have you ever used marijuana?
| CSAS062 [C51226.00] | Section: Self-Administered Section (CSAS) |
In your lifetime, on how many different occasions have you used marijuana?
| | 1 10 or more times |
| | 2 A few times |
| | 3 Once or twice |
| CSAS063 [C51227.00] | Section: Self-Administered Section (CSAS) |
How old were you when you first used marijuana?
(Enter age)
| CSAS064 [C51228.00] | Section: Self-Administered Section (CSAS) |
When was the most recent time you used marijuana?
| | 1 Within the past month (30 days) ...(Go To CSAS065) |
| | 2 1 to 3 months ago |
| | 3 4 or more months ago but less than 6 months ago |
| | 4 6 or more months ago but less than 1 year ago |
| | 5 1 or more years ago but less than 3 years ago |
| | 6 3 or more years ago |
| CSAS065 [C51229.00] | Section: Self-Administered Section (CSAS) |
During the last 30 days, how often, if ever, have you used marijuana?
| | 1 Less than once a week |
| | 2 1 or 2 days per week |
| | 3 3 or 4 days per week |
| | 4 5 or 6 days per week |
| | 5 Every day |
| CSAS066 [C51230.00] | Section: Self-Administered Section (CSAS) |
Have you ever "sniffed" or "huffed" substances like glue, gas, sprays, fluids or anything like that for kicks or to get high?
| CSAS068 [C51231.00] | Section: Self-Administered Section (CSAS) |
How old were you when you first "sniffed" or "huffed" one of these substances for kicks or to get high?
(Enter age)
| CSAS069 [C51232.00] | Section: Self-Administered Section (CSAS) |
When was the most recent time you "sniffed" or "huffed" one of these substances for kicks or to get high?
| | 1 Within the past month (30 days) ...(Go To CSAS070) |
| | 2 1 to 3 months ago |
| | 3 4 or more months ago but less than 6 months ago |
| | 4 6 or more months ago but less than 1 year ago |
| | 5 1 or more years ago but less than 3 years ago |
| | 6 3 or more years ago |
| CSAS070 [C51233.00] | Section: Self-Administered Section (CSAS) |
During the last 30 days, how often did you "sniff" or "huff" one of these substances?
| | 1 Less than once a week |
| | 2 1 or 2 days per week |
| | 3 3 or 4 days per week |
| | 4 5 or 6 days per week |
| | 5 Every day |
| CSAS071-AGECK [C51234.00] | Section: Self-Administered Section (CSAS) |
{CSASAGE}>12
COMMENT: Internal Function
If Answer = 1 Then Go To CSAS071A
| CSAS071A [C51235.00] | Section: Self-Administered Section (CSAS) |
Have you used any of these drugs without a prescription?
PLEASE, SELECT ALL YOU HAVE TAKEN.
COMMENT: Substance items CSAS071-CSAS085 were updated and collapsed into one multiple response item for R22-2006.
| | 1 Uppers like amphetamines, meth, ecstasy, speed, dexies, diet pills |
| | 2 Downers like barbiturates (reds, yellows), GHB, Rohypnol (roachies) |
| | 3 Hallucinogens like LSD, PCP, peyote, mushrooms; ketamine (special K) |
| | 4 Cocaine (powder, crack, freebase) |
| | 5 Narcotics like Vicodin, oxycodone (oxy, percs), codeine, heroin |
| | 6 Steroids (pumpers, stackers) |
| | 7 Never used any of these |
| CSAS086A [C51236.00] | Section: Self-Administered Section (CSAS) |
Have you had your first date or have you started going out alone with someone?
| | 1 Yes ...(Go To CSAS086B) |
| | 0 No |
| | 2 No - I'm too young for that |
| CSAS086B [C51237.00] | Section: Self-Administered Section (CSAS) |
At what age did you have your first date or begin going out alone with someone of the opposite sex?
(Enter age)
| CSAS086C [C51238.00] | Section: Self-Administered Section (CSAS) |
How many different people have you gone out with in the past twelve months?
(Enter how many, or "0" if none)
| CSAS087 [C51239.00] | Section: Self-Administered Section (CSAS) |
About how often do you usually go out on a date?
| | 1 Once or twice a week |
| | 2 Once or twice a month |
| | 3 Less than once or twice a month |
| | 4 Almost never |
| CSAS088 [C51240.00] | Section: Self-Administered Section (CSAS) |
Are you going out with one particular person, or are you dating more than one person?
| | 1 Date only one person |
| | 2 Dating more than one person |
| | 3 Dating no one right now |
| CSAS089 [C51241.00] | Section: Self-Administered Section (CSAS) |
What do you think is the best age, if any, for you to get married?
(Enter age. If never, enter "0")
| CSAS090 [C51242.00] | Section: Self-Administered Section (CSAS) |
What is the youngest age you can imagine yourself getting married?
(Enter age. If never, enter "0")
| CSAS091 [C51243.00] | Section: Self-Administered Section (CSAS) |
What do you think is the best age for you to have your first child?
(Enter age. If never, enter "0")
| CSAS092 [C51244.00] | Section: Self-Administered Section (CSAS) |
What is the youngest age you can imagine yourself having your first child?
(Enter age. If never, enter "0")
| CSAS093 [C51245.00] | Section: Self-Administered Section (CSAS) |
Did you ever have a course or spend any time in a class at school learning about sex education?
| CSAS093A [C51246.00] | Section: Self-Administered Section (CSAS) |
What grade were you in when you first had this course or discussion on sex education?
| | 0 Before 4th grade |
| | 1 4th grade |
| | 2 5th grade |
| | 3 6th grade |
| | 4 7th grade |
| | 5 8th grade |
| | 6 9th grade |
| | 7 10th grade or higher |
| CSAS094A [C51247.00] | Section: Self-Administered Section (CSAS) |
Who in your family do you talk to about sex most often?
Choose one person.
| | 1 Mother |
| | 2 Father |
| | 3 Stepfather |
| | 4 Stepmother |
| | 5 Brother |
| | 6 Sister |
| | 7 Grandparent |
| | 8 Aunt |
| | 9 Uncle |
| | 10 Cousin |
| | 11 No one in my family ...(Go To CSAS094C) |
| CSAS094B [C51248.00] | Section: Self-Administered Section (CSAS) |
Do you usually talk about sex with someone else in your family we didn't mention?
| CSAS094C [C51249.00] | Section: Self-Administered Section (CSAS) |
Outside of your family, who do you talk to most about sex?
Choose one person.
| | 1 Friend |
| | 2 Nurse |
| | 3 Doctor |
| | 4 Teacher |
| | 5 Minister/Rabbi/Priest/etc. |
| | 6 Counselor |
| | 7 Other Adult |
| | 8 Someone else not listed above |
| | 9 No one outside my family |
| CSAS095 [C51250.00] | Section: Self-Administered Section (CSAS) |
When during the female monthly menstrual cycle, is pregnancy most likely to occur?
| | 1 Right before the period begins |
| | 2 During the period |
| | 3 Right after the period ends |
| | 4 About 2 weeks after the period begins |
| | 5 Anytime during the month |
| | 8 Don't know |
| CSAS096 [C51251.00] | Section: Self-Administered Section (CSAS) |
Have you ever been away from your mother for at least two months (not counting summer camp)?
| CSAS097 [C51252.00] | Section: Self-Administered Section (CSAS) |
Where were you the last time you were away from her for at least two months?
| | 1 I was at boarding school |
| | 2 I was in the hospital |
| | 3 I was with my father |
| | 4 I was with a grandparent |
| | 5 I was with another relative |
| | 6 I was home, mother was away |
| | 7 I was someplace else not listed |
| CSAS098 [C51253.00] | Section: Self-Administered Section (CSAS) |
How old were you the last time you were away from her (for at least two months)?
(Enter age)
| CSAS099-DADCHK [C51254.00] | Section: Self-Administered Section (CSAS) |
{CSAS_ASKDADQS}
COMMENT: Internal Function
If Answer = 1 Then Go To CSAS099
| CSAS099 [C51255.00] | Section: Self-Administered Section (CSAS) |
Have you ever been away from your father for at least two months (not counting summer camp)?
| CSAS100 [C51256.00] | Section: Self-Administered Section (CSAS) |
Where were you the last time you were away from him for at least two months?
| | 1 I was at boarding school |
| | 2 I was in the hospital |
| | 3 I was with my mother |
| | 4 I was with a grandparent |
| | 5 I was with another relative |
| | 6 I was home, father was away |
| | 7 I was someplace else not listed |
| CSAS101 [C51257.00] | Section: Self-Administered Section (CSAS) |
How old were you the last time you were away from him (for at least two months)?
(Enter age)
| CSAS102A1 [C51258.00] | Section: Self-Administered Section (CSAS) |
Do you ever use a computer (or laptop)?
| CSAS102A2 [C51259.00] | Section: Self-Administered Section (CSAS) |
Do you use any computer at home?
| CSAS103 [C51260.00] | Section: Self-Administered Section (CSAS) |
At home, what do you use the computer for most often?
| | 1 School work or homework |
| | 2 Learn/practice a skill (art, music, or another language, etc.) |
| | 3 Entertainment (fun, games, videos, listening to music, etc.) |
| | 4 Search for information; look things up |
| | 5 Accessing the internet; surf the web |
| | 6 Email, instant message, online chat; personal blogs or web pages such as Facebook, Myspace |
| | 7 Shopping |
| | 8 To check the news, weather, or sports |
| | 9 Other uses |
| | 10 I never use the home computer |
| CSAS104 [C51261.00] | Section: Self-Administered Section (CSAS) |
At school, how often do you use a computer?
| | 4 Every day or almost every day |
| | 3 Several times a week |
| | 2 About once a week |
| | 1 Less than once a week |
| | 0 Never |
| CSAS105 [C51262.00] | Section: Self-Administered Section (CSAS) |
Who has helped you the most to learn how to use a computer?
| | 1 Teacher |
| | 2 Friend |
| | 3 Father or mother |
| | 4 Brother or sister |
| | 5 I taught myself |
| | 6 Librarian |
| | 7 Someone else |
| CSAS108M [C51263.00] | Section: Self-Administered Section (CSAS) |
How often do you use a computer to...
| | - a. do homework or school work? |
| | - b. send or read e-mail? |
| | - c. chat on-line? |
| | - d. surf the net? |
| | - e. play games or write games or download game codes? |
| | 4 Every day or almost every day |
| | 3 Several times a week |
| | 2 About once a week |
| | 1 Less than once a week |
| | 0 Never |
| CSAS108-OTHER [C51264.00] | Section: Self-Administered Section (CSAS) |
What other things do you do at least once a week on the computer?
PLEASE, SELECT ALL THAT APPLY.
| | 1 Check the news, weather, or sports |
| | 2 Write, make, or listen to music |
| | 3 Make webpages, art, or graphics |
| | 4 Access newsgroups, weblogs, on-line networks, chat or IM, bulletin boards |
| | 5 Writing - not required by school |
| | 6 Shopping or checking information on products |
| | 7 Writing computer programs |
| | 8 Analyze data |
| | 9 None of these (I don't do any of these things) |
| | 10 Something else not mentioned - You tell us what it is |
| CSAS-RSP-END [] | Section: Self-Administered Section (CSAS) |
Congratulations!
You are finished with the interview!
PLEASE let the interviewer know that you have finished and give the laptop back to him/her.
| CSAS-PROJID2 [C51267.00] | Section: Self-Administered Section (CSAS) |
END OF RESPONDENT ITEMS.
INTERVIEWER: ENTER YOUR PROJECT ID NUMBER TO CONTINUE.
DO NOT CLOSE CASE UNTIL INDICATED.
| CSAS-IR-PROBLEMS [C51268.00] | Section: Self-Administered Section (CSAS) |
INTERVIEWER: WERE ANY PROBLEMS ENCOUNTERED DURING THE CHILD SELF-ADMINISTERED SECTION?
PLEASE, SELECT ALL THAT APPLY.
| | 0 NO PROBLEMS |
| | 1 R HAD PROBLEM UNDERSTANDING QUESTION(S) |
| | 2 R HAD PROBLEM UNDERSTANDING HOW TO USE DEVICE |
| | 3 R HAD PROBLEMS UNDERSTANDING THE TASK |
| | 4 HARDWARE PROBLEM |
| CSAS-IR-RSPLIKE [C51269.00] | Section: Self-Administered Section (CSAS) |
INTERVIEWER: HOW WELL DID [Child First Name] SEEM TO LIKE THE SELF-ADMINISTERED SECTION OVERALL?
| | 4 LIKED IT A LOT |
| | 3 LIKED IT A LITTLE |
| | 2 DISLIKED IT A LITTLE |
| | 1 DISLIKED IT A LOT |
| | 0 NOT APPLICABLE/NOT ADMINISTERED |
| CSAS-COMPLETE [] | Section: Self-Administered Section (CSAS) |
INTERVIEWER: THE CHILD SELF-ADMINISTERED SECTION HAS BEEN COMPLETED.
CLICK "Submit and Continue" TO PROCEED....
| CS-REMINDER [] | Section: END OF RESP ITEMS |
INTERVIEWER: YOU HAVE REACHED THE END OF THE RESPONDENT ITEMS FOR THIS INSTRUMENT.
REMINDER - MAKE SURE THAT MOTHER IS PAID. IF IN-PERSON INTERVIEW, BE SURE THAT SHE SIGNS THE RECEIPT.
[CSPAYSUB]
IF YOU HAVE NOT ALREADY THANKED MOTHER (AND CHILD) FOR THEIR PARTICIPATION, PLEASE DO SO NOW.
CLICK Submit and Continue TO PROCEED TO INTERVIEWER-ONLY ITEMS.
| CSOB-TITLE [] | Section: OBSERVATIONS OF THE HOME |
**** BEGIN SECTION: OBSERVATIONS OF THE HOME ****
| CSOB-AGECK1 [C51275.00] | Section: OBSERVATIONS OF THE HOME |
{CSAGEMO}
COMMENT: Internal Function - Do jumps depending on child age.
If Answer >= 36 AND Answer <= 71 Then Go To CSOB-1B
If Answer >= 72 AND Answer <= 179 Then Go To CSOB-1C
| CSOB-1B [C51276.00] | Section: OBSERVATIONS OF THE HOME |
INTERVIEWER: DID YOU OBSERVE [Child Full Name] AND [HIS/HER] MOTHER TOGETHER AT ANY TIME?
| CSOB-2B [C51277.00] | Section: OBSERVATIONS OF THE HOME |
INTERVIEWER: (MOTHER/GUARDIAN) CONVERSED WITH [Child First Name] AT LEAST TWICE (EXCLUDING SCOLDING OR SUSPICIOUS COMMENTS).
| CSOB-3B [C51278.00] | Section: OBSERVATIONS OF THE HOME |
INTERVIEWER: (MOTHER/GUARDIAN) ANSWERED [Child First Name]'s QUESTIONS OR REQUESTS VERBALLY.
| CSOB-4B [C51279.00] | Section: OBSERVATIONS OF THE HOME |
INTERVIEWER: (MOTHER/GUARDIAN) CARESSED, KISSED, OR HUGGED [Child First Name] AT LEAST ONCE.
| CSOB-5B [C51280.00] | Section: OBSERVATIONS OF THE HOME |
INTERVIEWER: (MOTHER/GUARDIAN) INTRODUCED INTERVIEWER TO [Child First Name] BY NAME.
| CSOB-6B [C51281.00] | Section: OBSERVATIONS OF THE HOME |
INTERVIEWER: (MOTHER/GUARDIAN) PHYSICALLY RESTRICTED OR (SHOOK/GRABBED) [Child First Name].
| CSOB-7B [C51282.00] | Section: OBSERVATIONS OF THE HOME |
INTERVIEWER: (MOTHER/GUARDIAN) SLAPPED OR SPANKED [Child First Name] AT LEAST ONCE.
| CSOB-8B [C51283.00] | Section: OBSERVATIONS OF THE HOME |
INTERVIEWER: (MOTHER/GUARDIAN)'S VOICE CONVEYED POSITIVE FEELING ABOUT [Child First Name].
| CSOB-9B [C51284.00] | Section: OBSERVATIONS OF THE HOME |
INTERVIEWER: [Child First Name]'s PLAY ENVIRONMENT IS SAFE.
(NO POTENTIALLY DANGEROUS STRUCTURAL OR HEALTH HAZARDS WITHIN A PRESCHOOLER'S RANGE).
| | 1 YES (APPEARS SAFE) |
| | 0 NO |
| | 2 CHILD'S HOME NOT OBSERVED |
| CSOB-10B [C51285.00] | Section: OBSERVATIONS OF THE HOME |
INTERVIEWER: INTERIOR OF THE HOME IS DARK OR PERCEPTUALLY MONOTONOUS.
| | 1 YES |
| | 0 NO |
| | 2 CHILD'S HOME NOT OBSERVED |
| CSOB-11B [C51286.00] | Section: OBSERVATIONS OF THE HOME |
INTERVIEWER: ALL VISIBLE ROOMS OF HOUSE/APARTMENT ARE REASONABLY CLEAN.
| | 1 YES |
| | 0 NO |
| | 2 CHILD'S HOME NOT OBSERVED |
| CSOB-12B [C51287.00] | Section: OBSERVATIONS OF THE HOME |
INTERVIEWER: ALL VISIBLE ROOMS OF HOUSE/APARTMENT ARE MINIMALLY CLUTTERED.
| | 1 YES (MINIMAL CLUTTER) |
| | 0 NO (SIGNIFICANT CLUTTER) |
| | 2 CHILD'S HOME NOT OBSERVED |
| CSOB-1C [C51288.00] | Section: OBSERVATIONS OF THE HOME |
INTERVIEWER: DID YOU OBSERVE [Child Full Name] AND [HIS/HER] MOTHER TOGETHER AT ANY TIME?
| CSOB-2C [C51289.00] | Section: OBSERVATIONS OF THE HOME |
INTERVIEWER: (MOTHER/GUARDIAN) ENCOURAGED [Child First Name] TO CONTRIBUTE TO THE CONVERSATION.
| CSOB-3C [C51290.00] | Section: OBSERVATIONS OF THE HOME |
INTERVIEWER: (MOTHER/GUARDIAN) ANSWERED [Child First Name]'s QUESTIONS OR REQUESTS VERBALLY.
| CSOB-4C [C51291.00] | Section: OBSERVATIONS OF THE HOME |
INTERVIEWER: (MOTHER/GUARDIAN) CONVERSED WITH [Child First Name] EXCLUDING SCOLDING OR SUSPICIOUS COMMENTS.
| CSOB-5C [C51292.00] | Section: OBSERVATIONS OF THE HOME |
INTERVIEWER: (MOTHER/GUARDIAN) INTRODUCED INTERVIEWER TO [Child First Name] BY NAME.
| CSOB-6C [C51293.00] | Section: OBSERVATIONS OF THE HOME |
INTERVIEWER: (MOTHER/GUARDIAN)'S VOICE CONVEYED POSITIVE FEELING ABOUT [Child First Name].
| CSOB-7C [C51294.00] | Section: OBSERVATIONS OF THE HOME |
INTERVIEWER: INTERIOR OF THE HOME IS DARK OR PERCEPTUALLY MONOTONOUS.
| | 1 YES |
| | 0 NO |
| | 2 CHILD'S HOME NOT OBSERVED |
| CSOB-8C [C51295.00] | Section: OBSERVATIONS OF THE HOME |
INTERVIEWER: ALL VISIBLE ROOMS OF THE HOUSE/APARTMENT ARE REASONABLY CLEAN.
| | 1 YES |
| | 0 NO |
| | 2 CHILD'S HOME NOT OBSERVED |
| CSOB-9C [C51296.00] | Section: OBSERVATIONS OF THE HOME |
INTERVIEWER: ALL VISIBLE ROOMS OF THE HOUSE/APARTMENT ARE MINIMALLY CLUTTERED.
| | 1 YES (MINIMAL CLUTTER) |
| | 0 NO (SIGNIFICANT CLUTTER) |
| | 2 CHILD'S HOME NOT OBSERVED |
| CSOB-10C [C51297.00] | Section: OBSERVATIONS OF THE HOME |
INTERVIEWER: BUILDING APPEARS SAFE.
BUILDING HAS NO POTENTIALLY DANGEROUS STRUCTURAL OR HEALTH HAZARDS WITHIN A SCHOOL-AGED CHILD'S RANGE.
| | 1 YES (APPEARS SAFE) |
| | 0 NO |
| | 2 CHILD'S HOME NOT OBSERVED |
| CSIR-TITLE [] | Section: INTERVIEWER REMARKS |
**** BEGIN SECTION: INTERVIEWER REMARKS ****
| CSIR-CHKQXSTAT-REF [C51299.00] | Section: INTERVIEWER REMARKS |
{CSUPSQXCONSNT}==4 || {CSPERMSTAT}==2 || {CS_DOB_REFUSED}==1
COMMENT: Internal Function
If Answer = 1 Then Go To CSIR-REFCONFIRM
| CSIR-CHKQXSTAT-AGE [C51300.00] | Section: INTERVIEWER REMARKS |
{CS-OVER-AGE}==1|| {CS-UNDER-AGE}==1
COMMENT: Internal Function
If Answer = 1 Then Go To CSIR-AGECONFIRM
| CSIR-REFCONFIRM [] | Section: INTERVIEWER REMARKS |
INTERVIEWER: PLEASE CONFIRM THAT THIS CHILD SUPPLEMENT IS BEING CLOSED WITHOUT INTERVIEW.
| CSIR-AGECONFIRM [] | Section: INTERVIEWER REMARKS |
INTERVIEWER: CONFIRM - THE CHILD SUPPLEMENT IS BEING CLOSED.
THE CHILD WAS [CHILD AGE (YEARS)] YRS, [MONTHS REMAINDER OF AGE] MONTHS OLD WHEN INTERVIEW WAS LAST ATTEMPTED ON [CSINTDATE~X].
CHILD IS NOT AGE-ELIGIBLE FOR CHILD SUPPLEMENT INSTRUMENT.
| | 1 CHILD AGE CONFIRMED - NOT ELIGIBLE FOR CHILD SUPPLEMENT ...(Go To CSIR-CLOSE-FMID) |
| | 0 CHILD AGE NOT CONFIRMED |
| CSIR-DONOTCLOSE [] | Section: INTERVIEWER REMARKS |
INTERVIEWER:
REFUSAL OR OTHER CLOSEOUT OF THE INSTRUMENT HAS NOT BEEN CONFIRMED.
NOTE: IF THIS CASE IS A REFUSAL CONVERSION, AND THE INSTRUMENT CAN NOW BE COMPLETED, PLEASE BACK UP TO THE BEGINNING OF THE INSTRUMENT AND RESUME FROM QUESTION ITEM: CS-STARTSCREEN .
OTHERWISE
IF THIS CASE IS A FINAL REFUSAL OR CHILD IS NOT AGE ELIGIBLE FOR THIS INSTRUMENT, BACK UP TO THE PREVIOUS SCREEN AND CORRECT THE SELECTED RESPONSE.
NOTE: NO ACCESSIBLE SCREENS FOLLOW.
If Answer = -819,648 Then Go To CSIR-CLOSE-FMID
| CSIR-CLOSE-REASON [] | Section: INTERVIEWER REMARKS |
INTERVIEWER: BE SURE TO ACCURATELY ENTER COMMENTS BOTH HERE AND IN THE CASE MANAGEMENT SYSTEM AS TO THE NATURE OF THE REFUSAL/NON-INTERVIEW CLOSEOUT, THEN CONTACT YOUR FM AND BRIEF HIM OR HER ON THE STATUS OF THE INSTRUMENT.
REASON FOR REFUSAL/NON-INTERVIEW CLOSEOUT
| CSIR-CLOSE-FMID [] | Section: INTERVIEWER REMARKS |
INTERVIEWER - STOP HERE.
ASK YOUR FM TO REVIEW THE REFUSAL OR NON-INTERVIEW STATUS OF THIS CASE.
DO NOT PROCEED UNTIL THE FM HAS PROVIDED FURTHER INSTRUCTION.
IF FM APPROVES THE REFUSAL/CLOSEOUT:
ENTER THE FM APPROVAL CODE BELOW. THIS CHILD SUPPLEMENT WILL BE CODED AS A REFUSAL (OR OTHER NON-INTERVIEW)
IF THIS IS A CONVERSION:
IF THE RESPONDENT IS NOW WILLING TO COMPLETE THE INSTRUMENT, PLEASE BACK UP TO THE BEGINNING OF THE INSTRUMENT AND RESUME FROM QUESTION ITEM: CS-STARTSCREEN .
.
FM APPROVAL CODE
| CSIR-HOWSHY-END [C51301.00] | Section: INTERVIEWER REMARKS |
INTERVIEWER: HOW SHY AND ANXIOUS WAS [Child First Name] AT THE END OF THE INTERVIEW?
| | 1 (1) NOT AT ALL SHY OR ANXIOUS/SOCIABLE & FRIENDLY |
| | 2 (2) * |
| | 3 (3) (MIDPOINT) |
| | 4 (4) * |
| | 5 (5) EXTREMELY SHY/QUIET/WITHDRAWN |
| | 6 (6) UNABLE TO OBSERVE CHILD (SPECIFY) |
| CSIR-HEALTHSTATE [C51302.00] | Section: INTERVIEWER REMARKS |
INTERVIEWER: WERE THERE ANY PROBLEMS WITH [Child First Name]'s...
| | - VISUAL SHARPNESS |
| | - HEARING |
| | - STATE OF HEALTH |
| | 1 YES |
| | 0 NO |
| | 2 UNKNOWN - CHILD NOT OBSERVED |
| CSIR-HEALTHSTATE-CHK [C51303.00] | Section: INTERVIEWER REMARKS |
[CSIR-HEALTHSTATE~1]==1 ||
[CSIR-HEALTHSTATE~2]==1 ||
[CSIR-HEALTHSTATE~3]==1
COMMENT: Internal Function - Were any of the last three items about state of child health marked yes?
If Answer = 1 Then Go To CSIR-HEALTHSTATE-TXT
| CSIR-HEALTHSTATE-TXT [C51304.00] | Section: INTERVIEWER REMARKS |
INTERVIEWER: WHAT WAS THE NATURE OF THE PROBLEM WITH [Child First Name]'s VISION, HEARING, OR HEALTH?
| CSIR-HEALTHSTATE-INFO [C51305.00] | Section: INTERVIEWER REMARKS |
INTERVIEWER: IS THIS HEALTH INFORMATION RELEVANT TO FUTURE INTERVIEWS?
| | 1 INFO RELATES TO THIS INTERVIEW ONLY |
| | 2 WILL (LIKELY) APPLY TO FUTURE ROUNDS |
| | 3 UNKNOWN |
| CSIR-ADMIN-LOCATION [C51306.00] | Section: INTERVIEWER REMARKS |
INTERVIEWER: WHERE WAS THIS CHILD INTERVIEW ADMINISTERED?
| | 1 CHILD'S RESIDENCE |
| | 2 OTHER PRIVATE RESIDENCE |
| | 3 TELEPHONE INTERVIEW |
| | 4 OTHER SITE (SPECIFY) |
| CSIR-ADMIN-LANGUAGE [C51307.00] | Section: INTERVIEWER REMARKS |
INTERVIEWER: CHOOSE "ENGLISH" IF THIS CHILD SUPPLEMENT WAS ADMINISTERED ONLY IN ENGLISH...
IF YOU HELPED THE RESPONDENT IN SPANISH (OR OTHER LANGUAGE), CHOOSE SPANISH (OR OTHER LANGUAGE) AND EXPLAIN IN COMMENT.
| | 1 ENGLISH |
| | 2 SPANISH |
| | 3 OTHER (SPECIFY) |
| CSIR-ANY-QX-PROBLEMS [C51308.00] | Section: INTERVIEWER REMARKS |
INTERVIEWER: WERE THERE ANY QUESTIONS WITH ERRORS, QUESTIONS THAT WERE CONFUSING TO YOU, OR ANY EQUIPMENT OR MATERIALS THAT OTHERWISE DIDN'T WORK?
| CSIR-LOOP-BEGIN [] | Section: INTERVIEWER REMARKS |
REPEAT
| CSIR-QX-PROBLEM-LIST [C51314.00] | Section: INTERVIEWER REMARKS |
INTERVIEWER: LIST SECTION AND QUESTION NUMBER WHERE THE (FIRST/NEXT) PROBLEM OCCURRED. IF YOU DON'T KNOW SECTION OR QUESTION NUMBER, DESCRIBE THE QUESTION. THEN, DESCRIBE THE PROBLEM BELOW.
| CSIR-QX-PROBLEM-TXT [C51318.00] | Section: INTERVIEWER REMARKS |
| CSIR-ANYMORE-QXPROBLEMS [C51322.00] | Section: INTERVIEWER REMARKS |
INTERVIEWER: WERE THERE ANY MORE PROBLEMS ENCOUNTERED DURING THIS INTERVIEW?
| | 1 YES |
| | 0 NO - NOTHING ELSE TO REPORT |
| CSIR-LOOP-END [] | Section: INTERVIEWER REMARKS |
UNTIL([ANYMORE_QXPROBLEMS]==0)
| CSIR-HELPNEXTFI [C51326.00] | Section: INTERVIEWER REMARKS |
INTERVIEWER: PLEASE ENTER ANY COMMENTS THAT YOU BELIEVE WILL BE HELPFUL FOR THE NEXT INTERVIEWER ASSIGNED THIS CASE.
| CSIR-IDNUM [C51327.00] | Section: INTERVIEWER REMARKS |
INTERVIEWER: PLEASE ENTER YOUR PROJECT ID NUMBER.
| CSIR-INTNAME [C51328.00] | Section: INTERVIEWER REMARKS |
INTERVIEWER: PLEASE ENTER YOUR FULL NAME ON THE LINE PROVIDED.
THEN CLICK Submit and Continue TO END SURVEY.
| CS-NO-OP [] | Section: INTERVIEWER REMARKS |
INTERVIEWER: ANSWER HAS NOT BEEN VERIFIED - PLEASE BACK UP AND CORRECT.
NO ACCESSIBLE SCREENS FOLLOW.
If Answer = -819,648 Then Go To CNORCID_MS