NATIONAL LONGITUDINAL SURVEY OF YOUTH

MOTHER SUPPLEMENT
ENGLISH


VERSION: [MSVERSION]

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.

CASE ID: [MSCASEIDTXT]

NAME: [Child Full Name]

DATE OF BIRTH: [CHILDBDAY~X]

UPDATES TO DATE OF BIRTH MAY BE MADE LATER IN THE INSTRUMENT IF NECESSARY.

INTERVIEWER: THE COMPUTER SYSTEM DATE IS SET TO:

DATE: [MSDATENOW~X]

TIME: [MSTIMENOW]


ARE THE DATE AND TIME SHOWN CORRECT?

INTERVIEWER: YOU INDICATED THE COMPUTER DATE INFORMATION IS INCORRECT.

PLEASE EXIT THE INSTRUMENT, RESET THE SYSTEM DATE AND TIME, AND RESTART THE CASE. ON RESTART, BE SURE TO BACKUP TO THE BEGINNING SCREEN.

**** MS PRELIMINARIES ****

ISVAREMPTY([Child First Name])

COMMENT: Check if first name is empty on spawned infosheet. If so, prompt for name entry.

INTERVIEWER: ENTER CHILD'S FIRST NAME:

ISVAREMPTY([Child Full Name])

COMMENT: Check if first name is empty on spawned infosheet. If so, prompt for name entry.

INTERVIEWER: ENTER CHILD'S FULL NAME:

INTERVIEWER: SELECT INTERVIEW MODE.

In the past years, NLS has gathered information about the work, education, and family life of your generation. Since you have children of your own, and because they are your children, they are important people to us. The purpose of this 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 [MSRESPFEE] in appreciation for the time spent answering the questionnaire.

We would like to ask you some questions about [Child Full Name].

INTERVIEWER: VERIFY - WILL THE MOTHER SUPPLEMENT BE COMPLETED?

{MSDOBCOMPLETE}==1

COMMENT: Verify that there are no missing elements (don't know or refusal) in Child DOB.

(VERIFY CHILD'S AGE WITH MOTHER:) [Child First Name] is [CHILD AGE (YEARS)] years and [MONTHS] months old. Is that correct?

INTERVIEWER: ENTER CORRECT BIRTH DATE FOR [Child First Name].

ISCOMPLETE ([CHILD DATE OF BIRTH])

COMMENT: Verify that there are no missing elements (don't know or refusal) in Child DOB.

INTERVIEWER: VERIFY CHILD'S D.O.B. ENTRY -

YOU ENTERED [ms_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....

INTERVIEWER:

THE DATE YOU ENTERED IS AN [ms_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.

ISCOMPLETE ([CHILD DATE OF BIRTH])

COMMENT: Verify that there are no missing elements (don't know or refusal) in Child DOB. If so, get age numerically.

(VERIFY CHILD'S AGE WITH MOTHER:)

[Child First Name] is [CHILD AGE (YEARS)] year(s) and [MONTHS] 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....

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....

(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)

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.

([CHILD AGE IN MONTHS] >= 180) || ([FLAG-COMPLETE DATE VALUE FOR DOB]==1 && ([MS_CHILDDOB~Y] < [MSDOBFLOOR~Y]))

COMMENT: additional age check

STOP!

INTERVIEWER: THIS CHILD, [Child First Name], IS 15 YEARS OR OLDER AS OF 12/31/2008 AND THE MOTHER SUPPLEMENT SHOULD NOT BE ADMINISTERED.

PLEASE VERIFY DOB AND AGE OF THIS CHILD WITH MOTHER. IF CHILD IS STILL FOUND TO BE 15 OR OLDER BY 12/31/2008, PREPARE TO TERMINATE CASE. NOTIFY YOUR FM FOR REASSIGNMENT OF THIS CASE.

INTERVIEWER: PLEASE RECORD ANY ADDITIONAL COMMENTS REGARDING THIS CASE.

RECORD PROJECT ID ON NEXT SCREEN AND TERMINATE CASE.

([CHILD AGE (YEARS)] < 3)

COMMENT: NO BACKGROUND ITEMS ASKED FOR CHILDREN UNDER 3

**** BEGIN SECTION: CHILD BACKGROUND *****

Please think about the [2007-2008] regular school year. [is/was] [Child First Name] 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.)

Has [he/she] ever attended regular school, nursery school, or preschool?

What grade [is currently attending/did last attend]?


(IF R SAYS 'PRE-FIRST GRADE', CODE KINDERGARTEN.)

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.)

([SUMMER TERM FLAG])

COMMENT: Is interview date near or after the end of the school year?

Is/Was [Child First Name] (currently) attending or enrolled in summer school?

Has [he/she] ever attended summer school?

([FALL TERM FLAG])

COMMENT: Is interview date after or near the beginning of the new school year?

Now please think about the [2007-2008] regular school year.

Has [Child First Name] been attending regular school or preschool for at least four weeks (of the [2007-2008] school year)?

What grade is [Child First Name] currently attending?


(IF R SAYS 'PRE-FIRST GRADE', CODE KINDERGARTEN.)

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.)

([CHILD AGE (YEARS)] < 8)

([CHILD GRADE (OR EQUIVALENT)])

COMMENT: Is CHILD currently attending nursery or preschool (i.e., Child's GRADE coded 90)?

Has [Child First Name] ever been enrolled in a preschool program (not including kindergarten)?

Has [Child First Name] ever been enrolled in day care?

([BYPASS HEADSTART FLAG - INFO EXISTS] == 1)

COMMENT: Does complete information on Head Start participation already exist for child ?

Has [Child First Name] ever been enrolled in the Head Start Program?

How old was [Child First Name] when [he/she] first attended Head Start?


(INTERVIEWER: ENTER AGE IN YEARS. CODE 00 = LESS THAN 1 YEAR OLD.)

In total, how long (has [Child First Name] attended/did [Child First Name] attend) Head Start?

How satisfied are you with what Head Start has done for [Child First Name]?

How satisfied are you with what [Child First Name]'s Head Start program has done for you?

([CHILD AGE (YEARS)] < 5 )

COMMENT: If child age is less than 5 YRS , jump to BKGN-END

([IN SCHOOL] == 1)

If [Child First Name] does not attend school at all, what is the reason?

Which of the following describes the school [Child First Name] attends:

Is the school [he/she] attends public or private?

([EVER IN SCHOOL] == 0) && ([IN SCHOOL] == 0)

How many different schools has your child ever attended? Please include the school [he/she] is currently attending.

How many of these were elementary schools?

What language did [Child First Name] speak when [he/she] first started regular school?

What language does [Child First Name] speak most now?

COMMENT:

In a typical school week, how much time does [Child First Name] usually spend after school working on math problems or math homework?

ENTER HOURS PER WEEK. ROUND TO NEAREST 1/2 HR.

In a typical school week, how much time does [Child First Name] usually spend after school writing up reports, papers, book-reports, or stories?

ENTER HOURS PER WEEK. ROUND TO NEAREST 1/2 HR.

([EVER IN SCHOOL] == 0) && ([IN SCHOOL] == 0)

{msschlyr}, did/has {cfname} participate(d) in a remedial math program?

{msschlyr}, did/has {heshe} participate(d) in a remedial reading, remedial English, or remedial language arts program?

{msschlyr}, did/has {heshe} participate(d) in a gifted and talented program, or a special class for advanced work?

{msschlyr}, did/has {heshe} participate(d) in special education or a program for handicapped children?

{msschlyr}, did/has {heshe} participate(d) in a program that teaches English as a second language (ESL)?

([IN SCHOOL] == 1)

Do you or your (spouse/partner) participate in a parent-teacher organization at [Child First Name]'s school?

Do you or your (spouse/partner) volunteer in the classroom at [his/her] school?

Do you or your (spouse/partner) do volunteer work such as supervising lunch, or chaperoning a field trip at [Child First Name]'s school?

Do you or your (spouse/partner) attend parent-teacher conferences at [his/her] school?

How many of [Child First Name]'s close friends do you know by sight and by first and last name?

Do you know . . .

About how often do you know who [Child First Name] is with when [he/she] is not at home?

Would you say you know who [he/she] is with . . .

In the past year, how often has [Child First Name] attended religious services (including Sunday School, or other religious classes)?

Aside from attending religious services, how important is it to you to provide religious training for [him/her]?

**** BEGIN SECTION: CHILD HEALTH - HEIGHT & WEIGHT ****

{CSINTMODE}==1 && {CSPERMSTAT}==1 && ({CSUPSQXCONSNT} == 1 || {CSUPSQXCONSNT} == 2)

COMMENT: Internal Function - If telephone interview or mother permission refusal, go directly to height & weight questions. Otherwise continue.

INTERVIEWER: DOES CHILD HAVE ANY SERIOUS HEALTH LIMITATIONS THAT WOULD AFFECT MEASUREMENT OR TESTING?
.

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.

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?

{ppvtagemo} >=60 && {CSUPSQXCONSNT}==1

COMMENT: Internal Function - If Child age eligible for assessment, read Intro B. Otherwise, read Intro A.

{PPVTAGEMO} < 60 || ({CSAGE} < 8 && {CSUPSQXCONSNT}==2)

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.

{CSAGE} < 8

COMMENT: Internal Function - If Child age eligible for assessment, read Intro B. Otherwise, read Intro A.

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.

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.

(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
.

{HGTMETHOD}

COMMENT: Internal Function

(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.

.

(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.

.

([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?

{HGTMETHOD}

COMMENT: Internal Function

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.

.

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.

INTERVIEWER: HOW WAS HEIGHT REPORTED?

(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.
.

{WGTMETHOD}

COMMENT: Internal Function

(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.

.

(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".
.


.

([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?

{WGTMETHOD}

COMMENT: Internal Function

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.

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.

INTERVIEWER: HOW WAS WEIGHT REPORTED?

**** BEGIN SECTION: CHILD HEALTH *****

(READ TO MOTHER/GUARDIAN)

Now I'd like to ask you some questions about [Child First Name]'s general state of health and [his/her] physical characteristics.

{RESN-NOSCHL} == 1

COMMENT: If reason for not attending school is health related, skip directly to HEALTH-5 LOOP begin

([CHILD AGE (YEARS)] >= 4) || ([IN SCHOOL] == 1) || ([EVER IN SCHOOL] == 1)

Does [Child First Name] have any physical, emotional, or mental condition that limits or prevents [his/her] ability to...

...attend school regularly?

Does [he/she] have any physical, emotional, or mental condition that limits or prevents [his/her] ability to...

...do regular school work?

Does [Child First Name] have any physical, emotional, or mental condition that limits or prevents [his/her] ability to...

...do usual childhood activities such as play, or participate in games or sports?

Does [he/she] have any physical, emotional, or mental condition that requires...

...frequent attention or treatment from a doctor or other health professional?

Does [Child First Name] have any physical, emotional, or mental condition that requires...

...regular use of any medicine or drug (other than vitamins)?

Does [he/she] have any physical, emotional, or mental condition that requires...

... use of any special equipment, such as a brace, crutches, a wheelchair, special shoes, a helmet, a special bed, a breathing mask, an air filter, or a catheter and so on?

REPEAT

COMMENT: Begin loop about limiting conditions

What is [Child First Name]'s (next) health condition or limitation?

INTERVIEWER: PROBE AS NECESSARY: (What is it called?)

CODE ONLY ONE

{msagemo}<=11

COMMENT: Don't ask how long had condition if less than 1 yr old

IN REFERENCE TO VERBATIM: [HEALTH CONDITION]

How old was [Child First Name] when [he/she] first developed this condition?

INTERVIEWER: ENTER AGE IN YEARS (SINCE BIRTH=0)

{HLTH-LOOP5COUNTER}

COMMENT: IF loop=1 goto HLTH-5-1STQ2A, else skip to HLTH-5-SCHLCHK

([LIMITS TO ATTENDING SCHL?] == 1) || ([RESN-NOSCHL] == 1)

COMMENT: jump to NEXT appropriate effect of limit to ask about

{lim-schlwk} == 1

COMMENT: jump to NEXT appropriate effect of limit to ask about

{lim-play} == 1

COMMENT: jump to NEXT appropriate effect of limit to ask about

{lim-dr-oftn} ==1

COMMENT: jump to NEXT appropriate effect of limit to ask about

{lim-meds} == 1

COMMENT: jump to NEXT appropriate effect of limit to ask about

{lim-eqmt} == 1

COMMENT: jump to NEXT effect of limit to ask about

([CHILD AGE (YEARS)] >=4) || ([IN SCHOOL] == 1) || ([EVER IN SCHOOL] == 1)

IN REFERENCE TO VERBATIM: [HEALTH CONDITION]

Does this condition limit or prevent [his/her] ability to...

...attend school regularly?

IN REFERENCE TO VERBATIM: [HEALTH CONDITION]

Does this condition limit or prevent [his/her] ability to...

...do regular schoolwork?

IN REFERENCE TO VERBATIM: [HEALTH CONDITION]

Does this condition limit or prevent [his/her] ability to...

...do usual childhood activities such as play, or participate in games or sports?

IN REFERENCE TO VERBATIM: [HEALTH CONDITION]

Does this condition require...

...frequent attention or treatment from a doctor or other health professional?

IN REFERENCE TO VERBATIM: [HEALTH CONDITION]

Does this condition require...

...regular use of any medicine or drug (other than vitamins)?

IN REFERENCE TO VERBATIM: [HEALTH CONDITION]

Does this condition require...

... use of any special equipment, such as a brace, crutches, a wheelchair, special shoes, a helmet, a special bed, a breathing mask, an air filter, or a catheter and so on?

Does [Child First Name] have any other health conditions (that we haven't talked about)?

UNTIL([anymoreconds]==0)

COMMENT: loop until there are no more conditions to ask about

{HLTH-SUB3}, has {cfname} had any accidents or injuries that required medical attention?

REPEAT

COMMENT: Begin loop about accidents requiring medical attention

Thinking of the [most recent accident or injury/accident or injury that occurred before the one you just described], in what month and year did it occur?

What was the cause of that accident or injury?

CODE ONLY ONE

What specific injury or conditions resulted from the accident just mentioned?

(CODE ALL THAT APPLY)

Where did the accident or injury happen?

Has [Child First Name] had any other accidents or injuries requiring medical attention [since was born/during the past 12 months]?

UNTIL([anymorehurts]==0)

COMMENT: loop until there are no more accidents or injuries

Now we're going to talk about any time [Child First Name] may have been hospitalized since [ was born/we last interviewed you on ]. (This may include an injury that you have already mentioned here.)


Has [Child First Name] had any accidents or injuries that required hospitalization since [ was born/we last interviewed you on ]?

REPEAT

Thinking of the [most recent accident or injury that/accident or injury that occurred before the one you just described that also] required hospitalization, in what month and year did it occur?

What was the cause of this accident or injury?

CODE ONLY ONE

What specific injury or conditions resulted from the accident just mentioned?


(CODE ALL THAT APPLY)

Where did the accident or injury happen?

Has [Child First Name] had any other accidents or injuries requiring hospitalization since [ was born/we last interviewed you on ]?

UNTIL([anymorehosp]==0)

{HLTH-SUB} had any illnesses that required medical attention or treatment?

How many such illnesses has [Child First Name] had [since was born/during the past 12 months]?

When did [Child First Name] last see a doctor for a routine health checkup?

{CHILDSEX} == 2 && {MSAGE} >= 8 && {CHILDPER}==0

Has [Child First Name] ever had a menstrual period?

How old was [Child First Name] when she had her first menstrual period?


(INTERVIEWER: ENTER AGE IN YEARS.)

In what month and year did she have her first period?

([CHILD AGE (YEARS)]>=2)

COMMENT: Is child age 2 yrs or older?

Which hand does [Child First Name] use for writing?


IF R VOLUNTEERS "AMBIDEXTROUS","EITHER", OR "BOTH", ENTER EITHER/BOTH AND RECORD EXPLANATION IN COMMENT SCREEN.

IF R SAYS CHILD DOESN'T WRITE YET, ASK WHICH HAND HE/SHE USES MOST OFTEN.

Please think about the hand [Child First Name] uses for activities such as throwing a ball. When [he/she] throws a ball, does [he/she] use [his/her]...

When [he/she] brushes [his/her] teeth, does [he/she] use [his/her]...

When did [Child First Name] last see a dentist for a checkup or to have some dental work done?

Is [Child First Name]'s health care now covered by health insurance provided either by an employer or by an individual plan that pays part or all of a hospital, doctor's, or surgeon's bill?


(THIS DOES NOT INCLUDE PUBLIC ASSISTANCE HEALTH CARE PROGRAMS.)

There is a national program called Medicaid that pays for health care for persons in need.

Is [Child First Name]'s health care now covered by Medicaid?


(INTERVIEWER: IF NEEDED, HAND R SHOW CARD "STATE MEDICAID PROGRAMS". IF TELEPHONE INTERVIEW, SHOWCARD MAY BE READ)

([CHILD AGE IN MONTHS]>=0)

COMMENT: IF child meets AGE and YOB/BORNSR19 constraints, then continue. Otherwise skip to HOME-END

**** BEGIN SECTION: The HOME *****

INTERVIEWER: THE FOLLOWING SECTION IS A CHILD ASSESSMENT. IT IS VITAL THAT YOU COMPLETE ALL QUESTIONS IN THIS SECTION.

READ TO MOTHER

We are interested in your family's lifestyle and rules.

([CHILD AGE IN MONTHS])

COMMENT: Jump to appropriate HOME section based on months of age.

About how often does [Child First Name] have a chance to get out of the house?

About how many children's books does [Child First Name] have?

How often do you get a chance to read stories to [Child First Name]?

About how often do you take [Child First Name] to the grocery store?

About how many, if any, cuddly, soft or role-playing toys (like a doll) does [Child First Name] have? (May be shared with sister or brother.)

ENTER NUMBER OF SOFT TOYS.

About how many, if any, push or pull toys does [Child First Name] have? (May be shared with sister or brother.)


ENTER NUMBER OF PUSH/PULL TOYS.

Some parents spend time teaching their children new skills while other parents believe children learn best on their own. Which of the following most closely describes your attitude?

Think for a moment about a typical weekday for your family. How much time--either in your home or elsewhere--does [Child First Name] spend watching television on a typical weekday?

INTERVIEWER: ENTER HOURS PER WEEKDAY (ROUND TO NEAREST 1/2 HR. "NO" OR "NONE"= 0)

(IF REPLY IS "Do not have a TV" THEN PROMPT: Does [Child First Name] spend any time watching TV outside of your home (for example with a babysitter) on a typical weekday?)

Now, think about a typical weekend day (Saturday or Sunday) for your family. How much time--either in your home or elsewhere--does [Child First Name] spend watching television on a typical weekend day?

INTERVIEWER: ENTER HOURS PER WEEKEND DAY (ROUND TO NEAREST 1/2 HR. "NO" OR "NONE"= 0)

(IF REPLY IS "Do not have a TV" THEN PROMPT: Does [Child First Name] spend any time watching TV outside of your home (for example with a babysitter) on a typical weekend day?)

About how many hours is the TV on in your home each day?

INTERVIEWER: ENTER HOURS PER DAY, ROUND TO NEAREST 1/2 HR.
NOTE: LESS THAN 1 HOUR PER DAY = 0. IF R DOES NOT HAVE A TV, ENTER ZERO AND CHANGE CHECK ITEM BELOW.

MARK AS APPROPRIATE

([FATHER IN HOUSEHOLD PRELOAD FLAG] == 1)

COMMENT: IF FATHER PRESENT IN MOTHER HOUSEHOLD SKIP TO HOME-A-TXTSUB1

Does [Child First Name] ever see [his/her] father, or someone [he/she] considers a father-figure?

Is this person [his/her] biological father, stepfather, or a father-figure?

What is his relationship to you? (Is he your spouse, your partner, your friend, a relative, or someone else?)

Does [Child First Name] see [his/her] [father/stepfather/father-figure] on a daily basis?

How often does [Child First Name] eat a meal with both you and [his/her] [father/stepfather/father-figure]?

Children seem to demand attention when their parents are busy around the house. How often do you talk to [Child First Name] while you are working?

How close does [Child First Name] feel toward you? Does [he/she] feel...

([WHODAD])

COMMENT: WHODAD=0 (NO FATHER-FIGURE), SKIP TO HOME-A18; WHODAD>=1 SKIP TO HOME-A17B.

How close does [he/she] feel toward [his/her] (biological) father?

([WHODAD])

COMMENT: IF father is in HH, don't ask about closeness to stepfather (WHODAD=1 skip to HOME-A18).

How close does [he/she] feel toward [his/her] [father/stepfather/father-figure]?

Sometimes kids mind pretty well and sometimes they don't.
About how many times, if any, have you had to spank [Child First Name] in the past week?

About how often do you read stories to [Child First Name]?

About how many children's books does [Child First Name] have?

About how many magazines does your family get regularly?

Does [Child First Name] have the use of a CD player, tape deck, or tape recorder, or record player at home and at least 5 children's records or tapes? (May be shared with sister or brother.)

Please tell me which of the following you (or someone else) have helped [Child First Name] learn at home.

Do you or have you helped with...numbers?

Do you (or someone else) help with...the alphabet?

Do you (or someone else) help with...colors?

Do you (or someone else) help with...shapes and sizes?